St. Clair County FAQs

As of 9.8.21

Legal Questions Answered by Fletcher Fealko Shoudy & Francis, P.C.

Learn more here.


Vaccine

If someone who is vaccinated can pass, carry, and show symptoms, what is the point of getting the shot?

From the CDC’s discussion of vaccine breakthroughs, COVID-19 vaccines protect people against severe illness, including disease caused by Delta and other variants circulating in the U.S.

  • COVID-19 vaccines protect people from getting infected and severely ill, and significantly reduce the likelihood of hospitalization and death.

  • The best way to slow the spread of COVID-19 and to prevent infection by Delta or other variants is to get vaccinated.

  • For people who are vaccinated and still get infected (i.e., “breakthrough infections”), there is a risk of transmission to others. That is why, if you are vaccinated or unvaccinated and live or work in an area with substantial or high transmission of COVID-19, you – as well as your family and community – will be better protected if you wear a mask when you are in indoor public places.

  • People who are immunocompromised may not always build adequate levels of protection after an initial 2-dose primary mRNA COVID-19 vaccine series. They should continue to take all precautions recommended for unvaccinated people, until advised otherwise by their healthcare provider. Further, CDC recommends that moderately to severely immunocompromised people receive an additional dose.

Is it safe for me to get a COVID-19 vaccine if I would like to have a baby one day?

Yes. COVID-19 vaccination is recommended for everyone 12 years of age and older, including people who are trying to get pregnant now or might become pregnant in the future, as well as their partners. Currently, there is no evidence that any vaccines, including COVID-19 vaccines, cause infertility problems in women or men.

Learn more here.

Why should I trust that the vaccine is safe when it was developed so quickly?

FDA approves a vaccine for use only if it is proven safe and effective, after clinical trials have been conducted with thousands of people, and when its benefits outweigh any risks. The COVID-19 vaccine builds on years of scientific research and an unprecedented level of scientific investment and cooperation. Every study and every phase of every trial was carefully reviewed and approved by a safety board and the FDA. The process was transparent and rigorous throughout, with continual oversight and expert approval.

The identification of what is approximately a less than 2-in-a-million risk of a blood clotting disorder associated with the Johnson & Johnson vaccine is a sign that the nation’s safety monitoring system for COVID-19 vaccines is working. After any vaccine is successful in clinical trials and authorizes it for use, the FDA continues to monitor it for safety. The pause in the use of the J&J vaccine allowed scientists to evaluate each incident of the clotting disorder. They determined that the level of risk was very low and that the benefits of continued use of the J&J vaccine greatly outweigh any risk associated with it.

The likelihood of a medically significant reaction is extremely low. Temporary side effects like soreness, headaches, or a mild fever are signs that the body is responding and building an immunity to the virus. They typically go away in a day or two.

Learn more here.

How can I be sure the long-term side effects of the vaccine won’t be worse than having COVID-19?

The threat of COVID-19 is real and urgent, and the benefits of getting vaccinated far outweigh any risks. The risk of severe adverse events after any COVID-19 vaccination remains very low, and far lower than the risk of adverse health outcomes associated with contracting COVID-19. More than 600,000 people in the U.S. and millions worldwide have died from COVID, and we’re still learning about “long COVID” — symptoms and adverse health outcomes that continue to impact people long after the initial infection.

Learn more here.

What does it mean that the Pfizer vaccine has full FDA approval?

On August 23rd, the FDA issued full approval to the Pfizer COVID-19 vaccine, now known as Comirnaty. The vaccine has been fully approved for use in individuals age 16 and older, with a two-dose regimen spaced at least three weeks apart. The full approval by the FDA means that the Comirnaty vaccine now has the same level of approval as other vaccines routinely in use in the U.S., such as vaccines for hepatitis, measles, chicken pox, and polio.

On top of the rigorous testing and trials that went into Emergency Use Authorization of the Pfizer vaccine, the FDA analyzed additional and follow-up data from the ongoing clinical trial to determine the safety and effectiveness of Comirnaty, including:

  • The analysis of effectiveness data from approximately 20,000 vaccine recipients and 20,000 placebo recipients age 16 and older, which found that overall, the vaccine was 91% effective, with 77 cases of COVID-19 occurring in the vaccine group and 833 COVID-19 cases in the placebo group.

  • The analysis of safety data in approximately 22,000 vaccine recipients and 22,000 placebo recipients age 16 and older. More than half of participants were followed to monitor safety for at least four months after the second dose; approximately 12,000 vaccine recipients have been followed for at least 6 months.

