CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing October 4, 2021 - St. Joseph, MO

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CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing October 4, 2021 - St. Joseph, MO
CITY OF ST. JOSEPH HEALTH
      DEPARTMENT

       COVID-19 Briefing
        October 4, 2021
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing October 4, 2021 - St. Joseph, MO
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
                                                                                                                                                                                       Call the provider directly
                       Pharmacy Locations                                                                    Urgent Care Locations
                                                                                                                                                                                        NW Health Services
                    (By Appointment or Walk-in)                                                                        (Walk-in Service)                                               For established patients
                                                                                                                                                                              1515 St Joseph Ave, St. Joseph, MO 64505
                                           CVS                                                                 Mosaic Life Care Urgent Care                                     2303 Village Dr, St. Joseph, MO 64506
                 3320 N Belt Hwy, St Joseph, MO 64506                                                                 For general public                                        5001 Lake Ave, St. Joseph, MO 64504
                  930 N Belt Hwy, St Joseph, MO 64506                                                       1115 N Belt Hwy St. Joseph, MO 64506
                                                                                                                       (816) 271-7077
                  1301 S Belt Hwy, St Joseph, MO 64507                                                                                                                                 Peacock Pediatrics
           https://www.cvs.com/minuteclinic/covid-19-testing                                                                                                                          For established patients
                                                                                                                      Urgent Care Express                                     3839 Frederick Ave. St. Joseph, MO 64506
                                                                                                                  * Not a Medicaid Provider                                                (816) 396-6026
                                         Hy-Vee                                                             4776 Verona Dr, St. Joseph, MO 64506
              201 N Belt Hwy, St Joseph, MO 64506                                                                     (816) 396-9500
                                                                                                                                                                                       Downing Pediatrics
  https://www.hy-vee.com/my-pharmacy/services/covid-19-testing                                                                                                                        For established patients
                                                                                                                                                                             805 N 36th St Suite B, St. Joseph, MO 64506
                                                                                                                                                                                           (816) 396-8855
                                      Walgreens
                      4022 N Belt Hwy, Saint Joseph                                                                                                                      Advanced Dermatology & MediSearch
                 3645 Frederick Ave, Saint Joseph 64506                                                                                                                      New and established patients; Walk-ins welcome
                   2620 S Belt Hwy, Saint Joseph 64503                                                         For any corrections or                                          1427 Village Dr., St. Joseph, MO 64506
                                                                                                                                                                                            (816) 364-1515
          https://www.walgreens.com/findcare/covid19/testing                                                   additions, please call
                                                                                                                   816.236.1491                                                        River City Laboratory
                                                                                                                                                                        Walk-ins, new patients, results typically within 24 hours
                                                                                                                                                                         212 South Woodbine Road, St. Joseph, MO 64506
                                                                                                                                                                                           (816) 306-8108
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing October 4, 2021 - St. Joseph, MO
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                             Mosaic Life Care                                                                       Pfizer Booster Dose Information
     Health Department                              Patients that are established                The FDA amended the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 Vaccine to allow for use of
                                                       with a Mosaic Provider                    a single booster dose (to be administered at least six months after completion of the primary series).
          Health Department Clinic
                                                      (primary or specialty) can                 ❖ Eligible individuals include: Individuals 65 years of age and older; Individuals 18 through 64 years of age at high risk
904 S.10th  St, Suite B, St. Joseph, MO 64503                                                        of severe COVID-19; Individuals 18 through 64 years of age whose ongoing occupational exposure to COVID-19 puts
          Monday – Friday, 8:00am                      contact the provider to
                                                                                                     them at high risk of serious complications; Certain groups such as health care workers, teachers and day care staff,
       11:00am and 1:00pm – 4:00pm                   schedule an appointment.                        grocery workers and those in homeless shelters or prisons.
   1st, 2nd, 3rd Doses - Moderna & Pfizer                                                        Currently the authorization applies only to the Pfizer vaccine. You should not receive the Pfizer single booster dose if
    Pfizer vaccine for ages 12 and older                                                         you were vaccinated with Moderna or J & J. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/booster-shot.html

