U.S. health officials now consider COVID-19 an endemic disease which essentially means that COVID is here to stay in fairly predictable ways (Courtesy, KCHD)
Cases are rising across the United States and many people have experienced the uptick over the past few weeks. They’ve either tested positive themselves or know someone else who has.
Health officials consider COVID-19 here to stay (Courtesy, pxhere.com)
“COVID-19 is one of those viruses that behaves differently than other respiratory viruses like flu and RSV. COVID-19 infections are driven more by human behavior and immunity than weather patterns or seasons,” said Andrew Jameson, MD, an infectious disease specialist with Trinity Health Medical Group in Grand Rapids. “We’re going to have to learn to live with it.”
According to Dr. Jameson, a reason why COVID-19 cases are starting to rise: the virus has evolved to be a very good spreader, allowing it to infect people even if they have several layers of protection from past infection, vaccine, or booster. People become susceptible to an infection again not all that long after their most recent infection or booster shot.
“Despite immunity to new infection waning, most of the recent cases that result in hospitalization are in people who did not get the most up to date vaccine” said Dr. Jameson. “We do find, however, that protection with the vaccine against severe illness does hold up over time for most people.”
Are there new COVID-19 variants this year?
Since the original Omicron variants emerged back in 2021, the virus has continued to evolve and mutate – this is what viruses do.
Currently, the CDC is monitoring a trio of variants — called KP.3, KP.2, and LB.1 — that are on the upswing.
What are the symptoms now, and have they changed?
Many COVID-19 symptoms have stayed the same since 2020: fever, sore throat, coughing.
Many COVID symptoms have remained the same since its inception – however, there are some variants (Courtesy photo)
Other symptoms have shifted: it used to be common for people to lose their sense of taste and smell when they got sick, but that now seems to happen less frequently.
If you’ve been infected before, it’s important to understand that symptoms can vary from one infection to the next. It may actually feel like an entirely different illness. Or, you may experience the same symptoms, but in a different order.
COVID-19 symptoms include:
Fever or chills
Cough
Shortness of breath or difficulty breathing
Sore throat
Congestion or runny nose
New loss of taste or smell
Fatigue
Muscle or body aches
Headache
Nausea or vomiting
Diarrhea
“No two COVID infections behave exactly the same,” said Dr. Jameson. “In general, the more immunity a person builds up – from infections or vaccinations – the symptoms of another infection tend to be milder. But there’s no guarantee.”
How long do test kits last?
If you’re not feeling well and have trouble finding new at-home tests to purchase at your local pharmacy, you may wonder if you can use older test kits you may have.
The FDA says that tests should not be used beyond their expiration date.
“Medical” pieces of a COVID-19 home test kit (Chicago.gov)
I may have COVID. What should I do?
The CDC recommends treating COVID-19 just like other respiratory viruses such as flu and RSV:
Stay home and away from others (including people you live with who are not sick) if you have symptoms that aren’t better explained by another cause.
CDC guidelines say people should isolate for five days from their first symptoms, after which they can be around other people if they’ve been fever-free for 24 hours and wear masks inside.
Treatment may help lower your risk of severe illness.
For people whose immunity is impaired by disease or transplantation, there is a new treatment available: a monoclonal antibody called pemivibart (sold as Pemgarda) provides a similar level of protection as vaccines do for everyone else. However, it is expensive and given by infusion.
When should I get a COVID-19 booster shot?
The COVID-19 vaccination can help protect against the virus (U.S. Government)
Vaccines and boosters continue to be the go-to protections against severe illness from the virus.
“For those who are at high risk for severe illness – the very elderly, the elderly with comorbidities, and those who are immunocompromised – go ahead and get a booster vaccine now. The vaccines are still active against some of the circulating variants,” Jameson said.
“By the time the new vaccine comes out in a few months or so, you’ll be eligible to get another shot toward the late fall.
“For those whose risks are a bit lower, you can wait until the fall boosters come out.”
If you have any questions about COVID-19 as it relates to your health, or when it’s best for you to get a booster vaccine, talk to your doctor.
