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Image courtesy of Suffolk County Dept. of Health

By Daniel Dunaief

Suffolk County reported its first case of measles in a child since 2017 this week, as an unvaccinated person under five years old contracted the infectious disease.

Suffolk County health officials are working with the New York State Department of Health and Northwell Health and are taking steps to prevent the spread of the disease.

The case of measles in Suffolk County is the third in the state and comes as Texas has had over 200 confirmed reports of measles since January, with 29 hospitalizations, according to the Texas Department of State Health Services.

“Measles can be very serious,” State Health Commissioner Dr. James McDonald said in a statement. “It’s much more than just a rash as complications can include pneumonia and inflammation of the brain, and often results in hospitalization.”

Officials indicated that residents could have been exposed to the person with measles at the pediatric emergency department at Cohen Children’s Medical Center in Queens from March 3rd to March 4th.

Patients who visited an inpatient child on the Medicine 3 unit from March 3rd to March 6th also could have had exposure.

The Cohen Children’s Medical Center, which is run by Northwell Health, is reaching out to patients who were at the center during the time of exposure. The Center has also identified patients who are high risk and may require timely treatment.

“As we follow this case and closely monitor potential exposures, we strongly encourage all residents to protect their health and the health of our youngest and most vulnerable residents by ensuring they are on time and up to date their measles vaccines and all recommended and lifesaving immunizations.” said Dr. Gregson Pigott, Suffolk County Commissioner of Health Services, said in a statement.

The incubation period for measles, which is spread by coughing or sneezing into the air, is 21 days, with symptoms that can include high fever, cough, runny nose and red, watery eyes. The best way to prevent measles, according to health officials, is to get the MMR vaccine. One dose is 93 percent effective at preventing measles, while two doses are about 97 percent effective.

Doctors recommend that residents receive their first dose at 12 to 15 months of age and the second at four to six years of age.

Measles during pregnancy increases the risk of early labor, miscarriage, and low birth weight infants.

Separately, area officials found two dead raccoons tested that positive for rabies in Amityville and North Amityville on March 4th and January 28th, respectively.

These are the first confirmed cases of rabid raccoons in the county since 2009

These animals had no known contact with humans or animals.

“We have over 1.5 million residents [in Suffolk County] and it’s not good to have raccoons running around with rabies,” said Pigott. These animals can get in a fight and can transmit the rabies virus to other animals or to humans.

Left untreated, rabies, which has early symptoms including irritability, headache, fever and itchiness at the site of exposure, can be lethal.

People can contract rabies if they are exposed to saliva or nervous tissue of a rabid animal through a bite.

Pigott urged pet owners to ensure their animals are vaccinated for rabies. He also suggested that people take safety measures when they are out among animals. He asks those living in Huntington, Islip, Smithtown or Babylon to contact the Department of Health Services if they encounter a dead raccoon.

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Clare Whitney, Assistant Professor of Nursing. Photo by Jeanne Neville, Stony Brook Medicine

Clare Whitney, PhD, MBE, RN, Assistant Professor in the Stony Brook University School of Nursing, has been selected as a 2025 Macy Faculty Scholar, a national program that identifies and develops early-career nursing and medicine educators to become more effective leaders.

Dr. Whitney is Stony Brook’s first Macy Faculty Scholar, and she is one of five educators nationwide to make up this distinguished class of 2025. Macy Scholars develop a project and have access to professional development programs, formal mentoring, and educational opportunities. The program begins on July 1.

Dr. Whitney’s Macy Faculty Scholars project is centered around the Alda Healthcare Experience for Nursing (AHE-N), an interprofessional communication skills training designed for nurses. She will work to develop, implement, and evaluate the AHE-N, which aims to advance sustainable solutions for burnout prevention while enhancing interprofessional collaboration for student nurses.

Her nursing research at Stony Brook is focused on reducing burnout and improving the well-being of healthcare professionals. She established an interdisciplinary research program that addresses pressing relational and ethical issues for the healthcare workforce.

