[MCOH-EH] Infections Post vaccination

Jeremy Biggs jerbiggs at yahoo.com
Thu Mar 4 05:55:54 PST 2021

We too track all employees in terms of the vaccines we have given and testing results. We have seen 4 employees this past week that are over 30 days out from second dose who have tested positive. Two were symptomatic, and two were tested due to a family member becoming ill, but were asymptomatic themselves.


Assistant ProfessorUniversity of Utah, Department of Family and Preventive MedicineRocky Mountain Center for Occupational and Environmental HealthMedical Director Public Safety WorkersMedical Director Rocky Mountain Specialty Services ClinicMedical Director of the University Hospital and University CampusEmployee ClinicsMedical Director of Occupational Medicine and Health, EHSUniversity Health, PPE “Czar”801-581-4800


    On Thursday, March 4, 2021, 02:47:26 AM MST, mcoh-eh-request at mylist.net <mcoh-eh-request at mylist.net> wrote:  
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Today's Topics:

  1. Re:  COVID-19 infection 14 days after final vaccine dose.
      (Leslie Thompson)
  2.  Fwd: Understanding Racism in Healthcare, Part 2: Structural
      Racism and the Practicing Physician (David Caretto)


Message: 1
Date: Tue, 2 Mar 2021 16:48:59 +0000
From: Leslie Thompson <Leslie.Thompson at sharp.com>
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] COVID-19 infection 14 days after final vaccine
    <DM6PR15MB34023B8B495FB9F67FAE24A4E5999 at DM6PR15MB3402.namprd15.prod.outlook.com>
Content-Type: text/plain; charset="us-ascii"

Thanks for sharing.
We track all positive employees (not just post exposure).  Of 439 positive tests in 2021, 5 received the 2nd dose of vaccine 2 weeks or more prior to test.

Leslie Thompson, MSN, RN, NP
Director EOHD & Work Comp
Sharp HealthCare
San Diego


From: MCOH-EH <mcoh-eh-bounces at mylist.net> On Behalf Of Shea, Joann via MCOH-EH
Sent: Wednesday, February 24, 2021 12:17 PM
To: MCOH-EH <mcoh-eh at mylist.net>
Cc: Shea, Joann <jshea at tgh.org>
Subject: [MCOH-EH] COVID-19 infection 14 days after final vaccine dose.

HIGH ALERT! U.S. hospitals are under cyber-attack, so USE EXTREME CAUTION clicking on links and attachments. Forward suspicious emails to phishing at sharp.com<mailto:phishing at sharp.com>

I'm just sharing what we have seen to date in terms of COVID infection following vaccination.

  To date, we have vaccinated ~8,000 healthcare workers in our organization (employees, medical staff, residents, etc) with two doses of Pfizer vaccine.  All persons exposed, whether vaccinated or not, are required to call our COVID-19 hotline.    We have been tracking vaccinated HCWs exposed to COVID-19 post-vaccination who meet the following criteria:

1) Report a close contact (i.e. household contact) exposure to COVID-19
2) Received final dose of COVID-19 vaccine 14 days or more from date of exposure
3) Completed PCR testing 4-7 days post exposure

To date, we have had 29 HCWs report exposure that meets this criteria:

  *  25 tested negative for COVID-19 via PCR testing 4-7 days post exposure and were asymptomatic.
  *  4 tested positive:
    *  2 had typical COVID-19 symptoms of loss of taste and smell, fatigue, congestion, cough, headache.
        *  27 year old healthy nurse with history of asthma.  Final dose Pfizer:  1/6/21 and onset of symptoms 2/15/21.  CT value on PCR was  13.24.    PCR positive x 2.  Neutralizing antibody >250 post vaccination.
        *  35 year old manager with PMH:  bariatric surgery 6 months ago;  sleep apnea;  diabetes; HTN.  Final dose Pfizer:  1/4/21 and onset symptoms 2/12/21.  CT value on PCR was 17.63.    PCR positive x 2.  Neutralizing antibody >250 post vaccination
    *  1 was positive, over 60 and was asymptomatic with CT value 35.  Neutralizing antibody was >250 post vaccination
    *  1 presented to our ER with severe headache and vomiting and tested positive on routine PCR.  Had close contact exposure. Symptoms abated in 3 days and was asymptomatic after.  Second PCR test done 3 days later was negative.  Ct was 39, so had low viral load.  Neutralizing antibody was >250 post vaccination.

We are following new CDC guidelines and do not require quarantine after close contact exposure if they meet the CDC vaccination criteria, are free of symptoms  AND get PCR tested post exposure.  We are requiring 7 day quarantine after international travel, regardless of vaccination status.  Is anyone else seeing COVID infections 14 days or more post vaccination?  Thank you!

