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Tents like the one above are being used during Stony Brook University Hospital’s drive-through testing for the coronavirus. Photo by Kyle Barr

Hospitals along the North Shore of Western Suffolk are changing the way they operate to keep the number of coronavirus cases down.

Stony Brook University Hospital

Stony Brook University is asking that all patients who have cold and flu-like symptoms to go directly to its emergency room department area and not get out of their cars, according to its website. Between 11 a.m. and 11 p.m., patients driving to the emergency department entrance will be greeted and screened while in their vehicles.

Stony Brook University’s Ambulatory Care Pavilion COVID-19 Triage area. Photo from SBUH

Those with cold and flu-like symptoms and mild respiratory symptoms will be directed by staff members to go to the hospital’s new triage area located in the nearby Ambulatory Care Pavilion. The triage area will be staffed by emergency medicine physicians and nurses.

According to Stony Brook Medicine, “The triage service is to separate patients with cold and flu-like symptoms from others seeking emergent care, in order to provide all patients with a streamlined environment for care and treatment.”

Dr. Eric Morley, clinical associate professor and clinical director of the SBU Renaissance School of Medicine’s Department of Emergency Medicine, said in an email the new procedure has been successful.

“The process has gone very well, and we are seeing an increasing number of patients in the triage and treatment area located in the Ambulatory Care Pavilion,” he said. “Our staff have adapted very well to the new process. The level of teamwork and dedication of our staff is clearly the driving force behind this success.”

He said doctors have seen patients with both cold and flu-like symptoms, and also those who fit the Centers for Disease Control and Prevention criteria for COVID-19 testing.

On March 18, a drive-through testing site for the coronavirus opened in the commuter P Lot on the southern end of the SBU campus. According to the office of Gov. Andrew Cuomo (D), those wishing to be tested must call 888-364-3065 to schedule an appointment. No referral from a doctor is needed but operators will ask callers questions such as age, symptoms, if they have any underlying health problems and if they have been out of the country. The information will be given to the New York State Department of Health, which will call back with an appointment confirmation if testing is deemed necessary.

SBUH has revised its visitors policy. In response to New York State declaring a state of the emergency due to COVID-19, the hospital will no longer allow visitation until further notice.

“While we understand the important role that family members and visitors play in a patient’s healing process, this is a necessary step we need to take at this time for our adult units,” a statement from SBUH officials said, adding that exceptions will be made in pediatrics, labor and delivery, maternity and neonatal intensive care, also end of life on a case-by-case basis.

Catholic Health Services of LI: St. Charles and St. Catherine hospitals

Catholic Health Services of Long Island, until further notice, has suspended visits to all its hospitals as well as skilled nursing facilities, according to its website. Hospital officials said exceptions will be made on a case-by-case basis, which will entail hospital and nursing home leadership making a decision in conjunction with its infection prevention department and following Centers for Disease Control and Prevention guidelines for screening for the coronavirus before allowing visitation. CHS may make exceptions for end of life and newborn delivery.

On the CHS website, Dr. Patrick O’Shaughnessy, executive vice president and chief clinical officer, explained the screening on the system’s website.

“At all CHS hospitals emergency departments, in our skilled nursing facilities and throughout our regional nursing service, we are actively screening, asking patients about recent travel and looking for signs and symptoms of the virus,” O’Shaughnessy said. “Symptoms include fever and respiratory issues. Also, we are taking these precautionary steps at our owned physician practices.”

CHS has canceled all elective surgeries from March 23 through April 24, according to its website.

Northwell Health: Mather and Huntington hospitals

Northwell Health Labs announced March 11 in a press release that it began semi-automated testing for COVID-19 through its Lake Success facility.

“Since we began manual testing Sunday evening, we processed about 133 tests,” said Dr. Dwayne Breining, executive director, in the press release. “Moving to this semi-automated system will enable us to increase our testing capacity immediately to about 160 a day, and then to several hundred a day later this week.”

Dr. John D’Angelo, senior vice president and executive director of Northwell Health’s emergency medicine service line, said in an email that changes have been in place for a while in its health care system.

John T. Mather Memorial Hospital in Port Jefferson is sending tests to Northwell’s Lake Success facility. File photo from Mather Hospital

“We instituted changes from normal practice long ago, starting with 100 percent screening of all patients on arrival with positive screens being masked immediately and escorted directly to a private room for further investigation,” D’Angelo said.

He added that a decision was made soon after to mask every employee after emergency department changes.

