{"id":1120,"date":"2022-04-05T14:32:20","date_gmt":"2022-04-05T14:32:20","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/clinicians\/?page_id=1120"},"modified":"2022-04-05T15:01:25","modified_gmt":"2022-04-05T15:01:25","slug":"covid-19-update-for-virginia-april-5","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/clinicians\/covid-19-update-for-virginia-april-5\/","title":{"rendered":"COVID-19 Update for Virginia &#8211; April 5"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1087 size-full\" src=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/2022\/02\/Letterhead-Greene_2022-1.jpg\" alt=\"\" width=\"2538\" height=\"684\" \/><\/p>\n<p style=\"text-align: center\"><strong>COVID-19 Update for Virginia<\/strong><\/p>\n<p style=\"text-align: center\">April 5, 2022<\/p>\n<p>Dear Colleague:<\/p>\n<p>Thank you for your continued partnership in responding to the COVID-19 pandemic. Please visit the <a href=\"http:\/\/www.vdh.virginia.gov\/coronavirus\/\">Virginia Department of Health (VDH) website<\/a> for <a href=\"https:\/\/www.vdh.virginia.gov\/coronavirus\/get-the-latest-guidance\/health-professionals\/\">current clinical and public health guidance<\/a>, <a href=\"https:\/\/www.vdh.virginia.gov\/coronavirus\/see-the-numbers\/\">epidemiologic data<\/a>, and other information. <strong>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/strong><\/p>\n<p><strong>Second COVID-19 mRNA Vaccine Booster Doses<br \/>\n<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/coronavirus-covid-19-update-fda-authorizes-second-booster-dose-two-covid-19-vaccines-older-and\">U.S. Food and Drug Administration<\/a><u> (FDA)<\/u> authorized, and the <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/covid-19-vaccines-us.html\">Centers for Disease Control and Prevention<\/a> (CDC) approved the option of, a second booster dose of an mRNA vaccine for individuals aged 50 years and older, and for those who are immunocompromised. CDC also approved the option of a second mRNA booster dose for those who received a Johnson &amp; Johnson\/Janssen vaccine for both their primary series and booster dose.<\/li>\n<li>If selected, the second booster dose should be given at least 4 months after the first booster.<\/li>\n<li>VDH concurs with offering the options above, and encourages provider-patient conversation for individual cases (<a href=\"https:\/\/www.vdh.virginia.gov\/statement-from-virginia-state-vaccination-coordinator-christy-gray-on-recommendation-of-second-covid-19-booster-dose-for-persons-50-years-and-older-immunocompromised-individuals-and-johnson-joh\/\">VDH press release<\/a> and <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/134\/2021\/04\/COVID-Vaccine-Standing-Order.pdf\">VDH revised vaccine standing order<\/a>).<\/li>\n<\/ul>\n<p><strong>COVID-19 Lab Reporting Updates<\/strong><\/p>\n<ul>\n<li>A <a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/13\/2022\/04\/Signed_COVID-19-Reporting-Variance-04_04_22.pdf\">variance to the Disease Reporting and Control Regulations<\/a> became effective on April 4, 2022 to exempt Virginia physicians, laboratories, and directors of medical facilities from reporting negative or inconclusive SARS-CoV-2 antigen test results and all SARS-CoV-2 antibody testing results.<\/li>\n<li>Results that entities should continue to report:\n<ul>\n<li>All (positive, negative, and inconclusive) Nucleic Acid Amplification Tests (NAAT).<\/li>\n<li>All POSITIVE antigen tests.<\/li>\n<\/ul>\n<\/li>\n<li>Full guidance from the Centers for Disease Control and Prevention can be found <a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/downloads\/lab\/HHS-Laboratory-Reporting-Guidance-508.pdf\">here<\/a>.<\/li>\n<\/ul>\n<p><strong>HRSA Ending Reimbursement for COVID-19 Testing, Vaccines, and Therapeutics<\/strong><\/p>\n<ul>\n<li>Due to a lack of funding from Congress, the Health Resources and Services Administration\u2019s (HRSA) COVID-19 Uninsured Program <a href=\"https:\/\/www.hrsa.gov\/coviduninsuredclaim\">stopped accepting claims<\/a> for testing and treatment on March 22.<\/li>\n<li>The Uninsured Program and the COVID-19 Coverage Assistance Fund will stop accepting vaccination claims starting on April 5.<\/li>\n<li>While conversations are underway to find a funding solution, vaccines should be provided to all persons aged 5 years and older regardless of insurance status.<\/li>\n<li>Visit the <a href=\"https:\/\/www.hrsa.gov\/coviduninsuredclaim\/submission-deadline#:~:text=The%20HRSA%20COVID%2D19%20Uninsured%20Program%20(UIP)%20will%20soon,PM%20on%20April%205%2C%202022.\">HRSA website<\/a> for more information.<\/li>\n<\/ul>\n<p><strong>Possible FDA Deauthorization of Sotrovimab in Virginia<\/strong><\/p>\n<ul>\n<li>New data included in the <a href=\"https:\/\/www.fda.gov\/media\/149534\/download\">EUA package insert<\/a> indicates that the current dose of sotrovimab is unlikely to be effective against the Omicron BA.2 subvariant.<\/li>\n<li>On March 25, <a href=\"https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/fda-updates-sotrovimab-emergency-use-authorization\">FDA deauthorized<\/a> sotrovimab use in HHS Region 1 (CT, ME, MA, NH, RI, VT) and Region 2 (NY, NJ, PR, Virgin Islands). On March 30, FDA deauthorized sotrovimab in HHS Region 5 (IL, IN, MI, MN, OH, WI), Region 9 (AZ, CA, HI, NV, American Samoa, Northern Mariana Islands, Micronesia, Guam, Marshall Islands, and Republic of Palau, and Region 10 (AK, ID, OR, WA).<\/li>\n<li>Reason for deauthorization is that the prevalence of Omicron BA.2 variant &gt; 50% of cases in HHS Regions above.<\/li>\n<li>Current Omicron BA.2 prevalence in Region 3 (includes VA) is estimated at 48.3%. While sotrovimab is currently authorized for use in VA, medical providers may wish to use alternate COVID-19 therapeutics such as Paxlovid, the preferred drug for COVID-19 treatment per the <a href=\"https:\/\/www.covid19treatmentguidelines.nih.gov\/therapies\/statement-on-bebtelovimab\/\">NIH Treatment Guidelines<\/a>, remdesivir (Veklury), bebtelovimab, or molnupiravir (Lagevrio).<\/li>\n<\/ul>\n<p>Thank you for your continued partnership as we respond to the COVID-19 pandemic.<\/p>\n<p>Sincerely,<\/p>\n<p>Colin M. Greene, MD, MPH<br \/>\nActing State Health Commissioner<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 Update for Virginia April 5, 2022 Dear Colleague: Thank you for your continued partnership in responding to the COVID-19 pandemic. Please visit the Virginia Department of Health (VDH) website for current clinical and public health guidance, epidemiologic data, and other information. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Second COVID-19 mRNA Vaccine Booster Doses U.S. Food and Drug Administration (FDA) [&hellip;]<\/p>\n","protected":false},"author":283,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-1120","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>COVID-19 Update for Virginia - April 5 - Clinicians<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/clinicians\/covid-19-update-for-virginia-april-5\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"COVID-19 Update for Virginia - April 5 - Clinicians\" \/>\n<meta property=\"og:description\" content=\"COVID-19 Update for Virginia April 5, 2022 Dear Colleague: Thank you for your continued partnership in responding to the COVID-19 pandemic. 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