Why is it so hard to get a test right now?
The supply of testing is not the issue; demand is just at record levels. For those who can’t afford to go on a store-to-store hunt for rapid tests, PCR testing is the only option. Many sites offer appointments to reduce wait times, though it can be hard to schedule a same-day test due to high demand. Wait times of several hours have been reported at no-appointment testing sites.
When do I need to isolate and how?
Isolation is for infected people regardless of vaccination status and starts the day you test positive. The CDC now says that should last at least five days or until symptoms disappear. After that, five more days of consistent masking is recommended, even at home around others.
When do I need to quarantine and how?
Exposure to COVID or a possible infection through close contact means quarantining five days for safety. The CDC says people who got a booster dose of the vaccine can skip quarantine if they wear masks in all settings for at least 10 days. Everyone else who is exposed is recommended to quarantine five days and wear masks in all settings for five days afterward.
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If I get infected, how many others will I infect?
The different COVID strains have varying levels of virulence: those who had the original wildtype or alpha virus could infect two or three others. Delta upped that to seven, and now omicron is so easily transmissible that every infected person is likely to infect 10 others on average.
I’m fully vaccinated and boosted — how protected am I?
The SARS-CoV-2 virus has gotten better in two years at causing COVID-19 in humans. Hence, breakthrough infections are being reported anecdotally in people who had gotten as many as three doses of an mRNA vaccine. Recent data is indicating that the desired levels of immunity from booster shots may wane after four months, though it can be difficult to determine an individual’s immunity solely by measuring antibody levels.
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Do children really need to get vaccinated?
“COVID is mutating to find a population that’s most susceptible, and unfortunately our children are that susceptible group,” according to a former state epidemiologist. With pediatric hospitalizations increasing due to COVID, doctors recommend parents of eligible children seek out vaccines for protection that can help the whole family.
What level of protection do we have in Oklahoma?
According to the state health commissioner, between vaccinations and previous infection, as many as 4 in 5 Oklahomans may have “some level of protection, but that doesn’t mean it prevents them from getting sick.” About 56% of eligible residents have gotten two or three vaccine doses, with higher rates around Tulsa and Oklahoma City; many rural counties are still under 20% vaccinated.
How do officials know what percentages of infections are omicron?
Municipalities are testing wastewater samples to determine the percentage of COVID-19 showing up with different variants. In Tulsa County, about 95% of the samples were omicron. The state public health lab, which is having trouble offering data close to real-time levels, has not reported how much genomic testing has been done since Christmas.
Is there a “better” variant of COVID to get infected with?
All variants have the potential to cause severe or fatal illness, including omicron, especially in unvaccinated people.
How are the hospitals and health care workers doing?
Already suffering shortages, health care facilities are strained again as cold weather sets in along with a surge of COVID patients. Despite a decrease in the percentage of COVID patients needing ICU care, hospitals are still near capacity. As omicron tests immunity levels of vaccinated people, health care workers on the front lines are becoming infected. Those staff quarantines result in fewer people available to offer emergency care.
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Why are so many schools moving to distance learning?
The classroom is a natural super-spreader, especially as many students are not vaccinated or not yet eligible for a vaccine. Districts are shuffling workers from all departments to cover absences as infected teachers have to quarantine, but with new cases breaking records again and districts already dealing with staff shortages, virtual learning is often the only option.
Is there a group more susceptible to severe or fatal COVID?
Unvaccinated people are most at risk of hospitalization or death if infected. For vaccinated individuals who became infected, a recent study showed 75% of those who suffered severe or fatal illness had four other risk factors such as diabetes or heart disease.
How accurate are the at-home tests? Should I get a positive result confirmed?
Most of the brands available from major retailers are producing results with high confidence levels. Check for FDA approval by searching the product name at bit.ly/3ttlsD5. Getting a positive result from a rapid test subsequently confirmed through PCR testing means being included in state COVID surveillance that is helpful for pandemic response efforts.
Are doctors and officials treating COVID as endemic yet, like the flu or common cold?
Endemic means a virus is not rapidly spreading. Because of continued and rapid COVID mutations, doctors say we are far from the endemic stage of SARS-CoV-2.
Is there enough supply for Oklahoma of antibody treatments including for omicron infections?
There are multiple treatments for COVID-19 if an infection is caught quickly, but they’re not widely available. Officials have said there is limited supply for states, and allocations are not based on genomic testing for variants. Only one of those treatments, sotrovimab, is recommended for omicron infections. Other antibody infusions are also in limited supply for use only in a health care setting.
Is there a pill I can take to help treat COVID-19 at home?
The FDA approved emergency use of paxlovid (Pfizer) and molnupiravir (Merck) for mild to moderate COVID-19. Both have potential dangers and should be prescribed with care, but both are in short supply. Merck’s pill reduces the rate of hospitalizations in high-risk patients by about 30%; Pfizer’s reduces the rate of hospitalizations by around 90% and is considered safer.
Is the flu back this year?
After masking and lockdowns helped shut down influenza in 2020, the flu season that began last fall has already caused severe illness in some Oklahomans. Children especially are presenting more with respiratory virus symptoms, which has resulted in many of the pediatric COVID diagnoses.
Is my old cloth mask still good enough protection in public?
Mask guidance has been updated upon testing showing little to no protection from cloth masks from the omicron variant. CDC is mulling a new recommendation for N95 level masking, and the Biden administration is discussing how to make those masks available free to Americans.
Will the most recent surge affect my travel plans?
Air travel has been affected as COVID cases have spiked again, with many airlines having to cancel or delay flights due to staffing shortages amid quarantines. Those who have a cruise planned are urged to reconsider, even if fully vaccinated, according to the most recent CDC guidance.
When is this going to be over?
Forecasting in a pandemic is made more challenging by unchecked virus spread. With COVID mutating so quickly, even those who do have some immunity from vaccination or previous infection could become sick with a new variant. Peaks and valleys in COVID cases will continue until the virus is challenged enough by the environment that one infection cannot easily result in several more.
Get tests mailed to you: COVID-19 information Oklahomans need to know
Where you can find COVID testing

