Plum Health Blog
Plum Health Physicians Strongly Recommend COVID 19 Vaccination for Children 5 to 11 Years of Age
Plum Health Physicians Strongly Recommend COVID 19 Vaccination for Children 5 to 11 Years of Age
Today, I got a great question from someone on LinkedIn about the coronavirus vaccination for children. Here’s what they asked:
Hey Paul, wondering if you can point me in the direction of a good resource to cut through all the noise about COVID vaccines for kids 5-11. Weighing the decision to get the shot for my 7 year old daughter now or to hold off for a bit until even more data exists on outcomes post clinical trials. I looked to see if you had anything posted but didn’t come across anything. Thanks in advance!
This is a great question.
The CDC recommends everyone 5 years and older get the COVID-19 vaccine. I attached a link which states that the Pfizer vaccine is good for children 5-11 years. This is a 2 dose series 21 days apart. Vaccination helps children from getting severely sick. Vaccination also helps kids participate in activities - like after school enrichment programs and team sports. Vaccination for children also protects family members, especially older family members or family members with conditions that compromise their immune system.
Before getting approval this vaccine moved through different clinical trials and is now FDA approved. In each phase, the vaccine was tested in a large group of people to test for safety and efficacy. The Phase 2 and 3 trial revealed that the Pfizer vaccine had a good safety profile and protection in children 5 to 11. The Phase 1, 2, and 3 trial had 4,500 children 6 months to 11 years. Among these children, reactions were mostly mild to moderate. The side effects of the vaccine could be pain, redness, and fatigue. There were no cases of myocarditis in these trials, and these cases of myocarditis have been extremely rare in the real world setting.
The composition of the COVID-19 vaccine is safe. The Pfizer vaccine contains messenger RNA which tells the cells to create an immune response to COVID-19. Children 5 through 11 do not get the Pfizer vaccine given to teens and adults. They receive an age-appropriate dose that is one-third the adult dose.
Here is a great link from the CDC which explains the vaccine. There is also a video that describes mRNA vaccine:
This is a good publication that briefly describes the work that was done to develop the vaccine:
https://publications.aap.org/aapnews/news/17751?autologincheck=redirected
Where can you get coronavirus testing and vaccines in Detroit?
At Plum Health DPC, we have been vaccinating adults and children as soon as the appropriate vaccine doses became available for us. We’ve also been testing our patients for COVID to help them travel and stay healthy if they’ve experienced a recent exposure or symptoms concerning for COVID. Our office is in Corktown, Detroit at Michigan and Trumbull. You can get services or more information by calling 313.444.5630.
Thanks for reading,
-Dr. Paul Thomas with Plum Health DPC
Coronavirus Vaccines in Pregnancy
The Coronavirus Vaccines are Safe and Effective in Pregnancy
First, I want to say that the coronavirus vaccines are safe and effective in pregnancy. There’s a great research article from the New England Journal of Medicine followed over 35,000 pregnant women and revealed the following, “Preliminary findings did not show obvious safety signals among pregnant persons who received mRNA Covid-19 vaccines.”
In this video, I talk with a mom who was in the process of deciding whether or not to get the coronavirus vaccine, but ultimately decided to get vaccinated. We talk about the pros and cons of the vaccine, the difference between the Johnson and Johnson Vaccine and the Pfizer and Moderna vaccines, the risk of getting a fever during pregnancy after getting the coronavirus vaccine, and many other topics.
The Vaccine Confers Immunity to Your Growing Baby
If you’re a pregnant mother and you receive the coronavirus vaccine, your body will produce antibodies and those antibodies will go from your body, to your placenta, to the baby’s body and protect the baby from Coronavirus. You will also share antibodies with your baby after birth via breast milk.
From the Harvard Gazette:
In the largest study of its kind to date, researchers at Massachusetts General Hospital (MGH), Brigham and Women’s Hospital and the Ragon Institute of MGH, MIT and Harvard have found the new mRNA COVID-19 vaccines to be highly effective in producing antibodies against the SARS-CoV-2 virus in pregnant and lactating women. The study also demonstrated the vaccines confer protective immunity to newborns through breast milk and the placenta.
