WP Perspectives – Dec. 13, 2021

Diversity hands

Focus on Facts

  • Omicron is here. The first case has been identified in Virginia, but everyone should prevent, not panic. While this variant seems to be more transmissible, prevention measures are still effective. Vaccinate and boost, wash up, mask up, and keep your distance! See the variant topic in The EpiCenter, below, for more information about variants and how they function.
  • The FDA  has authorized the use of a single booster dose of Pfizer-BioNTech COVID-19 vaccine to individuals 16 and 17 years of ageat least 6 months after completing the primary vaccination. New evidence shows that vaccine effectiveness against COVID-19 is decreasing after the second dose of the vaccine for all adults and for those in the 16- and 17-year-old age group. A single booster dose of the with the Pfizer-BioNTech COVID-19 Vaccine for those vaccinated will help give continued protection against COVID-19 in this age group.
  • The CDC recently updated its guidance to be more emphatic, saying pregnant people 18 and older “should” get a booster 6 months after receiving their second Pfizer or Moderna vaccine, or two months after receiving Johnson & Johnson. The agency offers the same advice to people breastfeeding, looking to get pregnant or planning on having a baby. The medical establishment is in broad agreement about this, and point out that all the same recommendations apply to pregnant people getting their first round of vaccine doses.

 

News You Can Use

To Travel or Not to Travel. That Is the Question.

train in snow

  • Should we take home test kits? People will have to make informed decisions. For those planning to travel,  bring some on the trip to use if anyone comes down with the sniffles or a cough, or to take just before getting to Grandma’s.
  • Can we fly? Currently there are no vaccine, testing or quarantine requirements to travel within the United States, whether you fly, drive or go by rail. But masks are still required by the TSA for passengers age 2 and up on planes, trains and buses.  Different states, and even cities within states, may have their own mask, testing or vaccine requirements for activities such as indoor dining.
  • What about going abroad? Current C.D.C. guidance does not recommend international travel if you are not vaccinated. If you choose to travel overseas, it can be complicated: rules for these and other countries can change at any time, so it’s best to keep checking official government websites as your travel date approaches.
  • Can we go to theme parks? Theme parks are required to follow state rules.
  • How about cruises? Rules vary by cruise line. There may be additional requirements for cruises docking at other countries. It’s best to check with each cruise line for a specific sailing’s current rules and protocols. The C.D.C. still recommends that people who are unvaccinated or at risk of severe illness regardless of vaccination status avoid traveling on cruise ships worldwide, including river cruises.

Every family needs to make its own decision to travel, based on the importance of their trip, how protected family members are and how much they trust fellow travelers to abide by the masking and social distancing rules that keep people safer. They also need to be aware of the levels of cases at their destination and the level of exposure their potential activities present.

COVID-cabulary

Endemic

An endemic is a disease outbreak that is consistently present but limited to a particular region. This makes the disease spread and rates predictable. The WHO defines pandemics, epidemics, and endemics based on a disease's rate of spread. Thus, the difference between an epidemic and a pandemic isn't in the severity of the disease, but the degree to which it has spread. While an epidemic is large, it is also generally contained or expected in its spread, while a pandemic is international and out of control.

Just for Fun

Which of the following diseases can be defined as pandemics?

  • The Black Death
  • American Plagues
  • Spanish Flu
  • Asian Flu
  • AIDS

Answer correctly to win a 2022 Wellness Wall Calendar from West Piedmont Health District and STEP, Inc.! Email your answer to: kris.landrum@vdh.virginia.gov

The Epi-Center

Epidemiology is the science at center of public health.

How Do Variants Work?

COVID-19 is caused by a virus called SARS-CoV-2, which stands for Severe Acute Respiratory Syndrome Coronavirus 2. Viruses are unable to survive and produce more viral copies (replicate) on their own. They survive by infecting a new host that is able to be infected. Once inside the host cells, the virus takes over the cell’s machinery to produce more copies of the virus. This process of making new copies of a virus within a host cell is called viral replication.

As these copies are made, mistakes can happen that cause the new copies of the virus to not be exact copies of the “parent” virus. These mistakes are called mutations. Mutations happen all the time and usually don’t result in big changes to the virus. Sometimes, mutations can happen that change the virus in such a way that they change how the virus functions, such as changes to how infectious the virus is (how easy it is to spread the virus to others), the type of illness it causes, or how our immune systems respond to the virus.

Learn more about variants and Omicron.

Locality

Franklin County
Henry County
Martinsville
Patrick County

Cases

6,751
7,239
2,269
2,373

Hospitalizations

282
473
187
137

Deaths

115
185
94
60

% Fully Vaxed & Boosted/3rd Dose

46.8  &  14.6
46.9  &  13.3
54.1  &  14.2
39.3  &  12

cumulative total as of 12/09/21     

Karen Millner profile pictureMeet Our CHWs

“It’s personal . . . ” says Karen Millner, of why she became a Community Health Worker.

Millner, who is originally from the area, said she wants to make a difference in her community. She was initially interested in the position because she wanted to make inroads into the faith-based community, “because they tend to be more hesitant to getting the shot. I am in that community and come from a long line of pastors (her uncle is the Rev. Tyler Millner of Morning Star Holy Church), so I felt I could reach out and say, ‘I’m Karen, you know me,’ and already have a foot in the door.”

She also has family members who are immunocompromised and at higher risk from contracting COVID. “I don’t want them bumping into anybody with COVID, so it’s personal when it comes to that.”

Karen works through the United Way of Henry County and Martinsville and graduated from University of North Carolina Greensboro with a degree in public health. She brings more than 15 years experience in sales, giving her a good set of skills that are helpful as she educates people on the advantages and benefits of getting the shot.  “My passion,” she said, “is to make sure the entire community where we live, work, play, and worship, gets vaccinated.”

Karen is part of a West Piedmont Health District-wide network of new CHWs charged with improving vaccination rates among people of all ages. She can be reached: karen@unitedwayofhcm.org