Village Beacon Record

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Susan V. Donelan, MD, FSHEA

Dr. Susan Donelan, medical director of Healthcare Epidemiology at Stony Brook University Hospital, spoke by phone with TBR News Media about reopening schools, the importance of face coverings and host of other issues related to COVID-19. Here are her thoughts on the pandemic and the virus.

TBR: At what point would the spread of the virus be contained?

Donelan: Let’s look at it this way: If you accept the concept that even if the virus doesn’t change or change so significantly that any exposure before will be useless going forward, if it remains static and doesn’t morph or mutate, you need 70 percent of persons to be infected in such a way that the vast majority don’t get repeatedly infected. That’s a whole different story. It takes time for the world population to reach that 70 percent.

TBR: How do you get to that level?

Donelan: You can get to that 70 percent, being a relatively typical cutoff [for herd immunity], by one of two ways: by natural infection, or you can get it from a successful vaccine. 

TBR: How does the process of distributing the vaccine work?

Donelan: Having enough is not the same as having it equitably distributed throughout the world. Ideally, [it would be] given to all of those who have reliably never been exposed. [There are a] lot of logistics: Having enough and having it distributed well and having it distributed equitably are different parameters. While this all gets figured out, the virus will hop along and continue to spread to the extent we give it the opportunity to spread. 

TBR: Are people who get the virus getting reinfected? Are some antibodies not providing resistance?

Donelan: That is not clear. There are different kinds of antibodies. With a neutralizing antibody, you get infected or you get vaccinated, the antibody you develop neutralizes the virus when it comes calling again, or when it comes calling for the first time. There are antibodies that are just kind of bumper stickers in your immune system. They show that you’ve been exposed. This is early in the pandemic, It’s really not clear at this point what types of antibodies most people are going to develop and how helpful they will be when the virus comes knocking at their door. 

TBR: Anecdotally, we’ve heard that some people may be less susceptible to the worst of the viral symptoms, if they have a certain blood type, for example. Do you know if any of that is true?

Donelan: I’ve seen tidbits here and there — you can be willy-nilly and not careful. I would caution anyone who picks up these reports to not assess their own individual risk in such a way that would make them less likely to follow the basics of trying to avoid getting sick or transmitting it.

TBR: Would a second wave be milder than the first because more people would have some resistance?

Donelan: I’m hesitant to declare if we had a milder second wave it’s the virus as opposed to other factors. In the 1918 [Spanish flu] versus the 1919 wave, the 1919 wave was bigger.

TBR: How did the protests affect infections?

Donelan: The protests are one of many, many instances of people with lacking social distancing, perhaps not wearing masks or wearing masks incorrectly. It’s maybe the most public one, not the only one. Every time I go out, I see people being noncompliant. As I understand from recent data, New York has an R0 [the average number of people who will get a disease from a single infected person] of under 1. We know that there’s going to be a slow creep in the infection. We’re right up against 1. That’s clearly less than the R0 of 2 or more that was early in the pandemic. By the time we see a bump in hospitalizations, a bump in positive cases, the protests are going to be muddled in with the graduations, the beach parties, the bars and the restaurants. 

TBR: What don’t people know about the disease?

Donelan: The biggest misconception about utilization of face coverings, is that the face covering is for me. I think it must be really be emphasized. I wear my face covering to protect you. You wear it to protect me. 

TBR: What do you think of the risks in youth sports, which are starting up again?

Donelan: There’s no uniform understanding of what’s right or wrong. There are other countries that have been ahead of us in terms of the pandemic and then are now easing themselves back into a more normal society. I think that those of us who are interested in what happens in sports, might keep a clear eye on what’s going on in those countries. Any time you interact, it’s not a zero-risk concept.

TBR: What do you think about schools?

Donelan: I’m working with the state and the campus and my own local school district on what school will look like. I have two kids that are heading to college, another one heading for a Ph.D. program. I have a particular interest in what’s going on. I think the schools have been working hard to optimize social distancing, with mouth and face coverings to the extent that each student at different levels is able to. I told them a couple of months ago, at the state and local level, I don’t see how schools cannot plan on having a hybrid learning platform [one that includes a mix of in-person and remote classes]. 

