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A monarch butterfly rests on Theresa Germaine’s finger before taking flight. Photo by Rita J. Egan

A Stony Brook resident is doing her part to help the ecosystem, one monarch butterfly at a time.

The monarch before leaving its enclosure. Photo by Rita J. Egan

Theresa Germaine knew she had to keep busy when the pandemic shut down practically everything in 2020. Pre-COVID-19, the now 83-year-old traveled frequently, and when she wasn’t making trips, Germaine split her time between New York City and Stony Brook, where she shares a house with her sister.

When everything shut down, the retired educator decided Long Island was the best place to be. Shortly after, she decided to grow milkweed, a flowering perennial plant, in her garden and encourage the growth of the monarch butterfly population. Not only did she attract the butterflies with the milkweed — the only place they will lay their eggs on — she also took their eggs and nurtured them.

“There are so many negative things going on in the world that you have to find some way to make yourself feel good about something,” Germaine said.

The butterflies, distinguished by their orange and black coloring with white spots, have recently been added to The International Union for Conservation of Nature’s Red List of Threatened Species. The environmental network considers the monarchs an endangered species, even though the U.S. itself has not yet added the pollinators to its endangered-species list.

a caterpillar feeding. Photo from Theresa Germaine

When the pandemic shutdowns struck, Germaine read about the monarch butterflies and how to attract and raise them. This year marked the third year of her garden and, once again, she has been busy looking for the tiny eggs, about the size of a pin, under the milkweed leaves where the butterflies lay them. She then brings them inside her home where she puts the eggs and leaves in a container.

After the eggs hatch, they emerge as caterpillars and are very small. Germaine puts them in mesh butterfly tents bought online along with pieces of milkweed from her garden in tubes to feed them. She has a few of the enclosures to handle each stage, from the caterpillar — larva stage — to pupa, where they form a chrysalis around themselves, and then the emergence of the butterfly. 

Germaine said once the monarch butterfly appears, it climbs up the side of the cage and needs time for its wings to dry. Once the monarch begins fluttering around the enclosure, she knows it’s time to release them outside. She brings the enclosure outside and allows the creatures to leave at their will.

“I’ve always kind of been a Girl Scout type of person,” Germaine said. “I was a Girl Scout when I was young, and I always had an interest in nature.”

A butterfly emerges from its chrysalis. Photo from Theresa Germaine

While she nurtured a dozen of the pollinators in 2020, last year she released 41 and this year so far, 45. She said she estimates that approximately 10 more butterflies will emerge before the summer ends.

Over the last couple of years, Germaine has purchased more milkweed plants, and the perennials have become more robust over time.

A native of the Bronx, she taught in Manhattan for nearly 30 years, and was an assistant principal for two years in the borough. She retired in 1995, and she said she never chose to get married or have children. Germaine said while many her age may be busy with grandchildren; she was keeping herself busy with her travels and entertainment. The raising of the monarchs has been a welcomed activity.

“As you get older, it’s very important that you have a purpose in life,” she said.

Her hope is that everyone will grow a little milkweed in their garden to help the monarchs. She said while it’s not the most attractive plant, even a small garden with the flower in a corner of one’s property can make a difference. While the eggs have a better chance of surviving inside — more than 80% — just having milkweed can increase the monarch butterfly anywhere between 3% to 10%, Germaine said based on her research.

“If everybody did their part, we would see more butterflies,” she said. “And who does not love to see a butterfly?”

Stock photo from Metro

Amid the typical questions about returning to school, such as finding friends in their classes and navigating to the right room at the right time, students on Long Island and elsewhere are preparing for the third year of the pandemic while other health care concerns loom.

As the summer enters its final weeks, health officials have found mosquitoes that have the West Nile virus, monkeypox has become a national health emergency, and Rockland County and New York City have reported cases of polio.

With all those health concerns, however, medical officials emphasized numerous pieces of good news that they hope will provide less of a disruption to communities, parents, teachers and students.

For starters, the Centers for Disease Control and Prevention last week eased some COVID-19 restrictions. In the past two years, some students had switched back and forth from in-person to remote learning after a positive test.

The CDC advises students, staff members and workers who were exposed to a person who tested positive for COVID-19 to wear face coverings for 10 days and to get tested, instead of urging them to quarantine.

At the same time, the CDC is no longer suggesting that unvaccinated students get tested regularly in order to attend school.

“Part of the reason they’re easing the restrictions is that the current strain that’s circulating is fairly non aggressive, there are not a lot of hospitalizations and there is not a lot of severe illnesses,” said Dr. Philip Nizza, chief of Infectious Disease at Mather Hospital and attending infectious disease physician at St. Charles Hospital.

The cases Nizza has seen in the hospitals are “very mild” and he hasn’t had an intensive care unit patient with a ventilator in well over a month.

Dr. Susan Donelan, medical director of the Healthcare Epidemiology Department at Stony Brook Medicine, suggested that the shift in the CDC guidance likely reflects the reality that non-pharmaceutical mitigation measures are of more limited use in an era when opportunities exist to receive effective vaccines, which are well tolerated, and safe therapeutics have become a tool to manage those people who are acutely affected.