“I believe we were the first in the region to institute such a mask mandate,” he said. “Lastly, as traditional screening (travel to CDC level 2/3 countries or known close contact) became less relevant, we decided to mask everyone — all patients, all visitors and all staff — while we continue to aggressively cohort patients with potential COVID-like symptoms.”

Emergency department volumes in the Northwell system have remained at or below average, according to hospital officials.

“The public is listening and staying home,” said Dr. Leonardo Huertas, chair of emergency medicine at Huntington Hospital.

D’Angelo said a surge plan is in place for all Northwell system emergency departments which can be used if the overall general volumes increase “or if there is a surge of COVID-suspected patients.”

He added that if a plan was needed “an exterior ‘split-flow’ model” would be put in place. This would enable those who may possibly have COVID-19 but aren’t that sick to be treated in an alternative care site adjacent to the emergency room, while “those arriving with COVID symptoms but are too sick for the alternative care site will be brought directly into a predetermined, cohort isolation area within the emergency department. Every site has such plans.”

Northwell has also canceled all elective surgeries. These surgeries, endoscopies and other invasive procedures in the outpatient setting will continue when doctors determine that they are clinically necessary.

A Mather Hospital official also said that the junior and adult volunteer programs have been suspended, and the hospital is working with Northwell on childcare alternatives for staff members.

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Huntington Hospital and Northwell released slides displaying the purpose of social distancing and other measures to "flatten the curve." Image from Northwell

As testing for the coronavirus COVID-19 increases in Suffolk County and throughout the country, so too does the number of confirmed cases. As of Wednesday, Suffolk County had 152 confirmed cases, with three fatalities.

“We were behind the eight ball on testing for a while now,” County Executive Steve Bellone (D) said on a conference call with other members of the National Association of Counties and the press. “Those numbers are going to continue to jump. All of these efforts about trying to contain that.”

There are 17 positive tests in Brookhaven, 43 in Huntington, 23 in Islip, and 3 in Smithtown. People who would like to get tested can call 888 364 3065. Residents won’t automatically receive a test if they show up. They need to go to a doctor or have a telephone reference for a possible test. Bellone expects the requirements for testing to loosen up in the coming days.

To protect police officers, Bellone urged residents to file some reports online. Residents can file lost property, criminal mischief, non-criminal property damage, and minor motor vehicle damage, among other issues, through the web site https://www.suffolkpd.org.

The county executive also reminded residents who are experiencing a mental health emergency can reach out to the Dash Center in Hauppauge, which is the first crisis stabilization center on Long Island.

This week, Bellone’s office continued to take numerous steps to inform the public and protect first responders. He encouraged residents to sign up for Smart911, to provide emergency responders with critical medical information. Residents can sign up through the website www.smart911.com.

Residents can also sign up for text message updates on their mobile devices if they text CovidSuffolk to 67283. Over 10,000 people signed up for the texting service on the first day, the county executive said.

Apart from ongoing concerns about the spread of the virus, residents are confronting an economy that has ground to a halt, as people maintain social distancing and businesses from movie theaters to bowling alleys to dry cleaners all closed.

The government “knows the impact to businesses will be devastating,” Bellone said on the call.

The county executive has put together a business response plan and is working to collect data from local businesses. He also advised he continues to work with a business response team, which the Department of Economic Development and Planning and the Suffolk County Department of Labor are leading.

Bellone said the business group was in the “discovery phase” of the plan, as the Department of Labor takes the lead on collecting data from businesses to find out “what’s happening on the ground with their work force.”

He encouraged businesses to reach out through 311 to provide information about the impacts of the virus.

Bellone said he was working on supply chain issues for personal protection equipment for health care workers. He is also hopeful that Gov. Andrew Cuomo (D) will find ways to work with the Army Corps of Engineers to expand hospital bed capacity to meet the anticipated surge in demand. 

As of now, Suffolk County has 2,300 hospital beds, of which 391 are currently available. There are 242 Intensive Care Unit beds, of which 68 are available.

George Latimer, the Westchester County executive, also shared his experiences and his expectations for the progression of the virus on the National Association of Counties call.

Westchester’s cases, which surged to 308, said the county is “where many places will be,” with its number of infections and its efforts to contain the spread of the virus.

Latimer wasn’t optimistic about the potential to reopen schools in his county any time soon.

“I doubt we’ll see academic [efforts] back before the end of June,” Latimer said. “That will cause all sorts of disruptions.”