                                                          Pharmacies                                                                                            Third Dose Information for Certain
                 CVS – 1st, 2nd, 3rd Doses                                           Sam's Club - 1st, 2nd, 3rd Doses                                             Immunocompromised Persons
Moderna - 5201 N Belt Hwy (Target) , St Joseph, MO 64506                     Moderna - 5201 N Belt Hwy, St Joseph, MO 64506                                     The FDA amended the emergency use authorizations (EUAs) for
    Pfizer - 3320 N Belt Hwy, St Joseph, MO 64506                                     https://samsclub.com/covid                                             Pfizer-BioNTech and the Moderna COVID-19 Vaccines to allow for the
     Pfizer - 930 N Belt Hwy, St Joseph, MO 64506                                                                                                              use of an additional (third) dose in certain immunocompromised
   Moderna - 1301 S Belt Hwy, St Joseph, MO 64507                                        Walgreens - 1st, 2nd, 3rd Doses
                                                                                                                                                              individuals. A full list of conditions can be found on CDC’s website.
           https://www.cvs.com/coronavirus                                          Pfizer - 4022 N Belt Hwy, Saint Joseph                                                 https://www.cdc.gov/coronavirus/2019-
                                                                               Pfizer - 3645 Frederick Ave, Saint Joseph 64506                                          ncov/vaccines/recommendations/immuno.html
                Hy-Vee - 1st, 2nd, 3rd Doses                                    Pfizer - 2620 S Belt Hwy, Saint Joseph 64503
      Pfizer - 201 N Belt Hwy, St Joseph, MO 64506                                   https://www.walgreens.com/covid
 https://www.hy-vee.com/my-pharmacy/covid-vaccine
                                                                                                                                                                                   MO VIP Vaccine Program
                Rogers - 1st, 2nd, 3rd Doses
                                                                                     Walmart - 1st, 2nd, 3rd Doses                                                                 Register to win $10,000!
                                                                        Moderna & Pfizer - 4201 N Belt Hwy, St Joseph MO 64506
       Moderna - N Belt Hwy, St Joseph, MO 64506                                                                                                                 The Missouri Department of Health & Senior Services is
                                                                        Moderna & Pfizer - 3022 S Belt Hwy St Joseph MO 64503
      (816) 232-3348—Choose option 10 to register                                                                                                                partnering with the Missouri Lottery to draw 180 winners in
                                                                             https://www.walmart.com/COVIDvaccine
                                                                                                                                                                 5 randomized drawings (900 persons total) who will win
                                                                                                                                                                 either $10,000 cash or $10,000 towards an education savings
                                                                                                                                                                 account Learn More: https://covidvaccine.mo.gov/win/
                    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 October 4, 2021 - St. Joseph, MO
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 (and Final) Entry Deadline will be October 6th 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 October 4, 2021 - St. Joseph, MO
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        32,900                   37.7%                     30,459                        34.9%                  61,384            565             81
CITY OF ST. JOSEPH HEALTH DEPARTMENT - COVID-19 Briefing October 4, 2021 - St. Joseph, MO
COVID-19 IN BUCHANAN COUNTY
                                                           Confirmed                 Probable
                                 Total Cases                                                             Hospitalizations              Deaths           Positivity Rate
                                                             Cases                    Cases

      Total Count                    14,909                    10,472                  4,437                       17                     217                 6.06%*

  Change Since Last
                                       +52                       +40                     +12                       -2                      +2                   N/A*
      Report

       *Positivity rate has not been updated due to technical issues at the state. This will be updated as soon as the information has been corrected.

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 October 4, 2021 - St. Joseph, MO
BUCHANAN COUNTY
                        COVID-19 CASE DEMOGRAPHICS

               Buchanan County Cases by Age Range
3000             2779                                                                          Buchanan County Cases by Gender
                         2453
2500
        2214                     2235    2160
2000
                                                                               Male                                                            7227
                                                 1575
1500                                                                         Female                                                              7680

1000
                                                         723
                                                                 570   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 October 4, 2021 - St. Joseph, MO
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 October 4, 2021 - St. Joseph, MO
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 October 4, 2021 - St. Joseph, MO
COVID-19 IN THE US AND WORLDWIDE

