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Ramona Whittington
From: Roxana Cruz
Sent: Tuesday, March 9, 2021 4:52 PM
To: Medical Directors; Dental Directors; jmertz@healthpoint-tx.com; JEldred@chcwf.com; Myrta Garcia;
Lindsay Lanagan; catherine.threatt; Abby Villafane; drlrobertsdnp@offeringhope.org;
rparham@legacycommunityhealth.org; Kate.Nolan@austinpcc.org; Dr Flower
Cc: Jana Eubank; Daniel Diaz; Shelby Tracy; Nancy Gilliam; Ramona Whittington; ClinicalTeam
Subject: COVID Vaccine Weekly Update: Week 13 (03/08/2021)
Attachments: VaccineToolkit_1pger.pdf; COVIDVaccineAllocation-Week13_FQHCs.pdf; Vaccine Updates
03.09.2021.pdf; jama_moore_2021_vp_210037_1614808773.38942.pdf
Dear Fellow CMOs and Vaccine Coordinators,
Here is your COVID‐19 Vaccine Updates for Week 13 DSHS Allocations (03‐08‐2021)‐ see attached DSHS list
This week 100 Health Center sites were allocated 19,100 vaccines
To date (through Week 13), Texas Health Center sites have been allocated a total of 124,100 doses
Week 1 Week 2 Week 3 Week 4 Week 5 Week Week 7 Week 8 Week 9 Week 10 Week 11
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0 doses 9,900 600 7,500 1,300 17,300 5,875 17,650 11,675 7,400 12,100
doses doses doses doses doses doses doses doses doses doses
0 sites 20 FQHCs 5 FQHCs 56 FQHCs 13 77 30 74 70 27 FQHCs 56 FQHCs
FQHCs FQHCs FQHCs FQHCs FQHCs
TACHC has developed a summary table with updated information regarding COVID Vaccines available with a section to
preview those that are currently under evaluation for possible approval‐
Please share with your staff to provide the overview for questions they or patients may have regarding differences
between vaccines: see attached
Also, we recommend your review of the attached JAMA opinion article: “Approaches for Optimal Use of Different
COVID‐19 Vaccines: Issues of Viral Variants and Vaccine Efficacy”
The Texas Medical Board’s (TMB) recommends practices continue to follow federal & CDC guidelines to help stop the
spread of COVID‐19:
https://www.texmed.org/TexasMedicineDetail.aspx?id=55898&utm_source=Informz&utm_medium=Email&utm_camp
aign=TMT&_zs=NcudA1&_zl=Q54C6
Statement from the Texas Public Health Coalition (TACHC is a member of this group):
“In light of the recent decision to rescind the statewide mandate for mask wearing and limiting of business capacity
limits, the Texas Public Health Coalition encourages all Texans to continue recommended best practices to limit
transmission of the pandemic virus. Our best chance to bring this pandemic to an end depends on two things: successful
vaccination of the public and limitation of the spread of virus variants. Get vaccinated and keep wearing masks and
maintaining social distance until we have truly beaten this COVID‐19 virus!”
MMWR on the Importance of Prevention Strategies: An MMWR released on Friday (3/5), found that increases in both
daily cases and death rates slowed significantly within 20 days of mask mandates being in place; and increases in daily
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death rates and cases grew more quickly between 40‐80 days of restaurants being allowed to resume on‐premises
dining.
New Initial Guidance for Fully Vaccinated People (Non‐Health Care Settings): Fully vaccinated is defined as two weeks
nd
after the 2 dose of the Pfizer/Moderna vaccine or two weeks after a single dose of the Johnson & Johnson vaccine.
There is still a small risk that vaccinated people could still be infected with mild or asymptomatic disease and potentially
transmit the virus to others who are not vaccinated. This is an ongoing area of research and the guidance will be
updated regularly. The guidance must balance the risk to people who are fully vaccinated, the risk to those who have
not yet received a vaccine, and the impact on the larger community transmission, with the benefits of resuming
everyday activities.
