Author: Phillips Pediatrics

When it comes to fighting COVID-19, we know there are many sources of information. We are grateful you trust Dr. Catherine Phillips to give you the answers you need and the care your family deserves.

You can find the latest information about a vaccine for children under five here.

Our Approach to COVID-19 Vaccine

When you come to Phillips Pediatrics, we want you to feel comfortable throughout the vaccine process. Here are a few things to get you started:

• We currently provide the Moderna COVID-19 Vaccine for ages 6 mo to 5 years.
• The vaccine can be given at routine check-ups or during a scheduled vaccine visit.
• We are hosting a Wellness Wednesday Vaccine Clinic weekly in July. Please call the front desk at (662) 371-1543 ext 1 for scheduling; leave a message if you call after 4:00 pm or on the weekend.
• On the day of your appointment, please enter clinic through the well lobby, sign in at the front desk, and let us know your child will be getting a COVID vaccine.
• You will receive a consent form and waiver with Emergency Use Authorization Vaccine Fact Sheet that must be completed before the nurse prepares your vaccine.
• After vaccination, you and your child will remain in the clinic for a 15-minute observation period. You are free to exit thereafter as long as your child remains in his or her normal state of health and does not need medical attention.

COVID-19 Vaccine for Children Under 5 at Phillips Pediatrics

We know there are many vaccines and immunizations recommended for babies and children under age 5.

Young people are vulnerable to the COVID-19 virus, just like everyone else. Getting them vaccinated is an additional way to protect them, prevent the spread of COVID-19, and protect others.

Children are not just little adults. Special concern has been taken for vaccine approval to ensure the safety and efficacy in this population. The COVID-19 vaccine for babies and children is a much lower dose than that given to older children and adults.

On June 18, CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the Advisory Committee on Immunization Practices’ (ACIP) recommendation that all children 6 months through 5 years of age should receive a COVID-19 vaccine. This expands eligibility for vaccination to nearly 20 million additional children.

As an Emergency Use Authorized Vaccine, families can make the decision to vaccinate if they so choose. As our population has more vaccinated individuals and more COVID-19 survivors, we increase the chance of moving from a pandemic to an endemic in which COVID-19 does not cause high rates of morbidity and mortality and does not cause significant disruption in our daily lives.

For children 6 months to 4 years, the vaccine offers 40% protection from the COVID virus at the peak of antibody production. There is a much higher rate of protection from serious illness, including hospitalization, MISC, and death. The vaccine gives our children’s immune systems the long-term memory it needs to protect them over time, even if the virus mutates and causes more serious illness in this age group.

What to Expect

Before your child gets the COVID-19 vaccine, you will fill out a pre-vaccination screening form for your child. This is to make sure they are a good candidate for the vaccine.

If you answer yes to any question, you may need to talk to Dr. Phillips, PNP Brooke Underwood, or another member of our healthcare team to determine if or when would be a better time for your child to receive the vaccine. For example, if your child is feeling moderately sick or severely ill, it is recommended to wait until they feel better before they receive the vaccine.

It does not take long to administer the COVID-19 vaccine. The process happens like many of the regular immunizations and vaccines common for children. The vaccine can also be done at a well-visit or other routine check-up.

After the vaccine, there is a 15 minute observation period. You will return in 1 month for the second dose of the series. This will be scheduled at check-out. Your child should be able to return to normal activities immediately after leaving the office. You can give tylenol or motrin should your child develop fever.

Types of Covid-19 Vaccines

Pfizer-BioNTech & Moderna COVID-19 Vaccines are available and authorized for different age groups. We currently offer:

• Moderna COVID-19 Vaccine for children age 6 months to 5 years: 2 dose primary series 1 month apart
• Pfizer-BioNTech COVID-19 Vaccine for children age 5 to 11 years: 2 dose primary series 21 days apart

Frequently Asked Questions

How does the COVID-19 vaccine work?

The COVID-19 vaccine works similarly to other vaccines. Germs such as SARS-CoV-2, the virus that causes COVID-19, invade and multiply inside the body. The vaccine helps stop this by teaching the immune system to recognize and make antibodies that fight the virus.

The mRNA COVID-19 vaccines give the body instructions to produce the spike protein found on the surface of SARS-CoV-2 and then induce an immune response.