“The shift now appears to be focused on self-assessment of risk [for self, close family members or others who may be adversely impacted if infected] and thus individual risk mitigation,” Donelan explained in an email.

Still, Nizza, among other health care providers in Suffolk County, urged people to continue to receive vaccinations and to stay up to date with their boosters.

Nizza suggested that a new booster, which could provide protection against the infectious Ba.5 omicron strain that has become the dominant variant in the county and in the United States, could be a “game changer.”

Doctors cautioned people in higher risk groups, such as those who are immunocompromised, have chronic lung disease or are significantly overweight to be vigilant about their exposure to the SARS-CoV2 virus, which causes COVID-19.

As of earlier this week, Suffolk County reported a 7.8% positive test rate on a seven-day average using lab-reported PCR tests, which doesn’t include the rapid tests. At the same time, the number of positive cases on a seven-day average stood at 33.8 per 100,000, according to the New York State Department of Health.

“If you’re not a high-risk patient the danger zone is lower,” said Nizza.

Monkeypox

Meanwhile, monkeypox continues to be a threat to the county, the state and the nation, as the availability of vaccines against the virus lags the need for shots.

New York State continues to have the greatest number of cases of the virus, with close to 2,300 out of about 12,000 cases in the country, according to the CDC. Most of the New York State cases are in the city.

The virus has affected men who have been intimate with other men, although the virus can spread through physical contact.

Nizza described monkeypox as “generally a nonfatal infection with a high presentation rate amongst the undocumented high-risk groups,” he said. “I don’t think the general population needs to rush out and get the monkeypox vaccine, unless [you] are in a high risk group.

Nizza doesn’t anticipate that the virus will spread at anywhere near the rate that COVID did.

“There is a vaccine available, which is much different than COVID, which caught us unaware,” he added.

West Nile virus

As of earlier this month, 38 mosquitoes had tested positive for the West Nile virus, including samples in Setauket and Port Jefferson Station.

The virus was first detected in birds and mosquitoes in Suffolk County in 1999.

People who contract the virus typically experience mild or no symptoms. In a small number of cases, people can have high fever, headaches, stiff necks and may have vision loss, numbness and even paralysis.

Symptoms can last several weeks and the neurological effects can be permanent.

The CDC recommends people use insect repellent to reduce the chance of getting bitten by a mosquito that harbors the virus. Additionally, reducing any standing water around the outside of the house cuts back on the opportunity for these virus-bearing insects to breed.

Suffolk County Health Commissioner Dr. Gregson Pigott recommended that people minimize outdoor activities between dusk and dawn, make sure windows and doors have screens and, at places where mosquitoes are active, wear shoes and socks and long pants and long sleeved shirts.

As of late last week, Mather and St. Charles didn’t have any reported cases of West Nile virus.

The people who are especially vulnerable include the elderly and anyone on drugs that suppress their immune systems.

Polio

Health officials in Rockland County and New York City reported two cases of people with polio.

This disease, which spreads from contact with infected feces, has been largely eradicated after the widespread use of an effective vaccine.

“Most people have their children vaccinated as a part of a routine series,” Nizza said. “It’s a much lower risk.”

The doctor urged people to remain vigilant about other threats that might come this fall, particularly the flu.

With masks and social distancing, the incidence of the flu declined over the last few years. As people return to work and school on a full time basis, the chance for the spread of a problematic strain rises.

“The flu is always bound to rear its head in the fall and winter months,” Nizza said, as he reminded people to get their shots and to continue to wash their hands before eating.

Even if people feel healthy and are in low risk groups, they can and should help others the way they might lend a hand to their neighbors after a storm.

“We have to protect those who have a high risk of mortality,” Nizza said. “We need herd compassion, to protect those who can’t protect themselves.”

From left, Mike Fallarino, Chairman of the Board, RMHC NY Metro; Margreet Cevasco, Cevasco Design, Designer of RMHC NY Metro Family Room; Carolyn Milana, MD, Chair, Department of Pediatrics, Stony Brook Medicine; Dr. Hal Paz, Executive Vice President of Health Sciences, CEO of Stony Brook University Medicine; Carol A. Gomes, MS, FACHE, CPHQ, CEO, Stony Brook University Hospital; and Matt Campo, CEO, RMHC NY Metro cut the ribbon to officially open the new Family Room at the Stony Brook Hospital NICU. Photo from RMHC NY Metro

Ronald McDonald House Charities (RMHC) NY Metro officially opened its newest Family Room at the neonatal intensive care unit (NICU) at Stony Brook Hospital on Aug. 4. The space will serve as a respite area for parents and families caring for a newborn in the NICU receiving life-saving treatment. 

The new family room was designed and decorated mostly with donated goods and services and is equipped with a kitchen area, laundry facility and shower, all to keep families close to their ill children in the hospital. Coffee and snacks are also made available free of charge and local restaurants regularly donate warm meals to serve to families. 

