At the time of this recording, there were over 24-million reported COVID cases, over 400,000 deaths, and over 4,000 newly reported deaths according to the CDC. The Pfizer and Moderna COVID vaccines are officially being administered under emergency-use authorization. As such, every news channel, online newspaper, and social media platform is pumping out what consumers need to know. This has left many of us confused and concerned on what is true about this vaccine and whether it is safe to take. During this show, I pull together Nevada's experts to discuss the two vaccines and frequently asked questions and concerns.
Guest Speakers:
COVID-19 Resources:
At the time of this recording, there were over 24-million reported COVID cases, over 400,000 deaths, and over 4,000 newly reported deaths according to the CDC. The Pfizer and Moderna COVID vaccines are officially being administered under emergency-use authorization. As such, every news channel, online newspaper, and social media platform is pumping out what consumers need to know. This has left many of us confused and concerned on what is true about this vaccine and whether it is safe to take. During this show, I pull together Nevada's experts to discuss the two vaccines and frequently asked questions and concerns.
Guest Speakers:
COVID-19 Resources:
WEBVTT
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As of today, there are over 24 million cases of COVID and over 400,000 deaths and over 4000 newly reported just today by the CDC.
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Melanie Flores: COVID has changed our lives, our jobs, our mental health our families and how we present ourselves in public.
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Melanie Flores: And dreaming, we can return to our normal lives one day pre COVID a glimmer of hope was presented to the US in December, the Pfizer vaccine received emergency use authorization from the FDA and Maderna quickly followed.
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Melanie Flores: I would like to welcome our guests, to discuss the COVID vaccine.
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Melanie Flores: So, today I have Shannon Alderman Bennett she is the immunization program manager with the Nevada department of health and human services division of public and behavioral health immunization Program.
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Melanie Flores: Dr. Christina Madsen, who is the founder and CEO of the public health pharmacist, and Heidi Parker, who is the Executive Director of immunize Nevada.
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Melanie Flores: And lieutenant Colonel John Brown Now who in this perspective is basically a concerned citizen about messaging and also telling us some of his personal experience.
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Melanie Flores: So let's go ahead and get started, I really wanted to cover.
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Melanie Flores: The background, but just a little bit of the background in case I think there's a lot of misinformation, a lot of us are getting it from Facebook, Instagram, maybe a new story here there.
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Melanie Flores: And so I thought, maybe we can discuss, basically, what is the difference between Pfizer and Maderna and this might be a question for you, Dr. Madison.
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Dr. Christina Madison: Absolutely, first and foremost Thank you so much for having me I really appreciate the opportunity to get accurate and factual information out.
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Dr. Christina Madison: To as many different platforms as possible, so thank you so much for the invitation.
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Dr. Christina Madison: So when we look at the two different vaccines, the biggest thing that I want people to understand is that this messenger RNA technology is not something that's you know brand spanking new.
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Dr. Christina Madison: it's been around for about 10 years, the only difference here is that this is the first time that we've used this messenger RNA technology, specifically for vaccinations, and so the way I like to think of it as sort of as.
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Dr. Christina Madison: This is the snapchat version of a vaccine right so traditionally we've used, you know sort of.
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Dr. Christina Madison: A portion of the virus or bacteria in order to induce an immune response and, in this instance we're actually presenting the immune system with a picture which, in this instance is a spike protein, and so, once the.
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Dr. Christina Madison: The messenger RNA is able to present that spike protein it actually degrades within about you know minutes to hours after it's entered the cell.
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Dr. Christina Madison: So those rumors of you know, this messenger RNA changing your DNA or causing some long term issues with your genetic material.
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Dr. Christina Madison: are definitely not the case so think about this, like a snapchat message we present the picture your immune system sees it, and then it induces the immune response.
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Dr. Christina Madison: As far as the differences between the two vaccines honestly it's really comes down to storage, because their efficacy and safety are very similar.
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Dr. Christina Madison: The biggest differences that they saw was really just in the patient population that was enrolled, and so we think about the fact that the Maderna product came out a little bit later.
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Dr. Christina Madison: Really it was not that there was some sort of difference with the efficacy, it was more the fact that they actually pause the study, because they wanted to enroll more.
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Dr. Christina Madison: ethnic groups, so they paused it because they didn't have the numbers of.
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Dr. Christina Madison: individuals from communities of color that they wanted, in order to make sure that their results were as accurate as possible and reflected more of the population that the vaccine was going to be needed and used in so.
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Dr. Christina Madison: Those are the two biggest thing so timing for when they came out and then the storage requirements, so the Pfizer vaccine does require an ultra-cold storage and does require.
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Dr. Christina Madison: A little bit of dilution prior to it being injected versus the Maderna product and it comes in a frozen suspension, so it requires thawing but there's not that extra added step, where you have to add.
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Dr. Christina Madison: Some dilution solution to the vaccine before it can actually go into a patient’s are.
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Dr. Christina Madison: The other thing too is when they looked at the different studies we do know that they both require two doses to get that maximum 95% efficacy.
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Dr. Christina Madison: But in this instance, it's 21 days between the first and second dose for the Pfizer product and 28 days between the first and second dose of them a dirty product.
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Dr. Christina Madison: Side effects profiles have been pretty similar for the most part, I can tell you.
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Dr. Christina Madison: Just me personally I’ve been very honest about my vaccine journey, I received my vaccine and I actually did end up getting a reaction so I’ve been very.
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Dr. Christina Madison: open about that, and the fact that I still plan to get my second dose because you know, having sore arm headache fatigue, maybe just not feeling like myself for a few days is way better than getting COVID-19 potentially being hospitalized in passing away so.
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Dr. Christina Madison: Being a woman and a woman of color as well as a
public health advocate it's very important for me to get that out to my Community because I want people to see that it is safe and effective.
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Melanie Flores: Thank you, you know, while we're on that subject, and how does everybody on this call gotten there at least first vaccine.
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Lt Col Brownell: I am I got my first vaccine about two weeks ago and i'm like Dr Madison I had zero side effects, so I think, maybe it's because Maybe my body size that I hadn't or the fact is that.
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Lt Col Brownell: The military has given me everything from anthrax to all six series of anthrax, which I couldn't move my arm for a week.
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Lt Col Brownell: or not receiving the vaccine for typhoid, in a mistake and catching typhoid, in the middle of Southwest Asia and almost dying from it.
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Lt Col Brownell: So I am a proponent of vaccines, but yeah I know, for me, I had just a sore arm and, of course.
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Lt Col Brownell: That was that was about it i've had other people on my team, there were see the vaccine recently, and they have been.
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Lt Col Brownell: They had the headache fatigue and there on day two now I heard it can last up to three days, some of the side effects, depending on the reaction.
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Lt Col Brownell: I just i'm just kind of curious because we've also seen those on our team that had covert who have received the vaccine.
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Lt Col Brownell: who had some of batteries, a little bit more response
almost like their body remembered.
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Lt Col Brownell: what it was like to have COVID and when we sent this Instagram so almost like their body saw ptsd moment.
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Lt Col Brownell: Of like oh my God is it back, and then they went into this almost this inflammatory moment, so I was just a little curious even from Dr madison's point of view.