Is the vaccine safe for children?

The Centers for Disease Control and Prevention recommends children who are 6 months and older get vaccinated to help protect against COVID-19. According to the CDC, the benefits of COVID-19 vaccination outweigh the known and potential risks. Before recommending COVID-19 vaccination for children, scientists conducted clinical trials. The FDA gave the COVID-19 vaccine emergency authorization to use in children as young as 6 months of age and full approval to use in people ages 16 years and older.

The mRNA vaccine is wrapped in a lipid nanoparticle, which helps it get in the cells of your body before it is quickly broken down. mRNA is just a messenger. It does not get into the nucleus of the cell, it does not get into our genes, and it cannot change our genetic make-up or make you infertile.

Who recommends the vaccine for children?

On June 18, 2022 CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the Advisory Committee on Immunization Practices’ (ACIP) recommendation that all children 6 months through 5 years of age should receive a COVID-19 vaccine. This expands eligibility for vaccination to nearly 20 million additional children and means that all Americans ages 6 months and older are now eligible for vaccination.

CDC expands vaccine recommendations to about 28 million children in the United States in this age group and allows providers to begin vaccinating them as soon as possible.

Will my child still get COVID-19 if he or she is fully vaccinated?

After your child is fully vaccinated at the peak of antibody production, the vaccine offers 40% protection from the COVID virus. If your child does get infected with the virus, he or she will likely not be as sick. The best protection the vaccine offers your child is decreased risk of hospitalization, MISC, and death from COVID.

The vaccine is approved for emergencies. What is Emergency Use Authorization (EUA)?

The Emergency Use Authorization (EUA) authority allows FDA to help strengthen the nation’s public health protections when there is a public health crisis. The FDA requires you to have special information so you can make an informed decision about vaccination.

For more information about EUA, please visit the FDA website.

My child has been allergic to a vaccine in the past. Is the COVID-19 vaccine safe for my child?

According to the CDC, if your child has a history of allergy in past vaccines, you should talk to your provider to see if your child should move forward with the COVID-19 vaccine. In the screening form from the CDC on page four, there are ingredients listed and special considerations if your child might be at risk.

How does an mRNA vaccine help children?

The vaccine currently approved for those under 18 is considered an mRNA vaccine. According to healthychildren.org, COVID-19 mRNA vaccines contain messenger RNA (mRNA). mRNA is made up of nucleic acids, which are the building blocks of all our cells. The mRNA carries instructions inside a lipid (fat) coating that tells cells to produce harmless pieces of “spike” protein. These look like spikes on the actual COVID virus.

When the cells make these pieces of spike protein, the immune system recognizes that they should not be there. Your child’s body then makes antibodies that get rid of the spike pieces. These antibodies remember how to protect your child from the virus in the future. A second dose and possibly booster doses in the future provide the instructions again, so the immune system can remember and practice how to get rid of the spike pieces.

Do mRNA vaccines change your child’s DNA?

No, the COVID-19 vaccines made with messenger RNA do not interact with your child’s DNA at all. DNA is your genetic material and it is stored in the nucleus of a cell. The mRNA in the vaccines never gets into the nucleus. And once your immune cells have used the instructions, they break down the mRNA and it exits the body.

Does the COVID-19 vaccine contain live parts of the Virus?

No, mRNA vaccines do not contain any live or dead parts of the virus.

How were the vaccines developed? Were they rushed?

Vaccines were first tested in cells to determine if they are safe for people. The research is shared with the FDA, and then if approved, the researchers start clinical trials. There are several stages of clinical trials, building from hundreds to thousands of people. They undergo rigorous testing processes and close communication with participants throughout clinical trials. There are specific clinical trials for children underway.

More information about research protocols can be found on the CDC website.

Schedule Your Vaccine Appointment

We thank you for trusting us to administer the COVID-19 vaccine to your child. We know you have many options, and we are grateful you trust us with your child’s healthcare.

We would love to help answer your questions and help protect you against COVID-19. Please call (662) 371-1543 to schedule your appointment today!

Did you know that you should start brushing your child’s teeth with fluoride anti-cavity toothpaste once he or she is ONE?  A smear of toothpaste twice a day, whether swallowed or spit, can help prevent cavities. PHILLIPS PEDIATRICS encourages early oral health and applies FLUORIDE varnish every 6 months until your child sees a dentist. He or she should establish a DENTAL HOME by the age of TWO.

