Don’t take pain meds before your COVID shot?? Questions…

Don’t take Tylenol??  Don’t take Advil??  When?  Why?

Taking some pills such as Tylenol or Advil may have a blunting effect on a person’s immune system if they are taken around the same time as a person receives a COVID-19 vaccination, experts say. (Gary Cameron/Reuters)

Earlier today, I posted a flyer showing the recommendation of NorthBay Healthcare: BEFORE your 2nd shot: don’t take prescription or over-the-counter pain meds.

A Facebook reader wrote, “This would have more validity and guidance if it stated a time period (one hour? 24 hours? one week?) to not take any pain meds prior to the second vaccine.”

Good question!

Then my reader pointed us to an excellent article published just today on CBC.ca.newsWhy it might be best to avoid painkillers as a precaution before your COVID-19 vaccine.

When?

Turns out, there’s no definitive answer for a time period, and the scientific backing is suggestive but not certain.  Nonetheless, the World Health Organization, our Centers for Disease Control (CDC) and the Canadian counterpart, the National Advisory Committee on Immunization (NACI) all recommend to not take acetaminophen or ibuprofen immediately BEFORE receiving your vaccination.

Mahyar Etminan, an associate professor of ophthalmology, pharmacology and medicine at the University of British Columbia, looked at data on taking medications like acetaminophen (Tylenol) and anti-inflammatories like ibuprofen (Advil, Motrin) before or close to the time of vaccination.

“Given that a lot of people would probably resort to using these drugs once they’re vaccinated, if they still have aches and pains, I thought to put the data into perspective,” said Etminan, who has a background in pharmacy, pharmacology and epidemiology.

The jury is out on what happens to a person’s immune system after a COVID-19 vaccine if the person has taken those medications. But based on research on other vaccines like for the flu, there may be a blunting effect on immune response from the pills.

Why?

Here’s a brief understanding of the science behind the recommendation.

Dr. Sharon Evans, a professor of oncology at Roswell Park Comprehensive Cancer Center in Buffalo, N.Y., works on training the immune system to attack cancer. She became interested in fever because it is such a common response across animals that walk or fly, even cold-blooded ones.

Before the pandemic, Evans and her colleagues wrote a review on how fever generally helps to reduce the severity and length of illness.

Evans called fever “incredible” for its ability to boost all the components needed for a protective immune response.

Fever “literally mobilizes the cells, it moves them in the body into the right place at the right time,” Evans said.

There’s also good evidence that inflammation, even without fever, can boost immune responses, she said.

The Recommendation…

Don’t use pain meds before your shot if possible, but if you HAVE used them, go ahead and get vaccinated.

“NACI recommends that prophylactic oral analgesics or antipyretics (e.g., acetaminophen or ibuprofen) should not be routinely used before or at the time of vaccination, but their use is not a contraindication to vaccination,” according to the Government of Canada’s website. “Oral analgesics or antipyretics may be considered for the management of adverse events (e.g., pain or fever, respectively), if they occur after vaccination.”

And my best reading of the above is that when your arm hurts or if you get a fever AFTER your shot, you may consider taking pain meds, but probably best if you ride it out.

For a lengthier discussion, go to the CBC article.

Your 2nd COVID vaccine shot – What not to do BEFORE and what to expect AFTER…

BEFORE your 2nd shot: don’t take prescription or over-the-counter pain meds

[Editor: See also my follow-up article, Don’t take pain meds before your COVID shot?? Questions… – R.S.]

My wife received a handout AFTER her 2nd vaccination with a surprising recommendation about what you shouldn’t do BEFORE your 2nd shot.

“BEFORE THE SECOND SHOT, we do not recommend taking prescription or over-the-counter pain medications, as this could blunt the immune response.

Gosh, it really would’ve been helpful to know that before getting the 2nd dose!  We have paid close attention to the huge amount of COVID news, and we never heard this warning before.  So I thought I’d spread the word.

The recommendation comes from NorthBay Healthcare, which operates here in Solano County.

[For more detail, and some excellent research, see CBC.ca,news, Why it might be best to avoid painkillers as a precaution before your COVID-19 vaccine.]

Click the image or here to download the handout.

Open letter to City and County officials – Benicia Black Lives Matter, on right-wing extremism in Sheriff Dept.

