Pedati talks COVID vaccine, demands of public health, Test Iowa closings and more

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Iowa’s state epidemiologist thinks Iowa is not at a turning point with the delta virus, so far. In an interview with IowaWatch July 16, Dr. Caitlin Pedati also called for Iowans to continue to get vaccinated, use social distancing, masks and other safety measures related to the coronavirus that officially arrived in Iowa in March 2020. She discussed the difficulties of public health and stressed the perseverance of health care workers. 

“If I could leave you with anything it would be there really are some wonderful people in public health who never stopped working and are not going to stop even when it’s hard and even when it’s not perfect, because we believe that it’s important work. And we so appreciate the chance to get, you know, good messages out there,” Pedati said. 

The number of Iowans getting COVID-19 vaccinations has dropped considerably since June and new cases are rising quickly. New cases and hospitalizations have trended up with daily positives doubling over the last two weeks from an average of 76 cases to 199 per day.

CDC

Terms, long-term care facilities

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Variant classifications (from the CDC): The U.S. government SARS-CoV-2 Interagency Group (SIG) developed a Variant Classification scheme that defines three classes of SARS-CoV-2 variants:

Variant of interest: A variant with specific genetic markers that have been associated with changes to receptor binding, reduced neutralization by antibodies generated against previous infection or vaccination, reduced efficacy of treatments, potential diagnostic impact, or predicted increase in transmissibility or disease severity. Variant of concern: A variant for which there is evidence of an increase in transmissibility, more severe disease (e.g., increased hospitalizations or deaths), significant reduction in neutralization by antibodies generated during previous infection or vaccination, reduced effectiveness of treatments or vaccines, or diagnostic detection failures. Variant of high consequence: A variant of high consequence has clear evidence that prevention measures or medical countermeasures (MCMs) have significantly reduced effectiveness relative to previously circulating variants. Long-term care facilities background

A CMS spokesperson issued the following answers to questions from IowaWatch writer Andy Kopsa reiterating authority of CMS reporting outbreaks, cases and vaccination statistics at long term care facilities and the Iowa Veterans Home. There are 440 CMS certified long-term care facilities in Iowa.

Fighting COVID-19 in Iowa

As Iowa opens up, COVID-19 vaccination rates continue to slow

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It’s a hot evening at the Broadway Neighborhood Center in Iowa City, home to the University of Iowa. Student volunteers have set up a mobile COVID vaccination clinic among the apartment complexes that house many immigrant and refugee families. 

But the clinic struggles to attract residents. In recent weeks, demand for the COVID-19 vaccine in Iowa has declined sharply, even though less than 70 percent of Iowans have had at least one dose. 

Andrew Coghill-Behrends, the center’s site director, hits the streets. His goal is to get at least 20 people in for the shot. “It’s really about talking to people and seeing if you can find them where they’re at, and encourage them to come over, said Coghill-Behrends.

Health

As demand for COVID-19 vaccinations drops, one Iowa community nears herd immunity

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Genesis Ramirez grips a digital timer, her legs swinging in a chair in the waiting room of the Meskwaki Tribal Health Center in Tama County, Iowa. The 17-year-old just got her second dose of the Pfizer COVID-19 vaccine. But she didn’t do it just to keep herself safe. “My family is very high risk, and I don’t want to bring anything back to them where I can’t help them,” Ramirez said. Ramirez isn’t a member of the Sac and Fox Tribe of the Mississippi, also known as the Meskwaki Nation.

Health

Non-English speakers get support understanding details of COVID vaccine

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The Midwest is home to tens of thousands of immigrants — including refugees from countries like Myanmar, the Democratic Republic of the Congo and Iraq. It has been a challenge to provide information about COVID-19 and vaccines to those who don’t speak English. 

The Johnson County Public Health Department in eastern Iowa has COVID-19 information available in about a half dozen languages. But Samuel Jarvis, who works for the department, said getting this translated information out during the pandemic can be really hard. “Because the information changes quickly. And really, it’s just — it has to be at a faster pace,” said Jarvis.

coronavirus

Doctor treating COVID patients: “We work hard to try to facilitate communication but it’s often not possible”

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On a normal day, helping sick people cope with the most serious, life-threatening illnesses is a given at the medical intensive care unit at University of Iowa Hospitals and Clinics. Lung failure, liver failure, kidney failure – the list goes on. Dr. Gregory Schmidt sees a little more than a dozen of these patients during morning rounds, then works with other healthcare givers at the hospital to map a plan to save each person’s life.

Fighting COVID-19 in Iowa

Dying while denying: one of the heart wrenching stories from treating COVID patients

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Kirstin Brainard’s daily rounds as a floor nurse at University of Iowa Hospitals and Clinics’ medical intensive care unit are a mix of reviewing how patients have done the past 24 hours, helping treat those patients and taking new admissions. Brainard is part of an 8-person team, which has to be ready to deal with any emergency on the hospital floor.

coronavirus

COVID-19 Long-Hauler Still Suffering A Year Later

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A year ago, Darcy Havel-Sturdevant couldn’t have imagined what was in store for her: splitting headaches, exhaustion, shortness of breath, being unable to focus, the memory lapses. Here is her story, in her words.