Times of Middle Country

Holiday Spectacular. Photo from TOB

Highway Superintendent Daniel P. Losquadro has announced the return of the annual Brookhaven Town Holiday Spectacular, an indoor, walk-through holiday light show benefiting the Holtsville Ecology Site.

Over the years, thousands of families have walked through the winter wonderland of lighted, festive displays, before stopping to take their photos with Santa in his workshop. Admission to this event is $10 per adult; $8 for seniors, veterans and children under 12; children 3 and under are free. Tickets must be purchased in advance at their event page. Photos available with Santa for an additional fee; credit cards only, no cash accepted. All proceeds benefit the Holtsville Ecology Site and go directly to the feed and care of the more than 100 animals residing there including their newest member, Leo the Lynx.

“This is a fun-filled, affordable entertainment option for families who want to come and enjoy the spirit of the holidays,” Superintendent Losquadro said. “I want to thank my staff at the Ecology Site for working so diligently to transform the greenhouses and make this event so memorable. Over the years, walking through the Holiday Spectacular has become a wonderful holiday tradition for many families.”

The show will run Dec. 3, 4, 9, 10, 11, 16, 17 & 18; hours on Fridays and Saturdays are 5 p.m. to 9 p.m., Sundays, 5 p.m. to 8 p.m. The Holtsville Ecology Site is located at 249 Buckley Road in Holtsville. For more information, call 631-451-5330.

File photo

Update on Nov. 22: Detectives have determined the vehicle involved in the hit-and-run crash that killed a pedestrian in Holbrook was a white Jeep Grand Cherokee, model year 2016 or newer. The vehicle likely sustained right front quarter panel damage.

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Suffolk County Police Major Case Unit detectives are investigating a hit-and-run crash that killed a pedestrian in Holbrook. A passing motorist called 911 at approximately 6:45 a.m. on November 20 to report a body on the side of Veterans Memorial Highway at Grundy Avenue.

Following an investigation, it was determined the man was crossing eastbound Veterans Memorial Highway when he was struck by a vehicle that fled the scene. The man, Alan Lepre, 59, of Holbrook, was pronounced dead at the scene by a physician assistant from the Office of the Suffolk County Medical Examiner.

Detectives are asking anyone with information on this crash to call anonymously to Crime Stoppers at 1- 800-220-TIPS. All calls will be kept confidential.

The holiday season can be a difficult time for many people, especially for those who lost a loved one recently. Stock photo

An important gift people can give each other this holiday season is a check-in call or visit.

That’s the advice of area mental health professionals, who say that the holidays in general can be stressful and that several factors, including grieving over the loss of family or friends, fear about ongoing health concerns, and uncertainty and overall anxiety, have created stressors to mental health.

“If you know someone is having a rough time, who will be without a loved one for the holidays, you can call and say, ‘I’m here,’” said Dr. Stacy Eagle, director of Psychiatry at Port Jefferson-based St. Charles Hospital. “Doing something that simple can be really helpful.”

Indeed, area mental health professionals said the health care system in general has been straining to meet the need for patients in a host of ages to provide timely services.

Signs

Dr. Adam Gonzalez, a licensed clinical psychologist, director of Behavioral Health at Stony Brook Medicine and founding director of the Stony Brook University Mind-Body Clinical Research Center at the Renaissance School of Medicine, suggested that people can look for signs among their friends, family members and coworkers.

“Be aware of behavioral and emotional changes like social withdrawal, increased alcohol or drug use, overeating/eating more unhealthy food, difficulty sleeping, difficulty concentrating or making decisions, difficulty with getting work done” irritability and sadness, Gonzalez explained in an email.

Broadly speaking, Eagle added that people should be aware of any change in normal functioning. An extrovert who is acting withdrawn can provide a clue about a daily struggle.

Solutions

When people notice these kinds of changes in themselves or others, doctors urged a host of responses, depending on the severity of the symptom.

People who are an imminent danger to themselves or to others can call 988, which is a suicide and crisis hotline phone number. They can also call 911 or go to an emergency room, where a psychiatrist can evaluate them and offer help.

