Table of Contents
Introduction
Welcome to the latest health update for 2023. In this article, we will cover a range of healthcare topics that are affecting the lives of physicians, residents, medical students, and patients. From private practice and health system leaders to scientists and public health officials, we will hear from the experts in medicine on COVID-19, medical education, advocacy issues, burnout, vaccines, and more.
COVID-19 Update
In today’s health update, we will discuss the recent uptick in COVID-19 cases and hospitalizations. Andrea Garcia, JD, MPH, the AMA Vice President of Science, Medicine, and Public Health, will provide insights on the new variants EG.5 or Eris and BA.2.86 or Pirola. She will also review the changes in this year’s flu vaccine guidelines and address concerns about locally acquired malaria.
COVID-19 Cases and Hospitalizations
According to recent reports, the summer wave of COVID-19 infections is hitting schools and workplaces. The CDC has reported a 24% increase in hospitalizations in the two-week period ending August 12. However, it is important to note that overall hospitalization numbers are still low compared to the peak of the pandemic. The majority of people getting COVID-19 are experiencing mild symptoms, while those who are hospitalized tend to have pre-existing conditions or are immunocompromised.
New COVID-19 Variants: EG.5 or Eris and BA.2.86 or Pirola
The recent uptick in cases is being driven by the EG.5 or Eris variant, which is currently the dominant variant in the U.S. accounting for over 20% of cases. There have also been several cases of the BA.2.86 or Pirola variant reported worldwide, with three cases in the U.S. This variant is of concern because it has over 30 mutations on its spike protein, which is the part of the virus that allows it to enter our cells and the target of vaccines.
While there is still limited data on these new variants, experts have indicated that they do not appear to cause more severe illness than earlier variants. Antiviral treatments should still be effective, and tests should still be able to detect these variants. However, there are concerns about the variants’ ability to evade immunity and their transmissibility. Surveillance is being ramped up to better understand these new threats.
Flu Vaccine Guidelines for 2023-2024 Season
As we approach flu season, the CDC has issued new recommendations for the flu vaccine. One significant change is that people with egg allergies can now receive any flu vaccine, whether egg-based or not. Previous recommendations had suggested that people with severe egg allergies should avoid egg-based vaccines. However, recent data has shown that egg allergies do not pose a major contraindication to egg-based flu vaccines.
It is recommended that people get their flu vaccine before it starts spreading in their community, with September and October being good times for most people to be vaccinated. The CDC specifically recommends getting vaccinated before the end of October. However, some experts suggest waiting until later in that window to ensure adequate protection through the peak of flu season, which usually occurs between December and February.
Locally Acquired Malaria in the United States
There have been recent cases of locally acquired malaria in the United States, which is a cause for concern. Locally acquired malaria had not occurred in the U.S. since 2003, making these recent cases significant. Physicians should be aware of the symptoms of malaria and consider it as a possible diagnosis in patients with unexplained fever, regardless of their travel history.
Malaria can rapidly cause severe illness and even death if not quickly diagnosed and treated. Patients suspected of having malaria should be urgently evaluated in a facility that can provide rapid diagnosis and treatment within 24 hours. It is also important for physicians to report suspected or confirmed cases of locally acquired malaria to their local health department.
The most effective way to prevent malaria in the U.S. is for travelers to endemic areas to take appropriate steps to prevent acquiring malaria while traveling. This includes taking medication and preventing mosquito bites.
Conclusion
In this health update, we have covered the latest information on COVID-19, flu vaccine guidelines, and locally acquired malaria in the U.S. It is important for healthcare professionals and the public to stay informed about these health issues and take necessary precautions to protect themselves and others. Regular updates and guidelines from health authorities can help guide decision-making and ensure the best possible outcomes for patients. Stay safe and stay informed.
Bold: health updates for 2023