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Lt Col Brownell: have we seen anything like that or somebody else's to where those who have had the virus before, because I know when I get the Typhoid vaccine my body does have a little bit more of a draw response because i've had it.
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Lt Col Brownell: And all of a sudden, it just goes into that that little bit of extra boost that normally wouldn't but I don't know if you've seen anything like that, before as well.
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Dr. Christina Madison: So i'm gonna take this in two different chunks to answer your question.
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Dr. Christina Madison: lieutenant Colonel So the first thing I will tell you is absolutely so from this study data, we do know that those individuals who received the vaccine that had or experienced more adverse effects after receiving the dose.
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Dr. Christina Madison: And that there was some correlation with those individuals having COVID antibodies, and so we do know that those who've had coven.
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Dr. Christina Madison: are more likely to experience side effects from the vaccine, even if they didn't realize that they had had the infection, they did drop the antibodies.
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Dr. Christina Madison: After they received the vaccine and there was some correlation there so you're right I think you're you know your observation is right on point.
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Dr. Christina Madison: it's the same thing, where we were seeing people who maybe don't experience so many side effects from the first dose experiencing much more from the second dose right because the body remembers.
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Dr. Christina Madison: So it's like you're priming the pump the first time, but then the second time you're getting that maximum efficacy and the immune systems like.
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Dr. Christina Madison: Oh, my goodness, like so you're really seeing the reaction The other thing too, I really want to make sure that i'm clarifying here is when I say reaction.
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Dr. Christina Madison: it's not something that is necessarily a negative because that fever, you know those you know those body aches chills.
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Dr. Christina Madison: That really means that your immune system is mounting a pretty significant immune response so that's actually what we want, we want people to develop these antibodies and so.
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Dr. Christina Madison: I hope that this isn't coming off as negative when really it does mean that your body is developing immunity and we want people to have that, unfortunately, is a little bit uncomfortable.
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Dr. Christina Madison: And at the time, but again, it is something that we do expect and is something that is you know warranted considering the fact that we're giving you this injection and we're showing your immune system, you know hey go off and make antibodies to
this, the spike protein.
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Melanie Flores: Not something.
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Heidi Parker: Oh, I bet I am getting my second dose Sunday, so I, we will see what happens when I get my second dose I only had.
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Heidi Parker: I had pretty significant arm pain.
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Heidi Parker: From my first dose but again I will take that any day over the symptoms and the potential consequences so getting COVID so.
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Melanie Flores: You can hear me.
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Dr. Christina Madison: yeah we can hear you now sorry I was having a little trouble hearing you.
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Melanie Flores: yeah Shannon had received them yet.
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yeah.
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Shannon Bennett: I know I you know, I have the.
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Shannon Bennett: i'm fortunate enough to work from home, primarily, so I have not received it yet excited too, but not yet.
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Dr. Christina Madison: I definitely had vaccine Fomo i'll tell you, because I have a lot of colleagues at work in hospital and they were
all posting their pictures of getting their vaccine and I was like.
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Dr. Christina Madison: and honestly I wouldn't have gotten mind if less I happen to be at the health department and they had a few extra doses, at the very, very end of the day, I had just done my own pod.
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Dr. Christina Madison: And they were like hey would you like to get your vaccine and I was like absolutely I didn't wear my vaccine outfit but I’m still gonna get it.
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Melanie Flores: Yesterday, so I sit on the board of directors for REMSA and.
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Melanie Flores: when somebody cancels they don't want it to go to waste, and so they have a waitlist of because we're dipping into tier two I believe so Shannon Maybe she can tell us about the tears but yeah they called me and said, can you be here 30 minutes and I was like yes.
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Melanie Flores: I got it are definitely side effect arm soreness if there's like somebody punched me in the eye, but it's not any different than maybe a tetanus shot.
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Melanie Flores: And then, but I worked out this morning I achieved a personal best on the roller so far it's working out for me so far we'll see about the second.
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Melanie Flores: Fantastic so let's talk about CDC recommendations and operation work speed, so there are areas and concerns in terms of how quickly this vaccination was.
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Melanie Flores: created, maybe, but more distributed and available to the public, because of that emergency us authorization and not official FDA approval, maybe you can clarify that, for me, or if I’m
also misinformed.
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Dr. Christina Madison: You guys want me to take this one.
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Dr. Christina Madison: So I think that this is definitely a concern and i've seen this a lot on social media that the vaccine was you know it seemed like it was put out just so quickly, and you are correct, it does have emergency us authorization, it does not have full FDA approval at this time.
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Dr. Christina Madison: So you are correct, however, I will say so SARS coV-2 which is the virus that causes COVID.
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Dr. Christina Madison: Is 80% genetically similar to SARS and we had already been in the process of developing vaccines against the SARS virus.
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Dr. Christina Madison: Starting back 17 years ago, so we were able to piggyback on that existing research and science The other thing too is this was an extraordinary Public Private Partnership.
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Dr. Christina Madison: Where you do not see this amount of funding put towards a single effort so, in addition to the science being there.
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Dr. Christina Madison: We also you know from the time that this virus was sequenced until the time the vaccine actually was approved was about 10 months.
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Dr. Christina Madison: give you know give or take a few weeks there, but this was a unprecedented effort, where we had multiple you know companies.
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Dr. Christina Madison: Doing this at the same time, the other part of this, as well as that traditionally you see those phase one, phase two, and phase three trials all being done independently.
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Dr. Christina Madison: When this is not this didn't happen this time, you had phase one phase two being done simultaneously and then phase three being done at the same time that you had production going on, so, because you had this production and study done at the same time, it really cut a lot of that.
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Dr. Christina Madison: amount of time that you would normally see that would potentially expand this to being anywhere from you know the last vaccine that we had come out.
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Dr. Christina Madison: I believe was for four to five years it took from inception to delivery to having FDA approval, so this is definitely a much shorter, but there were no.
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Dr. Christina Madison: You know, things that they like skipped over or you know.
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Dr. Christina Madison: Regulatory hurdles that they didn't do it was just that they were able to get it done faster, because there was just this massive amount of funding.
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Dr. Christina Madison: And you know it was literally all hands on deck and everybody was all going towards a singular goal of getting this vaccine to market as quickly as possible because we knew that the longer we took the more people that would die so.
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Dr. Christina Madison: I hope that that helps to answer some of the questions, but you know it was really just the combination of funding, using existing research, and then simultaneous vaccine production, and study research at going on at the same time.
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Melanie Flores: So in the news we've been seeing.
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Melanie Flores: Vaccines being wasted, at least that's the headline right, so what is happening in terms of the problem is around mass production and mass distribution and now mass administration of the vaccine.
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Heidi Parker: Shannon probably has the best.
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Heidi Parker: angle on that.
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Shannon Bennett: But yeah it's this happened quickly for us also right in order to have plans to put this in place rather quickly.
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Shannon Bennett: That being said, I think we're in a really great place and the biggest challenge that we're struggling with right now is data entry, it takes a little while to enter into Nevada webIZ.
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Shannon Bennett: So the doses that are truly being administered aren't necessarily reported and as timely as a fashion as they should be just because it's paperwork, it takes time to do this.
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Shannon Bennett: And we are ready for more vaccine our biggest challenge right now is the demand far exceeds the supply that we are given week to week.
