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With No Indication of a Reopening Date, Businesses Try to Survive

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A federal program meant to help keep businesses afloat during the pandemic has caused more headaches than relief. Business owners are concerned they will be saddled with more debt and unclear guidelines have left them with more questions than answers. 

James Luciano, the owner of the Port Jeff Lobster House and the Port Jefferson BID secretary, has received PPP loan funds, but expressed concern of how the federal government will handle the forgiveness process. 

“It [the PPP restrictions] has been so loosely written, it’s like reading a different language,” he said. “They have also changed the applications for loans two or three times.”

“There are some things that the current guidance doesn’t answer.”

— Bernie Ryba

Luciano has begun to use the money for rent, other remaining bills, paying vendors and some payroll expenses. Though until he and other business owners receive the approval to fully reopen its businesses, he said he may struggle to comply with the forgiveness guidelines.  

For the loan to be forgiven, 75 percent of funds must be used for payroll, keeping staff to pre-pandemic levels for eight weeks after the money is disbursed. 

“The clock starts ticking once the money hits your account,” Luciano said. 

The Port Jeff Lobster House owner reiterated the difficulty of bringing all employees back without the doors being open. Another obstacle is that some employees may opt to continue on unemployment as they are receiving considerably more money than at the restaurant, according to Luciano.  

Bernie Ryba, director of the Stony Brook Small Business Development Center, said there has been a lack of clarity on the forgiveness guidelines. 

“Clients have expressed some concerns to us, we are looking to the [federal Small Business Administration] for guidance on the forgiveness provisions,” he said. “It has caused many questions from us, CPA firms and law firms. We are hoping this is cleared up as soon as possible.”

Ryba said the center advises hundreds of clients and has received dozens of calls and emails from business owners on this topic. 

“As a business center we try to do research and address their questions the best we can, but right now there is very little to refer to,” he said. “There are some things that the current guidance doesn’t answer.”

Ryba pointed to one of the provisions of PPP that requires 25 percent of funds must be used on utilities. 

“Can it be used for heat, power, internet and transportation expenses? No one knows because there are no specifics,” he said. “There are lenders who have already spent some of their funds.”

The director of the business center said that the federal government didn’t have much time to react and the SBA was not staffed to handle the influx of applications from the onset. 

A recent report from SBA Inspector General Hannibal Wared detailed that many small businesses could struggle to meet the 75 percent payroll requirement. 

Ware called on the association to evaluate the potential negative impact to borrowers regarding the percentage of loan proceeds eligible for forgiveness and update requirements. 

With uncertainty over the current criteria of PPP, local municipalities have stepped in to offer alternatives to businesses. 

Brookhaven Town is offering $10,000 grants to small businesses as part of its Emergency Microenterprise Business Relief Program. It is aimed at microenterprise businesses within the town that have five employees or less. The town received a special allocation of funds provided by the U.S. Department of Housing and Urban Development under the CARES Act. 

The new norm for businesses could include being six feet apart and the use of protective dividers. Sean Hanley of LB Fabrication & Automation LLC., has begun making plexiglass social distancing dividers in an attempt to help his own business survive and also to allow any business to open up to full capacity. He has already installed dividers at Salon Blonde in Port Jeff, which is run by his wife. 

Many who first applied for the PPP loans after the initial April launch did not receive funds before the first set of $349 billion ran out by April 16.

Hanley’s Smithtown-based business was shut down following Governor Cuomo’s executive order. A good portion of its business comes from work on construction and other job sites where its metal fabricator and masonry services are sought after. 

“The clock starts ticking once the money hits your account.”

— James Luciano

He and his wife both missed out on the first round of the PPP loan applications but were able to get through in the second batch of applications. 

“We’re still waiting to hear back, but we would look at paying the rent first,” he said. 

Hanley is hoping the state will begin to relax restrictions so he and his wife can reopen their businesses and bring back their respective employees. 

While owners are anxious to reopen, there has yet to be any indication in what capacity businesses will be able operate. Social distancing guidelines will also play a factor. 

Luciano said it would not help his restaurant at all if he is potentially forced to reopen with significantly fewer customers. 

“We’re used to filling the place up, it would be hard for us with less capacity,” he said. 