Latimer said he is concerned about beds and ventilators and that his district has asked retired nurses and doctors if they would return to service.

County executives from other areas also expressed concerns about numerous other challenges, including helping the homeless population, safeguarding people in prisons, protecting first responders and health care workers, and managing their counties’ finances while tax revenue plummets and costs skyrocket.

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Image from CDC

Just a week after Suffolk County had no confirmed cases of the coronavirus Covid-19, the number of positive tests continues to climb. As of Tuesday, the county had 97 positive tests, with 13 in Brookhaven, 24 in Huntington, 11 in Islip and three in Smithtown.

None of the people who tested positive in the county to date is below the age of 18.

At the same time, the number of deaths attributable to the pandemic stood at three, as a woman in her 90s who was at Huntington Hospital died after contracting the virus.

Suffolk County Executive Steve Bellone (D) extended his condolences to the families of those who lost a loved one to the virus.

The County has tested 564 people, with 17 percent testing positive so far.

On a media briefing conference call, Bellone said the “idea that there are individuals that are traveling and bringing the virus here” is no longer relevant. People in the county came down with the virus through community transmission, which is why the county is joining so many other areas of the country in continuing to encourage social distancing while restricting access to sites where people might otherwise congregate, particularly on a day like St. Patrick’s Day. Bars and restaurants will only offer take-out and delivery.

At the same time, the county has closed the Civil Service Office. People can submit test applications online.

Suffolk County has accepted financial aid from the state, specifically $700,000 from the New York State Department of Health. These funds will support the local health department and “critical work on the front lines,” Bellone said.

Additionally, Suffolk County is transferring $500,000 from the Department of Public Works’s Snow Removal Fund to support the Department of Fire, Rescue and Emergency Services. This will support emergency responses efforts underway and will help purchase additional protective equipment.

“We caught a break with snow removal,” Bellone said. “We had very little snow this year.”

Bellone said he continues to work with a business response team, which the Department of Economic Development and Planning and the Suffolk County Department of Labor are leading.

Bellone said the business group was in the “discovery phase” of the plan, as the Department of Labor takes the lead on collecting data from businesses to find out “what’s happening on the ground with their work force.”

Bellone encouraged residents to sign up for Smart911, to provide emergency responders with critical medical information. Residents can sign up through the web site smart911.com. Residents can also sign up for text message updates on their mobile devices if they text CovidSuffolk to 67283.

Suffolk County hopes to have a mobile testing site up and running later this week. Suffolk County residents can make an appointment for a test by calling 888-364-3065. A triage nurse or health care professional will determine if people need tests.

It generally takes two to three days to get the results of the tests.

Separately, starting on Thursday, Stop & Shop will allow seniors who are over 60 years old to shop at their stores from 6 am to 7:30 am. The delis will open at 7 am.

Meanwhile, Brookhaven National Laboratory has suspended site access for all users, visitors and guests starting today, March 17th. The only exceptions are for users who are already on site and for users and guests permanently based at the laboratory. Facilities including the Relativistic Heavy Ion Collider, the National Synchrotron Lightsource II and the Center for Functional Nanomaterials will continue to operate.

BNL has also canceled all of their Educational and Science Learning Center programs through April 17th. The Department of Energy lab will review the program at that point. BNL has also canceled all open-to-the-public events and smaller group public tours for the next 30 days.

The lab is reviewing meetings of more than 30 people over the next month and will decide which to cancel.

BNL is encouraging telework for those people whose job responsibilities allow them to do so. The lab also has a pandemic plan that specifies essential positions and a minimum number of essential employees if they have to go to a reduced level of operations.

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A blood sample with respiratory coronavirus positive. Stock photo

Suffolk County has recorded its first two deaths from the coronavirus Covid-19, while the number of positive tests continues to climb and was at 74 as of early Monday.

Peter Scully, left, was confirmed to have contracted coronavirus. The county executives office has limited contact with others. File photo

A man in his 80s, who had been in isolation at St. Catherine’s Hospital in Smithtown, passed away, according to county officials. Another man, who was in his 90s and was in isolation at Huntington Hospital, also succumbed to the virus that has caused a pandemic throughout the world.

“It’s with great sadness” that Suffolk County Executive Steve Bellone (D) reported that the virus has taken the lives of the two people. “We offer our condolences and sympathies to the family who have lost loved ones and we will do everything we can to contain the spread of the virus,” he said on a conference call with reporters Monday, March 16.

