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Starting soon, all newborns in New York state will receive testing for congenital cytomegalovirus. Photo by Farajiibrahim from Wikimedia Commons

Starting later this month or early next month, all children born in New York state will receive testing for congenital cytomegalovirus, an infection that can cause hearing loss and learning deficits.

The state will track children who test positive for this virus, which is related to the virus for chickenpox, herpes and mononucleosis, over the years after their birth to provide early intervention amid the development of any symptoms and to provide a baseline for understanding how the virus may affect the growth and development of other children born with the virus.

Mothers who contract CMV, which is the most common congenital virus and the leading nongenetic cause of deafness in children, for the first time while they are pregnant can transmit the virus to their developing child.

Local doctors suggested that this testing, which other states would likely examine closely, provided a welcome opportunity to gather information about their children, even if the test raised questions or concerns about what the diagnosis means.

“Knowledge is power,” said Dr. Sharon Nachman, chief of the division of pediatric infectious diseases at Stony Brook Children’s Hospital. “The more you can tell a parent about what’s going on, the more they can make informed decisions.”

To be sure, Nachman anticipated that more parents initially might opt out of having their child’s screen result reported in their newborn record, until pediatricians and obstetricians have had a chance to talk with them.

There will be a “lot more opting out in the beginning” until parents understand what the test means and how it might help in understanding a virus that could affect their children’s health and development, Nachman said.

One in 200 babies

New York State recently received a contract from the Eunice Kennedy Shriver National Institute of Child Health and Human Development to add screening for this virus for a period of a year.

Dr. Sharon Nachman, chief of the division of pediatric infectious diseases at Stony Brook Children’s Hospital. Photo from Stony Brook Medicine

Parents of babies who test positive will receive referrals to infectious disease specialists across the state for follow-up and evaluation.

The state predicts about one out of every 200 newborns may test positive for the virus, according to the New York State Department of Health website.

Over half of the adults in the U.S. have had CMV, while most people don’t know they’ve had it because they show no symptoms.

Those who develop symptoms have sore throats, fever, fatigue and swollen glands, which are the kind of nonspecific conditions that characterize the body’s response to infections from other viruses.

Opt-out options

While all babies will receive a congenital CMV test, parents can choose to opt out of having their children’s screen result reported in their newborn screen record.

The state urges parents who would like to opt out to do so quickly, as newborn screen reports are complete five to seven days after birth.

Parents have several ways to opt out. They can scan the QR code found on their brochure, which will bring them to the Newborn Screening Program website and opt out portal. They can also remove and fill out the opt-out form in the parent brochure and give it to the hospital to submit with the newborn screen specimen.

Alternatively, parents can email a picture of the completed opt-out form to [email protected] or they can call the program at 518-473-7552 and press option five. Finally, parents can mail the opt-out form to the NYS Newborn Screening Program in Albany.

First steps

Nachman is co-leading one of the 11 units across the state in pediatric infectious disease with Dr. Andrew Handel.

The teams will meet once a month to discuss issues around CMV.

“One of the goals of the project, which is why it’s funded by NICHD is can we identify who is at risk” to develop problems such as hearing loss.

Among the numerous unanswered questions the group hopes to address is whether early treatment would be a way to prevent problems from developing, even among children who test positive but are asymptomatic. Giving medication to all children who test positive comes with its own problems, as the medication for CMV has side effects, said Nachman.

It’s not like “taking a dose of Tylenol, given several times a day for weeks at a time,” said Nachman. 

While women who have had CMV prior to pregnancy are unlikely to transmit the virus, Nachman discourages people from intentionally contracting the virus before becoming pregnant.

“We don’t encourage people to go out and get CMV so they’ll be cleared by the time they’re pregnant,” in part because people can develop symptoms, conditions and secondary infections after having the virus.

By monitoring the health of children after their diagnosis, the state hopes to understand more about the virus and its effects.

“We need to follow enough children long enough” to be able to address those medical questions and concerns, Nachman said.

The study might be able to find markers that could predict who might be at risk for hearing loss in the early years of a child’s life, she said.

During hearing screens that could occur every six months, children born with CMV can receive early intervention.

“The sooner we see something, the sooner we can act on it,” Nachman said.