In addition, Luciano expressed concerns on how social distancing could affect the day to day operation of the restaurant and impact the customer experience. 

“I think right now it is better to do the takeout services, we have been taking full advantage of the village’s delivery program,” he said. 

He said this is time when many businesses reap the benefits of increased foot traffic in the village and use funds to pay bills from the offseason in the winter. 

“We start to break even during May and in the summer is where we make a lot of our money, Luciano said. 

Close to two months into the pandemic, Ryba said they are still “early in the game}” and even as the crisis ultimately ends it could have wide-ranging effects. 

“There are a lot of difficult things that need to be sorted out, you could have millions of individuals who will be without a job,” the director of the business center said. 

To reduce binge eating, take the dog for a walk while social distancing. METRO photo

By David Dunaief, M.D.

Dr. David Dunaief

Obesity is an ongoing struggle for many in the United States. The latest statistics suggest that 40 percent of the population is obese. Obesity is a disease unto itself and is defined by a BMI (body mass index) of >30 kg/m2, but obesity can also be defined by excess body fat, which is more important than BMI.

Obesity has been associated with COVID-19, especially in the U.S. In a study involving 5700 hospitalized COVID-19 patients in the NYC area, the most common comorbidities were obesity, high blood pressure and diabetes (1). Of those who were hospitalized, 41.7 percent were obese.

In a study in China, results showed that those who were overweight were 86 percent more likely to have severe COVID-19 pneumonia, and that percentage increased to 142 percent when obesity is reached (2). The study has yet to be peer-reviewed, but it complements other studies.

Another study from France indicates that those with a BMI >35 (severely obese), were more likely to be put on ventilators (3).

In fact, one study’s authors suggested quarantining should be longer in obese patients because of the potential for prolonged viral shedding compared to those in the normal range for weight (4). And though age is a risk factor for COVID-19, among those younger than 60 and obese, there is a two-times increased risk of being admitted to the hospital, according to a 3,615-patient study at NYU Langone Health (5).

Why are you at higher risk for severe COVID-19 with obesity? 

According to the prevailing theory, obesity may interfere with mechanical aspects of breathing, thus increasing airway resistance and make gas in exchange more difficult in the lung. It may also impede on lung volume by exerting pressure on the lungs and may involve weaker muscles necessary for respiration (6).

Why is excess fat more important than BMI? 

First, some who have elevated BMI may not have a significant amount of fat; they may actually have more innate muscle. More than 25 percent of my patient population is “solidly built,” which means they have greater muscle mass as well as too much excess fat. (I have a body analysis scale that detects muscle mass and fat through two different currents of ohms.) Visceral fat is the most important, since it’s the fat that lines the organs, including the lungs.

For another, fat cells have adipokines, specific cell communicators found in fat cells that communicate with other fat cells but also other systems such as the brain, immune system, muscles, and liver. Adipokines can be mediators of both inflammation and insulin resistance, according to an en-docrinology study (7). In a study of over 4,000 patients with COVID-19, the author suggests that inflammation among obese patients may be an exacerbating factor for hospitalizations and severe illness (8). 

If we defined obesity as being outside the normal fat range – normal ranges are roughly 11-22 per-cent for men and 22-34 percent for women – then close to 70 percent of Americans are “obese.”

Inflammation reduction and weight-loss combined

In a randomized controlled trial with 75 participants comparing a plant-based diet to a control diet, there was a greater than 14 lbs. weight reduction and roughly 10 lbs. fat reduction over a 14-week period (9). Of the weight lost, about 70 percent was excess fat. Remember, excess body fat, through adipokines, may be inflammatory and increase the risk of severe COVID-19. 

The weight reduction with a plant-based approach may involve the increase in fiber, reduction in dietary fat and increased burning of calories after the meal, according to Physician’s Committee for Responsible Medicine (PCRM) (10).

You also want a diet that has been shown to reduce inflammation.

We are currently submitting a small study for publication involving 16 patients from my clinical practice. It shows that those who ate a whole food plant-based LIFE (low inflammatory foods every-day) diet over a seven-day period had a significant decrease in inflammation measured by hsCRP (high sensitivity c-reactive protein). This occurred in those who completely changed their diets to the LIFE diet, but also occurred in those who simply added a greens and fruit-based smoothie daily to their existing diet.

