June 15, 2021
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Deaconess Community,
 
As children across the nation are readying for summer camps, sports leagues, and various other non-virtual out-of-school activities, in this final edition of our Vaccine Education Digest series we focus more narrowly on the voices of youth and information and resources related to vaccinating them. Now that at least one COVID-19 vaccine is available for children as young as 12-years-old, with another vaccine manufacturer seeking emergency authorization, many parents, guardians, and caregivers are considering whether or not vaccination is best for their children.
 
Though children have fewer complications with COVID-19 than older adults, as Dr. Jason Newland, pediatric infectious disease physician with St. Louis Children’s Hospital, points out adolescents can easily transmit the virus and more than 400 have succumbed to the virus. The risk of severe disease is higher among Black and Brown youth than their White peers. As Dr. Newland explained, increased vaccinations in the community among adults and eligible children will help to mitigate the spread of the virus. The Food and Drug Administration’s emergency authorization of Pfizer’s COVID-19 vaccine for children as young as 12-years-old in May came after a clinical trial in which no cases of COVID-19 occurred among 1,005 vaccine recipients and 16 cases of COVID-19 occurred among 978 placebo recipients; the vaccine was 100% effective in preventing COVID-19. Safety monitoring of the vaccine in the adult and newly authorized youth population will be ongoing.
 
In the St. Louis region school districts have been working to reduce access barriers that disproportionately affect Black and Brown youth – those youth who are also disproportionately impacted by the virus. The Urban League of Metropolitan St. Louis is partnering with school districts, including Saint Louis Public Schools (SLPS) and University City School District, to host vaccine clinics for students. SLPS also offers bus transportation for students and their parents/guardians if needed.
 
We recognize information related to the COVID-19 vaccines and vaccination is updating frequently as policy and vaccine availability continues to evolve. There are several resources available, and here are several FAQs that may be helpful as you decide what the best course of action is for the children in your care:


In service to our children,

Cheryl D.S. Walker
Interim President and CEO
Deaconess Foundation
COVID-19 RESPONSE AND RECOVERY PARTNER SPOTLIGHT:
ST. LOUIS AMERICAN COVID-19 FELLOW – Youth weigh in on Vaccinations
Sylvester Brown, Jr. | The St. Louis American
(Published May 14, 2021)
 
For a 12-year-old, Milo Marston has some very grown-up thoughts about politics and the spread of the coronavirus in the United States:
 
“It was so ridiculous that he (President Trump) politicized the virus in the name of delusional, macho posturing.”
 
Milo had an equally layered answer when asked about grown-ups who refuse to wear masks to ward off infections or who won’t even consider being vaccinated:
 
“That all seems kinda stupid to me. It seemed to be just another outgrowth of the fake news and political stigma that’s been cropping up over the years.”
 
It’s obvious Milo, a 7th grader at Kairos Academies Charter School in the city, is the product of engaged liberal parenting. His father, Brian Marston, is the director of Web Technology at Washington University. His mother, Amanda Doyle, is the published author of several books. Their passions seem to have impacted Milo who remembers attending rallies and marches on climate change and Black Lives Matter as an infant. The boy’s thinking provides an interesting glimpse into a demographic that will soon be eligible for vaccinations to protect against COVID-19.

“I think it’s good. I mean the (school) year is almost over but maybe when we return, we’ll be less scared about spreading the virus, especially if you have high-risk people in your family.” - Gabrielle Henderson, age 13

This week the Centers for Disease Control and Prevention (CDC) and the US Food and Drug Administration (FDA) approved expanded emergency use of the Pfizer shot that will be administered to children aged 12-15. The decision makes it the first-time coronavirus vaccines is authorized for younger teens and adolescents.

Since the announcement, many parents of young children have expressed opinions ranging from optimistic support to stubborn resistance. Some said vaccinating kids is a quick way to achieve “herd immunity” and get the country back to what many define as “normal.” Some feel the science doesn’t support the rushed effort to vaccinate children. Then there are those who wonder if vaccines will be as effective with children as scientist say they are with adults.

Adults have questions and opinions but what do kids in this new targeted age group think? Since they now qualify for vaccinations, isn’t it important to know?

Gabrielle Henderson, 13, a 7th grader at McKinley Classical Leadership Middle School said she’s well-informed ready to get her shot: “I think it’s good. I mean the (school) year is almost over but maybe when we return, we’ll be less scared about spreading the virus, especially if you have high-risk people in your family.”

Gabrielle said her parents, Raquita and Jerry Henderson, are avid news-watchers. Because of them, her teachers, and social media, Gabrielle said she’s stayed up to date throughout the pandemic’s deadly spread: “I also use Tiktok and people were talking about it all the time there,” Gabrielle said before describing COVID’s impact on her: “It wasn’t scary…just very weird. Everything went virtual. It was confusing at first but then I got the hang of it and I was fine.