“This is an exciting honor and a meaningful recognition of my passion for advancing nursing education,” says Dr. Whitney. “As I continue to grow in my career, this will allow me to collaborate with and receive mentorship from other educators and leaders, strengthening my ability to educate the next generation of nurses and hopefully make a lasting difference in the profession.”

“We are proud to have Dr. Whitney selected as a Macy Faculty Scholar,” says School of Nursing Dean Patricia Bruckenthal. “Given her expertise in bioethics and health communication science, she will no doubt make an impact on promoting collaboration among health professionals and preparing future nurse leaders to deliver ethical patient-centered care in our complex healthcare environment.”

At Stony Brook, Dr. Whitney is also an affiliated faculty member in the Center for Medical Humanities, Compassionate Care, and Bioethics in the Renaissance School of Medicine.

“As an early career faculty member, Dr. Whitney has an impressive body of scholarship related to addressing relational and ethical issues among health professionals,” adds Dr. Holly J. Humphrey, President of the Josiah Macy Jr. Foundation, the organization that sponsors the program.

 

 

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From left, Jefferson’s Ferry management: Bob Caulfield, President & Chief Executive Officer; Patti Gallagher, Director of Environmental Services; Dawn Flowers-Leib, Director of Admissions; Richelle Rugolo, RN, Director of Nursing; Kathy Koutouvidis, RN, Assistant Director of Nursing; Heidi Vargas, Culinary Manager; and Anthony Comerford, Vice President of Health Services. Photo courtesy of Jefferson's Ferry

For the seventh year in a row, a survey of Jefferson’s Ferry residents and their families in South Setauket has affirmed the excellence of the care residents of the Life Plan Community’s skilled nursing care receive. Their feedback places Jefferson’s Ferry’s Vincent Bove Health Center among the top 15% in the nation, providing “Best in Class” service to its residents. In recognition of this distinction, Jefferson’s Ferry received the Activated Insights Customer Experience Award (formerly Pinnacle Quality Insight) for outstanding resident satisfaction and overall achievement in skilled nursing care. 

The Activated Insights Award process closely examined skilled nursing care at the Health Center over a 12-month period of study by surveying residents and their families about the quality of 14 target areas: Nursing care, activities, dining services/food quality, cleanliness, laundry services, therapy services, response to problems, dignity and respect, individual needs, would they recommend to others, the overall customer experience, and satisfaction by residents or family members. 

“Since Jefferson’s Ferry opened its doors nearly 25 years ago as Long Island’s first Life Plan Retirement Community, we have upheld the highest standards to deliver extraordinary care,” said Jefferson’s Ferry President and CEO Bob Caulfield. “The Activated Insights Award affirms the outstanding work that our staff performs on a daily basis and is a vote of confidence that all of us take very seriously. Our goal is always to provide residents with the peace of mind to live their best life here. We are deeply grateful to our residents and their families for their trust and support. It’s the people who live and work here that make Jefferson’s Ferry such a special and vibrant community.” 

The survey sampling of Vincent Bove Health Center residents and their families is conducted by monthly telephone interviews that ask the participants open-ended questions to rate their experiences in each specific category. Jefferson’s Ferry staff receive that feedback each month to gain a better understanding of emerging resident needs and make improvements when necessary. 

“With its basis in direct feedback from our residents and their loved ones, the Activated Insights Award is especially meaningful to our caregivers and other staff,” explained Anthony Comerford, Vice President of Health Service at Jefferson’s Ferry. “The staff and residents form close relationships based on mutual respect, trust, and quality care. It is both important and immensely satisfying to all of us to know that we are consistently hitting the mark, meeting or exceeding the best standards or practices within our industry.” 

Activated Insights is a customer satisfaction measurement firm with more than 26 years of experience in post‐acute healthcare. Pinnacle conducts over 112,000 phone surveys each year working with 1,800 care providers in all 50 U.S. states, Canada and Puerto Rico.   

For more information visit www.jeffersonsferry.org

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Huntington Hospital. Photo courtesy Northwell Health
Two men in white coats discuss something one man holds on a clipboard. Scans on the wall to the left show the interior anatomy of a femur.