One of the confirmed positive cases includes a member of Bellone’s senior staff, Peter Scully, a Deputy Suffolk County executive. While Scully is “doing well,” he remains at home in isolation, where he continues to work as part of the team responding to the virus that has given him a sore throat and chills, according to Bellone.

Several members of Bellone’s team are under mandatory quarantine because they have had direct contact with Scully, which includes spending more than 10 minutes within six feet of him. That list includes Gregson Pigott, who is the commissioner of the county’s Department of Health Services.

Although he was not in direct contact with Scully, Bellone has been directing the response to the virus from his home office.

“The guidance we put out is important for everyone to follow, including top levels of the government,” Bellone said. “Leadership by example is important and it is important for people to know you can follow this guidance but continue to do the things you need to do.”

Bellone expressed some concerns about children gathering to spend time together, particularly with the approach of the warmer spring weather.

“We want to send a message out to parents and the community that it is important that while kids are home, it’s not a time for mass gathering,” Bellone said. “Parents need to be following social distancing guidelines for kids.”

Indeed, school children in Nassau and Suffolk County have been out of school starting Monday for at least two weeks.

Northwell Health, meanwhile, announced that it is postponing elective surgeries. The new guidelines don’t apply to emergency surgeries. Elective surgeries, endoscopies and other invasive procedures in the outpatient setting will continue when doctors determine that they are clinically necessary. If the medical staff decides these surgeries are not essential, they will be postponed or cancel them to minimize exposure to Covid-19 for patients and staff. Northwell is also asking its practitioners to reschedule non-essential visits unless medical necessary within the next four weeks. Planned imaging procedures including Magnetic Resonance Imaging, or MRIs, Computed Tomography (CTs) and ultrasound will not be canceled. Patients confirmed for imaging will be contacted prior to their visits to identify those people who might be at higher risk from the virus.

Comptroller John Kennedy is preparing for the possibility of closing the Hauppauge and Riverhead offices. The Comptroller indicated that he may need to close these offices or restrict the work from home. Even if that occurs, however, the Comptroller has worked with financial institutions to ensure that the government continues to function and funds remain available. Kennedy ensured that PayMySuffolkTaxes.com has been working for almost a year, which will allow residents to pay delinquent property taxes online. He also launched a self-service tool, SuffolkSelfService.com to allow vendors to make status payments and notify appropriate personnel.

Governor Andrew Cuomo (D) urged residents to report any price gouging for products such as hand sanitizers or household cleaning supplies. The phone number to call is 1-800-697-1220.

Suffolk Parks remain open and are operating on normal business hours. Organized events and youth group camping, however, have been suspended. Residents can call 311 to confirm if an event is still taking place.

Sheriff Errol Toulon, Jr. has suspended all visits with inmates at Suffolk County Correctional Facilities starting on March 17th. Attorneys may continue to see their clients. While there are no current cases of the virus at the facilities, Toulon indicated he made this decision to control the spread of the illness. Toulon also suggested that most office bureaus are available by phone or website and urged people who do not need to visit the office to make contact from home.

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Devin Rotunno, a native of Port Jeff, is made to wear a mask when she travels outside her room at quarantine in SBU's Southampton campus. Photo from Rotunno

In little more than a week, Port Jefferson native Devin Rotunno’s life has been turned upside down, and though the coronavirus pandemic has impacted many, for students learning overseas, recent events have been dramatic.

Jokingly, Devin Rotunno put up a sign in her dorm at SBU’s Southampton campus noting the number of days she’s been in quarantine. Photo from Rotunno

On Tuesday, March 3, Rotunno was in Florence, Italy, studying fashion among the great Renaissance-era domed cathedrals and aged orange-tile roofed buildings. By late Saturday, March 7, she was back in the U.S., holed up in a small dorm room in Stony Brook University’s Southampton campus. In quarantine, she’s only allowed to go outside her room to go to the bathroom or to pick up her food from the lobby. She is on a floor with two other students, but none are allowed out together at the same time. When out, they must wear a mask at all times.

“If you asked me last week, Tuesday, if I would be leaving, I would have literally thought you were crazy,” she said.

Still, as the days drag by, the 19-year old has had to find ways to fill the time — a full 14 days of quarantine before she’s finally out March 21. Experts have said COVID-19 has a two-week gestation period, and she is among well over 150 people in quarantine in Suffolk County, both mandatory and voluntary.

