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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Vaccinations In Arizona -July 23, 2021

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Vaccinations In New Mexico -July 23, 2021

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Cases In Arizona By Day

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Cases In New Mexico - By Day



Cases In Hidalgo County: 394

Rodeo: 11 Animas: 36 Lordsburg: 347

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Rate of COVID-19 cases(per 100,000 people) - July 23, 2021


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Part 2 - Prepared By Dr. Eskild Petersen





Update 7/23/2021 at 6AM


In under vaccinated America, Covid upends life all over again.


For unvaccinated, coronavirus is soaring again. Adjusted rates for cases, covid-19 deaths and hospitalizations shows the country’s summer upswing is slamming the unprotected and they are posing a danger to the vaccinated. The vaccines are not 100% but 72%-94% effective thus some vaccinated will still get infected (about 80% protective for infection), get hospitalized (about 90% protective) and die.

The Delta variant is much more virulentand spreads more easily between people, and people are transmitting the virus to others sooner than people spread the original strain of the novel coronavirus. Delta variant accounts for estimated 83 percent of U.S. cases. The choice by millions to reject the vaccine has had the consequences that public health officials predicted: The number of new cases in the country has shot up, with an average of more than 45,000 infections being diagnosed each day during the past 2 weeks — up from 12,800 on July 1.


Hidalgo County is a low vaccination county with an extreme risk for infection




The Delta variant is causing the new surge in cases, hospitalizations and deaths. If you are unvaccinated, you are in trouble. If you are fully vaccinated, you should still be concerned. A booster dosage with Pfizer or Moderna might indeed be warranted. The current surge is likely to first peak later this Fall.


Unvaccinated people who are infected with the Delta variant have a viral load within their respiratory systems that is 1,000 times higher than the amount of virus that was present among people who had been infected by the original strain of the virus.


People who are infected with the Delta variant get sicker. People who are infected with the COVID-19 Delta variant are twice as likely to be hospitalized, due to severity of illness, than people who are infected with the COVID-19 Alpha variant.


If you are not vaccinated and are not wearing a mask, you pose a risk to yourself and to the rest of us. Take the jab. Wear a mask.



Cases are going up in all states with hospitalizations and deaths to follow. The uptick in cases is primarily due to outbreaks in places with low vaccination rates. The virus is apolitical and does not know if you are red or blue but knows if you are vaccinated or not. However, if you are not vaccinated you are a part of the problem.


The unvaccinated drive the new surge of cases, hospitalizations and deaths


Time to pause. Large gatherings of people indoors should be discouraged. In areas of the country with low vaccination rates you should use masks and use social distancing even if you are fully vaccinated.


The data as of July 23


We’ve come so far with vaccines, America. Now keep going.



Two Americas are emerging as Delta variant spreads and vaccination rates drop. The America with high vaccination rates and the other America with low vaccination rates.


Global trends

The World


Vaccine is the way to normalcy.


The single-dose coronavirus vaccine made by Johnson & Johnson is less effective against the Delta and Lambda variants than against the original virus.

If you have received the J&J vaccine, consider getting a second shot with an m-RNA vaccine - Moderna or Pfizer. Mixing is highly effective.


The Pfizer vaccine is approved for ages 12 and over.

The Moderna vaccine is also highly effective for 12 and over.


The Moderna and Pfizer vaccines are both extremely effective in preventing severe disease and deaths. About 80% for infection and 90% for severe disease or death.

Moderna and Pfizer are both m-RNA vaccines


Janssen - 1 jab vaccine from Johnson & Johnson is a viral vector vaccine and is much less effective. If you have a choice take the Moderna or Pfizer vaccine.


The 90%+ and 72% efficacies are for preventing any disease. You still can get infected (about 80% effective)



The Pfizer-BioNTech and the Moderna coronavirus vaccines are effective against all the variants but slightly less so.



US


Arizona not good enough. New Mexico much better


US overall is trying to do a good job with vaccinations but is hampered by vaccine hesitancy. Canada has now left us in the dust. Some states and counties are lacking behind and represent a danger to all of us. New Mexico as a state is doing an excellent job however Hidalgo as a county is decidedly not.

We have over 34 million cases and over 609,000 reported deaths from the coronavirus pandemic. Our failures in 2020 to deal with the epidemic resulted in at least 300,000 unnescessary deaths.

The global picture is very grim with total confirmed cases of 192 million and 4 million deaths.

The true numbers are actually many times higher.


How do we compare to other countries?


The most accurate data on how we are doing is the hospitalization rate. We still have a way to go. Also, hospitalization rates in less vaccinated areas are actually rising!

Arizona and New Mexico data

The threat of Covid-19 spreading in our communities is still real. Keep an eye on Hidalgo County.


New Mexico Data:



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 36% vaccination rate.


Arizona overall


New Mexico overall

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 if not vaccinated.


Proof of vaccination or a ‘Vaccine Passport’ will be required for most international travel including to Canada.

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.

The European Union hasstarted using digital travel passesto free people from some travel restrictions by showing that they are fully vaccinated, have recently tested negative for the virus, or have recently recovered from infection.



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 has been disappointing until now.

No effective antiviral for Covid-19 has been developed.

Only one treatment, a drug calledremdesivir may provide, at best only a very modest benefit.


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


The Covid-19 epidemic is the latest example of how infectious diseases shape the history of humans.


Viruses have beeninfiltrating our genessince time immemorial and a massive part of our genome has a viral origin. These events, where viruses joined our family tree, provided raw material for natural selection. Some viral genes wreaked havoc by disrupting important genes, while others were eventually domesticated to act as helpful, even necessary, parts of our genome. Epidemics likewise selected for genes involved in our immune response to provide protection from certain pathogens.


Coronavirus epidemics in humans are not new. About 20,000 years ago Asia had an epidemic big enough to leave its imprint on our DNA. Another example how virus infections have shaped our DNA and what we are.






Howard Topoff 2011