“This has been a labor of love,” said Matt Campo, CEO of RMHC NY Metro. “We have partnered with Stony Brook over the last two years to see this come to fruition. Families have been stopping in, expressing their gratitude, and using the facilities that we built for them. It’s providing so much comfort and has given us a glimpse of what this room will mean to them.” 

The room is the second at Stony Brook Hospital. Ronald McDonald House opened a family room in the Stony Brook Children’s Hospital before the COVID pandemic. Both rooms are staffed entirely by volunteers from around Long Island. 

“Serving families is at the heart of what we do,” said Dr. Hal Paz, Executive Vice President of Health Sciences, CEO of Stony Brook University Medicine. “Having the opportunity to provide a quiet space for families is an essential part of providing quality care for all of our patients. Partnerships like these are fundamental to the care that our hospital system provides, allowing us to meet the needs of our patients and their families more fully.

More photos of the Ronald McDonald NICU Respite Lounge at Stony Brook Children’s Hospital can be found here

 

The reported rate of positive tests for COVID-19 is likely well below the actual infection rate, particularly for the highly-transmissible BA.5 strain of Omicron, health care officials said.

“I expect that we’re at least double, and we’re probably significantly higher than double,” said Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital. “I, like many others, am quite concerned for the fall and winter.”

Indeed, with positive results for PCR tests in the range of 10 to 12% during the summer, the percentage of people who might contract the most infectious variant of the virus yet could surge in the colder months, when students return to school and people spend more time indoors.

The good news so far is that the number of people who have been hospitalized with COVID has stayed relatively steady at Stony Brook University Hospital, at around 50.

Over the past few weeks, the number hasn’t dipped below 40 or gone above 75, which means that the current infections generally aren’t causing hospitalizations, Nachman said.

“While COVID-19 rates may be higher than reported, cases are less severe than they were at earlier stages of the pandemic and hospitalizations are fewer,” Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Service, explained in an email. “Vaccinations play a large role in the reduction of hospitalizations.”

The number of people hospitalized with COVID on Long Island averages about 450 per day, which is down from 4,000 in April of 2020 and 2,200 in January of 2022, according to the county Department of Health.

Suffolk County hosted a back to school test kit distribution event on Tuesday at the H. Lee Dennison Building for parents and residents.

Raising awareness of monkeypox

At the same time, government and health care officials are dedicating more resources to combat the threat from monkeypox, a virus with symptoms including fever, headaches, exhaustion and a rash that can last two to four weeks.

In Suffolk County, the number of confirmed cases has climbed to 22 as of the beginning of August, according to Department of Health officials.

Working with Northwell Health and Stony Brook University, the county has been providing monkeypox vaccinations. The county expects to get more vaccines later this month, although the demand continues to exceed the supply.

Governor Kathy Hochul (D) declared a state of emergency on July 29 over the outbreak, which will allow a faster response and enhance the distribution of vaccines in the state. The governors of California and Illinois have also declared states of emergency over a virus that is rarely fatal but is painful and can cause scarring. The more vulnerable populations include pregnant women, young children, people who are immunocompromised and individuals who have a history of eczema.

Nachman said the response from the governor was a “way of getting ahead” of the spread of the virus.

The state of emergency “raises everyone’s concern,” Nachman said. “When you go to a local physician, more people are thinking, looking and testing [for monkeypox]. Testing is critical” to confirm cases and to reduce the spread.

Vaccinations, which involve getting two shots that are four weeks apart, can accelerate the immune response, Nachman said.

Stony Brook hopes in the next few weeks to work on a National Institutes of Health-funded clinical trial with children, pregnant and postpartum women on a potential treatment for the virus.

Spread during physical contact, the large majority of monkeypox cases have occurred among men who have been intimate with other men.

Pigott has been working closely with the community to promote prevention efforts and vaccinations. He spoke on Monday at a forum hosted by the LGBT Network, where he said gay or bisexual men in their 20s and 30s were at the highest risk.

Other viruses

In addition to COVID concerns for the fall, Nachman explained that other seasonal respiratory viruses have become more prevalent and problematic through the summer.

Flu has historically been a winter virus, starting in late November or early December and ebbing in its infectiousness around March.

In 2022, the flu season stretched through June. At the same time, respiratory syncytial virus, or RSV, typically starts in November and lasts through February.

“We had RSV all summer long,” Nachman said. “We never had a break.”

Nachman is concerned that the overlap among the viruses with infection rates may increase at the same time.

“I worry about the juxtaposition with other respiratory pathogens” that have exceeded their usual seasonal limitations, Nachman added.

Those other viruses are highly contagious, but were limited in their spread when people were wearing masks. Once people stopped taking precautions for COVID, these other viruses also spread.

“No one had been exposed, and it was like a match to tinder,” Nachman said. “It spread through the population” after few people had contracted these illnesses.

Health care providers urged people to take several steps to protect themselves, their families, and their communities.