The facilities are among the top 5% of hospitals nationwide for preventing harm in patients

Northwell Health hospitals have been recognized once again by Healthgrades as 2025 Patient Safety Excellence Awards™ recipients. Huntington Hospital received the award for the seventh consecutive year (2019-2025) and named among the top 5% of short-term acute-care hospitals nationwide for patient safety for the sixth straight year (2020-2025). Long Island Jewish Medical Center, which includes Long Island Jewish Valley Stream and Long Island Jewish Forest Hills, earned the award for the second consecutive year (2024-2025) and was also named among the top 5% of hospitals for patient safety for both years.

The Healthgrades recognition underscores a culture of excellence that permeates these Northwell Health hospitals, evident in their numerous other achievements.

Huntington Hospital is the only hospital on Long Island, and one of only 33 in the country, to achieve Magnet designation by the American Nurses Credentialing Center for nursing excellence four consecutive times. Long Island Jewish Medical Center in New Hyde Park was recognized by Healthgrades in 2025 as fourth in New York State for stroke care and joint replacement. Long Island Jewish Valley Stream is a designated stroke center certified by the American Heart Association. It is also recognized as a Network of Excellence in hernia surgery by Surgical Review Corporation. Long Island Jewish Forest Hills is designated a Level II Perinatal Center and is an American College of Radiology-designated Lung Cancer ScreeningCenter.

Plainview Hospital, an acute care community hospital, was also a recipient of the Healthgrades Patient Safety Excellence Awards™. As a New York State Department of Health Primary Stroke Center, Plainview Hospital is a recipient of the American Heart Association/American Stroke Association’s Get With the Guidelines®-Stroke Quality Achievement Award.

“I continue to be proud of these hospitals who do so much to serve our communities,” said Peter Silver, MD, MBA, senior vice president and chief quality officer at Northwell. “These awards reflect our unwavering dedication to providing the highest quality and safest care possible to our patients. Our commitment to continuous improvement and a culture of safety is a testament to the hard work and dedication of our entire health care team.”

A male and female doctor both wearing white lab coats speak with a female patient while all three are seated in an office.
Healthgrades’ analysis* evaluated 4,500 hospitals nationwide from 2021-2023. The results indicated that 173,280 preventable safety events occurred among Medicare patients.

Patients treated in hospitals that received the 2025 Patient Safety Excellence Award have a significantly lower chance of experiencing one of the four leading safety indicators:

  • 54% less likely to experience in-hospital falls resulting in fracture than patients treated at non-recipient hospitals;
  • 55% less likely to experience a collapsed lung due to a procedure or surgery in or around the chest than patients treated at non-recipient hospitals;
  • 69% less likely to experience pressure sores or bed sores acquired in the hospital than patients treated at non-recipient hospitals;
  • 72% less likely to experience catheter-related bloodstream infections acquired in the hospital than patients treated at non-recipient hospitals.

“These impressive statistics underscore the real-world impact of our commitment to patient safety,” said Dr. Silver. “By minimizing preventable harm, we are not only improving patient outcomes but also enhancing their overall experience of care.”

*Statistics are calculated from Healthgrades Patient Safety Ratings and Excellence Award methodology, which is based primarily on AHRQ technical specifications (Version 2024.0.1) to MedPAR data from approximately 4,500 hospitals for years 2021 through 2023 and represent three-year estimates for Medicare patients only.

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Studies have shown that adding blueberries to your diet can lower your blood pressure. Pixabay photo
Non-clinical readings may paint a more complete picture of your risks

By David Dunaief, M.D.

Dr. David Dunaief

Nearly 120 million U.S. adults, just under half of the population, have hypertension (1). Of these, only 25 percent have successfully controlled their blood pressure to less than 130/80 mmHg, the high end of “normal” blood pressure.

For the remaining 75 percent, the risk of complications, including cardiovascular events and mortality, is significantly higher.

What increases our risk of developing hypertension? An observational study involving 2,763 participants showed that the top three influencers on the risk of developing high blood pressure were poor diet, modest obesity, and cigarette smoking, all of which are modifiable (2).

What increases your risk of complications?

