The triumph of science has led to several approved safe and efficacious COVID-19 vaccines for the United States, but the rollout has been slow across the country. Most states lack the capacity to meet the demand for vaccines and have decentralized patchworks of providers and sites, with criteria and sign-up systems that are difficult to navigate. Vaccine distribution has fallen short of equitably reaching communities of color and residents that are the most at-risk.

In a confusing landscape, partnership between cities and health departments are vital to provide accurate information, to expand access points for vaccine administration, and to build public confidence.