Tag: Idaho COVID-19

COVID-19 Q&A: Antibodies and natural immunity are difficult to measure

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How long do the antibodies protect you from COVID-19?

Nobody knows if there is a certain level of antibody, or certain types of antibodies (such as neutralizing antibodies) that can predict protection, although antibody levels are used in clinical trials as a way to estimate protection from the vaccines. Antibody levels indicate some immune response to the vaccine. Some studies suggest that at least for the same variant, protection after infection may last for months, but it’s not certain. Some people who get COVID-19 do get it again even after developing antibodies, so protection is not guaranteed.

That’s why we encourage all Idahoans to consider getting vaccinated and boosted. It’s the best protection we have against serious illness and death.

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From DHW Director Dave Jeppesen: Our annual Facts, Figures, & Trends publication that details the department’s work is now available

On By idhwmediaIn Director Updates1 Comment

Every year, we create and distribute our Facts, Figures, & Trends, where you can find robust and detailed information about the work of the department’s eight divisions. The book highlights how our employees live our mission daily: to strengthen the health, safety, and independence of Idahoans.

Facts, Figures, & Trends covers state fiscal year (SFY) 2022, which is from July 1, 2021, through June 30, 2022.

Because of the pandemic, those we serve have become more familiar with the Division of Public Health and how public officials work to support and inform the community and our community partners. However, the department also has seven other divisions that are focused on serving Idahoans or supporting those who serve Idahoans.

In additional to Public Health, the department’s divisions are Medicaid, Family and Community Services, Behavioral Health, Welfare (Self Reliance), Licensing and Certification, Management Services, and Information and Technology Services. Our employees have expertise in accounting, data analytics, healthcare administration, research, epidemiology, toxicology, social work, mental health, nursing, network administration, customer service, communications, program management, and much more. The skills and knowledge of our staff is vast and varied, but all of our employees have one thing in common, their desire to serve the people of Idaho.

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COVID-19 Q&A: Obesity significantly increases risk of severe illness from COVID-19

On By idhwmediaIn Public Health1 Comment

Obesity is a common and serious disease that puts people at risk for many other serious diseases and increases the risk of severe illness from COVID-19.

  • A study of COVID-19 cases shows that hospitalizations, intensive care unit (ICU) admissions, need for ventilators, and deaths are higher with a higher body mass index (BMI).
  • A higher risk for having to be admitted to the hospital or death was really apparent in those younger than age 65. 
  • More than 900,000 adult COVID-19 hospitalizations happened in the United States between the beginning of the pandemic and Nov. 18, 2020. Models estimate that 271,800 (30.2 percent) of these hospitalizations were attributed to obesity.

Why focus on obesity when there are other serious chronic health issues that also can make it more likely someone will get seriously ill with COVID-19?

Adults with enough extra weight to be considered obese are more likely to also have additional health issues that make it more likely they will wind up in the hospital or worse if they get sick with COVID-19.

Extra weight puts extra strain on our bodies, and it’s important for people to know that so they can make well-informed decisions about how to continue to protect themselves during the COVID-19 pandemic. According to the Centers for Disease Control and Prevention (CDC), having obesity may triple the risk of hospitalization due to a COVID-19 infection.

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COVID-19 Q&A: Vaccines are safe and recommended for pregnant women

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The Centers for Disease Control and Prevention recommends COVID-19 vaccination for those who are pregnant, breastfeeding, trying to get pregnant now, or who want to become pregnant in the future. Women who have questions about this should discuss their concerns with their healthcare providers. In the meantime, here are some common questions and answers.

Why is it so important for women who are pregnant, breastfeeding, trying to get pregnant now, or who want to become pregnant in the future, to get vaccinated?

Pregnant and recently pregnant women are at an increased risk for severe illness from COVID-19 compared with women who are not pregnant. (Severe illness requires hospitalization, intensive care, a ventilator, or special equipment to breathe, or results in death.) Pregnant women with COVID-19 are also at increased risk of preterm birth and might be at increased risk of other adverse pregnancy outcomes, compared with pregnant women without COVID-19.

Is there a possibility the COVID-19 vaccine would keep a woman from getting pregnant?

There is no evidence that COVID-19 vaccination causes any problems with conception or pregnancy, including the development of the placenta. During vaccine trials, the rate of pregnancy among women who received the COVID-19 vaccine was the same as the rate among women who got a placebo vaccine. There is currently no evidence that any vaccines, including COVID-19 vaccines, cause fertility problems in women or men.