TBR: What advice would you give schools?

Donelan: The most important thing is to make sure however school looks like for the next two or three semesters, [that there is] a hybrid learning platform, with the ability to pivot quickly to a full-distance learning plan.

TBR: How do you think this will play out for colleges?

Donelan: [Many schools will] start in August. Come Thanksgiving, kids will go home and don’t come back [until the next year as influenza-like illness starts to circulate.] Thanksgiving is the first great cross-pollinator event in the winter season, with people traveling, coming back, picking up whatever is going on wherever they traveled to. I wouldn’t want students coming back to school after Thanksgiving recess, then cross-pollinating more. If there’s anything that people should be encouraged to do, it’s get a flu shot — and get it early.

Nursing homes have become a hotbed of discussion over the large percentage of their residents who have died from COVID-19 while in New York facilities. Stock photo

When the initial COVID-19 surge occurred in New York State, nursing homes were the site of rampant infections and deaths. According to a New York State Department of Health report released earlier this week, the infection was spread by community transmission and asymptomatic staff members. 

The agency aimed to study the impact of the state’s March directive that nursing homes could not refuse admission or readmission to patients because of a confirmed or suspected coronavirus infection. The directive was meant to free up space in overcrowded hospitals as the pandemic intensified.

The number of nursing home staff reporting COVID-19 symptoms peaked March 16, 23 days prior to the peak of nursing home fatalities, which occurred April 8. 

“It is likely that thousands of employees who were infected in mid-March transmitted the virus unknowingly — through no fault of their own — while working, which then led to resident infection,” the report states. 

Critics of the directive argue that it allowed infected patients to return or come into these facilities and in turn spread the virus to other individuals. The findings of the study show 

37,500 workers — one in four of 158,000 nursing home workers — were infected with COVID-19 between March and early June. 

A number of elected officials took issue with the guidance given to nursing homes by the state. U.S. Rep. Lee Zeldin (R-NY1) disputed claims that the state was simply following the federal government’s guidance. He said the U.S. Centers for Medicare and Medicaid Services, the federal regulator for nursing homes, had previously issued guidance stating that not only should nursing homes only accept patients for which they can care for, but that nursing homes should focus on “prompt detection, triage and isolation of potentially infectious residents.” 

Zeldin also called on the U.S. Department of Health and Human Services and CMS to launch an investigation into New York State’s adherence to appropriate health and safety guidelines within nursing homes and long-term care facilities.

In a statement following the release of the NYSDOH report, Zeldin reiterated his stance. 

“An internal review by the State of New York is OK for them to initiate, but this is not a situation where the state is going to be able to objectively investigate itself,” he said. “These facilities should not have been required to accept patients who were diagnosed at the time with coronavirus, especially if they did not have the ability to protect the rest of their vulnerable population. It was also a fatal policy to prevent nursing homes from administering coronavirus tests to patients returning from hospitalization. Our seniors and their families deserve answers, and an independent investigation is clearly necessary.”

A statewide nursing home survey conducted by NYSDOH shows that between March 25 and May 8, a total of 6,326 COVID-19 hospital patients were admitted into 310 nursing homes. Of those facilities 252 already had either confirmed or suspected positive patients, confirmed or presumed fatalities or infected workers, prior to admission of someone with the coronavirus. 

Stephen Hanse, president and CEO of the New York State Health Facilities Association said at the onset of the pandemic, nursing homes and assisted living facilities were not the top priority. Bolstering hospital resources and ramping up hospital bed capacity were. 

“Policymakers now know that the men and women residing in nursing homes and assisted living facilities are the most at risk of infection from the COVID-19 virus,” Hanse said in a statement. “Consequently, it is essential that nursing homes and assisted living providers receive the full support and assistance from elected officials and policymakers to ensure they have the necessary resources to defeat this virus and safeguard their residents and staff.”

Police Set New Guidelines for Protests

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With Suffolk County entering Phase 4 of a planned reopening, County Executive Steve Bellone (D) provided his final daily media update on the county’s response to the virus. The County Executive had conducted 122 such updates, as residents suffered personal and economic losses that extend far beyond the daily numbers and statistics.

