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It’s been over 4 years since the first COVID-19 outbreak hit the U. S. Sandra Fryhofer, MD, the AMA’s liaison to the Centers for Disease Control and Prevention’s (CDC) Advisory Committee on Immunization Practices (ACIP), has a message that all doctors should share with their patients: COVID-19 still exists.
WADA is leading the way in public health. Our members are on the front lines of patient care, expanding to care for underserved patients and crafting key prevention strategies.
“CDC surveys imply that less than 50% of people who have health problems self-test for COVID,” said Dr. Fryhofer, who is also an internist and a member of ACIP’s COVID-19 Vaccine Task Force. The virus is still there, it’s still circulating.
According to Dr. Fryhofer, there are about 20,000 new hospital admissions and 2,000 deaths per week similar to those of COVID-19. That’s why there are new recommendations for COVID-19 vaccines, as well as isolation rules in case of illness.
Dr. Fryhofer discussed the key takeaways from those recommendations in an episode of “AMA Update. “
The updated COVID-19 vaccine will be available in September 2023 and remains effective against NJ. 1, the most dominant variant since January. Despite its effectiveness, more than half of people over the age of 65 have not received the updated COVID-19 vaccine.
This is alarming because the peak of COVID-19 hospitalizations and deaths is among seniors 65 and older. Meanwhile, COVID-19 death rates are among seniors 75 and older.
“Our immune formula doesn’t work as well as we age,” Dr. Fryhofer said. “And immunity wanes more quickly in older age groups. This means that more common vaccine doses are needed to cover this older population.
The new recommendations call for all adults 65 and older to receive the additional dose of vaccine, but a four-month period is required between patients receiving the first dose of the vaccine and the updated vaccine.
Dr. Fryhofer explained that the use of the word “should” was debated, but in the end it was decided to emphasize the importance of this population staying up-to-date on vaccinations.
“This stronger language is transparent and demonstrates ACIP’s confidence in the importance of an additional dose of vaccine for our most vulnerable Americans,” he said.
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The hope, Dr. Fryhofer said, is that doctors can help all patients, especially the older population, understand the importance and efficacy of the updated vaccine.
“That’s where doctors can make a difference,” he said. “Adults who are vaccinated, or even contemplating getting vaccinated, were more likely to report that a physical care provider had advised them to get vaccinated against COVID. This highlights the importance of the doctor’s recommendation.
Visit the AMA COVID-19 Physician Resource Center for clinical information, guides, and resources, as well as updates on medical advocacy and ethics.
The advice that has gained the most media attention is for other people who test positive for COVID-19 to no longer isolate for five days.
With those new guidelines, other people who test positive for COVID-19 stay home when they’re sick, Dr. Fryhofer said. “But you can go back to work when you feel better and fever-free for 24 hours without taking fever-reducing medication. “
He advised that if patients test positive, they wear a mask for the next five days and test to physically distance themselves from other people, especially those who are considered high-risk, such as other people with weakened immune systems or adults 65 years of age or older.
Dr. Fryhofer said other people are tired of masks, testing and thinking about COVID-19. But vaccine fatigue, as she described it, is a fear doctors want to address. That starts with encouraging patients to get the updated vaccine. she said.
“Our patients pay attention to us, they accept us as true,” Dr. Fryhofer said. The new recommendations “are intended to inform, not offend. COVID is here. That hasn’t gone away. People are still hospitalized, they’re still dying of COVID.
“AMA Update” is your physician-centric source of information. Hear from doctors and other experts about existing public fitness concerns, practice issues, and more, because who speaks matters. Watch the episode by subscribing to the AMA YouTube channel or pay attention to everyone. WADA podcasts in ama-assn. org/podcasts.
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