A University of Michigan Health – West staff person shows her vaccine record. (Supplied)
University of Michigan Health-West is partnering with three other organizations to provide free COVID-19 vaccinations to residents on Martin Luther King Jr .Day which is Monday, Jan. 17.
The event will be from 9 a.m. to 4 p.m .at Brown-Hutcherson Ministries, 618 Jefferson Ave. SE.
The Grand Rapids African American Health Institute (GRAAH, an organization devoted to achieving healthcare parity for African Americans, is leading the coordination and public awareness efforts for this event. UMHW healthcare professionals will be providing vaccination services. Brown-Hutcherson Ministries has provided the space to host the event and the Grand Rapids MLK Community Worship Celebration Committee is providing the marketing support.
The goal of the event is to increase the vaccination rate among African Americans while building greater awareness about the positive impact of the COVID-19 vaccine.
Residents five-years-old and up can receive the Pfizer COVID-19 vaccine at the event. To pre-register online click on this link or walk in and register on-site the day of the event. COVID safety protocols will be enforced including mask mandates and social distancing.
To learn more about this event, visit the GRAAH website.
Together by St. Jude has just released a free coloring book that talks about the COVID-19 vaccine and how it protects people from the virus. (Together by St. Jude)
On the heels of the U.S. Food and Drug Administration’s emergency use approval for a COVID-19 vaccine for children ages 5-11, St. Jude Children’s Research Hospital has created a free coloring book to help children learn about vaccines and how they work to prevent COVID-19.
The coloring book was developed and reviewed by patient education and infectious disease specialists at St. Jude. It is available for download at the Together by St. Jude web-based resource.
A “St. Jude Coloring Book: COVID-19 Vaccines” answers questions about COVID-19 vaccines in words children can understand. “A COVID-19 vaccine uses the body’s immune system to fight the coronavirus,” the book reads. “Your immune system is like a team of superheroes that protect you from germs.” The book also uses simple pictures to show how the vaccine works to help your body make antibodies to fight the virus that causes COVID-19.
“The vaccine coloring book offers children the opportunity to learn more about the COVID -19 vaccine by coloring images of doctors, children, and the COVID-19 virus,” said Rachel Schmeizer, a child life specialist at St. Jude. “The illustrations in the book help to prepare children for the vaccination process and explains how the vaccine works to protect their bodies from COVID-19.”
Together by St. Jude published its first coloring book on COVID-19 in 2020. “Learning About the Coronavirus” helped children understand the virus and taught ways to stay healthy by keeping a distance, wearing a mask, and washing hands often. The coloring book was translated into 16 different languages and was downloaded more than 14,000 times in more than 150 countries and territories.
“Throughout the pandemic, parents have struggled through numerous difficult conversations with their children. We want to prepare our children for the significant changes in their daily lives and teach them how to stay safe, but how can we do this without scaring them?” said Niki Jurbergs, PhD., Jude Psychology Department. “We created these coloring books to prepare parents with the tools they need to introduce these new and potentially scary concepts in an age-appropriate way. Having a plan ahead of time, including talking points, can make parents feel more comfortable during this conversations.”
In addition to the two COVID-19 coloring books, Together by St. Jude has also released “Riley Takes a Medicine,” a coloring book that teaches children undergoing cancer treatment about the different types of drugs and the importance of medication compliance. All three coloring books are free to download.
Those working for, contracting with, or conducing business at Mercy Health Saint Mary’s will need to be vaccinated against COVID-19 by Sept. 21.
Trinity Health, the parent organization to Mercy Health Saint Mary’s, recently announced effective immediately, the national health system will require all colleagues, clinical staff, contractors, and those conducting business in its health care facilities be vaccinated against COVID-19. The requirement applies to Trinity Health’s more than 117,000 employees in 22 states nationwide.
This includes roughly 24,000 Trinity Health Michigan colleagues working across five Saint Joseph Mercy Health System hospitals, three Mercy Health hospitals – such as Mercy Health Saint Mary’s, and two employed medical groups – IHA and Mercy Health Physician Partners. Along with the hospital located in downtown Grand Rapids, there is a Mercy Health Southwest Campus in Byron Center, Mercy Health Physician Partners in Wyoming, Mercy Health Southeast Lab in Kentwood and several other Mercy Health locations in and around Grand Rapids.