Cari Faith Besserman, director in the Division of Community Mental Hygiene Services with the Suffolk County Department of Health, said residents can take classes such as Mental Health First Aid, which teaches laypeople to increase their awareness by recognizing signs of emotional and mental distress, how to respond safely, and educates on symptoms of illness to decrease the stigma and mystery of mental health and various stages of wellness.

Suffolk County residents also can turn to the Diagnostic Assessment and Stabilization Hub, also known as DASH, program, which provides 24/7 access to behavioral health professionals and provides somewhere to go for those experiencing a crisis. The DASH number is 631-952-3333.

For less severe but problematic or ongoing symptoms, doctors urged some restorative measures.

Eagle suggested getting proper rest, ensuring a sufficient and balanced diet and staying hydrated. Activities such as exercise, which helps increase the release of serotonin, can help reduce anxiety and improve mood.

She added that unplugging from social media, especially for adolescents and children, can improve overall mental health.

Gonzalez also urged those who are offering support to remain fully present and nonjudgmental, and listen actively when someone shares concerns or anxieties.

“Be sure to ask what they need from you,” Gonzalez urged. “For some, it may be just listening; for others, it may be advice/ feedback or helping to connect them to professional support services. It’s easy for many to slip into problem-solving mode; however, sometimes others just want to be heard and validated.”

Gonzalez added that group-based treatments are just as effective as individual therapy and encouraged patients to try skills-based groups to learn coping methods for managing stress, anxiety and depression symptoms.

Stony Brook offers a COVID-19 support group for people who have or have had COVID, especially those with long COVID symptoms. Stony Brook also offers a comprehensive mind-body treatment program called the Stress Management and Resilience Training program.

The SMART program is helpful for people who are managing co-occurring mental and physical health problems and for those who would like to enhance their overall resilience.

Overwhelming demand

On the whole, hospitals and mental health facilities are struggling to keep up with the need for help.

“Currently, the demand for psychotherapy services is overwhelming,” Gonzalez explained in an email.

Eagle added that the weeks leading up to the holidays have often been a stressful period.

This year, some groups in particular are struggling. Parents of children born in 2022 are especially concerned about respiratory syncytial virus, which is “higher than normal,” Eagle said.

Seasonal affective disorder, which occurs during the darker, colder winter months, also affects about 0.5 to 3% of the population, Eagle said.

SAD can be harder for people if they have depression or anxiety, Eagle said. “These things are definitely an issue.”

Doctors added that those who are grieving over a loss can find the holidays difficult.

“Grief can be more of an issue” around the holidays, Eagle said.

Eagle urges the continuation of traditions that families found meaningful and helpful.

Gonzalez added that people can cope with grief by keeping a picture of a person who is no longer present close by, offering a prayer in their honor, sharing positive memories, or writing them a note.

Grieving families can also consider starting new traditions that may help them move forward with their lives, Eagle suggested.

Good news

Even amid all the concerns this year, doctors said people can appreciate some good news.

“Happily, we are out of the severe hospitalizations for COVID,” Eagle said.

Communities can also celebrate resilience “as individuals and as a country,” she added.

In hospitals, visitors are able to offer comfort and spend quality time with their friends and family, which is a considerable improvement from the days when patients couldn’t have visitors.

Eagle said she is following her own advice with her friends and family.

She will try to reach out to those she knows have had a particularly bad time this year to “make sure that they are aware that someone is thinking about them,” she said.

Donna Lent leaves Town Hall for the last time as Town Clerk. Photo from Donna Lent

After more than two decades of public service, Brookhaven Town Clerk Donna Lent (I) has retired after nine years in that office.

The announcement was made at the Nov. 10 Town Board meeting, where Supervisor Ed Romaine (R) and council members thanked Lent for her service.

“It was a lovely day,” Lent said in a phone interview. “I was not expecting the big send-off from the board that they gave me, which was very generous.”

Lent ran for her third term in office against Ira Costell (D) in the 2021 election. She said she started having a painful case of sciatica after getting hurt in May. Lent was on medical leave for six weeks.

“It just got me thinking,” Lent said. “Here I turned 70 in September, and my husband retired in 2015.”

She initially thought she would retire in August, but she said Romaine asked her to stay longer.

Her first day of retirement was Nov. 14, just a few days after the Town Board send-off. Lent said she stayed on to help in the office because both of her deputies had their children’s birthday parties during the weekend. Soon after her last day, Lent and her husband moved to South Carolina.

