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Daniel Dunaief

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SBU Professor Malcolm Bowman teaches an online course from his 'office' in a camper in New Zealand during the coronavirus pandemic.
The ultimate in remote teaching: 9,000 miles from the classroom

By Daniel Dunaief

Halfway between where they grew up and their home in Stony Brook, Malcolm and Waveney Bowman had a choice to make: venture back northeast to New York, which was in the midst of a growing coronavirus crisis or return southwest to New Zealand, where the borders were quickly closing.

The couple chose New Zealand, where their extended family told them not to dare visit. The Do Not Enter sign wasn’t as inhospitable as it sounded.

Malcolm Bowman, a Distinguished Service Professor at Stony Brook University’s School of Marine and Atmospheric Sciences, recognized that he could continue to teach three courses from a great distance, even a camper on a small stretch of land in the northwest part of the Coromandel Peninsula in New Zealand.

“We could be anywhere on the planet,” Malcolm suggested to his wife. “Why don’t we see if we can set up camp?”

Climbing aboard the last plane out of Honolulu before New Zealand closed its borders, the Bowmans didn’t have much of a welcoming party when they arrived at the airport. Their family told them, “We love you, but you can’t come anywhere near us,” Malcolm recalled. “Coming from the states, you could be infected.”

If his family took the American couple in, they would have had to report the contact, which would have forced Waveney’s brother and his wife, Derek and Judy Olsson, into personal isolation for two weeks.

Derek filled the trunk of an old car with food and left the key under the front tire. The Stony Brook couple set up a temporary living space in two campers on a small piece of land in the middle of the night, where they have been living for over a month. All told, their 235 square feet of living space is about 12% of the size of their Long Island home.

The country has been in lockdown, where people are practicing social distancing and are limiting their non-essential outings.

Malcolm realized he had to “rise to the challenge” which, in his case, literally meant climbing out of his bed at all hours of the morning. New Zealand is 16 hours ahead of New York, which means that he had to be awake and coherent at 2 a.m. on Tuesday morning in New Zealand to teach a course that meets at 10 a.m. on Monday morning on Long Island.

With a cell tower up the hill behind their camper, the Bowmans could access the internet. While they had shelter, they still needed electricity. Fortunately, Malcolm’s brother Chris, who is an engineer, provided solar panels to generate electricity.

Living south of the equator means the Bowmans are heading into winter in New Zealand, where the days are shorter and the sun is lower in the sky, which makes the solar panels that provide electricity less effective. Malcolm describes the biggest challenges as the “time difference and mosquitoes.”

In a typical day, the professor rises at 4 a.m. or earlier local time to teach his classes, participate in online seminars, attend University Senate and other committee meetings, continue his research and take care of his students, all through Google Meet and Zoom. He co-teaches Physics for Environmental Studies, Contemporary Environmental Issues and Polices and Advanced Coastal Physical Oceanography.

Malcolm’s favorite part of the day occurs at sunrise, when the cloud formations over Mercury Bay serve as a canvas for the colorful red and orange rays of the sun that herald the start of another day down under.

He recognizes that he and his wife’s current indefinite time in New Zealand provides them with a comfortable connection to the land of his youth, where he can enjoy some of the beaches that have made the country famous and hear the sounds of flightless birds near his camper home.

Given the focus on work early in the day, Malcolm can choose his activities in the afternoon, which include catching up on emails, reading the New York Times, cleaning up the campsite and fishing for the evening’s meal.

Even from a distance of almost 9,000 miles from New York, the Bowmans agonize with their neighbors and community members in the Empire State.

“It’s very difficult watching all the suffering, sickness, death, inadequate availability of life-saving equipment, the enormous stress health care workers are under and the loss of income for many families,” Bowman explained in an email. “Our eldest daughter Gail is a medical worker at the Peconic Bay Medical Center in Riverhead so she is fighting at the front line. Very exhausting work.”

The Bowmans, who are naturalized American citizens, have no idea when international flights will resume from New Zealand.

A retired elementary school teacher who taught at the Laurel Hill School in Setauket for 34 years, Waveney wears a mask when she visits a large supermarket that is 12 miles away once a week. Malcolm, who also goes to the supermarket, said the store only allows one family member per visit.

As New Zealand natives, the Bowmans can live in the country indefinitely, but their intention is to return to Stony Brook as soon as possible.

