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Frequently asked questions are included below and these are updated regularly. For additional data points and metrics pertaining to COVID-19 in Larimer County, please visit our Data Dashboard. The data that is available to the health department on an ongoing basis is presented on our dashboard and updated frequently. If you are feeling sick or have medical questions, please call your healthcare provider.

COVID-19 (also known as SARS CoV-2) is a disease caused by the new coronavirus strain.

Coronaviruses are a large family of viruses that can cause respiratory illnesses with symptoms that include fever, cough, and shortness of breath. These viruses spread through coughing or sneezing, much like the flu. Some coronaviruses are common and regularly cause illness in the U.S. in the fall and winter. Other coronaviruses, like MERS-CoV and SARS-CoV, have caused outbreaks internationally and have been known to cause severe illness. 

Self-observation means people should remain alert for subjective fever, cough, or difficulty breathing. If they feel feverish or develop cough or difficulty breathing during the self-observation period, they should take their temperature, self-isolate, limit contact with others, and seek advice by telephone to telehealth from a healthcare provider or their local health department to determine whether a medical evaluation is needed.

Self-monitoring means people should monitor themselves for fever by taking their temperatures twice a day and remain alert for cough or difficulty breathing. If they feel feverish or develop measured fever, cough, or difficulty breathing during the self-monitoring period, they should self-isolate, limit contact with others, and seek advice by telephone from a healthcare provider or their local health department to determine whether a medical evaluation is needed.

Close contact is defined as being within approximately 6 feet of a COVID-19 case for at least 15 minutes at one time or a total time of 15 minutes over several hours; close contact can occur while caring for, living with, visiting, working with, or sharing a healthcare waiting area or room with a someone who has COVID-19.

Contact tracing is the process of public health identifying close contacts of a case of a communicable disease, including COVID-19, to identify any additional cases as early as possible to reduce additional exposures to an illness. Public health routinely conducts contact tracing for many communicable diseases including HIV, varicella (chickenpox), measles, and other illnesses.

Public health orders are legally enforceable directives that may be applied to a person or group to restrict the activities undertaken by that person or group, potentially including movement restrictions or a requirement for monitoring by a public health authority, in order to protect the public’s health. These orders are issued under the authority of a relevant federal, state, or local entity. Federal, state, or local public health orders may be issued to enforce isolation and/or quarantine.

Isolation means the separation of a person or group of people known or believed to have a communicable disease and who are potentially infectious from those who do not have the disease to prevent the spread of the communicable disease. Isolation for public health purposes may be voluntary or compelled by federal, state, or local public health order.

Quarantine in general means the separation of a person or group of people reasonably believed to have been exposed to a communicable disease but who do not yet have symptoms, from others who have not been exposed, to prevent the possible spread of the communicable disease.

Congregate settings are crowded public places where close contact with others may occur, such as shopping centers, movie theaters, stadiums.

Social/physical distancing means remaining out of congregate settings, avoiding mass gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others when possible.

SARS-CoV-2 is the virus (specifically, a coronavirus) that causes COVID-19. 

PCR (polymerase chain reaction) Test is a molecular test that detects genetic material from a specific organism, such as a virus. PCR tests for COVID-19 are designed specifically to detect SARS-CoV-2. This type of testing detects the presence of a virus if you have the virus at the time of the test. This test may also detect fragments of the virus even after you are no longer infectious. PCR tests are considered the gold standard test for diagnosing COVID-19 and have been the gold standard since they were authorized for use in February 2020. 

FAQs

  1. The CDC and CDPHE now recommend that all fully vaccinated individuals 5+ should receive a COVID vaccine booster. 

    • Those who received Moderna or Pfizer originally should receive a first booster 5 months after receiving their second dose.
    • Those who received J&J originally should receive a booster 2 months after their initial dose. 
    • Those who are 50 years or age or older AND those 12+ who are moderately to severely immunocompromised should receive a second booster dose 4 months after their last booster. 

    Adults 18 and older may choose to receive a COVID-19 vaccine booster that is different than what they received originally (sometimes called "mix and match"). For example, someone who received Pfizer originally may choose to get a Moderna booster dose.

    Booster Eligibility:

    • Detailed information about eligibility for 1st and 2nd COVID-19 booster doses can be found on the CDC's COVID-19 Vaccine Booster webpage

    • For personalized information about booster eligibility and recommendations, we recommend using the CDC's  "Getting your Covid Booster tool". This will provide the most up to date CDC recommendations. 

