Health | Off Message | Seven Days | Vermont's Independent Voice
Wednesday, January 27, 2021

Posted By on Wed, Jan 27, 2021 at 1:53 PM

click to enlarge Springfield Hospital Forced to Toss 860 Spoiled COVID-19 Vaccine Doses
Courtesy of Ryan Mercer / UVM Medical Center
A health care worker prepares a dose of COVID-19 vaccine
Update, January 28, 2021: The health department said it had gotten the go-ahead from Moderna that the doses were still effective and usable, and reversed the decision to discard them. Read more on that decision here.

The State of Vermont will discard 860 doses of COVID-19 vaccine — nearly 1 percent of all doses received to date — because of a storage issue at Springfield Hospital, officials said Wednesday.

The doses of Moderna vaccine were apparently stored slightly above than the maximum allowable temperature, prompting the manufacturer to order that they be tossed due to concern about their viability, Human Services Secretary Mike Smith said during a regularly scheduled press conference.

According to the U.S. Centers for Disease Control and Prevention, Moderna vaccine vials must be refrigerated at temperatures between 2 degrees and 8 degrees Celsius.

"It was at 9 degrees at Springfield Hospital," Smith said.

Tags: , , , , , , , ,

Friday, January 22, 2021

Posted By on Fri, Jan 22, 2021 at 3:19 PM

click to enlarge Vaccine Appointments for Those 75 and Older to Open Monday
Courtesy of Ryan Mercer/UVM Health Network
Health care workers receiving the COVID-19 vaccine
Vermonters 75 and older are next in line to be vaccinated for COVID-19 and will be able to register for an appointment starting on Monday.

The state is nearing the end of its vaccination process for frontline health care workers and long-term care facility residents and staff. As of Thursday, 40,318 people had received at least one dose of a COVID-19 vaccine, and 8,949 people had received the second and final dose.

Next in line are Vermonters aged 75 and up — a group that includes nearly 50,000 people — then those 70 and up, then 65 and up, followed by Vermonters with conditions that put them at high risk for complications from COVID-19.
That plan runs counter to recommendations from the U.S. Centers for Disease Control and Prevention and the state's vaccine advisory panel, which recommended vaccinating essential workers, including teachers, in the next priority group. State officials have pointed to the high rate of death among older Vermonters. As of January 21, 161 of the 169 Vermonters who died with COVID-19 were over the age of 60.

"The older you are, the more likely you are to die if you get COVID. With our limited supply of vaccines ... we have a moral obligation to prioritize saving lives," Gov. Phil Scott said at press conference on Friday.

"If we were getting more doses, we'd be able to vaccinate a broader group. But we have to deal with reality," he said.
The event was held via video as the governor and other officials are in quarantine after a state contractor working at two recent press conferences tested positive for COVID-19. Scott tested negative for the virus on Wednesday and will be tested again this coming Tuesday — seven days after his most recent potential exposure to the infected person.

For the next phase of the COVID-19 vaccine rollout, the state will set up 54 inoculation sites in 39 towns. Those eligible to get the vaccine can sign up for an appointment either through the state's website or by telephone. Officials said they will release that phone number on Monday morning; the call center will have approximately 400 staffers.

Officials said they anticipate some bottlenecks at the beginning, but they are confident everyone eligible for a vaccination will be able to get an appointment.

"I want everyone to have realistic expectations — your appointment may not be immediate or on the day you would prefer," Human Services Secretary Mike Smith said.

But he said everyone 75 and older would be able to get an appointment within the five-week period the state has designated for that population group.

Those hoping to book an appointment shouldn't head to the state's website at 12:01 a.m. on Monday, Smith warned — the booking system will go live sometime that morning, and he said officials plan to send out a press release announcing that launch.

People registering for an appointment will need to verify their age and their Vermont residency. And couples who are both 75 or older will need to register for separate appointments.

State officials said they're hopeful that the Biden administration will be able to increase the supply of vaccines being delivered to the state, and that they can speed up the rate at which they're able to offer vaccines to other portions of the population.

"We are poised to ramp this up if we are fortunate enough to have more vaccine," Smith said.

Tags: , , , , , , ,

Posted By on Fri, Jan 22, 2021 at 2:56 PM

click to enlarge State Rep to Introduce Bill That Would Nix Religious Vaccination Exemption
Terri Hallenbeck
Rep. George Till (D-Jericho)
Vermont Rep. George Till (D-Jericho) plans to introduce a bill next week that would prevent parents from opting their children out of mandatory school vaccinations for purely religious reasons, setting the stage for yet another showdown over public health and civil liberties — only this time, in the middle of a pandemic.

Till, a practicing physician, told Seven Days on Friday that he found it "disturbing" to see how many people "suddenly found religion" after Vermont became the first state in the nation to remove its "philosophical exemption" five years ago, a move he strongly supported.

A study published in late 2019 found that while the number of Vermont kindergarteners who avoided vaccinations for non-medical reasons dropped from 5.7 percent to 3.7 percent in the two years after the policy change, the rate of religious exemption claims jumped from 0.5 percent to 3.7 percent.

