{"id":62650,"date":"2021-05-01T08:00:50","date_gmt":"2021-05-01T12:00:50","guid":{"rendered":"https:\/\/www.policechiefmagazine.org\/?p=62650"},"modified":"2021-05-04T13:46:05","modified_gmt":"2021-05-04T17:46:05","slug":"covid-19-vaccine-and-le","status":"publish","type":"post","link":"https:\/\/www.policechiefmagazine.org\/covid-19-vaccine-and-le\/","title":{"rendered":"The COVID-19 Vaccine and Law Enforcement"},"content":{"rendered":"<p>&nbsp;<\/p>\n<blockquote><p><span style=\"color: #808080;\">In a virtual discussion on January 6, 2021, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, answered IACP members\u2019 questions regarding COVID-19 vaccine guidance and health and safety concerns.<br \/>\n<\/span><span style=\"color: #808080;\">The webinar was moderated by IACP President Cynthia Renaud.<\/span><\/p><\/blockquote>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Good afternoon, everyone, and happy 2021. I\u2019m Cynthia Renaud, your IACP president, and I\u2019d like to thank you for joining us in today\u2019s webinar centered on the COVID-19 vaccination and its impacts and effects on law enforcement. The first half of this webinar will be a discussion with the esteemed Dr. Anthony Fauci, followed by a panel of police leaders talking about the COVID-19 pandemic and its related challenges to the policing profession, vaccine distribution, security, agency policies, and continuing health and safety concerns. We all know that 2020 was incredibly difficult globally, and given the pandemic and the devastating losses of members of our agencies, our families, and our friends from COVID-19, the economic fallout many cities are experiencing, and the unintended consequences of so much physical and social isolation, but I, like many of you, am looking forward to this new year with an even deeper sense of appreciation and expectation for the challenges, rewards, healing, and reconnections we will all be part of creating in 2021.<\/p>\n<p>As a profession, we know that we will continue to be tested in this year, and our need to adapt and evolve to new and emerging challenges will have to be taken on with a renewed energy for our work ahead. One of those challenges, but also at the same time an opportunity to restore normalcy and save lives, is the COVID-19 vaccine. Now, as police leaders, the members of our organizations in our communities look to us as public safety experts. Now that we embark upon this very ambitious vaccination plan, it\u2019s time for us to set the tone for our officers and our communities regarding the importance of a vaccination and the role it will play in helping end this pandemic.<\/p>\n<p>To aid in that effort, we\u2019re very pleased to be joined by Dr. Anthony Fauci. A familiar face to all of us, Dr. Fauci is the director of the National Institute of Allergy and Infectious Diseases at the U.S. National Institutes of Health, where he oversees an extensive research portfolio focused on infectious and immune-mediated diseases. Dr. Fauci has made many seminal contributions in basic and clinical research and is one of the world\u2019s most cited bio-medical scientists. In 2008, he was awarded the Presidential Medal of Freedom by President George W. Bush for his work as one of the principal architects of the president\u2019s emergency plan for AIDS relief, a program that has saved millions of lives throughout the developing world. Dr. Fauci, on behalf of the IACP, thank you for joining us today, and, sir, the floor is yours.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong><\/span> Thank you very much, Chief Renaud. It\u2019s a pleasure to be with you today. I\u2019m just going to make a couple of introductory comments and then leave it open for what I know are going to be important questions centered around vaccine. As we all know, we are going through a most extraordinary period. Historically, this pandemic is the worst that we have ever seen in 102 years, since the 1918 pandemic that devastated the globe with 50 to 100 million deaths. Right now, if you look at our numbers, they are really rather stunning. We\u2019ve surpassed 350,000 deaths. We\u2019re averaging between 200,000 and 300,000 new infections a day. We\u2019ve broken the record on hospitalizations, 138 people in the hospital, and now we\u2019re averaging about 2,000 to 3,000 deaths per day.<\/p>\n<p>The solution to this, in addition to the important public health measures of wearing masks; physical distancing; avoiding congregate settings and crowds, particularly indoors; and washing hands, is, in fact, the vaccine. And fortunately for us, we have now two vaccines, with more to come, that in very large clinical trials involving tens of thousands of people, have shown to be safe and are highly efficacious. When I say highly efficacious, I mean 94 to 95 percent prevention of clinical disease and almost 100 percent protection against severe disease.