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September AccessHealthFINAL

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- 29 - accessHealthNews.net Fall Special Edition 2021 Volume 8 | Issue No. 49 A s the COVID-19 Delta variant continues to dominate the country, the science community is looking ahead at what this means for the future. Local and national debates over mask and vaccine mandates, along with a flurry of misinformation, pose the question: What responsibilities do employers have in keeping employees healthy? Two recent webinars explored the current state of the pandemic as well as the role we all play in ending it. "Getting the Facts: COVID-19 Vaccines and Ending the Pandemic," hosted by Missouri Behavioral Health Council's (MBHC) Stevan Whitt, M.D., provided medical insight around the COVID-19 pandemic and vaccines. Dr. Whitt is the senior associate dean of clinical affairs and chief medical officer at the University of Missouri Health Care. The second half of the presentation addressed audience questions about vaccine hesitancy and provided education on topics surrounding common misconceptions and fears. "COVID-19: Lessons Learned & How Business Leaders Can Prepare for the Next Health Crisis," hosted by Virgin Pulse, featured presenters Dr. David Batman and Dr. Gary Smithson. Dr. Batman has been a registered medical practitioner in the United Kingdom for more than 40 years, and has been a part of a number of U.K. government employee health committees. Dr. Smithson is a board-certified pediatrician and accomplished healthcare executive. He volunteers each week in the outpatient clinic at Children's Hospital Los Angeles as a clinical instructor of resident physicians. The presentation began with an overview of the state of the pandemic and vaccine rollout, then addressed employers' roles in promoting employee wellness. A series of audience polls sparked discussion on what methods employers are using, if any, to promote vaccination efforts, and if they should be doing so. THE CURRENT STATE OF COVID-19 The recent rise of the Delta variant, the latest and most transmissible variant of the virus thus far, has created confusion. The fact that the virus has mutated and can now be transmitted by or cause outbreak illnesses within vaccinated people has re-sparked fear in those already hesitant to get the vaccine. However, Dr. Batman says the progression of variants is expected, especially with the disproportionate vaccination statuses globally. "It's changed but that's not unexpected," he said. "This is what viruses do. It's not surviving, and it needs to change to do that." While we may have successfully combated the original strain of the coronavirus, the uneven vaccination populations have allowed it the opportunity to mutate. The Delta variant is now the predominant strain in the United States and is two times as transmissible as previous variants. Delta also has a shorter incubation period, faster replication rate, and high viral loads – 1,000 times higher than the original strain. According to Dr. Smithson, someone infected with the original strain of the virus could, on average, infect 2.4-2.6 others. The version of coronavirus that caused Europe's first wave infected about three people on average. The Alpha variant infected four to five. The Delta variant's average is now up to nine people, creeping comparatively closer to that of mumps (12) and measles (18). "The Delta variant is really challenging to our goal to achieve global herd immunity," Dr. Smithson said. Originally, scientists estimated that if 60- 70% of the population was vaccinated or had the disease, the result would be herd immunity and the spread would slow. "But with this more contagious and infectious Delta variant," he continued, "the estimate is now up to 80-90%. It's a real challenge." As of the webinar on Aug. 25, only 10% of the world's population has been fully vaccinated. Many developing countries are only 1% vaccinated. Some of the challenges to global herd immunity include: • Unevenness of vaccine rollout globally. • Uncertainty about how long immunity lasts from infection and vaccination. • Delta and other potential future variants. • Inability to vaccinate children. • Vaccine hesitancy. "I don't believe we will ever reach full herd immunity," Dr. Batman said, citing vaccine hesitancy as the biggest obstacle. "It's an education problem. We need to listen to people, hear people, and understand where they are. You can make your own choices for yourself, but who do you go home to? More and more, we have to start worrying about other people as well."

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