Coronavirus Vaccine and Fever in Pregnancy
Getting the coronavirus vaccine during pregnancy may cause a fever, however, this is not very likely and the fever after vaccination is of short duration and unlikely to cause any damage to the growing baby or fetus. From Harvard Health:
One possible side effect of the COVID-19 vaccines is fever a day or two after vaccination. This occurred in about
1% to 3% of people after the first dose of mRNA vaccine
15% to 17% after the second dose of mRNA vaccine
9% after the Johnson & Johnson single-dose vaccine.
These fevers are generally low and can be managed with acetaminophen, which is safe to take during pregnancy. Rarely, high, prolonged fevers in pregnancy may lead to birth defects.
Thanks for reading and have a great day,
-Dr. Paul Thomas with Plum Health DPC
Reaching out to Young People with the Coronavirus Vaccine
How to Reach Young People with the Coronavirus Vaccine
Presently, young adults have a wait-and-see mentality when it comes to the coronavirus vaccination. According to Kaiser Health News, young adults, ages 18-29, were most likely to be in this “wait and see” group, at 25% of respondents.
One young adult trying to change this wait-and-see attitude among her peers is Christina Zerka, an undergraduate/pre-medical student at the University of Michigan.
She started a campaign called Save Summer 2021, through which she advocates for vaccine acceptance among young people, with the goal of returning to fun and engaging public events, like concerts, once herd immunity is reached.
The Save Summer 2021 campaign can be found on Instagram, YouTube, and their own website.
In this interview, we talk about the Save Summer 2021 campaign and how we can make sure that all groups within our country have access to the best information around coronavirus and the vaccine.
Thanks for reading and have a great day,
- Dr. Paul Thomas with Plum Health DPC
Coronavirus and Misleading Headlines for April 7th 2021
I've been reading too many misleading headlines in the Detroit Media landscape recently and I'm frustrated by this misinformation.
Media companies can present information in certain ways, and the way that this information is presented makes a difference for public perceptions, especially around coronavirus vaccine efficacy.
The headline I'm talking about is this one that I saw circulated on several news media outlets: "246 fully vaccinated Michiganders got COVID-19 between January and March, state reports"
This information is true, but it misleads the public into thinking that the coronavirus vaccines are not safe and effective.
The media organizations neglected the greater context in their initial reporting, failing to state clearly that 1,700,000 Michigan residents have been vaccinated and only 246 of those have become ill with Covid-19.
If I were to re-write this headline, it would say: "99.99% of vaccine recipients in Michigan have not become ill with Covid-19"
This speaks clearly to the safety and efficacy of the vaccine.
Additionally, some media outlets also reported that 3 fully vaccinated Michiganders have died after being fully vaccinated.
This is true, but again misleading.
When taken in the greater context of 1,700,000 (or 1.7 million) fully vaccinated Michiganders, that means that only 0.00017% of those fully vaccinated Michiganders have died from coronavirus.
That means that 99.9999% of those who have achieved full vaccination have NOT died from the coronavirus.
Further, these media organizations did not fully discuss the cases and left out pertinent details.
I would like to know, and these media outlets should report:
- How old were the people who got sick?
- Did these people have pre-existing conditions?
- Were these people taking medications that would suppress an immune response, like steroids or drugs for auto-immune conditions?
- Did these patients have HIV/AIDS or another condition that suppresses normal immune functioning?
- Did these patients die from COVID or were their deaths due to another cause, such as heart attacks, strokes, etc…?
My biggest fear is that people who are opposed to vaccinations will use these misleading headlines as "evidence" that the vaccines don't work, when, in fact, these vaccines are safe and effective.
Thanks for reading, and reach out to your City or County health department to get the vaccine.
If you live in the City of Detroit:
- Call: 313-230-0505
- Monday-Friday from 9 am until 6 pm.
- Any resident of the City of Detroit who is age 16+.
- Any person who works in the City of Detroit whose job requires them to work from their job site.
- There will be no cost to individuals for the COVID-19 vaccination.