"The truth of it is that there are very few religions that actually have an objection to [vaccines]," Till said. "People were really, truthfully just misusing the religious exemption."


Tags: , , , ,

Thursday, January 21, 2021

Posted By on Thu, Jan 21, 2021 at 2:39 PM

click to enlarge Elderwood Cited for Poor Patient Care During COVID-19 Outbreak
Derek Brouwer ©️ Seven Days
Elderwood at Burlington
Regulators have cited Elderwood at Burlington for serious lapses in patient care during a recent COVID-19 outbreak that has infected 127 of the nursing home's residents and employees.

The recent investigation, spurred by five anonymous complaints, did not find any shortcomings in infection control that may have contributed to viral spread. It confirmed instead that a staffing crisis led to dangerously diminished care.

Tags: , , , , , , , , , , , , , ,

Tuesday, January 19, 2021

Posted By on Tue, Jan 19, 2021 at 6:42 PM

Scott to Quarantine After Potential COVID-19 Exposure at Press Conference
File: Jeb Wallace-Brodeur
Gov. Phil Scott and Health Commissioner Mark Levine at a previous briefing
Gov. Phil Scott and Vermont Health Commissioner Mark Levine will quarantine and be tested for the coronavirus after a "contractor" who worked at two recent press conferences tested positive for COVID-19.

"The briefings are conducted under state guidance, with safety protocols, including physical distancing, in place," the governor's office announced Tuesday evening in a statement. But "out of an abundance of caution," administration officials who attended press conferences on January 15 and 19 will quarantine, while Scott will continue to fulfill his duties remotely "until further notice."

Scott has hosted the regular press briefings at the Pavilion Auditorium on State Street in Montpelier at least twice a week since the pandemic began. His office said roughly 17 people attended both briefings in question. Among the typical attendees are several administration officials and staffers from Scott's office, a handful of broadcast journalists and at least one certified American Sign Language interpreter. Two interpreters worked Tuesday's briefing.

State contact tracers have begun investigating the incident and will reach out to anyone identified as a close contact, or those who spent more than 15 minutes within six feet or less of the positive case. Scott's office has also reached out to everyone at the briefings.

Neither Scott nor Levine has been vaccinated; Scott's spokesperson told VTDigger.org last month that both he and Levine planned to wait for their turn in Vermont's vaccine rollout. The state expects to begin vaccinating people above the ages of 75 starting the week of January 25. Scott is 62; Levine is 67.

Scott's spokespeople did not immediately return questions about whether regular press conference attendees receive COVID-19 tests, or whether the contractor was symptomatic. And it was not immediately clear when the contractor was last tested for the virus.

Scott's press briefing on Tuesday lasted two hours and concluded around 1 p.m., five hours before the press release went out.

Tags: , , , ,

Posted By on Tue, Jan 19, 2021 at 5:03 PM

click to enlarge College Students Return to Vermont Amid Soaring COVID-19 Case Counts
Courtesy of Sally McCay
University of Vermont campus in Burlington

Updated 6:47 p.m.

Thousands of students are moving back into college residence halls around Vermont this week in the midst of a winter surge in the ongoing pandemic.

At many schools, the start of the spring semester will resemble the kickoff of the fall term nearly five months ago, with students undergoing a rigorous quarantine and testing process required by the state on their arrival.

Confirmed cases of COVID-19 in Vermont are more than 25 times higher than when students arrived at schools late in August. Back then, daily new case counts hovered around six. This week, they've averaged 160. And in some areas of the country where students live, the levels are much higher.

State and college officials alike are banking on the success of the virus mitigation strategies that kept levels of COVID-19 low on Vermont's campuses during the fall semester.

"We're hopeful," said Tracy Dolan, deputy commissioner of the Vermont Department of Health. "We still think what we're doing is probably the best thing that we can do."

Those measures include a mandated quarantine period for all students. Also mandated: testing for all students after the first seven days on campus.

Beyond that, said Gary Derr, the University of Vermont's vice president for operations and public safety, the on-campus strategy resembles the the fall's. Students will be reminded to wear facial coverings, wash their hands and maintain social distance.

And just as during the fall semester, UVM will continue mandatory weekly student testing. During the fall semester, the more than 150,000 tests at UVM revealed 99 cases among students and 19 cases among faculty and staff, according to weekly reports on the school's website.

Those numbers are expected to soar this semester, however.

"We're preparing to see more positives, just like the state is," said Derr.

During the two weeks ending January 17, 59 students tested positive — more than half the number of positive student tests during the entire fall semester. But those numbers, Derr noted, were reported after the holidays. State officials have confirmed that, based on their contact-tracing data, Christmas gatherings helped drive a surge in cases.

"I think what we're expecting and hoping for is that that [weekly case number] will start to drop," said Derr.

If students fail to show up for weekly testing, the penalties can be steep. The tests are mandated by the school's Green and Gold Promise, which lays out student conduct requirements during the pandemic. Students in "egregious" violation of the pledge may be fined $250 on their first offense, and suspended on the second.