  2. There is widespread confusion around natural immunity and whether someone who has already been infected with COVID-19 should still be vaccinated. Natural immunity, while robust, is far more unpredictable and dangerous to acquire than vaccine immunity. The only way to gain natural immunity is by contracting COVID-19, which means risking serious illness, long-term effects, and death. Moreover, not everyone who has previously had COVID-19 develops enough antibodies to fight reinfection. One recent study found that vaccination after a previous infection decreases reinfection risk. Yes, individuals should receive a COVID vaccine even if they have had COVID-19. 

    Natural immunity from having COVID varies from person to person and we know that for many people, a vaccine will produce a more effective immune response than prior infection. Asymptomatic infections in particular may not produce long-lasting immune response. We also know that both vaccination and prior infection combined produce the most effective and strongest immune response. 

    Because the risks of contracting COVID are persistent, unpredictable, and substantial, the vaccine is the safest option for protection from COVID-19. 

    Those who are interested in additional data about reinfection may also refer to the following resources: 

     

  3. Studies show that vaccines are safe and effective. The CDC has extensive resources outlining this. Additional details can also be found in the COVID-19 Vaccine Safety Technical (VaST) Work Group Reports

    When individuals are vaccinated with us, we answer questions they may have regarding vaccination at the time of their appointment. Those with additional questions are also encouraged to speak with their primary care physician. 

  4. There are several available resources for those interested in knowing the ingredients in the vaccine they select, including the CDC and DailyMed Database. Vaccine ingredients may vary by manufacturer. 

  5. After a drug or treatment is approved for use those treatments continue to be monitored for safety issues by federal organizations like the FDA and CDC (Phase IV clinical trials). Adverse reactions are not monitored at the local level because the rate of safety issues of approved treatments is typically so low that risks of harm can only be potentially detected by examining a very large dataset such as is available at the national level.

    The Larimer County Department of Health and Environment reports adverse reactions (side effects) in the U.S. to the Vaccine Adverse Event Reporting System, or VAERS. VAERS is one component of the United States' comprehensive vaccine safety monitoring system. VAERS reports are monitored carefully by the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). Reports of possible side effects after vaccination do not mean that the reported problem was caused by a vaccine. Reports are signals that can alert scientists of possible cause-and-effect relationships that need to be investigated. Anyone can submit a report to VAERS, including healthcare professionals, vaccine manufacturers, vaccine recipients, and parents or family members of people who have received the vaccine. Individual provider practices report their own data to VAERS. 

    You can learn more about VAERS and VAERS data at: https://www.cdc.gov/vaccines/hcp/patient-ed/conversations/downloads/vacsafe-vaers-color-office.pdf 

  6. Reported side effects for all U.S. vaccines can be found using data from the Vaccine Adverse Event Reporting System (VAERS). VAERS data is available to the public for download at http://vaers.hhs.gov/data/index.

    People may also request information about adverse events reported to VAERS by contacting them directly via one of the following methods:

    • Send a fax: 301-443-1726
    • Call:  301-442-1726
    • Write: Food and Drug Administration, Freedom of Information Staff (HFI-35) 5600 Fishers Lane, Rockville, MD 20857. 
  7. This may depend upon the practice of the site administering the vaccine. Larimer County Department of Health and Environment (LCDHE) lists available vaccines, by date and vaccine clinic site, on the website at www.larimer.gov/covidvaccine. A person will not receive a vaccine that they do not wish to receive at any LCDHE vaccine clinic.

    If a vaccine requested is not in stock, we can contact the person at such time as the vaccine is made available. 

    Other COVID-19 vaccine providers in Larimer County may have any and all of the COVID vaccines depending on their ordering preferences and the availability of the vaccines requested. There is significant variety among providers in Larimer County and LCDHE receives a variety of vaccines from week to week, depending on availability at the state and federal level. 

  8. There is no evidence that fertility issues are a side-effect of the COVID vaccination, or any other vaccination.  Experts from the CDC and the American College of Obstetricians and Gynecologists (ACOG) continue to recommend vaccination for all those who are eligible, including those who are pregnant or planning to become pregnant. 

    The CDC has also issued an urgent alert strongly recommending that all people who are pregnant and breastfeeding should receive the vaccine as soon as possible to prevent COVID-19.  Pregnant and recently pregnant people are more likely to experience severe illness from COVID-19, and those with COVID-19 also have an increased risk of complications such as preeclampsia, preterm birth, or stillbirth.  

