Suffolk County Executive Steve Bellone has called on residents to donate PPE for health care workers and first responders. File photo by Kyle Barr
As the number of people infected and hospitalized by the coronavirus Covid-19 rises, Suffolk County Executive Steve Bellone (D) is asking the community to donate personal protective equipment to ensure the safety of first responders and health care workers.
“We are launching a supply drive for personal protective equipment,” Bellone said on a conference call with reporters. “This is an opportunity for all of us to come together to support the men and women who are on the front lines to keep us safe to contain the spread of the virus.”
Bellone is seeking N95 masks, ear loop masks, gloves, and gowns from individuals or businesses. As Governor Andrew Cuomo’s (D) order to shut down barber shops, nail salons and other personal care services takes effect, some of the businesses may have equipment that could save the lives of those people who are helping others afflicted with the virus.
“We are going to be making a direct appeal to those industries,” Bellone said. “We will be doing direct outreach to them so we can ask them to support this effort.”
Starting on Monday, individuals and businesses can bring the supplies from 10 a.m. to 2 p.m. to the Suffolk County Fire Academy in Yaphank, located at 102 East Avenue.
Bellone expressed appreciation that Cuomo said this morning that Long Island would receive 500,000 masks, but indicated that the need in the coming weeks and months would likely exceed that supply.
“We need to do more,” Bellone said.
Starting on Monday, the Suffolk County Police Department, meanwhile, will require residents to report all non-emergency incidents online or by phone. These include harassing communications, lost property, criminal mischief and vandalism, minor traffic incidents, identity theft, among other non emergency reports.
“The last thing we can afford to do is take the people on the front lines off the battlefield,” Bellone said.
Bellone praised the efforts of schools to provide grab and go meals for students. He thanked Island Harvest and Long Island Cares for their ongoing efforts to meet this growing need.
The number of infected residents has climbed to 662. That includes 55 people who are receiving treatment in the hospital, with 14 of those in Intensive Care Units.
The virus has killed two additional residents. A woman in her 80’s passed away at Huntington Hospital, while another woman in her late 80’s died at Peconic Landing. A total of nine residents have died from the pandemic.
Officials expect the number of infected individuals will continue to climb, especially after the Stony Brook University Hospital mobile testing site started administering tests this week. At this point, the mobile unit has tested over 1,500 people.
Suffolk County Chief of Police Stuart Cameron reiterated the necessity of keeping up social distancing to contain the spread of the virus. He suggested that people aware of someone violating restrictions should call 631-852-COPS. He is aware of 26 such reports, with only one instance of a violation when officers arrived. Officers will attempt to seek compliance first.
“My experience, talking to younger folks, is that they don’t seem to be concerned about this because of reports that they won’t be seriously ill,” Cameron said on the call. “They need to be told that they can affect someone who is vulnerable and that [the person who gets the virus] could die.”
Cameron suggested that officers would start engaging in non-traditional law enforcement roles to protect the public amid this ongoing crisis.
Cuomo, meanwhile, urged seniors to follow Matilda’s law, which is named for his mother. This law provides protection for New Yorkers who are 70 and older and for people with compromised immune systems and those with underlying illnesses. He urged that group to remain indoors unless they are exercising on their own outside, pre-screen visitors by taking their temperature, not to visit houses with multiple people, wear a mask when others are near, ask others to wear masks in their presence, maintain social distancing of six feet and avoid public transportation when possible.
The College Board has said they are pushing back this year's SATs to August. Stock photo
In response to schools closing around the country and to the ongoing isolation caused by the coronavirus Covid-19, the College Board has canceled face-to-face Advanced Placement exams, replacing them with a 45-minute only exam students can take at home.
The Advancement Placement tests often offer high school students the opportunity to receive college credit for subjects they have mastered.
The College Board is providing free remote learning resources. Beginning Mach 25, students can attend free, live AP review courses, which AP teachers across the country will deliver. The classes, which can supplement any online teaching students receive through their schools, will be available on demand and will focus on reviewing the skills and concepts from the first 75 percent of the course. There will also be some supplementary lessons covering the final quarter of the course.
The College Board will also unlock any relevant free-response questions in AP classroom for digital use, so students can study practice questions that are similar to the ones that would appear on the exam.
Any student registered for an AP test can choose to cancel at no charge.
The College Board decided to change the format of the exam after surveying 18,000 AP students, 91 percent of whom wanted to have the chance to take the exam.
To be fair to students who may have had more time off from school amid the virus outbreak, the College Board plans to focus the exam questions on topics and skills most AP teachers covered in class by early March.