CDC Updates & Guidance
CDC released a new set of COVID‐19 guidelines for vaccinated and unvaccinated people, and one of the biggest changes
has to do with group gatherings. According to the CDC, fully vaccinated people are defined as people who have been
vaccinated with both doses of the Pfizer or Moderna COVID‐19 vaccines, or one dose of the Johnson & Johnson vaccine,
for two weeks. And under the new guidelines, those fully vaccinated people can:
gather indoors with other fully‐vaccinated people without wearing a mask.
gather indoors with unvaccinated people from one other household (for example, visiting family members who
all live together) without masks, as long as none of those people or anyone they live with is at a higher risk for
severe illness from COVID‐19. Underlying conditions that put you at high risk include serious heart conditions,
Type 2 diabetes, obesity, and chronic kidney disease.
Fully vaccinated people and unvaccinated people should still wear a mask, stay six feet apart, and avoid crowds and
poorly ventilated spaces when:
they gather with unvaccinated people from more than one household.
they're in public.
they visit with an unvaccinated person who's at increased risk of severe illness or death from COVID‐19, or who
lives with someone at increased risk.
The CDC also recommended avoiding "medium or large‐sized gatherings" and travel, even if you're fully
vaccinated.
While the Centers for Disease Control and Prevention (CDC) provided new COVID‐19 guidance for fully vaccinated
Americans, the agency didn't provide an update or relax travel measures.
The agency maintained that Americans should refrain from traveling, referring to the organization's travel guidance last
updated on Feb. 16 (see link below)
"Because of the risk of getting and spreading COVID‐19 during travel, fully vaccinated people should still take all CDC‐
recommended precautions before, during, and after travel," read a CDC statement.
The CDC may update travel recommendations for fully vaccinated people as that number rises and as they learn more
about how vaccines are working in the "real world."
www.cdc.gov/coronavirus/2019‐ncov/travelers
Travel | CDC
www.cdc.gov
Learn about CDC's travel recommendations and tips to stay
safe during the COVID‐19 pandemic.
While the CDC recommended in February to "delay travel and stay home" according to the website, it did provide
guidance points on to how to travel if you must:
Get fully vaccinated, if you are eligible and able. Then wait two weeks after full vaccination to travel.
o Get tested between one and three days prior to traveling.
o Check travel restrictions in advance.
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o Wear a face mask covering both your nose and your mouth.
o Wash and sanitize your hands.
o Bring extra face masks and sanitizer.
o Try to avoid contact with anyone who may be sick.
o Do not touch your eyes, mouth or nose.
Exposure to COVID‐19 during travel ‐ A range of 20 ‐80% of individuals with COVID may be asymptomatic (no
symptoms) or pre‐symptomatic (have not yet developed symptoms) may feel well and not have any symptoms, but
can be contagious without symptoms and spread the virus to others. Therefore, travelers (including children) pose a risk
to your family, friends, and community for 14 days after travel.
o Get Tested and Stay Home After Travel
o Get tested with a viral test 3‐5 days after travel AND stay home and self‐quarantine for a full 7 days after travel.
o Even if you test negative, stay home and self‐quarantine for the full 7 days.
o If your test is positive, isolate yourself to protect others from getting infected.
o If you don’t get tested, stay home and self‐quarantine for 10 days after travel.
o Avoid being around people who are at increased risk for severe illness for 14 days, whether you get tested or not
COVID‐19 Testing and Vaccinations Interactive Map: NACHC’s interactive map shows how many people have been
tested and vaccinated each week for COVID‐19 by health centers in each state.
Worldometers' U.S. trend charts suggest the pace of new cases is leveling off, while deaths have finally dipped below
the peaks seen last April, though still higher than in the summer's "second wave."
CDC Update: “When You’ve Been Fully Vaccinated” View this email in your web browser
Key Things to Know about the COVID‐19 Pandemic: CDC updated their information on key things to know about the COVID‐1
Studies show that COVID‐19 vaccines are effective at keeping you from getting COVID‐19. Experts also think that getting a CO
may help keep you from getting seriously ill even if you do get COVID‐19. COVID‐19 vaccination is an important tool to help u
normal. View information about COVID‐19 and vaccines.
