Fairfax County ended 2022 with a “medium” level of COVID-19 in the community, the first time it reached that level since August.

Continuing an upward trend that began around Thanksgiving, the county is averaging 291 cases per day for the past week, the highest weekly average since Aug. 13, per Virginia Department of Health data.

However, increased hospitalizations pushed the county from “low” to “medium,” as of Dec. 29, according to the Centers for Disease Control and Prevention.

While the county’s case rate of 147.19 cases per 100,000 residents is below the CDC’s 200-case threshold, there were 11 new hospital patients admitted with Covid for every 100,000 residents in the week of Dec. 21-28. In addition, 6.4% of all staffed, inpatient beds are being occupied by people with Covid.

Those numbers changed slightly earlier this week. As of Monday (Jan. 2), 7.6% of beds were being used by Covid patients, and the hospitalization rate dipped to 9.2 patients per 100,000 residents, which would put the county back in “low” territory.

The CDC is supposed to update its local community level classifications on Thursdays, but the dashboard still said “medium” by press time.

Despite the recent resurgence in the coronavirus, which remains far from the heights seen last winter, the Fairfax County Department of Health says it’s “unlikely” to bring back the face mask requirements that were in place until last February, unless a mandate is recommended by the CDC or the state.

The county’s approach reflects a national shift away from mandates in the public health response to the pandemic.

“To help prevent spread of COVID, FCHD does strongly recommend that our residents stay up-to-date with their COVID-19 vaccinations,” department spokesperson Lucy Caldwell said by email. “In addition, handwashing, getting tested if symptomatic and/or staying home when ill will also help stem the spread of COVID in the community.”

While the county’s mobile testing and mass vaccine sites were phased out last month, the FCHD still offers both services at its district offices, though anyone in need must call 703-324-7404 to make an appointment. Testing sites can be found through the VDH, and vaccine options are at vaccines.gov.

There have been 2.8 million vaccine doses administered to residents of the Fairfax Health District, which includes the cities of Fairfax and Falls Church as well as the county.

According to the FCHD, 86% of residents have gotten at least one dose, including:

• 93% of people 18 and older
• 99% of 16-17 year olds
• 95.6% of 12-15 year olds
• 64.2% of 5-11 year olds
• 22.7% of kids aged 6 months to 4 years old

As of yesterday, 942,162 residents — or 79.6% — are fully vaccinated, including 86.7% of adults. Booster uptake remains under 50% for all age groups under 45.

The district has reported a total of 259,627 cases, 5,273 hospitalizations and 1,729 deaths during the pandemic.

Vaccines designed to combat omicron subvariants of COVID-19 are now available in Fairfax County for everyone 6 months and older.

The Fairfax County Health Department has obtained updated or bivalent vaccines for kids 6 months to 5 years old after federal health officials approved the shots to that age group last week.

The shots became available to people 12 and older in August, and eligibility expanded to kids 5 to 11 years old in October.

“The updated vaccines provide protection from both the original virus strain as well as the more recently circulating Omicron variant,” the FCHD said. “Getting the updated booster dose is important because protection decreases over time and as the virus changes.”

Time is running out, though, to get shots from the county’s mass Covid vaccine clinics. As announced last month, the clinic at the Hyland South County Center administered its last dose yesterday (Wednesday), and the Fairfax County Government Center clinic will close at 3:45 p.m. on Saturday (Dec. 17).

The county will still distribute Covid vaccines, but after Saturday, those seeking an appointment at one of the health department’s district offices must contact their call center at 703-324-7404. Other options for getting a shot can be found at vaccines.gov.

Kids under 5 can get the bivalent vaccine as either a booster if they’ve gotten the Moderna vaccine or the third dose in their “primary series” of Pfizer vaccinations.

“Children 6 months-4 years who already completed their three-dose primary series with the original Pfizer vaccine are not eligible for an updated booster dose at this time,” the department said. “The data to support giving an updated bivalent booster dose to these children are expected in January.”