JoAnn Shea, APRN, MS, COHN-S
Director, Team Member Health and Wellness
Tampa General Hospital
Office: 813-844-7692
Cell:      813-789-3441
jshea at tgh.org<mailto:jshea at tgh.org>

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Message: 2
Date: Tue, 2 Mar 2021 20:55:40 -0800
From: David Caretto <dccaretto at gmail.com>
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] Fwd: Understanding Racism in Healthcare, Part 2:
    Structural Racism and the Practicing Physician
    <CANZnUeAUjbf-M2C4X=XVsmjvhfyV0V=gaL97peMo2iVMpu6qzg at mail.gmail.com>
Content-Type: text/plain; charset="utf-8"

To whom it may concern,

I'd like to notify the listserve of a webinar WOEMA is hosting next week on
Thursday 3/11.

Please see attached.

Thank you,
David Caretto MD MPH

WOEMA Education Committee Co-Chair.

---------- Forwarded message ---------
From: Western Occupational and Environmental Medical Association <
woema at woema.org>
Date: Tue, Mar 2, 2021 at 3:04 PM
Subject: Understanding Racism in Healthcare, Part 2: Structural Racism and
the Practicing Physician
To: <dccaretto at gmail.com>

*Understanding and Preventing Racism in Healthcare*

*Thursday, March 11, 2021**12:00 p.m. ? 1:00 p.m.* (PST)*

The WOEMA Justice, Equity, Diversity, and Inclusion (JEDI) Committee
presents a nationally recognized expert in systemic racism and implicit
bias in the healthcare workforce. Learners will start to develop an
awareness and understanding of their own biases when caring for patients
that will enable recognition of the learner?s own intrinsic biases and the
tools available to mitigate them.

*March 11*: Structural Racism and the Practicing Physician: What to
Recognize, What to Change*

Dr. Danielle Hairston, Director of Residency Training in the Department of
Psychiatry Howard University College of Medicine Washington DC, will
discuss understanding implicit bias in patient care and provide
evidence-based instruction and tools for clinicians to overcome them. We
will discuss understanding implicit bias in patient care and provide
evidence-based instruction and tools for clinicians to overcome them.

**We recognize that this webinar series will generate thoughts and
questions. We invite you to share and join us for 30-minute moderated
breakout discussion groups immediately following the presentation on March



[image: Danielle Hairston image]Dr. Danielle Hairston was raised in the
Washington, DC metropolitan area. She attended Rutgers University for her
undergraduate education and earned a degree in Biological Sciences. She
earned her medical degree at Howard University College of Medicine where
she also went onto complete her Psychiatry Residency Program. In 2018, Dr.
Hairston returned to Howard University College of Medicine as faculty and
was recently appointed as the Psychiatry Residency Training Director.

Dr. Hairston has served as the Black Psychiatrists of America (BPA)
Scientific Program Chair since 2016. She was recently elected as the
American Psychiatric Association (APA)?s Black Caucus? President. Dr.
Hairston has also had the opportunity to speak nationally and
internationally about the impact of racial trauma and culture on mental
health. She is a contributing author to the recently published book,
Racism, and Psychiatry: Contemporary Issues and Interventions. Her
interests include consultation-liaison psychiatry, resident education,
minority mental health, cultural psychiatry, HIV psychiatry, and
collaborative care.


*Continuing Medical Education*

ACCME Accreditation Statement

This activity has been planned and implemented in accordance with the
accreditation requirements and policies of the Accreditation Council for
Continuing Medical Education (ACCME) through the joint providership of the
American College of Occupational and Environmental Medicine (ACOEM) and the
Western Occupational & Environmental Medical Association (WOEMA). The ACOEM
is accredited by the ACCME to provide continuing medical education to

AMA Credit Designation Statement
The American College of Occupational and Environmental Medicine designates
this live educational activity for a maximum of 1.0 *AMA PRA Category 1
CreditTM*. Physicians should claim only the credit commensurate with the
extent of their participation in the activity.

QME Credits
WOEMA is accredited by the Administrative Director of the California
Division of Workers? Compensation as a provider of Qualified Medical
Evaluator (QME) continuing education (provider number 320). WOEMA takes
responsibility for the content, quality, and scientific integrity of this
CME activity.

The American Board of Occupational Health Nurses (ABOHN) American Nurse
Credentialing Center (ANCC), American Academy of Nurse Practitioners
(AANP), and American Academy of Physician Assistants (AAPA) may accept
certificates of participation for educational activities certified for *AMA
PRA Category 1 Credit*? from organizations accredited by the ACCME or a
recognized state medical society. Please check directly with your own
licensing and/or certification agency for eligibility of these credits.
This email was sent to dccaretto at gmail.com by woema at woema.org
Western Occupational and Environmental Medical Association ? 320 Pine
Avenue, Suite 1050, Long Beach, California 90802, United States ? (415)
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