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Covid 19

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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.

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Sheriff Toulon said he intends to address mental health and substance abuse during his second term. Photo from Toulon’s office

This week, TBR News Media had an exclusive interview with Suffolk County Sheriff Errol Toulon Jr. (D). During our conversation with the sheriff, he addressed his battles with cancer, the challenges of steering the sheriff’s department through a pandemic and his surprising place in the history of the New York Yankees.

Sheriff, what is your professional background and how did you land in the Suffolk County Sheriff’s Office?

I started my career in 1982 as a New York City correction officer and I worked with the New York City Department of Corrections for 22 years on the uniform side. From 1982 until 2004, I worked on various assignments in numerous jails throughout the department. We had almost 25,000 inmates in our city system back then. I worked in our emergency services unit for almost 10 years. I was a captain there and also a captain in our detectives unit for almost three years before I retired. I also worked in the compliance division toward the end of my career.

I had to leave because I had some health issues. I’m a two-time cancer survivor. Uniquely, after I was able to recover from my illnesses, I went back to school to finish my bachelor’s, master’s and I received a doctorate in education. I worked with County Executive [Steve] Bellone [D] as his assistant deputy county executive for public safety for almost two years, where I tell people that I truly got an understanding of the landscape of Suffolk County. Then, I returned back to New York City as the deputy commissioner of operations, overseeing almost all of the operational aspects of the department from 2014 until 2017. I then decided to run for sheriff in September of 2017.

How has your battle with cancer impacted both your outlook on life and the work that you do for Suffolk County?

One of the things that I realized as a two-time cancer survivor is that you never know what the person next to you — whether you’re on the ball field watching kids play or you’re in the movie theater or the supermarket — you don’t know if someone has health issues, financial issues, relationship issues. I think I have become a lot more sympathetic and also empathetic to the plights that people are going through.

Earlier in your career, you worked at Rikers Island. How has that experience shaped your later approach as county sheriff?

My father was a warden on Rikers Island for 36 years, starting off as a correction officer. I remember during one of the early conversations I had with him, I asked him about his employment. He said, ‘We rehabilitate men and women who are in jail.’ That kind of resonated with me throughout my career. 

When I became sheriff, I noticed that almost 85% of the men and women that are in our custody are returning back to our communities. In order to help them and to have less victims in our communities, while we have them within our custody why not try to provide them with the resources so that they can be successful when they return back to our communities?

What are some of the struggles that your department had encountered due to the COVID-19 pandemic and how did you attempt to overcome them?

When I was the deputy commissioner, we had to deal with the H1N1 and Ebola viruses. When we learned about COVID-19 in Washington state in 2020, we started preparing for the possibility of there being an outbreak. By the end of February, we had our plans set. We implemented them around the second week of March because the first [confirmed] case of COVID in New York state was March 1 and the first case in Suffolk County was March 8. By that second week of March, we started implementing measures of social distancing; we had masks that were mandated to be worn; we started doing temperature checks; and we told our staff that if they were not feeling well or had any of the signs of identified symptoms for COVID-19, that they should seek out their health care professionals. 

With the jails, we cleaned our facilities three to four times per day. Inmates were required to wear masks. We were able to “cell skip’’ our inmates, so instead of inmates being in cells 1, 2, 3, 4 and 5, they were in cells 1, 3, 5, 7 and 9. We did stop visits because, if you remember, [former] Governor [Andrew] Cuomo [D] had said that if we shut down visits for two weeks, we’d be OK. We did shut down our visits for any individuals coming in and for any service providers entering our jails. It proved to be somewhat successful, but we had to do it for longer than we anticipated. 

From March, when we first implemented those measures, until the beginning of December, we only had five inmates that had tested positive — and I should say, three tested positive in the jails, two came into the jail positive. I think we were very successful.

What we also did was that every newly admitted inmate had to go into a quarantine for 14 days while our medical staff checked up on them three or four times a day. We wanted to make sure that our new admission inmates weren’t exposing any inmates that had been in our custody with any potential virus. 

You were recently sworn in for a second term as sheriff. What is your vision for the next four years at the department?

There are three things that I’m working on.

Mental health and substance abuse seem to be the primary traits for the majority of the men and women not only in our custody but throughout the nation’s prisons and jails. We’re working very hard to understand those two components because we want to be able to help those men and women, and even those that are not in jail — maybe there’s no criminal activity in their lifestyles, but they’re still suffering. 