It’s now been almost two years since the county received its first Covid vaccine shipment. In that time, more than 2.8 million doses have been administered to residents of the Fairfax Health District, which also includes the cities of Fairfax and Falls Church.

Over 1 million residents — 85.9% of the population — have gotten at least one dose, including:

• 93% of people 18 and older
• 99% of 16-17 year olds
• 95.6% of 12-15 year olds
• 64% of 5-11 year olds

However, just 21.9% of kids under 5 have received a dose, per FCHD data. While the vaccines don’t provide complete protection against contracting Covid, they lower the risk of serious illness, hospitalization, and both short and long-term complications from the disease, health officials say. Read More

The Fairfax Health District saw an uptick in COVID-19 cases in Thanksgiving’s wake, a reminder that the coronavirus hasn’t disappeared even if the face masks and other health protocols aimed at limiting its spread mostly have.

The district, which includes Fairfax County and the cities of Fairfax and Falls Church, is averaging 238 cases per day for the past week, as of yesterday, according to Virginia Department of Health data.

Cases remain far below previous winters or even the surge seen in late May fueled by omicron subvariants, but there has been an increase since Nov. 19 after a plateau through most of the fall. This is the first time the weekly average has exceeded 200 cases since Sept. 15.

In addition, the district is averaging 1.7 deaths per day from Covid. During the pandemic, it has reported 251,405 cases, 5,149 hospitalizations and 1,702 deaths.

Though past years suggest cold weather exacerbates Covid transmission, Fairfax County is set to close its mass vaccine clinics and mobile testing sites next week.

Citing “low demand,” the Fairfax County Health Department confirmed Friday (Dec. 2) that the startup Curative will stop operating in the county after Thursday, Dec. 15, as first reported by DCist. The partnership launched in July, bringing Curative’s vans with no-cost PCR tests to six locations in the community.

With rapid at-home testing more widely available now, albeit not necessarily for free, residents can find Covid testing options using VDH’s online search tool, calling health care providers directly or contacting the Fairfax County Call Center at 703-324-7404.

“Call takers will discuss their individual situation and what options may work best for them, which could include an appointment at one of the Health Department’s District Offices,” an FCHD spokesperson said. “We also continue to work on establishing additional options for distribution of rapid COVID-19 tests with our community partners. Many testing options are available in the community and the Health Department remains committed to helping residents find an option that works for them.”

According to its website, the county health department offers testing for individuals who have Covid symptoms, lack access to testing options in the community, are identified as close contacts, or have returned from traveling outside the country.

The county will also close its vaccine clinics at the South County Government Center on Wednesday, Dec. 14 and the Fairfax County Government Center on Saturday, Dec. 17. The operating hours for both sites have been reduced since early November. Read More

Curative is set to shut down all of its public COVID-19 testing sites in the D.C. region, including Fairfax County, by the end of the year.

All six Covid public testing sites run by Curative in collaboration with Fairfax County are expected to cease operations sometime next month, a Fairfax County Health Department spokesperson confirmed to FFXnow.

While the county didn’t confirm a specific date, DCist reported earlier this week that all of Curative’s testing sites will be closed by Dec. 15.

Per the county health department, the reason for the closure is a lack of demand.

“The County health department has closely collaborated with Curative over the past several months,” FCHD spokesperson Lucy Caldwell wrote FFXnow in an email. “There has been a decline in demand for testing in recent months, perhaps since home tests are widely available and convenient for people to use at home, as well as ample supplies available at pharmacies and retail locations.”

Fairfax County partnered with Curative this summer to open six new mobile testing sites at community centers, libraries, and a church in Bailey’s Crossroads, Centreville, Springfield, and Groveton.

An additional site was added in Annadale on Hummer Road, but that one closed earlier this week due to “low utilization and ongoing maintenance issues with the van used for this specific route,” Caldwell said.