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Lt Col Brownell: So Mel question for you, you know let's go from a concerned citizen point of view.
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Lt Col Brownell: From my foxhole one is isn't when you look at when we did the vaccine distribution operation work speed.
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Lt Col Brownell: would probably give the analogy that some stops are pulled out of the way for safety, when we talk about hey we're going to do this at you know warp speed.
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Lt Col Brownell: I almost think about some Mel brooks movies, where we went from warp speed to ludicrous speed and are we going to hit Plaid you know, are we gonna.
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Lt Col Brownell: Are we going to get so fast that we just go right through the window, but that wasn't the case in this point and I think Dr. Mason did amazing job of just summing up.
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Lt Col Brownell: Everything that was there that wasn't it, but because of that, I think some of these vaccines go to waste as well is it's like going to the high dive for the very first time you get up there and it's like who do I jump off.
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Lt Col Brownell: Where do I climb back down the ladder when it comes down to that moment of going, you know even on our own team and we offered it to our team, we had those are adamantly opposed.
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Lt Col Brownell: To get the vaccine, all of a sudden, the last minute said okay i'm going to go for it, and then I others that were committed that when we offered it to them all of a sudden now like, I think I want to wait.
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Lt Col Brownell: And so we lucky, for me, I was able to transition those out, so no so none of our shots would go to waste.
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Lt Col Brownell: But I couldn't imagine that, on a more public scale where there is nobody in the queue.
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Lt Col Brownell: And it's comes to a challenge when we have the tier program because the tier program when you read the playbook and i've read the playbook a few times is that the broad thing is, you can almost look at that and say I fit into that category.
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Lt Col Brownell: And then you have to call and be vetted by somebody who says you don't.
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Lt Col Brownell: or vice versa, or you do fit that category, and you think well I probably should go with this category.
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Lt Col Brownell: Right and or is there a semblance of guilt when those who go and take the vaccine and say no, I no longer fit in that category, maybe I should go back.
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Lt Col Brownell: I don't know.
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Melanie Flores: Talk about that Nevada playbook for statewide operations which Shannon as a local celebrity now because she was with the governor the other day, talking about it.
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Melanie Flores: What is the difference between the second iteration and this one and kind of talked about the tier system and how people are being prioritized for.
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Shannon Bennett: sure.
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Shannon Bennett: So I think it's important to it's important to talk about a few things one when we wrote the original one back in September, October.
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Shannon Bennett: We had had a version written prior to the guidance coming out because we've been planning, for you know, a while.
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Shannon Bennett: And we based that all in pandemic influenza planning, because that was the only guidelines that we had available to us at that time so as.
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Shannon Bennett: More information has come out, we have been able to update the playbook accordingly.
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Shannon Bennett: you've seen the Advisory Committee I immunization practices part of the CDC make our recommendations and we've been able to update that accordingly, so what you're seeing in this most.
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Shannon Bennett: Recent iteration of the playbook that the third version is a reflection of what we are interpreting as the ACIP recommendations and then you know the direction of our governor and the way that we, we see that moving forward in Nevada so we moved away from the tiered system, it is.
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Shannon Bennett: A health care workers at the top, and then, which we are primarily transitioning out of as a state at this time, we have, most of them vaccinated at this time and then.
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Shannon Bennett: into this dual lane type of approach, where you have essential workers on one side.
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Shannon Bennett: frontline essential workers who are unable to work from home, who we all depend on for their contributions to society of our own will be right as a Community, and then, on the other side, we have.
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Shannon Bennett: We have those in different aged populations so 70 and older that's who we're working on primarily right now.
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Shannon Bennett: And then on from there 65 to 6916 to 64 with underlying specific underlying health conditions those living with disabilities.
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Shannon Bennett: Those experiencing homelessness etc, and then ultimately healthy adults, so the idea is that a Community and we work with the counties across the state.
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Shannon Bennett: But each community will work in each population on each side of the lane, if you will, so.
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Shannon Bennett: In most of our counties right now we are seeing educators and childcare workers being vaccinated along with those seventy and older and, as I mentioned before, we are simply not we just do not receive enough vaccine week to week to be able to meet the demand.
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Shannon Bennett: We have a little over 300,000 Nevadan’s that are 70 years and older.
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Shannon Bennett: And we receive just over 36,000 doses of vaccine offer delivery next week that's just not enough seem to go around it's a very large challenge when the demand is high.
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Shannon Bennett: And just a little bit on the wasted doses, we really haven't seen a lot of ways to doses in our state of if any and it's because of the the beautiful thing that you talked about Mel at the beginning.
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Shannon Bennett: it's like the phone a friend, a lot of our counties have lists of people that are interested and they they can go down the list and get people in and get them vaccinated and that's great and that's what we want, because.
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Shannon Bennett: It doesn't really matter you know our guidance to the counties is to look above in the prioritization lanes look above look below look around see if there's anyone in any of those population groups and get the shot in the arm because that's, the most important part.
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Melanie Flores: Of the vaccine because.
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Melanie Flores: The other day I was talking to my boyfriend and I was you're talking about rolling out to the 70 or 65 and above population and he said, you know you have to go online and they have to sign up they're not just going to call them, I was like what?!.
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Melanie Flores: went online and I signed them up, and then I.
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Melanie Flores: Just you know.
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Melanie Flores: Luckily, she was happy about it.
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and
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Dr. Christina Madison: I was actually just going to piggyback off of shannon's comment and just say that you know one thing that I really appreciate about the state as as a community partner and as somebody who.
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Dr. Christina Madison: Is a huge vaccine advocate has worked with the immunization.
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Dr. Christina Madison: You know coalition for many, many years in the state, I really appreciate that you guys.
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Dr. Christina Madison: Have pivoted when you saw that things were not rolling out as quickly as you thought they would right so going from the tears to now the lanes and I feel like you know the communication.
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Dr. Christina Madison: Just continues to improve and so i'm very I feel very fortunate to even just be part of this, you know.
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Dr. Christina Madison: monumental effort and i've told people this before it's like you know there's no possible way that I would not be involved, this is like my super bowl you know, like this is what gets me up in the morning it's what fills my cup.
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Dr. Christina Madison: You know, so I just really wanted to make sure that I said that, because from I know at the state level you guys are getting a lot of flak and I want to personally just say thank you because.
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Dr. Christina Madison: You i'm sure that's not happening right now, because all that people are focusing on is what's not working, but I want.
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Dr. Christina Madison: people to understand that there are things that are working and we're trying our best to make sure that those things are working well, that we're implementing those moving forward, and then the things that we are having challenges with we’re actively trying to find solutions to.
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Shannon Bennett: I appreciate that Dr. Madison, it is, I think you the communication has been the largest struggle period because everyone needs to know everyone wants to know so it's like.
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Shannon Bennett: us trying to figure out, which I think we're starting to get our hands around now but us trying to figure out how to communicate with every Nevadan and that's a very large left.
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Lt Col Brownell: He said i'd like to piggyback on that you've done a great job governor's office has done a wonderful job.
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Lt Col Brownell: You know, we got to give credit where credit is due, you know 26 years of military service, I can always tell you that your plan is only as good as how it was written it will always change.
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Lt Col Brownell: And the ability to adapt it to the situation is what makes us successful right so sometimes going into these.