The College Board indicated colleges supported this solution and are committed to ensuring that AP students receive credit for scores that meet their requirements. Colleges have accepted a shortened AP exam for college credit when groups of students experienced other emergencies, the College Board explained.
Students can take the exam on any electronic device. They will also be able to take a picture of handwritten work.
The College Board uses a range of digital security tools and techniques, including plagiarism detection software, to discourage and catch any potential cheating.
The number of fatalities from coronavirus Covid-19 more than doubled in the last day, as four more people died, including three people in their 90s in the Peconic Landing Medical Facility.
At the same time, positive tests for the respiratory virus have reached 459.
“Everything we’re doing is to keep that number down and keep it as low as possible,” Suffolk County Executive Steve Bellone (D) said on a conference call with reporters.
The positive tests include a member of the Suffolk County Police Department who works in the Highway Bureau, as well as a second member of Bellone’s staff, Chief Deputy County Executive Dennis Cohen. The positive test means that Bellone, who was under voluntary quarantine, is now under mandatory quarantine at his home.
Bellone described the police officer as a male in his 50s who lives in Nassau County. The officer is expected to make a full recovery, he said.
The county executive reiterated the importance for the community to stay home and remain isolated as much as possible.
“Young people may not believe the virus is something that impacts them,” he said, but it has locally as well as nationally.
Indeed, among those with a positive test for the virus, 50 of them are in their 20’s, while 50 are in their 30’s. About half of all the infections are among people who are in their 40’s and 50’s.
To reduce the spread of the virus, Bellone yesterday closed all playgrounds in county parks, even as the parks remain open.
“We close the playgrounds because what we found is that it’s very difficult to keep kids apart,” Bellone said.
Health officials urge people to maintain social distancing of over six feet in those public spaces.
The county also closed dog parks because of the crowding at those areas as well.
“People can bring dogs to parks on leashes and are able to be out there in the open space while practicing social distancing with their pets,” Bellone said.
Even as the new Stony Brook University mobile testing site has increased the ability to test, residents has met some of the pent=up demand to understand the extent of the presence of the virus in their areas. Suffolk, like so many counties others across the nation, is still confronting a potential shortage of supplies of personal protective equipment.
“This has been challenging,” Bellone said. “A lack of supplies or PPE is close behind the testing in something we’ve been lacking on a national basis.”
Bellone’s office is working to accept donations of personal protective equipment in industries that have excess equipment that they can spare. The priority remains to protect people at the front lines in this battle, the county executive urged.
Bellone encouraged residents to go to Newsday’s web site, newsday.com/business, which alerts customers and the community that some businesses remain open. In light of Governor Andrew Cuomo’s (D) decision to reduce businesses to essential services starting on Sunday, those businesses would need to meet that stringent threshold.
Supermarkets have created morning hours when seniors can do their shopping. Seniors can shop at the following morning stores during the following hours: Dollar General, from 8 to 9 a.m., Stu Leonard’s, from 730 to 8, Stop & Shop, from 6:30 to 7:30, Uncle Giuseppe’s, from 7 to 8, Target from 8 to 9 on Wednesday, Giunta’s Meat Farms, from 6:30 to 7:30 on Monday, Wednesday and Friday, and Walmart, from 6 to 7 on Wednesday.
Bellone addressed concerns about empty shelves at some of these stores. He assured the public that supplies remain robust and that some shelves are empty as residents horde items they are concerned might not be available during the crisis.
“There is no need to be concerned,” Bellone said. “Critical products will be there on the shelves. I would encourage people not to buy items in bulk.”
In the realm of child care for first responders, Bellone said first responders and health care providers can reach out to the Child Care Counsel of Suffolk to schedule care for their children. The phone number is 646-926-3784.
In the meantime, Suffolk County has reached out to retired first responders and health care providers as the anticipated increase in demand, and potential for more positive tests among those helping the public, triggers the need for more help.
“It’s an all-hands-on-deck situation,” Bellone said. “There’s no part of this government that’s not involved in this operation or response. It’s like calling in the reserves. People will need to step up.”
Meanwhile, Stony Brook University Hospital said in a release it currently had enough personal protective equipment to meet the needs of every staff member coming into contact with a suspected or confirmed case of Covid-19.
The hospital is working to find additional supplies. Hospital officials expect supplies of personal protective equipment to become strained as the pandemic evolves and is reviewing alternative practices to protect the staff.