“If you’re sick, please don’t go to work,” Nachman said. ‘If your child is sick, please don’t send them to school.”

People also need to practice safe cough techniques. If they need to cough or sneeze, they should minimize the number of aerosolized particles by covering their nose and mouth or coughing into their clothing.

A plea for proper vaccinations

With a reluctance to return to the widespread use of masks or other restrictions that might limit the spread of COVID, health care officials continue to urge people to benefit from the protection vaccines provide.

Indeed, most of the people who have required more extensive medical care at Stony Brook University Hospital have not been fully vaccinated.

Some of those who have required medical attention received a single dose of a vaccine over two years ago, which is effectively not vaccinated, she said.

Nachman expects that COVID vaccinations may become required as they are for measles mumps and rubella and other diseases for students to attend class in person.

“I do see in the future that will happen,” Nachman said. “Not vaccinating hurts the child and the entire community.”

Doctors recommend mask-wearing during indoor gatherings. Stock photo from Pixabay

In Suffolk County, the number of positive COVID-19 tests has been steadily climbing in the last month, mirroring the increase in other counties in the state and in parts of the country.

As of May 9, the number of people who tested positive per 100,000 residents on a seven-day average was 47.8. That is up from 34.9 a week earlier, 13.4 on April 9 and 6.3 on March 8, just over two months earlier, according to data from the New York State Department of Health.

“The numbers are creeping up,” said Dr. Mickel Khlat, chief medical officer at St. Catherine of Siena Hospital in Smithtown. Catholic Health had about 28 to 30 patients a month ago with COVID-19 and that number has now risen to the mid-60s. Most of those are incidental, he added, as the hospital discovered a positive test when a patient came in for another procedure. These positive tests, however, reveal the ongoing presence of the virus in the community. “I was hoping in 2022 that this would go away, but I don’t see this going away any time soon.”

Area doctors and health officials suggested familiar practices to reduce risks, including social distancing and mask-wearing in confined spaces indoors and ensuring up-to-date vaccinations.

“Immunity from vaccines and immunity from infection with SARS-CoV-2 virus wanes, so we urge everyone to get vaccinated and to get their booster or second booster if you are eligible,” Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Service, explained in an email. 

Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, suggested that the hospital is recommending that people speak to their primary care providers to get the best advice on their need to get a second booster.

“Often, individuals may not realize that they fall into a category of vulnerable populations,” she explained in an email. “These can include not only adults with immune issues, but also those with heart and lung diseases, kidney issues, obese individuals and, of course, those who are elderly.”

Khlat said since the virus first reached Suffolk County, obesity is often the underlying condition that presents the greatest risk factor for dying, which was evident in the first and second surges.

People of all ages in Suffolk County have been hospitalized, even children, Pigott added.

Recently, fewer sick people have needed medical attention in the intensive care unit.

The majority of people who are under 65 years old and in the ICU are unvaccinated, Pigott added.

In general, the most common symptoms for COVID-19 include respiratory issues as well as fever, Nachman said. Other symptoms include gastrointestinal issues.

“If you have symptoms, please consider doing a rapid test to evaluate the possibility” of having the virus, Nachman added.

The coming fall and winter

In the broader context, state and national officials are anticipating a challenging fall and winter. Earlier this week, the White House estimated that the country could experience as many as 100 million new infections without renewed mitigation measures.

While daunting, particularly in the third year of the pandemic, the large number of potential new infections could encourage Congress to appropriate more funds to combat the virus and alert state officials to the need for measures to protect residents.

Area hospitals have already started to consider the possibility of a rise in infections later this year.

“We are anticipating increase in illness this upcoming fall and winter and are addressing those needs now” through supply chain preparations and other measures, explained Nachman. 

Khlat said St. Catherine continues to make sure the hospital has enough personal protective equipment, including N95 masks. While he suspects the tighter quarters in colder weather could contribute to a surge, he doesn’t expect people will be as sick this time.

If they do get sick, patients can receive the first and second dose of remdesivir in the hospital and then get their next few doses at home, through a hospital-at-home program.

Medical options

Pigott urged those who are at risk and test positive to contact their medical providers soon after testing positive and/or developing symptoms.

Those who contract COVID-19 have several therapeutic options, especially if they have mild-to-moderate symptoms and are at risk for severe disease.

“COVID-19 antiviral medications or therapies should be started within five to seven days of symptom onset,” Pigott explained.

Nachman added that treatments for Covid include monoclonal antibodies and Paxlovid.

“They can be difficult to get, difficult to take and, particularly for Paxlovid, have serious drug-drug interactions,” Nachman cautioned. “They are indicated for those with underlying medical issues. Other therapies, although less commonly available, include intravenous remdesivir.”

Khlat said he’d recently heard of two cases in which patients took a five-day course of Paxlovid.

“A week or two later, they came back for monoclonal antibodies,” he said. People had “relapsed from Paxlovid. That, I never heard of before.”

Generally, Khlat said Paxlovid works well, although he, too, cautioned about drug interactions.

