What To Expect From Covid
Winter is coming, again.
A year ago, experts warned that the United States faced a grim winter if Americans didnt mask up and social distance to slow transmission of the SARS-CoV-2 virus before indoor weather aka winter settled in for its long stay. We all know how well that warning was heeded. In January, cases topped 300,000 a day COVID ended the lives of about 95,000 Americans before the month was out.
Now indoor weather again looms in many parts of this country, and daily case counts are rising well into the six figures. The highly transmissible delta variant is driving spread, even among fully vaccinated people. Children are back in classrooms that can function as germ incubators. As you walk around in public you see noses poking out of masks, masks under chins, faces that are mask free.
So what should we expect as we head into our second COVID autumn and winter?
The bottom line is, I think, uncertainty, said Jeffrey Duchin, health officer for the Seattle and King County public health department, who has been mired in the COVID response since the earliest days of the U.S. outbreak.
Were experiencing a new virus, a newly emerged pathogen, and were trying to fight it with new tools that we dont have a lot of experience with, he said. And were dealing with unpredictable human behavior which is a very important factor as well, and environmental factors that may influence the severity of COVID outbreaks and how well it transmits.
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by Rachel Nania, AARP, May 28, 2020
En español | Most people who contract COVID-19, the illness caused by the new coronavirus, are able to heal at home without medical care. But for individuals with more severe cases of the disease, a trip to the hospital may be in order.
What happens when you’re there? And what does recovery look like once you leave? Medical experts outline what you can expect if you are hospitalized with a coronavirus infection.
How Will I Feel If I Have Covid
The coronavirus affects people differently. Some people have no symptoms at all and may not even know they are ill, even though they can transmit the coronavirus to others.
If you have any of the following symptoms, call your doctor. He or she will say whether you need a test and recommend what you should do.
- Shortness of breath or difficulty breathing
- Muscle or body aches
- New loss of taste or smell
- Nausea or vomiting
- Congestion or runny nose
In some people, COVID-19 can start out mild and become serious quickly. If you experience shortness of breath or difficulty breathing, call 911 immediately or go to an emergency department.
Most people with a mild case of COVID-19 can rest at home and self-isolate.
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‘we Have To Get Comfortable With Fully Vaccinated Folks Testing Positive’ Doctor Says
“From the signals that we’ve seen so far in the U.K. and South Africa, we can expect to see more breakthrough infections with omicron, and there’s a good chance that it is probably going to become the dominant strain, at least for now, and overtake delta,” Dr. Taison Bell, assistant professor of medicine in the divisions of infectious diseases and international health and pulmonary and critical care medicine at the University of Virginia, told TODAY.
What that means for hospitalizations and deaths down the line remains to be seen, though. “It’s hard to know,” Bell said, “but I think it’ll vary depending on if you’re in a community that’s highly vaccinated or one that’s low vaccinated.”
Dr. Wafaa El-Sadr, professor of epidemiology and medicine at the Columbia University Mailman School of Public Health and director of ICAP, echoed this idea: She predicted that we’ll see “a divergence” in which countries and communities with high vaccination coverage will be able to find a way to adjust and live with low levels of COVID-19 transmission.
“And that will contrast starkly with other parts of the world and other communities where there will continue to be high levels of transmission as well as, unfortunately, high rates of hospitalizations and deaths,” she told TODAY. “I feel we’re about to see this divergence very, very vividly happening in front of our eyes.”
Will There Be Another Big Surge In The Winter And Another Drop When The Weather Warms Up
We are already seeing a sharp rise in COVID-19 cases and hospitalizations, which have put added stress on already understaffed and overwhelmed hospital systems in some states. But experts aren’t sure how severe this surge will ultimately be or how the rise of omicron might factor in.
Im hoping that the surge this year is not as bad as last year because we do have vaccinated populations already, Camins said. This winter, though, things are open. Were no longer social distancing.
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Who Is Eligible For Monoclonal Antibody Treatment
Eligibility criteria are:*
- Test positive for COVID-19 , AND:
- Have had mild-moderate symptoms for 7 days or less , AND:
- Age 65 years OR
- Age 12 years and older weighing at least 40 kg with at least one of the following:
- BMI > 25 kg/m2, or if age 12-17, have BMI 85th percentile for their age and gender based on CDC growth charts
- Cardiovascular disease
- Current or history of substance abuse
- Immunosuppressive disease or immunosuppressive treatment
- History of stroke or cerebrovascular disease
- Chronic lung disease
- Neurodevelopmental disorders
- Having a medical-related technological dependence
Note: Monoclonal antibody treatment needs to be given within 7 days of the start of symptoms.