“We reached the final stage of reopening” today, Bellone said. The county has gone “up the mountain and made it down the other side. In the process, we’ve seen terrible tragedy and acts of extraordinary heroism.”

Entering Phase 4 marks a “new stage” in this unprecedented event,” Bellone added.

Even as the county executive is pleased that the county has moved to Phase 4, in which people can gather outdoors in groups of 50 instead of 25 and some businesses that had remained closed can reopen, he is still aware of the additional work necessary to open other enterprises that remained closed, such as gyms, bowling alleys, catering facilities and movie theaters.

Gyms have presented plans for reducing risk, such as individual workout sessions and class-based reservations that would allow contact tracing to reduce risk, Bellone said.

Asked about reopening schools, which will affect so many families and teachers across the county, Bellone said he thinks schools “need to reopen. That needs to be done safely.”

He suggested that putting together those plans was complicated, but that it shouldn’t be a divisive or political issue.

“We know it is good for kids to be in school,” Bellone said. “We can not have a whole generation of kids that are falling behind. We know the devastating impact that would have.”

The county executive called on the federal government to provide relief to schools to prevent them from having to cut areas that he deemed critical, such as arts, music, sports and staff. Reopening schools will require additional expenses, as schools will not be able to operate normally.

“Right now, schools are worried about paying for the basics,” Bellone said. A federal government that didn’t provide disaster assistance would be “absolutely unconscionable.”

Viral Numbers

The number of people who tested positive for the coronavirus was 69, which represents a 1.7 percent positive rate for new tests. While that percentage is higher than the recent average, which is closer to 1.1 percent, Bellone said he doesn’t put too much stock in any one day’s data.

The total number of people who have tested positive for COVID-19 is 41,799.

The number of people who have tested positive for the antibody but who didn’t have symptoms of the disease is 20,104.

The number of people in the hospital declined by seven to 50, which is “an amazing number considering where we’ve been.”

The number in the Intensive Care Units is nine.

Overall hospital bed occupancy was at 68 percent, while ICU bed occupancy was at 59 percent.

Six people were discharged from the hospital in the last day.

The viral death toll held steady at a revised 1,984, as no residents died from complications related to the coronavirus.

To prepare for a possible second wave of the virus, the county developed a contact tracing program and has worked through procurement to stockpile some personal protective equipment.

Police Rules for Protests

The Suffolk County Police Department put several new rules in place in connection with any future protests.

For starters, demonstrators need to contact the SCPD at least 24 hours in advance to indicate the route they plan to take. They can call (631) 852-6110 between 8 a.m. and 11 p.m. from Monday through Friday.

Protests are prohibited from congregating in the street and disrupting the flow of traffic. Police said people who don’t comply with this rule are subject to enforcement action.

Demonstrators cannot block vehicular or pedestrian traffic and may not enter private property without consent.

Demonstrators may also not walk in the traffic lanes of a roadway when prohibited.

Finally, people who are older than two years old who can tolerate a face mask medically is required to wear one in situations where maintaining six feet of social distancing is not possible.

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Suffolk County will enter Phase 4 tomorrow of its economic reopening with the tail wind of strong public health numbers.

The new phase “means that certain low-risk outdoor and indoor activity will begin to open up,” County Executive Steve Bellone (D) said in his daily conference call with reporters. Some arts, entertainment, media and sports will restart.

Residents are permitted to gather in groups of 50, up from the 25 from the previous phase. Houses of worship, meanwhile, can go to 33 percent capacity.

The Long Island Aquarium, the Maritime Museum, and the Children’s Zoo, among others, are all reopening.

“I encourage people to call directly to make sure that the places are open,” Bellone advised. Some of these facilities might have specific restrictions and may have limited hours.

In the last 24 hours, 45 people tested positive for the coronavirus, bringing the total to 41,730. With 4,226 people tested, the percentage of positive tests was about 1.1 percent.

At the same time, 20,003 have tested positive for the antibody to the virus, indicating that their bodies fought off COVID-19 without a positive test.