Cold Spring Harbor Laboratory canceled or postponed all programs that invite visitors to campus. The research center has also restricted education, research and administrative operations.
Employees are required to work remotely or adjust their schedules if they support mission-critical research or facilities, to lower the number of people on site. The lab expects the restrictions to last for at least the next month.
The DNA Learning Center has canceled education programs starting March 16 for middle and high school programs on Long Island, Brooklyn, Manhattan and Westchester County. Public programming including campus tours, lectures and concerts have also been canceled since March 8.
Gov. Andrew Cuomo (D) File photo by Sara Meghan Walsh
Governor Andrew M. Cuomo (D) announced earlier today that he is shutting down all businesses that are not considered essential starting this Sunday evening.
Businesses that will remain open include grocery stores and pharmacies, among others.
At a press conference, Cuomo said, “this is the most drastic action we can take,” adding these provisions will be enforced.
“These are not helpful hints,” he said. “These are legal provisions. They will be enforced. There will be a civil fine and mandatory closure for any business that is not in compliance. Your actions can affect my health. That’s where we are.”
He tackled misconceptions among younger people. He said bad information includes the perception that young people can’t get it or that young people can’t transmit it if they’re not symptomatic. Those are both “factually wrong,” Cuomo said. He cited that 20 percent of coronavirus cases are from people ages 20 to 44, according to the Centers for Disease Control and Prevention.
The 56th Governor of the Empire State said non-essential gatherings of individuals of any size for any reason are canceled at this time.
To protect those most at risk, Cuomo is also announcing Matilda’s Law to protect New Yorkers who are over 70 years old with compromised immune systems. He urges them to remain indoors, pre-screen visitors by taking their temperature, and require visitors to wear masks and remain six feet away from others. He strongly discouraged people in this group from taking public transportation, “unless urgent and absolutely necessary.”
He is also implementing a 90-day moratorium on evictions for residential and commercial tenants.
“I understand that may affect businesses negatively and I’ve spoken to a number of them,” Cuomo said. “I know that we’re going to put people out of work with what I did. I want to make sure I don’t put them out of their house.”
Cuomo said the order was definitely not a “shelter-in-place” order, but rather was a way to “tighten the valve” on the density of the population, reducing the risk of exposure and contagion.
Northport Middle School closed after contamination concerns. File photo
Remediation work is currently underway at Northport Middle School, according to a district letter sent to parents March 12. The district also detailed that no toxic chemicals had reached the groundwater at the building.
Robert Banzer, superintendent of Northport-East Northport school district, said in the letter that an investigative data report from P.W. Grosser Consulting, of Bohemia, has been received and reviewed by the Suffolk County Department of Health Services.
Banzer said in order to receive a “notice to remediate,” which would allow for remediation work to start from SCDHS, PWGC had to send investigative data directly to the county agency.
“The full comprehensive study [from PWGC] is expected to be completed and reported to the community in the next few weeks,” the superintendent added.
According to the letter, the remediation work will consist of pumping out the “contaminated” sludge or liquid from the septic tanks and leaching pools. An industrial waste transporter, licensed and approved by the state, will remove the waste. SCDHS will be on site during what is called “end point sampling” which is a confirmatory sampling test conducted after remediation is performed to ensure that all waste has been removed. PWGC will then prepare an “underground injection control” remediation report documenting the results and, if acceptable, the county will indicate that remediation is complete, and no further action is required. District officials expect remediation work to take approximately one to three weeks.
Previously, PWGC found elevated levels of mercury in cesspools outside the building and high levels of benzene in two septic tanks. The middle school has been closed since January.
At a March 5 board meeting, district officials said that reopening the school could be an option depending on what comes back from the ongoing remediation work as well future sampling and testing at the grounds.
Rich Rowehl, a Northport parent of a seventh-grader in the district, said his daughter and other students have been resilient during the transition. Though he said they do feel “homesick.”
“They feel like they don’t have a home,” he said.
The status of the middle school has been a divisive topic in the community. Some want the school to remain closed, while others believe the school shouldn’t have been closed to begin with.
“We don’t want a quick fix, we should wait for the results to come out,” the Northport parent said. “If they feel like it is safe to go back, then I’m sure the district will have those discussions.”
Rowehl is confident the board can make the right decision with the information it is given, once the full report comes out.
“Let’s just play things out and see what happens,” he reiterated.
Rowehl also brought up the ongoing demographic study in the district. He said they should wait on those results to determine what steps needed to be taken going forward.
“Declining enrollment at the district could be a factor,” he said. “Do we need two middle schools, or could we be better off combining schools, or moving students to another building?” he said. “It’s something to think about.”