We want to see what we can do, working with various community partners and service providers to look more holistically and see what’s going on. We do understand, even with some of our youth, who we are learning may have adverse childhood experiences, not only are they experiencing mental health and substance abuse in the home, but there are also traumatic issues, domestic violence issues and socioeconomic challenges. Those are the things we intend to focus on.

We’re also looking to create the first network of information sharing for jails and prisons throughout the United States. We think this will be very beneficial. We know that most police departments are sharing information with each other, but jails and prisons throughout the country are not. We want to tap into that resource because if we learn of different trends that are occurring, we can also alert our law enforcement partners to these things that are occurring, specifically in the jails and prisons throughout our region and our country. 

Your office has donated bulletproof vests to the people of Ukraine. What are some of the other philanthropic initiatives that your office has been part of to benefit both Suffolk County and the greater global community?

That was a start by donating those decommissioned vests, but one of the things we are embarking on is that the Suffolk County Sheriff’s Office is now an advisory component to a sheriff’s foundation. This is not run by the Sheriff’s Office, but by a group of individuals. They’re a 501(c)(3) and their goal is to have fundraising events. We do so much in the community that they want to assist us in really helping these kids that are having certain issues. Whether it is donating school supplies or the various community events that we want to do, we want to strengthen the bond between the community and the Suffolk County Sheriff’s Office.

Also, we really want to engage our youth because they are the ones that we want to make sure are on the right path, that they look at law enforcement as a positive role model, and that they maybe even want to come join our forces and work at the Suffolk County Sheriff’s Office.

You are the first African American elected as Suffolk County sheriff. What does that distinction mean to you?

To me, and I know that’s something that has been said to me a lot, my first goal is to be the best sheriff possible, regardless of my race. I do realize that being the first African American not only as sheriff, but the first African American elected to a nonjudicial county-wide position on Long Island, Nassau or Suffolk, it’s something that I’m very cognizant of wherever and whenever I go somewhere. 

I know there are a lot of people looking at me, some favorably and some unfavorably. I think I need to be who I am and not necessarily who people perceive due to the color of my skin. 

Baseball season is now underway and I have learned that you also occupy a place in the history of the New York Yankees. Could you elaborate on this?

Yes. I was fortunate enough in 1979 and 1980 to be a bat boy with the New York Yankees. They had just come off of back-to-back World Series championships in 1977 and 1978. Tragically, in 1979 our captain, Thurman Munson, was killed in a plane crash and we fell short of making the playoffs that year. Subsequently, in 1980 we did make the playoffs, but we lost three straight to the Kansas City Royals. In the third game, I was the ball boy down the right field line watching George Brett hit a three-run homer off of Goose Gossage, which went into the upper deck. I realized then that my career as a bat boy had quickly come to an end. 

What are your thoughts on Aaron Judge’s contract fiasco? 

I hope they do sign him. I think he’s proven to be not only a great ballplayer when he’s not injured, but more importantly a great role model. Mr. [Joe] DiMaggio and Mr. [George] Steinbrenner — both of whom I was fortunate enough to meet and speak with — would say that he is the type of person they would want to be a Yankee for his entire career, very similar to Derek Jeter.

Sheriff, thank you for taking this interview. Is there anything else that you would like to say to our local readers?

Yes. I firmly believe that the Suffolk County Sheriff’s Office is changing the paradigm of criminal justice, not just in Suffolk County but throughout New York state. We’re continuing to look for partners, both from the governmental side but also the community side, to make sure that we are not only able to engage but also help those that need us. That’s why we’re here. We’re really here to help our community.

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During the height of the pandemic, a COVID-19 drive-thru testing area was set up in the South P Lot of Stony Brook University. Photo by Stony Brook Medicine

This week marked two years after the World Health Organization declared COVID-19 a pandemic, leading to the shutdown of schools, the closing of businesses, a surge in emergency room visits, and a desperate search for treatments to a new disease that was sickening and killing people around the world.

Pastor Doug Jansson, below, of Living Word Church in Hauppauge hugs his family while in SBU hospital for COVID-19. Photo from Stony Brook Medicine

For health care providers, life two years after the pandemic has dramatically improved from those first few days when medical professionals had far more questions than answers.