As a first-year student at the Fashion Institute of Technology, being taught at the Polimoda International Institute of Fashion Design and Marketing in Florence had been an incredible experience. On March 3, Italy had yet to institute its nationwide shutdown, and Rotunno said she had seen people still living their lives as they had just a month before, however with a few more people were being cautious by wearing masks and gloves.

Late Wednesday, March 4, that all changed. Students studying abroad received emails from the U.S. Department of Homeland Security telling them they had to leave and return to the U.S. They were given a day to pack their things and either book flights themselves or take a flight guaranteed by the federal government. When the freshman college student received the news, she was working on a midterm project.

“Our program director — she knew how much we wanted to stay — she was figuring out online classes for us,” Rotunno said.

The students in her class handed in all their assignments, even if they weren’t fully done.

The students boarded a Delta flight to John F. Kennedy International Airport, just around 70 kids from SUNY schools together on the flight. When they landed, instead of being taken through the airport proper, they were led to a hanger where two buses awaited them. The majority went on one bus to SUNY Brockport. The fashion student went on the other bus, where students who said they were self-quarantining were dropped off at Stony Brook University’s main campus, while the rest were taken to the Southampton location, arriving there Saturday, March 7 at 11 p.m.

Devin Rotunno helps kids plant seeds using her Gold Award project Aug. 10, 2018 at the Long Island Explorium on East Broadway in Port Jefferson. File photo by Alex Petroski

She now lives in a suite with two people living in separate dorms across the hall from her. She speaks with them on a group text, but she doesn’t have much communication with them. Most of the time the way she knows they’re there is from hearing them move in their rooms or their feet as they walk down the hall.

“I was joking around with my friends — I was sending them pictures saying, ‘Look, I’m in the Hamptons,’ sending them a picture of the street and cars going by,” she said.

For now, she’s catching up on some Netflix shows and doing work for all her classes which are soon to be hosted online. While some of her basic lectures will likely translate easily enough, some of her classes, which have required draping and sewing, will have to be largely abstracted.

It’s been hard to watch things go on from the inside of quarantine. She said friends had already booked flights to visit her in Florence for spring break, but those plans have been somewhat quashed. When President Donald Trump (R) announced a 30-day travel ban to all European countries save Great Britain and Ireland, she herself panicked as not all her stuff from Italy has yet arrived, but she said she’s received word the rest of her items should be arriving soon.

Despite the initial confusion and anger of being pulled out of Italy with barely enough time to make sure her things were packed and hand in last-minute assignments, she said she understands why this is necessary.

“When everything was on lockdown, it was the right decision,” she said.

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The children's section of the Port Jefferson Free Library. File photo by Heidi Sutton

The Port Jefferson Free Library has closed its doors effective March 13 until further notice due to coronavirus concerns. 

Library Director Tom Donlon announced it late Friday after the library administration and board of trustees came to the decision it was necessary to “protect the health and well being of patrons and staff,” according to an email statement.

The announcement has come after multiple levels of government, including New York State and the White House declared a state of emergencies Thursday and Friday, respectively. Gov. Andrew Cuomo (D) has called for a shutdown of all public gathering of 500 people or more. 

“The library fully appreciates and understands the disappointment and disruption that this action will cause, but finds that it is paramount to preserve to the greatest extent possible the safety of our patrons and staff during this declared state of emergency,” a statement from the library read. 

Patrons will not accrue any late fees on checked-out items while the library is closed.

The statement also asked patrons to consult the library’s website, portjefflibrary.org,  for ongoing developments. Online services including Overdrive, Hoopla and Kanopy are still available from the library’s website.

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File photo

The Shoreham-Wading River School, Rocky Point and Miller Place school districts announced they would be keeping their schools closed early next week. Rocky Point, Miller Place and Mount Sinai will be closed Monday March 16, while SWR is shutting down both Monday and Tuesday, March 17.

All districts are closing just to students, while staff will still be made to report to school in preparation for the possibility of all educating going online.

Rocky Point Superintendent Scott O’Brien said in a statement that while they do not have any cases in the district, the possibility of a longer term shutdown where students will have to learn online is real.

“While learning in our district primarily occurs inside classrooms with face-to-face teaching by certified instructors, please be assured that our district has been planning viable options should a long-term school closure be necessary,” the Rocky Point superintendent said. “Students were asked to bring materials home or travel to and from school over the next several weeks with textbooks, workbooks, and work packets so that needed materials for online learning may be facilitated by our teachers should a long-term closure be necessary.