<\/p>\n<figure id=\"attachment_62656\" aria-describedby=\"caption-attachment-62656\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-62656\" src=\"https:\/\/www.policechiefmagazine.org\/wp-content\/uploads\/Conversation-with-Dr.-Anthony-Fauci_Moment-300x169.jpg\" alt=\"\" width=\"400\" height=\"225\" srcset=\"https:\/\/www.policechiefmagazine.org\/wp-content\/uploads\/Conversation-with-Dr.-Anthony-Fauci_Moment-300x169.jpg 300w, https:\/\/www.policechiefmagazine.org\/wp-content\/uploads\/Conversation-with-Dr.-Anthony-Fauci_Moment-1024x576.jpg 1024w, https:\/\/www.policechiefmagazine.org\/wp-content\/uploads\/Conversation-with-Dr.-Anthony-Fauci_Moment-768x432.jpg 768w, https:\/\/www.policechiefmagazine.org\/wp-content\/uploads\/Conversation-with-Dr.-Anthony-Fauci_Moment-1536x864.jpg 1536w, https:\/\/www.policechiefmagazine.org\/wp-content\/uploads\/Conversation-with-Dr.-Anthony-Fauci_Moment.jpg 1920w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-62656\" class=\"wp-caption-text\">IACP President Cyntha Renauld and Dr. Anthony Fauci discussed the COVID-19 vaccine during a January 2021 webinar.<\/figcaption><\/figure>\n<p>Right now, the importance and our goal and our challenge is to get as many people vaccinated as quickly as you possibly can as the supply allows. Over a period of months between now and the next several months, we will incrementally be getting more and more vaccine. Our goal is to vaccinate the overwhelming majority of the population in the country. I would say that we would need between 70 and 85 percent of people vaccinated to get what we call herd immunity, namely, enough protected people that the virus really has no place to go and flourish.<\/p>\n<p>When we get there, which we believe, if we do it correctly, will take several months, likely toward the end of the summer but starting with now, getting people vaccinated, that we can reach that level of herd immunity to get back to some form of normality by the fall and winter of 2021, namely, this current year. We have a challenge ahead. The science is with us. We have the vaccines. We\u2019ll be getting more. The real challenge is to get people vaccinated. I will stop there, Chief Renaud, and be happy to answer the questions that I know you have.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Yes, thank you, Doctor. As you know, prior to this webinar, we solicited questions from our membership. And as you can imagine, we received more questions than we\u2019ll have time for today. But I\u2019d like to focus on the following questions, and I\u2019ll start with this. The first question is around the topic of how we as police leaders can improve COVID-19 vaccine acceptance among our officers.\u00a0<strong>What can we say or do to convince our personnel on the safety and efficacy of the new vaccine, and is there a preferred source of information available that you would recommend that would encourage them to be vaccinated?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>Well, I think the important thing is that there\u2019s hesitancy and there\u2019s skepticism about a couple of aspects of the vaccine that are understandable. The one thing you don\u2019t want to do is to be accusatory or pejorative to people who have questions. These are reasonable questions, but there are good answers to each of the questions. The first is, \u201cWow, this really was fast. It usually takes years to develop a vaccine. How could you go from discovering that you have a new virus in January of 2020, and then you already have a safe and effective vaccine that\u2019s going into the arms of people by December. That\u2019s less than one year. Did you cut corners?\u201d<\/p>\n<p>And the answer is no, that the speed was related to exquisite and breathtaking advances in the science of vaccine platform technology to allow us to do things in months that normally would have taken years. There was no compromise of safety, and there was no compromise of scientific integrity. In addition, the government invested hundreds of millions and billions of dollars in pre-ordering the vaccines, so that they would be ready when the vaccine was shown to be safe and effective, saving many, many, many months.<\/p>\n<p>The next most common question is, \u201cWell, you\u2019re saying it\u2019s safe and effective. Is this the government trying to put something over on us? Or is this the pharmaceutical companies trying to make a lot of money?