Hospitalizations fell six to 57, which is the first time since March that the number of residents who were in the hospital with coronavirus symptoms was below 60. At the same time, the number of people in the Intensive Care Unit was 14, which is a decline of two.

An additional nine people were discharged from the hospital and are continuing their recovery at home.

Hospital bed occupancy was at 64 percent, with ICU bed capacity at 60 percent.

One person died in the last day from complications related to the virus, bringing the total to 1,985.

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More than a hundred local residents attended a Fourth of July event sponsored by the Rocky Point VFW Post 6249 and Rocky Point/Sound Beach Chamber of Commerce. Photo by Kyle Barr

Well over 100 people crowded in the empty lot in front of the Rocky Point VFW Post 6249 building and behind Broadway Market July 4 to celebrate Fourth of July and honor those passed veteran family members from the community.

Last month, the Rocky Point/Sound Beach Chamber of Commerce announced an initiative to honor passed veterans with banners hung all along Broadway and King Road. For the Fourth of July, the local groups hung 33 pictures of veterans from the Rocky Point area. The chamber raised $3,300 from the community in order to raise the banners.

Those on the banners included people who had fought in WWII, Korea, Vietnam and the most recent wars in Iraq and Afghanistan. Among the many families in attendance, was the McCarrick family, who had three passed members of the clan up on those banners. This included the elder McCarrick’s brother Hugh and Kevin’s father William, mother Phyllis and uncle Thomas, all of whom participated in the Navy during WWII. Family and friends of Staff Sergeant Louis Bonacasa, of the U.S. Air Force who was a bronze star and purple heart recipient, were also there to remember his life.

As families sat in the small lot with groups of chairs distanced from each other, chamber and VFW leaders led the crowd in thanking vets for their sacrifices. Included in the event was the usual singing of the national anthem and the reading of the Declaration of Independence by multiple local residents.
“As you celebrate with your family and close friends, I ask you to honor all American patriots,” VFW Commander Joe Cognitore said to the assembled crowd. “They are the ones who allowed us the freedom to celebrate today.”

When Cognitore said he joined with the VFW in the 70s, nearly everyone there was a veteran of WWII. Now, he said, they are down to just two living members who participated in that long-ago war.
Chamber President Gary Pollakusky said though the area has been hit hard because of the coronavirus, “We are strong, we are fighters, and we will all get through this.”

He referenced people he called “keyboard warriors” who “stoke fires rather than build bridges.” As compared to the “doers,” which he said included the veterans and people who helped put on the ceremony.

The names of all those hung on the banners were read out and a bell tolled in their honor, with those men’s and women’s families standing when each was called in turn.

The banners will be kept up throughout July. The chamber is looking for people to submit names for next year’s ceremony, which could include deceased veterans, living vets and active duty service members or any other military heroes the community wishes to recognize. They are also asking for additional donations for next year.

Suffolk County Executive Steve Bellone. File photo by Alex Petroski

Even as Suffolk County prepares for the final phase of its economic reopening this Wednesday, people came to Fire Island during Fourth of July celebrations, where they reportedly violated social distancing and face covering rules.

After all the work to reduce the spread of the virus in Suffolk County and the economic and personal sacrifices designed to save lives, County Executive Steve Bellone (D) was disheartened by images of people on Fire Island and in Montauk who ignored public health rules.

Bringing groups of people within six feet of each other without wearing face coverings is “just dumb,” Bellone said. “It doesn’t make sense. The way that we will undo all of the progress that we have made is to simply stop using common sense.”Such flouting of rules designed to protect the public “is unacceptable” and will result in enforcement actions, Bellone said.

Future incidents in which people don’t follow health guidelines can result in tickets from the police department. The tickets are a Class B Felony.

Bellone urged residents to remain safe so that the county can consider reopening schools and so businesses that have been able to survive the earlier shutdown can continue to rebuild.

The Suffolk County Police Department received 1,160 firework-related calls from Friday through Sunday.

Viral Numbers

The number of people who tested positive for COVID-19 was 43, which represents a 1.1 percent positive rate among the 3,812 people tested.

