CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021

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CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
CITY OF ST. JOSEPH HEALTH
      DEPARTMENT

       COVID-19 Briefing
       September 9, 2021
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
TESTING Locations for COVID-19 in                                                                                                                      Non-Hospital Provider Locations
                         Buchanan County                                                                                                                                            (By Appointment Only)
**The City of St. Joseph Health Department does not have specifics on the testing process at these locations. Please visit their websites or call for more details.**            Mosaic Non-Hospital Providers
                                                                                                                                                                                       For established patients
                                                                                                                                                                                           Various Locations

                     Pharmacy Locations                                                                    Urgent Care Locations                                                       Call the provider directly

                   (By Appointment or Walk-in)                                                                       (Walk-in Service)                                                  NW Health Services
                                                                                                                                                                                       For established patients
                                         CVS                                                                 Mosaic Life Care Urgent Care                                     1515 St Joseph Ave, St. Joseph, MO 64505
                                                                                                                    For general public
               3320 N Belt Hwy, St Joseph, MO 64506                                                                                                                             2303 Village Dr, St. Joseph, MO 64506
                                                                                                          1115 N Belt Hwy St. Joseph, MO 64506
                930 N Belt Hwy, St Joseph, MO 64506                                                                                                                             5001 Lake Ave, St. Joseph, MO 64504
                                                                                                                     (816) 271-7077
                1301 S Belt Hwy, St Joseph, MO 64507
         https://www.cvs.com/minuteclinic/covid-19-testing                                                                                                                             Peacock Pediatrics
                                                                                                                    Urgent Care Express                                               For established patients
                                                                                                                * Not a Medicaid Provider
                                                                                                                                                                              3839 Frederick Ave. St. Joseph, MO 64506
                                       Hy-Vee                                                             4776 Verona Dr, St. Joseph, MO 64506
                                                                                                                                                                                           (816) 396-6026
                                                                                                                    (816) 396-9500
            201 N Belt Hwy, St Joseph, MO 64506
https://www.hy-vee.com/my-pharmacy/services/covid-19-testing                                                                                                                           Downing Pediatrics
                                                                                                                                                                                      For established patients
                                                                                                         Emergency Department                                                805 N 36th St Suite B, St. Joseph, MO 64506
                                                                                                                                                                                           (816) 396-8855
                                    Walgreens                                                                        (Walk-In Service)
                    4022 N Belt Hwy, Saint Joseph
               3645 Frederick Ave, Saint Joseph 64506                                               Mosaic Life Care Emergency Department                                Advanced Dermatology & MediSearch
                 2620 S Belt Hwy, Saint Joseph 64503                                                                For general public                                       New and established patients; Walk-ins welcome
        https://www.walgreens.com/findcare/covid19/testing                                                 5325 Faraon St, St. Joseph, MO 64506                                1427 Village Dr., St. Joseph, MO 64506
                                                                                                                     (816) 271-6000                                                         (816) 364-1515

                                                                                                                                                                                       River City Laboratory
                                                                                                                                                                        Walk-ins, new patients, results typically within 24 hours
                       For any corrections or additions, please call 816.236.1491                                                                                        212 South Woodbine Road, St. Joseph, MO 64506
                                                                                                                                                                                           (816) 306-8108
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
VACCINATION Locations for COVID-19 Buchanan County
                                  **The City of St. Joseph Health Department does not have specifics on the vaccination process at these locations. Please visit their websites or call for more details.**

