Health and Medicine

This is the time of year many universities are preparing to welcome incoming students with summer orientation sessions. This year, of course, it will be different, as Virginia Tech’s plans demonstrate.  The plan each year at VT is to bring admitted students onto campus in rotating groups over five weeks or so. This summer, the schedule remains the same, but with COVID concerns remaining prevalent, no incoming freshmen are coming to Blacksburg. Instead, it’s all on line, a lot of it live, as WFIR’s Evan Jones reports:

RICHMOND, Va. (AP) — Virginia Gov. Ralph Northam announced Friday that he will release the names of nursing homes that have had a coronavirus outbreak, a reversal from his previous stance that releasing the information could violate patients’ privacy.

Northam said he is directing the Virginia Department of Health to release the names on its website. He said the widespread nature of the COVID-19 pandemic makes it less likely that releasing the information will violate someone’s privacy or limit cooperation with a public health investigation.

“Governor Northam has always been committed to providing as much information as possible under state law,” Northam spokeswoman Alena Yarmosky said in a statement. “We are confident that given these new circumstances, this decision will ensure the maximum transparency allowed under the code.”

State officials have previously declined to disclose which nursing homes or other live-in medical facilities have reported cases or deaths from COVID-19, citing state code that they said treats a facility as a person when it comes to disclosure of health information.

At the same time, many families of residents who have been largely prohibited from visiting the facilities have told The Associated Press and other news outlets that they have had a hard time obtaining information at the height of outbreaks.

Northam also said his decision was prompted by faulty data released by the federal Centers for Medicare and Medicaid Services about nursing home cases, which the governor said had created confusion.

Republicans blasted Northam, saying he had the legal authority to release the names of the nursing homes much earlier.

“I cannot fathom the reasoning behind the governor’s announcement today,” House Minority Leader Todd Gilbert said. “Incompetence kills, and there is a great deal of incompetence from this governor.”

Minutes from a state task force meeting focused on dealing with the coronavirus in long-term care facilities show a discussion took place last month about the release of federal data and concerns that it would create “a media frenzy.”

“We need to be thoughtful here at VDH about the communication strategy about this data release to minimize the backlash,” an unidentified meeting participant said in the minutes, which were provided to AP by the health department.

The virus has ravished nursing homes nationwide. About 1.4 million older and medically frail people live in such facilities, a tiny share of the American population that has been disproportionately affected by COVID-19. Most nursing home residents have been in lockdown since early March, isolated from families and friends even in death.

The Virginia data released Friday shows current outbreaks at about 70 long-term care facilities and indicates seven facilities have had 25 or more coronavirus-related deaths. There have been about 1,000 deaths at long-term care facilities in Virginia, accounting for about 60% of the state’s total virus-related deaths, according to state data.

Northam also announced Friday that the state would be spending an extra $246 million to help long-term care facilities address staffing and equipment shortages as well new coronavirus testing requirements. The state has a goal of testing every long-term care facility resident and staff by July 15.

The Trump administration previously urged every state to have every nursing home resident and staff member tested by the end of May. Many states did not make that goal and some did not try to.

The Virginia Health Care Association-Virginia Center for Assisted Living, a trade group representing nursing homes, said the newly released data highlights the disproportionate impact the virus has had on long-term care facilities.

“We know that full transparency and real-time, accurate data being made available will validate our calls for assistance that nursing homes and assisted living centers have been making since the beginning of this pandemic,” CEO Keith Hare said in a statement.

Governor Northam says one of the things he is monitoring before setting a date for “Phase 3” re-opening is the COVID-19 numbers in other states that have already loosened restrictions. Among other things when it occurs, restaurants will be able to increase indoor seating. Northam indicates the soonest he will authorize Phase 3 is one week from today. More from WFIR’s Evan Jones:

 

31 new confirmed or probable coronavirus cases have been attributed to the Roanoke Valley, according to the latest data released this morning by the Virginia Department of Health. State health officials are reporting 14 new cases in Roanoke City, 12 in Roanoke County, 4 in Botetourt County, and 1 in Salem. There are no new coronavirus related deaths being reported in the Roanoke Valley.

