Americas

A Hospital Finds an Unlikely Group Opposing Vaccination: Its Workers

Their movement started discreetly, just a handful of people communicating on encrypted apps like WhatsApp and Signal. But in just days it had ballooned tenfold. And within two weeks, it had turned into a full-blown public protest, with people waving picket signs to denounce efforts to push them to receive coronavirus vaccines.

But these were not just any vaccine resisters. They were nurses, medical technicians, infection control officers and other staff who work at a hospital in Staten Island, which has the highest rate of Covid-19 infection of any borough in New York City.

Outside Staten Island University Hospital this week, as passing cars and fire trucks honked supportively, employees chanted, “I am not a lab rat!”

The aggressive opposition to the vaccine, and even regular testing, at a hospital in New York City — the epidemic’s onetime epicenter — shows the challenges of reaching the unvaccinated when some of the very people who could serve as role models refuse vaccination.

Some medical workers at the Staten Island hospital are so fiercely opposed that they call themselves “The Resistance” after the rebel faction in “Star Wars.” They are defending what they view as their inherent rights, and their leader is gathering hospital workers from other states in an attempt to create a nationwide movement.

Scientists and medical professionals point out that those who refuse vaccines are potentially endangering the lives of patients. “Vaccinations are critical to protect our patients, our staff and protect the general community,” said Dr. Mark Jarrett, chief medical officer at Northwell Health, which is the state’s largest health care provider and runs Staten Island University Hospital. “It’s a tough issue, but it’s our professional obligation to always maintain that whatever we do, it’s for the safety of our patients.”

He said he is hopeful that imminent federal approval of the Pfizer vaccine will persuade some of the unvaccinated to get shots.

As the Delta variant, the highly transmissible version of the coronavirus that now makes up almost all new cases in the United States, drives a surge throughout the country, public health officials are struggling to boost vaccination rates among frontline medical workers. Among the nation’s 50 largest hospitals, one in three workers who had direct contact with patients had not received a single dose of a vaccine as of late May, according to an analysis of data collected by the U.S. Department of Health.

The Staten Island protests started last Monday when Northwell Health began requiring unvaccinated staff to get weekly coronavirus tests by nasal swab or risk losing their jobs. On the same day, Gov. Andrew M. Cuomo announced that all health care workers across the state would be required to have at least one dose of the vaccine by Sept. 27, with limited exceptions for those with religious or medical exemptions.

Northwell says that its mandate was put in place to protect patients. A spokesman said that the company was aiming to get 100 percent of its staff vaccinated and has used a variety of tactics to nudge hesitant workers, like offering them spa days. Before the pandemic, the hospital system encouraged flu vaccinations and required employees who were not vaccinated for flu to wear masks when among patients.

Some protesters, dismissive of scientific data and wary of mandates they say infringe on their civil rights, say they are willing to lose their jobs. Other workers said that they were considering moving out of state, perhaps to Florida, where hospital requirements are looser and the number of deaths and hospitalizations has steadily risen since June.

Across New York, the majority of the state’s more than 600,000 health care workers are vaccinated, but many are not. To date, 75 percent of the state’s roughly 450,000 hospital workers, 74 percent of the state’s 30,000 adult care facility workers and 68 percent of the state’s 145,500 nursing home workers have been fully vaccinated, the state said.

Modes of persuasion ranging from free cash to burgers to rides on the M.T.A. failed to persuade vaccine refusers, leading some hospital systems to take a harsher approach, which in turn, has spurred a backlash. Last month, the largest health care union in the country held a rally after the NewYork-Presbyterian hospital system mandated that workers receive at least one shot of the vaccine by Sept. 1.

Participants in a recent focus group at Staten Island University Hospital about how to persuade employees to get vaccinated said they were told by officials that about 60 percent of the staff had been vaccinated. Northwell Health did not confirm the figure, but said that about 77 percent of the employees are vaccinated across Northwell’s 23 hospitals in the city and the state.

The de facto leader of the hospital employees is John Matland, 36, a CT scan technician who is a good friend of Daniel Presti, the manager of Mac’s Public House bar on Staten Island, which last year gained notoriety for defying virus restrictions.

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When indoor dining was banned in the area because of high coronavirus infection rates, the bar continued to serve local customers inside, prompting the police to arrest Mr. Presti and to padlock the bar.

Mr. Matland has coalesced a community of workers who said they feel singled out because testing is not required for vaccinated people, even though they are still able to get infected and transmit the virus. Some also argue that they don’t need the vaccine because they previously had been infected with the coronavirus.

But experts have said that prior infection does not fully protect people and have advised everyone to get vaccinated. Early data shows that breakthrough infections are rising because of the Delta variant, but experts say they do not mean that the vaccine is ineffective. The available data shows that unvaccinated people are still much more likely to contract Covid-19, while vaccines drastically reduce the risk of hospitalization and death from the virus.

Mr. Matland participated in the focus group aimed at understanding what punitive measures could motivate unvaccinated employees to get the shots. The options listed were: being docked pay during leaves of absence if exposure requires quarantine; becoming ineligible to participate in employee appreciation barbecues; or losing points that staff are allowed to cash in for gift cards and products.

Mr. Matland said he chose “none of the above.”

Even small defections could put a strain on the Staten Island hospital. Staten Island, a Republican enclave, had the highest rate of hospitalizations from Covid-19 of any borough in July.

At the ultrasound department, Mr. Matland said, three-quarters of staff have told him they remained undecided about getting the vaccine. At the radiology department at the hospital’s southern campus, Mr. Matland said four out of 10 staff were unvaccinated and “many will not cave.”

Understand Vaccine and Mask Mandates in the U.S.

    • Vaccine rules. On Aug. 23, the Food and Drug Administration granted full approval to Pfizer-BioNTech’s coronavirus vaccine for people 16 and up, paving the way for an increase in mandates in both the public and private sectors. Private companies have been increasingly mandating vaccines for employees. Such mandates are legally allowed and have been upheld in court challenges.
    • Mask rules. The Centers for Disease Control and Prevention in July recommended that all Americans, regardless of vaccination status, wear masks in indoor public places within areas experiencing outbreaks, a reversal of the guidance it offered in May. See where the C.D.C. guidance would apply, and where states have instituted their own mask policies. The battle over masks has become contentious in some states, with some local leaders defying state bans.
    • College and universities. More than 400 colleges and universities are requiring students to be vaccinated against Covid-19. Almost all are in states that voted for President Biden.
    • Schools. Both California and New York City have introduced vaccine mandates for education staff. A survey released in August found that many American parents of school-age children are opposed to mandated vaccines for students, but were more supportive of mask mandates for students, teachers and staff members who do not have their shots.  
    • Hospitals and medical centers. Many hospitals and major health systems are requiring employees to get a Covid-19 vaccine, citing rising caseloads fueled by the Delta variant and stubbornly low vaccination rates in their communities, even within their work force.
    • New York City. Proof of vaccination is required of workers and customers for indoor dining, gyms, performances and other indoor situations, although enforcement does not begin until Sept. 13. Teachers and other education workers in the city’s vast school system will need to have at least one vaccine dose by Sept. 27, without the option of weekly testing. City hospital workers must also get a vaccine or be subjected to weekly testing. Similar rules are in place for New York State employees.
    • At the federal level. The Pentagon announced that it would seek to make coronavirus vaccinations mandatory for the country’s 1.3 million active-duty troops “no later” than the middle of September. President Biden announced that all civilian federal employees would have to be vaccinated against the coronavirus or submit to regular testing, social distancing, mask requirements and restrictions on most travel.

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