Households may order free at-home tests from USPS.com. Limit of one order per residential address (each order includes four individual rapid antigen COVID-19 tests); shipping free starting in late January.
The Tulsa Health Department is offering free COVID-19 testing to those who are uninsured. All local health care systems also offer testing to the community with additional sites.
Schedule a test through THD’s website, tulsa-health.org, or call 918-582-9355.
- Walmart locations
- CVS locations
- Access Medical Care
- Morton Comprehensive Health Services, 1334 N. Lansing Ave.
- Med Express, 2140 S. Yale Ave.
- MedWise Urgent Care Center | Walk-In Clinics
- Community Health Connection, 12020 E. 31st St.
- Regional Medical Laboratory, 9330 E. 41st St.
- Tulsa Mobile COVID Testing
- NOHS Medical Clinic
- 6732 E. 41st St.
- Call ahead to schedule: 918-794-4777
- Arc Diagnostics
- Curative
- Drive-thru testing in Tulsa County
Saint Francis Health System — Warren Clinic Elm in Broken Arrow has a drive-through clinic in the southwest parking lot that is open seven days a week during urgent care hours, with no appointments required. Stay in your car and follow the pink signs.
Ascension St. John — COVID-19 testing for the public is handled through Regional Medical Laboratory by appointment, mostly from 8 a.m. to 5 p.m. weekdays. There are multiple RML locations in Tulsa County, with a high-capacity drive-through facility at 9330 E. 41st St: rmlonline.com
Axis HealthCare System — Locations in Bixby, Bartlesville, Inola, Pryor and Sapulpa offer drive-through testing with no out-of-pocket cost. PCR tests are done in-house, with results in 24-48 hours. Go to axishealth.net or call 918-943-3790.
Risk of reinfection higher with omicron variant, Oklahoma epidemiologist says
Updated isolation and quarantine guidance

The CDC has cut isolation restrictions for COVID-19 infections from 10 to five days, as well as decreasing quarantine for those exposed to an active infection.
Asymptomatic cases should isolate for five days, according to updated CDC guidance published Dec. 27 amid the spread of omicron variant. Those individuals should follow the isolation with five days of mask-wearing when around other individuals.
"The change is motivated by science demonstrating that the majority of SARS-CoV-2 transmission occurs early in the course of illness, generally in the 1-2 days prior to onset of symptoms and the 2-3 days after," the CDC states.
For those exposed to COVID-19 who have no immunity (i.e. unvaccinated or lapsed booster dose), a five-day quarantine is recommended followed by strict mask use for five more days.
"If symptoms occur, individuals should immediately quarantine until a negative test confirms symptoms are not attributable to COVID-19," the CDC states.
Kids with COVID symptoms: When do parents need to seek urgent care?
Most updated mask guidance from CDC, WHO