Suffolk Legislator Susan Berland was at the head of changing ban the box legislation. File photo
The Suffolk County Legislature voted overwhelmingly March 17 to pass a piece of legislation that “bans the box” and restricts employers from asking about criminal histories in job applications.
The new law aims to allow those with criminal convictions to have more employment opportunities without the stigma of past criminal history. In addition, supporters of the bill have said that it would help those individuals rehabilitate and reacclimate into society.
“There were a lot of hoops that were unnecessary, though we all agreed that we wanted to take the question off the application.”
— Susan Berland
County legislators have been trying to pass ban-the-box legislation since last year, but the latest breakthrough came late last month when lawmakers announced they had reached a bipartisan agreement on a new amended piece of legislation. Legislator Susan Berland (D-Dix Hills) sponsored the bill, while Kevin McCaffrey (R-Lindenhurst) and Samuel Gonzalez (D-Brentwood) were co-sponsors.
“This law allows applicants with criminal records to have the opportunity to get their foot in the door, have that face-to-face with an employer and get that interview,” Berland said.
In addition, the law gives the applicant the chance to address their criminal history with a prospective employer earlier if they choose to and protects the employer’s right to investigate the backgrounds of its applicants after an initial interview.
Berland said the new amended legislation protects both sides. She believed previous versions of the bill placed too much onus on employers, requiring them to wait an extended period of time until they could inquire about an applicant’s arrest or conviction record, and disclose to applicants the reason why they were not hired.
“There were a lot of hoops that were unnecessary, though we all agreed that we wanted to take the question off the application,” the legislator said.
Advocates have said Suffolk County has one of the largest parole populations in the state and that one in three adults have a criminal record in the U.S. According to PolitiFact, a fact-checking website, the FBI considers anyone who has been arrested on a felony to have a criminal record, even without a conviction. Effectively, one in three adults in the U.S. have a criminal record, but far less have actually been convicted.
Supporters of the bill have said the ban would afford people a second chance, instead of having their applications discarded on the basis of one answer. Also, it would reduce the stigma and bias associated with individuals with a criminal background. Suffolk County will join more than 150 municipalities and 35 states in the U.S. which have implemented ban-the-box laws.
“You can’t help but be affected by their stories,” Berland said. “These people have made mistakes, but they want to turn their lives around.”
Co-sponsor McCaffrey said in a statement that individuals deserve an opportunity to put their best foot forward in a job interview without being automatically disqualified. He said the legislation “strikes a fair balance.”
Gonzalez, the other co-sponsor, said he believes access to gainful employment will improve the quality of life for people with criminal records and the communities in which they live, ultimately reducing recidivism and increasing public safety.
“We have been working on this legislation for quite some time — it’s a good day,” Berland said. “These are people that want to better themselves as well as families. This will get them in the door based on their application.”
Stony Brook University's Ambulatory Care Pavilion COVID-19 Triage area. Photo from SBUH
Stony Brook University took several steps to prepare for the expected wave of patients with coronavirus.
The hospital has created a forward triage and treatment area, moving incoming patients away from the main emergency room. These patients, who have influenza-like illnesses, will move to another triage area. The staff in this section will include board-certified emergency medicine physicians and emergency medicine nurses who can safely screen patients and collect respiratory pathogen point of contact testing and offer advice and follow up.
In the last three weeks, Stony Brook Hospital has also created three units which include 45 beds in total for people under investigation. The hospital will complete another unit with 16 beds. Stony Brook has also increased its capacity for overflow bed needs and is actively working to expand its Intensive Care Unit and stepdown bed capacity.
Stony Brook has enlisted the help of numerous volunteers from its various ranks, including graduate, medical and nursing students, who are available if and when the patient numbers climb above capacity. The university also has the support of MD/PhDs and PhD graduate students from its basic science and clinical departments who volunteered to help with laboratory response for testing. For in-house testing, the hospital prioritizes work assignments for those students with relevant lab experience with the techniques necessary to perform PCR assays of the type required to assess the presence of the virus.
Stony Brook has also postponed elective surgery and procedures. Urgent procedures or operations necessary to preserve life and function will continue. The hospital is allowing non-essential personnel to work from home.
Stony Brook has developed relationships with two commercial laboratories to send their patient samples, as well as the New York State Department of Health Wadsworth Laboratories. They are working to validate instrumentation to ensure the ability to perform internal testing.
The first day after the Stony Brook University mobile testing site started administering tests for the coronavirus Covid-19, the number of positive tests continued to build.