As for developmental issues, children who show even a glimmer of a developmental delay can also receive early intervention.

At this point, Stony Brook has been participating in clinical trials for a vaccine, which, if approved, could be administered to adolescents.

The trials for the vaccine, which could last for 10 years, are still in the early stages of development.

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Movieland Cinemas. Photo by Elyse Benavides

By Heidi Sutton

Movieland Cinemas, a longtime fixture in the community, has closed. The announcement was made on its Facebook page on Sept. 7. General Manager Nicole Rapp cited high rent and declining foot traffic as the reason for the closure.

Located in Coram at 1850 Route 112 in the Pine Plaza, the theater opened in 1995 and changed hands many times, most recently in 2022 after extensive renovations. 

“Over the years, our theater has been a place where the community has come together to enjoy films … and celebrate the magic of cinema. We have cherished every moment spent with you, our loyal patrons, and the support you have shown us,” read the post.

Many patrons reacted to the announcment with sadness and thanked the theater for the many years of memories. 

“We want to extend our sincere thanks to each and every one of you who has been a part of our theater’s journey. It’s been an incredible ride, and we couldn’t have done it without you. We are going to miss hosting your birthday parties, special events, gaming tournaments, sensory friendly screenings, Princess/ Superhero meet-and-greets, and so much more,” said Rapp.

The post went on to the thank “the dedicated movie theater staff … who tirelessly worked behind the scenes” and hinted at reopening the theater in the future with a potential buyer.

“While our doors may be closing for now, the memories we’ve created together will live on. Thank you for being a part of our theater’s story, and we hope that this is a temporary speed-bump and soon be able to make a comeback,” added Rapp.

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Photo by Andrew Martin from Pixabay

Long Island’s two primary utility companies are in a tug-of-war over the region’s electric future.

A management contract between the New York State-owned Long Island Power Authority and the investor-owned utility company PSEG Long Island expires in December 2025, prompting uncertainty over the future management of the regional grid.

The Legislative Commission on the Future of the Long Island Power Authority is a bipartisan panel of state legislators from Long Island, formed in 2022 to make recommendations to the state Legislature for future reorganization.

Conflict erupted during the commission’s public hearing at the William H. Rogers Legislature Building in Hauppauge Tuesday, Sept. 12, during which LIPA and PSEGLI reps offered disparate visions.

Municipalization proposal

The legislative commission is considering implementing a full-scale municipalization of utility power on Long Island, empowering LIPA to provide electric service independently without contracting with a third-party vendor, such as PSEGLI.

During the hearing, Tom Falcone, LIPA’s CEO, addressed the commission, noting the complications of overlapping responsibilities between the separate management hierarchies of LIPA and PSEGLI.

“There is not one best governance model … but there are governance models that could result in duplicative roles and responsibilities or unnecessary conflict,” he said. “Multiple overlapping bodies with similar responsibilities can frustrate customers with a lack of clarity and accountability, much like our hybrid management structure between LIPA and PSEG.”

Falcone advised that consolidating management positions within LIPA would enable the state to reduce total management personnel by roughly 13 senior positions.

Falcone added that municipalization would deliver greater accountability from the electric service provider, empowering the LIPA Board to replace senior officials who fail to perform.

“The board can fire me,” the LIPA CEO indicated. “I can’t fire PSEG,” adding, “If PSEG is not delivering, we litigate and we hold back money.”

Checks and balances

But PSEGLI refused to go down without a fight, countering Falcone’s assessment of the existing dynamic between the two utilities.

Christopher Hahn, vice president of external affairs at PSEGLI, advocated for the existing public-private partnership between LIPA and PSEGLI.

“There’s real, built-in accountability to the public-private partnership,” he said. “It is something that has been working for Long Islanders and will continue to work for Long Islanders.”

Hahn maintained that the public-private partnership gives Long Island “the best of both worlds,” maximizing the potential for each utility company while creating checks and balances between LIPA and PSEGLI.

“Having a municipally owned grid gives us the benefit of that low [interest] bonding and, of course, access to [Federal Emergency Management Agency] funds in the event that we have storms,” he said. “And then having the private company and being held accountable.”

He added that accountability for PSEGLI is built into its contract structure, which is only 40% guaranteed. He maintained that PSEGLI continues to rank highly in reliability and customer satisfaction.

