1) It reduces the severity of the symptoms. Is there any data on how it affects transmission to others? For example, could you get it but have a very mild case of it after vaccination, not realize it, and still be infectious to others? I don't see this being talked about a lot. My concern is that it *is* still infectious and people who are vaccinated treat it like a Get Out of Jail Free card to go back to pre-pandemic behavior.
2) Is there any Covid-19 data on families with high-risk, cognitively, and behaviorally challenged children, in any direction? Some questions -
*How are these families faring overall? Is the infection rate for the children or adults in these families more or less when all factors are considered?
*Are they more isolated out of an abundance of precaution? How is that affecting the family dynamic differently than in families with more typical children? Is there guidance specifically for these families? Are there any supports for these families (increasing respite care availability, more family welfare checks, etc)?
*How much are the children regressing without the consistent therapeutic, educational and medical inputs they had daily or weekly prior to the pandemic? Is anyone talking about plans to address that going forward?
3) I spoke with Clay County Health Department to get clarification on where families of medically high-risk children placed on the tier system because I could not find any specific mention of these families anywhere in Missouri's guidance. They had not considered this, suggested I get a job in the essential worker population segment and referred me to get further clarification from the state.
Do you see Missouri eventually including families of pediatric (high-risk and special needs) population in their emergency planning?
1. TL;DR: Keep wearing a mask. -- We don't have data on if/how vaccinated individuals can transmit the virus to others. Biologically, I would assume (just my personal opinion here) that if I were to get infected and I am vaccinated, my immune system would start fighting against the virus quickly and not allow my body to carry a high viral load. If my viral load remained low, my risk to others would be low. Plus, as more people are vaccinated, they would have protection against the small amount of virus I would be shedding. BUT -- we don't know this yet. We don't have high enough population vaccinated to see how the rates are affecting transmissibility in real life.
2. There is not enough pediatric data about these family situations to know, and we likely won't know for a long time. Meanwhile, high-need kids are suffering from lack of ability to have in-person therapeutic time. There will be a significant deficit that will have to be overcome once therapies can resume.
3. There are many populations that are not considered in Missouri's (and other State's) tiering systems. Since the ultimate decision is State directed, there will be variability. We need all people who want the vaccine to get it as soon as they can. But, right now... we wait.
If I hear more from my channels, I'll post. - Thanks for starting his important dialog.
The answer to the question: Hib, pneumococcal, and HPV. Hit the heart if you got it right!
Laurie S4 min ago
I have several follow on questions:
1) It reduces the severity of the symptoms. Is there any data on how it affects transmission to others? For example, could you get it but have a very mild case of it after vaccination, not realize it, and still be infectious to others? I don't see this being talked about a lot. My concern is that it *is* still infectious and people who are vaccinated treat it like a Get Out of Jail Free card to go back to pre-pandemic behavior.
2) Is there any Covid-19 data on families with high-risk, cognitively, and behaviorally challenged children, in any direction? Some questions -
*How are these families faring overall? Is the infection rate for the children or adults in these families more or less when all factors are considered?
*Are they more isolated out of an abundance of precaution? How is that affecting the family dynamic differently than in families with more typical children? Is there guidance specifically for these families? Are there any supports for these families (increasing respite care availability, more family welfare checks, etc)?
*How much are the children regressing without the consistent therapeutic, educational and medical inputs they had daily or weekly prior to the pandemic? Is anyone talking about plans to address that going forward?
3) I spoke with Clay County Health Department to get clarification on where families of medically high-risk children placed on the tier system because I could not find any specific mention of these families anywhere in Missouri's guidance. They had not considered this, suggested I get a job in the essential worker population segment and referred me to get further clarification from the state.
Do you see Missouri eventually including families of pediatric (high-risk and special needs) population in their emergency planning?
Thank you for sharing your thoughts.
Laurie
All great questions.
1. TL;DR: Keep wearing a mask. -- We don't have data on if/how vaccinated individuals can transmit the virus to others. Biologically, I would assume (just my personal opinion here) that if I were to get infected and I am vaccinated, my immune system would start fighting against the virus quickly and not allow my body to carry a high viral load. If my viral load remained low, my risk to others would be low. Plus, as more people are vaccinated, they would have protection against the small amount of virus I would be shedding. BUT -- we don't know this yet. We don't have high enough population vaccinated to see how the rates are affecting transmissibility in real life.
2. There is not enough pediatric data about these family situations to know, and we likely won't know for a long time. Meanwhile, high-need kids are suffering from lack of ability to have in-person therapeutic time. There will be a significant deficit that will have to be overcome once therapies can resume.
3. There are many populations that are not considered in Missouri's (and other State's) tiering systems. Since the ultimate decision is State directed, there will be variability. We need all people who want the vaccine to get it as soon as they can. But, right now... we wait.
If I hear more from my channels, I'll post. - Thanks for starting his important dialog.