Trinity Health is the second known healthcare organization to announce the COVID-19 vaccine requirement. Henry Ford Health System in Detroit made a similar announcement in June. Mercy Health Saint Mary’s is the first known health organization in Grand Rapids to require COVID vaccines. Officials from both Spectrum Health and University of Michigan Health – West (formerly Metro Health – University of Michigan Health) stated while encourage team members to get vaccinated, the vaccines are optional and not mandated.
Spectrum Health officials said nearly 70 percent of Spectrum’s on-site team members have been vaccinated.
“We continue to practice active infection control measures, including heightened cleaning protocols, masking n all clinical areas and a daily symptom survey for all on-site team members,” according to a hospital statement. “Additionally, we continue to monitor positivity and vaccination rates in the community and amount our team members.”
Since December 2020, when the U.S. Food and Drug Administration approved the first vaccine for Emergency Use Authorization, Trinity Health has strongly encouraged vaccination for all colleagues and within the communities its various Health Ministries serve. To date, the health system estimates that nearly 75 percent of Trinity Health employees have already received at least one dose of the vaccine, and it now looks to close the gap with this new requirement.
“As a faith-based health care system we have pledged to protect the most vulnerable, those that have a high risk of developing severe health complications if they were to contract this deadly virus,” said Rob Casalou, president and CEO of Trinity Health Michigan and Southeast Regions. “We are grateful to all colleagues working inside our hospitals, and specifically those navigating the frontlines. We understand that not everyone will agree with this decision, but after listening to their feedback, and after careful consideration, we know this to be the right decision.”
The Centers for Disease Control and Prevention (CDC) estimate that more than 331 million doses of the COVID-19 vaccine have been administered in the United States. The vaccines have proven to be safe and effective against symptomatic infections, hospitalizations and death, with more than 99% of COVID-19 deaths today occurring in unvaccinated people.
“As a trusted health care leader within Michigan communities, our patients and colleagues look to us to keep them safe,” said Rosalie Tocco-Bradley, PhD, MD, chief clinical officer of Trinity Health Michigan. “There is widespread acceptance of the vaccines and their effectiveness within the medical community. The science is clear – vaccines protect against infection and they help save lives.”
Employees at Trinity Health and its Health Ministries must meet a series of rolling deadlines, with most locations requiring them to submit proof of vaccination by Sept. 21, 2021. It has not yet been determined if a COVID-19 vaccine booster will be required annually, but if so, employees will also need to submit proof of the booster as needed. Exemptions are available for religious or health reasons and must be formally requested, documented, and approved. Employees who do not meet criteria for exemption and fail to show proof of vaccination will have their employment terminated.
For Dr. Adam London, the Kent County Health Department health officer, nothing underscores the need for people to get vaccinated than the more than 200 people hospitalized for COVID, of which 50 are fighting for their lives.
“We all want to get back to life as we want it to be as quickly as possible and the COVID vaccine and the vaccination is the best way to do that,” London said during a recent PSA for the Health Department. “We all want to see our restaurants full, we want concerts and ballparks and classrooms full. We want to get back to work and back to life as we want it to be here in West Michigan. The power to do that is your hands.”
London said the best way to accomplish these goals is for people to get vaccinated, and for those already vaccinated, to encourage or help others to do the same.
London noted that the vaccines are safe and and effective and are held to the highest standards before being approved. More than 75 percent of people 65 or older have received vaccines and that group is having the fewest number of new cases, London said.
The groups that are driving up the resurgence are the 20s and 30-year-olds, London said. In the twenty-something group, there is a 22 percent vaccination rate and in the thirty-something group, there is about a 32 percent vaccination rate.
“We need to do what we can to get these numbers down,” London said. “We are seeing more than 400 new cases of COVID diagnosed everyday in Kent County.”
For those unable to navigate the internet or schedule appointments online, they can call 2-1-1 for assistance.
For more about COVID cases in Kent County, visit the Kent County Public Health Department’s website.
If your child is headed to college for the first time, you can allay some of your worries by ensuring they’re up to date on vaccinations. (Courtesy Spectrum Health Beat)
If you’re looking to help your burgeoning thinker prepare for the first year of college, you could do worse than start with a simple science lesson.
