Could It Be? Another Covid Variant Spreading Through The U.S.?

Just when we thought we were getting Covid under control, yet another variant of the virus is getting attention as it spreads through multiple countries. Covid Delta variant AY.4.2, also known as “Delta Plus,” has been found throughout the United Kingdom, and has now been spotted in labs in at least 8 different states in the U.S. Health authorities are doing extensive research to find out just why this variant is spreading faster than other variants, as well as if the current vaccines are effective against this new strain.

The AY.4.2 Delta Variantblue virus cells of all different sizes with a delta symbol in the middle

The AY.4.2 variant is a sub-lineage of the variant AY.4, and was first detected at the end of September, though it appears it surfaced in the UK around June. The U.K. has recorded one of the highest numbers of new Covid cases in any country in the past 30 days, second to the U.S.; the U.S., though, has so far only recorded 11 cases of the new variant, in California, Florida, Maryland, Massachusetts, Nevada, North Carolina, Rhode Island and Washington state (as well as the District of Columbia). So far, it appears that Delta Plus spreads faster than other variants, with some scientists estimating that AY.4.2 has a 10-15% transmission advantage over Delta. They have noted, though, that it does not appear to cause more severe illness. 

“We have teams that are constantly reviewing the genetic sequence data and looking for blips, an increase in a certain proportion or just something that’s completely new,” says Dr. Summer Galloway, executive secretary of the U.S. government’s SARS-CoV-2 Interagency Group. 

Will The Current Vaccine Suffice?

Health authorities believe that current vaccines do remain effective against the new Covid strain AY.4.2. It’s still too early to tell just how much of an impact this new variant will have on Americans, but health officials point out that it takes higher levels of population immunity from both vaccinations and past infections to slow down transmission, no matter which variant we are dealing with. 

“Right now, I think there’s not a lot that we know. But in terms of the risk that it poses to public health, the prevalence is very low in the U.S. and we don’t really anticipate that the substitutions [of AY.4.2] are going to have a significant impact on either the effectiveness of our vaccines or its susceptibility to monoclonal antibody treatments,” said Galloway.needle and vial with covid-19 vaccine on the labelProf. Gupta, a member of the New and Emerging Respiratory Virus Threats Advisory Group, which advises the U.K. government, suggests that Delta is more contagious than previous variants because it can infect vaccinated people, who then pass it to other people. He says that “The high speed of replication means that the vaccinated person gets an infection and can spread it. Therefore, masks are an essential component of mitigation.”

It is still too early to tell how much of an impact the new Covid variant will have on the country, but researchers are closely monitoring this development to make sure we do not have another wave/surge in cases. Health officials are also hopeful that more people will continue to get vaccinated, because, as they point out, the more people get the shot, the better the chances of minimizing the new variant’s effects.

A Pill That Treats Covid? What This Could Mean for the Fight Against the Virus

As the fight against Covid-19 continues, with vaccines and booster shots still being widely discussed, one drug maker is now testing an experimental pill to treat Covid. Merck’s pill has shown positive results for people already sick with Covid-19, reducing hospitalizations and deaths by half in initial trials! While many are hailing this as great news, experts like Dr. Fauci fear that it could further deter people from getting vaccinated

The Study

a di with a different number of heads on different sides.
Merck’s study showed that the pill reduced the hospitalization and death rate of participants who took the pill.

Merck and its partner Ridgeback Biotherapeutics have conducted a study tracking 775 adults with mild-to-moderate Covid-19 who were considered high risk due to comorbidities such as obesity, diabetes, or heart disease, to determine if their drug, Molnupiravir, is effective at treating Covid-19. Patients took 4 pills, twice a day, for five days, and early results showed that people who received the pill within 5 days of the onset of Covid symptoms had about half the rate of hospitalization and death, compared to people who were given a placebo pill. 

To be more exact, 7.3% of patients taking Molnupuravir were hospitalized at the end of 30 days, while 14.1% of patients taking the placebo pill faced the same result. At the end of the 30 days, there were no deaths among the people who took the pill, compared with 8 who died in the placebo group. Side effects were also more common among people who received the placebo pill. 

