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Manitowoc County COVID-19
Update
October 13, 2021
Stephanie Lambert, MPH
Health Officer
14,000+ Vaccines Administered
Placeholder – epi curve
High Risk Populations
• Older adults
• People with certain medical conditions
• Pregnant people
High Risk Populations: Medical Conditions
High Risk Populations: Pregnant People
Increased risk for Mom:
• Admission to ICU
• Ventilator
• Death
Increased risk for Baby:
• Preterm Birth
• Admission of baby to ICU
Long COVID
• Some people report new or persistent symptoms weeks, months, or
longer after infection
• Anyone who had COVID-19 can get long-COVID
• Reported after both symptomatic and asymptomatic infections
Long-COVID Symptoms
• Difficulty breathing or
shortness of breath
• Tiredness or fatigue
• Symptoms that get
worse after physical
or mental activities
• Difficulty thinking or
concentrating (“brain
fog”)
• Cough
• Chest or stomach
pain
• Headache
• Fast-beating or
pounding heart
• Joint or muscle pain
• Pins-and-needles
feeling
• Diarrhea
• Sleep problems
• Fever
• Dizziness on standing
• Rash
• Mood changes
• Change in smell or
taste
• Changes in menstrual
period cycles
Long COVID (continued)
• Multi-Organ Effects of COVID-19
• Problems with many, if not all, body systems, including heart, lung, kidney,
skin and brain functions
• Autoimmune conditions
Care for those with Long-COVID
• Post-COVID Care clinics
• Prevea
• Bellin
• Long-COVID support groups
• Disability rights
Place holder – vaccine data
-20 0 20 40 60 80 100 120 140 160 180
Acute Kidney Injury
Arrhythmia
Deep Vein Thrombosis
Intracranial Hemorrhage
Myocardial Infarction
Myocarditis
Pericarditis
Pulmonary Embolism
Adverse Events: COVID-19 Infection vs. Vaccination
Risk difference per 100,000 persons
who were vaccinated
Risk difference per 100,000 persons
infected with COVID-19
“BNT162b2 MRNA Covid-19 Vaccine in a Nationwide Mass Vaccination Setting.” New England Journal of
Medicine, vol. 384, no. 20, 2021, pp. 1968–70. Crossref, doi:10.1056/nejmc2104281.
What Can You Do? (Individuals)
• If you are not yet vaccinated – get your vaccine ASAP.
• Wear a mask in all indoor public settings – regardless of vaccination
status
• Stay home if you are sick and seek testing if you have symptoms of
COVID-19
• If you are a close contact of someone diagnosed with COVID-19
• And are VACCINATED: Wear a mask and monitor for symptoms for 14 days.
Get tested 3-5 days following exposure
• And are NOT vaccinated: Stay home and away from others (Quarantine) for 7-
14 days. Monitor for symptoms for 14 days.
If you test positive for COVID-19
• Isolate immediately (Stay home and away from others)
• Notify close contacts
• Stay in isolation until:
• 10 days have passed since your positive test or symptom onset AND
• You do not have a fever
• Symptoms have improved without medication for at least 24 hours
• If you are at high-risk for severe COVID-19 disease, speak to your
doctor about accessing monoclonal antibody therapy
• You do not need a negative test to be released from isolation
What Can You Do? (Employer)
• Prioritize COVID-19 vaccination among staff
• Require universal mask wearing among employees in indoor public
settings
• Promote physical distancing of at least 6 feet –including during
breaks, meal-times, etc
• Institute policies that encourage employees to stay home if sick and
seek testing
• Improve ventilation
• Sanitize high touch surfaces
What’s next?
• Boosters?
• Youth vaccination?
• Federal OSHA Guidelines
Thank you
Webinar: COVID-19 Updates with Stephanie Lambert
Webinar: COVID-19 Updates with Stephanie Lambert

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Webinar: COVID-19 Updates with Stephanie Lambert

  • 1. Manitowoc County COVID-19 Update October 13, 2021 Stephanie Lambert, MPH Health Officer
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  • 13. High Risk Populations • Older adults • People with certain medical conditions • Pregnant people
  • 14. High Risk Populations: Medical Conditions
  • 15. High Risk Populations: Pregnant People Increased risk for Mom: • Admission to ICU • Ventilator • Death Increased risk for Baby: • Preterm Birth • Admission of baby to ICU
  • 16. Long COVID • Some people report new or persistent symptoms weeks, months, or longer after infection • Anyone who had COVID-19 can get long-COVID • Reported after both symptomatic and asymptomatic infections
  • 17. Long-COVID Symptoms • Difficulty breathing or shortness of breath • Tiredness or fatigue • Symptoms that get worse after physical or mental activities • Difficulty thinking or concentrating (“brain fog”) • Cough • Chest or stomach pain • Headache • Fast-beating or pounding heart • Joint or muscle pain • Pins-and-needles feeling • Diarrhea • Sleep problems • Fever • Dizziness on standing • Rash • Mood changes • Change in smell or taste • Changes in menstrual period cycles
  • 18. Long COVID (continued) • Multi-Organ Effects of COVID-19 • Problems with many, if not all, body systems, including heart, lung, kidney, skin and brain functions • Autoimmune conditions
  • 19. Care for those with Long-COVID • Post-COVID Care clinics • Prevea • Bellin • Long-COVID support groups • Disability rights
  • 20. Place holder – vaccine data
  • 21. -20 0 20 40 60 80 100 120 140 160 180 Acute Kidney Injury Arrhythmia Deep Vein Thrombosis Intracranial Hemorrhage Myocardial Infarction Myocarditis Pericarditis Pulmonary Embolism Adverse Events: COVID-19 Infection vs. Vaccination Risk difference per 100,000 persons who were vaccinated Risk difference per 100,000 persons infected with COVID-19 “BNT162b2 MRNA Covid-19 Vaccine in a Nationwide Mass Vaccination Setting.” New England Journal of Medicine, vol. 384, no. 20, 2021, pp. 1968–70. Crossref, doi:10.1056/nejmc2104281.
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  • 23. What Can You Do? (Individuals) • If you are not yet vaccinated – get your vaccine ASAP. • Wear a mask in all indoor public settings – regardless of vaccination status • Stay home if you are sick and seek testing if you have symptoms of COVID-19 • If you are a close contact of someone diagnosed with COVID-19 • And are VACCINATED: Wear a mask and monitor for symptoms for 14 days. Get tested 3-5 days following exposure • And are NOT vaccinated: Stay home and away from others (Quarantine) for 7- 14 days. Monitor for symptoms for 14 days.
  • 24. If you test positive for COVID-19 • Isolate immediately (Stay home and away from others) • Notify close contacts • Stay in isolation until: • 10 days have passed since your positive test or symptom onset AND • You do not have a fever • Symptoms have improved without medication for at least 24 hours • If you are at high-risk for severe COVID-19 disease, speak to your doctor about accessing monoclonal antibody therapy • You do not need a negative test to be released from isolation
  • 25. What Can You Do? (Employer) • Prioritize COVID-19 vaccination among staff • Require universal mask wearing among employees in indoor public settings • Promote physical distancing of at least 6 feet –including during breaks, meal-times, etc • Institute policies that encourage employees to stay home if sick and seek testing • Improve ventilation • Sanitize high touch surfaces
  • 26. What’s next? • Boosters? • Youth vaccination? • Federal OSHA Guidelines