Even though the shorter daylight hours and rainy days lower the amount of power the Bowmans can collect from their solar panels, the couple loves the outdoors. They have camped with their four children during summers in the hills of New Hampshire and Vermont and have both been involved with scouting activities, which emphasizes self sufficiency and living close to nature.

As a former amateur radio enthusiast, Malcolm is also adept at setting up communication systems in remote settings. He offers a message of hope to Long Islanders, “You can weather this storm. If possible, work and stay home and stay isolated.”

The Bowmans have followed the advice of the 37-year old Prime Minister of New Zealand, Jacinda Ardern, who urges people to “be especially kind to each other.”

All photos courtesy of Malcolm Bowman

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By Daniel Dunaief

Daniel Dunaief

I am a journalist, which means I know a tiny bit about numerous subjects, but I am out of my depth once the questions dive below the surface. Oh, sure, I can play the journalistic game, where I throw around some terms, but I’m certainly not qualified to answer the best questions I could ask. Nonetheless, given the quarantine and the difficulty of getting people who are informed, funny, or funny and informed on the phone these days, I’m going to interview myself about the state of the world.

Question: How do you think we’re doing?

Answer: Well, that kind of depends. If we’re talking about humans in general, I would say we’re struggling. We were struggling before, but this virus has pushed us deeper into our struggles.

Question: Are we any better off today than we were yesterday or maybe last week or the week before?

Answer: Yes, yes we are.

Question: Do you care to elaborate?

Answer: No, no I don’t.

Question: Come on! You can’t just ignore me. I need to know.

Answer: No, you don’t. You’ll read what I write and then you’ll move on to the comment section of other articles, where clever people share their witticisms.

Question: Wait, how do know about the satisfaction I get out of some of the better comments?

Answer: Are you really asking that question?

Question: No, let’s get back on topic. If we’re better off today than we were yesterday or last week, will that trajectory continue? If it does, are we going to be able to live our lives with a new normal that’s more like the older normal, or will we have to wear masks and practice the kind of safe distancing that makes people long for the days when Jerry Seinfeld was annoyed on his show by a “close talker,” who, in the modern era in New York, would probably get a ticket for his close talking habit?

Answer: You had to pander with a TV reference, didn’t you? Don’t answer that! Anyway, yes, the trajectory looks better than it did, but there’s no guarantee it won’t change. You see, it’s a little like the stock market. Just because a company’s past performance is solid or impressive doesn’t guarantee anything about its future.

Question: Right, right. So, do you think my kids will ever get out of the house again?

Answer: You buried that question down low, didn’t you? Well, yes, I think they will return to a version of school that may also be different, but that also has some similarities to what they knew.

Question: Oh, good. Wait, so, you don’t really know, do you?

Answer: I do know that schools are pushing hard to solve the riddle, the conundrum, the enigma, the total ##$@!$ fest that has become the modern world. I know that parents the world over would like to go to the bathroom without someone following them into the room. I know that people would like to talk on the phone without worrying that their kids are listening, that people need adult alone time, and that the Pythagorean theorem isn’t going to teach itself.

Question: What does the Pythagorean theorem have to do with anything?

Answer: It’s out there and it’s on the approved list of things to learn. Are we almost done?

Question: Yes, so what do you think about the election?

Answer: I think it’ll happen in November and it’ll be an interesting opportunity to exercise our democratic rights.

Question: Who do you think will win?

Answer: An old man.

Question: Which one?

Answer: The one who yells at us through
the TV.

Question: They both do.

Answer: Then I’m going to be right.

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Health care workers at Stony Brook University Hospital crowd together after the flyover April 28. Photo by Kyle Barr

Even as the emergency health care community is due for a break after an intense surge in patients who had COVID-19 finally subsides, hospitals are seeing an increase in demand for surgeries and procedures residents had put off amid the crisis.

About 10 days ago, Stony Brook University Hospital saw a rise in admissions that were unrelated to COVID-19, said Dr. Todd Griffin, the President of Medical Staff and Chair of the Department of Obstetrics, Gynecology and Reproductive Medicine.

Indeed, in the last few days, the non-COVID admissions have been higher than the COVID-driven admissions, Griffin said.

“Patients were staying at home so long” during the pandemic that some of them “had to go into the emergency room,” Griffin said.

Stony Brook had been at pandemic level D during the worst of the crisis and is now getting ready to transition to Pandemic level C, which will allow them to operate on more semi-urgent patients.