Thanks again,
- Dr. Paul Thomas with Plum Health DPC
Coronavirus Update for Detroit on April 5th, 2021
The house is on fire.
Michigan reported 8,413 new Covid-19 cases on Saturday, bringing the state's total pandemic case count to 692,206.
There were 8,413 new Covid-19 cases on Saturday - we’re getting close to that big spike that we had around the holidays in November and December of 2020, and that’s not good news.
16,218 Michigan residents have died over the last 13 months from the Coronavirus.
Just because you're "over it" doesn't mean that Coronavirus will magically disappear.
We're all tired - we all want this to be over with.
But now is not the time for recklessness.
Be safe, be smart, mask up, keep your distance, and get the vaccine as soon as you can.
On the bright side, 31% of Michigan residents have gotten at least one dose of the vaccine, and 19% are fully vaccinated.
I was on Daily Detroit with Jer Staes talking about Coronavirus and why cases are skyrocketing here in Metro Detroit.
Listen here: http://www.dailydetroit.com/2021/03/30/the-house-is-on-fire-with-coronavirus-in-metro-detroit/
Or listen here:
Thanks for reading and have a great week. - Dr. Paul Thomas with Plum Health DPC
Coronavirus Vaccine Update for March 23rd 2021
Coronavirus status for march 25th 2021
I'm upset about this most recent spike in Coronavirus cases here in Michigan and Detroit/Southeast Michigan.
Yesterday, the State of Michigan reported 4,454 new cases, and sadly we are nearing 16,000 deaths from COVID.
We can do better. We all need to get vaccinated to protect ourselves, our loved ones, and our community. So far:
- 25.12% of Michiganders have received a single dose
- 14.31% of Michiganders have received both doses
That's great, but it will take 60 to 70% of us getting vaccinated to reach herd immunity.
I know that a lot of you are hesitant to get the vaccine, that's why I created this video and I answer as many questions as I possibly can to address these concerns. And, I'm happy to answer any other questions you have in the comments below.
Please - get the shot. You hold the power to save a life (or multiple lives) by getting vaccinated.
Coronavirus update march 2021
This is a presentation by Dr. Paul Thomas of Plum Health DPC in Detroit Michigan regarding Coronavirus, COVID 19, Coronavirus Vaccines, and frequently asked questions about COVD 19.
Topics:
Rising cases in Michigan, potentially due to lessening of restrictions
Age groups that are at the highest risk for Coronavirus
Comorbidities and Coronavirus, and why these pre-existing conditions lead to a higher risk of dying from Coronavirus
Hospitalizations and deaths related to coronavirus in the context of coronavirus and underlying medical conditions
How the mRNA vaccines work to create the Coronavirus Spike Protein
The difference between Pfizer, Moderna, and Johnson and Johnson Vaccines
What is the Adenovirus Vaccine Vector for the Johnson and Johnson Vaccine
Addressing a myth: the vaccine will alter my DNA - this is not true, the mRNA vaccine does not alter your DNA
Why the mRNA is easier and safer to produce and why it’s safer for patients
When will you get your vaccine? ie When will the coronavirus vaccine be available to me? (12:00)
Comparing and contrasting the Pfizer, Moderna, and Johnson & Johnson Vaccines
all of the vaccines are 100% effective in preventing hospitalization and death
The Johnson & Johnson vaccine is a 1 shot vaccine, so it may be better for specific populations
Comparing Polio to Coronavirus and Elvis Presley to Dolly Parton
How many vaccine doses have been given?
Is the Coronavirus Vaccine safe? (22:00)
If I’ve already had Covid, should I still get the Coronavirus Vaccine?
Should I get vaccinated with the coronavirus vaccine if I’m currently sick with Coronavirus?
Should I get vaccinated with the coronavirus vaccine if I’m currently pregnant or breastfeeding?
Vaccine efficacy against the South Africa and United Kingdom variants?
When will the Johnson and Johnson Vaccine be available?
What is Coronavirus Antibody testing (34:00)
What about myocarditis in college athletes who’ve had coronavirus?
Will there be a booster shot for Coronavirus vaccines?
What vitamins should you take to help ward off Coronavirus?