“Those are things that came here because of the public-private partnership, because of the push-pull between PSEG and LIPA,” he said.

Conversations over the restructuring of LIPA will continue this week as the commission is scheduled to meet again at 10 a.m. Thursday, Sept. 14, at the Nassau County Legislature in Mineola. To livestream the meeting, visit totalwebcasting.com/live/nylipa. Register on-site to testify. Written testimony can be submitted at nylipa.gov/public-input. Other September meetings are due to be held at The Rockaways, Southampton and Farmingdale State College.

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Pixabay photo

By Daniel Dunaief

Daniel Dunaief

You know that optical illusion with the vase and the two faces? If you’re looking at the outline of the white object, you see a vase, but if you look at the white as the background, you see two faces.

Is it possible that we might, at times, be missing something in our lives?

We drive from one event to another, often ignoring the people in the car next to us at a stoplight, at the birds resting on a telephone wire or at the last few rays of the sun as the light disappears over the horizon.

Instead, we’re focused on getting where we’re going, giving our mind a chance to wander to important things, like what we’re going to say to the coach of our son’s little league team, to our boss who wants to know why we’re late, or to that person at the deli counter who starts preparing our sandwich before we even order.

Along the way, we might be missing signs that could stimulate or enrich our mind in unexpected ways or that could provide the kind of unanticipated signs that serve as clues about our lives. Sure, some people read horoscopes for such help, they ponder the pithy poetry of fortune cookies, or they visit a psychic, who asks them if they’ve ever known a person named John or if they’ve ever gone with a date to a movie or like to take walks on the beach.

But, with our heads down, living on our phones, focusing on events and people far from us, is it possible that we might miss something akin to a puzzle piece in the mystery of our lives?

Sure, telemarketers are frustrating and annoying, offering us products we don’t need, asking us for personal information, and assuming a far-too-familiar tone.

What if those telemarketers, who are even more unpopular than used car salesman, journalists and politicians, offered us something between the lines of their scripts that might be of use to us? We don’t have to stay on the phone long with them and we don’t have to buy something we don’t want, but maybe we can give them half a minute, listening to them and politely declining their offer for more life insurance, a time share in the Everglades, or a chance to earn money as a personal shopper.

Maybe something they say will remind us of a task we wanted to accomplish, a phrase a friend or relative used to use, or a responsibility we haven’t yet met for ourselves. In a world in which there are no accidents, perhaps they can remind us of something we value.

Along the same lines, the scenery that flies by while we’re on a train, a bus or in a car could remind us of a picture we drew from our childhood, a tree we used to climb, or a friend who might need to hear from us but hasn’t felt strong enough to ask for help.

Hundreds and thousands of years ago, people looked to the skies for the kind of signs that might help them.

When we shut ourselves in our homes, disconnect from the people in the room or from the environment, we close down the opportunity to see or consider any signs from the world around us or to get out of our own limited physical, mental and emotional headspace. We also lock ourselves in to a particular way of thinking, removing the opportunity to consider whether today is a day to see the vase or the two faces.

By getting away from our computer screens, cell phones, and cubicles, we give ourselves a chance to see what the world offers, and how those cues affect the way we think about our lives.

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METRO photo

By Leah S. Dunaief

Leah Dunaief

My favorite meal of the day is breakfast. Now I’m not one of those happy people who awaken with the dawn, but I will say that my first thought after I open my eyes is usually breakfast. It used to be that I had to get up and walk the dog, but that’s history. Now, as soon as sleep is over, I am hungry.

Maybe that has something to do with the fact that I don’t eat past dinner, and that my dinner usually ends by 7:00 p.m. or even earlier. That means I have been fasting for at least 12 hours, maybe even 14, so my lustful appetite would seem valid. I start thinking about what I am going to make for breakfast while I am brushing my teeth. It’s almost never what you might expect.

I guess the traditional American breakfast is eggs and toast, and maybe some sort of meat, like bacon or ham. Or people start the day with cold cereal and milk in a bowl or hot oatmeal, with maybe some fruit on top. That’s if they have time to fix breakfast. 