These patients either have chronic pain that needs surgical remedies, cancers that are low grade but where waiting more than 30 days could exacerbate the condition, spinal cases that, if left untreated, could lead to more permanent disabilities, or cardiac cases.

“We’re really looking at starting up semi-urgent cases first, then we’ll look at the elective cases” some time later, Griffin said.

A medical team is looking at these types of decisions, trying to determine what falls into the semi-urgent arena and what becomes more of an elective procedure.

Up until recently, the ambulatory surgery center had been acting as an Intensive Care Unit. The hospital is thoroughly cleaning that area to make sure it’s safe for reentry for the general patient population, Griffin said. They are also assessing whether they have the staff to address medical issues that extend beyond helping people battling the virus.

“We are still far from a return to business as usual,” the medical staff president said.

Stony Brook is making sure it has enough personal protective equipment. One of the challenges in preparing hospital rooms for future surgeries is that the material used to make the drapes is the same as the material for surgical masks and gowns.

“A lot of that material was diverted,” Griffin said. The hospital wants to make sure it has enough drapes to meet the medical need.

Patients coming to Stony Brook hospital will need testing for COVID-19 before they receive treatment. The hospital is also considering whether they can test visitors and how that would be done to limit exposure for everyone in the hospital.
Stony Brook Hospital is also considering testing staff and physicians. The availability of testing will determine how many tests they administer and how frequently.

Even during the pandemic, Stony Brook has still been conducting about 10 to 15 procedures per day, which is well below the 70 to 80 patients who typically received treatment.

The individual departments have remained in touch with patients throughout the coronavirus outbreak.

“Our outpatient offices have still been open,” Griffin said.

Indeed, separate from responses to COVID-19, some areas of the hospital have become even busier, including obstetrics and gynecology.

Over the last three or four weeks, the hospital has received about 80 to 100 transfer patients, which is considerably higher than the five to 10 it receives in a typical week.

Some of those patients are residents of New York City and came to Stony Brook because hospitals in other regions had stopped allowing a support person during delivery.

Additionally, Stony Brook has single bedded units in its maternity ward, which means mothers have their own room throughout the process.

“We were trying to have as normal an experience as we can in a pandemic,” Griffin said. “I am so proud of the staff and nurses during this difficult time. They created the best experience for patients possible.”

Even with the hospital scheduling some additional surgeries in the weeks ahead, however, Stony Brook will follow Gov. Andrew Cuomo’s (D) guidance, remaining at or below 70 percent capacity in the event of another surge in demand from COVID-19.

Griffin is concerned that he will “see a second surge during the summer,” which planners are keeping in the “backs of their mind” as they add more patients to the surgery schedule.

Additionally, the medical community has spoken broadly about the combination in the fall or winter of a second wave of coronavirus at the same time as rising infections from the flu.

As the hospital prepares for more surgery patients, they will continue with procedures that protect patients and hospital staff, which includes wearing masks and more rigorous and frequent hand washing.

“Patients need to understand that if they come to Stony Brook Medicine, they are coming to a safe environment,” Griffin said. Griffin suggested that “coming to the hospital is still safer than going to the supermarket.”

Update: This article has been updated to indicate that the number of OB transfers over the last three to four weeks has been a total of 80 to 100, rather than 100 per week over that same time period. It also indicates that Stony Brook is considering whether the hospital can test visitors and how that would be done and that it is getting ready to transition to Pandemic Level C.

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If the trend continues through Monday, Suffolk County will be within the U.S. Centers for Disease Control and Prevention’s guidelines for reopening the economy.

Additionally, the county’s hospitalization rate is also around Gov. Andrew Cuomo’s (D) targeted 70 percent or lower goal, creating health care flexibility in the event of an increase in the incidence of COVID-19.

With Cuomo’s New York Pause set to end on May 15, County Executive Steve Bellone (D) said he would continue to discuss ways to restart part of the local economy.

“We are looking at a number of different guideposts for how we reopen and when it makes sense to reopen,” Bellone said on his daily conference call with reporters.

Bellone hopes to have contract tracing and sufficient testing in place to reopen the economy in a safe way. Another target is to keep the rate of transmission per infected individual below one.

“If that gets to 1.1, we are looking at this virus spreading once again,” Bellone said. A worst case scenario would be if the government reopened the economy and then needed to reinstate restrictions, which would cause emotional, psychological and economic devastation, the county executive said.