Solano County Board of Supervisors:
Erin Hannigan: ehannigan@solanocounty.com
Monica Brown: mebrown@solanocounty.com
Jim Spering: jpspering@solanocounty.com
John Vazquez: jmvasquez@solanocounty.com
Mitch Mashburn: mhbashburn@solanocounty.com
Solano County Sheriff:
Thomas A. Ferrara
530 Union Avenue, Suite 100
Fairfield, CA 94533

Cc:
City of Benicia Mayor & Council:
Steve Young: syoung@ci.benicia.ca.us
Tom Campbell: tcampbell@ci.benicia.ca.us
Lionel Largaespada: llargaespada@ci.benicia.ca.us
Trevor Macenski: tmacenski@ci.benicia.ca.us
Christina Strawbridge: cstrawbridge@ci.benicia.ca.us
City of Benicia City Manager:
Eric Upson: eupson@ci.benicia.ca.us

Dear Supervisors, Councilmembers and Governmental Leaders of the County of Solano and the City of Benicia:

We, the members of Benicia Black Lives Matter (BBLM), are writing you in response to a terrifying report from Open Vallejo detailing the existence and tacit support of right wing extremism within the leadership of the Solano County Sheriff’s Office, as well as the underwhelming response from the Sheriff himself.

The report explains that Daniel “Cully” Pratt is in a leadership role within the Sheriff’s department carrying the designation of Sergeant. As part of his side business, Sergeant Pratt is also an ardent supporter of the 3%’er movement, making and sharing “wood carvings” with right wing iconography, one of which “resembles a California flag, but instead of a bear, it features hooks for (Solano County Sheriff Sergeant) Stockton’s AR-15 rifle above the words, ‘WILL NOT COMPLY.’ Thirteen shotgun shells, arranged like the stars of the Betsy Ross flag, form a circle around the Roman numeral III.”

In itself, this is incredibly troubling. Just weeks ago, on January 6, 2021, right wing extremists, approximately a quarter of whom had law enforcement and/or military backgrounds, attacked the United States Capitol. In October 2020, an anti-government group and others plotted to attack the Governor of Michigan. The 7 suspects were arrested for plotting to storm Michigan’s State Capitol and abducting the governor, prior to the presidential election, in a seeming practice run for the US Capitol attack. The parallel between these attacks is not inconsequential. It has been widely reported for some time that right wing and white supremacist groups have actively recruited from the ranks of the military and law enforcement.

From the Brennan Center Report titled Hidden in Plain Sight: Racism, White Supremacy, and Far-Right Militancy in Law Enforcement:

In 2017, the FBI reported that white supremacists posed a “persistent threat of lethal violence” that has produced more fatalities than any other category of domestic terrorists since 2000. Alarmingly, internal FBI policy documents have also warned agents assigned to domestic terrorism cases that the white supremacist and anti-government militia groups they[1].

More stark than the Open Vallejo report, is the response from the Solano County Sheriff[2]:

… I want to be clear – the employees targeted in this article all serve this agency and this community with passion and dedication. I am not aware of one instance where any of these employees acted in a manner that was portrayed in this article. When we initially got inquiries about this story, I had personal conversations with the employees in question because it is important to me that the women and men who work for Solano County Sheriff’s Office are people of character and uphold the high standards I have set for this Office. The employees told me that their intention was to support the 2nd amendment and the U.S. Constitution. As we have seen with many other symbols, the “Three Percenter” logo has recently been linked to the rioters who broke into the U.S. Capitol. None of these employees were present for, nor do they support extremist organizations. Our office denounces any extremist organization.  And if there is ever a time when a member of our office is displaying support to overthrow the government it will be dealt with swiftly. …

Sergeant Pratt has also denied his membership in anti-government organizations saying that, “The picture taken in October 2016, linked to said article depicts symbols, at the time was believed to be strictly in support of the 2nd Amendment and Pro-American – not in any way extremist anti-government views.”

This seems inconceivable, as a quick Google search would reveal to the Sergeant that:

A wing of the militia movement that arose as part of a resurgence of the militia movement in 2009. The term “Three Percenter” refers to the erroneous belief that only 3% of colonists fought against the British during the Revolutionary War—but achieved liberty for everybody. Three Percenters view themselves as modern day versions of those revolutionaries, fighting against a tyrannical U.S. government rather than the British. With anyone able to declare themselves a Three Percenter, the concept allowed many people to join who were not suited, physically or by inclination, to engage in paramilitary activities. The Three Percenter logo—the Roman numeral III—has become very popular among anti-government extremists[3].

As members of BBLM and residents of Benicia and Solano County, we are writing to you to demand that you as leaders of Solano County and City of Benicia not only visibly and vocally condemn right wing extremism, but also pledge to conduct a full investigation both at the County level and at the City level to ensure that policies and procedures – including those focused on recruitment anddisciplinary actions – are in place to actively expel these extremists from the ranks of law enforcement and to prevent their recruitment in the first place.

We further demand Solano County follow both the City of Benicia and Sonoma County in establishing an Office of Equity to solidify the county’s commitment to equity and the eradication of racist ideallogy.

