Uptake of Screening Mammogram in West-central Illinois During COVID-19 Pandemic: Lessons Learned

Objectives. The study aims to reveal the trend of mammogram uptake in seventeen rural counties in Illinois to understand how the COVID-19 pandemic is influencing breast cancer screening in the area.Methods. Aggregated data on mammography screening for west central Illinois was provided by the Illinois Hospital Association. Data for 2018 and 2019 was used to determine the typical monthly and annual screenings for the two years before the onset of COVID-19. Then, the two years' data was compared to the 2020 data. The monthly mean values for the aggregated 2018 and 2019 data were generated as the base "year" to compare with the monthly value for 2020. Paired T-Test analysis was used to find if there were any statistically significant differences the years and between the base year and 2020.Results. January 2020 revealed an uptick to 2,921, which is more than the uptake for January 2018 (2700) and January 2019 (2488), and 13% greater than the mean value of 2,594 for the previous two years. This was followed by a gradual decrease in uptake in February 2020 by 4% compared to previous years at a mean of 2518 and a further decline in March (44%), with a drastic fall (98%) by April 2020 at 56 screening mammograms in all 17 counties. The lowest uptake in any three months occurred from March through May 2020. Compared to previous years, increase in uptake was noted across the region in 2020 June (8%) and July (4%) after the pandemic restrictions were relaxed. Overall, the total uptake in 2020 was 15% less than the average annual uptake for 2018-2019 with a deficit of 5,537. There was no statistically significant difference in mammogram uptake across the three years.Conclusion. The findings reveal that there was a significant reduction in uptake during the pandemic restriction period. However, increased uptake during the rest of the year effectively mitigated this reduction to such an extent that there was no statistically significant downturn compared to each of the previous two years. A rising trend in total annual uptake noted in preceding years could have continued without the COVID-19 event.

A New Record of Uranotaenia sapphirina and Aedes japonicus in Lee and Ogle Counties, Illinois

ABSTRACT Mosquito surveillance was conducted in Nachusa Grasslands Preserve located in north central Illinois in May through October during 2018 and 2019. In the Lee and Ogle counties, Illinois, boundaries of the preserve, 3 Uranotaenia sapphirina and 3 Aedes japonicus were collected and documented over the 2 field seasons in wetland and stream habitats. While Ur. sapphirina has been reported in nearby states, this is the first record in Lee County and on the preserve. Aedes japonicus has previously been recorded in Lee County; however, this is the first observance of this species within Ogle County and on the preserve.

Plant-parasitic and free-living nematodes from organically farmed fields in Illinois and Wisconsin

Plant-parasitic nematodes feed on soybean roots resulting in potential yield losses. Surveys of nematodes in certified organic soybean fields have been infrequent compared to surveys in non-organic soybean fields. We conducted a nematode survey from certified organic soybean fields in northern and central Illinois and southern Wisconsin to determine the frequency and population densities of plant-parasitic and free-living nematodes. Fields surveyed included both long-term (with soybean planted every 5th year or longer in the rotation) and short-term (with soybean planted every 3rd year of the rotation). A total of 27 composite soil samples each consisting of multiple cores to a depth of 20-cm were collected from 14 fields in 2019. Common plant-parasitic nematode taxa included spiral (Helicotylenchus spp.), lesion (Pratylenchus spp.), cyst (Heteroderidae), stunt (Tylenchorhynchus spp.), dagger (Xiphinema spp.), and pin nematodes (Paratylenchus spp.). Among the taxa, spiral, lesion and dagger nematodes were above previously reported damage threshold levels in some fields. From the summer season sampled soils, cyst nematode population densities and nematode abundance were significantly higher and lower, respectively, from fields under short-term versus long-term rotation with soybean. From the fall season sampled soils, the Structure Index but not the other diversity and community indices of free-living nematodes were significantly higher from fields under long-term versus short-term rotation with soybean. Overall, these results provide evidence for the occurrence of plant-parasitic and free-living nematodes from organically farmed soybean fields in Illinois and Wisconsin that varied in rotation length.

575. Local Experience of Breakthrough SARS-CoV-2 Infections After Full Vaccination

Background SARS-CoV-2 the etiology of COVID-19 has caused more than 33 million cases and almost 600,000 deaths in the United States alone. Vaccination is a vital tool in controlling the pandemic. With accelerated infection rates in various parts of the world, the incidence of variants has risen and threatens to set back the long sought after immunity, provided by available vaccines. The objective of this study was to evaluate the breakthrough infection rate after complete vaccination, in Sangamon County, with a rural and urban population of 195,000 in Central Illinois. Methods Data regarding breakthrough infections collected from the Sangamon County Department of Public Health, included the total number of infections, time after vaccination, age range of those infected and the type of vaccine used. Complete vaccination was defined as 14 days after the single dose of Johnson & Johnson/Janssen or the second dose of Pfizer-BioNTech or Moderna Inc. vaccine. Results The number of fully vaccinated individuals at the time of writing of this study was 87,086 which corresponded to 44.58 % of the total population. The breakthrough infection percentage was calculated as 0.036%. The mean time after vaccination to infection was 49.13 days with a standard deviation of 23.28. Conclusion Breakthrough infections among fully vaccinated individuals in our county, have been quite rare, which points to the high efficacy of the vaccines. A complex number of factors likely contribute to this including virus-related factors i.e. variant forms and specific patient-related factors which are not a part of this study. The afore-mentioned high efficacy rate of the vaccines provides further justification, to continue to pursue a persistent vaccination strategy to mitigate the effects of the SARS-CoV-2 virus. Disclosures All Authors: No reported disclosures

Prevalence and Factors Associated With Oral Cavity and Pharyngeal Cancer Screening in a Rural Population

Objective (1) To quantify the prevalence of provider recommendation and receipt of oral cavity and pharyngeal cancer (OCPC) screening and (2) to examine the factors associated with OCPC screening recommendation and receipt among adults. Study Design Cross-sectional. Setting Rural counties in central Illinois. Methods This study among adults (N = 145) was conducted between January 1 and June 30, 2017. The outcomes of interest were provider recommendation and receipt of OCPC screening. Multivariable logistic regression models were used to examine the association between (1) sociodemographic, health care access and utilization, and OCPC risk factors and (2) provider recommendation and receipt of OCPC screening. Results The prevalence of provider recommendation and receipt of OCPC screening was 12.4% and 28.3%, respectively. Approximately 15% of current smokers, 13% of participants who consume alcohol, and 10% of participants with ≥5 lifetime sexual partners had received an OCPC screening recommendation. OCPC screening rates were 19% for current smokers, 30% for those who consume alcohol, and 32% for those with ≥5 lifetime sexual partners. In the adjusted analyses, respondents with ≥5 partners (adjusted odds ratio, 3.10 [95% CI, 1.25-7.66]) had a higher odds of receiving OCPC screening than those with <5. There were no significant associations between other OCPC risk factors and provider recommendation and receipt of OCPC screening. Conclusion OCPC screening recommendation and receipt were low; only number of lifetime sexual partners was associated with OCPC screening receipt. Our findings suggest that rural populations may be vulnerable to late-stage diagnosis of OCPC, and interventions to help improve screening rates are warranted.