The pill works by interfering with the virus’ ability to copy its genetic code and reproduce itself. 

Will We Soon Be Treating Covid with a Pill?

Merck will be asking health officials in the U.S. and around the world to authorize the use of the pill. “This would allow us to treat many more people much more quickly and, we trust, much less expensively,” said Dr. William Schaffner, an infectious disease expert at Vanderbilt University who was not involved in the research.

If approved by the Food and Drug Administration (FDA), the drug would be available for distribution soon after.

The Importance of Vaccines

Although this pill could be the breakthrough many have been looking for to treat Covid, experts including Dr. Fauci are still stressing the importance of getting vaccinated. Dr. Fauci called the results “very good news;” however, he worried that people will see the drug as a miracle cure, resulting in fewer vaccinations. 

White House coronavirus coordinator Jeff Zients said that vaccination will remain the government’s main strategy for controlling the pandemic. “We want to prevent infections, not just wait to treat them when they happen,” he said. Andrew Pekosc of Johns Hopkins University agreed, stating “These shouldn’t be seen as replacements for vaccination — the two should be seen as two strategies that can be used together to significantly reduce severe disease.”multiple covid vials with needles lined up in front of them

The FDA is also continuing to focus on vaccines and booster shots for now. They are currently still deciding on whether to recommend a third shot for those who have received the 2-dose regimen of the Pfizer vaccine, saying in a briefing document, “Some observational studies have suggested declining efficacy of COMIRNATY (Pfizer’s Covid-19 vaccine) over time against symptomatic infection or against the Delta variant, while others have not.” 

3 key vaccine dates that the FDA will be focusing on:

  • October 14- An advisory panel discussed Moderna’s request to recommend booster shots for people ages 18 and older.
  • October 15- The panel discussed whether those who got the single-dose Johnson & Johnson vaccine need a booster.
  • October 26- The panel will discuss Pfizer’s data on its vaccine for children ages 5 to 11.

Will You Need Booster Shots? Moderna Tests Vaccine Longevity.

The Covid-19 vaccines have been available in the U.S. for around 9 months, and researchers are continuing to study their effectiveness, specifically questioning how long the protection they offer will actually last. And now, a recent analysis conducted by Moderna, who makes one of the two mRNA Covid-19 vaccines, has shown that the effectiveness of the vaccine decreases as time goes by. In fact, according to the study, people who got the shot last year are twice as likely to contract the virus as people who recently got the shot. Moderna is hoping that this new data will lead to approval of a third-dose booster shot for those who received the original two-shot dose.

The Study

illustration of a woman in a lab coat looking through a microscope

The trial conducted over the summer by Moderna, labeled the 3 COVE Study, compared participants who received the vaccine between July 1, 2021 and August 27, 2021 to participants who got it between July 2020 and October 2020. Analysis of the data revealed that people who had recently received the vaccine had a lower risk of breakthrough infection than people who had been vaccinated last year. Specifically, “88 breakthrough cases of COVID-19 out of 11,431 people vaccinated occurred in the more recently vaccinated group (49.0 cases per 1000 person-years) compared to 162 cases out of 14,746 participants in the group vaccinated last year (77.1 cases per 1000 person-years).”

The study found that people who were vaccinated last year had a 50% higher rate of symptomatic breakthrough cases during the months of July and August compared to those who had received the vaccination later. And of those who received the vaccine more recently, there were no hospitalizations or deaths, compared to the 3 Covid-19 related hospitalizations of the earlier group, which resulted in 2 deaths.

“There’s a large debate, we all know, about whether or not vaccine boosters are going to be necessary in the fall,” Moderna President Stephen Hoge said. “That debate, what makes it really hard is it’s not really about whether the vaccine worked last month. It’s really about whether it’s going to work this winter.”

Is There a Need For A Booster Shot?