Deputy Town Clerk Lauren Thoden is now serving as interim town clerk. A special election will be held in the near future, and the winner will complete Lent’s term which ends in 2025.

Lent said during her tenure she was immersed in the day-to-day operations of the office. She also oversaw the implementation of the town’s electronic content management system, which included a central-scanning repository where the town clerk’s office can scan both department and town records in real time.

Regarding office operations, Lent said she has no concerns, for now, as she knows it will be “smooth sailing” for the current staff members. However, she does worry that whoever is elected town clerk may not keep the same staff.

“My advice to the new clerk would be to keep the people who know what they’re doing and just let them do it,” she said.

Most people don’t understand the multitude of tasks the office is responsible for, she added, and the new clerk needs to know all the ins and outs of how everything works.

“It’s important to have some continuity,” she said.

Before being elected town clerk, Lent managed a lawyer’s office. She entered public service in 2001 when she became former state Assemblywoman Patricia Eddington’s chief of staff. When Eddington (WF/D/I-Medford) went on to become Brookhaven town clerk, Lent was appointed deputy town clerk.

As Lent looks back at her career, she feels fortunate.

“I was really so privileged to be able as a staffer to end up being an elected official and so honored to have held that position and get reelected twice to serve the residents of the Town of Brookhaven,” Lent said. “It really was a job that I loved.”

In a statement, Romaine thanked Lent.

“Donna Lent has a long history of public service to the Town of Brookhaven, and she will be missed by all of us at Town Hall,” he said. “Her efforts to make the department run more efficiently helped to streamline public facing operations, making it easier for residents to conduct their business with her office. On behalf of the Town Board and all the residents of Brookhaven Town, I say thank you Donna for your many years of exemplary service as Brookhaven town clerk.”

From left, Christian Arevalo, Beverly Johnson, Christopher Duran, Andrew Lopez, DeShawn Little, Suffolk County Community College Executive Dean Donna Ciampa, Luke Shank, Instructor Brian Karp (VP at SUNation), Demarcus Frazier, Suffolk County Community College Assistant Director of Sustainability Melanie Morris-Carsch, Jokubas Balciunas , Gabriel Gomez, Nicolas Gomez, Jon -Tyler Glennon, and Kwani Opharrow. Photo from SCCC

Suffolk County Community College’s Solar Installer Certificate Program recently graduated an inaugural class of 13 certified installers including a father and son team – Gabriel and Nicholas Gomez.

The 50-hour Solar Installer Certificate Program is hands-on, taught by industry experts, includes a paid externship with a local solar company and the opportunity to earn an OSHA 10 certificate, a Fall Prevention Safety Certificate and a Suffolk County Community College Completion Certificate.

“Career-connected workforce programs are essential to the success of our local economy and will spur a new generation of upwardly mobile Suffolk County residents,” said Suffolk County Community College President Dr. Edward Bonahue. “Together with industry partners, we continue to innovate new ways to deliver short-term career-focused education that prepares students to be immediately ready to work,” Bonahue said.

The course of study covered topics such as fall prevention safety, basic construction, and electric and solar technologies.

The students built a mock roof and mounted solar panels utilizing assorted industry racking systems.

Several students secured jobs in the solar industry immediately after the program’s completion and several others are awaiting interviews.

The program is accepting applications for its March 2023 class. Visit: https://www.sunysuffolk.edu/about-suffolk/sustainability/courses.jsp#tab-d16e3-2

For more information, contact Melanie Morris-Carsch, [email protected], 631-851-6414.

Pixabay photo

The recent ransomware attack against the Suffolk County government has raised important questions about the relationship between citizens, governments and technologies.

A confirmed ransomware event took place in early September. The hack crippled the county’s information technology infrastructure, and recovery efforts remain ongoing. 

In the wake of these events, the hack prompted critics to question the digitization of sensitive information and how governments can better secure their IT networks.

What is ransomware?

Nick Nikiforakis is an associate professor in the Department of Computer Science at Stony Brook University. His research focuses on web security and privacy. In an interview, he described how ransomware works.

