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Only one site offers test-to-treat in Vermont, but antivirals are still available. Here’s how to get them

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Only one site offers test-to-treat in Vermont, but antivirals are still available. Here’s how to get them


Bins of at-home Covid-19 checks arrive at a distribution website in Berlin on Thursday, Dec. 23, 2021. Photograph by Glenn Russell/VTDigger

In his State of the Union deal with in January, President Joe Biden promised a brand new technique for defeating Covid-19. One key factor was a brand new “test-to-treat” program, the place Individuals might take an antigen check and instantly obtain antiviral remedy in the event that they certified for it.

However Vermont pharmacies quickly realized that none of them had the infrastructure wanted to take part in this system, which required in-pharmacy clinics. One month later, physician’s places of work, too, have principally failed to hitch this system. 

Just one clinic within the state — Richford Well being Middle — is a test-to-treat participant, in line with the U.S. Division of Well being and Human Companies.

Nevertheless, getting antiviral therapy in Vermont remains to be an choice for high-risk people. Analysis reveals that antiviral remedy can decrease the chance of hospitalization and demise, notably if taken early in the midst of the illness.

Listed below are extra particulars about getting antiviral therapy.

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What antiviral drugs are on the market?

Antiviral therapies work by concentrating on viral exercise throughout the physique, in line with the Nationwide Institutes of Well being. They work finest when taken early within the illness as a result of they restrict viral replication, which occurs early in the midst of the illness.

One antiviral remedy for Covid, remdesivir, has been absolutely accredited by the U.S. Meals and Drug Administration, however it’s administered solely by injection, usually in hospitals or scientific settings.

Two oral drugs — Paxlovid and molnupiravir — have Emergency Use Authorizations from the FDA, and each can be found in Vermont. The U.S. Division of Well being and Human Companies reported it distributed 220 models of Paxlovid and 72 models of molnupiravir to Vermont within the week ending April 17.

Of the 2 drugs, Paxlovid is taken into account the more practical, with an estimated 88% discount in hospitalization and demise for sufferers who take it, in line with the U.S. Facilities for Illness Management and Prevention. Molnupiravir reduces extreme outcomes by about 30%.

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One other therapy choice is monoclonal antibodies, which goal particular spike proteins on the SARS-CoV-2 virus. As a result of their effectiveness relies on the viral pressure, proper now solely bebtelovimab is distributed to Vermont. The well being providers company reported it gave Vermont 140 doses of it final week.

Major care suppliers are sometimes the individuals who resolve which medicine to prescribe, or whether or not to direct somebody to the hospital for therapy, stated Georgia Maheras, vice chairman of coverage on the Bi-State Major Care Affiliation. Which drug you get could rely in your demographics or the most recent analysis.

“It looks like daily there’s new details about these therapeutics. It is a fairly fluid situation,” she stated.

I examined optimistic for Covid. How do I get antiviral remedy?

One of the best ways to search out out if you happen to qualify for antiviral therapy is to name your well being care supplier, Maheras stated. “They learn about all the opposite issues which might be happening in your physique,” she stated.

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You too can discover out if you happen to’re in a high-risk class for Covid by going to the CDC web site. Everybody over age 65 is taken into account high-risk, together with individuals who have power medical circumstances corresponding to most cancers, diabetes, lung illness or kidney illness. People who smoke and people who find themselves chubby are additionally at increased danger of Covid problems.

When you’ve realized that you simply qualify and obtain a prescription for antiviral medicine, the following step is discovering a pharmacy that carries the drug. That may be sophisticated, Maheras stated. 

“It isn’t like there’s tens of 1000’s of those therapeutics simply pouring into the state,” she stated. “A problem that we’re all managing by is making an attempt to verify it will get to different components of the state when there’s not an overabundance of provide.”

The U.S. well being company web site has a listing of locations that carry antiviral capsules.

In keeping with Vermont Division of Well being spokesperson Katie Warchut, the state works to verify “choose Kinney Drug areas, hospital emergency departments and some impartial pharmacies have a provide of antivirals readily available. Another areas, like CVS, obtain a separate federal provide,” she stated through e-mail.

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What if I don’t have a physician? Or insurance coverage?

Maheras stated that even if you happen to don’t have a go-to main care supplier corresponding to a household doctor, you could possibly get therapy by a few totally different locations. 

