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CDC’s New Guidelines for People Who Are Fully Vaccinated

The CDC published new guidelines on March 8, explaining what has changed and what has not changed for people who are fully vaccinated. CDC defines fully vaccinated to mean two weeks after receiving the second dose of the Pfizer or Moderna vaccine or two weeks after receiving the Johnson & Johnson vaccine.

The CDC says what has changed: “If you’ve been fully vaccinated:

  • You can gather indoors with fully vaccinated people without wearing a mask.
  • You can gather indoors with unvaccinated people from one other household (for example, visiting with relatives who all live together) without masks, unless any of those people or anyone they live with has an increased risk for severe illness from COVID-19.
  • If you’ve been around someone who has COVID-19, you do not need to stay away from others or get tested unless you have symptoms.
    • However, if you live in a group setting (like a correctional or detention facility or group home) and are around someone who has COVID-19, you should still stay away from others for 14 days and get tested, even if you don’t have symptoms.”

The CDC says what has not changed: “For now, if you’ve been fully vaccinated:

  • You should still take steps to protect yourself and others in many situations, like wearing a mask, staying at least 6 feet apart from others, and avoiding crowds and poorly ventilated spaces. Take these precautions whenever you are:
  • You should still avoid medium or large-sized gatherings.
  • You should still delay domestic and international travel. If you do travel, you’ll still need to follow CDC requirements and recommendations.
  • You should still watch out for symptoms of COVID-19, especially if you’ve been around someone who is sick. If you have symptoms of COVID-19, you should get tested and stay home and away from others.
  • You will still need to follow guidance at your workplace.”

The CDC says, “What We Know and What We’re Still Learning:

  • We know that COVID-19 vaccines are effective at preventing COVID-19 disease, especially severe illness and death.
    • We’re still learning how effective the vaccines are against variants of the virus that causes COVID-19. Early data show the vaccines may work against some variants but could be less effective against others.
  • We know that other prevention steps help stop the spread of COVID-19, and that these steps are still important, even as vaccines are being distributed.
    • We’re still learning how well COVID-19 vaccines keep people from spreading the disease.
    • Early data show that the vaccines may help keep people from spreading COVID-19, but we are learning more as more people get vaccinated.
  • We’re still learning how long COVID-19 vaccines can protect people.
  • As we know more, CDC will continue to update our recommendations for both vaccinated and unvaccinated people.

“Until we know more about those questions, everyone — even people who’ve had their vaccines — should continue taking basic prevention steps when recommended,” says the CDC.

Risk of Community Spread

Two of the charts in the above chart box track: 1) the total number of new COVID-19 cases per 100,000 people in Evanston, Suburban Cook County, Chicago and the State, and 2) the percentage of tests for COVID-19 that were returned positive in the last 7 days.

For total cases in the last 7 days per 100,000 people, IDPH uses a target of 50 cases. CDC says between 10 and 49 cases represents a “moderate” risk of transmission.

For test positivity in the last 7 days, IDPH uses a target of 5%. CDC says between 5% and 7.9% represents a “moderate” risk of transmission. [1, 2 and 3]

Evanston – COVID

The City reported 3 new COVID-19 cases of Evanston residents today, the same as yesterday.

The average number of new cases per day in the last seven days is 6.4, down slightly from the seven-day average of 8.6 on March 2.

In the last seven days, there was a total of 45 new COVID-19 cases of Evanstonians. The 45 new cases equate to about 60 new cases per 100,000 people in the seven-day period.

The case positivity rate over the last seven days is 0.6%. The rate has dropped from 2.9% on March 5.

There has been a total of 3,986 COVID-19 cases of Evanston residents during the pandemic, 168 of which are active.  

No Evanstonian died due to COVID-19 in the last 24 hours. The number of deaths due to COVID-19 remains at 114.

Impact of Northwestern University. Northwestern University has posted data on its website reporting that between March 1 and March 7 there were 27 new confirmed COVID-19 cases of faculty, staff, and students. The number includes those who live outside of Evanston. The City says it does not know how many of these cases are people who live in Evanston. [5]

Illinois – COVID

 In the State, there were 1,510 new COVID-19 cases reported today, up from 1,182 yesterday.

Statewide, the average number of new cases per day in the last seven days is 1,659. The seven-day average one week ago, on March 2, was 1,728, so today’s number is down by 4%.  

Today’s seven-day average is down from an all-time high of 12,380 on Nov. 17. An accompanying chart shows the trend.

In the seven days ending March 9, the number of new cases per 100,000 people in the State was 92, down from 95 one week ago.

The seven-day case positivity rate for the State today is 2.3% and the test positivity rate is 2.7%.

On a Statewide basis, the number of hospitalizations due to COVID-19 was 1,177 as of midnight on March 8. This is down from an all-time high of 6,171 on Nov. 23.

