After closing briefly at the start of the pandemic, Open Door Preschools reopened one of its three Austin locations in early April to serve essential workers. Since then, the local business has seen enrollment increase enough to reopen a second location but not enough to keep its third location from closing permanently.

The financial impact of the pandemic coupled with the workplace modifications required to keep staff and students safe have been hard on everyone. "We're seeing a lot of stress and burnout in our teachers," Executive Director Cynthia McCollum told Austonia.

When the vaccine rollout began in mid-December, it was a bit of a tease for educators and child care personnel. "I certainly didn't think there were people on the list who should wait behind teachers and childhood educators," McCollum said. "But it was frustrating and really discouraging for my teachers and myself. It felt like our work and what we'd been doing to keep families safe and able to go to work was not a priority and wasn't valued."

This all changed earlier this month when the Texas Department of State Health Services announced school staff and child care personnel were now eligible for the COVID-19 vaccine. The change came after the U.S. Department of Health and Human Services directed states to expand eligibility to these groups if they hadn't already.

The Texas State Teachers Association and Education Austin, a union representing Austin ISD employees, attributed the change to President Joe Biden and criticized Texas Gov. Greg Abbott for not making it sooner. "We're very excited, very pleased that the president prioritized teachers and school employee workers," EA President Ken Zarifis said. "We think that it's been a long time coming."

A targeted rollout

As state health officials have expanded eligibility criteria for the vaccine, some already eligible residents have expressed consternation: supply remains limited, and expanded eligibility only increases the competition for the limited available appointments. In response, local providers have been working with school districts and local childcare providers to ensure their staff are able to make appointments.

Prior to DSHS' announcement, Austin Public Health and other providers were already working with area school districts and child care providers to connect educators in group 1B—which includes people 65 and older and people 16 to 64 with a medical condition—to appointments.

McCollum fell into this category. She spent more than two hours at her computer before she was able to secure an appointment. "It really reminded me of the early 2000s trying to get concert tickets," she said. But the payoff was significant. "At least for me, personally, where I got my first shot I got a palpable relief," she said. "I was closer to feeling safe than I had for almost a year."

An Austin ISD elementary reading teacher receives a dose of the vaccine at an Ascension Seton vaccine clinic in early January. The district and hospital system partnered up to provide vaccines to staff who fell into the 1B group. (Ascension Seton)

Since the state expanded eligibility criteria to include educators, McCollum estimates that more than half of Open Door's 54-person staff has been able to get at least one dose. The preschool is offering staff a modest cash incentive—McCollum declined to say how much—to encourage them to make an appointment, especially given the time required to do so.

After DSHS' announcement, APH announced that it would host School Saturdays, setting aside around 1,500 initial doses as part of its weekly 12,000-dose allocation specifically for educators and childcare personnel. Travis County is also working with area school districts to provide access to its weekend vaccine clinic at the Circuit of the Americas, a mass event coordinated with Ascension Seton, CommUnity Health Centers and Bastrop, Caldwell and Hays counties.

Within the first week of the state eligibility criteria change, APH had vaccinated approximately 5,500 teachers and 2,168 childcare providers. This does not include those vaccinated through other providers or at the COTA drive-thru clinic. DSHS estimates that there are 32,884 educators and child care personnel in Travis County.

Such targeted outreach has helped educators access vaccine appointments despite the high demand and technical glitches that may be stymieing other eligible residents. "People are going out and they're getting vaccinated," Zarifis said, adding that Austin ISD expects that any staff members who wish to be vaccinated should be able to be so by the end of spring break, which is this week. "That's a much different narrative than two months ago."

Room for improvement

Despite this progress, there are still snags in the system. Cathy McHorse, vice president of the United Way for Greater Austin's Success By 6 early childhood coalition, said child care personnel, in particular, may have trouble accessing appointments because they tend to be underpaid and lack health insurance, limiting their options to providers who are providing vaccines to people outside of their existing patients. It may also be hard for them to get time off from work when vaccine appointments are available. "They don't have paid leave," McHorse said, and there are no substitutes in childcare.

Childcare personnel may also lack access to the communication infrastructure—made up of school email addresses, identification badges, listserv access—or union representation that has helped school employees make appointments.

"What makes childcare more complicated than schools is that schools are big, bureaucratic institutions," McHorse said, adding that there is no state database of childcare workers in Texas.