    Those interested in additional information about COVID vaccines and fertility may wish to view the following resources:

  9. People who meet following criteria do not need to quarantine: 

    • If you have recently completed your primary vaccination series (<5 months after the second shot of Pfizer or Moderna or <2 months after Johnson and Johnson) OR
    • You have received a booster dose OR
    • You had confirmed COVID-19 within the last 90 days (you tested positive using a viral test).

    The CDC recommends that people who are exposed should wear a well-fitting mask when around others for 10 days following the exposure, regardless of vaccination status. It is also recommended to get tested at least 5 days after the date of last exposure. 

  10. According to the CDC, individuals who have had COVID-19 within the past 90 days may not be required to quarantine as long as they have recovered and remain without COVID-19 symptoms (ex: fever, coughing, difficulty breathing). In order for this quarantine exemption to apply, individuals must have received a positive viral test (molecular or antigen) collected within 90 days before the date of exposure. After this 90-day period, those who have recovered from COVID-19 and are unvaccinated or not fully vaccinated would be required to quarantine following close-contact with someone who has COVID-19. Larimer County is required to follow CDC and CDPHE quarantine guidelines. 

    The CDC has assessed that most individuals have a relatively low risk of reinfection over the first 90 days post-infection. Because infections and symptoms can vary widely, not all diagnoses of COVID may produce the same immune response, both in terms of strength and duration. It is still unclear how well or how consistently prior infections protect against reinfection in all persons, as experts have yet to identify a good clinical test to assess COVID immunity levels, and research is still ongoing. 

    Those who are interested in additional data about reinfection may also refer to the following resources: 

  11. Masks work to reduce transmission of COVID-19 by limiting the dispersal of particles that can carry the virus when we speak, breath, sing, or yell. Mask wearing and vaccination are two of the best tools available to help stop the spread of COVID-19. 

    Those interested in learning more about the effectiveness of masks and mask wearing to reduce COVID transmission may refer to the following resources: 

    • CDC Science Brief providing a summary and references to 15 sources on masking efficacy.
    • Cochrane Review examining interventions in schools, including masking. 

    Additional Studies:

    • Abaluck, J. et al. Innovations for Poverty Action Working Paper https://www.poverty-action.org/publication/impact-community-masking-covid-19-cluster-randomized-trial-bangladesh (2021).
    • Bundgaard H, Bundgaard JS, Raaschou-Pedersen DET, et al. Effectiveness of Adding a Mask Recommendation to Other Public Health Measures to Prevent SARS-CoV-2 Infection in Danish Mask Wearers : A Randomized Controlled Trial. Ann Intern Med. Nov 18 2020; doi:10.7326/M20-6817
    • Budzyn SE, Panaggio MJ, Parks SE, Papazian M, Magid J, Eng M, Barrios LC. Pediatric COVID-19 cases in counties with and without school mask requirements — United States, July 1–September 4, 2021. MMWR Morb Mortal Wkly Rep. 2021; 70(39);1377–1378.
    • Karaivanov A., Lu S.E., Shigeoka H., Chen C., Pamplona S. Face Masks, Public Policies And Slowing The Spread Of Covid-19: Evidence from Canada. 2020. Working Paper 27891. http://www.nber.org/papers/w27891
    • Mitze T., Kosfeld R., Rode J., Wälde K. Face Masks Considerably Reduce COVID-19 Cases in Germany: A Synthetic Control Method Approach. 2020. ISSN: 2365-9793, DP No. 13319. https://docs.iza.org/dp13319.pdf
    • Leung NHL, Chu DKW, Shiu EYC, et al. Respiratory virus shedding in exhaled breath and efficacy of face masks. Nature medicine. Apr 03 2020;26(5):676-680. doi:https://dx.doi.org/10.1038/s41591-020-0843-2
    • Adenaiye OO, Lai J, de Mesquita PJB, et al. Infectious SARS-CoV-2 in exhaled aerosols and efficacy of masks during early mild infection. Clin Infect Dis. 2021;doi:10.1093/cid/ciab797
    • Viola I.M., Peterson B., Pisetta G., et al. Face coverings, aerosol dispersion and mitigation of virus transmission risk. 2020.
    • Hatzius J, Struyven D, Rosenberg I. Face Masks and GDP. Updated June 29, 2020. Accessed July 8, 2020. https://www.goldmansachs.com/insights/pages/face-masks-and-gdp.html
    • Rader B, White LF, Burns MR, et al. Mask-wearing and control of SARS-CoV-2 transmission in the USA: a cross-sectional study. The Lancet Digital Health. 2021/01/19/ 2021
  12. The Colorado Department of Public Health and Environment runs genomic sequencing of positive PCR samples to identify variants of concern including the omicron variant. Delta has been the dominant variant since early June and virtually all sequenced cases in recent weeks were the Delta variant or an associated subvariant, although omicron is becoming more prevalent.