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Lt Col Brownell: ideas we have we have the guides we have the assumptions and those assumptions will always change because assumptions later become facts.
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Lt Col Brownell: But sometimes we have to let go the assumptions and I think that we have captured that you know now that we've only been in this distribution process now for roughly what three months.
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Lt Col Brownell: Of the vaccine and being on your third version is to be able to rapidly adapt that plan and implement it speaks volume for how the team is working so.
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Lt Col Brownell: kudos to you and everybody else that has put effort in this plan, I look forward to seeing how it's going to play out as more vaccines become available, but I do, I do wonder, now that the finished product production act has been put in place by President Biden.
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Lt Col Brownell: How is that maybe going to change perception, or is it going to increase production because sometimes.
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Lt Col Brownell: If you if you put out speed sometimes you for sacrifice quality, and I think sometimes that is always a concern right and so i'm just curious, is there a plan in place to address those as they come up.
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Shannon Bennett: I appreciate your words, so thank you, it means a lot.
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Shannon Bennett: I regard in regards to President Biden I don't we just simply don't know enough is only been a few days and.
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Shannon Bennett: The CDC and what used to be operation work speed I don't think they're calling it that anymore, but what that was.
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Shannon Bennett: is now you know we just haven't received guidance from the contacts that we have.
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Shannon Bennett: I expect that we will very soon, I know there's a large plan in place and we look forward to to implementing that and and truly if we are able we're just waiting on more vaccine we have it already, we are waiting, we can scale up we built this whole thing to scale up.
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Shannon Bennett: we're just waiting for waiting for the vaccine, so we can get it in arms.
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Melanie Flores: Like how do they determine how many vaccines.
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Shannon Bennett: it's pro rata is the allocation methodology so it's based on our population.
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Melanie Flores: We answered this question, what is the process to get the vaccine.
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Heidi Parker: that's a great question well and we like Shannon said that communication piece each day I think we're getting more and more information out to the Community as we're opening up these priority groups.
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Heidi Parker: So right now on the immunize Nevada site say we actually have.
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Heidi Parker: A sub site so and NVCOVIDfighter.org, and that is a landing page for all COVID 19 vaccine information, whether you're a member of the public.
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Heidi Parker: you're a business owner and employer you're a health care, professional and so on, that page is actually a link to a county level page.
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Heidi Parker: That you may have seen shared over the last week or so I have so that county level pages updated daily with the process for that county and so.
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Heidi Parker: ganesh and stated, you know with each county being given, I would say a little more freedom, you know, to move as they need to, and then they are communicating.
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Heidi Parker: Each week you know who they're vaccinated and what that process is because, as we know.
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Heidi Parker: nevada's widely diverse in our counties and you know who is vaccinated and each community, and what that looks like and so some communities.
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Heidi Parker: You know, we have EMS you know, working with a maybe a local community health nurse, and maybe a hospital is taking the lead, so does look different and so within that page and.
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Heidi Parker: person can go, they can see their drop down for their county and it's actually dated so all the updates, then they can see like what the latest information is.
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Heidi Parker: And then, as a county opens up to additional priority groups we're adding those groups into that section.
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Heidi Parker: within each of those counties to our links, for then who is vaccinating and how to sign up for an appointment and then some of our counties also have gone a step further.
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Heidi Parker: And I think this is such a great response there to having a waitlist so again, you can put your name on that list and like washoe county is using that to then do random generated.
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Heidi Parker: emails each week for 70 and older, who then can come down and get vaccinated also using it to then fill some of those no show appointments.
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Heidi Parker: And I would say that's the biggest thing too is, if you make an appointment, please keep it and again that causes, you know some vaccine challenges if that.
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Heidi Parker: vaccine has been obviously reserved for you and then that vaccine or has to scramble so we want to make sure that everybody is keeping those appointments.
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Heidi Parker: And to your point earlier about the older generation and helping them access so that's actually an ask that we are putting out to our communities, and while you're waiting.
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Heidi Parker: For your vaccine, you can actually help a senior so you can go online to this page, you can understand what's happening in your county.
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Heidi Parker: You can figure out those links and then you can make sure that they have that information that they understand the process go one step further help them, you know, like you did.
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Heidi Parker: With their consent potentially if they're even needing to go make that appointment, you can help them online to that, and so we think that's a way that all of us can help our.
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Heidi Parker: Our older nevadans navigate the system, and I think the system is a little overloaded right now right so it's it is frustrating, we know.
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Heidi Parker: That some at peak hours, it is really hard to get those appointments so encouraging them to sign on and non peak hours.
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Heidi Parker: being patient refreshing pages, you know all of those things.
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Heidi Parker: But I think the bottom line is we know people are desperate to get vaccinated as Shannon said, you know, we know that if we got more vaccine, we can absolutely utilize it.
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Heidi Parker: And so it's giving us all the tools to be ready, you know, for when that vaccine does come so being on those lists helping everybody understand where that information is.
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Heidi Parker: And then facing to Dr Madison’s point to is then also educating herself about the myths, you know and misinformation that is out there and where to get those credible.
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Heidi Parker: sources from and the answers that are are that the factual answers and they're not coming from.
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Heidi Parker: A random you know website or Facebook page, and so we also do have our Frequently Asked Questions section there and we're adding to that so as we see things circulating and we hear people asking the same questions.
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Heidi Parker: We are adding to those faqs and to help encourage that that learning as well.
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Dr. Christina Madison: I was just and for the process, so one of the things that we've done for roseman university's efforts.
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Dr. Christina Madison: Is that we've established a hotline because we do know that it's more challenging for our seniors The other thing too is.
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Dr. Christina Madison: Part of the process is that we asked people while they're waiting during that observation period to sign up for be safe, and if you don't have a smartphone.
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Dr. Christina Madison: That may not be an option for you, so there is a a text.
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Dr. Christina Madison: message service that can be done just a regular phone like a flip phone and so that's also something that we're.
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Dr. Christina Madison: Using as an option for our seniors as well, and so, and you know, even though we know that some of us aren't digital natives, and this may be more challenging I love absolutely love the idea of an adopted senior.
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Dr. Christina Madison: To get people you know registered, I think we it's just going to all take us, you know, working together.
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Dr. Christina Madison: Something that the southern about health district is established in partnership with some of the university community partners is that we're working with park service's.
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Dr. Christina Madison: Fire rescue Ms and our incident commanders and so now we're going to the senior centers and so we're doing these strike teams, where we're doing.
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Dr. Christina Madison: Multiple throughout the week and the universities are just being asked to supply vaccinators and preppers.
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Dr. Christina Madison: And everything else is done for you, so we literally show up, we can give the vaccine we've got the 200 doses, and then the seniors just show up.
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Dr. Christina Madison: And so we're going to you know have that continuous you know show up this time, you can come get your vaccine and then it kind of helps a little bit with the messaging and then the park service is helping to get that information out.
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Dr. Christina Madison: To some of the senior apartment living houses and as well, so we're we're we're coming up with all kinds of different solutions, so it does look different depending on where you are but.
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Dr. Christina Madison: You know, again calling the health department and your county calling washoe calling southern Nevada health district looking at you know.
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Dr. Christina Madison: immunize Nevada and if you are somebody that does follow social media following you know immunized if that is social media, which is very helpful, you know.
