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COVID-19 Bulletin

May 3, 2022

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

Hold on Over the Counter Test Kits from NH DHHS

NH DHHS had to put a pause on the OTC Test Kits for FQHCs. They anticipate being able to release test kits on or after 5/23.

Facilities can continue to order test kits, and the orders will be held until 5/23. Once everything is cleared up, DHHS will message facilities that your test kits will be available for pick-up. If urgent needs arise for additional testing beyond what is being provided with the Binax distribution, please reach out to Craig Beaulac at dhhs.eprr@dhhs.nh.gov, and DHHS may be able to provide some alternatives in the meantime.

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

Update from VT Therapeutics Program

Lucy Lieberman, Program Administrator from the VDH Div. of Emergency Preparedness, Response, and Injury Prevention sent the following update regarding COVID-19 Therapeutics. 

  • The CDC released a health alert regarding updated information on the availability and use of therapeutics: https://emergency.cdc.gov/han/2022/han00463.asp
  • Starting this week HHS has changed the way that therapeutics are allocated to states. Federal retail pharmacy partners are receiving their own, separate allocation instead of states sharing a portion of their inventory with retail pharmacies. This means that pharmacies like Rite Aid, CVS, Price Chopper, and Kinney will have a supply of oral antivirals moving forward supplied by their national chain. VDH will continue to use their state supply to prioritize outbreaks in congregate care settings and hospitals and filling gaps in retail pharmacy inventories.
  • Due to this increase in availability and access to oral antivirals, please feel free to order the therapeutics you need each Monday using the VDH request form 
  • As a reminder, renal-adjusted Paxlovid is now available to order in the request form (in increments of 5).
  • VDH encourages providers to use the therapeutics locator tool to find the closest locations carrying therapeutics. Locations that carry both molnupiravir and Paxlovid will default to showing molnupiravir first. To see Paxlovid inventory, make sure to click “next” in the upper right corner: https://covid-19-therapeutics-locator-dhhs.hub.arcgis.com/
  • Thank you for continuing to report your doses on hand and used in HPOP. This helps keep the therapeutics locator tool accurate and helps VDH allocate therapeutics each week. Your help is very appreciated.

If you have any further questions, please contact Heather Skeels or Lucy Lieberman

State of VT COVID-19 Resources
VT Health Care Provider Resources
Federal Resources
HRSA COVID-19 FAQ
NACHC COVID-19 Resources
WHO Situation Report
Other Resources

COCA Call on Post COVID Conditions

May 5th, 2:00-3:00 PM

Presenters will discuss post-COVID conditions (PCC), an umbrella term for the wide range of health consequences that are present four or more weeks after infection with SARS-CoV-2, which includes long COVID. Cognitive symptoms, often described by patients as "brain fog," are frequently reported following SARS-CoV-2 infection.

A few minutes before the webinar starts, please click this link to join. Passcode: 828356

Your Local Epidemiologist Posts

Over the past week, Katelyn Jetelina has posted two newsletters that overview:

Johns Hopkins Interactive Map and Summary
Community and Patient Resources

CDC COVID-19 Preventive and Treating Medications Available

COVID-19 Preventive Medication

Evusheld is an investigational medicine that can help protect you from getting COVID-19. You may be eligible for Evusheld if you:

  • Are moderately or severely immunocompromised and may not mount an adequate immune response to COVID-19 vaccination OR have a history of severe allergic reactions to COVID-19 vaccines, and
  • Do not currently have COVID-19 and have not recently had close contact with someone with COVID-19, and
  • Are an adult or adolescent ages 12 years and older weighing at least 88 pounds (40 kg).

Evusheld contains two different antibodies that can help prevent COVID-19. It must be given by your health care provider before exposure to COVID-19.

Talk to your health care provider to find out if this option is right for you. Even if you receive Evusheld, taking multiple prevention steps, such as wearing a well-fitting mask or respirator and avoiding crowded places, can provide additional layers of protection from COVID-19.
 

COVID-19 Treatments and Medications

For people who are more likely to get very sick from COVID-19 infection, medications are available that can reduce the chances of severe illness and death. Other medications can help reduce symptoms and help manage the illness.

People who are more likely to get very sick include older adults (ages 50 years or more, with risk increasing with older age), people who are unvaccinated, and people with certain medical conditions, such as a weakened immune system.

Being vaccinated makes you much less likely to get very sick. Still, some vaccinated people, especially those ages 65 years or older or who have other risk factors for severe disease, may benefit from treatment if they get COVID-19. A health care provider will help decide which treatment, if any, is right for each individual.

The FDA has issued emergency use authorizations (EUA) for certain antiviral medications and monoclonal antibodies to treat mild to moderate COVID-19 in people who are more likely to get very sick.

Non Coronavirus Content

Virtual Film Screening of Someone You Love: The HPV Epidemic

May 11, 7:30-9:30 AM
May 26, 2:00-4:00 PM

Join us for a free virtual film screening of Someone You Love: The HPV Epidemic followed by discussions with experts in the fields of pediatrics and public health. There will be two screenings – Wed 5/11 from 7:30-9:30am, and Thurs 5/26 from 2:00-4:00pm – each with unique breakout room options for diving deeper into the topic. 

Registration is required, and space is limited! We welcome clinicians, health center staff, school nurses, and anyone else interested in attending. The events are open to all, regardless of where you live or your profession. CE credits will be available. If you have any questions, please reach out to Kristen at Kbigelow@bistatepca.org. Please share the flyer widely! 

This event is sponsored by Bi-State Primary Care Association, the Norris Cotton Cancer Center, the American Cancer Society, Southern NH Area Health Education Center, and the Vermont Department of Health. 

Last Week to Register for
Bi-State's 2022 Primary Care Conference

The final registration window for the 2022 PCC closes on Tuesday, May 10th at midnight. To learn more and to register, please visit our event page: bit.ly/2022PCC.

The conference day will be exactly one week later, from 8:30am-2:30pm on May 17th. We hope to see you there!
You can contact Colleen at cdowling@bistatepca.org if you have any questions.

ASPR TRACIE Climate Change Webinar Recording

On April 18th, ASPR TRACIE presented a one hour webinar discussing climate change resilience and the health care considerations. Relevant materials include the slide deck, ASPR TRACIE’s Climate Change Resilience and Healthcare System Considerations document, the related summary document, and the Topic Collection.

Questions for Bi-State

Vermont: Please contact: Kaylana Blindow, 802-229-0002 ext. 226 kblindow@bistatepca.org

New Hampshire: Please contact: Colleen Dowling, 603-228-2830 ext. 127 cdowling@bistatepca.org

Just Klondike being photogenic, surely practicing for spring photoshoots.

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