[MCOH-EH] MCOH-EH Digest, Vol 256, Issue 18
Mark Upfal
mupfal at wayne.edu
Fri Jan 15 11:28:24 PST 2021
What happens if someone (in this case a geriatric patient in their 90s) gets the Moderna vaccine subQ instead of IM? Restart the series or count the dose and give 2nd dose IM in 4 weeks?
Mark Upfal, MD, MPH
Sent from my iPhone
> On Jan 15, 2021, at 1:49 PM, mcoh-eh-request at mylist.net wrote:
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> Today's Topics:
>
> 1. Re: Assessment of contacts post vaccination, (Warner Hudson)
> 2. Re: COVID Vaccination Dose #2 in employees who become
> positive after dose #1 (Warner Hudson)
> 3. New variant and possible airborne transmission
> (srscons at on.aibn.com)
> 4. Re: [EXTERNAL] Survey: COVID Vaccine administration/15
> minute observation period (Susan Higgins)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 13 Jan 2021 08:09:59 -0800
> From: Warner Hudson <hudson.warner at gmail.com>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] Assessment of contacts post vaccination,
> Message-ID: <C4B3FA51-66C4-42ED-9157-91698B57F06E at gmail.com>
> Content-Type: text/plain; charset="utf-8"
>
> Previously, For HCP at UCI we we allowing a symptomatic HCP who had close contact to continue working unless contact was household. Now after 2 COVID vaccines and the required post 2nd vaccine time (1 week for Pfizer and 2 weeks for Moderna), and if the HCP is not immune compromised, that HCP can continue working after household contact. Warner
>
> Sent from my iPhone
>
>> On Jan 13, 2021, at 8:05 AM, Allen Kraut <Allen.Kraut at umanitoba.ca> wrote:
>>
>> ?
>> My understanding is that individuals after vaccination need to follow the same public health guidance as non-vaccinated individuals. Although the vaccine is 95% effective in limiting symptomatic disease, it is not known to what extent it decreases the risk of asymptomatic disease or transmission. For those reasons a fully vaccinated HCW who was a COVID contact should still be furloughed from work. Is anyone doing anything different?
>>
>>
>>
>> Allen Kraut MD, FRCPC
>> Medical Director, Occupational Health
>> Winnipeg Regional Health Authority Integrated Sites
>> Associate Professor
>> Departments of Internal Medicine and
>> Community Health Sciences
>> Max Rady College of Medicine, Rady Faculty of Health Sciences
>> University of Manitoba
>> 260 Brodie Center
>> 727 McDermot Ave,
>> Winnipeg, Manitoba
>> R3E 3P5
>> Canada
>>
>> Phone 204-789-3294
>> Fax 204-789-3905
>> e-mail allen.kraut at umanitoba.ca
>>
>>
>>>
>>>
>> ---------------------------------------
>> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
>> List membership is free, but only subscribers may post to the list.
>> To post send messages to: mcoh-eh at mylist.net
>> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
>> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
>> ---------------------------------------
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>> ---------------------------------------
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> ------------------------------
>
> Message: 2
> Date: Wed, 13 Jan 2021 08:04:28 -0800
> From: Warner Hudson <hudson.warner at gmail.com>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Cc: Jeremy Biggs <jerbiggs at yahoo.com>, Abhijay Karandikar
> <dr_abhik at yahoo.com>
> Subject: Re: [MCOH-EH] COVID Vaccination Dose #2 in employees who
> become positive after dose #1
> Message-ID: <BD700206-A4A9-4D6D-85E5-DFC35D51B264 at gmail.com>
> Content-Type: text/plain; charset="utf-8"
>
> We?re not postponing for 90 days. Warner
>
> Sent from my iPhone
>
>> On Jan 10, 2021, at 10:02 AM, Abhijay Karandikar via MCOH-EH <mcoh-eh at mylist.net> wrote:
>>
>> ?
>> Our recommendations are similar and based on current CDC guidelines. An employee can receive the COVID vaccine as long as they are not currently infected and/or symptomatic and as long as they have met our system criteria for ending isolation (10 days have passed since symptoms first appeared and at least 24 hours have passed since last fever or 10 days have passed since the date of a positive test in an asymptomatic employee).
>>
>> As Melanie and others have stated, it is prudent to adhere to the 21/28 day timeline of the second dose as much as possible, depending on the vaccine, since those were the conditions under which clinical trials were conducted and efficacy studied and measured.
>>
>> An employee may defer receiving vaccination for 90 days after a confirmed COVID-19 infection if they have not received any dose of the vaccine; that is their personal choice.
