1 CAPT Elissa Meites MD MPH Chief Editor CDC COVID19 Science Update Office of the Chief Medical Officer Dr Debra Houry MD MPH Acting Principal Deputy Director Ms Ahoua Kone MPH ID: 906151
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Presentation Transcript
Slide1
Mental Health is Public Health: Tools for State and Local Partners During COVID-19
1
CAPT Elissa Meites, MD, MPH
Chief Editor, CDC COVID-19 Science Update
Office of the Chief Medical Officer
Dr. Debra Houry, MD, MPH
Acting Principal Deputy Director
Ms. Ahoua Kone, MPH
Behavioral Scientist
Caryn Murillo, MPH
Deputy for Partnerships
and Risk Management
(Moderator)
August 23, 2021
Slide2Agenda
Introduction Update on COVID-19Presentation on CDC's Work on Mental Health
Presentation on Mental Health Tools for State and Local Public Health WorkersQ&A from emails receivedClosing
Subscribe to get future call announcements:
https://www.cdc.gov/coronavirus/2019ncov/communication/videos/partner-calls/
This call will be recorded and archived on cdc.gov and on YouTube.
Search: "cdc partner call" or "cdc youtube partner call“Q&A: We collect, sort and prep for questions prior to the call so we can answer as many as possible
Notes
2
Slide3CDC.gov Resources
COVID Data Tracker Weekly Review includes state and territory data on reported cases, variants, testing, vaccinations, hospitalizations, and deaths.
COVID Data Tracker Weekly Review | CDC
Updated webpage with new information on the Delta variant and the updated guidance. Delta Variant: What We Know About the Science | CDC
On August 11, 2021, CDC strengthened its recommendation for all people 12 years and older, including people who are pregnant, breastfeeding, trying to get pregnant now, or might become pregnant in the future. COVID-19 Vaccines During Pregnancy
3
Slide4Updates on COVID-19
Elissa Meites, MD, MPHCAPT, USPHS
Editor, COVID-19 Science UpdateOffice of the Chief Medical OfficerCDC COVID-19 Emergency Response
4
Slide5COVID-19 Situational Update
Global deaths
Cumulative deaths: 4,424,341United States deaths
Cumulative deaths: 625,375Average this week (last 7 days):
738/dayAverage last week (previous 7 days): 600/day 23% increase in deaths over previous 7 days
Global cases
Cumulative cases:
211,373,303
United States cases
Cumulative cases: 37,583,545Average this week (last 7 days):137,188/day
Average last week (previous 7 days): 122,769/day
12% increase in cases over previous 7 days5
Source of U.S. information:
https://covid.cdc.gov/covid-data-tracker
Source of global information:
https://covid19.who.int
This information current as of August 23, 2021.
Global vaccinations
Cumulative vaccine doses:
4,615,260,567
United States vaccinations
Cumulative vaccine doses:
362,657,771
People who received ≥1 dose:
201,425,785
People who are fully vaccinated:
170,821,621
60.7% of people received ≥1 dose
51.5% of people are fully vaccinated
Slide6COVID-19 Science Updates
6
Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines Against COVID-19-Associated Hospitalizations Among Adults — United States, March–July 2021. Tenforde
et al
. MMWR (August 18, 2021). Vaccine effectiveness (VE) against hospitalization was 86% during the first 2–12 weeks post-vaccination, and 84% during the next 12 weeks.
VE was 90% for people without immunocompromising conditions.
VE was only 63% for people with immunocompromising conditions.
CDC now recommends that people whose immune systems are moderately to severely compromised should receive an additional dose of mRNA COVID-19 vaccine, at least 4 weeks after their 2
nd dose, for a total of 3 doses.
Slide7COVID-19 Science Updates
7
New COVID-19 Cases and Hospitalizations Among Adults, by Vaccination Status — New York, May 3–July 25, 2021. Rosenberg
et al.
MMWR (August 18, 2021).Vaccine effectiveness (VE) against hospitalization was >90%, but VE against infection declined from 92% to 80% during May–July.
Decline in VE against infection in adults coincides with rapid increase in the Delta variant, and relaxation of masking and physical distancing recommendations.
Factors driving the apparent changes in VE were uncertain.
Increased viral load of the Delta variant might underpin its increased transmissibility and could potentially lead to reduced vaccine-induced protection against infection.
Slide8COVID-19 Science Updates
8
Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection Among Nursing Home Residents Before and After Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — National Healthcare Safety Network, March 1–August 1, 2021. Nanduri
et al
. MMWR (August 18, 2021).Among nursing home residents, pre-Delta (March–May) vaccine effectiveness (VE) against infection was 75%.