“Ransomware is, effectively, malicious software that infiltrates a machine, starts encrypting all sorts of private documents, spreadsheets, anything that is of value, and then leaks out to the attacker the encryption key and potentially the data that was encrypted,” he said. 

Some forms of ransomware affect only a single machine, according to Nikiforakis. Other strains may spread into several devices, potentially infecting an entire network.

Ransomware is the confirmed vector of attack for Suffolk County. However, how hackers first entered the county’s system is unknown to the public. 

While the details of the county hack are scanty, Nikiforakis said cyberattackers commonly use emails with malicious attachments. In other instances, they can locate vulnerable software within a network, exploit that weakness and breach that system. Once hackers gain access to the system, they hold sensitive information for ransom. 

“The original idea behind ransomware is that if you don’t pay the attacker the money that they ask, then you lose access to your data,” Nikiforakis said. 

Backup software was developed, in part, to mitigate this concern. Regardless, as technologies have evolved, so has cybercrime. 

“Even if you have the ability to restore your data from backups, now you have to deal with the attacker having access to your data and threatening you with making that data public, which is what’s happening in this case,” Nikiforakis said.

Based on the information available, Nikiforakis said the attackers likely gained access to speeding tickets and various titles, among other sensitive materials. “This is definitely a cause for concern, and that is why, in certain cases, people decide to pay, to avoid this blowback that will come from the data being made publicly available.”

A question of payment

Ransomware raises an ethical dilemma for government officials, namely whether to use public funds to pay a ransom.

“People can take a philosophical approach and say, ‘We don’t negotiate with terrorists,’ and I understand that,” Nikiforakis said, “But then the rational thing for the attacker to do is to make that data available to the public. Because if he doesn’t, then the next victim will also not pay him.” 

The profitability of the ransomware operation depends upon the victim trusting that the criminals will comply with the conditions of the transaction. The ransomware business model would fail if cyberattackers generally went against their word.

For this reason, Nikiforakis said payment and compliance could sometimes be in the interests of both parties. 

“I think it’s a very rational decision to say, ‘Let’s pay and accept this as a financial loss and let’s make sure that this doesn’t happen again,’” he said.

In Suffolk County, however, putting this theoretical framework into action is more complicated. Responsibility for paying ransomware payments would be vested in the Office of the Comptroller, which oversees the county’s finances. 

During an election interview last month with county Comptroller John Kennedy Jr. (R), he hinted that compromising with cybercriminals is off the table.

“There is no predicate in the charter, in the New York State County Law, in the Suffolk County code, to take taxpayer money and give it to a criminal,” he said.

‘Technology is moving so quickly that it is incredibly challenging for government to keep up.’ 

— Sarah Anker

The effect on the county’s government operations

The ransomware attack has also aggravated concerns over securing the county’s IT apparatus. Kennedy likened the problem to a fire code, saying fire codes often include provisions for masonry walls and other buffers that reduce the spread of a fire.

“If a fire starts, it doesn’t take down the whole complex. It stops at the masonry wall,” he said. “Our system was not configured with those hard breaks, other than some separation of function out in Riverhead in the County Clerk’s Office.” 

Suffolk County Legislator Sarah Anker (D-Mount Sinai), whose office was attacked by ransomware in 2017, has advocated for serious IT reform for some time. She followed the county’s technology closely and expressed frustration over how the initial attack occurred.

“I could tell, and I could feel, that there needed to be more done,” she said. “It has hampered the government, it has affected our constituents. Maybe it could have been worse, but it should have never happened.”

Suffolk County Sheriff Errol Toulon Jr. (D) explained his office’s many challenges since the hack. Though communications systems are slowly returning online, the initial attack disrupted both external and internal communications within the Sheriff’s Office.

“From a jail and police perspective, it really hindered us in the beginning,” he said. “Emails that we received from other law enforcement agencies or any communication with our community was stopped for a significant amount of time.”

New York State’s Division of Homeland Security and Emergency assisted the Sheriff’s Office as Toulon’s staff worked without an operational communication network. Because of this coordination, Toulon maintained that the functions of the jails were more or less appropriately executed.

“We wanted to make sure that any individual that was supposed to be released from our custody was released on time,” the county sheriff said. “No one was incarcerated longer than they had to be.” 

