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September AccessHealthFINAL

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- 7 - accessHealthNews.net Fall Special Edition 2021 Volume 8 | Issue No. 49 M ore than 80 million Americans remain unvaccinated against COVID-19 as hospitals reach capacity and death tolls rise. The Delta variant is slated to be more than two times as infectious as previous strains, with a viral load (a measure of the density of viral particles in the body) of at least 1000 times higher than other variants, according to some reports. The Centers for Disease Control and Prevention (CDC) described Delta as more transmissible than the common cold and flu – as well as the viruses that cause smallpox, MERS, SARS, and Ebola – and called it as contagious as chickenpox. This determination comes from a CDC internal document obtained by and reported on in a recent New York Times article. If that's not enough, the young and unvaccinated are among the patients landing in hospital ICUs – many of whom are in their 20s and 30s. According to a recent NPR article, 94,000 child cases of COVID-19 were reported in early August, a 31% increase compared with just one week earlier. HOPE DEFERRED These optics are far different than early 2020, when most severely ill COVID-19 patients in ICU beds were older adults. During the recent Get Link'd 2021 Missouri Rural Health Association Conference, Richard Logan, Pharm. D. – ESPhA, talked about COVID-19 vaccine efforts in Southeast Missouri – an area that is flagrantly vaccine hesitant. Dr. Logan, along with his son Tripp, own and operate three independent pharmacies in Mississippi County, which sits on the far Southeast corner of Missouri. Charleston, Missouri is Dr. Logan's lifelong home. It's also where his L&S Pharmacy is headquartered, and is 20 miles from the closest hospital. Charleston and neighboring East Prairie are the only two cities in the county with clinics, pharmacies, and the county health department. "Like most of rural Missouri, this area of the state is highly agricultural. The demographics include some of the poorest in the state," he said. "We have the poorest folks, with the poorest health literacy. We say we are 'the land of fried chicken, fried catfish, and sweet tea.'" When the pandemic first took shape in the U.S., Dr. Logan recalled how it hit both coasts as ICU beds filled. "From the safety of rural Missouri, we watched mobile hospitals begin to popup, and we watched people get sicker and sicker and sicker from COVID-19… We watched hospitals on both coasts call in refrigerated trucks to act as makeshift morgues." The pandemic eventually made its way to middle America, hitting St. Louis, Kansas City and Springfield, Missouri. Pharmacies closed their lobbies and went to curbside service, and physicians' offices transitioned from office visits to telehealth. Realizing this meant patients would fall through the cracks, Dr. Logan and his team of community health workers (CHWs) launched outreach efforts to find out who needed medication, and who needed access to a physician. He also brought potentially infected individuals to the pharmacy and performed rapid COVID testing. This hit home, literally. "My wife and I were driving, and she said to me, 'What if you get this virus, and what if you bring it home to me?'" • Visit vaccines.gov (English) or vacunas.gov (Spanish) to search and find a vaccine nearby. • Text GETVAX (438829) for English or VACUNA (822862) for Spanish to receive 3 vaccine sites. • National COVID-19 Vaccination Assistance Hotline 1-800-232-0233. (TTY line 1-888-720-7489.) Find a Vaccine Near You "And then we began to see the trickle of patients at our local hospital in Scott County and in Sikeston reach capacity," Dr. Logan said. "We realized it was here, it was among us, and we had to do something."

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