Talk to your doctor about COVID-19

I am asking you to make your personal physician your first line source for understanding the SARS-CoV-2 virus and the available vaccines.

On September 9, 2021, President Biden addressed the nation from the White House briefing room, sharing

where we are in the battle against COVID-19, the progress we’ve made, and the work we have left to do.

His remarks outlined a series of executives orders and recommendations which have been met with controversy; I will briefly list them but there was one that I think no one can disagree with. He asked the nation’s family physicians, and I am one, to talk to our patients about the vaccine.

I’m already doing that and I think most primary care doctors are. But I think he should have taken it one step further, and that is to ask Americans to

Talk to your doctor about COVID-19

a female physician talking to a male patient
photo from the LIGHTSTOCK.COM collection (affiliate link)

Like most of you, I am on social media, not just professionally but personally, and I have been appalled when people I know pass around information that is unverified, unreferenced, contrary to science, inflammatory, conspiratorial, and sometimes just plain nonsense.

I absolutely support anyone’s right to have an opinion and share it, but labeling opinion as truth when it may or may not be true is irresponsible. And I somewhat agree with Mr. Biden when he said ” These pandemic politics, as I refer to, are making people sick, causing unvaccinated people to die. “

So I am asking you to make your personal physician your first line source for understanding the SARS-CoV-2 virus and the available vaccines.

Your doctor may not be an expert on the pandemic; we are all working overtime to keep ourselves informed and still take care of the myriad of other health conditons our patients bring to us. But the advantage is your doctor knows you, and any medical decision ultimately boils down to what you and they decide working together, it’s called “shared decision making.”

What if your doctor recommends against the vaccine? That’s possible because I know there are some medical professionals who have taken the minority opinion on the safety of the vaccine. I do not understand their position; some of the high profile ones are known for consistently taking a stance against mainstream medicine. If that’s the case for you, I encourage you to ask why they lack confidence in the vaccine and what would it take for them to change their minds. Ultimately, the choice one way or the other is yours, so be sure it is a truly informed choice.

Michael Munger, M.D., consults a patient at his medical office in Overland Park, Kan.
Photo compliments of American Academy of Family Physicians

President Biden’s plan

You’ve probably read or heard it in the news by now, but here is an outline of his major points.

Large employers, those with 100 or more employees, should require vaccination or weekly testing

Vaccination required for all federal employees and contractors

Vaccine required for employees in all healthcare facilities that are paid by Medicare and Medicaid, and all federally funded educational facilities like HeadStart

Large venues such as sports or concerts to require vaccination or negative test for entrance by patrons

Home tests available at cost at Amazon, Walmart, and Kroger

Federal funding for testing at schools and salary protection for teachers who protect children

Continue mask requirements on interstate travel and in federal buildings

Calling on the states’ governors to support viral mitagation measures in schools

President Biden Visits NIH Vaccine Research Center
NIH immunologist Dr. Kizzmekia Corbett speaks to President Joe Biden about the fundamental research that contributed to the development of the Moderna and Pfizer COVID-19 vaccines when the President visited NIH’s Vaccine Research Center on February 11, 2021. Credit: NIH/Chiachi Chang

Here is my previous review of President Biden’s original plan to deal with the pandemic as he took office in January 2021.

2021-National Strategy for the COVID-19 Response and Pandemic Preparedness

President Biden, Vice President Harris, and their science and healthcare teams have developed a plan with 7 goals to end this pandemic and prevent others. You can read the entire 200 page report at the link. Here is a list of the 7 goals with a few of the points of each goal.