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From DHW Director Dave Jeppesen: When will Idaho exit crisis standards of care; encouraging pregnant women to choose to get the COVID-19 vaccine

On By idhwmediaIn Director Updates1 Comment

When will Idaho be able to exit crisis standards of care?

That is a question I receive quite frequently. When Gov. Brad Little and I answered questions through the AARP Town Hall earlier this week, several people asked us about this and shared stories of postponed surgeries and delayed healthcare that caused them frustration and distress. That is not what anyone wants. We all want healthcare availability to return to normal.

The short answer to that question is that Idaho will deactivate crisis standards of care when the surge of COVID-19 patients ends and the number of patients no longer exceeds the healthcare resources available.

Below are a few examples that will let us know we can leave crisis standards of care:

  • Non-clinical or non-traditional spaces or rooms are no longer being used to care for patients in hospital and healthcare systems settings
  • Patients who should be admitted to the hospital are admitted to traditional hospital rooms, and are no longer being kept for long periods in emergency rooms
  • Instead of large hospitals transferring patients to small hospitals, we can return to normal where small hospitals can transfer critical care patients to large hospitals as needed
  • At least some postponed, less critical surgeries can continue (we are starting to see this happen in some hospitals in Idaho)
  • Staff-to-patient ratios can return to normal
  • The trend of new cases and hospitalizations continues to decline

When the situation changes in Idaho, crisis standards of care will be deactivated, and the public will be informed immediately.

Continue reading “From DHW Director Dave Jeppesen: When will Idaho exit crisis standards of care; encouraging pregnant women to choose to get the COVID-19 vaccine” →

COVID-19 Q&A: Some COVID-19 infections in vaccinated people are expected

On By idhwmediaIn Public Health1 Comment

What is a vaccination breakthrough case of COVID-19?

A COVID-19 vaccination breakthrough case is when someone who is fully vaccinated tests positive for COVID-19 more than 14 days after getting the second dose of Moderna or Pfizer vaccines, or more than 14 days after getting the Johnson & Johnson vaccine.

Are breakthrough cases common?

Breakthrough cases are expected, but they are not common. No vaccine is 100 percent effective at preventing illness, and that includes the COVID-19 vaccines.

Let’s do some math.

In Idaho, 826,587 people were fully vaccinated as of Oct 27. Of those, 13,285 had experienced a breakthrough case. That means 1.6 percent of fully vaccinated people have experienced a breakthrough case. Or 98.4 percent of fully vaccinated people haven’t experienced a breakthrough case.

The Department of Health and Welfare tracks breakthrough cases in Idaho on its COVID-19 data dashboard at the bottom of the Case Characteristics page.

Do breakthrough cases mean the COVID-19 vaccines don’t work?

The vaccines are working. They are especially effective against hospitalization and death, and they greatly reduce your chances of getting COVID-19 in the first place. If you do have a breakthrough case, it further reduces the likelihood that you will be sick enough to have to go to the hospital or die.

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From DHW Director Dave Jeppesen: The facts about breakthrough cases – they are a normal part of all vaccines and are not evidence that vaccines do not work

On By idhwmediaIn Director Updates2 Comments

The COVID-19 vaccine is an important tool against the pandemic. However, no vaccine for any disease is 100 percent effective at preventing illness. At DHW, we track cases among Idahoans who have contracted COVID-19 after they are fully vaccinated (i.e. breakthrough cases). Breakthrough cases are expected, but they do not mean the vaccine is ineffective.

Let’s look at the data. One way is to look at the total number of Idaho COVID-19 cases in 2021 and see how many of those are breakthrough cases. In Idaho, there have been 142,655 cases of COVID-19 reported during 2021, of which 13,285 have been breakthrough cases. That means that 9.3 percent of all cases in 2021 have been breakthrough cases. However, looking at the data this way can sometimes be distorted by the number of people vaccinated vs. the number of people not fully vaccinated.

A better way to look at the data is to look at the number of breakthrough cases among those who are fully vaccinated. This is a better measure since it tells you directly, if you get vaccinated, how likely you are to get a breakthrough case. 

In Idaho, there are 826,587 people who are fully vaccinated as of Oct 27, 2021, of which 13,285 have experienced a breakthrough case. That means 1.6 percent of fully vaccinated people have experienced a breakthrough case. Or said differently, 98.4 percent of fully vaccinated people haven’t experienced a breakthrough case.  I don’t know about you, but I will take those odds any day of the week.

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COVID-19 Q&A: An update on vaccine booster doses

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The Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) have approved and recommended booster doses for Moderna, Johnson & Johnson, and the Pfizer/BioNtech COVID-19 vaccines for certain people.