Bellone indicated that a summer working group, led by Deputy County Executive Jon Kaiman, would likely have guidelines as early as next week for beaches, pools and other facilities.

The summer is “going to be different,” Bellone said. “It’s not back to where we were.”

The number of people infected over the last day continued to rise, climbing 661 to 34,079.

The number of residents in Suffolk County hospitals fell by 35 to 1,047, while the number of people in the Intensive Care Unit also declined 35, to 369.

With hospitals at 74 percent capacity and ICU beds at 69 percent, the county is “right around the numbers where the state says you need to be to reopen the economy in a safe way,” Bellone said.

The number of people who left the hospital rose by 111.

The death rate from complications related to coronavirus continued to climb, as 24 people died over the last day, bringing the total deaths to 1,155.

Separately, Bellone, U.S. Rep. Lee Zeldin (R-NY-1) and former National Football League player Gary Brown will host a discussion for veterans tomorrow night at 5:30 p.m. People who would like to listen to the town hall can tune in on facebook live, at facebook.com/SteveBellone.

The six hotspot testing sites had conducted close to 3,000 tests, with 818 positive tests amid the 1,741 with results. That rate is 47 percent, which is slightly lower than yesterday, but still well above the 37 percent for other testing locations. As Bellone announced yesterday, the county is opening another hotspot in Southampton tomorrow.

Bellone said his office has now distributed over 3 million pieces of personal protective equipment. He thanked federal and state governments for their delivery of supplies, which included 600,000 ear loop masks, 843,000 gloves and 42,000 face shields over the last day.

The county executive highlighted the recent donation of 50,000 surgical masks by the Greater New York Automobile Dealer’s Association, which is a part of the association’s effort to distribute half a million surgical masks to counties in the downstate area.

In the Suffolk County Police Department, 86 officers have tested positive and 72 have returned to work.

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Members of Stony Brook's medical team throw fists in the air during todays flyover by the Blue Angels and Thunderbirds. Photo by Kyle Barr

After a public effort to gain access to short term funds, County Executive Steve Bellone (D) last night received word that the pleas had paid off.

Members of the non-invasive cardiology department at Stony Brook University Hospital. Photo by Kyle Barr

The Federal Reserve expanded the eligibility requirements in the federal CARES Act to counties that were below the previous threshold of two million residents to provide short term borrowing through a municipal liquidity fund.

“This is a huge short in the arm to our efforts to provide property tax relief to people who have been negatively impacted economically,” Bellone said on his daily conference call with reporters.

The funds will allow the county to access short term borrowing for up to 36 months and will relieve the financial burden that comes from the Suffolk County Tax Act, which prevents the county from receiving funds until the middle of the year. During periods when Suffolk collects typical tax revenue, when residents can enjoy local restaurants, movies, and concerts, the urgency to access funds at a reasonable rate isn’t as high.

“This gives the county the ability to do short-term borrowing to address the cash flow issues that are caused by revenue almost completely drying up because of the wholesale shutdown of certain parts of our economy,” Bellone said.

The County thanked numerous area politicians, including U.S. Sen. Chuck Schumer (D) and U.S. Rep. Lee Zeldin (R-NY-1).

Schumer “walked the letter into [Secretary of the Treasury Steve Mnuchin’s] office and said, ‘We need to do this,’” Bellone said. “Zeldin lobbied [President Donald Trump (R)] and [Mnuchin] directly. He set up a call with Mnuchin and himself so I could make the case directly about why Suffolk County needs this and why this is so important.”

In the meantime, hospitalizations continue to decline, sustaining a trend that could lead to a measured and gradual reopening of the economy.

The number of hospitalizations declined by 15 to 1,082, with the number of residents in the Intensive Care Unit falling by four to 408.

These declines are getting close to the Centers of Disease Control and Prevention recommendations for 14 days, which is the minimum for restarting and reopening the economy.

Gov. Andrew Cuomo (D) said today there has to be ground rules for such a reopening. Hospitals, he said, must be at no more than 70 percent capacity with a rate of transmission no higher than 1.1.

An additional 44 people left the hospital in the last day.

People are still dying from complications related to COVID-19 at a rate that is greater than one per hour, as 29 people died over the last day, bringing the total to 1,131.