A UVM spokesperson said the school fined 799 students for violations during the fall semester, and suspended nine.

Though many campus strategies will be the same this semester, one thing will look different: Because of the statewide ban on multi-household gatherings, schools must define what a "household" means on their campuses, and ask students to restrict non-academic gatherings to members of their "household."

That will look different from campus to campus, depending on how each school's housing is set up, explained Dolan. "We asked colleges to keep with the spirit of what we were trying to do with social gatherings," she said.

At a student town hall earlier this month, officials at St. Michael's College, which reported 79 cases during the fall semester — with dozens connected to a hockey-related outbreak in Montpelier — urged students to abide by the household restrictions. The school defines a household as either the residents of a townhouse, suite, or apartment, or, for those in single and double rooms, up to four people from the same wing of a residence hall.

Abiding by these rules is especially important as reports of a more contagious variant, first discovered in the United Kingdom, continue to spread, said Mary Masson, director of student health services at St. Mike's. Though the variant has not yet been identified in Vermont, it's been reported just over the border in New York State.

"It tells us that we have to be all the more vigilant," said Masson.

Tags: , , , ,

Friday, January 15, 2021

Posted By on Fri, Jan 15, 2021 at 2:29 PM

click to enlarge Vaccinations of Vermonters 75 and Older to Begin Later This Month
Photo Courtesy of Porter Medical Center
Helen Porter Rehabilitation and Nursing resident Elsie Johnson gets vaccinated.
Updated at 3:56 p.m.

Vermont will begin offering the COVID-19 vaccine to people ages 75 and older starting the week of January 25, officials said at a press conference Friday, unveiling the next phase of the state's highly anticipated vaccination plan.

But officials stressed that the vaccine rollout remains hampered by limited supply, noting Vermont continues to receive only about 8,800 vaccine doses from the federal government each week — far less than initial projections.

“We know many are anxiously waiting for their vaccines — and rightfully so," Gov. Phil Scott said. "We want to get every dose out just as quickly as we possibly can. But with so few doses available, we need everyone to be patient.”

The Trump administration raised hopes for expanded access earlier this week in announcing that it would release all doses of available vaccine rather than hold a second dose for those in early phases (both authorized vaccines are two-dose regimens). But the Washington Post reported on Friday that the administration had already begun shipping out reserves last month, dashing hopes of a windfall.

Vermont officials say they are now planning to proceed with the current supply chain, which should allow them to vaccinate the 49,000 or so Vermonters aged 75 or older in about six weeks.

Friday, January 8, 2021

Posted By on Fri, Jan 8, 2021 at 4:20 PM

click to enlarge Vermont's COVID-19 Infections Reach New Highs in Recent Days
File: Oliver Parini
Staff testing samples at the Vermont Department of Health lab
Vermont has recorded more than 400 new coronavirus cases since Wednesday, the highest two-day total since the disease was first found in the state last March. Health officials are keeping tabs on transmissions stemming from holiday gatherings and announced positive tests among staff at four state prisons.

The Vermont Department of Health reported 226 cases on Thursday and 202 on Friday. The numbers have pushed the state to record-high weekly case growth, though the figures continue to compare well with those in other states. Twenty-nine people are currently hospitalized with the disease.

Tags: , , , , , ,

Thursday, January 7, 2021

Posted By on Thu, Jan 7, 2021 at 5:26 PM

click to enlarge Police, Firefighters Moved Up Vermont's Vaccine Priority List
Courtesy of Ryan Mercer/UVM Health Network
Health care workers receiving the COVID-19 vaccine
Vermont's cops and firefighters will soon be able to receive coronavirus vaccines after they persuaded the state to move them into the highest priority group.

The Vermont Department of Health confirmed the change Thursday. It was finalized on Monday, a spokesperson said.

The tweak reclassifies police and fire personnel as "emergency medical services," which are part of the so-called "1a" priority phase that is currently underway. Ambulance and rescue squads were already in that group, along with health care workers and residents of long-term care homes.

Tuesday, January 5, 2021

Posted By on Tue, Jan 5, 2021 at 8:03 PM

click to enlarge Winooski Schools Extend Remote Learning as COVID-19 Cases Mount
File: Luke Awtry
On the Winooski school campus
This fall, COVID-19 stayed away from Winooski schools. During the first three months of the school year, there were no reported cases of the virus in the district.

As things remained steady, K-5 students ramped up to four days a week of in-person school in October and November, while middle and high school students learned under a hybrid model, with a mix of in-person and remote instruction.

But in early December, the district reported three cases of COVID-19 within a week and a half, with a fourth case coming soon after. On December 9, the school district transitioned to fully remote learning.

Since the first recorded case, a total of 66 Winooski students, teachers and staff have tested positive for COVID-19. With approximately 800 students and 200 teachers and staff in the district, that means about 6.6 percent — or 1 in 15 members — of the school community tested positive for COVID-19 in about a month.

Tags: , , , , ,