You possibly can name considered one of Vermont’s 9 free and referral clinics, which offer free providers to Vermonters who need assistance acquiring well being care. The state additionally has federally certified well being facilities that present main care providers on a sliding-scale fee system. The well being division recommends calling 2-1-1 for extra info.

Pressing care clinics in your neighborhood may also be an choice, Maheras stated. You too can go to the emergency division of your native hospital, however she stated that ought to be a final resort except you’ve gotten signs that want fast therapy, corresponding to issue respiratory or a excessive fever.

Antiviral therapy ought to be free even in case you are uninsured, Maheras stated. Though Congress allowed funding free of charge Covid therapy to run out final month, different assets have gone on to suppliers or to the state.

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“There’s a number of totally different layers that present some stage … of assurance that the person shouldn’t be the one bearing the burden,” she stated. “Finally that may very well be problematic, however within the second, I believe people mustn’t let monetary issues be a barrier to getting this particular care.”

Nonetheless, she really helpful making it “very clear” to clarify that you simply’re somebody with insurance coverage. 

She admitted it could be tough for one specific inhabitants to acquire this remedy: People who find themselves homebound or have one other incapacity that makes it tough for them to succeed in a pharmacy in individual.

“I might hope that whoever you speak to … can be capable of present info round that, ‘oh, , a courier can ship it’ or we are able to determine (the right way to) faucet into the transit system, or  no matter these particular options are,” she stated.

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Support for regrowing Haiti’s forests has roots in Vermont – VTDigger

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Support for regrowing Haiti’s forests has roots in Vermont – VTDigger


Julia Pupko and Jean-Fenel Dorvilier, founders of the Society for the Reforestation of Duchity, Haiti, plant a tree together. Photo courtesy of Julia Pupko

The Bicknell’s thrush, a small, brown songbird, faces dual environmental threats: In its summer home among New England’s tallest peaks, such as Vermont’s Mount Mansfield, climate change is altering the landscape, and could push out the scrubby vegetation it favors for nesting. 

In the winter, the thrush takes flight, traveling more than 1,500 miles to Hispaniola, the Caribbean island home to Haiti and the Dominican Republic. Particularly in Haiti, a history of colonization has contributed to sprawling deforestation, leaving only a fraction of the country covered in forest. 

Now, members of a group co-founded by Vermont biologist Julia Pupko and Haitian organizer Jean-Fenel Dorvilier are attempting to mend the wounds of deforestation, both for the sake of wildlife like the Bicknell’s thrush, and for Haitian residents who need forests to sustain their communities. The group is based in Duchity, a rural municipality in southwestern Haiti.

The organization, called Society for the Reforestation of Duchity, Haiti, was founded in 2020 and has filled a gap left by Vermont Haiti Project, a nonprofit organization that began providing humanitarian services in rural Haiti in 2007. The Vermont Haiti Project provided mentorship to the new organization before it disbanded in December 2023. 

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Before it was colonized by the Spanish in the late 1400s, the island of Hispaniola was largely covered in forest, Pupko said. France colonized the western part of the island in the 1600s, now known as Haiti. Enslaved people in Haiti rebelled against the French, winning independence in 1804 — but the United States, France and others stifled the country’s development, and France required Haiti to pay it reparations, they noted. All the while, forest cover decreased.

”A lot was accomplished by cutting down valuable timber trees such as mahogany species, and also exporting things like indigo and sugar and other cash crops, which you also typically will deforest to do,” Pupko said. 

Two people planting a small tree outdoors. One kneels with a sunhat, while the other stands, leaning in to assist. Green foliage is visible in the background.
Participants in the Society for the Reforestation of Duchity, Haiti’s Arbor Day event plant a tree on May 1, 2024. Photo courtesy of Julia Pupko

The United States later occupied Haiti from 1915 until 1934, and during that time, forest cover dropped from 60% to around 20% as the U.S. converted land for agricultural use, Pupko said. Political turmoil within the country more recently has contributed to change on the landscape, too, they said.

As a child, Dorvilier’s birthday fell on Haiti’s Arbor Day, so he’d spend the day planting trees, an act that fostered his appreciation for forests. He volunteered with the Vermont Haiti Project, bringing volunteers into the mountains to place seedlings into the earth. 

