We use available state Covid-19 infection rates and other published data together with the binomial distribution to calculate the risk of unsuspected infections in small group gatherings. With our current high level of infections (20 times higher than summer) the risk is 5-10% for groups of 10 or 20. You DON’T want to gather indoors with other than household members this winter.
Two monoclonal antibody treatments are conditionally approved by the FDA, seem to substantially help moderately severe cases of Covid-19, and are supposed to be available for use as outpatient infusions to prevent hospitalizations and deaths. In practice they are not actually available, as I found out this weekend trying to arrange an infusion for a patient. This is another fail of our health system.
Vaccinations with the Moderna and Pfizer vaccines have started. We do not yet have any for our patients, but are poised to begin immunizations as soon as DPH supplies us. This may be February. Meantime, Covid-19 disease risk is at an all-time high in Massachusetts and may well worsen. Keep safe. DO NOT SPEND TIME INDOORS IN GROUPS other than regular household members.
The first mRNA vaccine from Pfizer has shipped. The vaccines are highly effective and will make a major difference, but most reasonably healthy people will not get vaccinated until at least Q2 next year. There also may be availability issues with the vaccines. Meantime, the Covid-19 pandemic is surging and we have to be extra cautious for this whole winter. Do not despair, but be rigorous in protecting yourselves.
We are doing in-person visits for checkups and urgent problems, but this Fall’s massive Covid-19 surge, which is expected to worsen in January, may make the face-to-face contacts too risky. Fortunately, video visits are a pretty good substitute much of the time.
Antigen testing reduces the risks of unknowingly exposing others to an asymptomatic person who is actually infectious with Covid-19. We explain how we charge for the tests when used for screening v. diagnostic purposes.
A brief review of the multiple ways we work to protect you and our staff in our clinical environment, including improvements in HVAC, aggressive cleaning and PPE, and SARS-CoV-2 antigen testing for patients and staff. These efforts all serve to reduce the risk of passing or acquiring Covid-19 in the OHC clinical office.
We provide multiple brief updates about the state of the Covid-19 pandemic, the vaccines, the treatments or lack thereof, how you isolate, and what the future holds. Stay the course. Keep your guard up. Get your flu shot. We are in this for a long time.
We will start our flu clinics on Tuesday, September 29. Clinics will be offered Tuesday and Thursday afternoons and some Friday mornings through the end of October, or even early November as needed, for everyone to get the flu vaccine. A signup calendar will be active on our website within a few days. Further instructions will follow as well.
We are still in the midst of a pandemic that has subsided in Massachusetts but is still very much with us and could easily rebound. We need to remain vigilant in our self care. No real good news. US infections and deaths are at high levels and increasing. An effective and proven vaccine is not realistic until next year and then will take many months to distribute. Keep up your careful self care. This is depressing but real.
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