Tracking Variants
• Variants of Concern: Across the U.S., the UK Variant (B1.1.7) has been identified in >3000 cases, for the South
African Variant (B.1.351) 30 cases identified, and only 15 cases for the Brazil Variant (P.1) have been reported.
https://www.gisaid.org/hcov19‐variants/ 3,994 genomes collected between November 2020 and February
2021, last updated 2021‐03‐08
https://covariants.org/
Addressing Viral Variants: The best methods to address viral variants include vaccination and public health
measures. An article in JAMA by John P. Moore addresses these issues.
UPCOMING WEBINARS:
The Texas Department of State Health Services (DSHS) Immunization Unit will be hosting a webinar this
Wednesday, March 10, 2021, from 12 p.m. to 1 p.m. The webinar will include the information for AIVI vaccine open‐
ordering opportunity for healthcare providers.
Please register for the webinar using the following link:
https://attendee.gotowebinar.com/register/5869162696155204363
The DSHS Immunization Unit will be facilitating a webinar about the Centers for Disease Control and Prevention (CDC)
Adult Influenza Vaccine Initiative (AIVI), a one‐time allocation of adult influenza vaccine doses, and the opportunity
Texas healthcare providers to order the influenza vaccine for the 2020‐2021 season. During this webinar, information
will include:
Influenza Updates
AIVI adult flu opening ordering process
Onboarding expectations and requirements
COVID‐19 & other vaccines co‐administration guidance
“A Year in Review: America’s Fight Against COVID‐19". Friday, March 12, 2021 11:00 AM ‐ 12:00 PM CST
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REGISTER NOW
Multidisciplinary panel on the impact of COVID‐19 in Latinx Communities: Join us on Tuesday, March 23 from 11 a.m.‐
12 p.m.
Panelists include Deliana Garcia (Migrant Clinicians Network), Carmen Valdez (Population Health, Dell Medical), and
Nelly Salgado de Snyder (Latino Research Institute). Rene Salazar (Dell Medical) will facilitate the discussion.
Register for this Zoom event here:
https://utexas.zoom.us/webinar/register/WN_evUjT4dwTDSYorK_GzaGww
“It’s OK Not to Be OK: Physician Burnout and Mental Health” March 24, 2021@ 1:00 p.m. ‐ 2:00 p.m. CT
Messaging:
Communications Cheat Sheet (attached)
https://www.cdc.gov/vaccines/partners/vaccinate‐with‐confidence.html
The COVID‐19 Vaccine Communications Toolkit provides communications and messaging resources for health
centers to use to build confidence in the COVID‐19 vaccine and encourage health center staff and the communities
they serve to get the vaccine and help protect against COVID‐19.
The Toolkit contains:
∙ Simple Key Messages (which can be tailored for use with specific populations)
∙ Frequently Asked Questions about COVID‐19 Vaccination
∙ Sample Social Media posts
∙ Sample press release template
∙ Sample radio PSA template
Video: Addressing COVID‐19 Vaccine Hesitancy
o Hosted by HRSA
o You must use the following passcode to access the video: n1c=*y70
Video: https://phr.org/issues/covid‐19‐pandemic/events‐and‐webinars/
Vaccine Tools from ECRI:
Use these tools from the Vaccine and Immunization Toolkit to support your Health Center’s
efforts:
Practice Alert! Optimizing Health Information Technology For Safe And Effective
COVID‐19 Vaccination Processes
Policy and Procedure Builder: Vaccine Management
Quality in Action: A Focus on Vaccine Safety
Infographic: Building Vaccine Confidence In Communities Of Color
Get Safe! Vaccines and Vaccine Safety: Critical to Disease Prevention
Get Safe! A Brief Case for Safety: Preventing Errors Associated with Vaccine
Management
Get Safe! A Brief Case for Safety: Vaccine Awareness and Administration
Get Safe! A Brief Case for Safety: Strategies to Increase Pediatric Vaccination Rates in
Your Practice
Webinar: Vaccine Promotion: Strategies for Increasing Vaccine Awareness and
Immunization Rates
STAR Error Prevention Tool: Vaccination Safety
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