What Happens At The Appointment
Your appointment should last for around 30 to 45 minutes.
You’ll be asked some questions about your medical history.
It’s important to tell the staff giving you the vaccination if you have ever had a severe allergic reaction or you are pregnant.
If your appointment is at a vaccination centre, you’ll be asked for your booking reference numbers.
You will then be given an injection of the vaccine into your upper arm.
All places that offer COVID-19 vaccinations will help keep you safe from COVID-19. There will be regular cleaning and social distancing in waiting areas.
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Types Of Tests And What To Expect
Here at American River Urgent Care, we offer nasal swab tests for the active virus. After reviewing your symptoms and potential exposure, we use a long swab to collect a sample from your nose. We need to insert the swab pretty deep into your nose. Its not the most comfortable sensation, but it shouldnt hurt. Fortunately, the swab test is also quick. It only takes a few seconds in each nostril.
How To Safely Manage Covid
Most COVID-19 booster shot side effects can be safely managed with over-the-counter medication such as ibuprofen or acetaminophen, Milstone said. But he cautions against taking those medications before getting your shot. For one thing, you might not actually end up needing them, he said.
Additionally, there is some concern that they might interfere with the way the vaccine works, so the CDC also recommends not taking those medications before your appointment.
To help relieve any discomfort after the shot, the CDC also suggests making sure you drink enough water, gently use the arm in which you got the injection, and applying a cool compress on the arm.
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Tips For A Comfortable Vaccination Experience
Some people may experience discomfort, pain or stress from vaccination. But there are a number of techniques you can use to make the vaccination more comfortable.
Some helpful strategies include:
- wear a short-sleeved or loose-fitting top
- relax your arm by letting it feel loose and jiggly
- use deep breathing to help you relax and feel calm
- if you feel dizzy or faint, tell the person who’s vaccinating you right away
- distract yourself by reading or listening to music, or have a conversation
- talk to your health care provider ahead of time about pain relief that you can take
Learn more about:
How Does Monoclonal Antibody Treatment Work
After entering your body, monoclonal antibodies look for and attach to the spike protein that sticks out of the coronavirus that causes COVID-19.
When monoclonal antibodies attach to the spike protein, they can block the virus’s ability to enter cells and slow down the infection.
In 2020, the FDA authorized several different monoclonal antibodies to treat COVID-19. UPMC received two monoclonal antibody infusion treatment products. One of these treatments is sotrovimab, while the other is a combination of the drugs casirivimab and imdevimab.
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If Your Test Is Positive Self Isolate And Notify
If you test positive, you will get a call from a public health official who will:
- tell you how long you must stay home and self-isolate
- ask you for a list of your close contacts
- follow up with each of your contacts and tell them what they should do
- ask you to follow up with your contacts as soon as you can with any time-sensitive advice
Ok But Why Do I Need A Booster Shot
Data suggest that immunity starts to wane for COVID-19 vaccines after a certain period of time. And with the rise of Omicron, its a great time to get vaccinated: Preliminary laboratory studies by Pfizer, for example, show that a third dose of its vaccine offers 25 times more antibody protection against Omicron than two doses alone.
The available data make very clear that protection against SARS-CoV-2 infection begins to decrease over time following the initial doses of vaccination, and in association with the dominance of the Delta variant, we are starting to see evidence of reduced protection against mild and moderate disease, officials from the United States Department of Health and Human Services wrote in August.
Based on our latest assessment, the current protection against severe disease, hospitalization, and death could diminish in the months ahead, especially among those who are at higher risk or were vaccinated during the earlier phases of the vaccination rollout, the announcement said. For that reason, we conclude that a booster shot will be needed to maximize vaccine-induced protection and prolong its durability.
A study of public health data from Israel released in July estimated that the Pfizer shot was 39% effective at preventing people from COVID-19 infection in June and early July, compared with the 95% efficacy from January to early April.
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Recovering From Mild Covid
Dr. Septimus says that about 80% of people who are infected with the new coronavirus will either experience mild symptoms or be completely asymptomatic.
“We expect that someone with mild symptoms will recover within a week to 10 days,” says Dr. Septimus. “If you’re experiencing mild illness, you should expect the recovery process to be similar to other significant respiratory viral infections, such as the flu.”
When You Get There
A healthcare worker will talk you through what is going to happen.