Earlier today, Suffolk County had 239 confirmed cases, according to County Executive Steve Bellone (D). That includes 64 in Huntington, 39 in Islip, and eight in Smithtown.
Among those with the virus, 27 are in the hospital, with 7 in the intensive care unit. Public health officials said the majority of the cases remained adults.
The current treatment involves supportive management, which includes maintaining oxygenation through ventilatory support, and maintaining fluid balances, Dr. Gregson Pigott, Commissioner of the county Department of Health Services, said on a conference call with reporters.
Bellone suggested that the number of cases climbs as testing increases, adding that the virus is here throughout the county and is spreading through community transmission.
Bellone urged people to keep practicing social distancing and to keep their children, who might otherwise want to congregate in larger groups amid the warmer weather and the time off from school, from gathering.
Suffolk County has tested over 1,500 people to date. Those with symptoms can call 888-364 -3065 to set up an appointment for drive thru testing at Stony Brook University’s South P Lot. Bellone has heard that people have complained about the time they need to wait for an appointment, but he asks for patience amid the growing need. He also reminded residents that they won’t necessarily get a test without medical authorization from a doctor or telephone reference.
The county’s text alert update, which residents can receive by texting CovidSuffolk to 67283, now has 26,000 people signed up, while 5,500 people have signed up to create a Smart911 profile.
The county executive said the county delivered personal protective equipment to hospitals yesterday and is continuing to make similar deliveries today.
Bellone reiterated that “experts have made clear that this virus may not reach its peak for four to five weeks. When it does, we will see the need for hospital beds to rise and potentially rise dramatically. That is an issue of great concern.”
At the same time that hospitals have been able to increase the number of beds in the county by 300, Suffolk County officials are working to identify potential spaces for future sites to treat residents who are battling the virus.
As of earlier today, Suffolk has 479 beds available, including 74 in the intensive care unit.
“The question is not what’s available now, but it’s a question of what’s going to be needed in three to five weeks,” the county executive said.
The county has considered a site adjacent to the jail in Yaphank. They have also spoken with Suffolk County Community College about evaluating space for potential future patients as well.
Despite murmurs that New York City officials are considering a shelter in place order, effectively asking residents to not leave their homes, Suffolk officials said they have no expectations of sheltering in place.
In the meantime, Suffolk County law enforcement have an adequate supply of personal protective equipment, although they are seeking additional equipment in the future, according to Suffolk County Police Chief Stuart Cameron. The police are also modifying some of their procedures and are considering altering some interactions with the public.
“If we can, we are asking members [of the public] to come outside to meet our officers,” Cameron said. “We are much more able to maintain social distance outdoors and are muc less apt to be exposed to surface contamination.”
Additionally, the police department is considering requiring the public to make some routine reports by phone or through a citizen-based online reporting, instead of making it optional.
COVID-19, a strain of the coronavirus, is now a pandemic. I have been barraged with questions from patients, neighbors and friends. They are right to be asking questions, because there is not enough information being circulated about how to protect yourself and your family.
Key elements
The key weapons we have in this fight against COVID-19 are containment and mitigation. A lot has been shared about containment by the Centers for Disease Control. Containment is reducing the incidence of new cases to a goal of zero, thus flattening the prevalence curve so this virus is no longer infecting anyone. This requires social distancing, hand washing for at least 20 seconds, surface cleaning, and avoiding touching your eyes, nose and mouth (1). If you have not already, I encourage you to review the guidelines at www.cdc.gov/coronavirus.
There is less information being provided about how we can minimize the severity of the disease if we are infected. This is mitigation. Mitigation is about preparing ourselves, so we experience an asymptomatic or a mild form.
Who is most at risk?
According to a study focusing on Wuhan, China findings, people most at risk are those who have chronic diseases, with high blood pressure, diabetes and heart disease being the three most common (2). Also at risk are those who are “older,” that is 60 years or older, for they are more likely to have weakened immune systems and increased inflammation.
Managing your immune response
Ultimately, the goal is to have a healthy, appropriate immune system response. If the immune system “under-responds,” the virus’s symptoms will be more severe. Another term for this is immunocompromised.
If the immune system is overstimulated, your white blood cells are more likely to attack healthy tissue and cause further damage, exacerbating the situation. This sometimes happens after a heart attack, where the immune response is overzealous, targets healthy tissue and causes dysfunction in the heart. This process is called remodeling.
The goal is to create a healthy/strengthened immune system — not to boost and not to suppress the immune system. You want the “Goldilocks” of immune responses: not too little, not too much, but just right.