\u201d And the answer is that the determination that it was safe and effective was the result of large clinical trials involving tens of thousands of people, and the judgment of the safety and the efficacy was made by an independent body called the Data and Safety Monitoring Board, who is beholden not to the government, nor to the pharmaceutical company. It\u2019s an independent group whose only responsibility is to the American public. They determined that the vaccine was safe and effective. Then they gave the data to the company, which applied to the FDA for an emergency use authorization. The career scientists at the FDA, looked at the data, and together with their own independent advisory committee, determined it was safe and effective enough to give to people. The entire process was both transparent and independent. That\u2019s what people need to know when you\u2019re convincing people to get vaccinated.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Now, Doctor, we\u2019ll have this webinar recorded afterwards and on the IACP platform, but for people that either aren\u2019t watching it now or won\u2019t watch it later,\u00a0<strong>is there one specific repository of information or a place that we should point people to, to learn everything that you just said?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>Yeah. I think just going simply to <a href=\"http:\/\/cdc.gov\" target=\"_blank\" rel=\"noopener\">cdc.gov<\/a>. Go onto the CDC website and just put in the search \u201cvaccine,\u201d and they\u2019ll tell you all about the vaccine.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Okay. Thank you. Our second question, then, is regarding officers who have already tested positive for COVID. They\u2019ve already had the virus, and they\u2019ve recovered from it<strong>.\u00a0Is there information or a document that we should direct our officers toward to help answer questions about how long they should wait post-exposure or other concerns about receiving the vaccination after they\u2019ve already been infected and recovered from COVID-19?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>Right. Officers who have been infected and recovered should ultimately get vaccinated. The recommendation of the CDC is that you wait about 90 days, but that\u2019s not absolute. If you have the opportunity to get vaccinated 60 days later, it\u2019s not something that\u2019s absolutely absolute. Ninety days is recommended by the CDC. If you want to read about it, again, go to <a href=\"http:\/\/cdc.gov\" target=\"_blank\" rel=\"noopener\">cdc.gov<\/a>, and they\u2019ll tell you about that, but the general recommendation is about 90 days following your recovery from infection.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Okay, thank you.\u00a0<strong>Can you review some of the more common side effects of the vaccine and implications, if any, for officers who work in the days immediately following when they receive the vaccine?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>Well, that\u2019s a good question that involves not only officers, but even people like myself who are a physician seeing patients. The vaccines that are available now are two doses. There\u2019s a company called Janssen who will likely have a vaccine out in a couple of months, but not right now. The two that are out now are one from a company called Moderna and another for a company called Pfizer. It\u2019s a prime followed 21 days from the Pfizer vaccine with a boost, and the Moderna is prime followed by 28 days with a boost.<\/p>\n<p>When you get the first injection, like I did a little bit over a week ago, about 10 days ago, it is very common to get an ache or a little bit of an ache in your arm at the site of the injection. For me, it was very minor. Some people, your arm hurts for a bit. You can then get some aches, some feeling of malaise, maybe a headache. The chances of that happening are minor in the prime, much more likely as you go for the boost. Within 24 or so hours, you might get a much more feeling malaise, feeling a little achy, feeling a bit of a headache.<\/p>\n<p>My recommendation would be that after the first dose, it\u2019s likely you can continue your duties, and there will be some officers who may not really feel very well, so there will be an exception. But most of the officers would be able to go back to their duty. But there will be some, who not to any fault of their own, it\u2019s just biological variability, will likely feel a little bit under the weather after the first dose. That lasts no more than 24 to 36 hours. The chances of that happening after the second dose are much, much greater.<\/p>\n<p>I would say, in general, if you\u2019re coming in for your boost, I think that their various departments should stagger it so that you don\u2019t have all of the officers getting the second boost because you might have enough of them feeling like they\u2019re not a hundred percent. They may want to stay home for 24 hours. But that, again, only lasts for 24 hours. Bottom line, the boost is much more of concern about impeding an officer\u2019s capability to function well than the prime.