Governor Northam today outlined how Phase 3 of his reopening executive orders will impact Virginia, but he says it is too soon to set a specific date for its implementation. WFIR’s Evan Jones has more:

Social gatherings will be permitted up 250 people. Retail stores and restaurants will be permitted to resume operations at 100% permitted capacity, but physical distancing guidelines will still have to be followed. Gyms and fitness centers will be permitted to operate at 75% capacity. Entertainment venues like museums, zoos and other outdoor venues will be able to open at 50% of capacity with a maximum of 1,000 people. Child care facilities will be permitted to open, but overnight summer camps will remain closed.

As for a start date, Northam said Thursday he was not yet prepared to set one:

NEWS RELEASE: RICHMOND—Governor Ralph Northam today presented the third phase of the “Forward Virginia” plan to continue easing public health restrictions while mitigating the spread of COVID-19. The Commonwealth does not yet have a targeted date for entering Phase Three.
Ahead of his bilingual COVID-19 press conference, the Governor met with local Latino leaders and community activists in Northern Virginia to discuss the issues they are facing in fighting this virus. Latino Virginians make up 45.3 percent of the cases for which Virginia has demographic data, and 35 percent of hospitalizations—even though Hispanic and Latino people make up about 10 percent of the Commonwealth’s population.
As many states are experiencing a surge in new infections, Virginia’s case counts continue to trend downward. Virginia’s hospital bed capacity remains stable, the percentage of individuals hospitalized with a positive or pending COVID-19 test is trending downward, no hospitals are reporting PPE shortages, and the percent of positive tests continues to decline as testing increases. The Governor and Virginia public health officials will continue to evaluate data based on the key health indicators laid out in April.
“Our Phase Three guidelines will help Virginia families and businesses plan for what the next stage of easing public health restrictions will look like in our Commonwealth,” said Governor Northam. “While we may not have the same spike in infections that many states are seeing right now, Virginians need to remain cautious and do the things that we know reduce transmission: wear a face covering, maintain physical distance, and stay home if you are high-risk or experience COVID-19 symptoms. This virus is still with us, and we must continue to adapt our lives around it and ensure we are keeping our vulnerable communities safe.”
In Phase Three, the Commonwealth will maintain a Safer at Home strategy with continued recommendations for social distancing and teleworking, and the requirement that individuals wear face coverings in indoor public settings. The maximum number of individuals allowed in social gatherings will increase from 50 to 250 people. All businesses should continue to follow physical distancing guidelines, frequently clean and sanitize high contact surfaces, and keep enhanced workplace safety measures in place.
Restaurant and beverage establishments are required to maintain six feet of distance between tables, fitness centers may open indoor areas at 75 percent occupancy, and recreation and entertainment venues at may operate at 50 percent occupancy, or a maximum of 1,000 persons. Swimming pools may also expand operations to free swim in addition to indoor and outdoor exercise, diving, and swim instruction. Overnight summer camps will remain closed in Phase Three.
Phase Three guidelines for specific sectors can be found here. Phase Two guidelines are available here. Visit virginia.gov/coronavirus/forwardvirginia for more information and answers to frequently asked questions.

 

It is a summer like no other at Virginia colleges and universities – no students on campuses as officials prepare for big changes when the fall semester begins. At Virginia Tech, it will start with move in, staggered over a greater number of days than before, and it will encompass every aspect of life on campus – including dorms, food service and classes. More from WFIR’s Evan Jones:

 

33 new confirmed or probable coronavirus cases are being attributed to the Roanoke Valley according to that latest data by the Virginia Department of Health. State Health Officials say there are 20 new cases in Roanoke City, 7 in Roanoke County, 3 in Salem, and 3 in Botetourt County. There are no new coronavirus deaths being reported in the Roanoke Valley.

The COVID-19 crisis has brought about many changes in our lives, and one of them may involve how you sometimes communicate with your dentist. As WFIR’s Evan Jones reports, “teledentistry” is likely here to stay.

It’s pretty much just like how it sounds. Use your mobile device to have a video conversation with your dentist. Brad Guyton is Chief Dental Officer at Delta Dental of Virginia, and he says your dentist can use such conversations to determine whether you should come in immediately for treatment or hold off – and for how long. Its use really picked up in recent months, and Guyton says Delta Dental is interested because it can help more of the people it insures to connect with dentists, especially in underserved areas.