“Part of me doesn’t really trust the vaccine. But, on the other hand, I can see how it can help, especially since the country is trying to get back to normal.”- Jayla Williams, age 16

Jayla Williams, 16, hasn’t been vaccinated even though she’s already eligible. Like some adults, the North Technical High School junior expressed skepticism: “Part of me doesn’t really trust the vaccine. But, on the other hand, I can see how it can help, especially since the country is trying to get back to normal.”

Jayla, who defines herself as an “introvert,” found that staying at home, quarantining from the virus suited her personality: “I didn’t miss in-person classes. I’m already anti-social, now I’m even more so. Quarantine was boring but it gave me time for a lot of self-reflection and discovering new things about myself and I have to say that was a good thing.”

Although Milo, Gabrielle and Jayla are all sharp, straight “A” students who plan to be vaccinated, their parents will be the ultimate deciders. Health care professionals, like Rachel Orscheln, Pediatric Infectious Disease Physician with Washington University and St. Louis Children’s Hospital are eager to address their concerns.

“In this pandemic, you will fall into one of three categories eventually: You have either already been vaccinated, you have COVID-19 or you’re going to get COVID-19,” Orscheln bluntly explained. “Achieving vaccine specific immunity is the only way we’re going to get through this. It’s the safest way to move forward in this pandemic.”
 
To have a large percentage of the population that’s unvaccinated, like children, Orscheln added, will likely fuel outbreaks. Mostly, it’s because children can spread the virus “to other vulnerable populations.”
Clinical trial data for young children, she said, looks promising:

“The studies are designed to look at rates of infection among those who were unvaccinated compared to those who were vaccinated. In the Pfizer trial, there were no cases of infections among the vaccinated and 18 in the unvaccinated group which led them to believe it’s 100 percent effective. That remains to be seen but I can tell you that with about 40 percent of adults (in the United States) who have received at least one dose we’re not seeing any new signals of concern.”

Orscheln said she’s already scheduled appointments for her two kids in the designated age group. Vaccinations, she said, are just another layer in getting kids back in school and getting America back to “normal.”

Gabrielle expressed similar sentiments: “We’ll probably still have to wear masks for a while but getting back to school is the main thing, being able to go more places without being worried all the time…that’s ‘normal’ to me.”

Milo’s definition was less specific: “Normal? Um, I’m not sure. People not dying or getting sick anymore is one thing.”
The St. Louis American, the only African-American newspaper continuously published since 1928 and the longest continuously published weekly newspaper in the St. Louis area, established The St. Louis American Foundation in 1994. The St. Louis American Foundation is dedicated to enabling the African-American community to increase its access to careers in Business, the Sciences and the Humanities. The mission combines a primary interest in promoting educational opportunity with critical support for activities that move individuals towards being self-directed and pursuing constructive futures. The Foundation has distributed more than $5 million in local community grants and minority scholarships.
 
Deaconess Foundation supports The St. Louis American Foundation through the COVID-19 Fellowship. The initial grant enabled The St. Louis American newspaper to hire its inaugural Deaconess Fellow, Sylvester Brown, Jr., to fulfill a one-year fellowship to support narrative journalism narrowly focused on sharing the personal stories of Black people and the impact of the COVID-19 pandemic across all coverage areas. Deaconess has extended the fellowship for an additional year. The funding is a part of Deaconess’ COVID-19 Equitable Relief and Recovery Fund (ERRF) which was designed to support Black-led organizational capacity to respond to community needs during the pandemic.
 
Brown is a former columnist for the St. Louis Post-Dispatch and among the most respected writers and journalists in the St. Louis region. Deaconess Foundation also partners with the St. Louis American Foundation and the Scholarship Foundation of St. Louis to provide nearly $100,000 per year in local nursing scholarships.
 
Learn more about The St. Louis American Foundation at stlamerican.com.
RESOURCES AND INFORMATION
The following information is provided by the Centers for Disease Control and Prevention (CDC). Deaconess Foundation encourages you to use the information to make an informed decision regarding the vaccine.
COVID-19 Vaccines for Children and Teens 
Although fewer children have been infected with COVID-19 compared to adults, children can:

  • Be infected with the virus that causes COVID-19
  • Get sick from COVID-19
  • Spread COVID-19 to others

CDC recommends everyone 12 years and older should get a COVID-19 vaccination to help protect against COVID-19. Widespread vaccination is a critical tool to help stop the pandemic. People who are fully vaccinated can resume activities that they did prior to the pandemic. Learn more about what you, children and teens can do once fully vaccinated. Children 12 years and older are able to get the Pfizer-BioNTech COVID-19 Vaccine.
CDC Monitoring Reports of Myocarditis and Pericarditis

CDC has received increased reports of myocarditis and pericarditis in adolescents and young adults after COVID-19 vaccination. The known and potential benefits of COVID-19 vaccination outweigh the known and potential risks, including the possible risk of myocarditis or pericarditis. CDC continues to recommend COVID-19 vaccination for individuals 12 years of age and older.
 
