COVID-19 Update | August 20, 2021
Important Highlights

Biden-Harris Administration Announces HCP Vaccine Requirement for Nursing Homes

Yesterday, the Biden Administration announced that it would be requiring COVID-19 vaccinations for all HCP in Medicare-Medicaid participating nursing homes through an emergency rulemaking.


Joint Statement from HHS Public Health and Medical Experts on COVID-19 Booster Shots

The U.S. Department of Health and Human Services (HHS) announced on August 18 the Administration’s plan for COVID-19 boosters. The announcement was accompanied by the release of three studies published in the Morbidity and Mortality Weekly Report:


CDC Stands Up New Disease Forecasting Center

The CDC announced a new center designed to advance the use of forecasting and outbreak analytics in public health decision making. The center was developed through funding from the American Rescue Plan and will focus on three key functions:

  • Predict: Undertake modeling and forecasting; enhance the ability to determine the foundational data sources needed; support research and innovation in outbreak analytics and science for real-time action; and establish appropriate forecasting horizons.
  • Connect: Expand broad capability for data sharing and integration; maximize interoperability with data standards and utilize open-source software and application programming interface capabilities, with existing and new data streams from the public health ecosystem and beyond.
  • Inform: Translate and communicate forecasts; connect with key decision-makers across sectors including government, businesses, and non-profits, along with individuals with strong intergovernmental affairs and communication capacity for action.
SHEA Coronavirus News
SHEA Comments: OSHA COVID-19 Emergency Temporary Standard Interim Final Rule
SHEA submitted comments to OSHA in response to the agency's COVID-19 emergency temporary standard interim final rule. The comment period closes August 20. The letter was developed collaboratively by the SHEA Public Policy and Government Affairs Committee and the Guidelines Committee.
Implementation Tool Kit Available for COVID-19 Vaccination as a Condition of Employment in Healthcare
The tool kit to assist facilities in developing and implementing policies for COVID-19 vaccination as a requirement for healthcare personnel is now available for SHEA members. It will be publicly available starting the week of Aug. 23. The tool kit will continue to be updated over the coming weeks. Check back regularly for updates.

Technical Guidance, Standards, and Resources


Pfizer and BioNTech Announce Submission of Initial Data to U.S. FDA to Support Booster Dose of COVID-19 Vaccine (BusinessWire)


Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States (CDC)


Selected Adverse Events Reported after COVID-19 Vaccination (CDC)


COVID-19 Vaccines for People Who Would Like to Have a Baby (CDC)


COVID-19 Vaccine Monitoring Systems for Pregnant People (CDC)




COVID-19 Vaccines for Moderately to Severely Immunocompromised People (CDC)


FACT SHEET: President Biden to Announce New Actions to Protect Americans from COVID-⁠19 and Help State and Local Leaders Fight the Virus (The White House)



Use of COVID-19 Vaccines After Reports of Adverse Events Among Adult Recipients of Janssen (Johnson & Johnson) and mRNA COVID-19 Vaccines (Pfizer-BioNTech and Moderna): Update from the Advisory Committee on Immunization Practices — United States, July 2021 (CDC MMWR)


Effectiveness of COVID-19 Vaccines in Preventing Hospitalization Among Adults Aged ≥65 Years — COVID-NET, 13 States, February–April 2021 (CDC MMWR)


Rapid Increase in Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant — Mesa County, Colorado, April–June 2021 (CDC MMWR)


Reduced Risk of Reinfection with SARS-CoV-2 After COVID-19 Vaccination — Kentucky, May–June 2021 (CDC MMWR)


Diversity and Equity

Health Equity and Disparities During the COVID-19 Pandemic: Brief Overview of the Federal Role (Congressional Research Service)


Testing and Cases

Testing Strategies for SARS-CoV-2 (CDC)


Occupational Health

 OSHA Updates COVID-19 Safety Guidance for All Industries (OSHA)


Incident Management

Learning from 2020: Preparing for a Second COVID-19 Hurricane Season (CDC)


Going to a Public Disaster Shelter During the COVID-19 Pandemic (CDC)


Payment and Reimbursement Policy

CMS Provider Resources for COVID-19 Vaccine Administration


Information for Patients, Visitors, and the General Public 

Resource: Messaging for Vaccine Boosters (Public Health Communications Collaborative)


Resource: AANHPI COVID-19 Community Corps In-Language Resource Guide (Asian & Pacific Islander American Health Forum)


Guidance for COVID-19 Prevention in K-12 Schools (CDC)

Event Announcements

CDC COVID-19 Partner Update: Mental Health is Public Health: Tools for State and Local Partners During COVID-19 (CDC)

Aug 23, 4:00 PM ET


Dr. Elissa Meites will share updates on CDC’s COVID-19 response, including the latest scientific information and what everyone should know about protecting themselves and others. Dr. Debra Houry will speak about CDC's work around mental health and Ms. Ahoua Kone will provide information on mental health tools and resources for state and local public health partners.


COVID-19 Vaccine Confidence in Geographic Areas of Need (Alliance for Health Policy)

Aug 25, 12:00 pm – 1:15 pm ET


This briefing will discuss survey findings that reveal discrimination, location, and messaging continue to be factors that influence whether ethnic and racial minority communities will choose to receive the COVID-19 vaccine. Following discussion of the results, the panel will explore potential strategies to increase vaccination rates, particularly ones tailored to different populations.

Trade Press, Journal Articles, and White Papers

Suspected SARS-CoV-2 reinfections: Incidence, predictors, and healthcare use among patients at 238 U.S. healthcare facilities, June 1, 2020- February 28, 2021.

Lawandi A, Warner S, Sun J, Demirkale CY, Danner RL, Klompas M, Gundlapalli A, Datta D, Harris AM, Morris SB, Natarajan P, Kadri SS. Clin Infect Dis. 2021 Aug 5.


Alternative Methods for Grouping Race and Ethnicity to Monitor COVID-19 Outcomes and Vaccination Coverage.

Yoon P, Hall J, Fuld J, et al. MMWR Morb Mortal Wkly Rep 2021;70:1075–1080.


Receipt of Mrna COVID-19 Vaccines Preconception and during Pregnancy and Risk of Self-Reported Spontaneous Abortions, CDC V-SAFE Covid-19 Vaccine Pregnancy REGISTRY 2020-21. Zauche, Lauren Head, et al. 2021, doi:10.21203/


Larger Nursing Home Staff Size Linked To Higher Number Of COVID-19 Cases In 2020 (Health Affairs)


Evidence Of Respiratory Infection Transmission Within Physician Offices Could Inform Outpatient Infection Control (Health Affairs)


Innovation At The Centers For Medicare And Medicaid Services: A Vision For The Next 10 Years (Health Affairs Blog)


Pandemic-driven push for U.S.-made PPE may fade (Modern Healthcare)

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