Other neighboring localities had partnered with the California-based contractor dating back to early 2021. At times, there were long lines at the Arlington sites, particularly during the holiday season.

Over the last year, the county has gradually seen a number of covid testing sites close. The mass Covid testing site at the Fairfax County Government Center was closed in February, only a month after its launch.

The county’s mass vaccine clinics have also been winding down and are scheduled to close in mid-December.

There will still be Covid testing options in the county, however. The health department offers testing at five county clinics, per the website, but an appointment is required.

Additionally, Fairfax County Public Schools will offer diagnostic testing to all teachers, staff, and students from Nov. 28 to 30 from 5-8 p.m. at five locations. Registration is required, and testing is intended for those who have Covid symptoms or have been exposed to someone who has Covid.

For the moment, no additional county testing sites are scheduled to launch, but any changes will be posted on the health department website.

(Updated at 4:15 p.m.) While the wave of COVID-19 cases seen over the past two winters hasn’t yet materialized this year, increased reports of other respiratory illnesses have local hospitals and health officials bracing for a particularly tough cold season.

Fairfax County and other Northern Virginia public health leaders are urging community members “to maintain their vigilance” and help prevent the spread of influenza and respiratory syncytial virus (RSV), which are both surging earlier than usual.

“This is especially important because as temperatures cool, we spend more time indoors with others, and may travel to gather with friends and family for celebrations who are at increased risk of severe complications from infection,” the Northern Virginia Regional Commission (NVRC) said in a news release yesterday.

Inova activated its emergency plan to handle a surge in patients last month. The health care provider resumed normal operations on Nov. 8, but said “volumes continue to be high across the health system, particularly in pediatric services.”

HCA Healthcare, which owns Reston Hospital Center and Tysons Emergency, said its facilities in the area have also seen an increase in flu and RSV cases.

“We have been able to manage this increase in volume. We are increasing our staff and streamlining our processes in anticipation of a challenging winter season,” Reston Hospital Center Chief Medical Officer Dr. Carnell Cooper said.

Flu season is here

The Fairfax County Health Department confirmed that both flu and RSV cases have been rising locally.

“There is an increasing trend in visits to emergency departments and urgent care centers for influenza-like illness and laboratory results of confirmatory tests, and we have investigated a higher number of outbreaks than expected for this time of year,” the FCHD told FFXnow.

Virginia is seeing a very high level of activity for influenza-like illnesses (ILL), as of the week that ended Nov. 5, according to the Virginia Department of Health. The rating by the Centers for Disease Control and Prevention is based on outpatient visits to health care providers for respiratory illness involving a cough or sore throat and fever.

Per VDH, 9% of emergency department and urgent care center visits in the state are ILL-related, with kids 4 and younger making up 21.4% of visits — continuing a trend that health officials fear signals a worse flu season than in recent years, according to the NVRC.

While no deaths have been reported, Virginia has recorded 5,997 infections and 58 outbreaks so far this flu season, which started in mid-October and typically peaks between December and February.

“While it is unclear what exactly is driving this earlier increase in ILI activity from previous years, based on recent flu season reporting from the Southern Hemisphere, we anticipated this early peak to our own flu season,” the FCHD said.

County health officials recommends annual flu vaccinations for everyone 6 months and older. Shots are available from the county by appointment and at pharmacies, doctor’s offices and other locations in the community.

What to know about RSV

In addition to the disproportionate number of flu infections, young kids are getting hit hard by RSV, a common virus that produces usually mild, cold-like symptoms but “can be very dangerous for babies, young children or those who are immunocompromised,” the NVRC says.

“Emergency department and urgent care visits with diagnosed RSV have been increasing rapidly since early September,” the commission said. Read More

The days of getting COVID-19 vaccinations at the Fairfax County and South County government centers are numbered.

The mass vaccine clinics will reduce operations from five to three days per week, starting Monday (Nov. 7), the Fairfax County Health Department announced last week.