Finding a COVID-19 Vaccine for children 
  • Check your local pharmacy’s website to see if vaccination walk-ins or appointments are available.
  • Check with the child’s healthcare provider about whether they offer COVID-19 vaccination.
  • Contact your state or local health department for more information.

Find a COVID-19 Vaccine: Search vaccines.gov, text your ZIP code to 438829, or call 1-800-232-0233 to find locations near you.

Help Protect Children and Families
Getting a COVID-19 vaccination can help protect children from getting COVID-19. Early information shows that the vaccines may help keep people from spreading COVID-19 to others. They can also help keep children from getting seriously sick even if they do get COVID-19.

COVID-19 vaccines are safe and effective.

Prepare for your child’s vaccination visit
  • Get tips for how to support children before, during, and after the visit.
  • Talk to children before the visit about what to expect.
  • Tell the doctor or nurse about any allergies the child may have.
  • Comfort the child during the appointment.
  • To prevent fainting and injuries related to fainting, children should be seated or lying down during vaccination and for 15 minutes after the vaccine is given.
  • After the child’s COVID-19 vaccination, you will be asked to stay for 15–30 minutes so the child can be observed in case they have a severe allergic reaction and need immediate treatment.
Possible Side Effects

Children may have some side effects, which are normal signs that their body is building protection.

On the arm where the shot was given: Throughout the rest of the body:

  • Pain
  • Redness
  • Swelling
  • Tiredness
  • Headache
  • Muscle pain
  • Chills
  • Fever
  • Nausea
Cost of Vaccines

You will not be charged for a COVID-19 vaccine.

COVID-19 vaccination providers cannot:
  • Charge you for the vaccine.
  • Charge you any administration fees, copays, coinsurance, or the balance of the bill after appropriate reimbursement.
  • Deny vaccination to anyone who does not have health insurance coverage, is underinsured, or is out of network.
  • Charge an office visit or other fee to the recipient if the only service provided is a COVID-19 vaccination.
  • Require additional services in order for a person to receive a COVID-19 vaccine; however, additional healthcare services can be provided at the same time and billed as appropriate.
ALERT: If anyone asks you to pay for access to vaccine, you can bet it’s a scam. Do not share your personal or financial information if someone calls, texts, or emails you promising access to the vaccine for an extra fee.
Learn more about COVID-19 vaccines at: www.cdc.gov.
Resources: Centers for Disease Control and Prevention (CDC).
FURTHER READING
More Illinois kids ages 12 to 15 are getting COVID-19 shots

Marni Pyke | Daily Herald
(Update June 9, 2021)
 
The number of COVID-19 vaccine shots given to children ages 12 to 15 has grown to 248,859 in a month, Illinois Department of Public Health records showed Wednesday.
 
There are 659,053 children in that age bracket, the IDPH reports, and more than 37% have received at least one dose since the U.S. Food and Drug Administration approved the use of Pfizer Inc.'s two-shot vaccine May 10.
 
In comparison, on June 4 there were 158,811 doses administered to that demographic or 24%.
 
The latest numbers stand in contrast to the slower rollout of vaccines to eligible adults that started in late December but were subject to supply problems with a meager allocation of doses at first.
 
"I am thrilled to hear those numbers and think it's an extremely positive trend," said Dr. Shelly Vaziri Flais, an author and a member of the American Academy of Pediatrics.
 
"As a pediatrician, I encourage all families with kids 12 and older to investigate what their local options are to get vaccinated, whether it's with their primary care physician, the public health department, or a chain pharmacy," added Flais, who is a partner at Pediatric Health Associates in Naperville. Read more>>>
The CDC Revises Its Summer Camp Guidance, Easing Restrictions

Pien Huang and Joel Neel | NPR
(Update May 28, 2021)
 
The Centers for Disease Control and Prevention has revised earlier guidelines regarding mask use and vaccinations at summer camps. The updated guidelines, released Friday, now say that at camps where everyone has been fully vaccinated, campers can sing, play sports and weave baskets mask-free – except where required by local law.

"In a camp setting where everybody is fully vaccinated, there's no need for masking, there's no need for distancing. There's no need for screening, testing," said Cmdr. Erin Sauber-Schatz, lead of the CDC's Community Interventions and Critical Populations Task Force, which wrote the guidance.

"There is the potential, towards mid- to late summer, [for campers] to have a pre-pandemic camp experience when everyone is fully vaccinated, if that is offered," she added.

The agency's change in guidance was prompted by improvements to vaccine policies and pandemic trends since the last iteration of camp guidance in April, Sauber-Schatz said.

In May, the Food and Drug Administration authorized the Pfizer COVID-19 vaccine for use in children ages 12 to 15, and the CDC has issued guidance saying that fully vaccinated people no longer need to wear masks.

"We're also continuing to see cases, hospitalizations and deaths fall," she said. "So this is translating to lower levels of community transmission, which is also making the camp experience safer." Read more>>>
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