What can be done?
The best methodology here is to lean on what I call the four pillars of lifestyle modification: diet, exercise, stress management, and sleep.
Diet.By implementing a nutrient-dense, whole food plant-based (WFPB) diet or, more specifically, what I call a “Low Inflammatory Foods Everyday (LIFE) diet,” you can rapidly improve or even reverse these chronic diseases, decrease inflammation and strengthen your immune system, which will decrease your chances of dying from the virus.
The Lancet study referenced above found that inflammation and a weakened immune system were central to determining how people will do on entering the hospital.
What I’ve found with the LIFE diet in my practice is that people have white blood cells that are on the low end of the scale, between 2.5-4.5, rather than in the middle or upper range of 6.0-10.8. Typically, my patients’ white blood cells when they get sick stay within the normal range of 3.4-10.8. In fact., I had a patient who recently got a cold virus: their white blood cells were 3.4 before they got sick, and they rose to only 7.8, well within the normal range. This resulted in a targeted response with recovery in a very short time period.
For those with healthy immune systems, if they do get the coronavirus, their response will be more likely targeted instead of a disproportionately large response that starts killing the virus but also the healthy tissue in the lungs, leading to increased inflammation and fluid build-up in the lungs. Dr Fauci has warned this could potentially happen – what is called a cytokine storm – although the chances are very small. Ultimately, the immune system in these situations contributes to the problem, instead of helping.
So, what can you do to incorporate LIFE diet habits into your daily routine?
Focus on fresh and frozen fruits, vegetables and legumes. This is very important. With vegetables, the focus should be on dark green leafy vegetables, such as spinach, bok choy, kale, broccoli and cauliflower, as well as mushrooms. More is better. You cannot have too much. For fruits, apples have shown to play an important role in lung health, and all types of berries have high anti-inflammatory effects.
WFPB diets ultimately help with inflammation and immune strengthening and also support reduced stress and better sleep. The reason for these effects may have to do with the microbiome, the microbes living in your gut, which are an important determinant of how your immune system functions. Seventy percent of your immune cells are in your gut.
You can test for inflammation by looking at both white blood cell count and high sensitivity CRP (hsCRP). Beta carotene levels in the blood are a way to measure nutrient levels. I recently published a study that showed there is an inverse relationship between beta carotene in the blood and inflammation measured through hsCRP. This showed a 75 percent reduction in inflammation with higher beta carotene levels achieved through a plant-rich diet focusing on dark green leafy vegetables.
Interestingly, you don’t seem to achieve the same reduction in inflammation from vitamins or plant-based powders as you do by eating actual fruits and vegetables and legumes.
Stress management and exercise. Please, don’t panic. When you stress, your body releases cortisol, or internal steroids, that actually weaken the immune system and increase your risk of serious infection. Techniques to reduce your stress include exercise, yoga and meditation.
Mild to moderate exercise can be effective, such as a walk or jog outdoors or up and down the steps of your home. Just because the gyms may be closed in your area does not mean you can’t get exercise. It is spring, let’s take advantage of the weather, which will also help with mood and stress.
You can also exercise your lungs using an incentive spirometer. My personal favorite is the Triflo II version, but there are many on the market. I recommend taking 10 breaths using the incentive spirometer twice a day. This can help expand your lungs and keep the aveoli healthy and open. Aveoli exchange oxygen and carbon dioxide molecules to and from the bloodstream.
Sleep. Exercise will also help with sleep, as will the LIFE diet. Getting enough quality sleep is important to strengthening the immune system. Quality, not quantity, is most crucial.
What if you are infected?
If you are infected, supportive care is most critical: stay hydrated; focus on foods with fluids in them to help with this, like fruits, vegetables, and low-salt vegetable-based soups; and sleep.
Importantly, stay away from NSAIDS. These are mostly over-the-counter medications such as ibuprofen, naproxen and even aspirin, but can be prescriptions such as diclofenac. These suppress the immune system, thus making it more difficult for it to fight (3)(4). The mechanism of action for this suppression of the immune system is an anti-inflammatory effect that is different and detrimental, compared to the favorable anti-inflammatory effects of a WFPB diet such as the LIFE diet.
Instead, you want to reduce fever using acetaminophen, or Tylenol. This will not have any effects on inflammation, thus not interfering with the body’s immune system. If you can’t tolerate acetaminophen for fever, some alternatives may be elderflowers, catnip (which is a gentle choice for children), yarrow, white willow bark, echinacea, and lemon balm, although there is little data on their effectiveness.