Help us congratulate Dr. Catherine Phillips on winning the category for Best Pediatrician in Oxford Magazine’s Best of Oxford 2021 Awards.

Dr. Phillips is honored to have won this award and is dedicated to continuing to provide the exceptional care your children deserve.

Due to the current covid surge and some of our staff in quarantine, Phillips Pediatrics Walk-In clinic is closed Sept 7-10. All visits must be scheduled by our office. We continue to offer check-ups, same-day sick visits, urgent care, and covid testing daily. We appreciate everyone’s understanding during this unprecedented time.

Get to know pediatrician, Dr. Catherine Philips by reading this Q&A. Dr. Phillips is a board-certified pediatrician dedicated to providing the highest quality of care to children throughout Oxford, MS.

“I am here to ensure the health of your child, to guide you through milestones, and to give you confidence and reassurance throughout the years. Thanks for trusting me to be your pediatrician!”

Learn More About Dr. Phillips

Where did you grow up?

The MS delta. Sometimes I thought our town was too small, but looking back I have wonderful childhood memories of family, cotton trailers, and dirt roads. There’s a way of life there that I can’t completely explain—one that revolves around harvest and hunting season, one that is richer than the land itself, and one that I am lucky to have experienced.  The values I received from my small community in Sharkey County are innumerable and will last a lifetime.

Through college and medical training, I experienced some other great places, all filled with unique culture and tradition.  My husband and I moved back to Mississippi in 2013 to be closer to family. As Ole Miss alumnae, we felt that Oxford was the quintessential town to start a family and build our careers. We are blessed to be raising our children in yet another wonderful community.

What is a D.O.?

I dreamed of being a pediatrician when I was little. I absolutely loved babies; I wanted to make a difference in the lives of children; and I wanted to do it through medicine. A college advisor recommended I look at Kansas City University of Medicine & Biosciences, which happened to be my hometown doctor’s alma mater. The school was a perfect fit for me.

The foundation of osteopathic medicine is that people are more than just the sum of their body parts. Osteopathic physicians are known to take a hands on approach to diagnosis, a holistic approach to care, and a systems-based approach to treatment. There are 5 aspects of personal health: physical, emotional, social, spiritual, and intellectual. Osteopathic medicine focuses on the well-being of the entire person. This holistic approach to care has been a guiding principal for me as a D.O.

Tell us about residency.

I completed my pediatric internship and residency at Children’s Hospital in New Orleans. One of my greatest achievements in residency was receiving the resident teacher of the year award. Residency is a hard three years, but it’s there that you bring the formidable bank of knowledge you learn in medical school to bear at the bedside of some of the sickest children in the country. It’s there that you learn just what a privilege it is to care for someone else’s child. And it’s there that you learn children are not merely young adults; they are unique and require a different approach to care. I’m honored to have the education and experience required to care for your babies from infancy to adolescence.

How do you view motherhood?

By now, you should know that I absolutely love children. I cannot tell you how many babies have stolen my heart—baby dolls, baby cousins, neighborhood kids, nursery babies, and of course, my own. Just as I knew I wanted to be a pediatrician one day, I always wanted to be a mother.

Motherhood is completely different than what I thought it would be. Somehow, moms make it look so easy. I had no idea how demanding, how challenging, and how fearful raising children would be. But, with all the challenges, motherhood is the most significant and gratifying role of my life, and I wouldn’t change it for anything. I love my children, and I am honored to care for yours.

What has been the biggest challenge you’ve faced?

Losing my dad. His physical health declined rapidly during my residency. He was diagnosed with Idiopathic Pulmonary Fibrosis, developed an oxygen requirement, entered a clinical trial, and eventually was placed on a transplant list. Just 3 months after Patrick was born, my father underwent lung transplant at Ochsner Hospital in New Orleans. It was one of the hardest weeks of my life. He developed acute reperfusion injury, and I thought we were going to lose him. By the grace of God and modern medicine, Dad’s medical team supported him through, and we were blessed with three more years with him. He passed away four days after Christmas in 2018. I always questioned why life could take loved ones away during the holidays. The truth for me is that it is never easy to say goodbye. I miss Dad on ordinary days just as much as on holidays. But, I am thankful for that last Christmas with him, for the life he gave to me, my mom, my siblings, and his seven grandchildren, and for the legacy he left behind. My Daddy was a devout Christian, a compassionate father, the life of the party, and a successful business owner. He will always be a guiding light and role model in my life.