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Now I think that maybe\u00a0<strong>what some officers might be concerned about, too, is that upon receiving the vaccine, that because it is a slight introduction of the actual disease that it might lower their immune system or actually make them more susceptible to catching it in the time that the vaccine takes to go into effect. Not so?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>No, that\u2019s a myth. That\u2019s absolutely, absolutely incorrect.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Okay. All right. Thank you. And then we were just talking about staggering medications, which some of our chiefs did have questions on, and they were already thinking in that direction about staggering the inoculations or vaccinating all of the frontline personnel right away. And\u00a0<strong>I think what we heard you say was most specifically for the booster dose, it\u2019s wise to stagger it. Do you have any estimates maybe, I don\u2019t know, should it be five days apart? Seven days apart?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>Just a couple of days apart. Be careful because you might want to stagger the prime because you want&#8230; If I get vaccinated now, I want to get a boost 21 to 28 days later, depending upon it. If you do 20 officers, 21 days from now, you\u2019re going to have 20 officers are getting their boost, so you might want to do maybe five at a time getting the prime so that the first cohort gets their boost, let\u2019s say, 28 days later. The second one gets it another 28 days later, so you have them staggered.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Good suggestion. Thank you. And then\u00a0<strong>how long does the vaccine protect you for? Is it a long-term inoculation, or is it annual like the flu vaccine?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>To be perfectly honest, and we have to be because you want to be transparent, we don\u2019t know the answer to that. We\u2019re hoping it would be more than a year. We\u2019ll have to wait and see because this is the first experience we have with this vaccine, so it isn\u2019t like flu or measles or whooping cough or rubella that you know exactly how long it lasts. We don\u2019t know that yet. We\u2019re hoping it\u2019s going to be long enough that you don\u2019t have to get a vaccine every year, but we\u2019ll have to wait and see. We might.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Right. Thank you. What about concerns over long-term effects of the vaccine? And we touched on this already that, well, we know it was an emergency approval. We heard you say that it was thoroughly vetted and that you feel it\u2019s very safe.\u00a0<strong>Are there any concerns over long-term effects?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>If you look at the history of vaccinology, all vaccines, it is very, very unusual, if not unheard of, for example, for me to get vaccinated in 1995 and get an effect in the year 2000, five years later. That just doesn\u2019t seem to happen at all with vaccines. Generally, the overwhelming majority of effects occur between 30 and 45 days following the vaccination. For that reason, the emergency use authorization is not given by the FDA until 60 days following the time that half of the people in the trial have already received their last dose. You don\u2019t get an emergency use authorization until you\u2019re well past the time that almost all of the adverse events that historically have occurred have already occurred.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>I see. Okay. Thank you. Another question is,\u00a0<strong>once officers are vaccinated, should agencies stop requiring those officers to be tested and quarantined following exposures and close contacts?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>That is a good question, and I think the officers are not going to like this, and the supervisors are probably not going to like it. But right now\u2014it might change, Chief Renaud\u2014but right now, you need to treat the exposure quarantine exactly as if you were not vaccinated because there\u2019s no guarantee that if you get vaccinated, it may protect you against getting sick, but it might not have prevented you from getting infected, so you still can have some virus in your nasal pharynx even though the vaccine made you fine. You don\u2019t feel anything. You\u2019re not sick. You still could transmit it. So, if you get infected without symptoms that you could transmit it to somebody else, so therefore, if you\u2019re exposed to someone, even though you\u2019ve been vaccinated, 10-day quarantine without getting tested, 7-day quarantine with getting tested.