KENOVA, W.Va. (AP) - Griffith & Feil Drug has been in business since 1892, a family-owned, small-town pharmacy. This isn't their first pandemic.
More than a century after helping West Virginians confront the Spanish flu in 1918, the drugstore in Kenova, a community of about 3,000 people, is helping the state lead the nation in COVID-19 vaccine distribution.
West Virginia has emerged as an unlikely success in the nation's otherwise chaotic vaccine rollout, largely because of the state's decision to reject a federal partnership with CVS and Walgreens and instead enlist mom-and-pop pharmacies to vaccinate residents against the virus that has killed more than 395,000 Americans.
More shots have gone into people's arms per capita across West Virginia than in any other state, with at least 7.5 percent of the population receiving the first of two shots, according to federal data.
West Virginia was the first in the nation to finish offering first doses to all long-term care centers before the end of December, and the state expects to give second doses at those facilities by the end of January.
"Boy, have we noticed that. I think the West Virginia model is really one that we would love for a lot more states to adopt," said John Beckner, a pharmacist who works at the Alexandria, Virginia- based National Community Pharmacists Association, which advocates for pharmacies across the country.
It's early in the process, but that has not stopped Republican Gov. Jim Justice from proclaiming the vaccine effort runs counter to preconceived notions about the Mountaineer State.
"Little old West Virginia, that was thought of for hundreds of years, you know, as a place where maybe we were backward or dark or dingy," Justice said last week.
Instead, it turns out "West Virginia has been the diamond in the rough," Justice said on CBS' "Face the Nation" on Sunday.
Rather than relying on national chains, 250 local pharmacists set up clinics in rural communities. The fact residents who may be wary of the vaccine seem to trust them makes a difference.
"As my uncle always told me, these people aren't your customers, they're your friends and neighbors," said Ric Griffith, the pharmacist at Griffith & Feil in Kenova, a town near the Kentucky state line.
A chatty raconteur and former mayor of Kenova, he can recall generations of patrons frequenting the shop, which is almost unchanged since the 1950s, with a soda fountain and jukebox in the front and prescriptions in the back.
Griffith, 71, began taking over the pharmacy from his father in the early 1990s and was elected to the House of Delegates as a Democrat last year. His daughter, Heidi Griffith Romero, 45, followed into the family business and is also administering shots.
Holding a vaccination clinic at the town high school, he recalled his uncle telling him he lost four classmates to the 1918 flu pandemic, which killed more than 50 million people worldwide.
"And it was a tragedy that I thought I would never be involved with," he said, taking a break from giving vaccines to teachers ages 50 and older.
When Mark Hayes, a middle school guidance counselor in Kenova, walked up to receive his first dose, he spotted Griffith, who holds local celebrity status for hosting an extravagant annual Halloween pumpkin-carving party that attracts thousands.
"I recognized him right away," Hayes said. "'The Pumpkin King? Are you giving me the shot?'"
Kevin Roberts, a 59-year-old school bus driver in Kenova, said "it makes a difference" for a pharmacist he knows to administer the shots.
"I hope that a lot of these skeptics change their mind," he said.
Officials also credit a 50-person command center at the state's National Guard headquarters in the capital of Charleston. Inside a cavernous hall, leaders of the vaccine operation and state health officials sit between plexiglass dividers to oversee shipments of the precious doses to five hubs. From there, deliveries go to drugstores and local health departments.
CVS has so far declined to work with state officials on vaccinating people at its stores, but Walgreens is participating and has joined in to hold clinics at some nursing homes, officials said.
The federal partnership involving both companies would have allowed Washington officials to dictate the terms of nursing home vaccinations, said Marty Wright, the head of the West Virginia Health Care Association, which represents health care companies.
"If the state would've activated the federal plan, the state would've had zero control over the situation," Wright said.
Secretary of Health and Human Services Alex Azar praised West Virginia's efforts to vaccinate the elderly.
"Expanding eligibility to all of the vulnerable is the fastest way to protect the vulnerable," Azar said Tuesday at an Operation Warp Speed meeting. He also highlighted Connecticut as a bright spot in the vaccine rollout.