Local health workers and volunteers have been administering doses at those sites since early 2021, but large-scale clinics are being phased out now that shots are “widely available at pharmacies, urgent care centers and medical providers throughout the community,” the FCHD noted.

In addition, 1,016,466 Fairfax Health District residents, or 85.9%, have gotten at least one dose, including 93.2% of people 18 and older, according to FCHD data. 926,024 residents, or 78.2%, are fully vaccinated, including 85.8% of adults.

“In keeping with the federal and state levels strategy to transition vaccine efforts away from government and into community providers, the FCHD has worked with community providers to ensure robust availability of vaccine in our community,” spokesperson Lucy Caldwell said. “As there are fewer unvaccinated residents, and greater availability of vaccines in the community, FCHD can now demobilize its large dispensing sites.”

The reduction in hours will precede scheduled permanent closures of the Fairfax County Government Center site on Saturday, Dec. 17, and the Hyland South County Center site on Wednesday, Dec. 14.

For the next month, the new schedule will be:

Hyland South County Center (8350 Richmond Highway)

• Mondays: walk-in hours from noon-5:45 p.m., appointments from 11:30 a.m.-6:15 p.m.
• Tuesdays and Wednesdays: walk-in hours from 9:30 a.m.-3:30 p.m., appointments from 9 a.m.-3:45 p.m.

Fairfax County Government Center (12000 Government Center Parkway)

• Thursdays: walk-in hours from noon-5:45 p.m., appointments from 11:30 a.m.-6:15 p.m.
• Fridays and Saturdays: walk-in hours from 9:30 a.m.-3:30 p.m., appointments from 9 a.m.-3:45 p.m.

Schedule changes can also be expected during upcoming holidays, with the South County clinic closing on Tuesday (Nov. 8) for Election Day and the main county government center’s clinic closing on Veterans’ Day (Nov. 11) and over Thanksgiving (Nov. 24-26).

Since December 2020, more than 2.6 million COVID-19 vaccine doses have been given in the Fairfax Health District, which also includes the cities of Fairfax and Falls Church.

Fairfax County is still seeing a low level of Covid in the community, as measured by the Centers for Disease Control and Prevention, with the district averaging 146.7 cases per day for the past week.

However, the county health department urges everyone to get their initial and booster shots, if eligible, before the winter months and holiday gatherings arrive, since in the past, cases have surged as the weather cools. Notably, the Fairfax Health District is seeing a weekly average of two deaths per day from the coronavirus, according to the Virginia Department of Health.

“Even if you or your child or family member has had COVID, vaccination is still strongly encouraged as it provides added protection against the virus that causes COVID-19,” FCHD said. “Vaccination is one clear way to provide everyone, six months and older, with increased protection from severe illness.”

Options for getting a Covid vaccination can be found at vaccines.org. FCHD will also still offer vaccines to its clients at its district offices.

In total, the district has reported 246,298 cases, 5,065 hospitalizations, and 1,683 deaths during the pandemic.

(Updated at 4:30 p.m.) Booster COVID-19 vaccinations for kids aged 5 to 11 were put on hold late last week, as the Fairfax County Health Department transitions to updated vaccines that target omicron variants of the disease.

Federal health officials expanded their recommendation for the bivalent booster vaccines to include that younger age group on Wednesday (Oct. 12), saying the updated shots will provide better protection against “more transmissible and immune-evading” variants.

The bivalent boosters were authorized for people 12 and older at the end of August. The county health department says it has seen “a mild demand” for the vaccine since it became available in September.

“Typically, there is a surge when additional eligibility is updated, but the situation cools after a couple of weeks. That is typical of this update as well,” FCHD spokesperson Lucy Caldwell said. “We have no issues with vaccine supply and it is widely available throughout the community, pharmacies, medical providers, and our County sites, at this time.”