Earlier in the week, SWR Superintendent Gerard Poole said they were still working out their plans for potentially bringing all learning online. The SWR board of education held an emergency meeting earlier today.

Miller Place Superintendent Marianne Cartisano said the time will also allow them to perform a “deep cleaning” of school buildings.

In terms of sports, Section XI has notified districts it has suspended all athletic games and scrimmages until April 3.

 

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SWR Assistant Superintendent Glen Arcuri talks to the school board about precautions the district has made toward COVID-19. Photo by Kyle Barr

Two local school districts have closed up shop two separate days this week over concerns staff had been in contact with people with coronavirus.

Parents on social media confirmed receiving a call the evening of Tuesday, March 10, that all schools would be closed Wednesday due to a district member having had “third-party” contact with somebody who was confirmed to have the virus. The district website said schools would return to normal Thursday, March 12.

Despite the closing, the planned senior trip to Disney World in Florida went along as scheduled. Students left on nonstop planes early Wednesday morning, according to district parents.

School district officials were out of office and did not respond to repeated requests for comment by press time. 

Earlier in the week, Shoreham-Wading River school district closed all schools early Monday morning over coronavirus fears. The call went out to parents as some students were on buses on their way to class.

While SWR students were back in class by Tuesday, the event paints a picture of the decisions schools are having to make as all look to manage public places during the spread of COVID-19.

Residents in the Shoreham-Wading River school district reported receiving a robocall from Superintendent Gerard Poole in the early morning of Monday, March 9. Students that were on the bus by a little after 7 a.m. were being kept on the bus, then being turned around to be dropped off at home.

Poole said Tuesday the decision to close Monday was made shortly after they received information about one of their staff just before 7 a.m. Instead of reaching out to the New York State Department of Health and awaiting any of their recommendations, the superintendent said they made the call based on information they had at the time. According to district statements, a member of the high school security team might have been exposed to an individual with the coronavirus. The district said the DOH has said no individual in the district has tested positive for the new virus.

“School districts don’t have the luxury of waiting two or three hours for a conference committee call for officials to make those decisions,” he said. “We have to make those decisions immediately.”

The district received further guidelines from the DOH and Department of Education late on Monday, though the superintendent said there were still holes in those guidelines he wished they could fill, specifically any recommendations about students going on field trips. The district has already canceled two that were to happen this month. They will be rescheduled for later in the school year.

“They leave it as an initial 24-hour closure in consultation with state health officials and county health officials,” he said.

Assistant Superintendent for Finance and Operations Glen Arcuri said the district is well stocked on cleaning supplies at least for the next two months. The district has also invested in doing additional cleanings of commonly touched surfaces throughout the day and additional cleanings at night.

In fact, every district now has on its website a link or notice about precautions districts have taken toward the coronavirus. Most speak about additional sanitary measures.

Events, at least in SWR, have calmed since that Monday morning, split-second decision making, though the threat remains real. SWR simply has become one of the first few test cases for the kinds of decisions districts all across Long Island may have to make in the future, especially as the coronavirus story develops.

SWR officials have said that any days the district is closed after that would impact the school calendar, including spring break, which runs April 6-14; superintendent’s conference day, April 28; and the Friday before Memorial Day, May 22. The lack of snow days this past winter has been a boon for the district, at least in this regard.

“Fortunately, this year we have had it very easy with the weather,” Poole said.

If the school were to close for any amount of time past a threshold of days that it could stay closed, then the district would have to consider moving all education online. 

The options include using Google Classroom and learning platforms such as i-Ready. The district encouraged parents to confirm the log-ins for i-Ready and ALEKS are functioning on home computers. Those log-ins can be found in the Parent briefcase in the Infinite Campus Parent Portal. 

Schools in Seattle have already made the decision to close schools and host all learning online. The New York Times has reported how the sudden shift has impacted schools in and around the city that has been an epicenter for the outbreak of COVID-19. Instead of crowding around desks in a classroom, teachers and students hover over individual screens, though educators found they were spending many more hours working to reach students.

Poole said they have been working on those plans for potentially going online in the case of school closure, though they were still working out details, including giving access to students who may not have that technology at home.

