WP Perspectives – April 11, 2022

WP Perspectives Cover

Focus on Facts

  • The COVID-19 pandemic brought a lot of attention to public health, but do you know the scope of the service provided to the community by public health departments? From inspecting wells and septic systems, to providing immunizations and health and wellness services to residents, to food service inspections, emergency preparedness, and communicable disease monitoring and response, public health workers serve you! West Piedmont Health District employs environmental health workers, nurses, social workers, epidemiologists and scientists, emergency coordinators, and support staff and administrators. The COVID team consists of about 15 people. Additionally community health workers have been fielded through health department-funded grants to local United Way agencies. These are all people who live, work, and play in our communities.

    We are West Piedmont Health District.
    We are You.

  • The cardiac perspective. New research in the CDC’s Morbidity and Mortality Weekly Report confirms that risks for myocarditis or pericarditis are much higher from SARS-CoV-2 infection than COVID-19 vaccination, CIDRAP reports. (GHN 4/4/22)
    • 12–17-year-olds were 1.8 to 5.6X more likely to develop cardiac conditions following coronavirus infection than after vaccination, according to the study of electronic health records from 15 million patients age 5 and up across 40 US hospital systems.
  • COVID-19 alters levels of fertility-related proteins in men, a study suggests. Increasing evidence suggests that the COVID-19 virus can also impair fertility. Now, researchers have analyzed protein levels in semen of men who have recovered from COVID-19. The pilot study suggests that even mild or moderate illness could change the levels of proteins related to male reproductive function, the researchers say. American Chemical Society, 4/7/22 Science News
  • Cancer patients with “chemo brain” and long-COVID patients with lasting brain fog exhibited similar changes in microglia, the specialized cells that serve as the brain’s surveillance and defense system, according to research by Stanford University neuroscientist Michelle Monje. Those same cells are altered in several well-studied brain conditions, including Alzheimer’s and some other post-viral syndromes that can be caused by influenza, Epstein-Barr, HIV or Ebola. Those similarities may offer clues to treat severe COVID-19 brain fog.  Washington Post 3/28/22

News You Can Use

Last Monday Medicare started to pay for at-home coronavirus tests, marking the first time the federal insurance system for older and disabled Americans has picked up the bill for any type of over-the-counter medical test. Under the new rules, the program is covering as many as eight rapid tests a month for the 59 million people who have Medicare insurance for care outside hospitals – known as Part B. Customers will get the free tests at participating national pharmacy chains, including CVS and Walmart. The move comes after lawmakers and advocates for older Americans complained that Medicare recipients – some of whom are especially vulnerable to the virus – still had to pay for rapid tests even after the Biden administration required other insurers to cover the cost.  Washington Post 4/5/22

medical science

GlaxoSmithKline’s IV drug for COVID-19, sotrovimab, should no longer be used because it is likely ineffective against the omicron subvariant that now accounts for most U.S. cases, federal health regulators said last Tuesday. The FDA announced that  sotrovimab is no longer authorized to treat patients in any U.S. state or territory.

The antibody drugs are laboratory-made versions of virus-blocking proteins found in the human body. Each antibody is formulated to attack a specific invader — such as a virus or bacteria — but the medications need to be reformulated as the coronavirus repeatedly mutates. The CDC said Tuesday that BA.2 accounts for 72% of the COVID-19 cases sequenced by health authorities. The drugs are prescribed for early use in people with a recent COVID-19 infection who face increased risk of severe disease or death, including seniors or people with diabetes, heart disease and other common health problems.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. Martinsville Bulletin 4/6/22

COVID-cabulary

XE.

Even as the highly contagious omicron subvariant BA.2 is increasingly dominating the U.S., an even more potentially contagious subvariant, XE, has attracted the attention of global scientists. Early estimates as noted by the World Health Organization say XE may be 10% more transmissible than BA.2, but it's too soon to say whether XE will become the next prolific omicron subvariant that will become another household name. . . To date, there have been only three cases of XE reported in the U.S. . . "But if XE becomes more prominent in this country, it does add a little bit of fire for people to get boosted overall. And it adds a little fire maybe for the oldest people in our population to maybe get their second booster . . ." Read more.  Los Angeles Times  4/7/22

Food for Thought

WW II soldiers convalescing

Can this 19th-century health practice help with long COVID?

Doctors used to swear by the slow recovery period known as convalescence. Some experts say embracing it again could offer benefits for an array of long-term illnesses and injuries.  Read more. National Geographic  4/8/22

The Epi-Center

Epidemiology is the science at center of public health.

Booster chart revised

COVID-19 Data

Franklin County
Henry County
Martinsville
Patrick County

Cases

2,658
3,190
666
872
Over the past 13 weeks by date of report

Deaths

46
42
13
16
Over the past 13 weeks by date of report. 4/8/22

Resource

DMV Expands Mobile Service Offerings to Include Vital Records

The Virginia Department of Motor Vehicles (DMV) has added another convenient service option to its extensive list of choices for customers: vital records through DMV Connect – the Department’s 14 mobile service centers. Customers can now apply for Virginia birth, death, marriage and divorce certificates at any DMV Connect mobile visit.

DMV Connect is DMV’s portable “office in a suitcase,” offering the full range of DMV service during visits to government centers, private businesses, libraries, and other convenient locations throughout the Commonwealth.

Since 2014, customers have been able to purchase vital records at all full-service DMV customer service centers (CSCs) through DMV’s partnership with the Virginia Department of Health’s (VDH) Division of Vital Records. To date, more than 1.1 million Virginia vital records have been issued at DMV CSCs.

To obtain a vital record through DMV, customers complete an application, submit the required documentation, and pay a $14 fee. DMV is able to print vital records on the spot at CSCs. With DMV Connect, the certificates are mailed to customers by VDH. -- Independent-Messenger, 3/31/22

Thousands of people repeatedly exposed to the virus never got sick. Scientists hope their DNA may hold clues to new kinds of treatments. . . “We expect it to be a rare population,” Andreakos says. “But there are precedents.”

National Geographic  4/7/22

Read more: https://www.nationalgeographic.com/science/article/are-some-people-resistant-to-covid-19-geneticists-are-on-the-hunt