You will be asked:
- for your name, date of birth and physical address so we can verify this in the COVID Immunisation Register
- to give your verbal consent to receive the vaccine this is standard practice for any vaccination.
A fully trained vaccinator will give you the vaccine in your upper arm.
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How Do People Get Infected With The Coronavirus That Causes Covid
If you test positive for COVID-19, you probably inhaled droplets or virus particles transmitted from an infected person, released into the air when that person breathed, spoke, coughed, sneezed or sang, especially if he or she was not wearing a face mask.
In rarer cases, people become infected after touching something with the coronavirus on it, and then touching their face. If a member of a household has COVID-19, there is a high risk that it will be transmitted to others in the home.
What Are The Potential Side Effects Of The Covid
As a whole, experts suggest side effects of the booster shot will be mild, if you even experience them at all, Dr. Watkins says. As a general rule, people feel similar to how they felt after they got their second shot, Dr. Russo says. He also stresses that the side effects you experienceor dont experiencedont correlate with your immune response to the vaccine.
One CDC study that was published in September found that people had similar reactions to a third dose of the mRNA vaccine compared to what they had during their original vaccines series. Side effects generally included:
Pain at the injection site
These initial findings indicate no unexpected patterns of adverse reactions after an additional dose of COVID-19 vaccine, the study says, noting that most of the side effects were mild or moderate.
Also worth pointing out: Pfizer said in press release that side effects from its COVID-19 booster were similar to or better than after dose two of the primary series. Meaning, you shouldnt have worse side effects than you had with your first two COVID-19 vaccines.
Data submitted by Moderna to the Food and Drug Administration found that these were the most common side effects in people who received a booster dose:
Injection site pain
Injection site swelling
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Who Should Get A Covid
Updated guidance from the CDC says that everyone ages 16 and older who has completed their primary COVID-19 vaccination series should get a booster shot after a certain period of time has passed. The exact amount of time varies depending on the type of vaccine you received the first time around.
If you had a Pfizer-BioNTech or Moderna vaccine, the CDC recommended getting a booster dose after at least six months have passed since you received your second shot. If you received the Johnson & Johnson vaccine, you should get a booster when its been at least two months since you had your primary series.
As for which shot to get for your booster, the CDC says its up to you. Because mix-and-match boosters were approved by the CDC, can get a dose of your original vaccine or opt for a different one.
Go get boosted, Anthony Fauci, M.D., the nations leading infectious disease expert, said on MSNBC last month. We are entering the winter season the weather will be colder, people will be indoors, theyre circulating virus around. Were seeing an uptick in some of the cases right now.
When To Get A Covid
You should get tested if you have COVID-19 symptoms, especially if you know youve been exposed to the virus. If your employer or a social contact has told you that you may have been exposed to COVID-19, you should quarantine and get tested if you have any symptoms such as fever, coughing, shortness of breath, and fatigue.
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What To Expect When Getting The Covid
Each day, more research is being done to further our understanding of how to treat and manage COVID-19. As more people are vaccinated, we will continue to learn more about how COVID-19 vaccines work in real-world conditions.
Heres what we do know: Three COVID-19 vaccines are currently authorized for emergency useby theU.S. Food and Drug Administration and arevery safe the vaccines cannot and will not make you sick with COVID-19, though you may experience side effects for a short period of time. There are many benefits to getting vaccinated, so if youre eligible, heres what to expect:
Saliva And Rapid Testing
- These types of community testing sites offer both saliva PCR and rapid antigen nasal swab tests. Visitors to these sites can choose which test they want to take. Refer to Tests offered at this site for more information.
- If you choose to do a rapid antigen nasal swab test, you will self-administer the test and swab your nose. Vault testing site staff will not administer nasal swab tests.
- Children under the age of 2 are not eligible to take a rapid antigen nasal swab test at these sites.
- People of any age can use saliva PCR tests if they can produce enough saliva for a test. Saliva tests may be difficult for infants and children under the age of 4.
- Do not eat, chew, smoke, or drink anything for at least 30 minutes before starting a saliva test.
- These sites are operated by Vault Health.
If you got tested because you have COVID-19 symptoms or had contact with someone with COVID-19, stay home and away from others until you get your test results.
Saliva test results are ready within 72 hours after the lab gets your test sample, and possibly sooner.
If you do not get your test results within 72 hours, send an email to , or call Vault Health customer service at 800-800-5698.
If your test is negative:
- This means you do not currently have COVID-19. However, you could still be exposed or become sick at any time. Continue to take steps to protect yourself and others from COVID-19.
If your test is positive:
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