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Sei Ramen in East Setauket is just one Asian restaurant on Long Island that said business is down since the start of the coronavirus panic. Photo by David Luces

The uncertainty of the coronavirus has led many people to avoid public places that see a lot of foot traffic. Some have resorted to hunkering down at home. With the first confirmed cases of coronavirus reported in Suffolk County this past week, despite efforts to sanitize their locations, some local businesses owners have been seeing the impact directly.

Since the outbreak began in China late last year, Asian American and Chinese restaurants and businesses have seen a decline in the number of customers. 

The Great Wall Chinese restaurant in Sound Beach is just one of several Asian establishments impacted by irrational fears over the coronavirus. Photo from Google Maps

Kevin Ma, co-owner of Sei Ramen in East Setauket, acknowledged the drop-off in business. 

Business “for area restaurants, it’s going down,” he said. “I have friends that run their own businesses and they are going through the same thing.”

Since opening last month, Ma believes they have been doing OK and hopes to see an uptick in customers once the coronavirus scare dies down.

“All we can do is let customers know the food is safe [to eat],” he said. “We are making sure everything is clean and sanitized.”  

Gary Pollakusky, president and executive director of Rocky Point Sound Beach Chamber of Commerce, said the fears of coronavirus are affecting businesses in the area. 

“I spoke to two Chinese restaurants [that are chamber members], they don’t want this to affect them,” he said. 

Pollakusky said misinformation on the coronavirus has caused the reduction in business, especially to the new owners of the Great Wall, a Chinese restaurant in Sound Beach. 

“The fears of the people toward Chinese food are irrational — people shouldn’t be afraid of eating local,” he said. “The Great Wall in Sound Beach has new owners and they are very excited to be a part of this community.”

The executive director said all businesses are taking the proper precautions and safety measures to make sure its facilities are clean. 

Libraries also see a lot of visitors and are trying to stay a step ahead.  

Ted Gutmann, director at Emma S. Clark Memorial Library in Setauket, said they are closely monitoring the situation. 

“We take the health and the safety of our patrons very seriously,” he said. “We have ordered additional cleaning supplies to clean surfaces, computers, keyboards and other areas.”

Gutmann said if patrons feel sick, he would advise them not to come to the library. 

“We have tried to be proactive, we haven’t really seen a decrease in attendance at the library,” the director said.

At this point, Emma Clark has not decided to cancel any upcoming events but has had internal discussions about the problem, should the overall situation gets worse. 

Debbie Engelhardt, director of Comsewogue Public Library, had similar sentiments. 

“We haven’t noticed a change in attendance,” she said. “We are trying to be proactive, just washing our hands is part of our daily routine.” 

Engelhardt said they already had numerous sanitizers installed throughout the building. 

“We increased signage reminding employees and patrons to wash their hands,” she said. “If employees are sick, we have told them to stay home — we are monitoring information from the state and county. We are trying to stay educated, we have a responsibility as a public service building.”  

“We are making sure everything is clean and sanitized.”

— Kevin Ma

Several local groups have been canceling events. The Three Village Democratic Club, Three Village Historical Society and Three Village Community Trust have all canceled or pushed off events out of a sense of caution. 

Brookhaven Town has released an executive order canceling all town events for senior citizens due to coronavirus concerns. Those events are suspended beginning March 12. Meals on Wheels deliveries will continue to homebound seniors, while those previously served by congregate nutrition programs at senior centers will be offered meal delivery at home.

Residents can call 631-451-8696 for more information.

Despite the preparation, other businesses said they haven’t seen much of an impact so far.

Bobby Suchan, general manager of Port Jeff Bowl, said besides less people coming into bowling alleys in general, they haven’t seen a change in business as of now. 

“We have installed more hand sanitizer in the building and just making sure everything is clean, which is something we always do,” he said. 

Charlie Ziegler, director of operations at Holiday Inn Express Stony Brook, said it’s business as usual at the hotel. 

“It’s not having an effect [on us] — the number of customers coming is the same,” he said. 

Despite that, Ziegler said they will continue to make sure everything in the building is cleaned and sanitized. 

“We had a meeting recently with the staff and we told them to make sure to wash their hands constantly,” he said. “We want to keep areas clean … we are disinfecting areas like the great room, telephones and door handles.”

Ziegler said they don’t anticipate any further disruptions from the coronavirus situation. 

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Diet may also affect quality of life as we age

By David Dunaief, M.D.

Dr. David Dunaief

Here’s a stunning statistic: 60 percent of American adults have a chronic disease, with 40 percent of adults having more than one (1). This is likely a factor in the slowing pace of life expectancy increases in the U.S., which have plateaued in the past decade at around 78.8 years old (2).