Many people just run through the kitchen, put on their jackets and rush out the door to work or to school. Perhaps they might snag a roll or a piece of fruit on the way out, maybe even a cup of coffee if they remembered to plug in the pot the night before and to push the button on the way to the bathroom in the morning. Incredible as it sounds to me, I even know some people who eat nothing until dinner—a big dinner that then stretches right up to bedtime.

So what do I eat?

I might eat an egg with some veggies thrown in if it’s a weekend and I have time to cook. I particularly like English muffins with Irish butter and one of any number of different jams I harbor in my fridge. More often I will heat up some green lentil pasta that I prepared in advance, top it with low sodium spaghetti sauce and a couple of spices, and munch away. (Don’t Yuk! Just try it.) The green lentil flour, which comes in a box, is loaded with good nutrients: 11 grams of fiber; 25 grams plant-based protein. My favorite shape for the flour is rotini; it makes me think I am eating wheat pasta. And by the way, it’s made in Italy.

Or, I might finish off the previous night’s leftovers. That could be anything from shrimp, which I love, or a kind of white flaky fish like branzino or salmon. Now you might be taken aback by the nonconformist choices I make in the morning, so I will explain. I have had the pleasure of traveling to a number of different countries and eating their traditional breakfasts, so I am not in the least put off by eating my leftover sushi that I brought in the previous night. It makes me think I am in Bali.

On rainy mornings, I have the urge for pancakes because my mother, when I was a child, often made silver dollar pancakes for breakfast when it rained, especially if it rained really hard. The wonderful smell would fill the kitchen and bring us quickly to the table. I never put butter or syrup or powdered sugar on them; they were just delicious straight from the pan. I confess, though, that now I hardly ever have time to make them. I’m too busy looking for an umbrella.

Instead I grab a smoothie, filled with frozen fruits and dark green leafy vegetables, like baby bok choy and baby kale, that is pre-made in the refrigerator and carry it to my office, where I sip it through a straw for a couple of hours.

Another unorthodox breakfast that I enjoy is a salad, one with cucumbers, tomatoes, pears and walnuts, perked up with a little balsamic vinegar. I don’t care for iceberg lettuce much, preferring romaine and mixed greens.

I have learned that only some 35 percent of Americans eat breakfast every morning. How about you?

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Pixabay photo

United States defense and intelligence leaders agree that climate change is a threat to U.S. national security and is affecting global stability, military readiness, humanitarian crises, and the risk of war.

Scott Mandia. Photo by Victoria Sinacori

As part of Suffolk County Community College’s Faculty Talks series, nationally recognized climate change authority and twice featured National Geographic documentary expert, Suffolk County Community College Professor of Physical Sciences Scott Mandia will speak about Climate Change & National Security Implications on Monday, September 18 at Suffolk County Community College, Kreiling Hall Room 203, 533 College Road, Selden at 11:15 a.m. (Parking lot by water tower)

Mandia, the founder of the Climate Science Rapid Response Team that matches journalists with scientists to enable the media to better explain climate change and meteorological phenomenon will cover a range of topics including:

  • Evidence of a warming planet
  • Scientific evidence of the human cause
  • Who’s emitting the most greenhouse gases?
  • Who’s impacted the most? The poorest among us.
  • Super Storm Sandy
  • The World’s regions most impacted by climate change and implications
  • Solutions and taking action

Mandia has been called upon by The White House to present research about the impact of large-scale climate change on severe thunderstorms and tornadoes after a EF5 multiple-vortex tornado struck Joplin, Missouri on May 22, 2011. The tornado killed 158, injured 1,150 and caused $2.8 billion in damages – the costliest single tornado in US history. In addition to climate change, Mandia has written about Long Island hurricanes including the New England Hurricane of 1938, known locally as the “Long Island Express” and the future vulnerability of Long Island to hurricanes. He co-authored a book with Hunt Janin titled: Rising Sea Levels that was released before Hurricane Sandy hit Long Island and warned about the devastating effects of such a storm on New York.

 

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Hurricane Lee, left, and Hurricane Margot churn over the Atlantic. Satellite photo from NOAA

City planners all along the eastern seaboard, meteorologists and people living in flood plains are all hoping the current projections for Hurricane Lee prove correct.

As of earlier this week, the hurricane, which became the fastest system to transition from a tropical storm into a Category 5 hurricane, was not expected to make direct landfall.