Do not hesitate to go to the hospital if you have difficulty breathing, persistent pain or pressure in your chest, new confusion or an inability to get up, or bluish lips or face. These are signs of potentially severe and life-threatening COVID-19 symptoms.
To sum it all up, chronic diseases and not managing those four lifestyle pillars are risk factors for dying from COVID-19. You can improve or reverse your chronic diseases, as well as strengthen your immune system and reduce inflammation through a plant-rich dark green leafy vegetable diet like the LIFE diet
References:
(1) cdc.gov/coronavirus. (2) Lancet. Published online March 9, 2020. (3) Lung. 2017;195(2):201-8. (4) Chest. 2011;139(2):387-94
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.
The Huntington-based Main St. Board Game Cafe has had to let staff go in the hopes of surviving. They are still selling board games to-go. Photo from Board Game Cafe Facebook
By Kyle Barr and Leah Chiappino
As Monday rolled around this week, and as local businesses were looking to find ways to attract customers during the ongoing coronavirus crisis, a new order handed down by New York State put most of those considerations on hold.
On Monday, March 16, Gov. Andrew Cuomo (D) ordered many nonessential businesses to shut down, or in the case of restaurants, to lessen foot traffic and only allow takeout orders and deliveries.
PJ Cinemas has closed due to the state’s coronavirus mandates. Photo from Google Maps
“Our primary goal right now is to slow the spread of this virus so that the wave of new infections doesn’t crash our health care system, and everyone agrees social distancing is the best way to do that,” Cuomo said. “I have called on the federal government to implement nationwide protocols, but in their absence, we are taking this on ourselves.”
New York State, Connecticut and New Jersey will all be limiting social meetings of any sort to 50 people. Movie theaters, gyms and casinos were closed starting at 8 p.m. Monday.
The governor also announced restaurants and bars will be closed to sit down service and would need to refocus on takeout.
PJ Cinemas already announced closure until they, “receive further guidance from state, local and federal authorities.” All ticket sales will stay valid until they reopen.
Local elected officials said the restrictions were due to people’s reports that numerous bars had high activity over the weekend, despite warnings.
“We are discussing ways to make sure that it is enforced,” said Suffolk County Executive Steve Bellone (D). “We expect bars and restaurants will comply … by and large we’ve had great compliance from people.”
Businesses and local business groups took the news with a mix of understanding and worry. Most understood the reason why the state has taken such drastic measures but could hardly fathom how this might impact them long term. The change could not just mean shuttered businesses for the next few weeks, but permanent closures.
Jennifer Dzvonar, the president of the Port Jefferson Station/Terryville Chamber of Commerce, said local businesses are the “lifeblood of the community,” and times such as these require the community to come out in support, whether it’s ordering takeout from restaurants or buying vouchers or gift certificates.
The difficulties will be severe. As people are asked to stay home, some away from work, less will have money to spend. She said service businesses, including plumbers, carpenters and the like, will be hard hit since less have the money to spend.
Jennifer Dzvonar, the PJS/T Chamber president, said local businesses will be hit hard by the state mandates. File Photo
“Businesses need as much positive reinforcement as possible,” Dzvonar said.
She added businesses also often sponsor Little Leagues or other community events, so while the governor’s order is in effect such groups may have to go without for the time being.
Other chamber leaders in the area wrote quickly to members to try and offer assistance.
Gary Pollakusky, the president of the Rocky Point Sound Beach Chamber of Commerce, said he is especially worried about businesses shutting down permanently.
“When we look at our small businesses as the lifeblood of our communities, we should be focused on our mom and pop shops, more than ever in this time of need,” he said.
Jane Taylor, the executive director of the Three Village Chamber of Commerce, said restaurants providing takeout meals is a good bridge until business returns to normal, but, “There is no question that our local businesses and restaurants are going to face challenges.”
Northport Chamber of Commerce President James Izzo says the impact of the restrictions on the village could be devastating.
“Small businesses especially are trying to keep their [employees] paid, and it’s difficult to do that with no money coming in,” he said.
He added most village restaurants are trying to focus on takeout, removing or making their seating inaccessible. Most are trying to deliver food, which can be expensive.
“There’s two sides to this,” Izzo said. “You have some people who are afraid to come out who need food, need to eat and need supplies, and you have other people that want to come down, but everything is so limited. We have bars, but they don’t serve food, and you can’t have more than 10 people in a space, so that’s a done deal.”