How common is Anaphylaxis after you get the Coronavirus Vaccine?
Can getting the Coronavirus cause problems with your immune system?
Thanks for reading and watching and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
How to Get the Coronavirus Vaccine at Ford Field in Detroit
This letter from Governor Gretchen Whitmer elucidates how to get the Coronavirus Vaccine at Ford Field:
The Ford Field site will operate from 8 a.m. to 8:30 p.m., seven days a week, for eight weeks under the federal government's vaccination pilot program. The community vaccination site is set to officially open on March 24.
After the registration process is completed, Michiganders who have registered will receive an invitation either by voice or text when it’s your turn to schedule the appointment. Vaccine appointments will be scheduled a few days in advance.
Sign-up is available through these three options:
Text EndCOVID to 75049
Call the MDHHS COVID-19 Hotline at 888-535-6136 (press 1)
Residents who don’t have access to the internet or need assistance navigating through the registration process can use the MDHHS COVID-19 Hotline to register. Call Monday through Friday from 8 a.m. to 5 p.m., and Saturday and Sunday 8 a.m. to 1 p.m. It is expected that the call center will have long wait times, so calling is recommended only if you cannot register online or by text.
The vaccine will be offered at no cost, and insurance is not required, nor will it be requested at the vaccination center.
Free parking will be available at the vaccination site. For those who indicate, during the registration process, they need assistance obtaining transportation to and from the vaccination site, the state is working to provide free of charge ride share options.
The Ford Field community vaccination site is a testament to what we can do when we work together. I am grateful for President Biden’s leadership and for the partnership of the Detroit Lions, Meijer, Wayne County, the City of Detroit, and our federals partners at FEMA.
We will keep ramping up our equitable vaccine rollout, and with the addition of the Ford Field community site, we are taking a significant step towards returning to normal as we continue rebuilding our economy.
Let's end this pandemic together.
Governor Gretchen Whitmer
Ford Field has hosted different health related events in the past - check out our blog post from two years ago where we participated in a Men’s Health event at Ford Field.
Also, let me clear on this point: getting the Coronavirus Vaccine at Ford Field will not be the most painful experience that you’ve ever had at Ford Field, especially if you’re a Lion’s Fan. If you’ve lived through this moment, then you can tolerate the Coronavirus Vaccine.
Thanks for reading all of that, as a reward, here’s a video of me kicking a field goal at Ford Field:
More information on the Coronavirus Vaccine at Ford Field:
Vaccine is offered at no cost
No insurance required to get the vaccine
Any Michigan resident, 16 or older, can register
After registration, the Michigan Dept. of Health and Human Services will offer you a time to schedule the vaccine
Folks who are eligible now include:
65 years of age or older
50 to 64 years with a medical condition or disability
health care workers
long term care residents and staff
frontline responders
school and childcare staff
mortuary service workers
correctional staff and detained individuals
congregate care facility staff and residents
food workers
caregivers for children with special needs
Free parking is available at the Gem Theatre if you’re entering through Gate A (red gate)
Free parking is available at the Ford Field Parking Deck if you’re entering through Gate G (green gate)
Free transportation is an option, and you can request free transport at the time of registration
In short, get your COVID vaccine now, and let's end the pandemic, just like the Green Bay Packers end our playoff hopes every season.
Thanks for reading and have a wonderful day,
-Dr. Paul Thomas with Plum Health DPC
Distribute the Johnson and Johnson Coronavirus Vaccine to Doctors
Pull up a chair, have a seat, and grab the newspaper 📰 our Opinion is in the Detroit News!
We believe that healthcare should be affordable and accessible, and part of that includes making sure that the vaccine 💉 is available at primary care offices across the city and region.
You see, people have a high degree of trust in their doctors 🥼 so let us help educate and vaccinate, but we need the vaccine on hand to make this work.
Just about every day this week, a different patient has asked me when they’ll be able to get the vaccine from our office. Our patients are used to getting vaccinated here in our Plum Health DPC clinic -we vaccinate folks every day to prevent the flu, shingles, cervical cancer, hepatitis, and more. Our patients come to expect that they can get the vaccine from our clinic, any vaccine.
