But language is far from the only issue. Even after finding information in a language they understand, non-English speakers face a confusing mix of providers offering shots and technology needed to access appointments. “There are barriers on top of barriers for these subsets,” said Bobby Mukkamala, a surgeon and chair of a subgroup of the Protect Michigan Coalition responsible for increasing vaccination rates among Michigan's Asian Pacific American population. As of Wednesday, fewer than 55,000 non-Hispanic Asians, Native Hawaiians and Pacific Islanders had received their first doses of vaccine, around 1.9% of the total number of vaccinated Michigan residents. Health departments and advocates have attempted to address some of these issues.