COVID-19 Bulletin

12 October, 2021 

Here is today’s COVID-19 update. 

Bi-State continues to keep our website updated with the latest on the Bi-State COVID-19 Resources webpage. This links to various credible COVID-19 resources, archives all Bi-State COVID-19 Bulletins, and holds a section of resources for patients.

Bi-State COVID-19 Resources
New Hampshire Resources

BinaxNOW Kits

The State of NH has provided an update on ordering BinaxNOW kits. Unfortunately, they are unable to increase the BinaxNOW numbers at this time. The tests are in extremely high demand, and the State is balancing supply among facilities with the maximum allocations NH receives per month from Abbott.  

Please ask for what you would like when submitting the form, and the State will supply you with what they can and increase the allocations if they have the supplies necessary to do so. 

State of NH COVID-19 Resources
Governor Sununu Executive and Emergency Orders
Vermont Resources

How to Get a COVID-19 Booster in VT

Devon Green, VAHHS VP of Government Relations, published a great summary of the eligibility for and how to get a COVID-19 Pfizer booster.   Thank you for sharing Devon.

With boosters now widely available in Vermont, we hope eligible Vermonters take advantage of this great opportunity to further protect themselves, their families and their communities. Signing up is easy and the Vermont Department of Health has done an incredible job to ensure access to Pfizer boosters for all Vermonters.

Here is what you need to know:


The following Vermonters who received their second Pfizer shot at least six months ago are eligible for a booster:

  • those are age 65 or older
  • those age 18 or older with certain medical conditions that put them at high risk of getting severely ill with COVID-19
  • those age 18 or older who are more likely to be exposed to or spread COVID because of where they work, including all health care workers
  • those age 18 or older who are Black, Indigenous or people of color (BIPOC) or are age 18 or older and live with someone who is BIPOC

For more information on these categories, go to the Vermont Department of Health website.

How to Sign Up

If you signed up through the state website:

  • you can sign up again through the website; or
  • go to a pharmacy.

If you did not sign up through the state’s website for your initial doses, you can:

  • call 855-722-7878; or
  • go to a pharmacy.

Health care workers who were vaccinated prior to the state’s website will have to call 855-722-7878 to sign up or go to a pharmacy, unless their employers tells them otherwise.

Flu Shots and Boosters

Some people have reported hearing they need to get their COVID booster shot and flu shot separately. You can receive your COVID booster shot and other vaccinations, such as flu or shingles, at the same time as your COVID booster shot as long as they are one inch apart. You will likely want to get each shot in a different arm!

VT Health Update HAN Released October 8th

On October 8, the state of Vermont released a health update HAN issuing updated recommendations for COVID-19 testing in long-term care facilities. Long-term care facilities should continue to use antigen tests immediately upon identification of a symptomatic resident or staff person.

Vermont Points of Contact for COVID-19 Testing and Vaccines

The Vermont Department of Health clarified the points of contact for COVID-19 Vaccines and Testing. 

State of VT COVID-19 Resources
VT Health Care Provider Resources
Federal Resources

Vaccine Updates: Pfizer, Moderna, and Janssen

A few weeks ago Pfizer and BioNTech submitted data to the U.S. Food and Drug Administration (FDA) from the Phase 2/3 trial of their COVID-19 vaccine in children 5 to <12 years of age.  This morning (10/07), they officially requested Emergency Use Authorization (EUA).

Please do not order the currently available Pfizer vaccine with the intent to administer it to anyone under 12 years of age. The existing supply of Pfizer vaccine is approved only for those 12 years of age and older.

Only after the FDA and ACIP approval process is complete will we have information on the formulation, presentation, and availability of vaccines for those 5 to <12 years old.  We know that many of you plan to serve this younger age group and may already be fielding questions from parents in anticipation of approval. Once more information is available, the Immunization Program will offer guidance, resources, and training opportunities to all provider offices.