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Dr. Christina Madison: Not to plug myself, but I I post a lot of stuff what's going on for the state as well and I I try my best to get you know information out there to the public as well.
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Lt Col Brownell: You know, speaking of social media it's so important that we follow the right sources on social media, so it makes me happy to know that you're posting quite often to kind of drowned out some of those more negative posts that might be out there right now.
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Shannon Bennett: And on that note to I wanted to share that we're working on establishing a statewide coven 19.
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Shannon Bennett: Call Center as well, and the idea is exactly exactly that we know that some of our different populations, may have a harder time with technology.
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Shannon Bennett: They may not be as tech savvy whatever that may be, we want to be sure that we have a way to support them and if they have someone to call and talk through so we're hoping that that combined with.
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Shannon Bennett: The adopt a senior concept and then everything like what Dr. Madison is talking about, we will be able to hopefully saturate some of our our senior populations.
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Lt Col Brownell: You might need to adopt a millennial too.
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Lt Col Brownell: Because.
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Lt Col Brownell: I daughter was doing her homework on her iPad the other day and I didn't know how to I didn't know how to get out of something so she had to show me how to use her homework on her iPad so you may have to bring that down to the millennial generation as well, because I may need that.
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Shannon Bennett: Well, I think that that call Center will help any of us for sure.
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Melanie Flores: A lot of UNR students.
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Melanie Flores: That is millennials in love.
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Heidi Parker: yeah and now you know that we recently requested some additional public health interns and that.
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Heidi Parker: has I think there's multi layer there for what we expect them to be doing, but not only helping answer phone calls and answer the emails that.
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Heidi Parker: are coming in by the hundreds to immunize Nevada so we know, everybody else's getting those two.
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Heidi Parker: But also doing on site pod assistance and work that washoe county is going to be soon implementing with with our fire partners and then also similar to Dr. Madison's.
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Heidi Parker: outreach is then working with our Community health workers to identify in the Community who needs some of that onsite assistance.
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Heidi Parker: and sending them out kind of deploying them to those locations to be of assistance, and so I think it's so there's so many opportunities for students, right now, and I just.
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Heidi Parker: I think it's such a great learning moment and to be able to be in this and experiencing it.
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Heidi Parker: firsthand and contributing you know to some of these solutions, and so I think that's just such a great resource across our state and i'm so glad we have such a strong public health and health profession, you know schools here.
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yeah something.
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Dr. Christina Madison: Oh one other thing too that I was going to just mention is that the process, depending on.
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Dr. Christina Madison: You know what type your appointment is typically we're telling people try not to arrive more than maybe five or 10 minutes before your appointment because then that.
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Dr. Christina Madison: adds on to your wait time, so we are trying to tell people you know just arrived, you know, maybe a couple minutes early before your appointment time or right at your appointment time because we really do have things down to the minute.
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Dr. Christina Madison: So you know when I was working the pods at Western high school down here in the south.
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Dr. Christina Madison: You know, we We calculated that you know, based on the number of appointments that we had we should be able to vaccinate.
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Dr. Christina Madison: At a minimum 150 people per hour with all 12 of our vaccine stations, open and all of our registers, open and all of our backs vaccine preppers.
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Dr. Christina Madison: And that was even with giving people 15 minute breaks every hour and so.
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Dr. Christina Madison: You know, when we figured it out, you know we were collecting the forums every hour, you know that first hour we we were maybe having a little bit of trouble, because people were just getting started for the morning.
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Dr. Christina Madison: But by the third hour of the day, we were actually up to like over 200 people an hour, so people weren't waiting so I mean, I think you know just letting people know that.
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Dr. Christina Madison: There are new stories out there about people waiting in line in the cold, that is not what Nevada is about, we are about quality service.
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Dr. Christina Madison: And we have gotten it down to a science, so you, you should not feel like you're going to be waiting a really long time I think that's the number one thing that i've heard from from patients is that.
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Dr. Christina Madison: They were very surprised because of some of the negative press at how easy the process was, and you know with the appointment system that we're using.
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Dr. Christina Madison: We use the same appointment system as the health department it's called appointee and you can send them the easy way and their form in advance and so.
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Dr. Christina Madison: A lot of times people come with their form already filled out and that helps with the process as well, so it's like every little thing that you can do to shave off a minute here a minute there it really does help with the process.
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Dr. Christina Madison: But then also letting people know that we do really need them to stay for that full 15 minutes and then like for people like myself who have a history of a severe allergy to medication.
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Dr. Christina Madison: making sure that they know that they really do need to stay there for the 30 minutes because we want to make sure that people are being observed and not getting in their car and having a reaction.
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Melanie Flores: To the time sensitivity of the vaccinations and why there needs to be a waitlist where people don't show up or don't want.
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Melanie Flores: things of that nature.
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Dr. Christina Madison: Yes, so this vaccine is fickle so.
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Dr. Christina Madison: It is it's very interesting, so the messenger RNA technology, it is quite sensitive, so it is I like to think of it as being.
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Dr. Christina Madison: it's being protected in a a little bit of a fat bubble, and so that lipid.
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Dr. Christina Madison: filled bubble that's keeping that messenger RNA safe once we've punctured the vial we have six hours to use it.
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Dr. Christina Madison: So it's not like a flu vaccine where if we have a multi dose file, we can use part of the doses, and then just put it back in the fridge.
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Dr. Christina Madison: We have to use all 10 of the doses if it's the Madonna vaccine, or if it's the Pfizer vaccine, we have to use all five of the doses.
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Dr. Christina Madison: The one thing that I will also say as well that's great about having the the waitlist is that if you are lucky when you get your ancillary supplies to get those one CC to tuberculin syringes.
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Dr. Christina Madison: You can consistently get an 11th or a sixth dose out of the vial, which is what we've been able to do and so.
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Dr. Christina Madison: Just to give you a, for instance, my clinic that I had last Saturday I was actually able to get 12 extra doses out of my vitals.
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Dr. Christina Madison: So, you know that that waitlist may not just be for extra doses that people didn't show up for their appointment, it may be that I literally do have an extra dose for you so.
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Dr. Christina Madison: You know that's that's also the reason why we want to make sure that we're not.
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Dr. Christina Madison: missing an opportunity to vaccinate and really stretch the supply the very precious limited supply that we currently
have.
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Dr. Christina Madison: As Shannon mentioned before, we were all on pins and needles, you know, on the Monday, when we're supposed to get our shipment, I know I was when I first got my shipment, and I was so excited when it came so.
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To vaccinations.
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Dr. Christina Madison: i'm sorry, could you repeat the question I didn't hear the first part.
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Melanie Flores: You people have to get two vaccinations.
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Dr. Christina Madison: yeah great question, so the two vaccinations for the messenger RNA products and the two candidates that are currently.
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Dr. Christina Madison: Have the way available here in the United States is because there is no immunity to SARS CoV-2 to right now in the population that's why it is a pandemic, because it's widespread and it's across the world and there's no.
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Dr. Christina Madison: Human immunity to it, unless you actually have the infection and then recover and even with that immunity, it is waning and it is not against all the different variants right so.