Most chronic diseases, including common killers, such as heart disease, stroke, diabetes and some cancers, can potentially be prevented, modified and even reversed with a focus on nutrients, according to the Centers for Disease Control and Prevention (CDC). 

The truth is that many Americans are malnourished. How could that be, when so many are overweight or obese? We are not a developing country, where access to healthy food is more challenging. Still, malnourishment is common at all levels of socioeconomic class. The definition of malnourished is insufficient nutrition, which in the U.S. results from low levels of much-needed nutrients.

I regularly test patients’ carotenoid levels. Carotenoids are nutrients that are incredibly important for tissue and organ health. They are measurable and give the practitioner a sense of whether the patient may lack potentially disease-fighting nutrients. Testing is often covered if the patient is diagnosed with moderate malnutrition. Because the standard American diet is very low in nutrients, classifying a patient with moderate malnutrition can be appropriate. A high nutrient intake approach can rectify the situation and increase, among others, carotenoid levels.

High nutrient intake

A high nutrient intake is an approach that focuses on micronutrients, which literally means small nutrients, including antioxidants and phytochemicals -— plant nutrients. Micronutrients are bioactive compounds found mostly in foods and some supplements. While fiber is not considered a micronutrient, it also has significant disease modifying effects. Micronutrients interact with each other in synergistic ways, meaning the sum is greater than the parts. Diets that are plant-rich raise the levels of micronutrients considerably in patients.

In a 2017 study that included 73,700 men and women who were participants in the Nurses’ Health Study and the Health Professionals Follow-up Study, participants’ diets were rated over a 12-year period using three established dietary scores: the Alternate Healthy Eating Index–2010 score, the Alternate Mediterranean Diet score, and the Dietary Approaches to Stop Hypertension (DASH) diet score (3).

A 20 percent increase in diet scores (indicating an improved quality of diet) was significantly associated with a reduction in total mortality of 8 to 17 percent, depending on whether two or three scoring methods were used. Participants who maintained a high-quality diet over a 12-year period reduced their risk of death by 9 to 14 percent than participants with consistently low diet scores over time. By contrast, worsening diet quality over 12 years was associated with an increase in mortality of 6 to 12 percent. Not surprisingly, longer periods of healthy eating had a greater effect than shorter periods.

This study reinforces the findings of the Greek EPIC trial, a large prospective (forward-looking) cohort study, where the Mediterranean-type diet decreased mortality significantly – the better the compliance, the greater the effect (4). The most powerful dietary components were the fruits, vegetables, nuts, olive oil, legumes and moderate alcohol intake. Low consumption of meat also contributed to the beneficial effects. Dairy and cereals had a neutral or minimal effect.

Quality of life

Quality of life is also important, though. Let’s examine some studies that examine the impact of diet on diseases that may reduce our quality of life as we age.

A study showed olive oil reduces the risk of stroke by 41 percent (5). The authors attribute this effect at least partially to oleic acid, a bioactive compound found in olive oil. While olive oil is important, I recommend limiting olive oil to one tablespoon a day. There are 120 calories per tablespoon of olive oil, all of them fat. If you eat too much, even of good fat, it defeats the purpose. The authors commented that the Mediterranean-type diet had only recently been used in trials with neurologic diseases and results suggest benefits in several disorders, such as Alzheimer’s. 

In a case-control (compare those with and without disease) study, high intake of antioxidants from food is associated with a significant decrease in the risk of early Age-related Macular Degeneration (AMD), even when participants had a genetic predisposition for the disease (6). AMD is the leading cause of blindness in those 55 years or older. There were 2,167 people enrolled in the study with several different genetic variations that made them high risk for AMD. Those with a highest nutrient intake, including B-carotene, zinc, lutein, zeaxanthin, EPA and DHA- substances found in fish, had an inverse relationship with risk of early AMD. Nutrients, thus, may play a role in modifying gene expression. 

Though many Americans are malnourished, nutrients that are effective and available can alter this predicament. Hopefully, with a focus on a high nutrient intake, we can re-ignite the pace of increased life expectancy and, on an individual level, improve our quality of life.

References:

(1) cdc.gov. (2) macrotrends.net. (3) N Engl J Med 2017; 377:143-153. (4) BMJ. 2009;338:b2337. (5) Neurology June 15, 2011. (6) Arch Ophthalmol. 2011;129(6):758-766.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com.       

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