Tell us about yourself?

I am happily married to my husband Brian. We are blessed with two precious kids. Patrick is a proud Bramlett Charger and Margaret is a spunky three-year old. I enjoy home decorating, exercising, and dining out with friends.  I am a member of St. John’s Catholic Church and like to stay active in the LOU community. I have served on numerous philanthropic boards, but right now most of my spare time is spent at home with my kids.

I opened Phillips Pediatrics in 2020 with a vision to practice the most comprehensive, high quality pediatric medicine to children in Oxford and surrounding areas in a fun, innovative practice where access to your pediatrician is easy and everything revolves around your child’s individual needs, adding a little something extra in everything we do, connecting with each other and with our community.  I am excited for our practice to grow with my family and with yours.

In order to continue to provide optimal care for our patients, we have updated our regular Daily Walk-In hours and added new Urgent Care Hours! Urgent Care Walk-Ins will be available on Mondays with D. Brooke Underwood, C-PNP. Our new Walk-In hours are listed below. If you would like to schedule an appointment at our office in Oxford, MS, call us at (662) 371-1543 today!

Updated 9/6/2021 Pfizer now FDA approved for 16 and older.

What is the COVID-19 vaccine?

The US has three COVID-19 vaccines. Pfizer’s mRNA vaccine is now FDA approved for ages 5 years and up. It is approved for adolescents age 5-12 and recommended for Emergency Use Authorization in response to the pandemic.  In light of the current COVID surge, we highly recommend vaccination for all eligible patients. While we list the rare risks of vaccination in this post, the benefit to individuals, families, and the public at-large far outweigh the negligible risks. We strongly feel that Widespread Vaccination is our only hope at ending this pandemic and ask that our patients and families strongly consider vaccination. Thank you to those who have already chosen this life-saving option.

There are two mRNA COVID-19 vaccines with good safety and efficacy profiles. Pfizer-BioNTech COVID-19 vaccine is approved in persons aged ≥5 years and Moderna’s mRNA vaccine is approved in persons aged ≥18 years. The vaccine series reduces COVID by up to 100%.

There is ongoing data for long-term protection with both antibody and cellular immunity after the COVID-19 vaccines but data looks good so far, including protection against the Delta Variant and serious illness.

Johnson & Johnson’s COVID Vaccine uses an inactivated cold virus to introduce a piece of the COVID spike protein DNA to your body, which then mounts an immune response. The vaccine reduced the original COVID virus by 70% and decreases hospitalizations in those who do get sick. This vaccine is approved in adults only.

We feel that the COVID-19 vaccine is the best hope for ending the pandemic. We recommend the vaccine in all eligible patients and adults. As the COVID virus mutates, younger populations are facing much more serious illness and act as stronger vectors for the spread of the virus. While widespread vaccination efforts are being made to protect our population as a whole, many parents question the risk versus benefit of the vaccine when it comes to their own children.

For females, the vaccine hasn’t caused fertility issues. I honestly don’t even know why this became a concern. Thus far, the vaccine has been safe in pregnancy and breastfeeding. The latest studies even show antibodies crossing over to baby, which offers protection to little ones who can’t protect themselves.

Although the relative risk remains low, caution should be taken in females under 50 years with the J&J vaccine. There are reports of blood clots and low platelets after receiving the J&J vaccine in women age 18-49 years of age. For this population, I prefer the mRNA vaccine options.