      Worldwide as of October 4, 2021                                                                    United States as of October 4, 2021
        Total Cases: 234,809,103                                                                           Total Cases: 43,605,623
        Total Deaths: 4,800,375                                                                            Total Deaths: 700,176
        Persons Fully Vaccinated: 2,577,562,552                                                              Persons Fully Vaccinated: 185,788,098

           * 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
                                                                                                           * Source: Center for Disease Control and Prevention https://covid.cdc.gov/covid-data-tracker/#cases_casesper100klast7days
as Johns Hopkins. The CDC updates case totals each day, reporting the cases numbers from the
previous day. Other sites use sources for real time counts.
Three Point Shot
Last week the U.S. Food and Drug Administration (FDA) issued an emergency use
authorization (EUA) for a single booster shot* of the Pfizer-BioNTech COVID-19 vaccine.
Certain populations are now eligible to receive a booster shot of the Pfizer-BioNTech vaccine
at least 6 months after receiving their second Pfizer-BioNTech shot. These populations
include people ages 65 years and older, people ages 18 years and older who have underlying
medical conditions, and people ages 18 years and older who live or work in high-risk settings.
The COVID-19 vaccines approved and authorized in the United States continue to be effective
at reducing the risk of severe disease, hospitalization, and death. COVID-19 vaccination can
also reduce the spread of disease overall and help protect the people around you. However,
recent data show that protection against asymptomatic, mild, and moderate disease may
decrease over time. The reduced protection may be due to both decreasing immunity over
time and the highly contagious Delta variant.
COVID-19 vaccination, along with layered prevention strategies, continues to be our best
defense against severe disease. People who are unvaccinated remain the most vulnerable to
COVID-19. To end this pandemic, it is critical that all people get vaccinated as soon as they
are eligible. To find a vaccine provider near you, visit Vaccines.gov or your state or local
public health department website. Talk to your healthcare provider if you have questions
about whether a Pfizer-BioNTech COVID-19 booster shot is appropriate for you.
*Booster shots are doses of U.S. approved or authorized vaccines that are given when
protection from initial vaccination is likely to have decreased over time.

Note to readers: CDC’s COVID Data Tracker recently released a COVID-19 Vaccine Effectiveness page, which allows users to view COVID-19 vaccine effectiveness at
protecting against hospitalization and infection. https://covid.cdc.gov/covid-data-tracker/#vaccine-effectiveness

Full report dated October 1, 2021: https://www.cdc.gov/coronavirus/2019 -ncov/covid-data/covidview/index.html
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                                                             FDA NEWS RELEASE
                                               Coronavirus (COVID-19) Update: October 1, 2021
                       https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-october-1-2021

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

• On Sep. 24, Janet Woodcock, M.D., Acting FDA        • On Sep. 29, the FDA authorized an emergency            Testing updates:
  Commissioner and Peter Marks, M.D., Ph.D,             use authorization (EUA) for one additional batch of    • As of today, 412 tests and sample collection
  director of the FDA’s Center for Biologics            the Janssen COVID-19 vaccine manufactured at             devices are authorized by the FDA under
  Evaluation and Research, discussed the FDA’s          the Emergent facility. To date, a total of nine          emergency use authorizations (EUAs). These
  authorization of a single booster dose of the         batches of Janssen COVID-19 vaccine that were            include 289 molecular tests and sample collection
  Pfizer-BioNTech COVID-19 Vaccine for certain          manufactured at the Emergent facility have been          devices, 88 antibody and other immune response
  populations with stakeholders. To listen and view     authorized. The FDA conducted a thorough review          tests and 35 antigen tests. There are 65 molecular
  the call, visit FDA’s YouTube channel                 of facility records and quality testing performed by     authorizations and one antibody authorization that
  https://www.youtube.com/watch?v=0rx8wsEPoAk           the manufacturer. Based on this review and               can be used with home-collected samples. There is
                                                        considering the current COVID-19 public health           one molecular prescription at-home test, three
                                                        emergency, the FDA has concluded that these              antigen prescription at-home tests, seven antigen
                                                        batches are suitable for use. While the FDA is not       over-the-counter (OTC) at-home tests and two
                                                        yet ready to include the Emergent BioSolutions           molecular OTC at-home tests.
                                                        plant in the Janssen EUA as an authorized
                                                                                                               • The FDA has authorized 16 antigen tests and eight
                                                        manufacturing facility, the agency continues to
                                                                                                                 molecular tests for serial screening programs. The
                                                        work through issues on this matter with Janssen
                                                                                                                 FDA has also authorized 641 revisions to EUA
                                                        and Emergent BioSolutions management.
                                                                                                                 authorizations.
INFORMATION FOR HEALTH C ARE PROFESSIONALS
                                                       FDA NEWS RELEASE: October 01, 2021
                                               FDA to Hold Advisory Committee Meetings to Discuss
                              Emergency Use Authorization for Booster Doses and COVID-19 Vaccines for Younger Children
           https://www.fda.gov/news-events/press-announcements/fda-hold-advisory-committee-meetings-discuss-emergency-use-authorization-booster-doses-and-covid-19