Being significantly overweight or obese, smoking, poor diet, lack of exercise, family history, age, increased sodium, depression, diabetes, low vitamin D, and too much alcohol all increase your risk (3).

The good news is that you can improve your risk profile (4).

What is the effect of gender?

One of the most concerning complications of hypertension is cardiovascular disease. A large observational study with a 31-year duration found that isolated systolic (top number) hypertension increased the risk of cardiovascular disease and death in both men and women between 18 and 49 years old, compared to those who had optimal blood pressure (5). These complications were not affected by onset age.

When the results were sorted by gender, women experienced the greatest effect, with a 55 percent increased risk of cardiovascular disease and 112 percent increased risk of heart disease death.

When  to measure your blood pressure

Most of us have our blood pressure measured when we’re at a doctor’s office. While measuring blood pressure in a clinic can be useful, a meta-analysis of nine studies showed that high blood pressure measured at nighttime was potentially a better predictor of myocardial infarctions (heart attacks) and strokes, compared to daytime and clinic readings (5).

For every 10 mmHg rise in nighttime systolic blood pressure, there was a corresponding 25 percent increase in cardiovascular events. The nighttime readings were achieved using 24-hour ambulatory blood pressure measurements (ABPM).

A factor that might increase the risk of nighttime cardiovascular events is masked uncontrolled hypertension (MUCH).  MUCH occurs in those who are well-controlled during clinic readings for blood pressure; however, out-of-clinic readings indicate their blood pressure is uncontrolled.

A study of 167 patients found that medication non-compliance was not a significant factor in those experiencing MUCH (6). Of the participants experiencing MUCH, 85.2 percent were fully adherent with their prescribed medications, a number similar to the group that did not experience MUCH.

Interestingly, in the Spanish Society of Hypertension ABPM Registry, MUCH was most often seen during nocturnal hours (7). The study’s authors suggest that ABPM may be a better way to monitor those with higher risk factors for MUCH, such as those whose pressure is borderline in the clinic and those who are smokers, obese or have diabetes.

A previous study of patients with chronic kidney disease (CKD) and hypertension suggested that taking at least one antihypertensive medication at night may be more effective than taking them all in the morning (8). Those who took one or more of their blood pressure medications at night saw a two-third reduction in cardiovascular event risk.

Blueberries and blood pressure

Diet plays an important role in controlling high blood pressure. Lowering sodium is critically important, but adding berries may also be beneficial.

In a study of post-menopausal women with pre-hypertension or stage one hypertension, daily consumption of 22 grams of blueberry powder, the equivalent of one cup of fresh blueberries, reduced systolic blood pressure by a respectable 7 mmHg and diastolic blood pressure by 5 mmHg over two months (9).

This addition of a modest amount of fruit had a significant impact. Blueberries increase nitric oxide, which helps blood vessels relax and reduces blood pressure. While the study used blueberry powder, an equivalent amount of real fruit might lead to an even greater reduction.

High blood pressure and possible cardiovascular complications can be scary, but lifestyle modifications, such as making dietary changes and taking antihypertensive medications at night, can reduce your risks.

References:

(1) millionhearts.hhs.gov. (2) BMC Fam Pract 2015;16(26). (3) uptodate.com. (4) Diabetes Care 2011;34 Suppl 2:S308-312. (5) J Am Coll Cardiol 2015;65(4):327-335. (6) Hypertension. 2019 Sep;74(3):652-659. (7) Eur Heart J 2015;35(46):3304-3312. (8) J Am Soc Nephrol 2011 Dec;22(12):2313-2321. (9) J Acad Nutr Diet 2015;115(3):369-377.

Dr. David 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 or consult your personal physician.

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METRO photo
Jennifer Cona

With New York’s 2025-2026 state budget in the works, Cona Elder Law is calling on community members to take action in support of older adults by joining its letter-writing campaign to urge Governor Hochul and state legislators to fully fund Medicaid and increase reimbursement rates for nursing homes by 20% on Thursday, March 6 from 5 to 7 p.m. at Cona Elder Law, 225 Broadhollow Road, Suite 200, Melville.