The total number of people who have tested positive for the virus was 41,685. The number of people who have had a positive antibody test, who have not had symptoms of the disease but whose bodies have developed antibodies, is 19,978.

Hospitalizations declined by three to 63, while the number of people in the Intensive Care Units was 16, which is also down by three.

Hospital bed use was at 64 percent. The occupancy of ICU beds was at 56 percent.

Over the last day, 13 people were discharged from Suffolk County hospitals.

One person died from complications related to COVID-19. The total number of deaths for Suffolk County increased to 1,984.

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Suffolk County Police said they are investigating a motor vehicle crash that seriously injured a person in Miller Place Sunday, July 6.

Police said Sonia Trigueros was driving a 2011 Toyota SUV eastbound on Route 25A when she made a left turn onto Hunter Avenue and the vehicle was struck in the rear by a 2011 Suzuki motorcycle driven by Brandon Rothgeb, who was traveling westbound on Route 25A at around 2:10 p.m. Trigueros, 48, of Lindenhurst, was not injured.

Rothgeb, 23, of Nesconset, was transported via police helicopter to Stony Brook University Medical Center with serious physical injuries.

Both vehicles were impounded for a safety check.

Residents prepare July Fourth at-home firework shows in Port Jefferson Station in 2018. Photo by Kyle Barr

A man in Port Jefferson Station was injured just after 10 p.m. last night when he attempted to light a firework that explored and injured one of his eyes.

Carlos Diaz, 29, was transported to Stony Brook University Hospital with serious, but not life threatening injuries.

Additionally, a 29-year old man in Central Islip was severely wounded in the hand from an exploding firework. The man was at home on Tamarack Street when the injury occurred around 9:10 p.m. He was airlifted to Stony Brook University Hospital.

“Every year, we do these reminders and talk about the dangers of fireworks,” County Executive Steve Bellone (D) said in his daily media call. He shared his hopes that both people injured by fireworks will recover.

Suffolk County Police Department Chief Stuart Cameron said the county did have a higher incidence of fireworks-related calls, due to the limitations on large crowds at the usual fireworks shows.

While the number rose, he said the increase in Nassau County was “much higher.”

Earlier in the day, at 5:30 p.m., Second Precinct officers responded to a fire at the Rodeway Inn in Huntington Station. Canine officers located Raymond Pond, 50, whom they are holding overnight and charging with Arson in the second degree. Pond, who is a resident of the Inn, also has two outstanding warrants. While people were at the Inn when it caught fire, the police reported no injuries.

Viral Numbers

For the fifth time in the last seven days, Suffolk County reported no deaths from complications related to COVID-19. This lower mortality rate puts the county in a good position to reach Phase 4 of its reopening plan this Wednesday.

“We are moving into the new week in very good shape,” Bellone said. The low mortality rate is a “credit to everyone who has done amazing work in this county,” including by the public who he said has, mostly, abided by rules regarding social distancing and face coverings.

The number of new positive tests was 57, which brings the total number of people who have tested positive for the coronavirus to 41,642.

An additional 19,960 people have tested positive for the antibody.

Hospitalizations declined by four to 66. The number of people in the Intensive Care Unit increased by two to 19.

Hospital bed occupancy was at 67 percent, while the percent of ICU beds in use was 60 percent.

In the last day, 10 people were discharged from county hospitals.

Mount Sinai 2020 Valedictorian Aaron Angress and Salutatorian Skyler Spitz. Photos from MSSD

The two young men heading up Mount Sinai’s Class of 2020 are mathematically minded individuals hoping to reach new heights in their careers. 

The top of Mount Sinai’s class this year includes salutatorian Skyler Spitz and valedictorian Aaron Angress.

Angress, with a total weighted grade point average of 105.17, has been a member of the National Honor Society, the decorated Ocean Bowl Team, active in STEM ROV building and a National Merit Scholarship finalist. On the artistic side, he is a member of All-State and All-County symphonic band, a member of the pit band and mini-ensemble group.

The valedictorian said one of his favorite activities during high school was his participation in the school’s Ocean Bowl team, which participates in quiz-bowl competitions based around oceanography. The team qualified for a national competition in Washington, D.C. 