  • Rigorous evaluation of safety surveillance data regarding myocarditis and pericarditis. Data demonstrated an increased risk for vaccine recipients, which was higher in males under 40, particularly males 12-17. Comirnaty prescribing information will include information about this risk, and in addition to these analyses, the FDA is requiring the company to conduct postmarketing studies to further assess the risks of myocarditis and pericarditis in vaccinated individuals. It is important to note that reports of these complications are rare, and most patients who received care responded well to treatment.

The vaccine also continues to be available for adolescents age 12 through 15 and for the administration of a third dose in certain immunocompromised individuals.

Learn more here.

What is the difference between emergency use authorization and full approval?

Emergency Use Authorization (EUA) allows the FDA to authorize the use of yet to be approved drugs, or unapproved uses of approved drugs, for life-threatening conditions when there are no other adequate, approved, and available options and other conditions are met. In the case of COVID-19, the FDA issued EUAs for the Pfizer, Moderna, and Johnson & Johnson vaccines, and has now issued full approval for the Pfizer COVID-19 vaccine, now known as Comirnaty.

In an emergency when lives are at risk, like a pandemic, it may not be possible to have all the evidence that the FDA would usually have before approving a vaccine or drug. If there’s evidence that strongly suggests that patients have benefited from a treatment, the agency can issue an EUA to make it available. For the COVID-19 vaccines, FDA required two months of safety and efficacy data before the EUA was granted. That included clinical trials with tens of thousands of people and rigorous testing and review, and all the vaccines continue to be closely monitored. Compared to emergency use authorization, FDA approval of vaccines requires even more data on safety, manufacturing, and effectiveness over longer periods of time and includes real-world data.

Learn more here.


Masks

How effective are face masks in preventing the spread of COVID-19?

Because COVID-19 spreads from person to person via respiratory droplets, properly wearing a mask helps prevent the spread of the virus to others, including those at a higher risk of severe illness, especially when paired with other prevention tactics such as proper social distancing and frequent hand washing.

Learn more here.

Do masks raise your Carbon Dioxide (CO2) level?

Cloth masks and surgical masks do not provide an airtight fit across the face. The CO2 escapes into the air through the mask when you breathe out or talk. CO2 molecules are small enough to easily pass through mask material. In contrast, the respiratory droplets that carry the virus that causes COVID-19 are much larger than CO2, so they cannot pass as easily through a properly designed and properly worn mask.

Learn more here.


Isolation/Quarantine

What is the difference between isolation and quarantine?

Isolation and quarantine help protect the public by preventing exposure to people who have or may have a contagious disease.

  • Isolation separates sick people with a contagious disease from people who are not sick.
  • Quarantine separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick.

Learn more here.

Why do vaccinated children not have to quarantine when exposed if they can still get sick and transmit the virus?

The data show that those who are vaccinated are much less likely to get sick with COVID-19. In instances of a breakthrough infection, including individuals infected with the Delta variant, those who are both vaccinated and unvaccinated can still transmit the virus. Like other variants, the amount of virus produced by Delta breakthrough infections in fully vaccinated people goes down faster than infections in unvaccinated people. This means fully vaccinated people are likely infectious for less time than unvaccinated people.

**Any fully vaccinated person who experiences symptoms consistent with COVID-19 should isolate themselves from others , be clinically evaluated for COVID-19, and tested for SARS-CoV-2 if indicated. The symptomatic fully vaccinated person should inform their healthcare provider of their vaccination status at the time of presentation to care.

Learn more here.


Data

Have the death tolls for COVID-19 been inflated?

COVID-19 remains a serious threat to public health, and there is no evidence that the reported number of COVID-19 deaths has been inflated. The CDC has tracked and reported COVID-19 fatalities from the start of the pandemic, with detailed data from the local and state level that originates with each individual death certificate. In fact, experts agree that the number of COVID deaths are probably undercounted because not everyone with COVID will have been tested and diagnosed.

The CDC’s report also gives a detailed account of something we’ve known since the beginning of the pandemic – having pre-existing conditions like diabetes, heart disease, or obesity greatly increases a person’s risk for life-threatening consequences from the infection. We also know that COVID-19 deaths can be caused by related complications, such as pneumonia or respiratory distress. The high rate of chronic illness in the U.S. (6 in 10 adults have a chronic disease) has contributed to the high number of COVID-19 deaths, but it is important to remember that even people with pre-existing conditions may have lived years longer if they had not been infected with COVID-19. For that reason, the cause of these deaths is COVID-19.

**St. Clair County data is obtained from the Michigan Disease Surveillance System. This data is provisional.

Learn more here.