In terms of hotspot areas, the six sites have now tested 2,124 people. The county has results for 1,584, with 757 of those confirmed positive. The rate of positive tests is 48 percent, which is still well above the rate of 38 percent for the rest of the county, but is below the initial testing rate of 53 percent.

The county plans to open a seventh testing site on Thursday in Southampton.

Working with Long Island Cares and Island Harvest, the county has also started providing food to people who come to select hotspot testing sites, starting with Brentwood. On Thursday, Wyandanch will also provide food distribution to those receiving a coronavirus test who also need food.

Bellone urged people who are having food security issues to contact 311. Operators will connect residents with agencies that can provide food.

Separately, campgrounds will be closed in line with state guidance through May 31, when the county will revisit the issue. Anyone who has a reservation between April 1 and May 31 will receive a refund.

“Stay tuned as we move forward in May,” Bellone urged those interested in the camp sites.

The Suffolk County Police Department continues to be “fortunate” with the overall rate of COVID-19 infection, as 86 sworn officers have tested positive, with 71 returning to work, Commissioner Geraldine Hart said on the call. Hart attributed the lower rate of infection to the procedures the police department followed early on once the infection reached the shores of Suffolk County.

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The pace at which people are leaving hospitals in Suffolk County continues to be higher than the rate at which residents are entering, easing the burden on health care workers and on a system pushed close to capacity two weeks ago.

Over the last day, the number of people in hospitals from complications related to Covid-19 declined by 41 to 1,134.

“That’s still a very big number, but is much lower than its peak level,” County Executive Steve Bellone (D) said on his daily conference call with reporters.

The number of people who are using Intensive Care Unit beds fell by 10 to 443.

At the same time, 109 residents have been discharged from the hospital.

“We wish them a speedy, continued recovery,” Bellone said.

Meanwhile, Gov. Andrew Cuomo announced the initial preliminary plans for reopening the state. Phase 1, he said, would include opening it up for construction and manufacturing with “low risk.” Phase 2 would include a matrix of other nonessential businesses. There would be a two-week period in between each phase to monitor the effects. It would also be in coordination with surrounding states.

No large places that would facilitate gathering would open during that time of transition, the governor said. The first businesses to reopen would likely be upstate, which has seen much less impact than the downstate counties have seen.

Suffolk County delivered another 210,000 pieces of personal protective equipment yesterday. The county also received supplies from the Federal Emergency Management Agency, which include 7,100 gloves, 800 face shields, 5,000 surgical masks, hundreds of protective suits, hand sanitizer, Clorox wipes and ice packs.

Bellone offered his thanks to Rep. Lee Zeldin (R-NY-1) on delivering personal protective equipment.

The county executive also highlighted the United Way Covid19 Fund, which provides support to people in need who have lost their jobs or have been furloughed. People interested in seeking support from the fund can go to UnitedWayLI.org.

Bellone highlighted the rescue efforts of Matthew Honce of East Patchogue, who pulled a Medford man who was treading water out of Bellport Bay on Saturday. The man had been treading water for 15 minutes when Honce pulled him out.

“I want to say a big thank you to a good samaritan, who is a great example of the kind of people we have in this county,” Bellone said. “What could have been a tragedy [wasn’t]” thanks to Honce and the Suffolk County Marine Bureau.

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Mikala Egeblad with a blown-up image of a neutrophil extracellular trap, or NET. Photo from CSHL

By Daniel Dunaief

Mikala Egeblad couldn’t shake the feeling that the work she was doing with cancer might somehow have a link to coronavirus.

Egeblad, who is an Associate Professor and cancer biologist at Cold Spring Harbor Laboratory, recently saw ways to apply her expertise to the fight against the global pandemic.

She studies something called neutrophil extracellular traps, which are spider webs that develop when a part of the immune system triggered by neutrophil is trying to fight off a bacteria. When these NETs, as they are known, are abundant enough in the blood stream, they may contribute to the spread of cancers to other organs and may also cause blood clots, which are also a symptom of more severe versions of COVID-19, the disease caused by the coronavirus, which has now infected over two million people worldwide.

“I always felt an urgency about cancer, but this has an urgency on steroids,” Egeblad said.

Cold Spring Harbor Laboratory reached out to numerous other scientists who specialize in the study of NETs, sometimes picking up on the tweets of colleagues who wondered in the social networking world whether NETs could contribute or exacerbate the progression of Covid19.