    More detailed information about the frequency and distribution of variants of concern is available on the Colorado COVID data dashboard. 

    At this time, there is no way for individuals to request for their test to receive additional sequencing for the delta or omicron variants. Standalone COVID tests do not detect variants of concern without additional sequencing. 

  13. CDPHE and their contractor, Mako Medical, are now offering PCR testing in Larimer County. This test is currently authorized for Emergency Use Authorization and specifically detects the presence of SARS CoV-2. This test does not detect the presence of seasonal influenza or other viruses. 

    Larimer County Health Department does not offering testing. 

     

  14. When PCR tests are performed, we receive a "cycle threshold" or "Ct value". This Ct value is the point at which a positive sample crosses that threshold. The more positive the sample, the earlier it will cross the threshold. These values may vary by laboratory. 

    Previously, tests performed at the Larimer Health Department testing sites were processed by our lab partners at CSU and were run for 40 Ct and the threshold for a positive test is 37 cycles. Larimer County no longer offers testing. 

    Note that PCR tests will not detect the presence of the virus (SARS CoV-2) in individuals who do not have the virus.

    The CDC has more information about Ct values and PCR tests here: Frequently Asked Questions about COVID-19 for Laboratories

  15. The number of hospitalizations due to COVID shown on our dashboard would reflect any individuals who were transported to our hospital system from other areas. The hospitals in Larimer County are part of a larger regional system, which plans to admit and serve people from other counties and regions in addition to Larimer County.  

     

     

  16. There have been a very small number of Larimer County children hospitalized with COVID-19, including both those eligible for vaccination and those too young to be vaccinated. 

  17. We do not have data for ICU use by age group or preexisting conditions. 

  18. Data reported by the CDC for 10 states including Colorado has shown that 46% of children hospitalized with COVID-19 have no known underlying conditions. 

    A study of Colorado pediatric hospitalizations for COVID-19 found the following conditions were associated with hospitalization of children in Colorado:

    • Age <3 months Breathing conditions (asthma and sleep apnea)
    • Gastrointestinal diseases
    • Diabetes
    • Neurological condition
    • Immune-compromise
    • Preterm birth
    • Obesity
    • Larger household size

    We do not see individual-level medical records for hospitalized patients in most cases and would be unable to comment on local preexisting conditions among those hospitalized with COVID. 

  19. Schools in Larimer County currently have their own layered approaches to protecting students, teachers, and the broader community. This may include requiring masks, social distancing, contact tracing and case investigation, and routinely testing students/staff.  Additional information about Larimer County COVID-19 operations in schools can be found on our COVID-19 Resource Page for Schools. 

    For other frequently asked questions specific to schools and childcare settings, we recommend viewing this resource from Children's Hospital of Colorado for more detailed questions and answers. 

  20. At this time, suicide numbers will not be added to the COVID-19 dashboard. LCDHE has been working to develop an additional dashboard with data around mental health and other important public health issues that is anticipated to be completed over the next few months. The most recent available suicide statistics can be found in the coroner's 2020 annual report. Even one suicide is too many, however 2020 suicide numbers for those under 18 years did not increase over previous years in Larimer County. This does not mean that there is not a crisis or that youth aren't struggling. LCDHE's current 5 year Community Health Improvement Plan highlights two focus areas of the department and our community, one of which is addressing mental health issues. Our department currently employs 3 youth engagement specialists who work to raise awareness about issues that affect youth in Larimer County, including how to access resources for help with mental health and substance abuse issues.

  21. The best way to have questions answered and send feedback to LCDHE staff and leadership is to email CovidConcerns@larimer.org. This inbox is monitored 7 days a week and serves as a processing hub for us to forward questions to the appropriate staff or leadership member, collect feedback, and answer questions. Responses take between 1-3 days. Frequently asked questions from social media and the email inbox are shared on our FAQ web page. Emailing individual staff members will delay our process and a response.

    Virtual COVID-19 Community Updates can be found here.