When the study and its data was presented, Moderna CEO Staphane Bancel stated that it proves the need for a booster shot. person receiving a shot in their arm

“It is promising to see clinical and real-world evidence adding to the growing body of data on the effectiveness of the Moderna COVID-19 vaccine,” Bancel said. “The increased risk of breakthrough infections in COVE study participants who were vaccinated last year compared to more recently illustrates the impact of waning immunity and supports the need for a booster to maintain high levels of protection.”

Currently, the White House’s plan is for people to get a third dose 8 months after their second shot of either the Pfizer or Moderna vaccine. However, multiple scientists from the World Health Organization and 2 FDA officials claim it is “not appropriate” to widely distribute booster shots to the general public just yet.

Covid-19 Has Not Only Led To Academic Issues In Children, But Mental Health Issues Too

The pandemic forced many schools to close down in 2020, meaning many children spent the rest of the 2019-2020 school year and most, if not all, of the 2020-2021 school year learning online. It was not an easy transition for many children or for their parents, with reports from KFF Vaccine Monitor reporting that around four in ten parents of school-aged children ages 5-17 say at least one of their children fell behind academically. And academic issues have not been the only side effects of online schooling: mental health issues have also become much more common among children in the last year. 

As this school year begins, though, most schools are transitioning back to in-person learning, which could end up being a mixed bag. Being physically at school can help with children’s development, but many will also experience some anxiety and panic as they return, so it is important to know how to help get your child back into the swing of things.

illustration of a girl sitting at a desk with her hands over her face
One of the symptoms of mental health issues within children is difficulty concentrating or frequent headaches.

Studies Show…

The Kaiser Family Foundation researchers recently asked more than 1,200 parents of children younger than age 18 about their children’s’ mental health; more than a third said their child had fallen behind in their social and behavioral development during the pandemic. Children whose school was at least partially online last year were more likely to have had their well being negatively impacted; not only that, but around 42% of the parents surveyed said their children showed at least one new mental health symptom during the pandemic. 

Some of the symptoms included:

  • Difficulty concentrating on schoolwork (27%)
  • Problems with nervousness, or being easily scared or worried (19%)
  • Trouble sleeping (18%)
  • Poor appetite or overeating (15%)
  • Frequent headaches or stomach aches (11%)

Recognizing Signs of Stress & Other Mental Health Issues

Your child might not know how to express how they are feeling, so it is important to be able to recognize any signs of mental distress in your child. Each child or teen will exhibit different signs, but there are some common symptoms and changes in their behavior or development to look out for, including:

  • Irritability
  • Waking up more during the night
  • Separation anxiety
  • Bedwetting
  • Stepping back from personal relationships
  • Loss of interest in activities they previously enjoyed
  • Difficulty falling asleep
  • Change in appetite
  • Memory problems
  • Thoughts about death or suicide

What You Can Do To Help Prepare Your Child

While the transition back to in-person learning is undoubtedly good for children and their development, it might also be challenging for some, so it’s important to keep the lines of communication open. “Keep checking in with your kids,” Dr. Kyle Monk, a pediatrician at Cedars-Sinai, says. “Ask them how they’re doing and let them know how you’re feeling as well.”

If your child is anxious or scared about returning to school, have an open conversation with them, and take the time to listen to and validate their feelings. Here’s how you can help get them back into the swing of things:

  • Have an open conversation about the new year and what they can expect as they return to school.young caucasian boy sleeping while holding a stuffed monkey
  • Ween them off of their summer schedule by starting an earlier, consistent bedtime, and prepare them for getting up early. You might want to get them an alarm clock so they know exactly when they need to get up.
  • Make sure your child has a daily, predictable routine, with regular times for healthy meals, naps, and night sleep at home. Having a rested body and knowing what to expect at home helps children cope.
  • Sit down with your kids and have them put forward a couple of academic goals for the semester.
  • Establish a quiet zone or zones at home where kids can do homework, without the distractions of TV, videos, music, etc.
  • Reassure children about safety measures in place to help keep them safe and healthy, and prepare them to stay safe by talking about socially distancing, washing their hands, and  wearing a mask all day.
  • Be on the lookout for any emotional or physical changes after the start of the school year, so you can help them cope, or get professional help if needed.