Egeblad started by reaching out to two scientists who tweeted, “Nothing about NETs and Covid-19?” She then started reaching out to other researchers.

“A lot of us had come to this conclusion independently,” she said. “Being able to talk together validated that this was something worth studying as a group.”

Indeed, the group, which Egeblad is leading and includes scientists at the Feinstein Institutes for Medical Research and the Research Institute of the McGill University Health Centre, published a paper last week in the Journal of Experimental Medicine, in which they proposed a potential role for NETs.

“We are putting this out so the field doesn’t overlook NETs,” said Egeblad, who appreciated the support from Andrew Whiteley, who is the Vice President of Business Development and Technology Transfer at CSHL.

With a range of responses to the coronavirus infection, from people who have it but are asymptomatic all the way to those who are battling for their survival in the intensive care units of hospitals around the world, the biologist said the disease may involve vastly different levels of NETs. “The hypothesis is that in mild or asymptomatic cases, the NETs probably play little if any role,” she said.

In more severe cases, Egeblad and her colleagues would like to determine if NETs contribute or exacerbate the condition. If they do, the NETs could become a diagnostic tool or a target for therapies.

At this point, the researchers in this field have ways of measuring the NETs, but haven’t been able to do so through clinical grade assays. “That has to be developed,” Egeblad explained. “As a group, we are looking into whether the NETs could come up before or after symptoms and whether the symptoms would track” with their presence, she added.

To conduct the lab work at Cold Spring Harbor, Egeblad said her team is preparing to develop special procedures to handle blood samples that contain the virus. 

As the lead investigator on this project, Egeblad said she is organizing weekly conference calls and writing up the summaries of those discussions. She and the first author on the paper Betsy J. Barnes, who is a Professor at the Feinstein Institute, wrote much of the text for the paper. Some specific paragraphs were written by experts in those areas.

At this point, doctors are conducting clinical trials with drugs that would also likely limit NET formation. In the specific sub field of working with this immune-system related challenge, researchers haven’t found a drug that specifically targets these NETs. 

If the study of patient samples indicates that NETs play an important role in the progression of the disease, particularly among the most severe cases, the scientists will look for drugs that have been tried in humans and are already approved for other diseases. This would create the shortest path for clinical use.

Suppressing NETs might require careful management of potential bacterial infections. Egeblad suggested any bacterial invaders might be manageable with other antibiotics.

NETs forming in airways may make it easier to get bacterial infections because the bacteria likes to grow on the DNA.

Thus far, laboratory research studies on NETs in COVID-19 patients have involved taking samples from routine care that have been discarded from their daily routine analysis. While those are not as reliable as samples taken specifically for an analysis of the presence of these specific markers, researchers don’t want to burden a hospital system already stretched thin with a deluge of sick patients to provide samples for a hypothetical pathway.

Egeblad and her colleagues anticipate the NETs will likely be more prevalent among the sicker patients. As more information comes in, the researchers also hope to link comorbidities, or other medical conditions, to the severity of COVID-19, which may implicate specific mechanisms in the progression of the disease.

“There are so many different efforts” to understand what might cause the progression of the disease, Egeblad said. “Everybody’s attention is laser focused.” A measure that is easy to study, such as this hypothesis, could have an impact and “it wouldn’t take long to find out,” she added. Indeed, she expects the results of this analysis should be available within a matter of weeks.

Egeblad believes the NETs may drive mucus production in the lungs, which could make it harder to ventilate in severe cases. They also may activate platelets, which are part of the clotting process. If they did play such a role, they could contribute to the blood clotting some patients with coronavirus experience.

Egeblad recognizes that NETs, which she has been studying in the context of cancer, may not be involved in COVID-19, which researchers should know soon. “We need to know whether this is important.”

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Two weeks have made a huge difference for the health care community in the fight against COVID-19.

On April 10, hospitals throughout Suffolk County were struggling as 1,658 residents needed medical help to cope with the symptoms related to COVID-19. At the time, the Army Corps. of Engineers was racing to construct a hospital extension at Stony Brook that might handle more cases if the county continued on its trajectory.

Fortunately, the number of hospitalizations turned around, falling for the first time two days later, beginning a trend, with a few rises here and there, of fewer hospitalizations.

Indeed, over the last day, the number of people in Suffolk County hospitals declined by 143 people to 1,175, which means that, from the peak, the number of people separated from their homes and families has declined by over 29 percent.