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Dr. Christina Madison: Having natural infection isn't actually as protective is getting the vaccine and now that we're seeing these new variants popping up the one out of UK there's one from South Africa.
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Dr. Christina Madison: You know, we know that it's more transmissible so you know we're we're really racing against the clock right now to
get people vaccinated.
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Dr. Christina Madison: While we know that this vaccine is effective against these new variants.
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Dr. Christina Madison: And so the two doses again you're really priming the pump with the first vaccine, because the you know the immune systems never seen it before.
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Dr. Christina Madison: And then you confer that that efficacy with the second dose and then you get up to that 95% efficaciousness about 14 days after you receive the second dose.
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Dr. Christina Madison: The other thing too I want people to understand it's not a silver bullet it's 95% efficacious which is.
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Dr. Christina Madison: phenomenal for somebody who's worked in vaccines for so long and knows that typical flu is around.
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Dr. Christina Madison: 50 to 70% efficacious which is just amazing that we could do that but it's not 100%.
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Dr. Christina Madison: So we do have instances, and you know there's a few cases out there, where there have been people who've gotten both doses of the vaccine and i'm still tested positive for COVID so there's two things that the vaccine is really doing for us it's helping to protect you against getting COVID-19.
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Dr. Christina Madison: But also, if you do get coven we do know that people.
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Dr. Christina Madison: were not getting severe illness and so it's
it's very similar to what we say, with the flu So even if it's the flu vaccine you get it and you still end up getting the flu you're less likely to be hospitalized it's the same thing with COVID-19.
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Dr. Christina Madison: You can get your vaccine and if you do end up getting COVID you are much, much less likely to be hospitalized and have severe illness, so you still need both doses to get to that maximum efficacy because again there's no known immunity in the population right now.
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Melanie Flores: Transfer like if you have both doses, and your immune, can you still.
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Melanie Flores: hear somebody else.
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Dr. Christina Madison: So that is the the question for sure I will tell you that is the one thing that we are still working on and as part of the post vaccine implementation research effort.
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Dr. Christina Madison: So we do not have the answer to that question, right now, in theory, based on the data that we do have it does look like, once you are fully immunized.
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Dr. Christina Madison: That you will not be able to spread the virus, but we can't say for sure, so we still need to collect more data in order to definitively say that once you are fully immunized that you are no longer a carrier and cannot spread COVID-19.
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Heidi Parker: Think Mel I would add that a big message going forward to once people are vaccinated is just that we're still going to have protocols in place.
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Heidi Parker: Like mask wearing and making sure that we're watching our distance, obviously, we hope that people continue hand hygiene, to
the level we want them to.
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Heidi Parker: So those that's a really important message that we will see throughout 2021 is just the continuation of those other protocols because yeah it's it's not that it's not a magic solution to solve all of this, and we still have the other pieces of the puzzle, that we need.
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Melanie Flores: variants that we've been seeing pop up so.
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Melanie Flores: Once you get vaccinated that immunize you against the variance of COVID 19.
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Dr. Christina Madison: For what we can see right now, it does look like it it's it is effective against the current variant that we're concerned about so remember the vaccine is presenting the spike proteins that spike protein can.
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Dr. Christina Madison: code for multiple different mutations of the virus so as of right now, it looks like it's currently effective against the variant.
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Melanie Flores: All right, let's move into vaccine hesitancy Why are people so hesitant to get vaccinated what kind of misinformation, are you hearing out there.
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Heidi Parker: Well, I, I think.
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Heidi Parker: We touched on it a bit earlier, so I think anytime something seems to be like new you know so that MRNA I think did.
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Heidi Parker: Fuel a lot of misinformation and myths out there, so I
think a lot, I mean we have done a lot, I think a lot of partners are doing a lot to help people understand that process and.
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Heidi Parker: Dr Madison explained it very well and that's the same way i've seen it explain to his you know kind of that snapchat and.
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Heidi Parker: process or like it's an email it just gets sent and deleted right away.
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Heidi Parker: So you know lots I think there's a lot of ways we can help people understand it so that's definitely one, and I think just.
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Heidi Parker: Also, obviously COVID 19 in general, we saw a tsunami of misinformation about the pandemic all throughout 2020 and I think that just continued into the vaccine as well, so.
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Heidi Parker: There are myths about fertility there's myths that get a little more into conspiracy theory about five g and micro chipping so there's.
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Heidi Parker: A there's no end to it, unfortunately, right now, and so I think we're all doing our best to just address them and bring on experts, one of the things I mean i've added.
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Heidi Parker: and are continuing to do is we have 30 seconds to a minute videos that we recorded with Nevada physicians and other experts there on our YouTube channel there on social media and we have a just.
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Heidi Parker: Individual concerns and myths as well and misinformation and in those just to help people get kind of that first like snippet of information and then hopefully encourage them to get additional facts and as they move through there.
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Heidi Parker: I guess hesitancy spectrum, and so I think that's just from the myths and misinformation piece, you know I think that's nothing new it's just been exacerbated by the misinformation that was already in place for the pandemic and just increased.
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Melanie Flores: Allergy reactions i've heard anaphylactic shock, is there a certain population that might be susceptible to having an adverse reaction to the vaccination.
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Dr. Christina Madison: i'm happy to answer that question so at so we, we do know that individuals who had a history of.
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Dr. Christina Madison: Either severe allergic reaction to a drug or food or traditionally carry an EPI pen with them.
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Dr. Christina Madison: Those individuals we believe are at a higher risk for experiencing anaphylactic reaction to the vaccination it's not a contract indication to receiving the vaccine it just means that we need to observe you more.
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Dr. Christina Madison: fully and longer you know i've had a couple of patients, where.
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Dr. Christina Madison: they've even had you know instances where there was like some facial swelling because the maderna product has had issues with people receiving facial fillers and it causing reactions, with the facial fillers.
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Dr. Christina Madison: So you know it's just more of a being educated and its risk versus benefit and so.
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Dr. Christina Madison: i'm telling anyone who who feels that that is a
concern for them to really discuss that with their health care provider.
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Dr. Christina Madison: and looking at risk versus benefit of them getting COVID-19 and having severe complications so i'll use myself as an example, I have a history of.
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Dr. Christina Madison: A severe drug allergy, which I was actually hospitalized for so I kind of already went in knowing that there was a possibility that I may have a reaction.
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Dr. Christina Madison: And so, when I got the vaccine, I was very acutely aware of that, and so I had already planned to be there for the 30 Minutes because I knew that about myself and about.
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Dr. Christina Madison: I would say about six to seven minutes in I started feeling like I had a tingly tongue, and so I was like starting to get concerned, so I took benadryl.
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Dr. Christina Madison: made sure I was doing okay soon as I got home, I took another dose before I went to bed, so you know that obviously i'm pharmacist, so I know what to do, but like those are the kinds of things that i'm telling patients too.
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Dr. Christina Madison: i'm just making sure that i'm fully transparent with them about you know the possibility and then now that i've had my own reaction and experience things, I can tell them from a personal experience.
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Dr. Christina Madison: And that it is not deterring me from getting the vaccination and it didn't deter me the first time and it's not going to deter me from getting the second dose i'm just going to take precautions, so that if I do have another reaction that I have those safety things in place.