For adolescent and young adult males, there are reports of myocarditis after the second Pfizer vaccine. Most cases have been mild and recovered easily.  After analysis, ACIP put out a statement that the benefit of the vaccine outweighs any potential risk. I don’t have a strong opinion on this statement. On one-hand, the full 2-dose series is required for reasonable protection against variant strains of the COVID virus, but even one dose of the vaccine seems to offer protection from serious illness with the Delta Variant. This causes room for consideration that we should weigh the risks and benefits of COVID vaccination in our adolescent male population. For COVID-naive patients with co-morbidities, including obesity, or those living with adults who cannot get vaccinated, the benefit of the full two-dose vaccine series outweighs the risk. For healthy adolescents with a normal BMI, especially those who have recovered from COVID and still show natural immunity to the virus, choosing to get the first dose of the vaccine and waiting on the second may be the best option for the individual. Although, this vaccine strategy causes gaps in widespread immunizations, the short-term data is still lacking not to give families an alternative approach.

How do I protect my child who isn’t eligible for the vaccine?

As people unmasked and practiced less social distancing, we saw a rise in respiratory infections, such as  RSV. The SARS-2 DELTA VARIANT then surged, and the virus continues to mutate. Variants can cause more serious disease and are more resistant to vaccination. Until more of our population can receive the vaccine, we must continue to be cautious and try to limit exposures. This includes practicing social distancing, wearing masks, staying home when you are sick, and washing hands frequently. We have to remember that we are all in this together, and together, we can make a difference. Thankfully, our office is fully vaccinated against COVID-19. In an effort to combat serious illness this Fall, I recommend getting the COVID Vaccine NOW and the Influenza Vaccine once it is available.

How does the M-RNA COVID vaccine work and is it safe?

Currently, Pfizer and Moderna have brought mRNA COVID vaccines to market. While it seems like an overnight sensation, mRNA technology has been researched for 25 years. Even more, SARS vaccine research has been in place since 2003, which helped in the timely development of the COVID-19 vaccine for SARS-CoV-2.

Vaccines, as we know them, introduce a viral protein to your body and induce an immune response that is similar to natural infection. mRNA vaccines, on the other hand, simply give the body instructions to produce one very specific part of a virus — in this case the so-called spike protein found on the surface of SARS-CoV-2 — to then induce an immune response.

The mRNA is wrapped in a lipid nanoparticle, which helps it get in the cells of your body before it is quickly broken down. mRNA is just a messenger. It does not get into the nucleus of the cell, it does not get into our genes, and it cannot change our genetic make-up or make you infertile.

When you get an intramuscular injection of mRNA, the muscle tissue at the site of the injection and the corresponding lymph nodes (if given in the arm, the lymph nodes in your armpit), the spleen and to some extent the liver make the COVID virus spike protein. Since only the spike proteins are produced, the vaccine will not and cannot cause the COVID-19 infection. The majority of the spike protein is produced in the first 2-3 days after injection. mRNA only survives for a short time. After a few days, routine mechanisms in our cells shut down the mRNA and thus the spike protein production stops. Our immune system then makes antibodies against the COVID virus spike proteins.

If the vaccinated person then encounters the real, live COVID-19 virus, our immune system recognizes the spike protein on the surface of the SARS-CoV-2 virus and mobilizes the antibodies that were produced when you received the vaccine. Those antibodies are ready to help you fight the infection.

The COVID-19 vaccine is our best hope for ending the pandemic. The vaccine is new to market and poses a lot of questions. I hope we’ve answered some of them #PhillipsPediatrics #OxfordMommyDoc #vaxupms #thisisourshot #covid19.

COVID Vaccine in Pregnancy and Breastfeeding

People who are pregnant and part of a group recommended to receive the COVID-19 vaccine may choose to be vaccinated. If you have questions about getting vaccinated, talking with a healthcare provider may help you make an informed decision. While breastfeeding is an important consideration, it is rarely a safety concern with vaccines.

Thus far, mRNA COVID-19 vaccines have been safe in pregnant and lactating women and are showing benefit to infants.

To make sure that more information is gathered regarding the safety of these vaccines when administered during pregnancy, pregnant people are encouraged to enroll in v-safe, CDC’s new smartphone-based tool being used to check-in on people’s health after they receive a COVID-19 vaccine. If pregnant people report health events through v-safe after vaccination, someone from CDC may call to check on them and get more information. Additionally, pregnant people enrolled in v-safe will be contacted by CDC and asked to participate in a pregnancy registry that will monitor them through pregnancy and the first 3 months of infancy.

Can children get the vaccine?

The vaccine is only approved for adolescent patients 5 years and older.

Where can I get my COVID vaccine?