              City of St. Joseph                                                        Third Dose information                                                                       MO VIP Vaccine Program
             Health Department                            The FDA has amended the emergency use authorizations (EUAs) for                                                            Register to win $10,000!
                  Health Department Clinic                 Pfizer-BioNTech and the Moderna COVID-19 Vaccines to allow for
                                                         the use of an additional (third) dose in certain immunocompromised                                        MO VIP is our state’s vaccine incentive program
      904 S. 10th St, Suite B, St. Joseph, MO 64503                                                                                                                rewarding those who have chosen or will choose
                                                          individuals. A full list of conditions can be found on CDC’s website.
Monday – Friday, 8:00am – 11:00am and 1:00pm – 4:00pm                   https://www.cdc.gov/coronavirus/2019-                                                      to receive a COVID-19 vaccination. The Missouri
   1st, 2nd, 3rd Doses - Moderna (if available) & Pfizer            ncov/vaccines/recommendations/immuno.html                                                      Department of Health & Senior Services is partnering with
            Pfizer vaccine for ages 12 and older                                                                                                                   the Missouri Lottery to draw 180 winners in 5 randomized
                                                                                                                                                                   drawings who will win either $10,000 cash or $10,000
                                                                                                                                                                   towards an education savings account. In total, the state
                                                             Pharmacies                                                                                            will award 900 individuals throughout the incentive
                                                                                                                                                                   program. Learn More: https://covidvaccine.mo.gov/win/
                    CVS – 1st, 2nd, 3rd Doses                                            Sam's Club - 1st, 2nd, 3rd Doses
   Moderna - 5201 N Belt Hwy (Target) , St Joseph, MO 64506                      Moderna - 5201 N Belt Hwy, St Joseph, MO 64506
       Pfizer - 3320 N Belt Hwy, St Joseph, MO 64506                                      https://samsclub.com/covid                                                        Senior & Disabled Vaccine
        Pfizer - 930 N Belt Hwy, St Joseph, MO 64506
      Moderna - 1301 S Belt Hwy, St Joseph, MO 64507                                         Walgreens - 1st, 2nd, 3rd Doses                                                 Registration Assistance
              https://www.cvs.com/coronavirus                                           Pfizer - 4022 N Belt Hwy, Saint Joseph                                      Seniors and those who are disabled in NWMO can
                                                                                   Pfizer - 3645 Frederick Ave, Saint Joseph 64506                                  seek assistance with vaccination registration,
                   Hy-Vee - 1st, 2nd, 3rd Doses                                     Pfizer - 2620 S Belt Hwy, Saint Joseph 64503                                    coordinating round trip transportation for vaccination
         Pfizer - 201 N Belt Hwy, St Joseph, MO 64506                                    https://www.walgreens.com/covid                                            appointments, and setting up reminder calls!
    https://www.hy-vee.com/my-pharmacy/covid-vaccine                                                                                                                Contact Young at Heart Resources 1-888-844-5626 or
                                                                                        Walmart - 1st, 2nd, 3rd Doses                                               at https://www.yahresources.org/
                   Rogers - 1st, 2nd, 3rd Doses                            Moderna & Pfizer - 4201 N Belt Hwy, St Joseph MO 64506
          Moderna - N Belt Hwy, St Joseph, MO 64506                        Moderna & Pfizer - 3022 S Belt Hwy St Joseph MO 64503
         (816) 232-3348—Choose option 10 to register                            https://www.walmart.com/COVIDvaccine                                                                     Mosaic Life Care
                                                                                                                                                                        Patients that are established with a Mosaic Provider
                                                                                                                                                                           (primary or specialty) can contact the provider
                                                                                                                                                                                   to schedule an appointment.
                        www.vaccines.gov ~ 1-800-232-0233 ~ TTY 1-888-720-7489 ~Disability Info/Access Line 1-888-677-1199
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
MO VIP COVID-19 VACCINE INCENTIVE PROGRAM
                     H T T P S : / / M O S TO P S C OV I D. C O M / W I N

Next Entry Deadline will be held September 22nd at 11:59pm
                    https://MOStopsCovid.com/win

              MO VIP is our state's vaccine incentive program - rewarding those who have
                     chosen or will choose to receive a COVID-19 vaccination.
               The Missouri Department of Health & Senior Services is partnering with the
              Missouri Lottery to draw 180 winners in 5 randomized drawings who will win
              either $10,000 cash or $10,000 towards an education savings account. In total,
                  the state will award 900 individuals throughout the incentive program.
               Vaccination is the most effective and long-lasting tool for protection from this
              infection. DHSS continues to encourage anyone age 12 and up to get vaccinated
                                             against COVID-19.
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
COVID-19 VACCINE DASHBOARD
                                                     H T T P S : / / C O V I D VA C C I N E . M O . G O V / D ATA /

                 Number of                                       Number of                                            Total COVID-19      7-Day        7-Day Avg
 County      people who have       Percent of population      people who have             Percent of population            Doses         Doses           Doses
 Name      Initiated vaccination   initiating vaccination   completed vaccination        completing vaccination        Administered    Administered   Administered

Buchanan        21,069                   24.1%                     18,957                        21.7%                  38,389            437             62
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
COVID-19 IN BUCHANAN COUNTY
                                                           Confirmed                 Probable
                                 Total Cases                                                             Hospitalizations              Deaths           Positivity Rate
                                                             Cases                    Cases

      Total Count                    14,367                    10,063                  4,304                       18                     212                  8.17%

  Change Since Last
                                       +52                       +40                     +12                       -8                       0                   N/A
      Report

Confirmed case: The case meets the confirmed laboratory evidence, which is the detection of SARS-CoV-2 RNA in a clinical specimen using an approved detection test verified by a
certified testing laboratory.