Who is at highest risk of having breakthrough infections, even if they are fully immunized?

Seniors 65 and older and people with weakened immune systems caused by certain health conditions or treatments (including organ transplants, HIV, and some cancers and chemotherapy) are more likely to have breakthrough infections. These groups are strongly recommended to get a booster dose when they are eligible.

Who is now eligible for a booster dose?

Booster doses are available for these groups at least six months after their second dose of the Pfizer or Moderna vaccines.

  • People who should get a booster dose: 65 and older; 18+ living in long-term care facilities; 50+ with underlying health conditions, or disabilities.
  • People who may get a booster dose: 18+ who have underlying health conditions, disabilities; 18+ who live or work in high-risk settings. 

Adults 18 or older who received the Johnson & Johnson COVID-19 vaccine two or more months ago also are recommended to get a booster dose.

Is it OK to get a different vaccine as a booster than you received at first?

Eligible people may choose which vaccine they get as a booster dose. Some people may prefer the vaccine type they originally received, and others may prefer to get a different booster. CDC’s recommendations now allow for mix-and-match dosing for booster shots.

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From DHW Director Dave Jeppesen: Correcting misinformation about COVID-19 vaccines; and a reminder to take our COVID-19 impact survey

On By idhwmediaIn Director Updates2 Comments

Are there any deaths in Idaho that have been caused by the COVID-19 vaccine?

That is a question we are getting a lot. Across social media and other communication channels, misinformation is being shared that connects the COVID-19 vaccine to deaths in Idaho. This is simply not true.

In Idaho, no death certificate has identified the COVID-19 vaccine as the underlying cause of death in 2020 and 2021. The “underlying cause of death” means the actual event or disease that caused the death. 

We have had six deaths in people ranging from 69 to 86 years of age, for whom the death certificates mentioned the COVID-19 vaccine. All of those death certificates identified other underlying causes of death such as cancer and heart disease. Two listed the vaccine as a potential complication. The others just noted the person had received a COVID-19 vaccine.

So, what about deaths caused by vaccination reported to the federal Vaccine Adverse Event Reporting System (VAERS)?

As you likely know, VAERS is an open system where anyone can report information. Information listed there is not confirmed on that site – it is a repository to collect information that is analyzed for serious events and trends that will be followed-up on as needed.

Serious events in VAERS, such as deaths that reportedly occurred after the COVID-19 vaccine, are investigated. The results of those investigations in Idaho have found other causes explaining the death, including cancer and heart disease. Which brings me back to the point made above – the COVID-19 vaccine has not been identified as the underlying cause of death on any Idaho death certificates.

DHW recently did a blog about VAERS and you can read it at: https://dhwblog.com/2021/10/05/covid-19-qa-vaccine-information-on-vaers-cancer-and-efficacy/

CDC guidance on VAERS is located at https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/vaers.html).

Continue reading “From DHW Director Dave Jeppesen: Correcting misinformation about COVID-19 vaccines; and a reminder to take our COVID-19 impact survey” →

COVID-19 Q&A: Booster doses of the vaccines

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Who is eligible for a COVID-19 booster dose today?

The Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) authorized and recommended booster doses of the Pfizer/BioNtech COVID-19 vaccine for certain people in late September.

Those eligible for a single booster dose of the Pfizer COVID-19 vaccine are those who received their second dose of the Pfizer vaccine at least six months earlier and who fall into one of these categories:

  • People ages 65 years and older
  • Residents of long-term care facilities
  • People ages 50-64 with underlying medical conditions
  • People ages 18-49 with underlying medical conditions, based on individual benefit and risk
  • People ages 18-64 at an increased risk of exposure and transmission due to the type of work they do (including teachers and healthcare workers) or because they live or work in an institutional setting

When will those who received the Moderna or Johnson & Johnson vaccines become eligible for a booster dose?  

The FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) met last week to discuss the use of booster doses of the Moderna COVID-19 Vaccine and the Johnson & Johnson COVID-19 Vaccine. The committee voted to recommend an Emergency Use Authorization for booster doses for both Moderna and the Johnson & Johnson vaccines.

More details will be available when the FDA takes action on the recommendation, and the Centers for Disease Control and Prevention issues a recommendation, which may happen this week.

If a booster shot is needed, does that mean the vaccines aren’t working?

No. COVID-19 vaccines are working well to prevent severe illness, hospitalization, and death, even against the widely circulating Delta variant. However, public health experts are starting to see reduced protection, especially among certain populations, against mild and moderate disease.

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