In my practice, I have seen a number of patients lose a substantial amount of weight, but also excess body fat, over a short period. For instance, a 70-year-old male lost 19 lbs. of weight and 12 lbs. of excess body fat over a six-week period. His inflammation, which was very high to start, dropped substantially to the border of optimal levels, using hsCRP as the inflammation measurement. This patient and many others have seen tandem reductions in both weight and inflammation. To boot, this was a cardiac patient whose cardiologist had considered a stent, but later said he did not need it after reducing his inflammation.

Exercise to reduce binge eating

While sheltering in place with fewer physical activities available, it is very tempting to binge eat or use food as a leisure activity. But there is a way around this. 

In patients who are overweight and obese, those who exercised compared to those who were sedentary, showed a significant reduction in binge eating over a 12-week intervention (11). The participants at baseline had a mean BMI of 30.6 kg/m2 and a mean age of 43 years. Of the 46 participants, almost two-thirds were women. Exercise can be as easy as walking or running outside while social distancing; doing exercises with your own body weight, such as calisthenics; taking online exercise classes (of which there are plenty); or using exercise equipment you have at home, might help allay binge eating.

If COVID-19 does not convince you that losing excess body fat is important, then consider that obesity contributes to, or is associated with, many other chronic diseases like cardiovascular disease, high blood pressure, and high cholesterol, which also contribute to severe COVID-19. Thus, there is an imperative to lose excess body fat. Now, while we’re sheltering in place, is the time to work on it.

References:

(1) JAMA. online April 22, 2020. (2) https://doi.org/10.2139/ssrn.3556658 (2020). (3) Obesity. online April 9, 2020. (4) Acta Diabetol. 2020 Apr 5: 1–6. (5) Clin Infect Dis. Online April 9, 2020. (6) Chron. Respir. Dis. 5, 233–242 (2008). (7) Front Endocrinol (Lausanne). 2013; 4:71. (8) MedRxiv.com. (9) Nutr Diabetes. 2018; 8: 58. (10) Inter Journal of Disease Reversal and Prevention 2019;1:1. (11) Med Sci Sports Exerc. 2020;52(4):900-908.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com. 

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By Daniel Dunaief

Daniel Dunaief

I love my neighbors. I never knew who most of them were, but I do now. I see them almost every day and they are friendlier than most of the people I’ve ever worked with. Then again, they haven’t been sitting at their desks, waiting for me to file a story, to fix some error, or to explain how I could have ended the previous sentence with a preposition.

I don’t just love my neighbors. I love the trees that reflect the different types of spring lighting that falls on them throughout the day, as I take my exhausted dog for yet another long walk. The singing of the birds? I can’t get enough of it. In fact, the other day, I heard three birds, all singing their repetitive songs. Meanwhile, a woodpecker was banging his head against a tree, searching for his insect prey while providing a percussion background to the sounds of the other birds chirping. Incidentally, why haven’t clever scientists studied woodpeckers to see how they recover from nonstop concussions? How can they fly straight after all that pounding?

So, my neighbors can’t always update me on their lives, because A. they don’t always have time to chat with the guy who walks his big, white dog too many times a day, and B. they want to make sure they stay at least six feet away from me, which isn’t so easy when said big white dog pulls me and him
towards them.

They do a fantastic job of updating me on their lives with the signs that grace their lawns. I’ve read about birthdays, new babies, graduations, among many other milestones and celebrations limited by our red light, green light, one-two-three game with a virus that doesn’t seem to have turned away long enough for us to do much moving.

Anyway, I was just thinking about the signs my neighbors don’t put on our lawns, but that might reflect their current reality. Here’s a list of a few:

— No one told us we’d be entertaining three kids under 5 years old indefinitely.

— Yes, I’m working on the lawn again.

— Don’t make fun of my makeup. Yours doesn’t exactly look great, either.

— Do you want to buy any knives from our cute and enterprising daughter who just finished college finals and needs something to do (okay, we might put that one on our lawn).

— I see you staring at my house, while you’re pretending to look at the trees.

— I’m celebrating nothing today. How about you?

— If you miss sports too, try to hit this sign with a ball and win a lollipop.