Probable case: The case meets clinical criteria AND epidemiologic evidence (close contact with a confirmed or probable case; travel to or residence in an area with sustained, ongoing
community spread; or a member of a risk cohort as defined by public health authorities during an outbreak), with no confirmatory laboratory testing performed for COVID-19.

Positivity Rate - The 7-day positivity rate is based on PCR and Antigen testing rates for Buchanan County residents and will be updated once a week on Mondays.

Currently Hospitalized – Mosaic Daily Inpatient Update: COVID-19 patient count is minimal. If the Mosaic system has more than ten COVID-19 inpatients, their website will be
updated https://www.mymlc.com/General/coronavirus-covid-19/#DailyInpatientUpdate. Patients may not be Buchanan County residents.
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
BUCHANAN COUNTY
                        COVID-19 CASE DEMOGRAPHICS

               Buchanan County Cases by Age Range
3000
                 2698                                                                          Buchanan County Cases by Gender
2500                     2376
        2087                     2162    2080
2000
                                                                               Male                                                        6965
                                                 1521
1500                                                                         Female                                                            7400

1000                                                     723
                                                                 551   Not Reported       2
 500
                                                                                      0       1000   2000   3000   4000   5000   6000   7000      8000

  0
       Under 20 20-29    30-39   40-49   50-59   60-69   70-79   80+
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
BUCHANAN COUNTY
              1 4 - D AY T R E N D

This is the number of new cases over the past 14 days.
   The straight line shows the trend of new cases.
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
COVID-19
          IN
       MISSOURI
Missouri COVID-19 Dashboard will provide
COVID-19 data for state and county levels:
MO DHSS numbers have continued to
fluctuate as the state makes adjustments to
ensure COVID-19 cases are not counted
twice. This could occur if a person received
a positive antigen test followed up with a
confirmatory PCR test – initially some
people who fall into that category were
counted in both. In order to report
accurately, the state regularly reviews
positive tests and corrects the numbers.       https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/data/public-health/statewide.php
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing September 9, 2021
COVID-19 IN THE US AND WORLDWIDE

      Worldwide as of September 9, 2021                                                                  United States as of September 9, 2021
        Total Cases: 221,134,742                                                                           Total Cases: 40,523,954
        Total Deaths: 4,574,089                                                                            Total Deaths: 652,480
        Vaccine Doses Administered: 5,352,927,296                                                           Vaccine Doses Administered: 377,622,065

           * Source: World Health Organization https://covid19.who.int/

Note: You likely notice a difference in the case counts if you are following other organizations, such
as Johns Hopkins. The CDC updates case totals each day, reporting the cases numbers from the               * Source: Center for Disease Control and Prevention https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days
previous day. Other sites use sources for real time counts.
Monoclonal Antibody (mAb) Infusion Centers

                                                                        Test positive for COVID or think you may have it?
                                                                        Good news, there is a treatment available that may
                                                                        reduce your risk of developing serious symptoms or
                                                                        winding up in the hospital.

                                                                        Depending on your age, health history, and how long
                                                                        you’ve had symptoms of COVID-19, you may qualify for a
                                                                        promising form of treatment for the disease. It’s called
                                                                        monoclonal antibody (mAb) treatment. The key is
                                                                        receiving this treatment within 10 days of contracting
                                                                        COVID-19, so don’t wait to see how bad your case will be!

                                                                        Monoclonal antibody (mAb) treatment may also be
                                                                        administered to exposed close contacts who are at high
                                                                        risk for developing severe COVID-19 illness.

                                                                        Talk to your doctor about a referral.

                                                                        There are two locations in our region currently offering mAb therapy:
                                                                        •   St. Joseph - Mosaic Life Care
                                                                        •   Cameron - Monoclonal Antibody Infusion Center, 214 McElwain Drive, Cameron, MO.
                                                                            Call/text 816-312-8718 for details. You can also self-schedule to the Cameron location by
                                                                            visiting their Patient Scheduling Form https://hipaa.jotform.com/212324982557057

To learn more about the monoclonal antibody infusion, visit https://combatcovid.hhs.gov/i-have-covid-19-now/monoclonal-antibodies-high-risk-covid-19-positive-patients
Testing, Testing: School Edition
                   A recent CDC study shows that the Delta variant can spread rapidly in
                   schools when unvaccinated teachers and staff have close, indoor
                   contact with unvaccinated children. While children have been less
                   affected by COVID-19 compared with adults, they can get sick with
                   COVID-19 and can spread it to others. A second CDC study shows that
                   rates of COVID-19-associated hospitalizations in children and
                   adolescents increased following the rise of the Delta variant in the
                   United States. Prevention strategies, including vaccination of school
                   staff and eligible students, universal indoor masking, staying home
                   when sick, and routine testing, are critical to schools reopening and
                   operating safely.