So you can imagine their surprise when we tell them that we don’t have the vaccine on hand.
You can read our full opinion on the Detroit News, here.
Special thanks to David Wright, medical student at Wayne State University School of Medicine for helping me write this article.
Coronavirus Update for March 2021 - Understanding the Vaccines
There are a ton of questions about the Coronavirus and what's going on with the virus and the vaccines in the City of Detroit and in Michigan, so I try to answer as many of those questions as I can in this video.
Low Rate of Pediatric Flu Deaths This Year
Did you know that there's only been 1 pediatric flu death this entire flu season? That's down from 150 to 200 pediatric flu deaths annually and it is likely attributed to mask wearing, physical distancing, and children being out of school.
Number of Coronavirus Cases in Michigan are on the Decline
In the State of Michigan, there have only been 1,400 new cases each day on average over the last 7 days, which is tremendous improvement from 9,000 cases each day in late November and early December 2020.
Coronavirus Death Toll in Michigan Hits a Grim Milestone
That being said, 15,610 Michigan residents have died from the coronavirus. To put that into perspective, there are 15,570 residents in Traverse City and 15,498 residents in Grosse Pointe Woods. To say that the coronavirus death toll is staggering is an understatement.
Coronavirus Vaccine Distribution in the State of Michigan
Fortunately, the vaccine doses are being distributed efficiently here in the State of Michigan and in the City of Detroit. 2.48 million vaccines have been given state-wide, and 8.92% of Michigan residents or 891,000 people have received 2 doses. Michigan ranks 9th in number of vaccines distributed nationally, and that's great.
How Does the mRNA Vaccine Work?
Next up, the Pfizer and Moderna Coronavirus Vaccine are made by injecting mRNA into your body, and that mRNA makes a spike protein which elicits an immune response from your body. People often think that the mRNA vaccine changes your DNA, but it doesn't.
Who is Eligible for the Coronavirus Vaccine in the City of Detroit?
Many more people are eligible for getting the coronavirus vaccine as time goes on. In Detroit, if your 50 or older with a pre-existing condition, you're eligible. If you're a food service worker, you're eligible. If you're a member of the clergy, a factory worker, a janitor, or a teacher, you're eligible.
You can see full details on who is eligible by going to this link or call 313-230-0505 Monday-Friday from 9 am until 6 pm to schedule an appointment.
The Johnson and Johnson Vaccine
The Johnson and Johnson vaccine is now available - it only requires one dose and it's a adenovirus vaccine, which means the vaccine is packaged in a virus vector. The J&J vaccine is 85% effective agains severe disease and 100% effective against hospitalization, and you only need one shot. If you're offered any of the available vaccines, get the shot, protect yourself, and protect your loved ones.
Stay safe and healthy,
- Dr. Paul Thomas with Plum Health DPC in Detroit, MI
Oakland County Vaccine Rollout Update
COVID-19 vaccine update in Oakland County: Save Your Spot Sign-up Available until Vaccine Supply Increases
Pontiac, Michigan – Oakland County Health Division (OCHD) is asking residents to remain patient during this time because of the overwhelming demand for the COVID-19 vaccine. The Health Division has received 7,800 doses, administered about 5,600 vaccines, and scheduled an estimated 17,000-plus first- and second-dose appointments through the end of February. Minimal vaccine supply, however, limits our ability to schedule appointments for the hundreds of thousands of eligible workers and Oakland County residents who are still waiting to be vaccinated. Use the newly launched Save Your Spot link on our website oaklandcountyvaccine.com to help us identify individuals who are eligible and interested in receiving the COVID-19 vaccine. For anyone unable to complete the form, call our upgraded health hotline at 800-848-5533.
"We are asking the community to help us plan for administering future doses of vaccine we receive by completing this new form," said County Executive David Coulter. "This will help us reach residents and workers who are eligible for vaccination when more doses become available. As we receive more vaccine, we will continue to administer them quickly and efficiently until everyone has the opportunity to receive the vaccine."