All ACA-approved health insurance plans cover mental health needs, including therapy, inpatient services, and any medications needed. Get free quotes on plans with great coverage and affordable prices by entering your zip code in the bar above, or to speak to a local licensed agent, call 888-350-1890.

Biden Announces Widespread Covid Vaccine Mandate

The Delta variant, first detected in India last October, is the most dominant strain of the coronavirus in America today, accounting for most of the recent COVID-19 hospitalizations and deaths among the unvaccinated. Because there are still around 80 million people in the country who are unvaccinated, President Biden has begun more aggressively confronting the anti-vaccine movement in order to get the virus under control. On Thursday, September 9, President Biden announced policies that will require most federal employees to get vaccinated, and urged other employers, especially those in healthcare settings, to mandate the vaccine or require weekly testing. The new mandates could apply to as many as 100 million Americans. 

The Reason For The New Mandatesline graph with the line going upward and a red virus in the background

According to Biden, roughly 80 million Americans are unvaccinated, which is about 25% of the population. “That 25% can cause a lot of damage, and they are,” Biden said. “The unvaccinated overcrowd our hospitals, are overrunning the emergency rooms and intensive care units, leaving no room for someone with a heart attack, or [pancreatitis], or cancer.” 

He reiterated the effectiveness of the Covid vaccine, saying “I want to emphasize that the vaccines provide very strong protection from severe illness of Covid-19. The world’s leading scientists confirm that if you are fully vaccinated, your risk of severe illness from Covid-19 is very low.” He also pointed out that it is mainly the unvaccinated who are dying from the virus. 

But since some people are refusing to get the vaccine, and some elected officials are “keeping us from turning a corner,” Biden has come up with a new plan, including vaccine mandates to “reduce the number of unvaccinated Americans, decrease hospitalizations and deaths, allow children to go to school safely, and keep our economy strong by keeping businesses open.”

The New Employee Mandate

covid vaccine vial with a needle next to it and vaccine card
Federal employees will have 75 days to get vaccinated and provide proof, or face termination.

President Biden now hopes to convince those who are vaccine hesitant or resistant to get the vaccine by taking punitive action. “We’ve been patient, but our patience is wearing thin, and your refusal has cost all of us,” Biden said. So, the first part of his plan is to use an emergency provision in the Occupational Safety and Health Act of 1970, which will allow him to withhold federal funding from hospitals and other healthcare organizations. He is also asserting his power over the federal workforce and even private companies who employ more than 100 people. 

Federal workers will now have 75 days to get vaccinated, or they will face termination, unless they have a legitimate reason for vaccine exemption. And if businesses do not comply with the mandates, the U.S. Labor Department’s Occupational Safety and Health Administration (OSHA) plans to fine them around $14,000 per violation. “Each employer will decide exactly what they want to do, but what we’re saying through the Department of Labor rule-making process is a minimum of testing once a week or full vaccination,” a senior administration official said.

Other Measures To Tackle The Virus

The Biden Administration is also calling on all governors to require teachers and school staff to get vaccinated, saying it’s the best way to protect young children under 12, who cannot currently get the vaccine. They are also calling on all entertainment venues to require tests or proof of vaccination, and have also made clear that the Transportation Safety Administration will be increasing fines for people who fail to wear masks on airplanes, trains, and buses. 

More Testingcovid test tube with a swab next to it and green gloves.

Some critics have claimed that Biden has not done enough on testing, so the next part of his plan is to use the Defense Production Act to accelerate the production of free tests: the administration is planning to send 25 million free tests to U.S. health clinics, and expand at-home tests to be sold at Walmart, Amazon, and Kroger. 

Booster Shots

Booster shots are also in the cards for those who received the Pfizer and Moderna vaccines: a third shot is currently being offered to a limited number of people, but the White House plans to offer them to more of the population as soon as the week of September 20 in “tens of thousands of sites across the country, and for most Americans at nearby drug stores for free.”