This report is as ironic as it is offensive given that Black Lives Matter chapters have been labeled as terrorists. Months ago,, in August 2020,  we successfully advocated before our City Council to take measures to take the work of equity seriously. We were mostly greeted with support but we also faced some opposition. One council member took umbrage with language in the resolution that highlighted the culpability of the entire Minnesota Police Department in the death of George Floyd, despite elected officials in Minnesota making a similar declaration. Other opposition came via a joint statement from the Benicia Police Officers Association, Benicia Dispatcher’s Association and the Benicia Police Management Association. The relevant part is as follows:

“…we ask that before making a commitment to Black Lives Matter, an organization that at its core is an anti-police organization that promotes the defunding of police departments, you consider a commitment to your community and your employees.”

While this commentary from the police associations was not indicative of the tremendous community support we received, it was reminiscent of a vocal minority of individuals who would prefer to question our lived experiences than to confront the past and current systemic racism that so deeply infects our nation.

We would hope that in these perilous times, where it is beyond dispute that the threat of right wing anti-government violence is far more likely to come from white men confusing their misguided actions and ideology for patriotism, that our government leaders and the associations within them would boldly decry, reject and eliminate these factions from their ranks.

If the Sheriff’s response is any indication, there is much work to be done. We demand and expect better. We await a reply and more importantly – bold and sustained action to be taken.

 

Thank you,

Benicia Black Lives Matter


[1] Id.
[2]https://fox40.com/news/local-news/report-claims-members-of-solano-county-sheriffs-office-openly-supported-extremist-group/
[3] https://www.adl.org/resources/glossary-terms/three-percenters

Solano County COVID-19 update: 79 new infections, 12 new hospitalizations


By Roger Straw, Thursday, February 11, 2021

COVID is still spreading and dangerous in Solano County – stay safe!

Thursday, February 11: 79 new Solano cases overnight, no new deaths.  Since February 2020: 29,251 cases, over 865 hospitalized, 140 deaths.Compare previous report, Wednesday, February 10:Summary

[From Solano County Public Health and others, see sources below.  For a running archive of daily County updates, see my Excel ARCHIVE
    • CASES – Solano County reported 79 new cases overnight, a total of 29,251 cases since the outbreak started.  In the month of January, Solano added 8,495 new cases, for an average of 274 new cases per day.
    • DEATHS – the County reported no new deaths overnight, a total of 140 Solano deaths since the pandemic began.  18 Solano County COVID deaths were reported in the first 9 days of February.  In the month of January, Solano recorded 24 coronavirus deaths.  While many other COVID stats are improving, the recent surge in deaths is no doubt the final sad result of our holiday surge.  And we may see another surge in cases and deaths after the Super Bowl.
    • ACTIVE cases – Solano reported 17 more active cases today, a total of 841 active casesCompare: Solano’s average number of Active Cases during October was 284, average in November was 650, in December 1,658, in January 2,185 – and TODAY we are at 841.  Better, but still, is the County equipped to contact trace so many infected persons?  My guess is we just sit back and wait for a voluntary 10 day quarantine to expire.  Who knows?  To my knowledge, Solano has offered no reports on contact tracing.
    • HOSPITALIZATIONS – (See expanding ICU capacity and ventilator availability below.)  Today, Solano reported 1 fewer currently hospitalized cases, total of 80.  However, the County reported 12 new hospitalizations among age groups, a total of 867 hospitalized in all age groups since the pandemic began.  2 of those hospitalized were ages 18-49; 1 was 50-64, and 9 were over 65 years of age.  Accuracy of hospitalization numbers cannot be certain – note>>  In a Dec. 31 Fairfield Daily Republic article, reporter Todd Hanson wrote, “Since the start of the pandemic, and as of Wednesday, 9,486 residents have been hospitalized.”  This startling number is far and away above the number of residents hospitalized as indicated in the County’s count of age group hospitalizations, and not available anywhere on the County’s COVID-19 dashboard.  Asked about his source, Hanson replied that Solano Public Health “had to do a little research on my behalf.”  It would be good if the County could add Total Hospitalized to its daily Dashboard update.  [For the numbers used in my manual calculation of total hospitalizations, see age group stats belowFor COVID19-CA.GOV numbers, see BenIndy page, COVID-19 Hospitalizations Daily Update for Solano County.]
    • ICU BEDS – In late January, Solano hospitals expanded their ICU capacity [see BenIndy, Jan. 25]  Even with the expanded ICU capacity, Solano County fell back into the YELLOW DANGER ZONE, but today moved up barely into the green zone, reporting 33% available today, up from 28% yesterday.  The State’s COVID19-CA.GOV reports that Solano County had only 12 AVAILABLE ICU BEDS as of yesterday, February 10(For COVID19-CA.GOV info see BenIndy page, COVID-19 Hospitalizations Daily Update for Solano County, and for REGIONAL data see COVID-19 ICU Bed Availability by REGION.)
    • VENTILATORS available – Today Solano hospitals have 54% of ventilators available, down from yesterday’s 62%, and down substantially from last summer’s reports of 82-94% available.
Positive Test Rate – SOLANO TEST RATE of 11.7% – STILL HIGH, VIRUS STILL SPREADING, STAY SAFE!