           Today, the U.S. Food and Drug Administration is announcing two upcoming meetings of its Vaccines and Related Biological Products Advisory Committee (VRBPAC) to discuss
                                                               newly available data for the currently available COVID-19 vaccines.

VRBPAC Meeting on Janssen and Moderna COVID-19 Vaccine Boosters                                                    VRBPAC Meeting on Pfizer Data on Its COVID-19 Vaccine for Children 5-11
On Oct. 14 and 15, the advisory committee will meet to discuss the use of booster doses of the Moderna             The FDA anticipates receiving a request from Pfizer to amend its emergency use authorization to allow the use of its
COVID-19 Vaccine and the Janssen COVID-19 Vaccine. Both vaccines are currently authorized for emergency            COVID-19 vaccine in children 5 through 11 years of age. In anticipation of the request, the FDA is moving
use to prevent COVID-19 in individuals 18 years of age and older. The committee will also hear presentations       forward with scheduling an advisory committee meeting on Oct. 26 to inform the agency’s decision-making.
and discuss the available data on the use of a booster of a different vaccine than the one used for the primary
series of an authorized or approved COVID-19 vaccine (heterologous or “mix and match” booster).                    “We know from our vast experience with other pediatric vaccines that children are not small adults, and we will
                                                                                                                   conduct a comprehensive evaluation of clinical trial data submitted in support of the safety and effectiveness of the
“Vaccines are one of the most important interventions for bringing an end to the ongoing pandemic. It’s critical   vaccine used in a younger pediatric population, which may need a different dosage or formulation from that used in an
that as many eligible individuals as possible get vaccinated as soon as possible. Once vaccinated, we want to
                                                                                                                   older pediatric population or adults,” said Acting FDA Commissioner Janet Woodcock, M.D.
ensure that individuals continue to be protected against the adverse effects of COVID-19. The available data
make clear that protection against symptomatic COVID-19 in certain populations begins to decrease over time,
so it’s important to evaluate the information on the use of booster doses in various populations,” said Peter
                                                                                                                   The FDA intends to make background materials for both VRBPAC meetings available to the public,
Marks, M.D., Ph.D., director of the FDA’s Center for Biologics Evaluation and Research.
                                                                                                                   including the meeting agendas and committee rosters, no later than two business days before each
•   On Oct. 14, the committee will discuss an amendment to the emergency use authorization of the                  meeting: https://www.fda.gov/advisory-committees/advisory-committee-calendar/vaccines-and-related-
    Moderna COVID-19 Vaccine for the administration of a booster dose, in individuals 18 years of age
    and older.
                                                                                                                   biological-products-advisory-committee-october-14-15-2021-meeting-announcement
                                                                                                                   The FDA intends to livestream the VRBPAC meetings on YouTube Facebook, and/or Twitter. They will also
•   On Oct. 15, the VRBPAC will discuss amending the emergency use authorization of Johnson and
    Johnson’s Janssen COVID-19 Vaccine for the administration of a booster dose, in individuals 18                 be webcast from the FDA website.
    years of age and older.                                                                                        • Oct. 14 meeting:
                                                                                                                           o YouTube: https://youtu.be/BhlshZ7Lkr0
•   Additionally, on Oct. 15, the committee will hear a presentation from the National Institute of Health’s               o Yorkcast: https://fda.yorkcast.com/webcast/Play/feeef31603f54d6fb06189e7fb3074651d
    National Institute of Allergy and Infectious Diseases on the heterologous use of booster doses                 • Oct. 14 meeting:
    following the primary series of the three currently authorized or approved COVID-19 vaccines.                          o YouTube: https://youtu.be/c-H40GrvWz4
During the meeting, the committee will hear presentations from the companies on the data for their respective              o Yorkcast: https://fda.yorkcast.com/webcast/Play/619cf18fbc6c4c598c7ee996e029bcf61d
vaccines. The FDA will also present its own analyses of each of the manufacturers’ data. There will be an open     • Oct. 26 meeting:
public hearing each day during which the public will be given an opportunity to provide comments.                          o YouTube: https://www.youtube.com/watch?v=laaL0_xKmmA
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                          COVID-19 Science Update released: October 1, 2021, Edition 107
                                           https://www.cdc.gov/library/covid19/10012021_covidupdate.html
                Pdf of this issue: https://www.cdc.gov/library/covid19/pdf/public_pdfs/2021-10-01-Science-Update_public_final.pdf

