Features, Lead Stories

Experts offer guidance on COVID vaccines

By LARRY THAUL – Contributor

Two experts presenting to The Larchmont-Mamaroneck Local Summit on Tuesday, Nov. 9, claim that Westchester County residents rank among the most
protected in the United States. Our progress toward herd immunity has been outstanding over the past year given the wide administration of vaccines in our area. In contrast, the unvaccinated comprise 99% of current U.S. deaths. These figures, trends, and a host of useful recommendations and data summarized the status and effects of COVID in our community among related concerns. The meeting was a webinar co-hosted by LMC Media.

Dr. Robert W. Amler, dean of the school of Health Sciences and Practice and Vice President for Government Affairs of the NY Medical College, laid the groundwork through a slide deck showing historically how far public health has progressed over the last century in controlling the spread of disease worldwide. He stressed that the first key COVID strategy remains avoidance, by blocking the virus through masking and social distancing. Further, getting the flu vaccine is important and if you get flu-like symptoms, be sure to get tested to ensure it is not COVID.

Regarding the COVID vaccine’s efficacy, Dr. Amler indicated that although symptom severity can vary, the vaccines have clearly worked extremely well as part of an overall strategy to control transmissibility. He clarified that the CDC follows many COVID variants but that the focus is on the Delta as a “variant
of high consequence.” Dr. Amler was clear that we won’t know the exact percentage of population needed to reach group or ‘herd’ immunity until we see it. At the point of lasting protected immunity, the virus will have nowhere to go, and die. He indicated we’re likely to see additional strains of COVID for the near future at minimum, and he made no forecasts about the upcoming winter, advising us to remain vigilant.

On a positive note, Dr. Amler emphasized that our county has among the highest percentage of college educated residents which he correlated with the willingness to keep informed, follow the pandemic discourse, and take actions consistent with advisories from the public health experts and officials.

Dr. Sherlita Amler, the Westchester County Health Commissioner since 2011, provided a range of relevant statistics for the county beginning with COVID-tracking data since Mar. 2020. The vaccine accounted for a tremendous drop-off in deaths since its introduction in Dec. 2020 through Jan. 2021, especially
for those over the ages of 65. The vaccine is 94% effective in preventing hospitalizations for those 65 years old and older. Further, of the 29 hospitalizations in
the county as of Nov. 8, 21 were people who hadn’t received a vaccine. She stated that when students age 12 through17 are vaccinated, there will no longer be a
requirement for those exposed to the COVID virus to quarantine.

As of Nov. 2, Dr. Amler made clear that the trend toward a wider vaccinated public continues with the Emergency Use Authorization for those age 5 through 11.
She stated that only the Pfizer vaccine for those 18 years old and  older has full FDA approval. She encouraged all residents age 65 and older and at high risk medically, or who perform a high risk job such as working in a nursing home, hospital, or other areas of severe exposure, should complete getting their shots and booster.

Dr. Amler cited a striking statistic: in the 11-month span from Nov. 2020 to Oct. 2021, new COVID cases dropped countywide from 477 to only 49 with hospitalizations down from 23 to 2. The number of fully vaccinated age 65 years old and older in Westchester now stands at over 86%. Indeed, over 99.9% of those age 65 years old and older have had at least 1 shot. Countywide, among those age 12 and older, 92% have had at least 1 dose and 82% have had two doses. Her charge to all was confident and positive: stay calm, stay tuned, and use the knowledge at hand to improvise our way through this pandemic.

On the question of travel, Dr. Robert Amler advised the following: evaluate the importance of the trip, find out the COVID transmissibility level in the country
or location you will be visiting, determine the availability of medical care in the area, and know the length of the flight. He stressed that testing forms the
basis of confidence. PCR tests are best but take a bit longer. He stated that home testing kits tend to give both false positives and false negatives and are not very reliable. Moreover, tests of the body’s own antigen levels produce more false-positives, and the antibodies’ strength and sustainability are unknown.

For the holidays, Dr. Sherlita Amler strongly recommends we all employ multiple layers of protection and that grandparents take as many precautions as possible to minimize exposures from grandchildren. These include masking, social distancing, and double vaccinations and boosters as well as first vaccine doses for children age 5 through11 administered before Thanksgiving. Testing before visiting relatives helps, as well.

Both physicians, our health commissioner and the health sciences dean, advised everyone to get the booster. They pointed out that evidence supports the choice
of having a different booster from your previous shots though there is no evidence as to an advantage to any specific combination of shots and booster. Though no single mask was recommended, surgical masks are preferred, if available, as they afford multiple layers. However, they agreed that any mask is better
than none to prevent the spread.
(Submitted)