1. Restore trust with the American people.
  • establishes a federal COVID-19 response team to coordinate efforts
  • regular public briefings led by science experts
  • track and make data available to the public by the CDC
Centers for Disease Control and Prevention (CDC) activated its Emergency Operations Center (EOC) to coordinate with the World Health Organization (WHO), federal, state and local public health partners, and clinicians in response to the coronavirus disease 2019 (COVID-19) outbreak. CDC is closely monitoring the situation and working 24/7 to provide updates.
Centers for Disease Control and Prevention (CDC) activated its Emergency Operations Center (EOC) to coordinate with the World Health Organization (WHO), federal, state and local public health partners, and clinicians in response to the coronavirus disease 2019 (COVID-19) outbreak. CDC is closely monitoring the situation and working 24/7 to provide updates credit James Gathany, public domain
2.Mount a safe, effective, and comprehensive vaccination campaign.
  • increase the production of vaccines
  • give states clearer projections on vaccine availability
  • partner with states to create more vaccine centers
  • launch a national campaign to educate and encourage Americans on vaccine
3. Mitigate spread through expanding masking, testing, data, treatments,health care workforce, and clear public health standards.
  • asking Americans to wear masks for 100 days (note-this adds to any state or local recommendations or mandates on mask use)
  • require masks on public transportation
  • the CDC develop guidelines to help schools and businesses to reopen
  • create programs to develop new treatments for COVID-19
cloth facial coverings to prevent transmission of COVID-19
Mask use required on airplanes, trains, and other public transportation
4.Immediately expand emergency relief and exercise the Defence Production Act.
  • increase emergency funding to the states for pandemic costs, including for PPE and use of National Guard
  • invoke the Defense Production Act to increase the supply of PPE, and testing and vaccination supplies
5. Safely reopen schools, businesses, and travel while protecting workers.
  • develop a national strategy to reopen most schools within 100 days
  • federal agencies to issue updated guidance on protection for workers
  • asks Congress to provide financial aid to schools, universities, and daycares (cost in the billions)
a girl with a large backpack, walking to a school bus
6. Protect those most at risk and advance equity, including across racial, ethnic and rural/urban lines.
  • establishes an equity task force to address disparities based on race, ethnicity, and geography
  • create a U.S. Public Health Workforce to help with testing and vaccinations in their communities
Healthy People 2030, U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Retrieved [date graphic was accessed], from https://health.gov/healthypeople/objectives-and-data/social-determinants-health
7. Restore U.S. leadership globally and build better preparedness for future threats.
  • rejoin the World Health Organization
  • increase humanitarian aid and support efforts to fight COVID-19 around the world
  • asks for Congressional support to establish a national center to prepare for future biological threats
2 bandaids crossed on a world globe
photo from the Lightstock collection (affiliate link)

Exploring the HEART of health

By following this blog, you’ll know when I post additional pieces reviewing the COVID-19 pandemic as well as other topics that explore the HEART of health.

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Dr. Aletha

And please visit my featured page

What the CDC recommends for fully vaccinated, pregnant, and immune compromised persons

Like weather updates about tornados, hurricanes, and blizzards, the warnings and recommendations from the CDC about COVID-19 change to reflect current findings and predictions.

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This information is current as of the date of original publication or update. It may have changed by the time you read this. I invite you to fact-check what you read here.

This information is not intended for diagnosis or treatment. Before making health decisions, discuss with your physician or other qualified healthcare provider to decide what is right for you.

When I wrote the first version of this post I did not anticipate a need to update it, but have now done so 4 times. Like weather updates about tornados, hurricanes, and blizzards, the warnings and recommendations from the CDC about COVID-19 change to reflect new data about the current status of the coronavirus and its activity among the population. Now I suspect this will not be the final post in this series.

The arrival of the Delta virus variant into the United State caused a new surge of infections, mostly among the unvaccinated. Those of us vaccinated can become infected with it, but likely will not become seriously ill, need hospitalization, or die.

Breaking news – Vaccination in pregnancy

August 11, 2021
  • COVID-19 vaccination is recommended for all people 12 years and older, including people who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future.
  • Evidence about the safety and effectiveness of COVID-19 vaccination during pregnancy has been growing. These data suggest that the benefits of receiving a COVID-19 vaccine outweigh any known or potential risks of vaccination during pregnancy.
  • There is currently no evidence that any vaccines, including COVID-19 vaccines, cause fertility problems in women or men.

Breaking news-COVID-19 Vaccines for Moderately to Severely Immunocompromised People

August 13, 2021

CDC now recommends that people whose immune systems are compromised moderately to severely should receive an additional dose of mRNA COVID-19 vaccine after the initial 2 doses. Widespread vaccination is a critical tool to help stop the pandemic. Read CDC’s statement.

CDC updates July 27, 2021

The CDC recommends fully vaccinated people wear a mask in public indoor settings , in areas of substantial or high transmission. (find transmission rates at this link.)

Fully vaccinated people might choose to wear a mask regardless of the level of transmission, particularly if they are immunocompromised or at increased risk for severe disease from COVID-19, or if they have someone in their household who is immunocompromised, at increased risk of severe disease or not fully vaccinated.

Fully vaccinated people who have come into close contact with someone with suspected or confirmed COVID-19 to be tested 3-5 days after exposure, and to wear a mask in public indoor settings for 14 days or until they receive a negative test result.

CDC recommends universal indoor masking for all teachers, staff, students, and visitors to schools, regardless of vaccination status.

electron microscope image of a 2019-nCoV isolate
Transmission electron microscopic image of an isolate from the first U.S. case of COVID-19, formerly known as 2019-nCoV. The spherical viral particles, colorized blue, contain cross-sections through the viral genome, seen as black dots. credit Hannah A Bullock; Azaibi Tamin, public domain
Here is what the CDC, Centers for Disease Control and Prevention, posted on their web site as of July 28, 2021.