The number of patients using ICU beds is 203, down from 1,195 on Dec. 1. The number of patients on ventilators is 132, down from 724 on Dec. 1.

On a Statewide basis, there were 16 deaths due to COVID-19 in the last 24 hours, which brings the total to 20,781.

For the last seven days, the numbers of deaths in the State are 44, 42, 33, 49, 14, 5, and 16 today. The seven-day average is 29.

Variants in Illinois

IDPH also reported today there were a total of 88 confirmed cases of COVID-19 variants in the State: 85 are the variant first discovered in the UK; 2 are the variants discovered in South Africa, and 1 is a variant discovered in Brazil.

Vaccinations in the State

A total of 4,597,805 doses of vaccine have been delivered to providers in Illinois, including Chicago and long-term care facilities. IDPH is currently reporting that a total of 3,463,150 doses of vaccines have been administered.

FOOTNOTES 

1/ On Feb. 12, the CDC issued a “K-12 School Operational Strategy.” As part of that strategy, the report says, “CDC recommends the use of two measures of community burden to determine the level of risk of transmission: 1) the total number of new cases per 100,000 persons in the past 7 days; and 2) the percentage of nucleic acid amplification tests (NAATs), including RT-PCR tests that are positive during the last 7 days. The two measures of community burden should be used to assess the incidence and spread of SARS-CoV-2 in the surrounding community (e.g., county) and not in the schools themselves.” The CDC provides a chart to assess whether the risk of transmission is low, moderate, substantial, or high. The CDC recommends different types of mitigations depending on the risk level. If the two indicators suggest different levels of risk, the mitigations recommended in the higher level of risk should be implemented, says CDC. The table below, reprinted from CDC’s report, provides CDC’s Indicators and Thresholds for Community Transmission of COVID-219.

 2/ Number of Cases per 100,000 Population. On July 1, a network of research, policy and public health experts convened by Harvard’s Global Health Institute and Edmond J. Safra Center published a Key Metrics for COVID Suppression framework that provides guidance to policy makers and the public on how to target and suppress COVID-19 more effectively across the nation. The targets for new COVID-19 cases per 100,000 people are as follows (these are converted from cases per day to cases per week): a) less than 7 cases: “on track for containment;” b) 7 to 63 cases: “community spread,” rigorous test and trace program advised; c) 70 to 168 cases: “accelerated spread,” stay-at-home orders and/or rigorous test and trace programs advised; and d) 169+: ”tipping point,” stay-at-home orders necessary.  The article is available here: https://globalepidemics.org/key-metrics-for-covid-suppression/

IDPH provides these categories and ratings: 1) “minimal” – fewer than 50 cases per 100,000 in a week; 2) “moderate” – between 50 and 100 cases per week; and 3) “substantial” more than 100 cases per 100,000 in a week.  In its Metrics for School Determination of Community Spread, IDPH says the “target” is 50 cases per week per 100,000 people.

3/ The Test Positivity Rate. In addition, on May 26, Johns Hopkins University & Medicine Coronavirus Resource Center said on its website that “the World Health Organization (WHO) advised governments [on May 15] that before reopening, rates of positivity in testing (i.e., out of all tests conducted, how many came back positive for COVID-19) should remain at 5% or lower for at least 14 days.”  Link: https://coronavirus.jhu.edu/testing/testing-positivity

The Harvard Global Health Institute (HGHI) says, “A network of research, policy, and public health organizations convened by Harvard and MIT called the TTSI Collaborative has agreed on a 3% test positive rate or below as a key indicator of progress towards suppression level testing.”

IDPH says the test positivity target is 5% or less. IDPH provides these categories and ratings: 1) “Minimal” – test positivity rate is equal to or less than 5%: 2) “Moderate” – test positivity rate is between 5% and 8%; and 3) “Substantial” – test positivity rate is over 8%. In its Metrics for School Determination of Community Spread, IDPH says the target is 5%.

4/ Calculations. The RoundTable calculates the number of cases per 100,000 using case data provided by IDPH and assuming that the population of Suburban Cook County is 2.469 million, that the population of Chicago is 2.710 million, and that the population of Illinois is 12.671 million.

5/ Northwestern University COVID-19 Cases. Ike C. Ogbo, Director of Evanston’s Health & Human Services Department, told the RoundTable that the COVID-19 cases reported by the City include cases of faculty, staff, and students attending Northwestern University who live in Evanston. The RoundTable asked the City in an FOIA Request to provide the number of NU students who tested positive for COVID-19 and who live in Evanston. The City refused to provide the data. On Oct. 26, the RoundTable appealed the City’s decision to the Public Access Counselor of the Attorney General’s Office. On Nov. 13, the City filed a response claiming it does not have any records showing the number of NU students who tested positive for COVID-19 and who live in Evanston.

The RoundTable has asked Northwestern University on several occasions to provide information breaking out the number of new COVID-19 cases of its faculty, staff and students by residency in Evanston. NU did not respond.

 

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