Think of the higher learning universe as a giant petri dish.
Your youngster will dive headlong into that glorious environment, seizing opportunities to broaden the intellect and test new ideas that challenge the status quo.
College is, however, a life-sized cauldron of cellular chaos, swimming with a frightening array of potentially deadly germs.
What important steps can parents take to ensure their college student is prepared for life on campus?
Above all else, make sure your child is properly vaccinated, said Mary Zimmerman, immunization program manager at Spectrum Health.
Does this mean you can’t spend this last month of summer scouting out the best deals on futons, bed sheets and mini refrigerators? No. It just means immunizations need to maintain their proper place at the top of the to-do list.
Teens headed to college should be current on six vaccinations in particular—meningococcal serogroup B, meningococcal conjugate vaccine (serogroups ACWY), hepatitis A, Tdap, HPV and influenza.
Meningococcal serogroup B vaccine
Given their bustling social lives and close-quarter living, college students are uniquely prone to exposure of meningococcal disease, Zimmerman said.
And if there’s just one thing to remember about meningitis, it’s this: It is deadly serious.
“People who have had meningitis had flu-like symptoms and then they were dead within 24 hours,” Zimmerman said. “If you survive, it’s a long-term stay in the hospital.”
The disease kills 10 percent of its victims, she said. Of those who survive, 20 percent will suffer long-term consequences from infection, including brain damage, amputation or loss of hearing.
When the bacteria infect the brain and spinal cord, it’s known as meningitis. When it infects the bloodstream, it becomes septicemia. There are two different vaccinations for meningococcus—serogroup B vaccine and serogroup ACWY vaccine, also known as the conjugate vaccine—and they immunize against different groups of the disease.
The CDC requires children to receive the conjugate vaccination by age 12, with a recommended follow-up conjugate booster at age 16. It’s also recommended that children receive the serogroup B vaccine at age 16, when they get the conjugate booster, but it’s not required, Zimmerman said.
Only recently has there been growth in awareness about the serogroup B vaccine.
In Michigan, the family of Emily Stillman, a Kalamazoo College sophomore who died of meningitis in 2013 at age 19, has emerged as the vanguard in pushing for awareness about meningococcal serogroup B.
Stillman died within 36 hours of contracting bacterial meningitis. She had received the meningococcal conjugate vaccine in her youth and also the recommended conjugate booster at age 16.
She did not receive the serogroup B vaccine.
Why? In 2013, the serogroup B vaccine hadn’t been available in the U.S. Not until 2015 did it become available.
Zimmerman cautioned that parents may encounter circumstances, even today, in which a primary care provider doesn’t have immediate access to the serogroup B vaccination.
This should not discourage them from pursuing it further.
“Check first with your primary care provider,” Zimmerman said. “If they don’t carry the B shot, you can check with the local health department — they do have it.”
Don’t assume the serogroup B vaccination isn’t important simply because the CDC made it a recommended vaccination, as opposed to a requirement, said Mary Wisinski, immunization program supervisor at Kent County Health Department.
“Absolutely get the vaccine,” Wisinski said. “It’s a deadly disease.”
Meningococcal conjugate vaccine
All strains of meningitis are spread through secretions from the throat and respiratory system—coughing, kissing, sneezing, sharing cups and so forth. Simply living in the same environment as someone with the disease could put you at risk.
About 10 percent of people who carry the bacteria in their nose or throat won’t show symptoms of the disease. But they can spread it.
“That’s why it’s so scary,” Zimmerman said. “There’s no rhyme or reason as to who might get the disease and who might just be a carrier.”
This is why vaccinations are so critical, she said, especially for the age 16-to-24 group headed into socially rich environments such as universities.
While the CDC requires the conjugate vaccination by age 12, there are of course children whose parents may have opted them out of vaccines.
College is a great time to reconsider such views.
“A college student will think they’re just run-down, and then they have to be rushed off to the hospital,” Wisinski said. “There’s nothing they can do.
“People do survive it, but the infection can cause them to lose their arms or legs, or cause them to be deaf,” Wisinski added. “It’s not a pleasant thought. Especially when there’s a shot to protect against it.”