                The COVID-19 Science Update summarizes new and emerging scientific data for public health professionals to meet the challenges of this fast-moving
              pandemic. Weekly, staff from the CDC COVID-19 Response and the CDC Library systematically review literature in the WHO COVID-19 database and select
               publications and preprints for public health priority topics in the CDC Science Agenda for COVID-19 and CDC COVID-19 Response Health Equity Strategy.

In this update:
Vaccines:
https://www.cdc.gov/library/covid19/10012021_covidupdate.html#anchor_Vaccines

Variants:
https://www.cdc.gov/library/covid19/10012021_covidupdate.html#anchor_Variants

Health Equity:
https://www.cdc.gov/mmwr/volumes/70/wr/mm7039e2.htm?s_cid=mm7039e2_w

Natural History, Reinfection, and Health Impact
https://www.cdc.gov/library/covid19/10012021_covidupdate.html#anchor_NaturalHistory

Testing:
https://www.cdc.gov/library/covid19/10012021_covidupdate.html#anchor_Testing

In Brief:
https://www.cdc.gov/library/covid19/10012021_covidupdate.html#anchor_InBrief
                                                                                                      Note: Adapted from Zhong et al. A) Serum spike S1 IgG antibody levels ≥14 days following 2 doses
                                                                                                      of SARS-CoV-2 mRNA vaccine in HCWs with prior SARS-CoV-2 infection, without prior SARS-CoV-
                                                                                                      2 infection, and in those following SARS-CoV-2 positive PCR test and before vaccination.
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                Morbidity and Mortality Weekly Report (MMWR ) October 1, 2021 / No. 39
                                                      https://www.cdc.gov/mmwr/index2021.html
                                 Pdf of this issue: https://www.cdc.gov/mmwr/volumes/70/wr/pdfs/mm7039-H.pdf

COVID-19 Related articles:
• Disparities in COVID-19 Vaccination Status, Intent, and Perceived Access for
  Noninstitutionalized Adults, by Disability Status — National Immunization
  Survey Adult COVID Module, United States, May 30–June 26, 2021 -
  https://www.cdc.gov/mmwr/volumes/70/wr/mm7039a2.htm?s_cid=mm7039a2_w
• Association Between K–12 School Mask Policies and School-Associated
  COVID-19 Outbreaks — Maricopa and Pima Counties, Arizona, July–August
  2021 https://www.cdc.gov/mmwr/volumes/70/wr/mm7039e1.htm?s_cid=mm7039e1_w
• COVID-19–Related School Closures and Learning Modality Changes — United
  States, August 1–September 17, 2021 -
  https://www.cdc.gov/mmwr/volumes/70/wr/mm7039e2.htm?s_cid=mm7039e2_w
• Pediatric COVID-19 Cases in Counties With and Without School Mask
  Requirements — United States, July 1–September 4, 2021 -
  https://www.cdc.gov/mmwr/volumes/70/wr/mm7039e3.htm?s_cid=mm7039e3_w
• Safety Monitoring of an Additional Dose of COVID-19 Vaccine — United States,
  August 12–September 19, 2021 -
  https://www.cdc.gov/mmwr/volumes/70/wr/mm7039e4.htm?s_cid=mm7039e4_w
CDCHAN-00453:
            COVID-19 Vaccination for Pregnant People to Prevent
Serious Illness, Deaths, and Adverse Pregnancy Outcomes from COVID-19
                                          September 29, 2021, 12:00 PM ET

