Share of U.S. adults who have received at least one vaccine dose
25% 50% 100% of adults 70% by July 4 is the White House goal
Jan. 14 June 2 July 4
At current pace
At least
one dose
Note: The projection is based on a 7-day rolling average of new vaccinations of people 18 or older.
The United States is roughly on track to meet President Biden’s goal of getting at least one Covid-19 shot into the arms of 70 percent of adults by July 4 — if the current vaccination pace holds. But demand for vaccines has decreased in much of the country in recent weeks, and the promising national numbers (about 63 percent of adults have received at least one shot) do not reflect the uneven rates among states.
Even if the country as a whole reaches the national target, at least 30 states probably will not. And a handful are unlikely to reach the 70 percent mark before the end of the year, a New York Times analysis shows, potentially prolonging the pandemic.
“You reach a certain rate nationally, which looks excellent and would really suggest that you are in a place to reduce the likelihood of infectious spread, but that can be misleading,” said Dr. Marcus Plescia, the chief medical officer for the Association of State and Territorial Health Officials, which represents state health agencies.
“You still have these significant pockets and states where the rates of immunity are much lower,” he added. “So we could have another wave pop up.”
How long it would take each state to reach 70 percent of adults with one dose at the current vaccination pace
In many states in the Deep South and Mountain West, vaccinations have leveled off both because of limited access and shot hesitancy. Fewer than half of all adults have received at least one shot in Alabama, Louisiana, Mississippi and Wyoming, and projections show that the rate is unlikely to reach much higher than 50 percent by early July.
In these states, about half of adults or fewer have received at least one dose.
Mississippi
70% goal
At least
one dose
By July 4
West Virginia
South Carolina
North Dakota
North Carolina
Other states are closer to Biden’s goal, but will not reach 70 percent by July 4 without speeding up.
Montana
70% goal
At least
one dose
By July 4
South Dakota
Some are near 70 percent, or say they aim to get there soon.
Puerto Rico
70% goal
At least
one dose
By July 4
District of Columbia
Washington
And these states have reached or surpassed 70 percent of adults.
California
70% goal
At least
one dose
New Hampshire
Pennsylvania
New Mexico
Rhode Island
New Jersey
Connecticut
Massachusetts
Note: The C.D.C. is working with New Hampshire to correct data transmission errors from recent weeks.
Public health experts and officials in states with lower vaccination rates say the president’s benchmark will help reduce cases and deaths but is somewhat arbitrary — even if 70 percent of adults are vaccinated, the virus and its more contagious variants can spread among those who are not.
But they are still concerned that their residents are more susceptible to infection as restrictions ease across the country, the sense of urgency to get vaccinated declines and many Americans in warmer climates avoid the heat by heading indoors, where the virus spreads more efficiently.
“We’ve got a significant percentage of Louisiana that has initiated, but it’s not herd immunity,” Dr. Joseph Kanter, the top health official in Louisiana, said in mid-May, referring to the share of the total population that needs to acquire resistance to the virus to slow transmission. “It’s nowhere close to it.”
“It’s not insignificant, but it’s not herd immunity,” he added. “So we’re very cognizant of that, and we feel great urgency with the vaccine campaign.”
Even statewide figures that appear promising can gloss over local problem areas, Dr. Kanter said. In Louisiana, less than 20 percent of people in some parishes have received a first dose.
State vaccination rates during previous U.S. vaccination campaigns show some similar patterns.
For example, much of the South had lower vaccination rates than the rest of the country during the H1N1 pandemic in 2009 and 2010, and in the flu season just before the Covid-19 pandemic.
Share of adult population vaccinated in each campaign
2009-10 H1N1 vaccine
Lowest
(8%)
Highest
(35%)
AL AK AZ AR CA CO FL GA HI ID IL IN IA KS KY LA ME MI MN MS MO MT NE NV NM NY NC ND OH OK OR PA SC SD TN TX UT VA WA WV WI WY
2019-20 flu vaccine
Lowest
(40%)
Highest
(58%)
AL AK AZ AR CA CO FL GA HI ID IL IN IA KS KY LA ME MI MN MS MO MT NE NV NM NY NC ND OH OK OR PA SC SD TN TX UT VA WA WV WI WY
2020-21 Covid-19 vaccine
Lowest
(44%)
Highest
(82%)
AL AK AZ AR CA CO FL GA HI ID IL IN IA KS KY LA ME MI MN MS MO MT NE NV NM NY NC ND OH OK OR PA SC SD TN TX UT VA WA WV WI WY
Note: Covid vaccination data is through June 2 and represents those with at least one dose.
Public health experts point to persistent challenges in this region of the country, including lower than average access to health care, especially in rural areas, and higher rates of vaccine hesitancy. Politics may also play a role.
“You’re also looking at states that relaxed mandates faster,” said Dr. Jodie L. Guest, an epidemiologist at Emory University. “Leadership matters. If you set the tone that this isn’t serious, it’s hard to convince people that it is.”
Officials in lagging states have said they are hopeful that they can continue to vaccinate more people, but caution that it may take months to work with doctors, employers and community leaders to make inoculations more convenient and to persuade those who are unwilling to get a shot.
To bolster the nation’s progress, the White House has announced an incentive to give parents and caregivers free child care while they get vaccinated.
“I think the question is whether we’re getting to a place where we’ve just leveled out, and we’re just not going to get that many more people,” Dr. Plescia said, “or whether in a lot of these states it will take longer for people to get vaccinated, and we will continue to make progress, but it will be slow progress.”
“I just don’t know how that will play out,” he added.
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