This event is open to the public. Register here: https://shorturl.at/AzGBc

Medicaid funds the care of most long-term nursing home residents in New York. However, nursing homes are currently reimbursed at only 50% of the actual cost of care, leading to staffing shortages, safety concerns, facility closures, overcrowding, and inadequate care for elderly and vulnerable residents. With a $1.6 billion funding gap, nursing homes across the state are struggling to provide the quality care that our loved ones deserve.

“Advocacy makes a difference. Elected officials rely on constituent feedback when making budget decisions,” said Jennifer Cona, Founder and Managing Partner, Cona Elder Law. “Direct outreach is the most effective way to influence policy and protect our aging population.”

Cona Elder Law is a leading elder law firm dedicated to protecting the rights and well-being of older adults. The firm advocates for seniors and their families through legal services, policy initiatives, and community engagement.

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Suffolk County Executive Ed Romaine

There have been reports of deceased birds being found across the county. The New York State Department of Environmental Conservation (DEC) recommends the following guidance if you encounter this situation on your property.

In cases where DEC field staff cannot collect samples or carcasses from the landscape, please limit direct contact with dead wildlife and keep children and pets away. To dispose of a dead bird safely, DEC provides the following guide:

  • Wear disposable gloves, a mask, and eye protection, like safety glasses or goggles.
  • Avoid direct contact with the carcass or carcass fluids by using a shovel or a garbage bag to pick up the bird.
  • Carcasses should be triple bagged (garbage or contractor bags) and placed in an outdoor trash receptacle.
  • Remove and throw away your gloves. Wash your hands with soap and water immediately after removing gloves.
  • Change your clothes and wash them after disposing of the bird.
  • If you use a shovel, clean it with hot, soapy water and disinfect it with diluted bleach (1/3 cup bleach added to a gallon of water).

For additional information or to make a report, please call the DEC at 844-332-3267.

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METRO photo
Many risk factors can be managed with lifestyle changes

By David Dunaief, M.D.

Dr. David Dunaief

February has been named American Heart Month by the American Heart Association, providing us with a reminder during the Valentine’s Day month to build heart-healthy habits.

Improved medicines, earlier treatment of risk factors, and an embrace of lifestyle modifications have helped reduce the prevalence of heart disease and remind us that it is ultimately preventable.

How do you reduce heart disease risk?

Major heart disease risk factors include obesity, high cholesterol, high blood pressure, smoking and diabetes. Unfortunately, rates of obesity and diabetes are both still rising. For patients with type 2 diabetes, 70 percent die of cardiovascular causes (1).

A key contributor is the standard American diet, which is rich in saturated fat and calories (2). This drives atherosclerosis, fatty streaks in the arteries.

A high resting heart rate is another potential risk factor. In one study, healthy men and women had 18 and 10 percent increased risks of dying from a heart attack, respectively, for every increase of 10 beats per minute (bpm) over 80 (3). A normal resting heart rate is typically between 60 and 100 bpm, so a high-normal rate has increased risk.

When does medication help?

Cholesterol and blood pressure medications have reducing some heart disease risk. according to the American Society of Hypertension, compliance with taking blood pressure medications has increased over the last 10 years from 33 to 50 percent.

Statins have also played a role in primary prevention. They lower lipid levels, including total cholesterol and LDL — the “bad” cholesterol. In addition, they lower inflammation levels that contribute to cardiovascular disease risk. The Jupiter trial showed statins contributed to a 55 percent combined reduction in heart disease, stroke and mortality from cardiovascular disease in healthy patients, those with slightly elevated levels of inflammation and normal cholesterol profiles.

Statins do have side effects, though. They’ve been shown to increase the risk of diabetes in intensive dosing, compared to moderate dosing (4). Many who are on statins also suffer from myopathy (muscle pain and cramping).

I’m often approached by patients on statins with this complaint. Their goal is to reduce and ultimately discontinue statins by modifying their diet and exercise plans.

Lifestyle modification is a powerful ally.

Which lifestyle changes reduce heart disease risk the most?

