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 May 14, 2021

Douglas: 4217

San Simon: 35

Rodeo: 11

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Vaccinations In Arizona - May 14, 2021

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Vaccinations In New Mexico - May 14, 2021

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Cases By County - May 12, 2021

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Deaths By County -May 14, 2021

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May 14, 2021



Cases In Hidalgo County: 361

Rodeo: 11 Animas: 25 Lordsburg: 324

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Ten Worst States - May 14, 2021


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Part 2 - Prepared By Dr. Eskild Petersen





Update 5/14/2021 at 7AM


A Milestone in the Pandemic, and an Incentive to Vaccinate

Americans who are fully vaccinated against the coronavirus may stop wearing masks or maintaining social distance in most settings, the CDC said.

If you are not vaccinated, you pose a risk to the rest of us. Take the jab.


Cases in the US are still declining, but still at a high level. We are threatened by the explosion of Covid-19 in India and South America. New variants are evolving. Widely circulating coronavirus variants and persistent hesitancy about vaccines will keep the goal of reaching herd immunity in the US likely out of reach.


The race against the variants



Early in the pandemic, there was hope that the world would one day achieve herd immunity, the point when the coronavirus lacks enough hosts to spread easily. But over a year later, the virus is crushing India and surging in countries from Asia to Latin America.

Experts say it is changing too quickly, new more contagious variants are spreading too easily andvaccinations are happening too slowlyforherd immunityto be within reach anytime soon.

That means if the virus continues to run rampant through much of the world, it is well on its way to becoming endemic, an ever-present threat.



Global trends

The World

Hot Spots

Vaccine is the way to normalcy. Israel did it. UK is doing it. We can too.

The Pfizer vaccine is now approved for ages 12 and over.


Cochise county is currently vaccinating people age 18 and over but vaccinating age 12 and over should commence shortly.


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


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



New variants of Covid-19

The Brazilian, the South African and the Indian 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.


India Covid-19 second wave is catastrophic: Shortage of oxygen, beds and even cremation slots.

India has a new variant of concern named B.1.617. The new variant, which has a so-called double mutation, is fueling India’s deadlier new wave of cases that has made it the world’s second worst-hit country behind the US.



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

The Pfizer/BioNTechvaccine is also effective against the Indian Variant B.1.617.





Arizona


US is doing a good job with vaccinations despite being hampered by crazy and irrational vaccine hesitancy.


State of the epidemic in US:

We have 32 million cases and over 583,000 reported deaths from the coronavirus pandemic. We have the highest caseload and number of deaths in the world. Our shockingly incompetent response to the epidemic in 2020 resulted in at least 300,000 unnescessary deaths.



The global picture is very grim with a total confirmed cases over 161 million and more than 3.3 million deaths.

The true numbers are many times higher. The US is not an isolated island. As long as the epidemic is raging in parts of the world and we do not reach herd immunity we will be in danger of another outbreak.


How do we compare to other countries?


Comparisons of US versus Germany, UK and Canada


India and the World


Arizona and New Mexico data

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


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; however, Hidalgo County has a dismal 27% vaccination rate.


Prevention of Infection



You can make it less likely that Covid spreads in our 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 when indicated.


Coming: The ‘Vaccine Passport’

In the summer, most international travel will require digital documentation showing that passengers have been vaccinated and/or tested for the coronavirus or both. The countries allowing US travelers with proof of vaccination changes daily. In general, most countries will only accept vaccinations with Pfizer, Moderna or Janssen. Vaccines from China or Russia currently are not deemed effective enough.


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 very disappointing.

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 very modest benefit if any 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


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