VE against infection declined to 53% during the Delta period (June–July).
Lower VE could be caused by waning immunity, reduced protection against the Delta variant, or both.
Vaccination of nursing home residents, as well as staff members and visitors, should be prioritized.
A potential need for another vaccine dose exists among populations at risk of severe COVID-19.
Slide9Mental Health is Public Health: Tools for State and Local Partners During COVID-19
Dr. Debra Houry, MD, MPHActing Principal Deputy DirectorCDC
9
Slide10Slide11Mental Health Data
Questionnaire* Modules include:
Health Related Quality of Life (Healthy Days/Frequent Mental Distress)
Bereavement
Caregiving
ACEs
SDOH and Reactions to Race
*Crosswalk with demographics (e.g.,
race, ethnicity, income, sexual
orientation, gender identity) and other core questions
Household
Pulse Survey
11
Slide12Suicide: A Mental Health and Public Health Problem
12
Contributors beyond
mental health
Strengthen Economic Supports
Strengthen access to and delivery of suicide care
Create protective environments
Promote connectedness
Teach coping and problem-solving skills
Identify and support people at risk
Lessen harms and prevent future risk
Strategies to Prevent Suicide
Note: Suicide decedents may have had multiple circumstances associated with suicide, so percentages will add to more than 100.
Source: CDC Vital Signs, 2018,
https://www.cdc.gov/vitalsigns/suicide/index.html
Slide1313
Slide14Evidence-based, partner-driven, multi-media campaign for audiences disproportionately affected by COVID-19 and mental health challenges during the pandemic.
Campaign Results
Total campaign reach:
437,312,529
Information seeking increased and was highest in
May 2021
Reached audiences most in need
: People experiencing violence, economic distress, and communities of color
Audience had 1.6x higher odds of reporting overall stress or
stress and discord in the family
Audience had 2.2x higher odds of reporting mental health information seeking
Campaign effects: Increased
resiliency
, increased use of
self-care
strategies, and increased
community engagement
How Right Now
Most common emotions experienced
Grief
among English speakers
Fear
among
Spanish speakers
14
Slide1515
Slide16Mental Health Resources for Public Health Workers
Ahoua Kone, MPH Behavioral ScientistCenter for Global Health CDC
16
Slide17Strain of COVID-19 on Public Health Workforce
17
Slide18Symptoms of Mental Health Conditions Among Public Health Workers, March-April, 2021
26,174 survey responses
53% reported symptoms of at least 1 mental health condition in the previous 2 weeks
37% reported symptoms of post-traumatic stress disorder
8% reported suicidal thoughts
18
Slide19Supporting PHWs Mental Health
Address work practices that contribute to stress and trauma
Destigmatize requests for mental health assistance
Make employee assistance programs accessible and acceptable
Build awareness of symptoms of mental health conditions & develop sustainable coping strategies
19
Slide20Sample State Mental Health ResourcesMichigan Stay Well Program
Virtual support groups Mental wellness webinars Behavioral health guides Delaware Division of Public HealthMental health resources Mental health check-in
20
Slide21Sample State Mental Health ResourcesWashington State Department of Health
Behavioral health resources and recommendations “Coping with COVID” podcast and blogSelf-care resourcesCOVID-19 guidance for building resilience in the workplace COVID-19 guidance for maintaining healthy incident management and emergency response teams
21
Slide22Federal Resources
CDC resources CDC mental health and suicide prevention strategies pages Mental health resources specific to public health and health professionalsMental health in the workplace Substance Abuse & Mental Health Services Administration (SAMHSA)Crisis counseling assistance and training programs
22
Slide23Supporting Public Health Workers
Organizations: Explore best practices and measures for staff support, such asReasonable workloadRecognition for achievementsTime offEmployee Assistance Program
Individuals: Explore positive coping mechanisms and stress management, such asSupport from family/friends, co-workersMeditationExerciseNature
23
Slide24Q&A with Panelist
Notes
This call will be recorded and archived on
cdc.gov
and on YouTube.
Search
:
"
cdc partner call"
or
"cdc YouTube partner call“
24
CAPT Elissa Meites
Chief Editor, CDC COVID-19 Science Update
Office of the Chief Medical Officer, CDC COVID-19 Emergency Response
Dr. Debra Houry, MD, MPH
Acting Principal Deputy Director
CDC
Ms. Ahoua Kone, MPH
Behavioral Scientist
Center for Global Health, CDC
Slide25Subscribe for future calls:
https://www.cdc.gov/coronavirus/2019-ncov/communication/videos/partner-calls/
The recording will be posted on cdc.gov and CDC's YouTube channel.
*Search "cdc partner call" or "
cdc
youtube
partner call"