The graduating senior, who moved to Mount Sinai when he started fifth-grade, said growing up in the hamlet was “pretty great,” and the district “played an integral part in my process of growing up.”

His best memories from high school, along with the Ocean Bowl team, was playing saxophone with the various groups around New York and his senior trip to Disney World.

Angress plans to attend Northeastern University to study mechanical engineering and physics. He said he would enjoy being involved in scientific research, and if the stars align, his dream is to visit space as an astronaut.

Spitz finishes the year with a weighted GPA of 104.86. He spent his high school years as a student council vice president, a National AP Scholar, a member of the National Honor Society, varsity tennis captain, member of Mathletes and Future Business Leaders of America All-Sate winner. He said the best part of his extracurriculars are the memories and friends he made.

He too felt the best moment of his high school career was being able to take his senior trip despite the start of the pandemic.

The salutatorian will be attending the University of North Carolina at Chapel Hill to major in statistics and analytics in the hope of becoming an analyst at a quant in the future. 

Though their years were cut short because of the pandemic, Angress said those students entering their senior year should figure out what it is they want to do and prepare for the future.

“Personally, the pandemic has taught me to take nothing for granted — I’ll certainly cherish everything much more now, even the little things,” Angress said.

Spitz said that the year had been nothing but disheartening, but he suggested students look to take advantage of their senior year to have at least some fun.

“I was looking forward to creating many more memories this year and can now only hope that I will be able to graduate alongside my friends,” he said. “Everything will work out, and you might as well enjoy your final moments in school rather than worrying about the small things in life out of your control.”

Miller Place 2020 Valedictorian Joseph Bisiani and Salutatorian Larry Davis. Photos from MPSD

Miller Place High School’s top two students are looking to leave their mark in both the local community and the wider world.

This year’s top students at Miller Place are valedictorian Joseph Bisiani and salutatorian Larry Davis.

Bisiani is graduating with a weighted grade point average of 101.54. In school, he was the Rubik’s Cube Club founder and president, senior class president, National Honor Society vice president, a National Merit Commended Scholar, Academic All-County varsity soccer, Natural Helpers peer leader and member of Tri-M.

He said being the person behind the Rubik’s Cube Club was especially exciting, as he has been “speedcubing” since he was in eighth-grade, and now he had the opportunity to show the mathematics behind a Rubik’s Cube to his peers. As class president, he said he was involved in fundraising food sales and had petitioned the board of education for a class trip, though those plans were squashed due to the pandemic.

Otherwise, he thanked his parents, his brother and sister and his Catholic faith, which he said was the backbone of his life and his efforts to “be a good person.”

“I am so grateful to have been brought up in Miller Place, due to the small-knit community and closeness we all have to one another,” he said. “I loved having a school where I could know everybody in it, and have a close relationship with all of my teachers.”

Bisani plans to attend Stony Brook University in the Honors Program and major in math and physics on the pre-med track. He added he would like to take some politics courses while in college.

Davis is graduating with a 101.35 weighted GPA. Through his high school career, he made Eagle Scout last December, was a Metropolitan Youth Orchestra principal hornist, Scholar-Artist Merit Award, French Honor Society president, NYSSMA All-State participant, varsity badminton player and member of the Nassau-Suffolk jazz ensemble.

As part of the Metropolitan Youth Orchestra, he said he was able to travel to Europe, which became “one of the fondest experiences I was lucky enough to have, between making friends, performing music and appreciating foreign culture.”

As a musician, he said going to the All-State Music Festival was one of the unforgettable experiences of his high school career. Otherwise, he thanked his parents and sister for their support in his academic, musical, athletic and Scouting endeavors. He also thanked the teachers “who have pushed me to improve myself both in my work and in my daily life.”

Davis plans to attend Columbia University and major in biomedical engineering. Beyond that, he said he wants to pursue a career in disease research to help find treatments for current and future illnesses.

The salutatorian said it’s important for students to embrace a sense that whatever happens, happens, especially considering the way this year was turned on its head due to the pandemic.

“ven though this year’s situation is pretty unprecedented, it’s important to look ahead and stay on the bright side, because something absolutely astounding can come out of it,” he said.