                   Note to readers: CDC’s COVID Data Tracker’s new Pediatric Data page shows
                   data and visualizations for children at the national, state, and community
                   level. Data and maps highlighting COVID-19 trends in children ages 0-17
                   years can help demonstrate the impact of the pandemic on this age group.
                   These data are important for understanding how children are affected by
                   COVID-19. Data can also inform the actions needed to prevent the spread of
                   COVID-19 among children and those who interact with them.
                   https://covid.cdc.gov/covid-data-tracker/#pediatric-data

Full report dated September 3, 2021: https://www.cdc.gov/coronavirus/2019 -ncov/covid-data/covidview/index.html
Starting Friday, February 12, 2021, COVIDView was replaced with the COVID Data Tracker Weekly Review. This new webpage and newsletter highlights key data from CDC’s COVID Data Tracker, narrative interpretations of
the data, and visualizations from the week. The new Weekly Review also summarizes important trends in the pandemic and brings together CDC data and reporting in a centralized location. It represents the extensive data
that CDC uses to track the pandemic on a daily basis and incorporates additional data sources in the future. Sign up to have the COVID Data Tracker Weekly Review delivered to your inbox every week.
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                                                                     FDA NEWS RELEASE
                                                       Coronavirus (COVID-19) Update: August 31, 2021
                            https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-august-31-2021

  The U.S. Food and Drug Administration today announced the following actions taken in its ongoing response effort to the COVID-19 pandemic:

  On August 27, the FDA made changes to the                                  On August 30, FDA issued a letter to
  authorized use of the monoclonal                                           veterinarians and retailers asking for
  antibodies bamlanivimab and etesevimab,                                    assistance in sharing important safety
  administered together. The Emergency Use                                   information with consumers about the
  Authorization now authorizes the use of                                    dangerous misuse of animal ivermectin to
  bamlanivimab and etesevimab, administered                                  prevent or treat COVID-19 in people. As
  together, only in states, territories, and U.S.                            noted in many recent news stories and in a
  jurisdictions in which recent data shows the                               Health Alert from the U.S. Centers for Disease
  combined frequency of variants resistant to                                Control and Prevention, poison control centers
  bamlanivimab and etesevimab administered                                   across the U.S. are seeing a sharp spike in
  together is less than or equal to 5%. FDA has                              reports of people suffering adverse health
  posted a list of states, territories, and U.S.                             effects after taking animal ivermectin. People
  jurisdictions in which bamlanivimab and                                    are purchasing various highly concentrated
  etesevimab administered together are                                       animal ivermectin drug formulations such as
  currently authorized, and a list of states,                                “pour-on,” injectable, paste, and “drench” that
  territories, and U.S. jurisdictions in which                               are intended for horses, cattle, and sheep, and
  bamlanivimab and etesevimab administered                                   taking these drugs has made some people very
  together, are not currently authorized, and will                           sick. Even if animal drugs have the same active
  periodically update both lists as new data and                             ingredient as an approved human drug, animal
  information becomes available.                                             drugs have not been evaluated for safety or
  https://www.fda.gov/media/145801/download                                  effectiveness in humans. Treating human
                                                                             medical conditions with veterinary drugs can
  https://www.fda.gov/media/151719/download                                  be very dangerous.

                                                                  CVM Letter to Veterinarians and Retailers: Help Stop Misuse of Animal Ivermectin to Prevent or Treat COVID-19 in Humans
https://www.fda.gov/animal-veterinary/animal-health-safety-and-coronavirus-disease-2019-covid-19/cvm-letter-veterinarians-and-retailers-help-stop-misuse-animal-ivermectin-prevent-or-treat-covid-19
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                                             What’s New in NIH COVID-19 Treatment guidelines
                                      https://www.covid19treatmentguidelines.nih.gov/about-the-guidelines/whats-new/
                                                                          Last updated September 3, 2021

 Emergency Use Authorization of Casirivimab Plus Imdevimab as Post-Exposure Prophylaxis (PEP) for SARS-CoV-2 Infection