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Lt Col Brownell: You know Mel from our from a concerned citizen I talking to a lot of people in the Community as well about it i've heard everything from religious preference for vaccines more of not like an Anti-vaxer program, but the fact is that.
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Lt Col Brownell: To the other one is that there's a huge distrust in right now, our media sources are at an all-time low for trust, so they don't there's not a lot of understanding.
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Lt Col Brownell: When they hear on the news because well, we could the media to go out there and they would interview 100.
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Lt Col Brownell: people get 99 success stories and focus on the one, and I think early on, when we got the vaccine they put somebody who faints at the first sign of pain.
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Lt Col Brownell: As the first one to get the vaccine and so everybody saw that and all of a sudden, he created this there's two steps back, because if it bleeds it leads.
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Lt Col Brownell: And then we don't we don't tell those success stories so it's incumbent on us to tell those success stories when it happens and then we've heard other ones.
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Lt Col Brownell: Were individuals were like hey my spouse and I are looking to conceive within the next few months, you know we're family planning.
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Lt Col Brownell: we're not sure that we want to you know there's some long-term effects that are on unstudied and so Those are all legitimate concerns and so.
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Lt Col Brownell: And then other ones, all the way to like hey they're
gonna they're gonna you know put a five year they're gonna stick a microchip in my arm.
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Lt Col Brownell: And I say, well, why would the Government put a microchip in your arm when Google does it form for free, and so what you know, so why do we, you know why these belief systems that we have to attack, so I mean.
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Lt Col Brownell: telling those success stories is huge, but i'm even more interested in those who are trying to conceive.
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Lt Col Brownell: And I think there was a couple that are like hey I you know i'm giving birth in a few months i'll be rescued, you know be breastfeeding, and i'm not sure I want to do this because the studies aren't there.
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Lt Col Brownell: So that's kind of stuff we've been seeing it's been all over the gamut hasn't been one focal area over the other.
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Lt Col Brownell: But the ones that you know there's always a conspiracy ones that we have to kind of put off the side but there's the legitimate ones that family planning, you know preference and do I trust the the sources that are telling me it's good.
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Heidi Parker: And I think that's a great example of our some of the videos that we did make so we did tap into Dr.Cindy Duke she's a fertility specialist in Las Vegas and then also.
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Heidi Parker: Dr. Stacy McCalen and she's OB GYN and so again for us like going right to that expert source and then having them talk about it from their.
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Heidi Parker: Their perspective and their own experiences, and I think those videos are incredibly helpful for couples in that situation
because.
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Heidi Parker: Again it's that starting point to hear from an expert and then it hopefully will encourage them to then talk with their own provider and feel more comfortable and asking the questions.
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Heidi Parker: and making a decision that's right for them, and I think also it's important to note, especially in that situation.
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Heidi Parker: That a colleague and other.
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Heidi Parker: bodies have come up with statements as well, and so we think again.
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Heidi Parker: Probably separating out that media piece, but really going to that expert and the expert body that is overseeing.
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Heidi Parker: Those groups, I think, is again important for couples to seek out to make sure that you are going to that source and it is the source that is credible.
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Heidi Parker: And so we continue to link, you know to those we have our faq on the page actually about both of those situations and then that also drives people to the information they need.
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Melanie Flores: To talk about communities of color and distrust of the the medical system are we seeing that with this immunization as well.
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Heidi Parker: We are, and I think that.
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Heidi Parker: office of minority health of the Nevada Office did a excellent webinar last night, and I think it i'm hopeful that lots of people are able to watch the recording and also will be posted on Facebook.
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Heidi Parker: And, but I think a lot of the responses and concerns brought up in that webinar I think are incredibly important for us to be acknowledging.
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Heidi Parker: and making sure that we're utilizing to inform the outreach you know in our communities and here in Nevada and so that's again.
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Heidi Parker: Our committee health worker program is working on that and working specifically with the REACH program at southern Nevada health district.
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Heidi Parker: and to ensure that that we are adjusting that in providing the resources needed.
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Heidi Parker: So that's just what's happening, I would say, from the immunized Nevada perspective and some of the work that's a head, I know the Ad Council is also.
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Heidi Parker: diving into a large national campaign here in the next few weeks, and they have spent significant time with focus groups and experts, specifically with communities of color to make sure that that campaign is going to be effective and hopefully increase that confidence.
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Dr. Christina Madison: so the office of minority health did a video series with UNLV School of Public Health and i'm actually in one of those videos and we specifically talked about hesitancy and we had a very.
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Dr. Christina Madison: very thoughtful script that we were to read that talked about you know why it's important to get vaccinated and you know, acknowledging the concerns of those communities and then you know, obviously, as a woman of color.
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Dr. Christina Madison: i've been very open and honest about you know my thoughts about the vaccine and just vaccine advocacy in general.
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Dr. Christina Madison: And so you know I think it's just going to take all of us to make sure that we are being very culturally competent and aware of some of that mistrust and as somebody who's also worked in.
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Dr. Christina Madison: You know the HIV and AIDS Community there's a lot of similarities here to what happened during the beginning of the AIDS crisis and epidemic and just realizing that you know black Americans.
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Dr. Christina Madison: You know our sexual and gender minorities Latino Americans our indigenous brothers and sisters, they are all concerned, because we have systematically been left behind, and you know, in this instance it's an interesting sort of.
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Dr. Christina Madison: quandary because I think a lot of the studies in this, you know the things that you've heard about like Tuskegee That was really about denying treatment not offering treatment and then you know some instances, about.
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Dr. Christina Madison: You know, some you know different vaccines being given to different populations.
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Dr. Christina Madison: It, this is not what's happening right now, and I think we really just need to dive into those things as uncomfortable as it may seem, and as raw and very moving and touching and sometimes very.
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Dr. Christina Madison: traumatizing and triggering it can be, for some people, we need to address them and we need to talk about them, and you know i'm very fortunate that I.
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Dr. Christina Madison: You know lead with science and we've always had science in my household but I know that that's not always the case for everyone, so you know getting that information out there and talking to people who look and sound like you.
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Dr. Christina Madison: and getting their advice, it means so much, and so we just, we need to have more you know people of color out there, talking about their experience and talking about why they're still going to get the vaccine, despite feeling like they may be marginalized So those are my thoughts.
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Melanie Flores: let's talk about herd immunity what percentage of the population needs to get vaccinated to have herd immunity.
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Melanie Flores: And what is herd immunity let's talk about that first.
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Heidi Parker: I was just gonna say that I think we keep seeing the number changing so that's just my.
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Heidi Parker: that's my quick statement on it, is that I am not sure we know exactly yet where we need to be so I, I know, Dr. Faucci for a little bit was at 70% and I think he updated so I would say.
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Heidi Parker: that the recent surveys that you and I are the school of medicine did and its continuing to do about confidence in in nevadans that came out.
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Heidi Parker: At right now to be about 65%, so I think we can be
honest that that's not where we need to be to get us to the end of this.
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Heidi Parker: So I think we definitely need to be higher so that's just my I think my every day, knowing that we have so much farther to get I think in.
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Heidi Parker: and obviously the vaccine supplies not helping us get there in the time that we want to be, I know, everybody wants to get through this quickly, but I know just obviously looking at history, you know we have to get there, and we have to get it to be a high number in order to get past this.