This is “ great news,” County Executive Steve Bellone (D) said on his daily conference call with reporters. Bellone has been in the unenviable position of sharing details about the numbers of people who have been sick or who have died each day. The reduction in hospitalizations is a “huge jump, which is much higher than we’ve seen over the past few weeks,” he said.

Indeed, looking back to the dark days when the county became an epicenter for the virus, Bellone said his team had to discuss where to create a makeshift morgue, in the event that those who died exceeded the county’s capacity.

The county had considered using an ice rink as a temporary facility. Bellone nixed that, recognizing that children would eventually skate on that rink again. Instead, the county found an old processing facility, which they hoped they wouldn’t have to use but “unfortunately we have.”

As the Army Corps. of Engineers completed the construction of the Stony Brook Hospital Extension, Bellone again hoped the county wouldn’t need the additional hospital beds. So far, that has been the case, which, the county executive said, is a tribute to the residents who have respected social distancing rules and who have endured economic hardship as they have shuttered their businesses and remained at home.

The hospital extension is “empty today because of what everyone has been doing, because of the sacrifices that are being made right now,” Bellone said. “We have seen the incredible courage and bravery that has been displayed by health care workers and first responder agencies who have put themselves at risk. That is the reason why that hospital stands empty today.”

Gov. Andrew Cuomo announced new testing initiatives for those “essential” employees, including restaurant workers, grocery store workers, banks, laundromats and gas stations, just to name a few examples. The governor added it could be used for health care workers.

Testing of this kind is largely going to be handled by pharmacies. Cuomo said he will be signing an executive order allowing 5,000 independent pharmacies access to the testing.

In the last 24 hours, the number of people who have been discharged from the hospital has increased to 147, which is “another great number and a positive sign,” Bellone said.

The Intensive Care Unit has also experienced a drop in the number of patients, with a decline of 25 to 453.

The number of ICU beds currently available is 179, which is more than four times the number of beds available on April 10th, when the ICU had a low of 43 remaining beds in that unit.

Over the last 24 hours, the number of residents testing positive for Covid-19 has increased by 891 to 32,185, Bellone said. In total, the six hotspot sites have now conducted tests on 1,916 residents.

While the public health trends have been improving, the number of families who have suffered irretrievable losses through the pandemic have also passed a horrific milestone. Over the last 24 hours, the number of people who have died was 49, which means that one Suffolk County resident passed away each half hour. The total number of dead in Suffolk County from complications related to coroanvirus has climbed over 1,000, reaching 1,042.

The number of people who have died “continues to be staggering,” Bellone said, as he offered his thoughts and prayers to those who mourn the loss of family, friends, and neighbors.

Bellone’s office continues to look for personal protective equipment to help first responders and health care workers who are looking to heal and provide comfort to those afflicted with the disease. Bellone’s office has received another 100,000 ear loop masks and 3,000 face shields as a part of the county’s procurement order.

Continuing a process that began yesterday at a Stop & Shop in West Babylon, Bellone distributed cloth face coverings that he received from the federal and state governments to seniors at Leisure Village, Leisure Knolls and Leisure Glen. He was joined by Sarah Anker (D-Mt. Sinai).

“People were very happy to receive those face coverings,” Bellone said. “It’s important to distribute those out to the most vulnerable in our community.”

Bellone said the distribution plan for those face coverings would also include people who live in hotspot communities.

“We will be working with community-based organizations to identify need,” Bellone said.

For those looking to get back on the links, Bellone said golf courses will reopen starting on Monday, in line with the state policy. Golfers will be expected to follow social distancing guidelines and will need to spread out tee times by 15 minutes. Golfers can not use carts.

“If you want to come out, you have to walk the course, follow the additional guidance that is in place to reduce contact and help prevent transmission of the virus,” Bellone said.

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In his ongoing effort to provide temporary property tax relief, Suffolk County Executive Steve Bellone (D) spoke with Treasury Secretary Steve Mnuchin last night.

Bellone said the conversation was “positive” and he hopes to hear back soon about whether Suffolk County, which is short of the required population size, can access the municipal liquidity fund.

Bellone thanked Rep. Lee Zeldin (R-NY-1) for facilitating the call and supporting the county’s bid to tap into short term borrowing created by the federal CARES Act.

Bellone also announced that former County Attorney Dennis Cohen would return to his former role.