Lord of the Flies might have been fiction. This is real. Don’t, under any circumstances, knock on our door.

— This invisible fence isn’t for a dog. Keep off the lawn.

— Does anyone know what day it is?

— Hopefully, this sign will distract you from the peeling paint on our shutters.

— We’ve been binge watching Stranger Things and can’t come to the door right now because we’re in the Upside Down. Please leave a message.

— No, wrong house. The neighbor down the street and to the left is the happy one.

— We know it sounds weird, but it’s our version of modern music.

Finally, I’d like to share an actual, handwritten sign that from a neighbor who had clearly had enough of the rest of us, with our stupid dogs on stupid leashes every day.

— No poop zone (I can’t believe I have to say this).

Photo from METRO

By Leah Dunaief

Leah Dunaief

Zooming has become a verb in the same way xeroxing did many years ago. When a product assumes an important role in daily life, the manufacturer’s name sometimes becomes the name for the process. So it was for many years with photocopying. And now, I don’t know about you, but for those of us who are working remotely even part of the week, participating in calls over the Zoom platform is a regular occurrence.

Who ever heard of Zoom before sheltering in place began? Well, maybe I did, but only as a possible growth stock to invest in, and running at $100 a share, it struck me as too expensive to be interesting. When I googled (another such example) the name, it was described as “an American communications technology company headquartered in San Jose, California. It provides videotelephony and online chat services … and is used for teleconferencing, telecommuting, distance education and social relations.” Until I actually went through “joining a meeting,” it had no relevance to my life.

Enter the pandemic and sheltering in place, and we all discovered that unlike some other high tech stuff, Zoom was easy to use and helpful for work and play. We now have departmental meetings and community board meetings via Zoom, and I enjoy weekly rendezvouses with my children and grandchildren. For now, seeing everybody is free.

Like all technical marvels, however, there are positives and negatives in connection with Zoom. After three Zoom meetings, each for two hours, in one day, I found that I was exhausted and feeling out of sorts. The first such day, I just assumed it had little to do with zooming. The next time, with a similar schedule and the same result, made me realize there was a cause-and-effect taking place, but I didn’t understand why.

Then I read, “Why Zoom Is Terrible,” a column in The New York Times by journalist Kate Murphy, that made a lot of sense. Before I share the particulars, I want to rush to say that I don’t think Zoom is terrible. I think it is what it is, like all new inventions that change one’s life: a miracle. However difficult our lives are today, imagine if there were no video conferencing available to us. Even physicians have embraced telemedicine as a substitute for office visits for now, but surely as a way of communicating with remote patients who cannot get to the office in a life-or-death emergency in the future.

There are, however, some drawbacks, as Murphy’s article explains, and we should be aware of them. The way the video images are “digitally encoded and decoded, altered and adjusted, patched and synthesized introduces all kinds of artifacts: blocking, freezing, jerkiness and out-of-sync audio. These disruptions, some below our conscious awareness, confound perception and scramble certain social cues. Our brains strain to fill in the gaps and make sense of the disorder, which makes us feel vaguely disturbed, uneasy and tired without quite knowing why.”

This explains a lot to me. Just the audio delay alone tends to make me speak more loudly to the screen than I would normally in an unconscious attempt to get my words to the listeners faster and get their responses back more quickly. After six hours of yelling alone, I can feel pretty tired. And when I look at the others on the grid, in a manner reminiscent of the television show, Hollywood Squares, I am not looking them in the eye. There is no eye contact, and often people are actually looking at themselves — checking out their hair and whether their collar is covering their chicken neck.

We are, as the author points out, “exquisitely sensitive to one another’s facial expressions …and [that is] essential to our understanding of one another.” But such subtleties are frozen, smoothed over or delayed on the screen, however hard we might strain to see them, hence our fatigue and even a bit of alienation.

So now you know. And by the way, Zoom is now selling at $164.55 a share. I never bought it.

From left: Nassau County Executive Laura Curran (D), Suffolk County Executive Steve Bellone (D) and former Congressman Steve Israel. Photo from Bellone’s office

For the first time, Suffolk County has fallen below the three-day rolling average for new hospitalizations mandated for economic reopening yesterday, starting a clock that, if the pattern holds, could allow the county reach another metric by May 25.