Preparing for the future

Toulon suggested the existing IT network is too centralized and interconnected. To prevent future failure of the entire network, he proposed creating separate silos for each department.

“I feel that the District Attorney’s Office, the Sheriff’s Office, the [County] Clerk’s Office and the Comptroller’s Office should be totally separate from the County Executive’s Office,” Toulon said, “So if, god forbid, this were to happen again in the future, we wouldn’t be directly impacted like everyone else.”

Anker said she and a newly formed panel of county legislators are beginning to explore ways to harden the network and apply strategies that work elsewhere.

“As we move forward, we need to see what the other municipalities and corporations are doing,” she said. “What types of programs and software do they have that prevent these attacks?”

The rate of software development, according to Anker, is outpacing the ability of governments to respond effectively. While IT departments must remain ahead of the cybercriminals to keep their digital infrastructure safe, staying out front is easier said than done.

“Technology is moving so quickly that it is incredibly challenging for government to keep up,” she said. “I would like to see more accountability in all respects and from everyone as we move forward with new technology.”

While the recent cyberattack focuses on the government, Anker believes ordinary citizens are also at risk from hostile online actors. The county legislator contended more work should be done to alert community members of these dangers.

“Not enough is being done regarding community outreach,” she said. “There needs to be more education on preventing an attack even on your home computer.”

Nikiforakis proposed that greater attention be given to digitizing personal records. According to him, those records in the wrong hands could unleash great harm. 

“Ransomware was a big game-changer for attackers because it allows them to monetize data that would not be traditionally monetizable,” he said. “Through ransomware, suddenly everything that is of value can be monetized.”

The SBU associate professor supports software upgrades, cybersecurity protocols and other measures that protect against ransomware. But, he said, a broader conversation needs to take place about the nature of digitization and whether individuals and governments should store sensitive files online.

“More and more things that didn’t used to be online are suddenly available online,” he said. “We have to reassess the eagerness with which we put everything online and see whether the convenience that we get out of these systems being online is a good return on investment, given the risks.”

Photo from METRO

By Daniel Dunaief

Daniel Dunaief

Even months after we emerged from our Covid caves, I still appreciate the wonder and joy of getting out again, of seeing people, of making plans, and of going on a date with my wife.

Recently, we went to see “Hadestown.”

We didn’t know much about it, except that it had won several awards. As soon as we sat down, we fell on the playbill, reading about the origins of the story, checking out the cast, and immersing ourselves in the experience.

I will admit, sheepishly, that we also used our TV app to watch a few minutes of the Jeopardy! Tournament of Champions. Our son thinks our addiction to that show is laughable and he didn’t even see the movie “Rainman,” in which Dustin Hoffman’s character is addicted to the show “The People’s Court.”

Anyway, after Jeopardy! ended, we took in the room. We studied the arrangement of the set, where it was clear the musicians would be on stage. When I was in high school, I thoroughly enjoyed playing in the pit orchestras of “West Side Story” and “The Wizard of Oz.” One of the wonders of the experience was the opportunity to dress casually, as we played in a true, recessed pit where we were heard and not seen.

As we got closer to the start of “Hadestown,” the auditorium filled with people sporting a wide range of attire, from casual to festive.

In the first few moments of the show, we were transported, as a colorful Hermes pranced around the stage, interacting with the other actors and reaching out to the audience.

The appreciative guests lapped up his over-the-top gestures and movements, as he introduced us to some of the characters and the band, who filled the stage with vitality, music and movement.

During intermission, I watched two women in the row in front of me. One was talking, while the other nodded absent-mindedly while playing solitaire. Perhaps that’s a carry over from too much time at home. Then again, who am I to complain? We watched a TV show in the moments before “Hadestown” started, so we’re also accustomed to our isolated entertainment.

To my left, two women with bright blonde hair opened a ziplock bag filled with small sugar cookies. After they each ate one, the woman holding the bag dropped a cookie on the floor. I felt it hit my shoe before it settled on the ground.

Now, I am a bit OCD with germs. Okay, fine, that’s like being a bit pregnant. I’m OCD and have been known to wash my hands so often in the winter that my skin becomes incredibly dry, cracks and bleeds.