With fewer and shorter hospital stays for people who contract COVID-19, hospitals continue to have capacity. “We are not seeing an influx of patients getting admitted for COVID,” Khlat said.

Milinda Abeykoon, lead beamline scientist at Pair Distribution Function Beamline, NSLS-II, aligning a sample holder for high-speed measurements, 2019. Photo courtesy of BNL

By Melissa Arnold

Over the past 75 years, Brookhaven National Lab (BNL) in Upton has become an international hub for innovative research and problem-solving. Their hard work has led to advancements in energy, medicine, physics and more, as well as seven Nobel Prizes.

A scientist at a fast neutron chopper at the Brookhaven Graphite Research Reactor (BGRR), 1953. Photo courtesy of BNL

This year, the Long Island Museum in Stony Brook will celebrate the lab’s myriad achievements and explore their deep roots in the area. The new exhibit, titled Atoms to Cosmos: The Story of Brookhaven National Laboratory, opens April 21.

BNL and the Long Island Museum started working on ideas for a future exhibition back in 2018 with plans to open in April of 2020. But as with other museums, the pandemic led to a halt in operations.

In some ways, the rescheduled timing of the exhibit is better than their initial plans.

“While the exhibition was temporarily shelved, both the lab and the museum wanted very much to still make it happen. We had done so much work in advance and preparation for it in 2020, and so we really wanted to get back to this opportunity,” said Joshua Ruff, Deputy Director and Director of Collections and Interpretation for the Long Island Museum. “We are especially pleased we were able to do it now, as it fits nicely with the lab’s 75th anniversary celebration.”

Brookhaven National Laboratory was founded in 1947 at the former site of the U.S. Army’s Camp Upton, becoming the first large research facility in the Northeast. At the time, they were exploring peaceful ways to utilize atomic energy. 

“The BNL site has been in federal ownership since 1917 when it became the location of Camp Upton. Before that, the site was used for the cordwood industry and there was a small farm near the eastern edge of what is now the lab,” explained Timothy Green, BNL’s Environmental Compliance Section manager. “After World War I, all of the buildings were sold at auction and the site sat empty until around 1934, when it was declared the Upton National Forest and the Civilian Conservation Corps started planting trees. At the end of World War II [and a second period as Camp Upton], the land was transferred to the Atomic Energy Commission and became Brookhaven National Laboratory.”

It took some time for local residents to adjust to having a laboratory in the area, Ruff said.

A Positron Emission Tomography Halo Scanner/Detector.
Photo courtesy of BNL

“The lab has often been misunderstood in its past, in fact from its origins. Many Suffolk County residents were not entirely sure that atomic research was safe, nor did they fully understand the relevance and significance [of that research] to their lives,” he explained. “The lab devoted years of hard work and financial resources to strengthen public dialogue and communication, which the exhibition details.”

Today, the lab employs almost 3,000 people and spans 5,320 acres.

The exhibit is co-curated by Joshua Ruff and Long Island Museum curator Jonathan Olly. They’ve included more than 140 items that showcase the lab’s growth and varied discoveries from the 1950s to the present day. The Smithsonian Museum of American History in Washington is lending four of the objects, including a 1,000-pound, 94-inch square magnet lamina from the Cosmotron, BNL’s first major particle accelerator. 

Another 40 objects are coming directly from the lab. Their contribution includes equipment from their facilities, personal belongings of former director Maurice Goldhaber, and “Atoms for Peace,” a famous painting that came to symbolize the lab’s work in its early years.

“A lot of the scientific research at BNL over the years has involved [developing] and testing cutting edge technologies. When these machines are no longer useful they’re usually recycled. Fortunately we do have two examples in the exhibition of early PET (Positron Emission Tomography) scanners, one from 1961 and another from 1981,” Olly said. “In the case of these early machines, the focus was on the brain — the machines used radiation sensors arranged in a ring to produce a picture of a slice of your brain. Brookhaven scientists have used this PET technology (specifically the PETT VI scanner in the exhibition) in studying drug and alcohol addiction, eating disorders, ADHD, aging, and neurodegenerative disorders. The 1961 version is a prototype that was never used on patients.”

Also on view are an original chalkboard from the Graphite Research Reactor that still has writing on it; a 7-foot window from a bubble chamber that helped track the paths of atomic particles; and a detector that aided BNL chemist Raymond Davis Jr. in his Nobel Prize-winning neutrino research. 

Recently, the lab was a part of the ongoing effort to study and contain COVID-19. The exhibit will include a model of the virus, with the familiar spiky shape that’s become commonplace since the pandemic began.

“Scientists at the lab’s National Synchrotron Light Source II worked on imaging the virus and the proteins … that allowed it to attach to human cells. At the same time, BNL computer scientists began developing algorithms to evaluate existing chemicals and drugs that could potentially prevent infection. One past experiment by [BNL biophysicist] William Studier, the T7 expression system, ended up being critical to the rapid development of two of the vaccines,” Green said.