Interim Public Health Recommendations for Fully Vaccinated People

For the purposes of this guidance, people are considered fully vaccinated for COVID-19

  • ≥2 weeks after they have received the second dose in a 2-dose series (Pfizer-BioNTech or Moderna), or We
  • ≥2 weeks after they have received a single-dose vaccine (Johnson and Johnson (J&J)/Janssen ).
Dr. Aletha inspecting her arm after a COVID-19 shot
Three days after my first vaccination the soreness in my arm was almost gone, and I had no redness or swelling. After the second shot, minimal soreness. No other side effects to report. I feel fortunate. I am now fully vaccinated.

Fully vaccinated people can:

  • Resume activities without wearing masks or physically distancing, except where required by federal, state, local, tribal, or territorial laws, rules and regulations, including local business and workplace guidance
  • Resume domestic travel and refrain from testing before or after travel or self-quarantine after travel
  • Refrain from testing before leaving the United States for international travel (unless required by the destination) and refrain from self-quarantine after arriving back in the United States
  • If you came into close contact with someone with COVID-19 get tested 3-5 days after the date of your exposure and wear a mask in public indoor settings for 14 days after exposure or until a negative test result.
  • Refrain from routine screening testing if feasible
  • Get tested if experiencing COVID-19 symptoms and isolate for 10 days if positive.
  • Follow CDC and health department travel requirements and recommendations

Travel

For now, masks are still required for everyone on public transportation, until those policies are updated. (June 10, 2021 update)

Healthcare facilities

For now, you will likely be required to wear a mask in hospitals, clinics, medical offices, nursing homes, and other facilities that provide direct healthcare.

Protocols for vaccinated and non-vaccinated healthcare workers are detailed on the CDC website.

Immune compromise

People who are immunocompromised should be counseled about the potential for reduced immune responses to COVID-19 vaccines and to follow current prevention measures (including wearing a maskstaying 6 feet apart from others they don’t live with, and avoiding crowds and poorly ventilated indoor spaces) regardless of their vaccination status to protect themselves against COVID-19 until advised otherwise by their healthcare provider.

It has been reported that the CDC may recommend a booster for these people soon.

a scientist in a lab working on covid antibodies
Centers for Disease Control and Prevention (CDC) scientist was preparing patients’ samples for SARS-CoV-2antibody testing. Serological testing is used to detect antibodies, which indicate past infection with the virus that causes COVID-19, and is important to the understanding of disease prevalence within a population. credit James Gathanay, public domain

About the Delta Variant: 

Vaccines are highly effective against severe illness, but the Delta variant causes more infections and spreads faster than earlier forms of the virus that causes COVID-19. Learn more about variants in the US.

Testing, testing, testing

Testing helps us identify cases, trace contacts, and prevent spread. With fewer cases, public health professionals can find contacts easier and sooner. Stopping spread will make the variant viruses less of a threat.

So please don’t stop seeking testing if you have symptoms; it is still important to know how many cases of COVID-19 there are. If we only know about the severe cases that required hospitalization, it will skew the statistics, and be less representative of the true extent of the pandemic.

Masks and Vaccines -“do unto others”

I’m not here to debate the use of masks. If you are not yet vaccinated, masks are an easy and safe way to protect yourself but aren’t anywhere close to vaccine effectiveness. Bottom line, get vaccinated; it’s available and easy to get. You probably won’t have to wait in line for an hour like I did. Just click on this link

VACCINES.GOV

Remember, this is a contagious infectious disease spread by direct person to person contact. It’s not just about you, we’re here for each other.

Information and misinformation

There has been much of both in the past year, some deliberate, some well intentioned, some valuable, some just plain wrong. Whenever possible, get your information directly from the source, not “a friend of a friend’s second cousin”. Here are some tips for finding reliable information

7 resources for responsible social media sharing

The post emphasizes the importance of responsible social media usage by highlighting various resources and strategies to combat misinformation. It discusses how emotional responses can be manipulated by disinformation and urges readers to critically evaluate content before sharing. We all have a responsibility to research claims and ensure truthfulness online.

Final comments from the CDC

CDC will continue to evaluate and update public health recommendations for fully vaccinated people as more information, including on new variants, becomes available. Further information on evidence and considerations related to these recommendations is available in the  Science Brief.

CDC website

exploring the HEART of ending the pandemic

Please do your friends a favor by sharing this post on social media and even in real conversations.

Dr. Aletha