The Kent County Health Department follows the mantra, “Vaccinate before you graduate.”
“(Parents) are sending these kids off to college very unprepared and unprotected,” she said.
In recent years, there has been a grassroots push among certain parents to opt out of vaccinations, but that has only led to spikes in diseases that had virtually fallen off the threat radar.
In 2016 and 2017, for example, the CDC logged outsized jumps in the number of mumps cases—directly traced to university campuses. The two largest cases were in Iowa and Illinois.
A Michigan college hit with a recent mumps outbreak didn’t have the data they needed to tackle it, Wisinski said.
“They didn’t know the vaccination status of any of their students,” she said.
In respect to the meningitis conjugate vaccination, nearly half of all teens fail to get the follow-up booster shot recommended at age 16, Wisinski said.
“(In Michigan), 80 percent of our kids get the first meningococcal vaccine at age 12,” she said. “But they don’t come back. In Kent County, only 50 percent of the teens that are immunized with the first vaccine will get that second one. Nationally, it’s 30 percent.”
For about the past decade, the CDC has recommended children receive two HPV vaccinations starting at about age 11.
HPV is a sexually transmitted virus, with some strains causing various types of cancer. Much like other series of vaccinations, it’s important to have the complete series before any exposure, Zimmerman said.
HPV is a two-dose series if the first dose is administered before a child’s 15th birthday. If administered after the 15th birthday, three shots are required, Zimmerman said.
It’s important to remember the follow-up.
“Obviously, you get your best protection by completing the series,” she said.
“So many college students are traveling abroad,” Zimmerman said. “It’s good just to be protected.”
Hepatitis A is a liver disease spread through contaminated food and water. The vaccination is a routine recommendation for children starting at age 1, but there are adults and older children who have never had it.
The hepatitis A disease rate has declined 95 percent since the vaccine became available in 1995, but don’t imagine for a second that it has magically disappeared in this country.
The disease incubates in the body anywhere from 15 to 50 days before manifesting itself, Zimmerman said. Adults who get the disease can be ill for up to six months, with symptoms including nausea, vomiting and jaundice.
“It’s a virus,” Zimmerman said. “You clear it from your system. If you have the disease, you then have immunity. But that’s the hard way to get it.”
The easiest route is vaccination.
Tdap vaccine
Babies and small children receive a series of shots called DTaP, which protect against diphtheria, tetanus and pertussis, also known as whooping cough.
As a child ages, the effectiveness of this vaccination wears off. Consequently, at about age 11 the CDC recommends children receive a Tdap vaccination, Zimmerman said.
It’s effectively a booster for the original shot.
“They get the maximum benefit from (receiving) doses at the proper time,” Zimmerman said.
Tetanus is caused by toxins from bacteria in the soil. Diphtheria and pertussis are spread through coughing and sneezing. According to the CDC, about 1 in 5 people who get tetanus will die and 1 in 10 who get diphtheria will die.
Pertussis is most dangerous for babies. They contract the disease from children or adults who haven’t been vaccinated.
“Pertussis won’t kill adults, but it does kill infants,” Zimmerman said.
Here again, the anti-vaccination crowd has given rise to pertussis outbreaks at levels not seen since the 1950s, according to CDC data. In 2012, more than 48,000 pertussis cases were reported—the most since 1955.
Researchers have blamed these developments on a reduction in herd immunity.
Influenza vaccine
A list of recommended vaccinations for any age group, infant to elderly, would be incomplete without the addition of the influenza vaccination.
“The annual flu vaccine is always recommended,” Zimmerman said.
Children from eligible families can receive free vaccinations through the Vaccines for Children program, Wisinski said. This applies to all vaccines, from birth to age 19. Children with medical insurance that does not cover certain vaccines can also receive vaccines, but they must get them at the health department or a qualified facility.
“If they have Medicaid or no insurance, or even insurance that doesn’t cover shots, they can get free shots,” Wisinski said. “It’s part of the VFC program.
“If someone from birth through age 18 has no insurance, or insurance that does not cover vaccines, the vaccine is free—but we do charge an administration fee on a sliding scale fee, from $0 to $23,” Wisinski said.