Out of the kids who were quarantined during the 2020/2021 school year due to being a close contact of an infected individual, how many showed symptoms or tested positive?

Since the beginning of the pandemic there have been 2,539 cases of COVID-19 among individuals ages 0-18 years old per data as of 9/13/2021. Of those cases, 1,495 cases have a completed case investigation and 645 individuals or 43.1% of cases with a completed investigation reported that they were in quarantine when they became positive for COVID-19. Of the 1,495 cases with a completed case investigation, 1,258 individuals or 84.1% reported having COVID-19 symptoms.

It is unknown how many kids have been quarantined over the last year. The health department identifies close contacts by conducting case investigations but many case investigations were incomplete due to being unable to contact individuals, refusals to participate in the case investigation, or other factors such as high volumes of new cases. Even in cases where a case investigation was completed the individual my refuse to provide close contacts or be unaware of close contacts.

How many athletes tested positive in our county last year? Of those who were identified as close contacts of an infected individual, how many tested positive from this exposure.

Over the last school year the St. Clair County Health Department is aware of over a dozen outbreaks associated with sports teams with 93 known cases of COVID-19 associated with those outbreaks. It is unknown how many individuals were exposed.

How many deaths in the county were "with" or "from" COVID-19?

The death data posted by the Health Department is accurate and is the same data posted by MDHHS. It’s important to note that just because an individual was diagnosed with COVID-19 and died does not mean they are reported as a COVID-19 death. For example, an individual that is positive for COVID-19 but dies from a traumatic cause such as a car accident would not be counted as a COVID death. The criteria for a confirmed/probable death are:

Confirmed Deaths:

  • Confirmed cases of COVID-19 in the Michigan Disease Surveillance System (MDSS) that have been marked as deceased as identified through case investigation.

  • Decedents with a death certificate that lists a COVID-related term (in Part I or II) that are Confirmed cases in MDSS, but were not yet marked as deceased in MDSS.

  • Decedents with pending causes of death that are Confirmed cases in MDSS, but were not yet marked as deceased in MDSS.

  • Decedents with death certificates that do not specifically list a COVID-related term (in Part I or Part II) that are Confirmed cases in MDSS, but were not yet marked as deceased in MDSS IF they died within 30 days of symptom onset (or referral date if symptom onset not available) AND died in a manner of death deemed to be ‘natural’ on the death certificate.

Probable Deaths:

  • Death certificates that list a COVID-related term (in Part I or II) where there is no available evidence of a confirmatory test result (positive or negative).

These criteria are also posted on the “LEARN MORE” tab of the MDHHS COVID-19 Dashboard here.

How many people who are testing positive now are fully vaccinated?

Between 6/1/2021 and 8/25/2021 there were 148 fully vaccinated St. Clair County residents that tested positive for COVID-19. During the same time period there were 1,245 unvaccinated St. Clair County residents that tested positive for COVID-19. As the number of people fully vaccinated differs from those unvaccinated we calculated a rate per 100,000 people to better compare the rate of new infections in both groups.

Full vaccinated: 219 cases per 100,000 people
Unvaccinated: 1,245 cases per 100,000 people

Additional data from the state on vaccine breakthroughs as of September 7th, 20201, are posted here; see slide 26. Additional discussion of breakthrough cases at the state level are also found on slides 38 – 41.

There’s also an older study discussing vaccine breakthroughs at the National level that can be found here.

Miscellaneous

I’m tired of pandemic restrictions — isn’t it time we move on?

We understand that people are tired, but public health measures are not the enemy — they are the roadmap for a faster and more sustainable recovery. The pandemic has posed so many hardships, from the loss of loved ones, to job loss, to loneliness, to parenting in the context of virtual schooling. We’ve made progress in putting the pandemic behind us, but we risk the health of our communities and our economy if we declare victory too soon, particularly in the light of the high degree of contagiousness of the delta variant.

Many communities have made tremendous progress in protecting ourselves and our loved ones from COVID-19, but vaccination rates are still lagging. After months of decreasing in many places, COVID cases are increasing across the country, with infection rates highest in places where vaccination rates are low. The delta variant is roughly twice as contagious as the initial strain and is now the dominant strain in the U.S. and worldwide. Because of how contagious this variant is, it’s more important than ever for eligible adults and adolescents to get vaccinated, and for unvaccinated people to continue wearing a mask in public settings.

We’re all looking forward to a time when we can do all the things we love safely, and the way we get there is by getting vaccinated and following local guidelines.


Helpful Links

Local Data Dashboard
MI Safe Start Map
CDC COVID Data Tracker
Local School Guidance