Pushback

Almost immediately after Biden’s announcement, the Republican National Committee said it would bring legal challenges against any mandates. When asked about the legal threats Biden said, “Have at it. I am so disappointed that particularly some Republican governors have been so cavalier with the health of these kids, so cavalier with the health of their communities.”

The FDA Fully Approves The Pfizer Covid Vaccine, Opening the Door to More Vaccine Requirements

On August 23, 2021, the Food and Drug Administration (FDA) granted full approval for the first Covid-19 vaccine, known as the Pfizer-BioNTech vaccine. The two-dose vaccine, which up until that date was under Emergency Use Authorization, has been formally approved for use in people ages 16 and older; now that it has been fully approved, President Biden is urging unvaccinated Americans to get the shots. And not only will this new status hopefully entice more people to get the vaccine, but it will also empower businesses and universities to require people to be vaccinated. 2 shot viles with needles next to themThe Pfizer vaccine was first granted Emergency Use Authorization in December 2020, and so far almost 170 million Americans have been fully vaccinated, and about 30 million have gotten at least one of the two doses. The FDA has been continuing its research on the vaccine, and has been able to study its efficacy in the real world, concluding that it is safe and 91% effective. The vaccine will be marketed under the name Comirnaty, and remains under Emergency Use Authorization for people between 12 and 16 years old.

Now, with the number of Covid-19 hospitalizations and deaths among the unvaccinated skyrocketing, President Biden is hoping to convince people who have been hesitant to get the vaccine that it is time to roll up their sleeves: “If you’re one of the millions of Americans who said that they will not get the shot until it has full and final approval of the FDA: It has now happened,” he said. “The moment you’ve been waiting for is here.”

Requirements Among Businesses

President Biden has called the approval “a key milestone in our nation’s fight against Covid.” He then urged business owners and others in leadership positions to require the vaccine.

man's hand holding a phone with a vaccination code on the screen
Federal and private employers, including NY and NJ schools, are requiring employees to get vaccinated and show proof of vaccination, or face termination.

“I’m calling on more companies in the private sector to step up with vaccine requirements that will reach millions more people,” Biden said in remarks at the White House. “If you’re a business leader, a nonprofit leader, a state or local leader, who has been waiting for full FDA approval to require vaccinations, I call on you now to do that — require it. It only makes sense to require a vaccine to stop the spread of Covid-19.”

As of now, the federal government and some private employers are requiring workers to show proof of vaccination. In addition, on Monday, August 23, New York City Mayor Bill de Blasio announced that all public school employees will be required to have at least their first shot by September 27. New Jersey’s governor Phil Murphy followed suit and also announced on Monday that vaccination for all teachers and other staff will be required by October 17. These states are currently joining 4 other states that have already done the same: Washington, California, Connecticut and Oregon.

The Pentagon is also planning to make the vaccine mandatory for the U.S. military. The Defense Department “is prepared to issue updated guidance, requiring all service members to be vaccinated,” Pentagon spokesman John F. Kirby confirmed in a press briefing. “A timeline for vaccination completion will be provided in the coming days.”

So far businesses like Google, Netflix, Facebook, The Washington Post, and Morgan Stanley are requiring vaccines for their employees. And if you want to travel, get ready to show your card: Carnival Cruise Line has tightened its vaccine mandate, requiring all passengers to be vaccinated, except children under 12 and adults with medical conditions, and many are speculating that other forms of travel might require proof of vaccination in the future.

Legalities Concerning The Requirements

Legal challenges are expected, and there are already some lawsuits being filed across the country. Employees of some businesses and even hospitals that are requiring employees to get vaccinated or be terminated, such as Houston’s Methodist Hospital, where 150 nurses were let go or resigned for refusing to get the vaccine, are the subject of some of the lawsuits. So far employees have been unsuccessful in challenging the vaccine requirements: courts are leaning towards the 1905 Supreme Court case Jacobson V. Massachusetts, in which the court decreed that states can require the smallpox vaccine. Businesses, though, might have to allow exemptions for vaccine requirements for religious beliefs and medical conditions.

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