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Dr. Christina Madison: So just to piggyback on that, I think, part of the reason why we're seeing the need for a higher number of herd immunity is because the virus is getting smarter right and because we are seeing these new variants and it's more highly transmissible and so.
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Dr. Christina Madison: That is why we need to vaccinate more the population, because if we have.
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Dr. Christina Madison: A smaller portion of people with that variant that's more highly transmissible That means the potential for more people being exposed and having the virus and so.
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Dr. Christina Madison: The key here is that herd immunity means that you've got enough of an immunity within the population.
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Dr. Christina Madison: From either vaccination or infection that you protect those people who aren't able to be immunized right and that's really what we're trying to get to we're trying to get to that protective bubble where.
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Dr. Christina Madison: The virus has no host to go to because it's only going to keep populating it has a host to go to, and if we can get a majority of the population vaccinated it can stop the virus from continuing to transmit.
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Melanie Flores: Do we still have to wear masks even after were vaccinated.
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Dr. Christina Madison: Abso-stinking-lutley.
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Melanie Flores: mercy, you know, a life of normalcy precluded.
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Dr. Christina Madison: Once we get to that herd immunity, I think that semblance of normalcy can be achieved, I think that there are some things that will probably stay from our coven universe.
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Dr. Christina Madison: And i'm hopeful that people will continue to wash their hands, and if they are sick to wear a mask right so maybe if you're not sick wear a mask but maybe this thought process that if we're wearing masks that that helps stop the transmission of.
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Dr. Christina Madison: Communicable respiratory illnesses that's not just COVID, but also influenza as well.
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Heidi Parker: yeah man, I was on an interview recently enacted, so therefore I said I am wearing a mask during flu season for the rest of my life like this it just knowing that.
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Heidi Parker: You know, in the past, like you know someone standing behind you in the store and they're coughing and hacking all over you and right there right behind you.
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Heidi Parker: But now there's like space, and you have a mask on and and I I just look into the future, I I just know personally that's going to be my choice because it makes so much sense, and I know that's why.
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Heidi Parker: Other countries have done it for a while, because they experienced that and they knew it was a public health precaution that needed to be there, so I am i'm 100% mask wearing.
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Heidi Parker: Team mask.
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Lt Col Brownell: i'm on the fence about these mask and telling you know America was you know, everybody goes back to it's not a statement it's you know.
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Lt Col Brownell: I like seeing people smile I missed out on a daily basis i'm an interaction person I like body language.
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Lt Col Brownell: I think you can tell a lot from you know how how people days going whether they're wearing a smile or frown and sometimes you know when you wear that mask you can't tell.
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Lt Col Brownell: And so I still like being able to see them and asking them how their day is and trying to you know, and you know when you were to ask you say oh it's fine it's good.
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Lt Col Brownell: And you can't tell so our facial expressions tell a lot about who we are, as a society, and so I missed that I can say that, for certain and.
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Lt Col Brownell: I don't know I mean I I as good as zoom has been, and it has kind of thrust us into this out of the industrial revolution in the information age and the technology age as well, some would call the fourth industrial revolution, I would.
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Lt Col Brownell: You know, I hope that you know I don't want everything to go back I like the fact that we've adopted, you know better sick call practices that you know if you're sick stay home.
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Lt Col Brownell: You know, and being more understanding and more lenient towards towards individuals and more respectful of that, but I also.
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Lt Col Brownell: Do miss seeing them on a face to face interaction, you know I am I, you know somebody who is very much gets all of their energy from crowds and from reading around people.
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Lt Col Brownell: You know this is sometimes been a challenge, I know when they did the stay at home, order and.
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Lt Col Brownell: In March, it had been the first time that I had ever been with my wife for 45 days straight historically i've always been on the road.
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Lt Col Brownell: You know and Mel has known me for a long time, as somebody who's traveled and lived overseas.
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Lt Col Brownell: And I was, I was, I was afraid that she might find that she didnt like me.
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Lt Col Brownell: I was like I don't know i've been with I haven't been in the same House with her for 45 days and the years we've been together.
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Lt Col Brownell: And it made our marriage much stronger, I mean I know it's been it's been amazing times when I tell my daughter, but I do
miss watching.
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Lt Col Brownell: watching the kids smile and watching those plays in person and being around that group, so I hope that everybody takes the vaccine and we get that herd immunity sooner than later.
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Lt Col Brownell: Just so we can go back to those high fives and some of that social interaction that some of us need to get through our day.
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Melanie Flores: Alright, well, I don't want to keep you too much longer, because I know you're all very important people so let's do takeaways what is when message that you want to get to the the general population.
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Melanie Flores: let's start with.
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Shannon Bennett: My message is.
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Shannon Bennett: To have faith in the public health and the medical system that we have in this country it protects us and it will only allow safe and effective vaccines to make it to us.
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Shannon Bennett: For widespread use and that we should be excited to have this vaccine here as quickly as it is and just look forward to getting more to give it to more people.
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Dr. Christina Madison: might actually have two takeaways be patient, we are doing our best give us some grace and then also don't let the perfect be the enemy of the good.
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Dr. Christina Madison: Because it may not look perfect and it may be
tiny, tiny bit messy at times, but I promise you, we will get vaccine into people's arms, if I have to personally do it myself.
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Heidi Parker: My takeaway is.
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Heidi Parker: You know I think this is a historic opportunity for Nevada to come together, and this is an opportunity for everyone to do their part.
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Heidi Parker: And to help us restore communities, so I think again reiterating the others, but being patient, but when it is your turn you know stepping out and doing that and and helping make a difference.
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Heidi Parker: I just I look forward to that time when when we can say we we've reached it and we succeeded in in getting past this.
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Lt Col Brownell: Well, I will tell you it was it's been an honor to be on a panel with I tell you what the talent, that we have here just on this panel.
451
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Lt Col Brownell: allows me to know that our State is in great hands, you know when it when it comes to the playbook when it comes to getting information out immunized Nevada.
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Lt Col Brownell: You know everything that we do as a society, I always tell everybody about is so big.
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Lt Col Brownell: But so few people in Nevada for the amount of land, we have, so we might not be able to compete numbers but we definitely compete in talent.
454
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Lt Col Brownell: And so, because we compete and such talent that Nevada is a force to be reckoned with I am positive that Nevada is going to be the leader of getting this out and every time I sit with talent like we have on this this team right now.
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Lt Col Brownell: And having this podcast allows our citizens and know that they're going to be taken care of protected, and this is the first line super This is our first line.
456
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Lt Col Brownell: fight with our doctors and nurses and our first responders I tell you what for so long.
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Lt Col Brownell: You know the military is always fought that that away game, and right now, this is our home game, and I think everybody who is doing a great job I tell you what Dr. Madison.
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Lt Col Brownell: Shannon keep up the great work you know we saw your press conference, the other day, so the playbook right Keep up the good fight Heidi keep the information rolling.
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Lt Col Brownell: Alright that's it because there's so much bad misinformation out there that we can that we got to drown that out, we have to get it out there because somebody might.
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Lt Col Brownell: always remember the last thing they heard right because that's a soundbite mind right now and and Mel Keep it up with the podcast I think these are a way to combat it when we say hey, this is it so those are my takeaways then nevada's in great hands.