Some boutique stores are open, but most are trying to supplement the lack of foot traffic with online shopping.
Izzo said that the village was quiet with minimal traffic Tuesday afternoon, while Sunday was busy with foot traffic.
“You can’t make a living one day a week,” he said. “We are a seasonal community and businesses depend on this time of the year after a long cold dark winter.”
He said the mood in the village is still hopeful, though uncertain.
“This is uncharted territory and everyone is trying to figure it out day by day,” he said.
Merchants are talking about using vehicles owned by the village to deliver meals to those in need. The chamber is working on providing advertising to businesses for free, to promote their delivery services or online products.
Izzo, a real estate broker, says the impact to his business has been minimal, stating most of his work is done online. Open houses have been slower than usual at this time of year, but not completely dead. However, he is anxious to see what this upcoming weekend will bring, in the wake of the new restrictions.
“This is uncharted territory and everyone is trying to figure it out day by day.”
— James Izzo
“A lot can change in six days, we will have to see what happens,” he said.
Copenhagen Bakery and Cafe has had to close its seating but is still open for takeout. The owner,Flemming Hansen, says that most of the business is in takeout baked goods, and while the number of customers is down, there has been a steady flow of people purchasing breads and soups.
“So far we’re doing alright,” he said. “We’re taking it day by day.”
He added that cake sales have dropped, as people are not having gatherings.
Neil Goldberg, the owner of Main Street Board Game Café in Huntington, said the restrictions have forced him to lay off the entire staff in hopes of buying time.
“Nobody is going to make any money, it’s just about keeping the doors open,” he said.
The cafe’s purpose normally is to be a place where people can come in, socialize and play board games; however, they have had to eliminate all food services, besides prepackaged drinks and are only selling games.
“It’s not worth it for us to turn the ovens on,” he said.
He added the store had some purchases “from people who realize that they’re going to need more entertainment than just watching TV and watching the news.”
The cafe will offer curbside delivery of games and are looking to offer delivery services within a 15-mile radius in the coming days.
Goldberg said the local village businesses are checking in on each other and sharing advice and ideas.
“There’s no plan for this,” he said. “Nobody has insurance for this, because it doesn’t exist, and all you can do is lean on each other and hope things will improve.”
Despite all of this, Goldberg has seen moments of humanity. On Tuesday, former employees came in and bought games to help the shop stay afloat. Then, a mother, who has a son that plays in a game tournament at the shop, bought $1,000 worth of gift cards.
“That was really moving,” he said.
Goldberg added the best way to support small businesses during this time is to patronize them as much as possible.
“Gift cards are good because, you will eventually use them and you are essentially providing a no-interest loan to the business that you like,” he said. “Honestly, the best thing that you can do is to stay socially distant so we can get through this quicker. Everything that everybody is doing is just Band-Aids at this point to a large problem, and the best thing for businesses is for things to go back to the way they were.”
Meanwhile, federal officials in the House and Senate are considering an aid bill to help workers. The U.S. House of Representatives passed a bill that would provide free testing, extend the unemployment payment period and offer paid sick leave and emergency leave for workers in companies with 500 or less employees. The latter could exempt companies with 50 or fewer employees if that measure would bankrupt the company.
President Donald Trump (R) has called for a $850 billion aid stimulus to major companies such as airlines impacted by the spread of the virus. The White House has also suggested deferring tax payments and even sending home checks to every American to cushion the blow of being out of work. As of press time, details have been sporadic, and the president’s office has flip-flopped on several initiatives already.
The Village of Port Jefferson declared a state of emergency March 16, after both the state and Suffolk County declared theirs. As of Tuesday, March 17, Village Hall and all village-owned facilities are closed to the public. Further board of trustee meetings will be held remotely, along with the budget presentation that was planned for March 30. The executive order only ends after a further order from the village mayor.
“The only thing we can do is ask residents to continue to support the local businesses.”
— Margot Garant
According to Mayor Margot Garant, the executive order allows code enforcement to enforce the new restrictions on businesses.
“The only thing we can do is ask residents to continue to support the local businesses,” she said, adding those stores are “going to adapt, they will find means to keep those businesses viable.”
Barbara Ransome, the executive director of the PJ village chamber, said the chamber is working on a social media campaign encouraging takeout pickups and deliveries.
With nobody really able to say how long life will be disrupted because of COVID-19, the true consequences of this loss of business are still unknown.
“My mother always used to say you can live with anything bad as long as you know it’s not long term, or you see it ending,” Ransome said.
Businesses, she said, are all hedging on when that end finally arrives.
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