The Health Division is currently vaccinating individuals in phases 1A and 1B of the Michigan Department of Health and Human Services (MDHHS) COVID-19 vaccination plan who work or live in Oakland County.
The Health Division is following MDHHS and Centers for Disease Control and Prevention (CDC) recommendations for prioritizing distribution of COVID-19 vaccines to individuals. According to MDHHS, those now eligible to receive the vaccine include:
Healthcare workers
Residents 65 years and older
Frontline essential workers including police officers, first responders, frontline state and federal workers, jail, and prison staff; and preK-12 teachers and childcare providers (Phase 1B)
In addition to frontline essential workers, there are over 217,000 residents age 65 and older eligible to receive the vaccine in Oakland County. To receive updates on COVID-19 vaccine availability, register your email address at oaklandcountyvaccine.com or text OAKGOV COVID to 468311. The Health Division phone lines are very busy and sometimes Nurse on Call receives over 20,000 calls per day. Oakland County appreciates the public's patience. Nurse on Call is available at 800-848-5533 to answer health-related questions, make COVID-19 testing appointments, and assist those unable to complete the 'Save Your Spot' link.
Currently the COVID-19 vaccine is available through local health departments and local health systems. Residents are encouraged to check their health providers online medical chart or portal as all local health systems are going to start making appointments for their patients once they vaccinate their medical personnel.
Vaccine information can be found at:
Oakland County: https://oaklandcountyvaccine.com/
MDHHS: Michigan.gov/COVIDVaccine
CDC: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html
More information about COVID-19 can be found on the Health Division's website at www.oakgov.com/covid. For up-to-date public health information, follow @publichealthOC on Facebook and Twitter.
Frustrations Around Vaccine Rollout are Palpable
As we learn more about Coronavirus Vaccine availability, we'll keep you updated.
Vaccine Options for Oakland County Residents
For residents of Oakland County, there are some options, but they are not robust at this time.
One option would be the Oakland County Health Department. It looks like they are not yet vaccinating https://oaklandcountyvaccine.com/eligibility/
You could periodically check this website to see when they are opening up mass vaccinations.
The other option would be Beaumont Health. However, their website crashed on Friday from people trying to make appointments.
You could try to create an account via the MyBeaumont Chart, here: https://www.beaumont.org/my-beaumont-chart and hope that they send an email to you.
Some of our patients have received an email invitation via the Beaumont MyChart system to get the vaccine. They are trying to give it to people over 75 and then over 65 years of age.
Henry Ford Hospital is doing something similar. Here’s some information from the Detroit Free Press:
Don't call us. We'll call you.
That's what the state's COVID-19 vaccine website and many local health departments are telling seniors, teachers, child care workers and law enforcement officers who will be eligible starting Monday for coronavirus vaccines through an expansion of the statewide immunization program.
In part, that's because local health officials had almost no heads up before Gov. Gretchen Whitmer announced anyone 65 or older would soon be eligible to be vaccinated.
Whitmer announced Wednesday that starting next week, people in Priority 1B group will be able to get COVID-19 vaccines along with health care workers, people living and working in long-term care facilities and emergency medical responders who are part of the 1A Priority group.
In short, a lot of people are feeling frustrated and confused about the vaccine roll out - you're not alone in this.
As we know more information, we will share it with you.
As an addendum, in yesterday’s blog we talked about the Vaccine Rollout at the TCF Center in Detroit. Some of our patients have been calling the number since 9 am and it has been continually busy. If you get through, please send me an email or drop a comment on the bottom of this post.
- Dr. Paul Thomas with Plum Health DPC
Getting the Coronavirus Vaccine in Detroit and Southeast Michigan
Getting the coronavirus vaccine in Detroit and Southeast Michigan will be challenging as this is a new experience for our country in recent history - we haven’t seen mass vaccination efforts like this since perhaps the Polio vaccinations of the 1950’s.
I am writing this blog post to get as much information out to our communities as quickly as possible, and to help educate folks around vaccine options.
The state of Michigan just published a Vaccine Prioritization Guidance and you can find that PDF by clicking here. I will summarize the key points from the document here.