The three-day average for new hospitalizations for Suffolk County, which is based on the total population, is 30.

“It’s a good thing to say we have met that decline in new hospitalizations for a three-day rolling average,” County Executive Steve Bellone (D) said on his daily call with reporters.

At the same time, the number of people in the Intensive Care Unit dropped by two, to 214, which is “another piece of good news,” Bellone said.

Still, the overall numbers aren’t all positive.

The number of people hospitalized with COVID-19 increased by 10 for the 24-hour period ending yesterday, bringing the total hospitalizations to 585.

Additionally, the number of new positive tests over the last day rose by 243, bringing the total, excluding antibody testing, to 37,305.

Hospital capacity remains close to the 70 percent level mandated for economic reopening. The number of available beds is 894 out of a total of 2,965 beds. The number of ICU beds, meanwhile, was 199 out of a total of 602, which exceeds the 30 percent availability necessary.

Four upstate regions have been cleared to begin the reopening process starting May 15, after Gov. Andrew Cuomo’s New York Pause order is set to end. At the same time, all of Long Island, including both Nassau and Suffolk counties, will be considered one for understanding when it will reopen.

At the same time, the county is aiming to have additional bed capacity, as hospitals hope to start offering elective surgeries again for residents who have put off procedures for weeks or even months.

The number of people who died in the last day was 26, bringing the total to 1,680.

“We are with you as you grieve this terrible loss,” Bellone said.

Amid hotspot testing, 1,595 people have tested positive for COVID-19 out of 4,386 results, bringing the infection rate to 36.4 percent of the total tests.

Bellone’s office distributed another 220,000 pieces of personal protective equipment yesterday, mostly to nursing home and adult care facilities.

Separately, Bellone invited veterans to a town hall scheduled for this evening at 5:30 p.m. Those interested in attending virtually can access the town hall at facebook.com/SteveBellone.

Finally, on Friday, the 106th Rescue Wing of the Air National Guard will salute health care workers with a flyover that starts in Riverhead at 12:15 pm, travels over several hospitals, and ends at 1 p.m. at Jones Beach.

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Dear Engeman Theater patrons,

We hope you are all healthy and safe as this period of uncertainty continues. 

It’s been six weeks since Gov. Cuomo closed all non-essential businesses. We have been watching his daily updates, as well as the national news, to try and get some indication of when live theaters will be safely allowed to open again. While we have not been able to determine when that will be, the one thing we do know is that theaters, along with other large places of assembly, will be among the last businesses to be allowed to open.

 As a result of this reality, and with keeping people’s safety and health in mind, we have decided to remain closed through at least June 30. This means, unfortunately, that we will need to postpone “Sister Act” again, which we had tentatively moved to the May 14 through June 28 time slot.

This is merely a postponement.  Our plan is to reschedule “Sister Act” for later in the year so you will have an opportunity to see it once we are safely allowed to reopen.

Thank you for your patience and understanding. To be clear, there is nothing you need to do at this time.  We will reach out to you with updated schedule information once we know when we can reopen.

We look forward to seeing you back at the theater as soon as it is safe to do so.  We will continue to update you when we receive new information. Until then, please stay well.

Richard Dolce and Kevin O’Neill

John W. Engeman Theater Producers

Mills Pond Gallery. Photo by Heidi Sutton

Mills Pond Gallery takes heart that some communities across the country are beginning to see fewer cases of COVID-19, but we remain concerned about the well-being of our artists, staff, gallery visitors and families in our communities. Therefore, out of an abundance of caution, we have made the decision to postpone many of our planned gallery exhibitions. Visit our exhibition page for schedules www.millspondgallery.org.

We have posted our Summer Art Classes Program on our website, offering over 30 creative art classes for children ages 5 and up. Class sizes will be kept small to continue social distancing and strict cleaning and disinfecting procedures will continue throughout the summer.

We recognize this is a challenging time for artists, schools, teachers and communities. At the same time, we are encouraged as we see creativity flourishing everywhere as people quickly adjust to a changing reality.  It is certainly reassuring to see so many organizations and families do so much to ensure that arts, culture and creativity remain a part of our lives.