So, what would I have done with that cookie? I would have picked it up, put it in my coat pocket, forgotten about it for about two weeks and, upon rediscovering it, would have thrown it in the garbage and, of course, washed my hands immediately afterwards.

What did she do? The woman picked it up, briefly scraped off the parts she imagined must have touched the floor and my shoe, blew on it and broke it in half. She gave her companion one half, she kept the other, and they both, gulp, ate it.

I laughed nervously and made a mental note, not that I ever need one, to wash my hands just because, well, yuck!

In the second half of “Hadestown,” the show followed a similar pattern, as one sad, longing song gave way to another.

At the critical moment of the story, the woman who had been playing solitaire in front of us objected to the tragic turn of events.“Oh no, don’t do it!” she shouted.

While I wasn’t surprised by the ending to a story filled with mournful songs and that Hermes told us was sad, I chuckled as she tried to change the script from the balcony.

Yes, it was great to be out and to appreciate the show, the music, and the other guests.

All the world, as Shakespeare suggested, is a stage, including for the appreciative members of the audience.

The 2019 People of the Year event at the Three Village Inn. Photo by Beverly C. Tyler

By Leah S. Dunaief

Leah Dunaief

Thanksgiving is almost here, and many of us are bustling about, packing for a distant visit with loved ones or making sure the house is in good shape to receive those traveling to us. For most Americans, it is our favorite holiday, defined by turkey and the trimmings. What could be bad about an eating holiday? The only skunk at the party is abandoned overeating, and most of us, wise from unfortunate past experience, try to avoid that.

The other thing that makes Thanksgiving special is the conscious awareness, again by most of us, of how much we have to be grateful for, including the community in which we live. It takes exceptional people to make a strong community, some of them leaders of organizations, others simply caring neighbors who go out of their way to help when help is needed.

In recognition of the many who enhance the quality of our lives, we publish a Thank You edition of the newspaper and website on the Thursday between Christmas and New Year’s. We call that issue, “People of the Year,” and we solicit suggestions for profiles from our staff, community leaders and especially from readers. 

We have been doing this for 47 years, since we started publishing, and we still haven’t run out of winners. In fact, the more we meet, the larger the circle grows. [Confession in the spirit of full disclosure: I used to worry that we would indeed run out of nominees.] Sometimes we get lots of suggestions for the same person. We’ve even had readers bring in petitions with many signatures to help us choose whom to profile.

Ultimately the TBR Editorial Board makes the final decisions, so if you disagree with any of the choices, blame us.

When we published only one newspaper, selection was fairly easy. As our editions grew, we produced a different slate for each. Recently, however, we have realized that what happens in Stony Brook can also affect Northport and vice versa, so we now publish a master list of sorts honoring those who have gone the extra mile on behalf of our communities. And by so doing, we have eased the strain on our COVID-reduced staff.

The purpose of the profiles, in addition to offering these terrific people our thanks, is also to give them a spotlight to help them with their work, which is usually ongoing. With that goal in mind, we refrain from writing in this issue about those who have retired or are deceased. However, those stories, along with many we couldn’t fit in, may become features in future additions.

We have tried, each year, to keep their selection a secret from the winners. They seem to enjoy opening the paper in print or on the web and finding themselves and their efforts acknowledged. Of course, it’s fun to be appreciated, then with the additional kick of it being a surprise. 

Until the year 2020, we invited the People of the Year to supper at the Three Village Inn in Stony Brook, generally on a late Sunday afternoon in March. At that venue, we gave each recipient a framed certificate, spoke for a minute about why they were selected, then gave them the mic to elaborate on their work.

Many of the past awardees also attended each year. Based on how long the residents lingered over dessert after the last certificate was announced, we concluded that there was a lot of cross pollination among them, further strengthening our communities and their interactions. 

We stopped those suppers with the advent of the coronavirus, fearing the possibility of a super spreader event. With each passing year, we hope to restore that tradition. It was delightful for us and, we believe, helpful for the community.

So we will wait to see what happens in 2023 and if we can resume partying. We all hope for the start of an After Times.

Dr. Chrisy Beneri, below, suggests people leave a window cracked while entertaining such as above. Stock photo above; photo of Dr. Christy Beneri from Stony Brook Medicine

The time between Halloween and Thanksgiving often involves lists.