        Summary
        The Centers for Disease Control and Prevention (CDC) recommends urgent action to increase Coronavirus Disease 2019 (COVID-19) vaccination
        among people who are pregnant, recently pregnant (including those who are lactating), who are trying to become pregnant now, or who might
        become pregnant in the future. CDC strongly recommends COVID-19 vaccination either before or during pregnancy because the benefits of
        vaccination outweigh known or potential risks.

        As of September 27, 2021, more than 125,000 laboratory-confirmed COVID-19 cases have been reported in pregnant people, including more than
        22,000 hospitalized cases and 161 deaths.

        The highest number of COVID-19-related deaths in pregnant people (n=22) in a single month of the pandemic was reported in
        August 2021. Data from the COVID-19-Associated Hospitalization Surveillance Network (COVID-NET) in 2021 indicate that approximately 97%
        of pregnant people hospitalized (either for illness or for labor and delivery) with confirmed SARS-CoV-2 infection were unvaccinated.

         In addition to the risks of severe illness and death for pregnant and recently pregnant people, there is an increased risk for adverse pregnancy and
        neonatal outcomes, including preterm birth and admission of their neonate(s) to an intensive care unit (ICU). Other adverse pregnancy outcomes,
        such as stillbirth, have been reported.

        Despite the known risks of COVID-19, as of September 18, 2021, 31.0% of pregnant people were fully vaccinated before or during their pregnancy.
        In addition, there are racial and ethnic disparities in vaccination coverage for pregnant people. Healthcare providers should communicate the risks
        of COVID-19, the benefits of vaccination, and information on the safety and effectiveness of COVID-19 vaccination in pregnancy.

        Healthcare providers should strongly recommend that people who are pregnant, recently pregnant (including those who are lactating), who are
        trying to become pregnant now, or who might become pregnant in the future receive one of the authorized or approved COVID-19 vaccines as soon
        as possible.

                                     Read entire CDCHAN-00453 here: https://emergency.cdc.gov/han/2021/han00453.asp
INFORMATION FOR HEALTH C ARE PROFESSIONALS

                                 COVID-19 Treatment Guidelines - September 29, 2021
          The COVID-19 Treatment Guidelines Panel’s Statement on the Emergency Use Authorization of
              Bamlanivimab Plus Etesevimab as Post-Exposure Prophylaxis for SARS-CoV-2 Infection
Vaccination remains the most effective way to prevent SARS-CoV-2 infection. However, despite widespread availability of SARS-CoV-2 vaccines, a number of individuals are
either not fully vaccinated or cannot mount adequate responses to the vaccine. Some of these people, if infected, are at high risk of progression to serious COVID-19. On
September 16, 2021, the Food and Drug Administration (FDA) expanded the Emergency Use Authorization (EUA) indication for the anti-SARS-CoV-2 monoclonal
antibodies (mAbs) bamlanivimab plus etesevimab to allow this combination to be used as post-exposure prophylaxis (PEP) for selected individuals. Casirivimab plus
imdevimab can also be used for this indication (see the Panel’s statement on using casirivimab plus imdevimab as PEP).

Based on the EUA, the Panel recommends using bamlanivimab 700 mg plus etesevimab 1,400 mg administered as an intravenous (IV) infusion (BIII)
as PEP for people who are at high risk for progression to severe COVID-19 if infected with SARS-CoV-2 AND who have the following vaccination status AND exposure
history.

Vaccination Status:
• Not fully vaccinated (defined as people who were never vaccinated or those who received the second vaccine dose in a two-dose series or a single-dose vaccine
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, 5325 Faraon, St. Joseph, MO. Call your primary care provider to see
                                                                            if you qualify for the infusion. Don’t have a primary care provider? Call 816-271-6503.
                                                                       •    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
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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