Solano County reported our 7-day average positive test is increasing again.  Today’s rate is 11.7%, up from Monday’s 9.6%, and well above the State’s purple tier threshold of 8%Average percent positive test rates are among the best metrics for measuring community spread of the virus.  COMPARE: The much lower and more stable California 7-day average test rate was 4.6% today, down from yesterday’s 4.8%(Note that Solano County displays past weeks and months in a 7-day test positivity line graph which also shows daily results.  However, the chart does not display an accurate number of cases for the most recent days, as there is a lag time in receiving test results.  The 7-day curve therefore also lags behind due to unknown recent test results.) 

By Age Group
  • Youth 17 and under – 22 new cases overnight, total of 3,412 cases, representing 11.7% of the 29,251 total cases.  No new hospitalizations were reported today among this age group, total of 18 since the outbreak began.  Thankfully, no deaths have ever been reported in Solano County in this age groupBut cases among Solano youth rose steadily over the summer, from 5.6% of total cases on June 8 to 11% on August 31 and has remained at over 11% since September 30.  Youth are 22% of Solano’s general population, so this 11% may seem low.  The significance is this: youth are SERIOUSLY NOT IMMUNE (!) – in fact at least 18 of our youth have been hospitalized since the outbreak began.
  • Persons 18-49 years of age – 30 new cases overnight, total of 16,146 cases. This age group is 41% of the population in Solano, but represents 55.2% of the total cases, by far the highest percentage of all age groups.  The County reported 2 new hospitalizations among persons in this age group today.  A total of 245 are reported to have been hospitalized since the outbreak began.  Solano recorded no new deaths in this young group today, total of 9 deaths.  Some in this group are surely at high risk, as many are providing essential services among us, and some may be ignoring public health orders.  I expect this group is a major factor in the spread of the virus.
  • Persons 50-64 years of age – 15 new cases overnight, total of 6,115 cases.  This age group represents 20.9% of the 29,251 total cases.  The County reported 1 new hospitalization among persons in this age group today, a total of 234 reported to have been hospitalized since the outbreak began.  No new deaths were reported in this age group today, a total of 23 deaths.
  • Persons 65 years or older – 12 new cases overnight, total of 3,567, representing 12.2% of Solano’s 29,251 total cases.  The County reported 9 new hospitalizations (!) among persons in this age group today, a total of 370 hospitalized since the outbreak began.  No new deaths were  reported in this age group today.  A total of 108 of our elders have died of COVID, accounting for 77% of Solano’s 140 total deaths.
City Data
  • Benicia added 1 new case overnight, total of 829 cases since the outbreak began.
  • Dixon added 7 new cases overnight, total of 1,711 cases.
  • Fairfield added 18 new cases overnight, total of 7,967 cases.
  • Rio Vista added 5 new cases overnight, total of 299 cases.
  • Suisun City remained steady today, total of 1,982 cases.
  • Vacaville added 22 new cases overnight, total of 7,737 cases.
  • Vallejo added 26 new cases overnight, total of 8,640 cases.
  • Unincorporated areas remained steady today, total of 86 cases.
Race / Ethnicity

The County report on race / ethnicity includes case numbers, hospitalizations, deaths and Solano population statistics.  This information is discouragingly similar to national reports that indicate significantly worse outcomes among black and brown Americans.  Note that all of this data surely undercounts Latinx Americans, as there is a large group of “Multirace / Others” which likely is composed mostly of Latinx members of our communities.

  • Asian Americans are 14% of Solano’s population, and account for 12% of cases, 12% of hospitalizations, and 17% of deaths.
  • Black Americans are 14% of Solano’s population, and account for 11% of cases, but 17% of hospitalizations, and 21% of deaths.
  • Latinx Americans are 26% of Solano’s population, but account for 13% of cases, 21% of hospitalizations, and 13% of deaths.
  • Multi-race / Others are 7% of Solano’s population, but account for 35% of cases, 18% of hospitalizations, and 12% of deaths.
  • White Americans are 39% of the population in Solano County, but only account for 29% of cases, 31% of hospitalizations and 34% of deaths.

More…

The County’s Coronavirus Dashboard is full of much more information, too extensive to cover here on a daily basis.  The Benicia Independent will continue to summarize daily and highlight significant portions.  For more, check out the Dashboard at https://doitgis.maps.arcgis.com/apps/MapSeries/index.html?appid=055f81e9fe154da5860257e3f2489d67.

Source
Source: Solano County Coronavirus Dashboard (posted on the County website late today).  ALSO see important daily updates from the state of California at COVID19.CA.GOV, embedded here on the BenIndy at Cases and Deaths AND Hospitalizations AND ICU Beds by REGION.