We believe the arts are indispensable in building good character in the citizens of our communities fostering communication, offering new insights on the world and adding to the greater appreciation of both life and society. We look forward to reopening soon, engaging you with the arts so you are able to See What the Arts Can Open Your Eyes To!

We look forward to brighter days, good health and healing for all!

Allison J. Cruz

Executive Director

Mills Pond Gallery

The exterior of Stony Brook Children's Hospital. Photo from Stony Brook Medicine

COVID-19, which was considered especially threatening to the elderly and those with underlying medical conditions, may also have triggered an inflammatory illness that is sickening children in several places throughout the world, including in Suffolk County.

An inflammatory illness in children with symptoms that mimic Kawasaki disease has sickened seven in Suffolk County and officials are expecting more cases of the rare condition here and throughout the country.

Stony Brook Pediatric Hospital has admitted two cases of the multi-inflammatory pediatric condition, for residents who are 10 and 19 years old.

With other hospitals showing rare but similar unusual pediatric cases, including in the United Kingdom and New York City, the U.S. Centers for Disease Control and Prevention is preparing to release an alert about the inflammatory condition, a CDC spokesman told CNN.

Symptoms of the new illness include an extended fever, a rash, red eyes, red lips, a strawberry tongue, lower blood pressure and abdominal symptoms like vomiting and diarrhea.

Stony Brook, Pediatric Hospital has been “treating patients like we would treat and approach Kawasaki Disease,” said Christy Beneri, the Fellowship Program Director in Pediatric Infectious Diseases at Stony Brook Children’s Hospital. The hospital has provided intravenous immunoglobulin, a high dose of aspirin and steroids to decrease inflammation and other medications to help suppress the inflammatory syndrome.

This rare inflammatory process in children has developed weeks after a likely mild or asymptomatic case of COVID-19 in mostly healthy younger patients.

Patients can develop symptoms from “days to weeks” after an infection with the virus that has caused the pandemic, Beneri said. The majority of people with this inflammatory reaction are either testing positive for COVID-19 when they come to the hospital or have a positive antibody test, which indicates their immune systems mounted a defense against the virus, Beneri added.

It is unclear to doctors what is causing the progression from a manageable response to the virus to an inflammation that may require a trip to the hospital and to the Intensive Care Unit.

“We are trying to understand how the coronavirus is causing vasculitis,” Beneri said. “It has something to do with how the virus is affecting blood vessels and organs.”

To be sure, Beneri reassured children and their parents that most of the children who are infected with Covid-19 will not develop these inflammatory symptoms later.

“The majority will do well,” Beneri said.

Nonetheless, Beneri anticipated that more pediatric residents in Suffolk County would likely show signs of this inflammatory response.

“If their child is having fever for a number of days, significant vomiting or diarrhea, belly pain, red eyes or a rash, it is important that they speak with their doctor,” Beneri said.

One of the reasons Suffolk County is seeing some cases of this Kawasaki-like response in children now, weeks after the pandemic infected thousands in the area, likely relates to the timing of the peak infections, which occurred in the middle of April.

Based on conversations Beneri has had with other pediatricians who are treating patients with similar symptoms, she said the patients tend to be “healthy kids” who have often had a contact with someone in their house who was recently diagnosed with COVID-19.

The child may have brought the virus into the home and passed it along to a parent, who became sick. The child, however, later develops these multiple-symptom inflammatory issues.

While some children have died from this condition, Beneri said the majority of them are recovering.

The duration of hospital stays has varied, with some patients requiring 10 days in the hospital, while others have recovered within a few days. Beneri said Stony Brook has already sent one patient home.

Beneri added Nassau County has also had several teenage patients come in with the same symptoms. She expects more Suffolk pediatric patients with similar symptoms to come to county hospitals.

Parents should be on the lookout, primarily, for persistent fevers over the course of several days with significant abdominal pain, Beneri said. “If they start developing other symptoms, such as red eyes and a rash and they are not getting better” then parents should contact their doctor or a hospital, Beneri advised.

Gov. Andrew Cuomo. Photo by Sara-Megan Walsh

While public health officials initially expressed concerns for the elderly and those with underlying medical conditions amid the COVID-19 pandemic, Suffolk County has started to see an increasing number of cases of what’s known as Kawasaki disease.