That, however, may only be a temporary reprieve, as the conditions that made such a rapid intensification of this monster storm, which, at one point, had wind speeds of 165 miles per hour, continue to exist during the rest of this hurricane season and will likely continue in future years.

Earlier this summer, a sensor off the coast of Florida recorded an ocean temperature of 101.1 degrees Fahrenheit, the highest ever recorded. That creates conditions that threaten marine life and provides the energy that fuels the growth and intensity of hurricanes.

“We know that the warmer the sea surface temperatures are that a storm interacts with, the increased likelihood that a storm will undergo rapid intensification,” said Kevin Reed, associate professor at the School of Marine and Atmospheric Sciences at Stony Brook University. As the Earth continues to warm, Reed added, he expects those conditions to persist.

The exact timing of when a storm will intensify “remains a significant challenge to the weather community,” Reed added. “These types of events continually remind us that we have some way to go in forecasting the intensity of storms, even over a couple of days’ time scale.”

While most of the models predict the storm will head north before tracking toward a potentially dangerous landfall, Reed added that “there remains a possibility that the storm could take a track that interacts with New York or New England” and that the hurricane is still multiple days away from the region.

At this point, Reed believes such a landfall is not impossible but is unlikely.

Even without a landfall nearby, forecasters warn that the storm could produce dangerous rip currents and rough waters around the middle Atlantic states toward the latter part of this week.

NOAA forecast

One of the first things Reed does each morning and the last thing he does in the evening is check the National Hurricane Center site, among others.

A month ago, the hurricane season, which runs from June 1 through Nov. 30, was relatively quiet.

At that point, the National Oceanic and Atmospheric Association updated its seasonal projection to suggest that the hurricane season would be above normal.

“Here we are, in the thick of things,” with multiple storms out there and high activity levels, Reed said. “It’s important to keep an eye on those storms. All it takes is one to make landfall in our region to have a lasting impact.”

Hurricane Lee is the fourth hurricane of the season and the 14th named storm, six ahead as of Sept. 9 of the average over the last 30 years, according to the National Hurricane Center data.

A Category 1 storm, Hurricane Margot, is moving northward in the Atlantic, where it is not expected to make landfall. Another two disturbances may also combine and form a tropical storm. If they do, the disturbance would be named Nigel.

Reed is currently working on a few projects in which he hopes to use climate information to help inform potential impacts of future storms in the local area and coastal regions.

He is looking back retrospectively at various storms to determine how those hurricanes might differ in a warmer world. Those projects, he said, are still in the early stages.

Well aware of the potential for strong storms to hit the area, Reed has looked at a flood map around his house to know where flood waters would go amid different conditions.

He has also talked with his family about what they would do during a storm and where they would get information in the event of an evacuation from New York.

“I try to practice what I preach,” Reed said.

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These images reveal the striking similarities between real candy and edible products containing THC. Photos from the Suffolk County Department of Health Services

Children are getting into their parents’ supplies of edible marijuana, leading to an increase in illnesses and emergency room visits.

Stony Brook Pediatric Hospital treated 14 children in 2022 and 13 in 2021 — up from about one or two a year before 2020.

Dr. Candice Foy, a pediatric hospitalist at Stony Brook Children’s Hospital. Photo from Stony Brook Medicine/Jeanne Neville

“In the last two years, we’ve seen very high numbers,” said Dr. Candice Foy, a pediatric hospitalist at Stony Brook Children’s Hospital.

The accidental consumption of marijuana among children has increased throughout the country. A study published in the journal “Pediatrics” indicates that calls to poison control centers for children five and under for the consumption of edibles containing tetrahydrocannabinol, or THC — the main ingredient in the cannabis plant — rose to 3,054 in 2021 from 207 in 2017, with over 95 percent of the children finding gummies in their homes.

Amid an increase in adult use of edible gummies containing marijuana, children of a wide range of ages have mistaken them for candy, leading to symptoms that trigger medical concerns from their parents.

Children with THC in their system can have low blood pressure, high heart rates, lethargy and sleep for prolonged periods, Foy said.

One child required a machine to help breathe.

Dr. Jennifer Goebel, emergency room doctor at Huntington Hospital, said the hospital recently saw children who were dizzy and not acting appropriately.