Upcoming meetings of the FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) will discuss newly available data for the currently available COVID-19 vaccines, including:

  • Janssen and Moderna boosters
  • The heterologous use of booster doses following the primary series
  • The submitted data for Pfizer’s COVID-19 vaccine for children 5 to <12  

For information on these meetings, see the FDA News Release - October 1, 2021

The Advisory Committee on Immunization Practices (ACIP) have set their meetings for October 20-21 and November 2-3.  Information will be updated on the ACIP homepage.  ACIP meetings are broadcast online

Please note changes are happening rapidly.  

NACHC COVID-19 Resources
WHO Situation Report
Other Resources

Your Local Epidemiologist

(excellent newsletter summarizing science for non-scientists)
  • Impact of COVID-19 Deaths on Children
  • Get Your Flu Shot Information 

YLE - Impact of COVID-10 Deaths on Children in the US
Katelyn Jetelina, Your Local Epidemiologist, summarized a Journal of Pediatrics study on the impact of adult COVID-19 deaths on children.   140,000 children are without a caregiver in the US because of a COVID-19 death from April 2020 through June 2021.  Please note, the study is before the current Delta surge. 

Go get your flu shot. Especially this year.
Katelyn Jetelina, Your Local Epidemiologist (YLE) lays out the data and salient points for getting the flu vaccine for the 2021/2022 season in the blog post "Go get your flu shot. Especially this year".  The YLE posts are in lay terms with charts, graphs, and infographics that are straightforward and easy to digest.  The summary of "trained immunity" may be particularly helpful. 

If you click into the above articles, you will see the option to subscribe (at no cost) to the YLE Newsletter.

Additional flu resources:

The American Academy of Pediatrics Updated Return to Sports Interim Guidance

Below are the links to the American Academy Pediatrics Return to Sports Interim Guidance (Updated)

AAP Return to Sports and Physical Activity

  • COVID-19 Interim Guidance: Return to Sports and Physical Activity ( (Updated 9/20/21). Link: here
  • Algorithm (9/21/21) link: here
Johns Hopkins Interactive Map and Summary
Community and Patient Resources
Non Coronavirus Content

UVM Migrant Farmworker Presentation Recording

The 13 minute introduction and training recording posted by the UVM Bridges to Health program on September 29 discusses their Migrant Farmworker Program. The goal of this video is to share a bit about the farmworker population, best practices and suggestions for working with the population as well as the care coordination supports that Bridges to Health provides.

More information about the program here:

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Health Care and Food Programs: Legal Considerations

October 12, 2021
12:00 - 1:15 PM

The webinar will introduce key considerations for complying with HIPAA and inducements rules when implementing food access programs at health care practices. It is intended for a health care practice audience (a future webinar will introduce HIPAA for a community partner audience). Our presenters will be joining us from the Center for Health Law and Policy Innovation (CHLPI) which offers many resources for integrating food in health care, including a guide for Foodbanks navigating HIPAA and a recent set of publications focused on scaling Produce Prescriptions. They are founding members of the Massachusetts Food is Medicine coalition

Please Register Here

Registration is Open for Preparing the 2021 UDS Report

November 2 & 4
8:30 am. - 12:00 pm

We are pleased to invite you to join us and your NH and VT colleagues for a training on Preparing the 2021 UDS Report on Nov. 2 and 4, 8:30 am - 12:00 pm on both days.

If you register two or more using one credit card or check you will automatically receive a $5 discount per person.

If you have questions, please contact Susan Noon.  See you there!

Questions for Bi-State

Vermont: Please contact: Kaylana Blindow, 802-229-0002 ext. 226

New Hampshire: Please contact: Colleen Dowling, 603-228-2830 ext. 127

Introducing Chance, he lives with Mavis Stephens, Bi-State’s HRSA Project Officer. Chance's birthday is May 28, 2020. He loves to play with his toys and socializing with his family and the neighborhood kids. He also enjoys belly rubs and snuggling.

Would you like to see your furbaby featured in a future bulletin? Email pictures to Heather Skeels
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