>>
>> Abhijay
>>
>> Abhijay P. Karandikar, MD, MPH, FACOEM
>> Chief, Section of Occupational Medicine & Employee Health
>> Reading Hospital
>>
>>
>>
>>
>> On Friday, January 8, 2021, 01:19:01 PM EST, Jeremy Biggs via MCOH-EH <mcoh-eh at mylist.net> wrote:
>>
>>
>> What are your policies for the following:
>>
>> Employee has first vaccine and then becomes positive for COVID before the second dose. We have decided, based on the CDC site, COVID before or after 1st dose and before 2nd, don't need to interrupt the schedule, reschedule as long as symptoms resolved and at least 10 days from symptom onset or positive test in an asymptomatic employee.
>>
>> I have talked with other institutions and some are postponing the second dose for 90 days from symptom onset or positive test in an asymptomatic positive. This they have said is to use the vaccine for others.
>>
>> Anyone else doing anything different?
>>
>>
>>
>> Jeremy Biggs MD MSPH FACOEM
>> Associate Professor
>> PPE ?Czar?
>> University of Utah, Department of Family and Preventive Medicine
>> Rocky Mountain Center for Occupational and Environmental Health
>>
>> Medical Director Rocky Mountain Specialty Services Clinic
>>
>> Medical Director of the University Hospital and University Campus Employee Clinics
>>
>> Medical Director of Occupational Medicine and Health, EHS and University Hospital and Clinics
>>
>>
>>
>>
>> ---------------------------------------
>> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
>> List membership is free, but only subscribers may post to the list.
>> To post send messages to: mcoh-eh at mylist.net
>> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
>> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
>> ---------------------------------------
>> List archives (public): http://mylist.net/archives/mcoh-eh/
>> ---------------------------------------
>> Send administrative requests to: drjoe at meditrax.com
>> ---------------------------------------
>> When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.
>> ---------------------------------------
>> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
>> List membership is free, but only subscribers may post to the list.
>> To post send messages to: mcoh-eh at mylist.net
>> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
>> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
>> ---------------------------------------
>> List archives (public): http://mylist.net/archives/mcoh-eh/
>> ---------------------------------------
>> Send administrative requests to: drjoe at meditrax.com
>> ---------------------------------------
>> When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.
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> ------------------------------
>
> Message: 3
> Date: Thu, 14 Jan 2021 09:19:06 -0500
> From: <srscons at on.aibn.com>
> To: "'MCOH-EH'" <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] New variant and possible airborne transmission
> Message-ID: <001501d6ea80$39233350$ab6999f0$@on.aibn.com>
> Content-Type: text/plain; charset="us-ascii"
>
> Hi all:
>
>
>
> With the new variant of SARS-Cov-2 being more "infectious" either by higher
> viral load in the droplet or easier to enter the cell, should we, under the
> Precautionary Principle, recommend/advocate the use of higher level of
> respiratory protection ( i.e. N95)?
>
>
>
> https://www.who.int/csr/don/31-december-2020-sars-cov2-variants/en/
>
>
>
> Thoughts?
>
> Thanks.
>
>
>
>
>
> Dr. Sidney Siu
>
> 827 Richmond Street,
>
> London, Ontario N6A 3H7
>
> Phone #: 519-858-4694
>
> Fax #: 519-858-4692
>
>
>
> This electronic transmission and the documents attached contain confidential
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>
>
> From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Allen Kraut
> Sent: January 12, 2021 11:07 AM
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: [MCOH-EH] Assessment of contacts post vaccination,
>
>
>
> My understanding is that individuals after vaccination need to follow the
> same public health guidance as non-vaccinated individuals. Although the
> vaccine is 95% effective in limiting symptomatic disease, it is not known
> to what extent it decreases the risk of asymptomatic disease or
> transmission. For those reasons a fully vaccinated HCW who was a COVID
> contact should still be furloughed from work. Is anyone doing anything
> different?
>
>
>
> Allen Kraut MD, FRCPC
> Medical Director, Occupational Health
> Winnipeg Regional Health Authority Integrated Sites
> Associate Professor
> Departments of Internal Medicine and
> Community Health Sciences
> Max Rady College of Medicine, Rady Faculty of Health Sciences
> University of Manitoba
>
> 260 Brodie Center
> 727 McDermot Ave,
> Winnipeg, Manitoba
> R3E 3P5
> Canada
>
> Phone 204-789-3294
> Fax 204-789-3905
> e-mail allen.kraut at umanitoba.ca <mailto:allen.kraut at umanitoba.ca>
>
>
>
> _____
>
>
>
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> ------------------------------
>
> Message: 4
> Date: Fri, 15 Jan 2021 14:10:44 +0000
> From: Susan Higgins <SHiggins at sturdymemorial.org>
> To: MCOH-EH <mcoh-eh at mylist.net>
> Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine
> administration/15 minute observation period
> Message-ID: <d053942ce8864df9ba26595b035ffb4f at sturdymemorial.org>
> Content-Type: text/plain; charset="us-ascii"
>
> We are doing the same as Tara "15 minute waiting period, and have had a 30 minute waiting period for staff with a history of reaction so they can be monitored more closely."