That’s where he met Pupko, who got involved with the Vermont Haiti Project as a student at University of Vermont. Pupko currently works as a forestry specialist with the Vermont Department of Forest, Parks and Recreation, a post that is unrelated to their involvement with the organization. 

Though Pupko and Dorvilier spoke different languages at the time, they came to know each other through their shared interest in forests. 

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“We kind of just spent a lot of time together, sharing words for trees, sharing words for different things, and really understood that both of us had a deep love for trees,” Pupko said. “We stayed in touch over the years and began developing a stronger friendship over that time, continuing to circle back to our shared love of forests and trees and reforestation, which culminated in 2020 in our decision to form a reforestation and agroforestry organization together.”

The Duchity reforestation project’s mission is distinct from that of the Vermont Haiti Project. The latter was primarily focused on public health, with projects that ranged from starting a medical clinic, improving access to clean water and providing disaster relief after the devastating 2010 earthquake in Haiti.  

The new organization is focused on regrowing forest and improving the environment in Duchity. Its largest project takes place on Arbor Day, when members work with local schools and community members to plant trees. They host workshops on different topics, showing how to harvest large tree branches to use for construction, for example, without cutting the entire tree. Last May, 100 participants planted more than 1,000 trees during the event. 

Its efforts could help wildlife like the Bicknell’s thrush. While the bird is not listed as federally threatened or endangered, Partners in Flight, a group that tracks bird populations, ranks the species on its Red Watch list, its highest level of concern. 

Pupko pointed to literature showing evidence that the bird uses regenerating forests and agroforestry plots in the locations where it spends its winter. 

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A rocky, uneven landscape with scattered vegetation and small plants under a partly cloudy sky.
One of the Society for the Reforestation of Duchity, Haiti’s community forests. Photo courtesy of Julia Pupko

But the reforestation group’s goals, Pupko said, are centered around the community as much as the environment. It manages 36 acres of forest in two locations, which serve as an educational space and a resource for community members who can harvest products from them. If someone needs lumber to build a home, the organization’s staff — most of whom are from the community or live in Haiti — will work with them to sustainably harvest trees, Pupko said. In exchange, those who take from the forest are asked to help maintain it. 

“Our projects come from a number of agronomists and agroforesters that are from Duchity or surrounding (areas),” Pupko said. “When we’re working on projects, they talk to the elders in the community. They talk to the youth in the community. They have these big meetings that all different stakeholders are coming to and are bringing up different issues they want to address.”

Those, then, are incorporated into their plans, Pupko said. 

The organization operates by “emphasizing meeting the needs of the community in the work that we do as our primary objective, so that’s ensuring people have the tools and materials to be implementing these projects,” they said. But that mission “cannot be separated from the importance of overall ecosystem health and conservation.”

The two issues are inseparable, Pupko said, for many reasons: Large tracts of forest prevent mudslides after severe rains and hurricanes; the immediate environment is healthier for people and wildlife; an improved ecosystem can help clean water and improve agriculture. 

One of the organization’s projects involves eight farmers who work with the reforestation group to implement or support sustainable farming practices. 

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“A lot of times, that’s providing seedlings,” Pupko said. “It may also be providing tools. Some farmers, they may know exactly what agroforestry strategy they want to implement and exactly how to care for the trees. But for other people, they may not know. So then in that case, we would provide them with the educational resources that they would need in order to successfully do this.”

Farmers and other community members approve of the organization, Dorvilier said in an interview, which made him understand that “this is something we can continue doing.”

A large group of people in blue shirts sit on chairs in a spacious hall with a metal roof and tiled floor.
Participants in the Society for the Reforestation of Duchity, Haiti’s Arbor Day event on May 1, 2024. Photo courtesy of Julia Pupko

“Now, we have about 35 people working with us in the community,” he said. 

Dorvilier’s concerns about forests run deep. Without them, animals disappear and agriculture becomes harder, he said. 

“Without trees, I think there is no life,” he said. 

That sentiment could apply to a bird Vermont conservationists have been concerned about for years. But efforts to protect the Bicknell’s thrush’s habitat in Vermont and New England only go so far, Pupko said. 

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“If you ignore where they spend half of their year, their overwintering habitat, there’s no way that the species can continue to thrive,” they said.