When pediatric patients accidentally consume pot edibles, doctors also need to consider what else they might have in their system, Goebel added.

Dr. Jennifer Goebel, emergency room doctor at Huntington Hospital. File photo from Northwell Health

Significant exposure can “lead to severe hyperactive behaviors, slowed breathing and even coma,” Dr. Gregson Pigott, Suffolk County Health Commissioner, explained in an email.

The health effects of marijuana can last 24 to 36 hours in children. The response may vary based on the amount ingested, the size of the child and metabolic factors, Pigott added.

Unlike naloxone, which health care providers can administer to counteract the effect of narcotics, doctors don’t have the same resources available with accidental marijuana ingestion.

Doctors opt for supportive care. A nauseous child could receive anti-nausea medication, while a child sleeping and not eating or drinking can receive intravenous fluids.

Typically, doctors observe children who consume marijuana for several hours, often releasing them to return home once the symptoms subside.

Hospitals are required to call child protective services during such an incident. Investigators usually find that such consumption is incidental, as parents sometimes leave their edibles in the wrong location.

“A lot of times, CPS will go in there” and, after checking the home, “will close the investigation,” Foy said.

Doctors and local officials urged people who consume such edibles themselves either not to keep them in the house or to put them in places far from other candy or food, such as in an inaccessible spot in the back of a closet.

Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Services. File photo

“The Department’s Office of Public Information has issued warnings about keeping edible gummies out of the reach of children through its social media channels,” Pigott explained in an email. “In addition, the New York State Office of Addiction Services and Supports and our partners in prevention promote safe keeping of all THC products, including edibles, out of reach and in secure child safe storage,” such as a lock box.

Goebel cautioned that children are adept at getting to products that appeal to them, mainly if the packaging makes them look like candy.

Many of the pot-related medical issues are “accidental,” Goebel said.

Hospitals have seen a range of children with marijuana symptoms, from as young as one year old to 11, with the vast majority falling between two and four years old, Foy said.

“I don’t think it’s something that a lot of people think about the same way they think about protecting their children from bleach and other chemicals commonly found” in the home, she said. It’s important to “get the message out” and ensure “people are talking about this.”

The Suffolk County Department of Health Services Office of Health Education offers curriculum and teacher training to public and private schools at no cost. The lessons address behaviors that lead to morbidity and mortality in the young, including intentional and unintentional injuries, such as injury caused by children ingesting edible gummies or other edible-infused products, Pigott wrote.

“During parent workshops, we show the similarity between real food items and the THC-containing items that look like the food item to highlight how deceptive and easy it is to mistakenly ingest cannabis-laden products,” he added.

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Photo by Katja Fuhlert from Pixabay

The U.S. Food and Drug Administration has approved a new COVID-19 booster, which will protect against the virus’s circulating strain.

With hospitalizations and cases rising in Suffolk County and nationwide, single booster shots from Pfizer-BioNTech and Moderna should be available soon.

Local doctors recommended that people at the highest risk consider getting the shot.

That includes those with other medical issues, such as a 45-year-old smoker or a 65-year-old with diabetes.

Health care providers generally believe people who recently had COVID have at least three months of protection, although no definitive rule exists.

“If you had it in August, you probably don’t need to get a booster now,” said Dr. Sharon Nachman, chief of the division of pediatric infectious diseases at Stony Brook Children’s Hospital. “If you had it in January and you’re high risk, you should get it now.”

Nachman added that no study has indicated the age at which patients should get a booster shot.

People should consult their physicians to determine how their underlying health can affect the decision to get an updated vaccine.

“That gets back to the doctor-patient relationship,” Nachman said.

People who are 70 years old and planning a cruise that stops in several ports might want to get a shot at least two weeks before they travel because “the last thing you want happening is to be hospitalized in a foreign country,” Nachman said.

Nachman suggested that this vaccine, like the others that people have taken, won’t prevent illnesses but will keep people from shedding the virus and can reduce the symptoms and duration of an infection.

The FDA approval of the current vaccine is welcome news because it is a “good match” for the current strain, Nachman indicated.

It’s difficult to predict how much protection the current vaccine will provide for whatever strain might be circulating in February.

When a higher percentage of the population receives the vaccine, the likelihood of new variants declines, she added.

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