Both the Long Island Museum and BNL staff hope that visitors to the exhibit come away with a deeper interest in science and an appreciation for the lab’s work.

“There are 17 national laboratories scattered throughout the United States, and Long Islanders can be proud to have one in their backyard. Long Island children have been inspired to pursue careers in science as a result of attending educational programs at the lab during public visitor days dating back to the 1950s. And the lab is invested in addressing our real-world problems, whether the dangers posed by DDT on Long Island in the 1960s or COVID now. This summer BNL should be resuming their “Summer Sundays” visitor program, and I encourage everyone to visit the lab, walk around, talk to staff, and get a glimpse of our scientific present and future,” Olly said.

Atoms to Cosmos: The Story of Brookhaven National Lab is on view now through Oct. 16 in the Long Island Museum’s History Museum and Visitor Center’s Main Gallery, 1200 Rt. 25A, Stony Brook. Regular museum hours are Thursday through Sunday from noon to 5 p.m. Masks are required at this time, though health and safety guidelines are subject to change Admission is $10 for adults, $7 for seniors, and $5 for students 6 to 17 and college students with I.D. Children under six are admitted for free. Tickets are available at the door; pre-registration is not required. For more information visit longislandmuseum.org or call 631-751-0066. 

Learn more about Brookhaven National Lab at www.BNL.gov.

Many doctors are suggesting people learn to live with the virus and begin returning to usual activities such as going to the movies. Photo from Pixabay

Dr. Gregson Pigott went to the movies this week.

While the activity would be considered mundane in 2019, the decision to go to the theater to catch a flick is yet another example of how local doctors, or, in this case, commissioner of the Suffolk County Department of Health Services, is practicing what he preaches.

“We need to learn to live with the virus,” said Pigott, who has also been to a few Brooklyn Nets basketball games. Pigott, who is not using a mask except in situations where it is required, such as on a plane or on public transit, suggested people are “trying to resume life as it was pre-COVID.”

While the percentage of positive tests has risen, the numbers haven’t raised any alarm bells.

The percentage of COVID positive tests increased to a seven-day average of 2.6% as of April 2, according to figures from the New York State Department of Health.

That figure is higher than it had been in the weeks prior, when the percentage dipped below 2%.

“I certainly expected this,” Dr. Sean Clousten, associate professor of Public Health at Stony Brook University explained in an email. “I suspect this increase is due to unmasking at public schools because many kids who are infected are asymptomatic or the symptoms are different.”

Pigott said the current symptoms for the newer variant of omicron, called BA.2, which is becoming the dominant strain across the country and through much of the world, includes stuffy noses, scratchy throat and a slight cough.

Clousten added that the symptoms can also appear more like a bad stomach bug.

Second booster

Recently, the Food and Drug Administration approved a second booster for people over 50 and for those who are immunocompromised and who had a first booster more than four months ago.

Pigott said he would urge people who are over 65 or those who are immunocompromised to consider getting another jab.

“Most of the general population is fine with the three-shot regimen,” Pigott said. “Your body will recognize any kind of COVID infection and deal with it quickly.”

Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, indicated in an email that Stony Brook has been “advocating for switching vaccines.”

Switching vaccines could mean triggering a different response to the shot for the second booster, Nachman added.

Data about a second booster shows that the shot provides “good protection” against serious COVID, Nachman said. “Will it protect against any infection (meaning you might get a runny nose, cough or upper respiratory infection)? Not really.”

Nachman urged people to consult with their primary care doctor to decide whether to take a booster. What people are doing and where they are going can and should affect that decision.

Finally, daily activities such as going back to a crowded office or starting to take New York City transit could be “excellent reasons” to get a booster, she said.

Nachman plans to get a booster, although she is working on the best timing for another shot.

“Before I travel abroad is key to making sure I have my booster and am protected,” Nachman added.

Conferences

Nachman is encouraged that people are returning to in-person conferences and other activities.

“It will be great to have people starting to get back to routine living, and that means being with other people,” she explained in an email.

She urged people to stay at home if they don’t feel well.

“Now is not the time to push to go to that meeting or get together with extended family, since you might just be responsible for getting someone else sick,” she explained.

She suggested people should be patient and understanding of others who choose to wear masks or continue to practice social distancing.

“Don’t shame anyone who is wearing a mask,” Nachman advised. “If that is what it takes to get them together with you in public, go for it.”

In another sign of a return to a pre-pandemic life, Pigott suggested that the Health Department was planning to direct more resources to tracking illnesses like Lyme disease.

Stock photo

The percentage of positive COVID-19 tests in Suffolk County continues to plummet, raising expectations of more mask-optional or mask-free options for businesses and public places in the weeks and months ahead.

The percentage of positive tests, which the Omicron wave caused to crest in the mid to high twenties in the first few weeks after the start of the year, continues to plunge into the low single digits.

Indeed, as of Feb. 20, the seven-day average for positive tests was down to 2.2%, which is considerably lower than the mid to high 20% tests in the first few weeks of January, according to public information from the New York State Department of Health.