“There’s many different creatures that migrate as winter falls here,” Pupko said. “The deep connection that is formed through sharing these miraculous species is really special and something that I think is worth supporting.”





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The US State That Produces The Most Maple Syrup By A Million Gallons – Chowhound

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The US State That Produces The Most Maple Syrup By A Million Gallons – Chowhound


Maple syrup is one of those ingredients that has a lot of fans, and for good reason. It’s tasty, sweet, and can be used for so much more than just pancakes and waffles. Maple syrup takes eggnog to the next level, it makes a perfect cheap vanilla substitute, and it’s even the sweet addition your egg salad has been craving.

Many people think maple syrup is produced solely in Canada since it’s the global leader in the maple syrup business. But there are quite a few states in America that produce maple syrup, with Vermont being the absolute king of maple syrup production in the entire country. In 2024 alone, Vermont was responsible for making over 3 million gallons of maple syrup.

With U.S. maple syrup production reaching 5.86 million gallons in 2024, Vermont cranked out more than half of all the maple syrup in the entire country. The state also produced double the amount of the state that took second place. New York only produced 846,000 gallons of maple syrup in 2024, less than half of that of Vermont.

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Maple syrup production in the United States

U.S. maple syrup is primarily produced in Vermont and New York. Maine and Wisconsin also produce maple syrup, but the output from each of these states is only a little over half of what New York produces. As of 2023, the only other states producing maple syrup on a commercial scale include Michigan, Pennsylvania, and New Hampshire.

Although states like Ohio, Connecticut, Massachusetts, Minnesota, and Indiana have produced maple syrup in the past, their contributions in 2024 were each less than 100,000 gallons. The West Coast sees even less maple syrup production, with only a handful of commercial maple syrup farms in Washington state and none in California or Oregon, as of 2023.

Overall, Vermont accounted for 49% of the crops needed for maple syrup production in the United States, in 2023, followed by New York with a total of 18%. Maine took third place, showing just 11% of the country’s maple syrup crop. But while global maple syrup production faces uncertain seasons, and a continuously changing climate, the sugarmakers who brought about 2024’s boon in U.S. supply are to thank for that sweet, gooey, drizzle of maple syrup currently dripping down the short stack of buttermilk pancakes in your mind.

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Franklin County flock tests positive for bird flu

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Franklin County flock tests positive for bird flu


A flock of quail, guinea fowl, ducks and chickens tested positive for bird flu in Franklin County last week, according to Vermont’s Agency of Agriculture, Food and Markets (AAFM).

The owners of the flock notified state officials on Dec. 18, after one of their birds died suddenly and others became sick.

State officials tested the birds the next day, and a laboratory in Iowa later confirmed the birds had contracted highly pathogenic avian influenza (HPAI), also known as H5N1 bird flu.

It’s the fourth instance of avian flu in a domestic flock in Vermont since spring 2022.

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“The recent cases are sort of tied to the migratory bird population moving around,” said Scott Waterman, a spokesperson for AAFM.

Importantly, Waterman said, lab testing also confirmed that this latest set of cases are not tied to the flu strain currently impacting dairy herds in other states.

However, the agency is urging people who own poultry and cattle to take precautions to limit their animals’ contact with wild birds.

“That’s where the wild bird-HPAI crossover happens, is when your domestic poultry start to interact with the wild bird population,” Waterman said.

He said domestic birds can catch the virus if they congregate with wild birds at a pond or if they have contact with the feces of wild birds.

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Waterman said people can limit their animals’ risk of contracting the virus by cleaning coops regularly, fencing poultry in and taking care to quarantine cattle and birds that arrive from another farm.

It’s also important, he said, to wash and sterilize boots and clothing that’s come into contact with other animals.

Bird flu is deadly for most domestic poultry, and much of the Franklin County flock died from the disease. AAFM worked with the owners to euthanize the remaining birds.

The Vermont Department of Health is monitoring people who had close contact with the infected birds. At this time, no humans have tested positive for the disease in Vermont or in New England.

The Health Department said the risk of a human contracting bird flu in Vermont is low, but officials still advise wearing personal protective equipment if you work with bird or cattle feces, litter or raw milk.

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You can find more information about bird flu in humans on the Health Department’s website.

Have questions, comments or tips? Send us a message.





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