Coronavirus Update


Register For The Covid Vaccine


New Mexico: https://cvvaccine.nmhealth.org

ARIZONA:https://covid-cochisehealth.hub.arcgis.com/pages/vaccines
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Part 1 - Prepared By Dr. Howard Topoff


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Best Information We Have (# Cases) For April19, 2021

Douglas: 4207

San Simon: 35

Rodeo: 11

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Vaccinations In Arizona

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Cases By County - April 19, 2021

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Deaths By County -April 19, 2021

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April 19, 2021



Cases In Hidalgo County: 359

Rodeo: 11 Animas: 25 Lordsburg: 322

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Ten Worst States


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Part 2 - Prepared By Dr. Eskild Petersen






Update 4/19/2021 at 7 AM

Good news: Half of U.S. adults have received at least one vaccine dose. Adults in all U.S. states are now eligible for vaccination.


We are close to the finish line in the US, but the epidemic is not over. Cases and hospitalizations are still very high, so deaths will follow. Time for all of us to get the jab.


If you want a normal summer, keep your mask on, guard up and get vaccinated.

The B.1.1.7 strain is spreading among adults and kids, and experts say that's another reason to get vaccinated, fast. We are in a race between getting people vaccinated and the more virulent variant strains spreading faster.


Global trends

The World


Vaccine is the way to normalcy


Vaccinations: If you are 18 or older you can be vaccinated in Cochise County


The websites where you can sign up for vaccinations are listed above by Dr. Topoff.

New Mexico’s sign-up process is easier than Arizona’s.

The rules for who can get the vaccine varies from state to state, from county to county and even from vaccination site to another.


AZ vaccine records are sent to ASIIS (AZ state immunization info system)

it seems wise to keep all records of your Covid vaccine


Take your Medicare or other insurance card so the provider can bill for the shot (handling, injection, record keeping) - patients will not be charged


If you are a Walker Family Medicine patient and you are 18 or older a call will get you an appointment for the Moderna Vaccine.


For Age 18 and older the Moderna vaccine is at the Medicine Shoppe in Willcox.


Here is the link for people to register:

https://medicineshoppewillcox.as.me/schedule.php. It is a very easy to use link that shows all of the available appointments on one screen. Very easy to use.


General Vaccine information:

The vaccines we have in US are all extremely effective in preventing severe disease and deaths. The two shots Moderna and Pfizer vaccines are more likely to cause some mild side effects after the 2nd dose.


Vaccines we have in the US

Moderna and Pfizer are both m-RNA vaccines

Janssen - 1 jab vaccine from Johnson & Johnson is a viral vector vaccine and is currently on pause.

The 90%+ and 72% efficacies are for preventing any disease and Janssen uses only 1 dose.



Apart from prematurely abandoning public health measures like Texas has done, the biggest wild cards are the new, faster-spreading variants, which are finding footholds across the country.

New variants of Covid-19


Worryingly, the Brazil and South African variants do have changes which let it evade some of our natural immune response.


The coronavirus variant that arose in Brazil, known as P.1, is an alarming double threat —capable of both spreading more rapidly and evading antibodies. P.1 is twice as effective at infecting people as the original strain, P.1 also can reinfect patients that previously had Covid-19.

Brazil Is Looking Like the Worst Place on Earth For COVID-19

Brazil has few vaccines, no leadership, and uncontrolled infections


Authorities in Sao Paulo say they plan to open a ‘vertical cemetery’ to handle continuing surge in coronavirus deaths.


The Pfizer-BioNTech coronavirus vaccine appears to be highly effective against the P.1 Variant, raising hopes that ongoing vaccination efforts will help curb the variant’s spread.





US is doing a very good job with vaccinations


State of the epidemic in US:

We have 31 million cases and over 565,000 reported deaths from the coronavirus pandemic. We have the highest caseload and number of deaths in the world by far. Our shockingly incompetent response to the epidemic in 2020 resulted in at least 300,000 unnescessary deaths. Despite a much better public health response in 2021 we are still seeing the effect of last years failures.