You can visit the Mississippi State Department of Health website for vaccine sites and other information on the COVID-19 vaccine.

• Mississippi State Department of Health – Vaccine sites

We recommend the Lafayette County Health Department or local pharmacies (Chaney’s, G&M, Oxford Rx) for adolescent vaccines.They are also available at commercial pharmacies (CVS, Kroger, Walgreen’s).

Updated 9/6/2021

Our clinic is understaffed due to covid quarantines the week of 9/7 through 9/10. Check-ups, newborns, sick visits, and covid testing will all be offered daily but will be separated in order to best protect everyone and accommodate as many patients as possible in this unprecedented time. We appreciate everyone’s understanding. Our walk-in clinic is closed for the week and all visits must be scheduled.

During this pandemic, Dr. Phillips agrees with the American Academy of Pediatrics (AAP), Centers for Disease Control (CDC), and the Mississippi State Department of Health (MSDH) that it is very important for children to continue to receive medical care and stay up to date on vaccinations. We continue to take extra precautions to ensure the safety of your child and family, including separating sick and well spaces in the clinic, performing covid screenings at separate times from well visits, Telehealth appointments, curbside check-in and visits, and enhanced cleaning procedures in the office.

What is COVID-19

COVID-19 (SARS-CoV-2) is a new strain of Coronavirus, which is a family of common viruses that tend to cause cold symptoms in people. This one is unique in that it is more contagious and causes more severe illness, including more deaths, than the typical Coronavirus. Luckily, children generally have milder symptoms than adults. It spreads from person-to-person from respiratory droplets that are produced when an infected person coughs or sneezes.

There are different variants of the virus. The Delta Variant is more contagious and carries a greater risk of hospitalization. The Delta Variant is driving cases in young and unvaccinated areas, prompting the need for eligible persons to get vaccinated as quickly as possible. The Delta variant is less susceptible to the vaccination especially when only 1 dose has been given. We recommend the full 2-dose mRNA Moderna and Pfizer vaccination for eligible persons.

What are the symptoms of COVID-19?

Thankfully, children tend to have mild illnesses from COVID-19. Symptoms of COVID-19 include sinus congestion, sore throat, runny nose, cough, fever, chills, shortness of breath, fatigue, body aches, headache, nausea, vomiting, diarrhea, rash, and/or loss of taste or smell. Some patients have no symptoms at all. Older adults and people who have severe underlying medical conditions like heart or lung disease or diabetes seem to be at higher risk for developing more serious complications from COVID-19, but anyone can develop mild to severe symptoms.

How is COVID-19 treated?

Most pediatric patients with COVID-19 recover by resting, drinking plenty of fluids, and using fever/pain-reducing medications. There are no antibiotics that will treat COVID-19 due to it being a viral illness. In some cases, patients will require hospitalization and more advanced treatment. Patients 12 years and older with risk factors may qualify for monoclonal antibody infusions to decrease disease severity. Children 0-17 years of age with risk factors may qualify for an antibody investigational medicine through LeBonheur’s clinical trials.

How do we prevent the spread of COVID-19?

You can protect yourself and others from COVID-19 by taking these precautions:

• Eligible persons can get the COVID VACCINE
  • Vaccine Information (Ages 6mo – 5 years)
  • Vaccine Information (Ages 5+)
• Stay home when possible
• Practice social distancing by staying 6 feet apart from others when possible.
• Unvaccinated persons > 2 years of age should wear a mask when you are outside of your home.
• Due to the current COVID surge, Mississippi State Department of Health recommends all persons > 2 years mask when indoors in public areas.
• The CDC continues to require that all visitors and patients over the age of 2 wear a mask when inside our office.
• Wash hands often with water and soap (20 seconds or longer) or use hand sanitizer (without Methanol) when hand washing isn’t possible.
• Cover your mouth with a tissue or sleeve when coughing or sneezing.
• Avoid touching your eyes, nose, and mouth with unwashed hands or after touching surfaces.
• Clean and disinfect “High-Touch” surfaces often.
• Get adequate sleep and eat well-balanced meals.
• Make sure to get your daily dose of Vitamin C, Zinc, Vitamin D, and sunshine during this Pandemic.
• After exposure to COVID-19, you must quarantine based on guidelines per the CDC and MSDH. You are legally required by the state of Mississippi to practice current quarantine guidelines regardless of what your job, school, or outside entity says.