>
>
>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Tara Dockery
> Sent: Monday, January 04, 2021 12:47 PM
> To: MCOH-EH
> Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine administration/15 minute observation period
>
> CAUTION: This email originated from outside your organization. Exercise caution when opening attachments or on clicking links from unknown senders.
> We time the staff for the
>
> Tara
>
> From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Giovannetti, Mary
> Sent: Sunday, January 3, 2021 3:01 PM
> To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: Re: [MCOH-EH] [EXTERNAL] Survey: COVID Vaccine administration/15 minute observation period
>
> We follow the 15 minute waiting period. It is an on your honor system though. The employees keep their own time and leave when 15 minutes is up.
>
> Mary C Giovannetti, DNP, APRN, FNP
> Manager/Nurse Practitioner| Employee Health
> Physician's Center, 100 East Wood St., Suite 204 | Spartanburg, SC 29303
> o: 864-560-6514 | f: 864-560-6509 c: 864-497-4087
> e: mgiovannetti at srhs.com<mailto:mgiovannetti at srhs.com> | w: SpartanburgRegional.com<https://linkprotect.cudasvc.com/url?a=http%3a%2f%2fwww.spartanburgregional.com%2f&c=E,1,SW3KzLgejcCKrUkUcPnizcRa49drQnw3VWOCRcELWScN3FskfTFXEBq4lN3B5JVOrFz1gHxalPco-B1vX2J_QjykeO7jUAQL5VjXE2T_&typo=1>
>
>
> ________________________________
> From: MCOH-EH <mcoh-eh-bounces+mgiovannetti=srhs.com at mylist.net<mailto:mcoh-eh-bounces+mgiovannetti=srhs.com at mylist.net>> on behalf of Galaid Edward I <Edward.Galaid at rsfh.com<mailto:Edward.Galaid at rsfh.com>>
> Sent: Saturday, January 2, 2021 3:18 PM
> To: Occ-Env-Med-L at listserv.unc.edu<mailto:Occ-Env-Med-L at listserv.unc.edu> <Occ-Env-Med-L at listserv.unc.edu<mailto:Occ-Env-Med-L at listserv.unc.edu>>; mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net> <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
> Subject: [EXTERNAL] [MCOH-EH] Survey: COVID Vaccine administration/15 minute observation period
>
>
> Warning: [This message came from outside of Spartanburg Regional Network]
>
> Cross posting in OEM list and MCOH:
>
>
>
> Colleagues:
>
>
>
> I've heard from our operations people that our immunization administration through-put has been throttled by the 15 minute observation time.
>
> Specifically, the rate limiting step is clearing space for those who are being observed post-administration for that 15 minute period.
>
> Please respond to the following, and I will report back aggregate results:
>
>
>
> 1. We follow the 15 minute wait time for all who are vaccinated
> 2. We stratify need to be observed by risk of having a reaction, or someone with underlying medical conditions that might result in a more serious acute reaction
> 3. We have eliminated the waiting period.
> 4. Other solutions or comments:
>
>
>
> Thanks for taking the time.
>
>
>
> Ed Galaid
>
>
>
> Edward I. Galaid, MD, MPH, FACOEM
>
> ABIM, ABPM (OM)
>
> Medical Director, Occupational Medicine
>
> Roper Saint Francis Healthcare
>
> Charleston, SC 29401
>
> Member, ACOEM Task Group on Law Enforcement Officer Health
>
> Special Expert, NFPA Fire Service Occupational Safety & Health (FIX-AAA) Committee
>
> 843-402-5053
>
>
>
> ________________________________
>
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>
> Subject: Digest Footer
>
> ---------------------------------------
> The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh at mylist.net
> To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc): http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
> ---------------------------------------
> List archives (public): http://mylist.net/archives/mcoh-eh/
> ---------------------------------------
> Send administrative requests to: drjoe at meditrax.com
> ---------------------------------------
> When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.
> When replying to a DIGEST message, please ensure your reply has a specific topic (not just Re:MCOH-EH Digest, Vol 251, Issue 101) so other subscribers can locate the thread in the list archives.
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>
> End of MCOH-EH Digest, Vol 256, Issue 18
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