Breakthrough cases are occurring in vaccinated individuals, who in a small percentage of cases are requiring hospitalization for those infections.
The World Health Organization and CDC agree: Unvaccinated individuals should keep wearing face masks in public places.
The Centers for Disease Control and Prevention recommends fully vaccinated people in areas of high transmission wear a mask in public indoor settings.
Cloth masks are not recommended due to ineffective prevention of omicron variant transmission.
Incidence of severe or fatal COVID in children similar to adult rate, Saint Francis doctor says
Who is mandated to receive a COVID-19 vaccine?

Health care employees, like with many other vaccine-preventable illnesses, are required to be vaccinated against COVID-19. The Supreme Court on Jan. 13, 2022, allowed the mandate for workers at federally funded health care facilities to take effect nationwide.
The same decision blocked a federal vaccine-or-test requirement for large workplaces. Oklahoma had joined attorneys general in six other states in asking for a stay of the U.S. Occupational Safety and Health Administration rule requiring that employees in workplaces of 100 or more be vaccinated.
Oklahoma's AG also filed a lawsuit that resulted in a temporary restraining order to prevent Ascension St. John from suspending or firing employees who refuse to be vaccinated against COVID-19 and whose religious exemption has been denied.
Attorney General John O’Connor also has sued in other courts in efforts to stop federal vaccination mandates, including one for federal contractors.
The Secretary of Defense has said members of the Oklahoma National Guard would not be given an exemption from a federal vaccination requirement. Oklahoma Air National Guard members risk their pay if they drill without having been vaccinated.
Where is the Pfizer vaccine study data?

The drugmaker has released the information to the FDA, which used it in licensing Pfizer's COVID-19 vaccine for use in the U.S., but a federal Freedom of Information Act request could take as long as 55 years to complete.
With 329,000 pages to go through for redaction, the FDA has said it should not be held to the statutory timeframes for such an information release. Federal attorneys have stated proprietary business information and other confidential material must be protected.
A federal hearing in Texas is set for Dec. 14 after a group of academic professionals filed a lawsuit seeking an expedited release of the data. They believe it is needed in ongoing debates with vaccine skeptics.
How do Oklahomans feel about federal vaccine mandates?
Does your child age 5-11 really need a COVID-19 vaccine?

The arrival of child-sized doses of the Pfizer/BioNTech COVID-19 vaccine has Oklahoma pediatricians fielding a new, common question: Does my child really need this?
“Children are not supposed to pass away,” said Dr. Donna Tyungu, pediatric infectious disease specialist with Oklahoma Children’s Hospital-OU Health. “COVID is now one of the 10 leading causes of death for children in this country — and now it has become a vaccine-preventable illness.
“We know from adult cases the chance to get reinfected is three times lower for those who are vaccinated than for those who have already been infected. With the delta variant, the virus was much, much more transmissible among children, which is what led to thousands of children being hospitalized and hundreds of deaths in this age group.”
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Primary care physician Brad Hardy discusses post-COVID syndrome
Can schools mandate masks?

Senate Bill 658 bars school districts from imposing mask mandates unless a public health emergency is declared — something Gov. Kevin Stitt has said he wouldn’t do amid a sharp rise in COVID-related hospitalizations.
State leaders have been told by federal officials it is within a local school district's discretion to use stimulus funds for implementing indoor masking policies aligned with CDC guidance. Oklahoma plans to appeal a judge’s Sept. 1 ruling that mandates are legal if exemptions are allowed.
Read more: Feds investigating Oklahoma over school mask-mandate ban
"Go get your shots." Unvaccinated COVID patient talks about his illness
Can unvaccinated people be immune due to a previous COVID infection?
Post-COVID infection expectations

Nearly one-quarter of patients had at least one post-COVID condition 30 days or more after their initial diagnosis.
Patients with more severe cases of COVID-19 have more post-infection health conditions, but 19% of asymptomatic cases also suffer long-hauler symptoms.
The five most common post-COVID conditions across all ages (from most to least common): pain, breathing difficulties, hyperlipidemia (high cholesterol/triglycerides), malaise and fatigue, and high blood pressure.
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