Who needs to quarantine?

It is recommended that anyone who has been in close contact with someone who has COVID-19 quarantines for 14-days after the last date of exposure.

There are options to reduce quarantine after 10 days for asymptomatic individuals or after 7 days for asymptomatic individuals who test negative for COVID on day 5-7.

People who are fully vaccinated or have tested positive for COVID-19 within the past 3 months and recovered do not have to quarantine unless new symptoms develop. It is now recommended that you do get tested because of breakthrough infection with stronger variants.

What Counts as Close Contact?

• You were within 6 feet of someone who has COVID-19 for at least 15 minutes.
• You provided care at home to someone who is sick with COVID-19.
• You had direct physical contact with the person (touched, hugged, or kissed them).
• You shared eating or drinking utensils.
• They sneezed, coughed, or somehow got respiratory droplets on you.

What are the options to reduce quarantine?

Asymptomatic contacts may reduce quarantine while continuing to monitor symptoms for the full 14 days after exposure.

• After day 10 without testing
• After day 7 if testing is available and you received a negative PCR test on day 5, 6, or 7.
• We offer curbside testing at our clinic. Our RAPID test results in 15 minutes. For our send-off PCR test, there is typically a 48 hour turn-around time but this is not guaranteed by LabCorp when testing volumes are high.
• Oxford School District allows asymptomatic students to remain at school if they test negative for COVID every 2 days for the first 7 days of quarantine.

What Do I Need to Know About COVID-19 Testing?

Types of COVID-19 Testing

We encourage our patients to contact our office to determine which, if any, COVID-19 test is the right plan of care. There are several different types of tests being marketed for COVID-19 testing. We currently have all three types of tests available. We offer curbside rapid and send-off covid testing daily.

Viral Nucleic Acid Amplification Tests

• The primary method for acute COVID-19 diagnostic testing is through SARS-CoV-2 polymerase chain reaction (PCR) tests. This test is designed to detect the viral DNA that causes COVID-19 in respiratory specimens such as nasal or oral swabs. NAATs are more accurate but require specialized lab equipment and sometimes take longer to process.
• We offer curbside PCR testing through LabCorp. Turnaround time is typically 48 hours but can vary pending volume in the laboratory.

Viral Antigen Tests

• Antigen tests detect viral proteins and may not be as sensitive as NAATs, particularly if the antigen test is used on someone without COVID-19 symptoms.
• We offer two different antigen tests, and try to use the most accurate test available based on your symptoms. Turn-around time is 15 minutes.

Antibody Testing

• You may have also heard about antibody testing to determine if you previously had COVID-19. This type of testing detects two different antibodies (IgM/IgG) to the coronavirus. The concern about this test is that there may be crossover with other coronavirus strains that could result in a false positive, there can be a negative test in the first 1-3 weeks of symptoms, resulting in a false sense of security which may result in spreading the virus to others, and even if an antibody is detected (a positive result) the results do not have clear implications in terms of contagiousness or risk of spreading illness.
• We perform antibody testing between day 21 and day 90 of concerning symptoms or direct contact to COVID. This is a blood test sent to LabCorp and is typically reported within 3-7 days.

We encourage our patients to contact our office to determine which, if any, COVID-19 test is the right plan of care. Testing has received Emergency Use Authorization from the US FDA during the pandemic if shown at least a 70% sensitivity. This is important to know because all of these tests have limitations and you must follow all guidelines and recommendations we give you if tested.

My child has been exposed to someone with a confirmed COVID infection. Should we be tested?

Phillips Pediatrics recommends you contact our office to determine the next best step for medical treatment.  Be sure to mention all exposure and symptoms when speaking to a member of our team. We will help you determine when your child needs to be seen, which, if any, COVID-19 test is the right plan of care, when the best time to test would be, and when your child can return to school or daycare. We offer curbside rapid and send-off covid testing daily.

How long after exposure should someone wait for testing?