“The data are very promising and supportive of the idea that masks may not be necessary in social settings,” Sean Clouston, associate professor in the Program in Public Health and the Department of Family, Population and Preventive Medicine at the Renaissance School of Medicine at Stony Brook University, explained in an email.

A spring and summer that lifted some pandemic rules would relieve the strain of a public health threat that claimed the lives of community members, shut down businesses, altered school learning environments and created a mental health strain.

Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Services, explained that the decline in positive tests was “expected” and that it was “reassuring that the predictions held.”

The Health Service Commissioner is hoping, unless new, more virulent variants develop that “we will enter into a period of respite from COVID-19.

Pigott, however, added that Suffolk County hospitals still had COVID patients. People over 65 have seen the greatest decrease in hospitalizations. The senior age group had accounted for 65 to 70% of hospitalizations last January. 

That rate has steadily declined amid a high rate of vaccinations and boosters.

The most recent surge caused by the Omicron variant has elevated the levels of hospitalizations among younger age groups, especially for those who are not vaccinated, Pigott explained.

On the positive side, hospital stays have likely generally been shorter than in the earlier days of the pandemic as the “medical profession has learned over the course of time what interventions work best,” Pigott added.

Monoclonal antibodies and antiviral medications such as remdesivir have reduced the likelihood of significant illness when people with positive tests receive these treatments soon after diagnosis, Pigott explained.

As for boosters, Pigott didn’t anticipate the broad need for additional shots in the immediate future.

“Recent studies are showing the booster shot to hold up quite well over time, so perhaps a booster will not be needed, at least not for a while,” he wrote.

Although doctors have identified a new subvariant of Omicron called BA.2 that the county is monitoring carefully, the World Health Organization has not classified it as a variant of concern.

Mental health

Even as the physical threat from COVID-19 may be receding, health care professionals suggested that the mental health toll from the pandemic may require continued monitoring and support.

Pigott cited two new CDC studies that indicated the children’s mental health crisis has gotten worse during the pandemic.

Adam Gonzalez, associate professor of Psychiatry & Behavioral Health at the Renaissance School of Medicine at Stony Brook University, explained that young adults, in particular, have been struggling with increased rates of anxiety and depression.

According to the Center for Disease Control and Prevention’s Household Pulse Survey, which is a 20-minute online survey, 39.2% of people nationally aged 18 to 29 had indicators of anxiety or depression between Jan. 26 and Feb. 7 of this year. 

The group with the lowest percentage of such indicators was 80 years and above, with 9.3% of that age experiencing these indicators.

“The elevated rates of mental health problems highlight the need for mental health screening, referral and treatment — incorporating mental health as part of one’s overall health and well-being,” Gonzalez added.

Stony Brook Medicine is screening for depression throughout its practices to identify people who need mental health care support, Gonzalez wrote.

Cognitive behavioral therapy in particular is effective in helping improve mental health, with a group format proving just as effective as individual therapy, Gonzalez explained.

Gonzalez added that even a single session can help improve mental health, putting people back on a healthier path.

Gonzalez has been partnering with Jessica Schleider, assistant professor in Clinical Psychology at Stony Brook University, to teach people “how to break down problems into manageable steps. Our overall goal is to help get people the skills they need to effectively manage their mental health.”

Pixabay photo

Over the last month, the pandemic trends continue to improve in Suffolk County and in the country.

After a rocky start to the New Year, brought on by an omicron variant that was more contagious than either the original strain of the virus or the delta variant, the percentage of positive tests in Suffolk County continues to decline.

As of Feb. 7, the percentage of positive tests over a seven-day average in Suffolk County was 4.9%, according to the New York State Department of Health. That is down from 14% on Jan. 21 and 27% on Jan. 7.

The trends on Long Island are following similar patterns in other parts of the world that experienced the omicron infection earlier.

South Africa “experienced the omicron wave first,” Dr. Gregson Pigott, health commissioner of the Suffolk County Department of Health Services, wrote in an email. “Almost as steeply as cases rose, they fell.”

Indeed, at Port Jefferson’s St. Charles Hospital, Dr. Sunil Dhuper, chief medical officer, said there has been a “significant” drop in the number of patients hospitalized and in the number of Emergency Room visits, while the use of monoclonal antibodies to treat patients in the early stages of an infection has also dropped dramatically.

“We are not seeing the kind of volume we were seeing a few weeks ago,” Dhuper added.

The Department of Health for the country reported that the reinfection rate, which reached a peak in the last week of December and first week of January, has also been declining.

The number of hospitalizations throughout the country has fallen enough that Dr. Anthony Fauci, the chief medical adviser to President Joseph Biden (D), recently said in an interview with the Financial Times that the country is almost past the “full-blown” pandemic phase. While he didn’t offer a specific timetable, he suggested that virus restrictions could be lifted within a matter of months.

Area doctors suggested that vaccinations and more mild symptoms among those who contracted the virus helped alleviate the strain on the health care community.