August 17, 2021                                                                                                        September 3, 2021
The COVID-19 Treatment Guidelines Panel’s Statement on the Emergency Use Authorization of Casirivimab                  The COVID-19 Treatment Guidelines Panel’s Statement
Plus Imdevimab as Post-Exposure Prophylaxis (PEP) for SARS-CoV-2 Infection                                             on the Prioritization of Anti-SARS-CoV-2 Monoclonal
Vaccination remains the most effective way to prevent SARS-CoV-2 infection. However, despite widespread                Antibodies for the Treatment or Prevention of SARS-
availability of SARS-CoV-2 vaccines, a number of individuals are either not fully vaccinated or cannot mount           CoV-2 Infection When There Are Logistical Constraints
adequate responses to the vaccine. Some of these people, if infected, are at high risk of progression to serious       The Panel recommends using anti-SARS-CoV-2
COVID-19. On July 30, 2021, the FDA expanded the EUA indication for the anti-SARS-CoV-2 monoclonal antibodies          monoclonal antibodies for the treatment of mild to moderate
casirivimab plus imdevimab to allow this combination to be used as PEP for selected individuals, as described below.   COVID-19 and for post-exposure prophylaxis (PEP) of
The Panel recommends using casirivimab 600 mg plus imdevimab 600 mg administered as subcutaneous injections            SARS-CoV-2 infection in individuals who are at high risk for
(AI) or an intravenous infusion (BIII) as PEP for people who are at high risk for progression to severe COVID-19 if    progression to severe COVID-19, as outlined in the Food
infected with SARS-CoV-2 AND who have the following vaccination status AND exposure history:                           and Drug Administration (FDA) Emergency Use
                                                                                                                       Authorizations (EUAs). While there are currently no
Vaccination Status:
                                                                                                                       shortages of these monoclonal antibodies, logistical
Not fully vaccinated (defined as people who were never vaccinated or those who received the second vaccine dose in     constraints (e.g., limited space, not enough staff who can
a two-dose series or a single-dose vaccine
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                                    What’s New in NIH COVID-19 Treatment guidelines, cont’d
                                     https://www.covid19treatmentguidelines.nih.gov/about-the-guidelines/whats-new/
                                                                           Last updated September 3, 2021

 Therapeutic Management of Hospitalized Adults With COVID-19
   https://www.covid19treatmentguidelines.nih.gov/management/clinical-
        management/hospitalized-adults--therapeutic-management/
August 25, 2021
Therapeutic Management of Hospitalized Adults With COVID-19
This section has been updated to add new recommendations on when to use dexamethasone in
combination with either intravenous (IV) sarilumab or oral tofacitinib in certain hospitalized patients
with COVID-19.
The Panel recommends IV sarilumab as an alternative to IV tocilizumab only when IV tocilizumab
is not available or not feasible to use (BIIa).
The Panel recommends tofacitinib as an alternative to baricitinib only when baricitinib is not
available or not feasible to use (BIIa).
Clinical data and rationales supporting these recommendations are summarized in the updated
section.
Additions to this section also include changes to Figure 2 (including the footnotes) to reflect these
new recommendations, as well as a new table outlining the dosing regimens and duration of therapy
for the drugs recommended in Figure 2.
INFORMATION FOR HEALTH C ARE PROFESSIONALS

               Missouri Department of Health and Senior Services – Health Care Professionals
           https://health.mo.gov/living/healthcondiseases/communicable/novel -coronavirus/professionals.php#collapseTwo

  Centers for Disease Control and Prevention (CDC) - Healthcare Workers: Information on COVID-19
                                    https://www.cdc .gov/coronavirus/2019 -nCoV/hcp/index.html

        National Institutes of Health - Coronavirus Disease 2019 (COVID-19) Treatment Guidelines
                                            https://www.covid19treatmentguidelines.nih.gov/

                                     U.S. Food & Drug Administration – COVID-19
https://www.fda.gov/emergency -preparedness-and-response/counter terrorism -and-emerging-threats/coronavirus -disease-2019-covid-19

                           U.S. Department of Health and Human Services – COVID-19
                                               https://www.hhs.gov/coronavirus/index.html

                                                SOURCES OF INFORMATION
                                   Missouri Department of Health and Senior Services
                     https://health.mo.gov/living/healthcondiseases/communicable/novel -coronavirus/

                                            Center for Disease Control and Prevention
                                   h t t p s : / /w w w.c dc. g ov/ co r on avi ru s/ 20 19 - nco v/ in de x.h t m l

                                                       World Health Organization
                                                        https://covid19.who.int/
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