The authorization for the previous Pfizer booster shots for kids 5 to 11 ended on Oct. 12, so the health department stopped administering boosters for that age group until the new ones arrive.

The bivalent boosters will be available for kids at the Fairfax County Government Center and South County Hyland Center vaccine clinics starting tomorrow (Tuesday). Appointments are encouraged, but walk-ins are also allowed.

About 14% of kids aged 5 to 11 have gotten a Covid booster since they became eligible in May, according to FCHD data.

The FCHD reports that 85.7% of residents in the Fairfax Health District, which includes the cities of Fairfax and Falls Church as well as the county, have gotten at least one COVID-19 vaccine dose, including:

• 93% of people aged 18 and older
• 99.5% of 16-17 year olds
• 95.9% of 12-15 year olds
• 63.6% of 5-11 year olds
• 18.6% of kids aged 6 months to 4 years old

After an initial surge, vaccine demand has slowed among families with infants and toddlers, a nationwide trend that worries public health experts. While still low, Fairfax County’s rate for that age group is more than twice as high was the national rate of 9%, FCHD Director of Epidemiology and Population Health Dr. Benjamin Schwartz said.

“Despite this higher rate, the health department continues to stress the importance of protecting these young children who can suffer severe COVID-19 and who may bring COVID-19 into a family where it can spread to others who may be vulnerable,” Schwartz said.

Overall, 78.1% of the district’s population, or 924,525 people, are fully vaccinated against COVID-19, including 85.7% of adults. Read More

With opioids topping the list of causes of non-natural death in Fairfax County, local health officials have launched a new resource to give residents a better understanding of the situation.

A public-facing dashboard went live Monday (Oct. 3) with data about opioid overdoses and overdose deaths in the Fairfax Health District, which includes Fairfax County and the cities of Fairfax and Falls Church.

The Fairfax County Health Department worked with the county’s Opioid and Substance Use Task Force to put the dashboard together, according to the announcement.

“The goal of the dashboard is to ensure that Fairfax County residents understand the threat that opioid drugs pose in our community and recognize that overdoses and overdose deaths affect a wide range of ages, people of both sexes, and all racial and ethnic groups,” Dr. Benjamin Schwartz, the county’s director of epidemiology and population health, said in the release.

The dashboard provides information about overdoses broken down by age, race and ethnicity. It will be updated in the first week of every month, according to the announcement.

As of press time, the dashboard counted 205 non-fatal opioid overdoses from Jan. 1 through Sept. 30 in the Fairfax Health District. There were 237 non-fatal overdoses at this point in 2021.

The dashboard also noted that the first quarter of 2022 saw 20 fatal opioid overdoses, compared to 31 during the first quarter of 2021.

“We want the public to be aware of overdose trends, which reflect the impacts of social factors, the types and availability of drugs, and the effect of mitigation measures including law enforcement, treatment and harm reduction measures,” Schwartz said.

The data comes from two main places: A system managed by the state health department that keeps track of emergency room and urgent care visits for overdoses, and the Virginia Office of the Chief Medical Examiner.

Earlier this year, county medical officials worked to step up their response to the opioid epidemic after emergency care statistics showed an increase in overdoses, particularly cases involving teenagers.

The county provides services to assist people struggling with opioid use, including the Fairfax-Falls Church Community Services Board Peer Outreach Response Team and the Fairfax Detoxification Center.

Most booster shots against COVID-19 were put on hold over Labor Day weekend, as Fairfax County prepares for newly authorized vaccines designed to target omicron variants of the coronavirus.

Appointments for the updated boosters are expected to be available through the county’s Vaccine Administration Management System (VAMS) by tomorrow (Wednesday), the Fairfax County Health Department confirmed to FFXnow.

Known as bivalent vaccines, the new shots from Pfizer and Moderna contain the original strain of COVID-19 as well as a component that can be found in the two most dominant omicron subvariants, BA.4 and BA.5, according to the Food and Drug Administration, which authorized the vaccines on Aug. 31.