In the county, seven children are currently hospitalized with a disease that doctors believe is linked to COVID-19. One child has died from this disease, which causes inflammation that can require medical attention. Children in Europe and the U.S. including in San Francisco, have exhibited symptoms of this disease.

Gov. Andrew Cuomo (D) said today the condition has impacted 100 people and has killed three. Kawasaki disease, also known as pediatric multi-system inflammatory syndrome, affects children mostly between ages 5 to 14, though it has affected some children younger than that.

The pandemic “does impact kids directly,” Suffolk County Executive Steve Bellone (D) said on his daily conference call with reporters. Although the county, like New York City which has several cases and deaths as well, “doesn’t completely understand it at this point.” Bellone urged children to wear face masks and practice social distancing in the same way as their parents and grandparents.

“We’ve known from the beginning that kids transmit the virus,” Bellone said. “This is all about protecting everyone as we try to restart our economy.”

In the last day, the number of new positive tests for COVID-19 increased by 150 to 37,062. Those numbers are about 10 percent of the new daily total just a few weeks ago.

Through yesterday, the number of residents hospitalized decreased by 15 to 575, which is “another real indication of the progress we are making.”

The number of people in Intensive Care Units fell by six to 216.

Of the 2,973 hospital beds in the county, 918 are available, while 209 ICU beds are available among the 619 in the county.

Amid a death toll that has risen by another 15 in the last day, bringing the total on Long Island to 1,654, the Association of Mental Health and Wellness is offering bereavement support groups online, starting next Tuesday.

“For those who have lost loved ones, friends, family members, this is there for you,” Bellone said. There are different categories of support groups for grieving adults, peer bereavement, veterans groups and a creative arts bereavement group.

Those interested in these support groups can sign up or register through bereavement.mhaw.org.

At locations in Shirley and Selden, Rite Aid will provide free COVID-19 testing to anyone who is over 18. Interested residents need to pre-register and have identification through the web site riteaid.com.

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A month ago yesterday, the number of people hospitalized in Suffolk County with COVID-19 was at a staggering 1,658, prompting the rapid-fire build up of a hospital extension at Stony Brook.

Yesterday, after further declines in hospitalizations throughout the county, the number of people hospitalized with a virus that has disrupted life across the county and the planet, was 590, which represents a 64 percent decline from the peak a month earlier.

Over the weekend, the total number of residents hospitalized fell by 113, while the number of people in the Intensive Care Units declined by 36, bringing the total number in the ICU to 222.

The number of people discharged from the hospital continued to fall, with 70 leaving discharged on Saturday and 83 leaving the hospitals on Sunday.

Capacity for hospital beds and ICU beds both were around the targeted 70 percent, which means that Suffolk County has met four out of the seven criteria for a phased economic reopening. This is better than a week ago, when the county only met two.

The three criteria the county still hasn’t met include hiring an additional 400 to 450 contact tracers, a reduction in hospital deaths and a reduction to 30 or below in the number of new hospitalizations.

County Executive Steve Bellone (D) said on his daily conference call with reporters that the last of those, the number of new hospitalizations, is the one he’s most concerned about meeting to reopen the economy.

Over the last 24 hours, the number of people who have tested positive for the virus, excluding the antibody testing, was 209, bringing the number who have tested positive through non-antibody screening to 36,911.

Excluding the antibody test, which screens for the presence of immune cells residents presumably formed to fight off a virus they may not know they had, positive tests in the last day represent just over 10 percent of the total testing.

“That is significantly lower than we’ve seen in the past,” Bellone said.

Gov. Andrew Cuomo said today several upstate regions will be able to begin opening their economies after May 15, when the New York Pause executive order is set to end. Each county is in charge of establishing its own phases for reopening when the time comes.

The virus continues to take the lives of Suffolk County residents, with an additional 22 people losing their battle over the last day, bringing the total to 1,639.

A new dashboard is available to check what criteria Suffolk has made toward its reopening initiatives.

On Wednesday, Bellone will conduct a second Facebook live town hall for veterans. This time, he join Suffolk County Legislator Susan Berland (D-Dix Hills) and former National Football League player and current Jets analyst Marty Lyons.

Through the Marty Lyons Foundation, the group has delivered over 7,900 wishes to sick children since its founding.