The state of Michigan just published a Vaccine Prioritization Guidance and you can find that PDF by clicking here. Everyone in Phase 1A should have gotten their first dose of vaccine already, these include Health Care Workers and Residents of Long-term Care Facilities and Staff, like nursing homes and assisted living facilities.
Now the State of Michigan is entering Phase 1B and rolling out the vaccine to a broader audience - those 75 years of age and older, Frontline Workers, School and Child Care Staff, and Corrections Facility Staff.
Everyone in Phase 1A should have gotten their first dose of vaccine already, these include Health Care Workers and Residents of Long-term Care Facilities and Staff, like nursing homes and assisted living facilities. If you are in Phase 1A and you haven’t gotten the vaccine, there are a few options that I explored in a previous blog post.
Who is in Phase 1B for Vaccination in Michigan?
Now the State of Michigan is entering Phase 1B and rolling out the vaccine to a broader audience - those 75 years of age and older, Frontline Workers, School and Child Care Staff, and Corrections Facility Staff. If you read the Vaccine rollout document closely, you’ll see the following info about who is in Phase 1B.
PHASE 1B:
Persons 75 years of age or older and frontline essential workers in critical infrastructure.
Group A:
Persons 75 years of age or older not covered in Phase 1A.
This includes those in a congregate setting that were not reached in Phase 1A.
Group B:
Prioritized frontline workers whose work role has frequent or intense exposure, and, due to the nature of the work, are not able to maintain social distance.
For example, a first responder may have to physically touch other people in their response, and a child care provider cannot maintain social distance from children when caring for their physical needs.
The specific prioritized categories are:
Pre-Kindergarten through high school teachers, support staff and child care workers who usually have direct contact with children
First responders not covered in Phase 1A (e.g., firefighters, police, conservation officers, inspectors)
Corrections workers (e,g,, staff in prisons, jails, juvenile justice facilities)
Workers in homeless shelters, congregate child care institutions, and adult and child protective services
Group C: Other frontline essential workers in sectors essential to the functioning of society and at substantially higher risk of exposure to SARS-CoV-2 because their work related duties must be performed on site and involve being in close proximity (i.e., within 6 feet) to the public or to coworkers.
Frontline essential workers in critical infrastructures include by ACIP are:
Food and agriculture workers
Critical manufacturing workers
Public transit workers
Grocery store workers
U.S. Postal Service workers
Workers with unique skill sets not covered above, such as non-hospital laboratories and mortuary services
If further sub-prioritization is needed of frontline essential workers due to limited vaccine supply, local health departments may consider prioritizing workers in locations of their jurisdiction where high rates of transmission and/or outbreaks have occurred and/or workers who are at increased risk for severe illness based on age or underlying medical conditions.
The Logistics of How to Get Vaccinated in the City of Detroit if You’re in PHase 1b
The City of Detroit Health Department will be administering the vaccines. The vaccines will be administered drive through style at the TCF center. On Thursday the city began giving on-site vaccines at Senior Care Home, critical care workers and homeless shelters. Friday they started vaccinating city essential (police, fire, EMS, and DDOT). Staring Monday the remainder of those eligible in Phase 1B are able to register on a first come, first serve basis to get vaccinated. This includes essential frontline workers. The call center is open Monday through Friday from 9am-6pm. Call 313.230.0505 be prepared to schedule two vaccine dates (two shots are required two weeks apart).
How to Schedule an Appointment
Starting Monday, Detroit residents age 75 and older and their “good neighbor” drivers 65 and over, will be able to call 313-230-0505 starting Monday to schedule an appointment at the TCF center. The first appointments will take place on Wednesday.
Detailed information on the TCF testing site is available at detroitmi.gov/covidvaccine. As additional independent vaccination sites at pharmacies and elsewhere come online in the city, a map of locations will be added to the website.
Driving directions to the TCF Center to get the vaccine.
It looks like you will enter the TCF Center’s surrounding area via West Jefferson, turning onto Steve Yzerman Drive near the old Joe Louis Arena site.
Thanks for reading and please share with a neighbor who may not have internet access or a car to get to the vaccine site. You could be that good neighbor that helps prevent the spread of Coronavirus by helping a neighbor get vaccinated.
