08/18/2021
Well Primary Care
COVID-19 Update 8/18/2021
Dear members and friends,
As most of you are aware, COVID cases are rising significantly across the country, including here in Delaware. Delta is now the primary variant in the US. It is more contagious and can cause more serious illness in healthy adults and children than previous variants. Below are some important updates about vaccination, booster doses, and managing exposure in vaccinated persons.
Regarding booster doses - recommendations are emerging rapidly. We are following closely and are putting plans in place to offer booster doses in our office, starting with our immunocompromised members and then expanding to our general population as recommendations evolve. We are optimistic that this round of vaccination will be generally less stressful (for you and us alike!) than prior because the vaccine supply is more abundant and the supply chains are now better established.
What if I still need primary vaccination?
We continue to strongly recommend that all of our patients get the COVID-19 immunization. This includes those who have had COVID-19. You can find vaccines through www.vaccinefinder.org.
Which immunosuppressive conditions are eligible for booster doses now?
A booster dose has been officially approved for those who meet the following criteria:
Been receiving active cancer treatment for tumors or cancers of the blood
Received an organ transplant and are taking medicine to suppress the immune system
Received a stem cell transplant within the last 2 years or are taking medicine to suppress the immune system
Moderate or severe primary immunodeficiency (such as DiGeorge syndrome, Wiskott-Aldrich syndrome)
Advanced or untreated HIV infection
Active treatment with high-dose corticosteroids or other drugs that may suppress your immune response
(If you fall in one of the above groups, or are unsure, please contact us.)
How do I get my booster dose?
For members in the above category, we will begin offering both Moderna and Pfizer vaccines next week. Please call us to schedule. Or you may get your booster dose through pharmacy or state immunization clinics. You can find vaccines through www.vaccinefinder.org.
What if I am not immunocompromised?
Booster shots are anticipated to become available for all who have previously been vaccinated with Moderna or Pfizer pending CDC and FDA approval. As soon as we have official instruction, we will update you. The currently proposed interval is to get the booster 8 months after the primary series, but this may change.
What if I received the J&J vaccine:
The need for and timing of a booster dose for J&J recipients is still under review.
Can I get a different booster than my primary vaccine?
This has not yet been determined.
What are the current quarantine rules?
Quarantine if you have been in close contact (within 6 feet of someone for a cumulative total of 15 minutes or more over a 24-hour period) with someone who has COVID-19, unless you have been fully vaccinated.
People who are fully vaccinated do NOT need to quarantine after contact with someone who had COVID-19 unless they have symptoms. However, fully vaccinated people should get tested 3-5 days after their exposure, even if they don’t have symptoms.
Wear a mask indoors in public for 14 days following exposure or until their test result is negative.
What are the current mask guidelines?
If you are not fully vaccinated and aged 2 or older, you should wear a mask in indoor public places.
In general, you do not need to wear a mask in outdoor settings.
In areas with high numbers of COVID-19 cases, consider wearing a mask in crowded outdoor settings and for activities with close contact with others who are not fully vaccinated.
People who have a condition or are taking medications that weaken their immune system may not be fully protected even if they are fully vaccinated. They should continue to take all precautions recommended for unvaccinated people, including wearing a well-fitted mask, until advised otherwise by their healthcare provider.
If you are fully vaccinated, to maximize protection from the Delta variant and prevent possibly spreading it to others, wear a mask indoors in public if you are in an area of substantial or high transmission.
Masks are still required in healthcare settings, including our office!
In Delaware, all staff, students and visitors to K-12 schools, child care facilities and state buildings are required to wear face coverings.
We will close with some words of reassurance from our Surgeon General, Dr. Vivek Murthy:
“If you are fully vaccinated, you still have a high degree of protection from the worst outcomes of COVID-19 - severe disease, hospitalization, and death.”
As always, Well Primary Care is here for any of your questions and concerns.
Stay safe!
Dr. Renzulli and Dr. Johnson