Justin, 53, owns a rental business in Austin and suspects he contracted COVID-19 after hosting a boat party on Lake Travis last June. One of his guests had recently come down with symptoms, and he later developed pneumonia. "I was pretty sick," he told Austonia.
Although Justin, who asked that his last name be withheld for privacy reasons, believes, "COVID is real, obviously," he is opposed to vaccines. The COVID vaccines, in particular, concern him because of their emergency use status and the possibility that recipients can still get sick. "(I'm) sure as hell not going to put that in my body," he said, adding that he likely has natural immunity and rarely gets sick.
When the U.S. Food and Drug Administration and Centers for Disease Control and Prevention issued new guidance to pause use of the Johnson & Johnson vaccine out of an abundance of caution, Justin felt like it was an inevitability. "I'm just not surprised," he said.
As vaccine eligibility has widened to all Texas adults and in the wake of the pause on Johnson & Johnson vaccine distribution, public health experts are focused on a new challenge: vaccine hesitancy. Local physicians are also working on the front lines to address their patients' concerns about the vaccine, which may be based on misinformation or political ideology, and could thwart efforts to achieve herd immunity.
A changing tide
Vaccine demand in the Austin area has remained strong in comparison to other Texas counties. But local physicians are encountering patients who are skeptical about, or downright opposed to, the vaccine.
Demand for the COVID-19 vaccine in Travis County has generally increased. (Texas Department of State Health Services)
Dr. James Marroquin, an internal medicine doctor at Capital Medical Clinic on West 38th Street, initially couldn't keep up with vaccine demand. Now he sees the occasional hesitant patient once every two or three days. (His daily patient load is around 15 to 20.)
In most cases, this hesitancy is fueled by political ideology. "I think it all kind of goes along with lack of trust in institutions," Marroquin said, citing his patients' concerns of government overreach and the defeat of former President Donald Trump. This tracks with February polling data from the University of Texas/Texas Tribune, which found 59% of Texas Republicans were either reluctant to get the vaccine or would refuse it outright.
If his patient is open to a conversation, Marroquin focuses on personal stories about how difficult it has been to see patients hospitalized with or die of COVID and how he and his wife feel so much more comfortable going out to dinner now that they are vaccinated. "Facts do not change people's minds," he said.
An ongoing conversation
This doctor-patient relationship may be key to addressing the issue. Dr. David Lakey, vice chancellor of health affairs at the University of Texas System and a member of the Texas COVID-19 Expert Vaccine Allocation Panel, anticipates that as the rollout continues, allocations will shift from hubs and large clinics to private practices and pharmacies, where patients may have a trusted doctor or pharmacist with whom they feel comfortable raising concerns.
Vaccine hesitancy is nothing new for family medicine physicians such as Dr. Puja Uppal, chief medical officer of Think Healthy, a podcast aimed at improving health literacy and equity. She tries to address misinformation patients may have come across head-on over the course of successive appointments.
A common concern is the CDC's evolving guidance regarding masking and what vaccine recipients can do safely, potential side effects and the newness of the vaccine. In such cases, Uppal stresses that the foundation of good medicine is adapting as new information becomes available. "If your actions don't change with new data, then that's not science," she said.
Another concern is the newness of the COVID vaccines, which were distributed quickly compared to the typical timeline but rely on mRNA and vector-based platforms that have been developed and tested for other diseases, including SARS, Ebola and Zika.
The federal government recommended the Johnson & Johnson pause on Tuesday after six recipients—out of more than 7.2 million—reported blood clots. Public health experts see the guidance as a double-edged sword: on the one hand, the pause is proof of an effective and transparent oversight process; on the other, it could exacerbate vaccine hesitancy. "It's a very hard thing to message, and it can put further doubt in people's minds," Dr. Steve Schrantz, an assistant professor of medicine at the University of Chicago who specializes in infectious disease, told NBC News.
Uppal tries to provide her hesitant patients with data: "Something that I say that patients are actually really appreciative of is that we all know that over 500,000 people have died from COVID (in the U.S.)," she said. "We don't know of a single patient who has died from the vaccine."
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- Most patients hospitalized for COVID-19 are unvaccinated - austonia ›
So you want to buy a house?