-Dr. Paul Thomas with Plum Health DPC in Detroit MI
Coronavirus Update with Daily Detroit and Dr. Paul Thomas
This week, we had a great conversation with Jeremiah Staes of Daily Detroit about where we stand in terms of the Coronavirus, the number of infections, the number of deaths, and the status of the vaccine.
Will There Be Another Spike in Cases After the Holiday Season?
There were 8 million travelers who flew during the holiday season. It’s possible that we may see a large spike in new cases after the holiday break as more people visit friends and family out of state, contract the virus, and bring it back to Michigan. We may see a lag in this spike as people tend to be busier around the holiday season and this can cause people not to want to visit the doctor’s office to get tested during this time. So, we shall see what happens.
Can I Work Out at the Gym During the Coronavirus Pandemic?
Just because a place is open, it doesn’t mean that it’s a great place to hang out at. This definitely applies to gyms, as gyms are a great place to pick up the coronavirus. In the gym, people are touching multiple surfaces, breathing heavily, and coming into close contact. Just think of all of the surfaces inside a gym locker, or a treadmill, or an elliptical machine, or a rack of weights. It’s virtually impossible to wipe down every single surface after every use, so it’s best to exercise outside or at home.
We Discuss Equitable Vaccine Distribution
More vaccine doses have gone to
Fighting for Equitable Vaccine Access in Detroit
Vaccine Distribution Challenges in Detroit
This week, we’ve been frustrated by the way the Coronavirus vaccine has been distributed. Large hospital system primary care doctors, who mostly operate in suburban communities, have been able to get vaccinated. Meanwhile, independent primary care physicians, including our staff and other neighboring Detroit-based primary care doctors, have struggled to gain access to the vaccine at this time.
The issue is that, in our region especially, there is a corporate-based vaccine distribution. The majority of the vaccine has gone to large corporate health systems, and those doctors, nurses, and support staff who are employed by those larger health systems are more likely to get vaccinated.
This is a big frustration because this inequity in vaccine distribution will likely trickle down and affect our region negatively; suburban folks who live closer to larger health systems may have easier access tot he vaccine than those residents in urban underserved communities.
We recently talked to the news media about this issue, and we’re grateful to Ross Jones and Channel 7 Action News for picking up the story.
A National Perspective
On a National level, doctors have expressed frustration to National Public Radio (NPR) about inequality of vaccine distribution within the hospital. The article states that:
“At hospitals in Massachusetts, New York, Arizona, California and elsewhere, medical professionals say that those with the most exposure to COVID-19 patients are not always the first to get vaccinated. And others who have little or no contact with COVID-19 patients have received vaccinations.”
Possible Solutions
What could solve this issue? Perhaps we could have a national database for people to sign up, to ensure that no one is missed in vaccination and that no one receives too many doses or too few doses. Because vaccine recipients are given a plain card with the vaccine date and a follow up date, I could see the vaccine distribution becoming a problem for those with low health literacy, mental illness, or memory problems like Alzheimer’s disease.
Additionally, we could ensure that there is more equitable vaccine distribution among local health departments and hospital systems. For profit hospital systems will always act in a self-interested manner, vaccinating their employees and patients first. Health departments are more likely to reach out to the highest risk populations in the community and deliver the vaccine to nursing homes, assisted living facilities, vulnerable populations, and community-based primary care offices.
For example, my colleagues in other states and other counties have received phone calls and invitations for vaccines at their local health department. Other regions have hospital systems that act in a more equitable manner, inviting physicians and support staff and high risk populations from the community to get vaccinated at that hospital system.
Why Vaccine Distribution Matters
While I understand that this coronavirus pandemic is a once-in-one-hundred-years type of event, I will never stop advocating for health equity, especially at the community level. Vaccine distribution shouldn’t be based on which individual or corporation has the most money, but it should be based on risk factors and need. Equitable vaccine distribution matters, and we’ll keep pushing for that ideal.
Thanks for reading and watching,
-Dr. Paul Thomas at Plum Health DPC