As a result, the updated boosters will “provide better protection against COVID-19 caused by the omicron variant,” the FDA said.

However, as part of the new authorization, the emergency use authorizations for the existing Pfizer and Moderna boosters were suspended on Friday (Sept. 2). Both vaccines can still be used for the primary two-dose regimen, and the Pfizer vaccine can be used as a booster for kids aged 5 through 11.

For people 12 and older, though, the county health department ceased administering booster doses at its offices and clinic sites on Friday.

“We had a handful of booster appointments set for the past weekend and our Call Center team contacted these individuals to let them know that they could re-schedule appointments when the bivalent boosters arrived,” FCHD spokesperson Lucy Caldwell said.

The health department has ordered 12,900 Pfizer bivalent vaccines and 8,100 Moderna shots and “plans to begin vaccinating this week,” according to Caldwell.

Pfizer’s vaccine has been authorized for people aged 12 and older, and Moderna’s is for adults 18 and up. Eligibility for the doses begins at least two months after getting the primary vaccinations or the most recent booster.

Appointments for the updated boosters won’t be required, but they are recommended, given the limited initial supply. Shots will eventually become available at private medical offices, pharmacies and other locations in the community.

“We thank everyone for their patience,” Caldwell said. Read More

(Updated at 4:10 p.m.) More monkeypox cases have been reported in the Fairfax Health District than anywhere else in Virginia, as officials grapple with a national outbreak of the disease.

The district, which includes Fairfax County and the cities of Fairfax and Falls Church, has now seen 58 cases, as of Friday (Aug. 19), according to Virginia Department of Health data. That’s more than any region in the state other than Northern Virginia, which has 163 confirmed or probable cases overall.

All but two of the state’s monkeypox patients so far have been men. The median age is 32, and Black individuals account for the most cases at 92, or 37%, though cases have been recorded for every race and ethnicity.

While not on the level of COVID-19, the continued spread of the smallpox-like disease since Virginia reported its first case of the outbreak in late May has prompted some changes in how state and local health officials have responded.

Most recently, the Fairfax County Health Department introduced an online vaccine interest form on Wednesday (Aug. 17) that residents can fill out to determine their eligibility and potentially get in line for a vaccine appointment.

As of Friday, more than 300 people have submitted the survey, FCHD told FFXnow. Since the outbreak began, the department has administered 1,485 vaccinations, with partner organizations delivering another 171 doses.

“So far, the online screening form has been well received by people and has helped streamline the process,” FCHD spokesperson Lucy Caldwell said by email.

People can also see if they’re eligible for vaccination by contacting the department’s call center at 703-267-3511 between 9 a.m. and 7 p.m.

According to Caldwell, the county has increased the availability of appointments by adding more clinic days at the Fairfax County and South County government centers, including a clinic on Saturdays at the former site.

While those remain the only sites for vaccinations, appointments can be made in person at the county’s health district offices during regular business hours.

With supplies still limited, the vaccine is only recommended right now for:

• People with a known exposure to someone with monkeypox (VDH updated its guidance to include this category today)
• People 18 and older who have sex with men and have had more than one or anonymous sexual partners within the past 14 days
• Sex workers
• Staff or patrons of establishments where sexual activity occurs, such as bathhouses and sex clubs

The Centers for Disease Control and Prevention recommends that the vaccine be given within four days of when a person is exposed to the disease to prevent them from contracting it.

FCHD says it is preparing to administer smaller doses of the approved JYNNEOS vaccine, “which will stretch vaccine supply several-fold while maintaining a good immune response and vaccine safety,” as authorized by the Food and Drug Administration on Aug. 9.

Nationwide, there have been 14,115 monkeypox cases in the ongoing outbreak, with more than 1,000 each reported in New York, California, Florida, Georgia and Texas.

Graph via CDC