“The vast majority of those hospitalized for respiratory or other COVID-type illnesses have not been vaccinated,” Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, explained in an email.

While the overall number continues to decline, the county, and the country, need to make continued progress in reducing the overall infection rate before the all-clear signal.

Sean Clouston, associate professor in the Program in Public Health and the Department of Family, Population and Preventive Medicine at the Renaissance School of Medicine at Stony Brook University, suggested that the current number of infections still leaves room for improvement.

A positivity rate above 5% which was the figure earlier this week, is “still extremely high,” Clouston explained in an email. “Currently, the [Centers for Disease Control and Prevention] would recommend that no one in the globe travel to Long Island, which doesn’t seem like we ourselves see this as safe objectively.”

Health care providers highlighted the difference between the reported and the actual infection numbers.

When the pandemic started in March of 2020, Dhuper estimates that the ratio of reported to actual cases was close to 1 to 10. With Delta, that number likely dropped to closer to 1 to 5, and with omicron, that’s probably about 1 to 3 or 4.

With the increase in at-home testing, the numbers “we see are more of a sampling, showing the approximate prevalence of COVID-19 virus circulating in the population,” Pigott explained.

Nachman added that Stony Brook is following guidelines from the Food and Drug Administration and the Centers for Disease Control and Prevention when it comes to vaccinations for people who tested positive for COVID-19.

These public health authorities generally recommend a booster dose after people feel well, which is usually 10 days to two weeks after an illness.

Doctors said they are monitoring a new version of the omicron variant, called BA.2

The new variant seems a “bit more” contagious” than the original omicron, Dhuper said. Vaccines, however, have a “reasonable level of protection to prevent hospitalizations and death.”

Dhuper said he continues to “keep an eye” on that variant.

Nachman suggested that the available vaccines continue to help.

“Right now, the [two omicron variants] do not seem to be radically different,” she suggested, as both have a short incubation period and people are protected by the vaccine.

With the number of people contracting the virus and developing more severe symptoms declining, Dhuper said the demand for the effective monoclonal antibody treatment continues to fall.

Dhuper said a recent New England Journal of Medicine study indicated that the antiviral treatment remdesivir, manufactured by Gilead Sciences, was effective at treating mild to moderate illnesses on an outpatient basis over a three-day period.

“Given under controlled conditions, (remdesivir) could be one of the best alternatives that we have,” Dhuper said.

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Elio Zappulla, a long-time Stony Brook resident and dedicated educator, passed away peacefully on Nov. 5, 2021, at the age of 88, due to complications from thymoma.

Elio Zappulla

In 1933, Elio was born in Brooklyn to parents of Italian descent: Giuseppe Zappulla, a radio broadcaster and published poet — originally a stonemason in Sicily — and Rita Fera, a clerk, amateur pianist and swimmer. Upon graduating from Brooklyn’s Midwood High School in 1950, Elio went on to Brooklyn College, where he studied languages and developed his love for teaching. Elio proceeded to teach in Brooklyn by day while pursuing a doctorate in French Literature at Columbia University by night.

Though New York City remained in his heart, Elio relocated to the Three Village area in the 1960s to raise his family. Over the ensuing 60-year period, he encouraged and educated thousands of students at both the primary- and secondary-school levels across Suffolk County. Connecting with young people through his characteristic humor, respect and curiosity, Elio sought to draw the uninterested to the joys of learning, and to challenge his students to lofty goals.

Elio’s love of history, the arts and culture was evident whether working as a foreign-language teacher in the Three Village school district, a teacher/administrator in Huntington or a professor at Dowling College. Outside the classroom, Professor Zappulla acted in, directed and later wrote reviews for local theater productions. Additionally, his polyglot status and voracious appetite for reading made Elio a daily regular at Setauket’s Emma S. Clark Memorial Library, among other bibliophile haunts.

Like his father Giuseppe, Elio was a poet. His magnum opus was a verse translation of Dante’s “Inferno” in 1998. This acclaimed rendition, published by Random House, maintained in English the same rhythmic meter as the original ancient Italian work. Elio worked on this translation as a passion project while teaching full time at Dowling.

Having grown up in racially and culturally diverse parts of Brooklyn, Elio henceforth devoted himself to issues of human justice and equity in American society. He contributed dozens of cogent opinion pieces — infused with his signature wit — to local papers over the years, including Times Beacon Record Newspapers, typically focused on politics and the plight of minorities in America. He aimed to inspire others to also boldly speak up for righteous causes with his actions and teaching.

Elio is survived by Lynette Zappulla, his beloved wife of 53 years, and their two children David Zappulla, of Coopersburg, Pennsylvania, and Eve Anderson, of Los Angeles; and his four young grandchildren. Elio’s first son, Robert Zappulla, lives in Rancho Cucamonga, California, and his elder daughter, Laura Zappulla, predeceased him in 2010.

A private memorial service, due to COVID-19, was held for Elio at Setauket Presbyterian Church on Dec. 22. In lieu of flowers, donations may be made to the American Civil Liberties Union and/or the church.