Maine Medicine Weekly Update
October 31, 2021

In This Issue
One Step Closer to COVID Vaccines for Kids; FDA Authorizes Vaccine for Children Ages 5-11
Identifying Child Maltreatment
Identify to Protect: Recognizing the Signs of Child Maltreatment
More COVID Guidance & News
US FDA & CDC Officially Expand Eligibility Recommendations For COVID-19 Booster Shots
Moderna COVID-19 Vaccine Booster Dose Webinar & Ordering Reminders
Further Clarification to The Moderna Guidance That Was Previously Sent to Providers
Upcoming Training Sessions for Pfizer COVID-19 Vaccines
New Standing Orders for Moderna, Janssen, & Pfizer with Booster Language Dose Information
Immunocompromised Americans who had a 3rd COVID-19 shot can now get a 4th
COVID-19 Monoclonal Antibody Therapies in Maine
US CDC Adds Certain Mental Health Conditions to List of High-Risk Individuals Eligible for Booster Shots
US Surgeon General Vivek Murthy on Vaccinating Kids, Mix and Match Boosters, Other Top Concerns
US Supreme Court Lets Maine Health Care Vaccine Mandate Stand
JAMA, NEJM Studies, Reports & Helpful Information
Top JAMA, JAMA Network, and New England Journal of Medicine Articles
Maine Track Teaching Opportunities
Teaching Opportunities in Tufts Medical School 'Maine Track'
FDA Rules Notices
FDA Moves to Allow Over-The-Counter Hearing Aids
Fraud Alert
Scammers Target Medical Conferences
Whaaaaatt ... ???
Surgeons in Egypt Remove Phone That Man Swallowed & Waited Six Months For It To ‘Pass Naturally’
Registration is Open! November 5th Governor's Office Opioid Response Seminar Series
Upcoming Specialty Society Meetings
Join us for an introduction to hospice services in our webinar on November 2nd: Let’s Talk Hospice!
AAP EQIPP Course: Immunizations - Strategies for Success (for RURAL Health Providers)
SUPPORT For ME Training and Technical Assistance Initiative Webinars on November 3 & December 1
Maine Independent Clinical Information Service: MICIS presentations & Academic Detailing
Physician (BC/BE in Family Medicine) - Mt. Abram Regional Health Center, (Kingfield, Maine)
Physician (BC/BE in Family Medicine) - Bingham Area Health Center

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COVID-19 Monoclonal Antibody Therapies in Maine

Maine DHHS would like to encourage clinicians to consider the use of COVID-19 monoclonal antibody (mAb) therapies (i.e. REGEN-COV, bamlanivimab/etesevimab, and sotrovimab) for individuals at high risk for developing severe disease.   Because national mAb supplies are constrained, Maine DHHS has currently prioritized use of mAbs for treatment of individuals diagnosed with COVID-19 over the routine use for post-exposure prophylaxis, though use for post-exposure prophylaxis is encouraged specifically in the setting of high-risk congregate settings such as Long-Term Care facilities and correctional facilities.

Why now? 

Maine continues to experience a statewide surge in COVID-19 cases related to spread of the Delta variant, resulting in continued high rates of hospitalization and Intensive Care Unit (ICU) utilization.  Appropriate and timely use of COVID-19 mAb therapies for individuals at risk for progressing to severe disease can help decrease the number of individuals who develop severe COVID-19 and can also help to decrease the pressure on Maine’s hospital and ICU treatment capacity. 

Where to send patients?

There currently are several sites in Maine that offer mAb treatment, including many hospitals, free-standing infusion centers, urgent care centers, and some primary care practices.  Providers should refer patients who qualify for mAb therapy to a facility in their area that offers mAb therapy as soon as possible following diagnosis (see list of Maine mAb treatment sites).  Additionally, providers and patients can search for mAb treatment site in their area by checking the online infusion center locator from the National Infusion Center of America (NICA) at https://covid.infusioncenter.org. 

More info:

Please see the attached Provider Info Sheet for more information.  Maine DHHS will also be offering more information on COVID-19 mAb therapies (as well as COVID-19 vaccines) during an extended version of the monthly “COVID-19 Clinical Info Session” on Tues, Nov 9 (7:30A-8:30A):


Join Nov 9 (7:30AM) Zoom mtg: https://zoom.us/j/6218434986?pwd=dEJoNEVRSkVSN2dwZlJ5WEl3WjJsZz09

Meeting ID: 621 843 4986

Passcode: 338847

One tap mobile: +13017158592,,6218434986#,,,,,,0#,,338847#


Maine DHHS appreciates your help to consider this important treatment option when appropriate for your patients. 

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