The global picture is very grim with a total confirmed cases over 141 million and more than 3 million deaths.

New cases are rapidly going up globally. Brazil and India are leading the way. The US is not an isolated island. As long as the epidemic is raging in parts of the world we will be indanger.


How do we compare to other countries?


Comparisons of US versus Germany, UK and Canada


Amazing

Arizona and New Mexico data New cases in Douglas and Willcox.

The threat of Covid-19 spreading in our communities is still real and not over yet. The fact that so many of our residents have had vaccinations is great. Keep it up.


ARIZONA


Cochise County, AZ

New Mexico Data:





New Mexico


Hidalgo County.


Rodeo


Metrics for comparing AZ to NM

New Mexico has had a much more robust public health response to Covid-19 than Arizona. It shows by Arizona having one of the highest mortality rates in the country.

Despite being a poorer state with a larger proportion of vulnerable people NM has managed to have a lower mortality rate and being much more effective in vaccinating its population.


Prevention of Infection


You can make it less likely that Covid spreads in or communities by following common sense when interacting with other people: outside is better than inside, no crowd is better than crowd, crowd is better than large crowd, observe social distancing and use a mask.


The only freedom a mask inhibits is the freedom of the virus to spread and kill people.

Not wearing a mask is like driving drunk.


If it’s not blatantly obvious, masks are the linchpin in both preventing you from spreading coronavirus and preventing you from getting COVID-19

Coming: The ‘Vaccine Passport’

In the near future, some travel will require digital documentation showing that passengers have been vaccinated and/or tested for the coronavirus or both.



COVID-19 Disease:

COVID-19 is a systemic infectious disease. It infects lungs, blood, heart, liver, kidney and intestinal tract. People die mainly from respiratory failure, but many deaths are caused from heart involvement. Diabetes, obesity, chronic lung disease, hypertension and cardiovascular disease are risk factors for severe disease. All ages get Covid-19 but the severity and mortality are higher in age 65 and older.



What are the treatments available for Covid-19

There are three broad approaches being investigated:

  • Antiviral drugs that directly affect the coronavirus's ability to thrive inside the body
  • Drugs that can calm the immune system - patients become seriously ill when their immune system overreacts and starts causing collateral damage to the body
  • Antibodies, either from survivors' blood or made in a lab, that can attack the virus


Coronavirus Treatment

Developing an effective antiviral for Covid-19 has so far been unsuccessful.

There isno cure yetfor Covid-19. Only one treatment, a drug calledremdesivir, has been approved by the F.D.A. for the disease, and research suggests it may provide only a modest benefit to patients.


The New York Times has an excellent site for tracking drug treatments

https://www.nytimes.com/interactive/2020/science/coronavirus-drugs-treatments.html


Surprisingly there are no effective antiviral drug for Covid-19. And even the most promising treatments to date only help certain groups of patients and await validation from further trials. The F.D.A. has grantedemergency use authorizationto some treatments, their effectiveness against Covid-19 has yet to be demonstrated in large-scale, randomized clinical trials


An oral antiviral is showing promise but is still in very early trials.

A single pill of the investigational drug molnupiravir taken twice a day for 5days eliminated SARS-CoV-2 from the nasopharynx of 49 participants.

Conference on Retroviruses and Opportunistic Infections 2021:Abstract SS777. Presented March 6, 2021.

Merck and Ridgeback Therapeutics will conduct a phase III trial of an oral formulation of the antiviral molnupiravir for mild COVID symptoms.

We will update and expand the list as new evidence emerges. For details on evaluating treatments, see theN.I.H. Covid-19 Treatment Guidelines.


The New York Times also has an excellent site for tracking vaccine development

https://www.nytimes.com/interactive/2020/science/coronavirus-vaccine-tracker.html





Howard Topoff 2011