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Community Engagement Pathways

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Community Engagement Pathways

  1. 1. Community Engagement Pathways November 17th, 2021
  2. 2. 47,221,549 cases on 11/15/21 with 764,363 deaths https://coronavirus.jhu.edu/us-map COVID-19 in the United States: TOTAL
  3. 3. COVID-19 Hot Spots https://www.nytimes.com/interactive/2021/us/covid-cases.html
  4. 4. https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html New Reported Cases – United States
  5. 5. https://www.nytimes.com/interactive/2020/us/coronavirus-us-cases.html
  6. 6. Game changers?! • Pfizer: Paxlovid – Strongly effective in preventing severe COVID when given to high-risk unvaccinated patients soon after they started showing symptoms • Merck: Molnupiravir (Lagevrio) – Inhibits virus replication
  7. 7. Paxlovid • Paxlovid (PF-07321332 + ritonavir) – SARS-CoV-2 protease inhibitor – Take at first sign of infection or awareness of an exposure – Help avoid severe illness – 89 percent if started within 3 days of symptoms • Fourth or fifth day, the pill reduced the risk of hospitalization or death by 85 percent
  8. 8. Molnupiravir • Lagevrio (Molnupiravir) – Nucleoside derivative N4-hydroxycytidine – introduces copying errors during viral RNA replication • Incorporates NHC-TP into newly made RNA instead of using real cytidine (C) • About 50 percent effective when given within five days of the onset of symptoms
  9. 9. COVID-19 Vaccinations across the Nation https://covid.cdc.gov/covid-data-tracker/#vaccinations
  10. 10. COVID-19 Boosters Across the Nation https://covid.cdc.gov/covid-data-tracker/#vaccinations
  11. 11. Percent Fully Vaccinated by State for the Total Population https://covid.cdc.gov/covid-data-tracker/#vaccinations_vacc-people-fully-percent-total
  12. 12. Trusted Resources • Johns Hopkins: https://coronavirus.jhu.edu/map.html • CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html https://emergency.cdc.gov/coca/calls/2020/ • WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019 • Others: https://www.nytimes.com/interactive/2021/us/covid-cases.html https://www.thelancet.com/coronavirus https://covidactnow.org/
  13. 13. Researching Communities Ahead Are there gaps in community-based service organizations in the area or communication with them? (Make connections with them ahead) Are there gaps in healthcare or other services in the community being served? Labs, specialists, etc. (Can we make connections ahead?) Are there gaps in resources that can be referred to in the community being served? Food, housing, etc. (Can you develop a community resource list ahead of the outreach?) Are there other gaps like supplies, household items, etc. that can be brought to outreach events? (Prepare list and bring items if possible) Basic Community Needs Assessment Remember to ask questions and provide information in a culturally sensitive manner!
  14. 14. Hidden Populations Individuals Experiencing: • Intimate Partner Violence • Housing/Food Insecurity • Lack of Insurance • Lack of US legal Status • Justice Involved • Migrant/Seasonal Farm Workers • Substance Users
  15. 15. Use Existing Resources • Request participation in established community events/activities • Request increased communication with housing case managers, soup kitchen outreach staff, CHW’s • Join Community Care Team meetings • Actively participate in committees, consortia, and networks that work with your target population
  16. 16. What is Different with the Booster? • The messaging is less urgent – especially in CT • It is harder to determine who needs them – are you vaccinated? • Competing priority of getting kids vaccinated versus getting booster • Complacency • Convenience – mass vax sites are closed
  17. 17. Messaging for 5-12 Year Old Families • You control the tone of the conversations – be upbeat, positive and calm. • It may take several conversations to engage adults in vaccinating children. • Consistency is important in setting the tone for child vaccinations. • Use Culturally relevant/humble information. • Location is important.
  18. 18. Words Matter Outreach to 5-12 Year old Families • Interchange COVID-19 and Coronavirus • Who are your adults? • Can I speak to the adults who care for you at home? • Vaccines are a type of medicine that prevent certain kinds of sickness. • May I give you some information about…….
  19. 19. What parents are telling us: • If the shot is available when we tell them about it, then they are more likely to get it for their child. • Having to come back many times for their own shot was a deterrent for parents to get child vaccinated. • Feel child is protected if the adults in family are vaccinated. • Perception that kids are less likely to be affected by COVID-19. • Some parents were uncomfortable having it done in school because they wanted to be present.
  20. 20. Successful Locations for Families • Schools and School Based Health Centers • Churches • Civic Organizations • Grocery Stores • Barber Shops/Hair Salons • YMCA and YMCA Afterschool programs • Food Pantries/Food Banks/Shelters • Community Events/Fairs • Public Housing
  21. 21. Schools • Key Partners: Schooling and Nursing staff • Parental consent • Saturday clinics for younger children
  22. 22. Obtaining Parental Consent
  23. 23. Partnerships with Municipalities • Equity in access to vaccine • Addressing questions about vaccine • Using social media as a tool for communication and education • Neighborhood leaders in faith-based communities
  24. 24. Partnerships with Small Businesses • Small businesses as trusted messengers • McDonald’s franchise partnership
  25. 25. CT’s Commitment to Vaccinating Youth
  26. 26. Resources • White House Covid Vaccination Outreach Toolkit: https://wecandothis.hhs.gov/community-based-organizations-toolkit • Pfizer Kids Outreach: https://madetosave.org/resources/what-now-pfizer-eua-5-11/

Editor's Notes

  • 11/15/21: 28-Day totals: 2,090,887 cases 36,963 deaths
  • Intro: Here you can see from the map the ‘hot spots’ occurring around the country. The Darker colors mean more active infections

    11/15: national case average has been relatively flat in recent weeks, but worsening in parts of the West, Upper Midwest and Northeast
    The average number of new cases increased more than 40 percent over a two-week period in New Mexico, Colorado, Illinois and Minnesota.
    Vaccination rates in those states are a bit above the national average, and the outlook is not yet nearly as dire as what Southern states saw this summer.

    Conditions continue to improve in the South. Florida and Louisiana, which had two of the worst summer surges, have new cases at some of the lowest rates in the US
  • 11/17/21:
  • 11/15:
    There are fewer than half as many coronavirus patients in American hospitals as there were in early September.

    Seventy percent of American adults, and 59 percent of all Americans, are fully vaccinated. About 1.3 million doses are being administered each day, a number that grew rapidly after booster doses and vaccines for younger children were authorized.
  • Molnupiravir: nucleoside derivative N4-hydroxycytidine (also called EIDD[4]-1931), and exerts its antiviral action through introduction of copying errors during viral RNA replication
    incorporates NHC-TP into newly made RNA instead of using real cytidine
  • ritonavir helps slow the metabolism, or breakdown, of PF-07321332 in order for it to remain active in the body for longer periods of time at higher concentrations

    Phase 2/3 EPIC-PEP (Evaluation of Protease Inhibition for COVID-19 in Post-Exposure Prophylaxis) to evaluate efficacy and safety in adults exposed to SARS-CoV-2 by a household member.
  • Molnupiravir
  • 11/2:
    Connecticut now 70.8 up from 69.9% 2 weeks ago
    Vermont: now 71.3 up from 70.6%
    Puerto Rico – doing very well: 73.6 up from 72% immunized
    Alaska – 52.7 up from 51.7%
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