The incubation period (time until symptoms develop) is about 2 to 14 days, with an average of about 5 days. This means that getting tested before symptoms start, especially in the first few days after exposure, may not be helpful. We cannot be certain that a person with a negative test was not infected, and you must follow quarantine guidelines, regardless of test results. We recommend testing in the first few days of symptom onset. For asymptomatic contacts, we recommend testing between day 5 to 7 with a confirmatory PCR if rapid testing is negative. We recommend testing at our clinic when possible so we can make sure you receive the right test.

What should you expect if your child was tested at our office for COVID-19?

If you were tested today at Phillips Pediatrics, a member of our staff will call you to discuss results of your test whether they are positive or negative. You should remain quarantined until a member of our staff gives you further instructions (do not head to Wal Mart while awaiting test results). For rapid 15 minute tests, a member of our staff calls at lunch and after clinic to report the results of your test. If you do not receive a call, please contact our office. Send-out tests result in 2 to 3 days at which time you will receive a call from someone from our office. If you do not receive a call after 3 days, please call us at 662-371-1543. We send school and work notes via fax when needed.

Should you travel during the pandemic?

As the cases of COVID-19 grow around the country, we want to help you in making the most informed decision prior to loading up the car or booking your next trip. The Centers for Disease Control and Prevention (CDC) has created guidance for considerations for travel. Before you go, a few considerations are:

• Are the individuals you are traveling with fully vaccinated?
• Are you heading to a “hot spot?” Traveling to areas with increased COVID-19 can increase your risk of infection. There also may be increased travel restrictions due to the viral spread. It is encouraged that you check state or local health departments for more information before you travel.
• Will you be able to socially distance while traveling? Being less than 6 feet from others can increase your chance of infecting others or becoming infected.
• Are you at an increased risk of infection? If you or those you or those you are planning to travel with are at an increased risk of illness, it is recommended that travel be limited.
• Will you need to quarantine after traveling? Some states, work-sites, and schools may require or recommend a 14-day quarantine after traveling.
• Are you sick or have you been in contact with someone that has COVID-19? Travel is not recommended for anyone that is sick or if you have been around someone with COVID-19 in the past 14 days.
• How will you travel? Traveling by airplane, bus, train or even stopping at rest stops can lead to virus exposure. Choosing a way to travel that allows you to avoid close contact with others is the most ideal.

Should you choose to travel during this time, we recommend that you continue to follow the CDC recommendations for COVID-19:

• Wear your mask or face covering.
• Clean your hands often and when soiled by washing with soap and water for 20 seconds or using hand sanitizer.
• Avoid touching your eyes, nose, or mouth.
• Avoid close contact with others by staying 6 feet apart as much as possible.
• Cover coughs and sneezes.
• Limit your exposure to others as often as possible.

Should I send my child to school this year?

Most schools are starting the traditional route for the 2021-2022 school year. Many recommend masks but do not require them. If your child is at-risk, consider vaccination for those 12 years and over and masking for anyone at-risk.

2020-2021 information: This is definitely not a one size fits all situation. The AAP, the CDC, and the MSDH, have all offered their recommendations/opinions. They are addressing what is best for the majority of children. We agree with the AAP that “schools are fundamental to child and adolescent development and well-being and provide our children and adolescents with academic instruction, social and emotional skills, safety, reliable nutrition, physical/speech and mental health therapy, and opportunities for physical activity, among other benefits.”

However, you the parents are not making decisions for the average child, you are making decisions for your child. Most children are safe in school. But, for children with medical conditions such as Diabetes or Down syndrome or for children being taken care of by elderly family members or caregivers with high risk medical conditions, virtual school may be a safer alternative. When choosing alternate education routes, you have to make sure your home has access to virtual classes and schedules that allow proper education times. Here’s a great article on back to school from Dr. Phillips published by the Oxford Eagle.

Is there an association between multi-system inflammatory syndrome in children (MIS-C) and COVID-19?

MIS-C is a rare inflammatory condition in children following infection with SARS-CoV-2. Symptoms include:

• A persistent fever (100.4 F or above)
• Abdominal pain, diarrhea or vomiting
• Rash or changes in skin color
• Trouble breathing
• Listlessness/lethargy or confusion

MIS-C is similar to symptoms of Kawasaki’s Disease and Toxic Shock Syndrome. While it sounds frightening, MIS-C is very rare. Still, our providers are aware of the symptoms and take great precaution in children presenting with acute coronavirus and post-viral illnesses.