METRO photo

The Baltimore Longitudinal Study of Aging investigated 501 healthy men and their risk of dying from cardiovascular disease. The authors concluded that those who consumed five or more servings of fruits and vegetables daily with <12 percent saturated fat reduced their risk of dying from heart disease by 76 percent, compared to those who did not meet these criteria (5). The authors theorized that eating more fruits and vegetables helped to displace saturated fats from the diet.

The Nurses’ Health Study shows that these results are also seen in women. Lifestyle modification reduced the risk of sudden cardiac death (SCD) (6). This is often the first manifestation of heart disease in women. The authors looked at four parameters of lifestyle modification, including a Mediterranean-type diet, exercise, smoking and body mass index. The decrease in SCD was dose-dependent, meaning the more factors incorporated, the greater the risk reduction. There was as much as a 92 percent decrease in SCD risk when all four parameters were followed.

In a cohort study of high-risk participants and those with heart disease, patients implemented extensive lifestyle modification: a plant-based, whole foods diet accompanied by exercise and stress management. Study results showed an improvement in biomarkers, as well as in cognitive function and overall quality of life over a very short period — three months from the start of the trial (7). Outside of this study environment, many of my own patients have experienced similar results.

How do you monitor your heart disease risk?

Physicians use cardiac biomarkers, including blood pressure, cholesterol and body mass index, alongside inflammatory markers like C-reactive protein to monitor your risk. Ideally, if you need to use medications to treat risk factors for heart disease, you should strive for short-term intervention. For some, it may be best to use medication and lifestyle changes together; for patients who take an active role, lifestyle modifications may be sufficient.

By focusing on developing heart-healthy habits, you can improve the likelihood that you will be around for a long time.

References:

(1) Diabetes Care. 2010 Feb; 33(2):442-449. (2) Lancet. 2004;364(9438):93. (3) J Epidemiol Community Health. 2010 Feb;64(2):175-181. (4) JAMA. 2011;305(24):2556-2564. (5) J Nutr. March 1, 2005;135(3):556-561. (6) JAMA. 2011 Jul 6;306(1):62-69. (7) Am J Cardiol. 2011;108(4):498-507.

Dr. David 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 or consult your personal physician.

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Angelina Ioppolo. Photo from Mather Hospital

Northwell’s Mather Hospital in Port Jefferson recently announced the appointment of Angelina Ioppolo as the new administrator of its Transitional Care Unit (TCU), a short-term rehabilitation unit located in the hospital.

Ms. Ioppolo comes to the post after completing a six-month administrator-in-training program at Northwell’s Stern Family Center for Rehabilitation in Manhasset and obtaining her state administrator’s license..

“I understand there’s going to be a lot of challenges that will come my way in this new role,” she said. “I have a great support system with Carolyn (Germaine, RN, director of patient care for the TCU), Dr. Michael Fishkin (TCU medical director) and the staff at the TCU. Gerard Kaiser (executive director of the Stern facility and the Orzac Center for Rehabilitation in Valley Stream) is going to help guide me as my mentor.

She received her master’s in health administration degree from Hofstra University prior to entering the internship with Northwell. A resident of East Meadow, Ms. Ioppolo is originally from the Poconos in Pennsylvania.

Mather’s TCU provides focused care to patients who are not ready to be discharged to home or to another facility. TCU patients include recent stroke sufferers, post-surgical patients, those receiving therapy for systemic infections and those who need physical rehabilitation. The TCU was awarded a five-star rating by Medicare.

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Stop living with aching knees or hips!

Northwell’s Mather Hospital invites the community to a free joint replacement breakfast seminar at The Bristal at Holtsville, 5535 Express Drive North, Holtsville on Saturday, March 1 from 8:30 a.m. to 11 a.m.

Guest speakers Michael Fracchia, M.D., Chief of Orthopedics at Mather Hospital, Orlin & Cohen Orthopedic Group; and Filippo F. Romanelli, D.O., Orthopedic Surgeon, Orlin & Cohen Orthopedic Group will discuss the causes of joint pain and the medical and surgical techniques available to improve your life.

A buffet breakfast will be served. To register, visit matherhospital.org/orthoseminar. For more information, call 631-476-2723.

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