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>And then I think you\u2019ve kind of touched on this a little as well, about,\u00a0<strong>do you have any concerns with vaccinated officers working with non-vaccinated officers or even working their officers who have already recovered from COVID-19?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>No, not at all. I don\u2019t have any concern with having vaccinated working with non-vaccinated. Everyone should be wearing a mask, should be protecting yourself. I\u2019d like to see all the officers vaccinated, but because an officer is not vaccinated, I would not treat that person differently with regard to being able to partner with someone who was vaccinated.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Okay. Thank you. And\u00a0<strong>how do you see the role of police leaders and organizations like the IACP? What do you think our role can be in increasing population-level COVID-19 vaccine uptake?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>I think it\u2019s an important role because whenever you have people who are looked up to or authority figures, are respected in the community, be they sports figures, entertainers, or people of authority, like the police force, who people respect. I know there are people who don\u2019t, some who don\u2019t, but there are a lot of people who really respect the law enforcement enterprise. And I think when you get people to get up there and talk to the community about getting vaccinated, I think that\u2019s going to be very, very helpful.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Thank you. Dr. Fauci, we know that you have a hard stop with another commitment today at 3:30, and we can\u2019t thank you enough for taking a half hour of your very valuable time to spend with the IACP; with our membership; and then really, by proxy, with the thousands of law enforcement officers that we represent and that we serve nationwide. Before we let you go, I\u2019ll ask,\u00a0<strong>any closing comments or any thoughts you\u2019d like to leave us with?<\/strong><\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>Yeah. I would like the officers to realize that you are playing an important role, not only in the safety of the community, that\u2019s an important part of law enforcement, but also as examples to the community of what needs to be done to contain this outbreak. This outbreak will end. We are going through a horrible year. I think this year is going to go down in the history books as the worst in over a hundred years. And it\u2019s a lot of suffering and a lot of death. It will end. It will end by public health measures, and it will end by a vaccine. I would close by encouraging you, and hopefully some of the information I gave you today will sway you over if you have any hesitancy about getting vaccinated, we can end this. We can crush this outbreak by getting the overwhelming majority of the people vaccinated. So, I would really like to see our law enforcement people get involved in the solution to the problem. That\u2019s my final word.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Cynthia Renaud:<\/strong>\u00a0<\/span>Thank you, Doctor. And might I say that it\u2019s been an incredibly challenging year for you, as well. And we would like to thank you for everything that you\u2019ve done to keep our nation safe and healthy.<\/p>\n<p><span style=\"color: #0071ce;\"><strong>Dr. Anthony Fauci:<\/strong>\u00a0<\/span>And also thank you to all of the law enforcement officers throughout the country for all the good you do for society. Thank you.\u00a0<span style=\"font-family: Webdings;\">&#x1f6e1;<\/span><\/p>\n<p>&nbsp;<\/p>\n<aside class=\"pullout pullout--wide alignleft\">A recording of this webinar is available at no-cost to all police professionals on IACPlearn. Register or log in at <a href=\"http:\/\/learn.theIACP.org\" target=\"_blank\" rel=\"noopener\">learn.theIACP.org<\/a>. The full webinar also includes a discussion of vaccine distribution operational issues by a panel of law enforcement leaders.<\/p>\n<p><em>This webinar took place in early January 2021. Up-to-date information on COVID-19 vaccine options and recommendations can be found at<\/em> <a href=\"http:\/\/cdc.gov\/vaccines\/covid-19\" target=\"_blank\" rel=\"noopener\">cdc.gov\/vaccines\/covid-19<\/a>. <em>Additional resources related to COVID-19 and law enforcement are available at\u00a0<a href=\"http:\/\/theIACP.org\" target=\"_blank\" rel=\"noopener\">theIACP.org<\/a><\/em>.<\/aside>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In a virtual discussion on January 6, 2021, Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, answered IACP members\u2019 questions regarding COVID-19 vaccine guidance and health and safety concerns. 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