To anyone trying to get on the "housing ladder," it's been a discouraging couple of years as prices skyrocketed in a market crowded with buyers bidding against each other for just about any available home.
Things may be calming down, with the Austin Board of REALTORS reporting fewer sales and more available homes this summer.
Mortgage rates have more than doubled in the last year, from around 3% to well over 6% on a 30-year fixed rate loan, getting even more of a bump this week after the Federal Reserve raised bank rates on Wednesday.
So how affordable are homes right now? That, of course, depends on what you want and how much you're able or willing to pay, but here are some rough estimates of what a typical buyer would pay to buy a $650,000 home, which would be considered "mid-price" in today's market.
Mortgage banker Chris Holland (NMLS 211033) of Austin's Sente Mortgage ran some numbers for Austonia to illustrate a typical purchase.
Holland says that while the 30-year fixed rate mortgage is often mentioned in the media, the most popular loan that he's seeing now is a 7/1 adjustable rate mortgage, which has a fixed rate for 7 years and then adjusts every year based on market rates, with a limit on how much it can increase each year. The interest is amortized over a 30-year period. Adjustable Rate Mortgages (ARMs) offer lower rates than fixed rate loans.
Here are the numbers, which are examples. In practice, exact numbers vary with a buyer's credit rating and overall financial situation, and with the rate, which can move up or down at any time.
- $650,000 home purchase price
- 7/1 ARM at 5.875%
- 5% down payment, equals $32,500
- 95% financed, equals $617,500
- $4,990 payment, including principle and interest (P&I), insurance, and property tax
- Typically, a borrower's debt to income ratio needs to be at or below 45%. So for this mortgage, a borrower, or borrowers, would need income of roughly $11,100/month, or $133,200/year. That number could be higher, depending on the buyer's outstanding credit balances on things like credit cards and car loans.
Holland says he's had a lot of clients approved for loans who were house hunting but have put that on hold, hoping prices come down.
Camp Fimfo Waco, a brand new camping resort, is kicking off football and fall camping season in style! With top-notch amenities, premium accommodations, and 10 weekends of fall fun, there’s no better place to have a fall camping getaway, especially if you’re a Baylor football fan!
Fall promises to be a one-of-a-kind camping experience. From Sept. 16 to Nov. 24, weekends will be packed with fall-themed activities, including special Halloween weekends in October. Campers can enjoy activities like fall crafts, campground trick-or-treating, costume contests, site decorating, outdoor movie nights, and more!
Packages and Ways to Stay
Camp Fimfo Waco
Located just 5 miles from McLane Stadium, Camp Fimfo Waco is the perfect place to stay during home game weekends. Skip the stuffy hotel room and embrace the great outdoors before cheering on the Baylor Bears! Campers can purchase a Baylor Tailgating Package that includes a pre-game meal from Executive Chef Sean Kelley and transportation to and from the game! Chef Kelley will also be cooking up delicious, elevated tailgating meals near the stadium so make sure to check out The Plaid Plate food truck before the game.
Stay in style and comfort, no matter your camping preference! At Camp Fimfo Waco, there are multiple ways to stay. Red Carpet RV sites come with a concrete pad and patio, full hook-ups, cable hook-up, a charcoal grill, fire ring and fire pit. Back-in or pull-thru options are available, as well as coveted spots tucked along the Bosque River!
Don’t have an RV? Not a problem, Camp Fimfo Waco has cabins too! Book a Riverview Firewheel Cabin if you’re looking for an air-conditioned oasis for the whole family. Complete with a kitchen and private bathroom, this cabin can fit up to 10 people. Elevate your stay by adding on a golf cart or snag a private cabana by the pool for guaranteed shade. With wifi available throughout the park, you can stay connected during your stay!
Amenities and Activities
Camp Fimfo Waco
Camp Fimfo Waco features lots of amenities to fill your days with fun, whether you’re a kid or kid at heart. After challenging your friends to a game of pickleball, basketball, or mini golf, go for a dip in the resort-style, heated pool - open daily through October! Stay on the weekends through October to enjoy the interactive splash playground. With plenty of ways to burn off energy, like the jumping pillow or playground, you can be sure to end the day with a peaceful night around the campfire!
Right now, you can get the fourth night FREE when you book three nights with the promo code BONUS! Check out the Offers page for full details and more promo codes!