“This is even more critical to us now because of he crisis and because of the long road ahead on recovery we know we will have,” Bellone said on his daily conference call with reporters.

As testing continues throughout Long Island, including at hotspots including Coram which began today, the number of people who have a positive diagnosis for COVID-19 has continued to climb. For the first time in several days, that number rose by over 1,000, bringing the total to 31,294.

“That is higher than what we’ve been seeing over the last week,” Bellone said.

Bellone also announced that the county was piloting a food assistance program at the Brentwood testing site.

On the state side, Gov. Andrew Cuomo (D) said he would soon be making a decision whether schools will be closed for the rest of the school year. The question will depend on where they see the resiliency of the virus, and also ongoing fears for another peak somewhere later in the year. Doctors are concerned that peak could come at a time when the nation would be going through its regular flu season as well.

On the positive side, total hospitalizations continue to decline, driven down by another triple digit number of discharges.

The total hospitalizations fell by 22 to 1,318. The number of people in Intensive Care Unit beds also declined by 16 to 478.

The ICU decline “is very good news,” Bellone said.

The number of people who have left the hospital over the last day was 132.

The number of people who died rose by 34 to 993. That includes the first Long Island Railroad Employee who passed away from complications related to coronavirus.

“I want to acknowledge and thank the employees of the Long Island Railroad today,” Bellone said. They have “stood up and met the challenge” created by COVID-19 and have “done an amazing job.”

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Several weeks after viral hotspot testing sites in Suffolk County opened, the percentage of positive tests is coming back higher than for other areas.

After 1,077 people were tested in six sites, including Huntington Station and Wyandanch, 577 people tested positive for the virus that causes COVID-19.

“That is definitely a lot higher than the overall number in the county, which stands at 40 percent,” County Executive Steve Bellone (D) said on his daily conference call with reporters.

By testing in these communities, the county hopes not only to get an idea of the rate of infection in these areas, but also to communicate the importance of social distancing and isolating for people who have positive tests.

“By doing the testing, we have the direct one-on-one contact with patients and it is with Spanish speaking health professionals who can have an effective dialog,” Bellone said. The communication is “well-received by the patients.”

For some residents who live in more densely populated areas or who share a home with others who might have underlying medical conditions or whose age makes them vulnerable to the virus, the county has offered housing on a case-by-case bases, Bellone said. That has included hotels and shelters.

These situations could include people who are “coming out of a hospital where there is an issue in a home with vulnerable people,” Bellone said. “It’s not just with hotspot areas.”

Bellone also shared the results of broader testing throughout New York that Gov. Andrew Cuomo (D) has conducted to determine the rate of infection, which could include people who were asymptomatic or who had mild symptoms that dissipated quickly enough not to merit testing.

Based on preliminary data, Suffolk County could have about 250,000 people who have the coronavirus that causes COVID-19.

If that’s the case, “that tells us that there are a huge number of people who have had the virus and didn’t know they had it,” Bellone said. A scaled up testing program to detect the presence or the virus or of antibodies, along with an aggressive contact tracing program, could enable the county to contain the virus.

That could mean that Suffolk County could “reopen our economy with protective measures in place,” Bellone said. The testing and contact tracing, which former New York City Mayor Michael Bloomberg and Johns Hopkins University committed to supporting, are “very good news,” with the caveat that the county needs to “see those full results,” Bellone added.

The number of people who tested positive in the county in the last day was 709, which means that more than 30,000 people have received positive tests for the coronavirus.

The closely-watched hospitalization number dropped again in the last day, falling by 37 to 1,340 residents. The number of people in Intensive Care Unit beds has also declined by five to 494.

For the second straight day, about 10 percent of the population of people with COVID-19, or 131 people, have been discharged from the hospital.

The death toll also continues to climb towards 1,000, with 33 people dying from complications related to COVID-19, bringing the number for the county to 959.

On the supply front, the county executive’s office distributed over 24,000 pieces of personal protective equipment yesterday. The county also received 80,000 ear loop masks from New York State.

The procurement team in Bellone’s office received 27,000 isolation gowns, which have been in short supply and high demand.

The Stony Brook University Hospital extension, which was an all-out effort as the hospitalization was climbing dramatically, is completed. The beds at the facility are not occupied.

“I don’t think there are plans right now” to use those beds, Bellone said. “We are working to prevent a second wave rom happening. We know that has happened in past pandemics.”
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