Dr. Chrisy Beneri. Photo from Stony Brook Medicine

Thanksgiving hosts make lists of people to invite, food to purchase, reminders of relatives who need to sit as far from each other as possible, and specialty items, like dairy-free, nut-free, gluten-free and sugar-free desserts.

This year, people should also consider adding healthcare steps to their holiday preparation, particularly as new COVID-19 variants and a host of respiratory viruses like the flu and respiratory syncytial virus, also known as RSV, threaten to put a damper on the holiday festivities or the days immediately after family gatherings.

Even as new COVID variants circulate in the area, cases of the flu have recently been climbing throughout the county, state and country.

As of the week ending Oct. 29, which is the most recent week for which the state and country produced data, Suffolk County reported 255 confirmed cases of the flu, which is up 86% from the previous week, according to the New York State Department of Health. Statewide, the number of cases reached 3,476 for the same week.

Dr. Christy Beneri, program director of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, suggests that the “ideal time is now” to get COVID and flu vaccines. “It generally takes about two weeks for the immune system to show a response to the vaccine to provide protection,” which means that the clock is ticking to prepare immune systems for visits with friends and relatives who might be bringing unwitting viral passengers with them to the dinner table.

The Centers for Disease Control and Prevention recommends that people get a bivalent booster — the version from Pfizer/ BioNTech or Moderna that includes protection against some of the newer omicron variants — if it has been at least two months since their last COVID-19 vaccine or since their original booster.

Beneri urges residents to get both COVID and flu vaccines, which people can receive at the same time.

The effects of these combined shots may have increased side effects of flu-like illnesses, like fever, aches and fatigue, which generally lasts for about a day.

The CDC reported that observational studies show greater disease severity in patients with influenza and COVID than in patients with COVID alone. 

As for ways to protect guests in people’s homes, Beneri explained in an email that no specific house filters are effective at reducing the spread of disease.

“Good air flow is important,” she wrote. “Leaving some windows cracked and telling guests to wear an extra layer” could reduce the risk of spreading viruses.

Beneri added that area medical facilities have seen patients with more than one respiratory virus.

“Having multiple viruses can lead to more severe disease and thus [the] need for hospitalization for supportive care,” Beneri added.

Treatment options currently exist for COVID and influenza, which is not the case for other respiratory illnesses. The NIH COVID-19 Treatment Guidelines suggested that there are no significant drug-drug interactions between the antiviral agents used to treat the flu and antivirals used to prevent or treat COVID.

While vaccinations may not completely prevent disease, they can help reduce severe disease and hospitalization, which is “especially important with the increase in other respiratory infections, such as respiratory syncytial virus,” she explained in an email.

Boosting immunity

In general, people can enhance their health by eating well, exercising and getting a good night’s sleep, Beneri said.

She also generally recommends a multivitamin.

The COVID-19 Treatment Guidelines Panel indicates that there is not enough evidence to support the use of additional supplements, such as Vitamin C, D or zinc in patients with COVID.

Beneri advised residents to review any supplement use with their doctors to avoid drug interactions and possible side effects.

At this point, the bivalent vaccine has improved effectiveness for the omicron strain based on the immune response, Beneri explained.

More data, however, is expected on the vaccine efficacy in the short and longer term with the new bivalent boosters, Beneri said.

Additionally, more data should be forthcoming on treatment options, which will also be important with anticipated new waves over the holidays and new variants emerging, she added.

Combined vaccine

Recently, Pfizer/ BioNTech said it was in phase one trials for a single vaccine that would provide immune protection against COVID and the flu.

Local doctors urged patience as the pharmaceutical company and the Food and Drug Administration review the results from these trials.

“Although there may be benefits with combination vaccines from a compliance perspective, we need to weigh that against the risk of safety and efficacy,” Dr. Sunil Dhuper, chief medical officer at Port Jefferson’s St. Charles Hospital, explained in an email.

The medical community needs to ensure that the combination is neither less immunogenic nor less effective than the singular vaccines on their own, he added.

“Safety and tolerability are other important concerns with combination vaccines,” Dhuper explained. He hopes the clinical trials will answer a host of questions related to immune response, efficacy, and reactogenicity, which refers to injection site pain, redness, swelling, fever headaches and other responses to the vaccination.