“The cloud that was hanging over our heads seems to have disbursed,” said Dr. Sunil Dhuper, chief medical officer at Port Jefferson’s St. Charles Hospital. “I feel a lot more optimistic now.”

Indeed, Suffolk County officials tracked a host of numbers throughout the pandemic, which carried different meanings at different times. In 2020, state officials considered a 5% positive testing rate as a potential warning sign to consider closing schools. Entering another phase of reopening businesses required that hospitals have at least 30% of their hospital beds available.

Those numbers, fortunately, have declined dramatically, with the current positive seven day testing rate at 1.5% for Suffolk County as of March 15 and 35% of hospital beds available, according to the New York State Department of Health.

Lessons learned

Amid much more manageable levels of COVID-19, health care officials reflected on the last two years.

For Dr. Adrian Popp, chair of Infection Control at Huntington Hospital/Northwell Health, the “most important lesson we have learned is that we can never lose hope,” he said in an email.

Despite an initial United States response to the pandemic that Popp described as disorganized and confusing, he said “communities got together fast, local leaders took charge and, I think, we did our best under the circumstances.”

Carol Gomes, chief executive officer for Stony Brook University Hospital, suggested that one of the biggest lessons was to remain flexible, with the “ability to pivot into paradigm shifts that were unimaginable,” she wrote in an email.

She described how most good business practices suggest a just-in-time inventory, which is efficient and cost effective.

“During the pandemic, when the national supply chain was considerably weakened, we shifted to an entirely different model and now focus on stockpiling key supplies to ensure continuity of services,” Gomes wrote in an email.

Stony Brook Hospital has dedicated more space to ensure the availability of supplies by securing additional warehouse facilities, Gomes said.

Dhuper said a high level of coordination and cooperation in health care created the ability to “work wonders. A classic example of that is the mRNA COVID-19 vaccines. I think it has been a phenomenal accomplishment and a true game changer,” Dhuper said.

Signage outside of Stony Brook University Hospital. Photo from Stony Brook Medicine

Low point

Amid a series of challenges over the last two years, health care professionals also described some of the low points.

Popp recalled April of 2020, when COVID hit one of the nursing homes in the community. Of the 50 elderly residents under his care, 24 died in the span of two weeks. During this time, the hospital couldn’t even test for COVID. Popp described the losses as “heartbreaking.”

Dhuper, meanwhile, pointed to the roller coaster created by variants that brought concerns about infections and sicknesses back even as vaccinations seemed to create a viral firewall.

The delta variant followed by omicron “eroded confidence” in the viral response, as millions of people contracted variants that were more infectious than the initial Wuhan strain.

Monoclonal antibodies were also not as effective against these strains, which was “another blow,” Dhuper said. “Everything seemed like there was no end in sight and we were not going to come out of it” any time soon.

Message from 2020

If he could go back in time and provide advice to health care providers and the public in the early stages of the pandemic, Dhuper said he would encourage more mask wearing, particularly before vaccines became available.

“The mask was the only guaranteed protection in the absence of any medications,” Dhuper said. “That message was not very well delivered. Hand washing was good, but masks definitely helped.”

Gomes would urge the 2020 version of herself to remain on the same path traveled, which is to focus on the “safety and well being of our community, including our staff, faculty, patients and community at large,” she explained in an email. “What has worked well in the past may not necessarily help with a new crisis. Flexibility is key.”

Next steps

Recognizing the burden COVID-19 placed on health care providers, area hospitals have focused resources on the mental health strain.

Stony Brook has “significantly expanded its resources to provide support and assistance for health care staff,” Gomes explained. Resilience at Stony Brook is a special location within the hospital dedicated for staff and faculty that includes pet therapy, aromatherapy, massage chairs, counseling services, mindfulness and meditation classes, among other options.

Stony Brook also has a crisis management intervention team to support staff and faculty.

Outside the clinical setting, Dr. Adam Gonzalez, director of the Mind-Body Clinical Research Center and assistant professor of Psychiatry at the Renaissance School of Medicine at Stony Brook University, said several studies have shown a rise in anxiety and depression across the country and increases in suicide ideation for sub-groups.

Stony Brook Medicine launched depression screening throughout its practices to identify those in need of mental health care.

Positive signs

Health care providers appreciated the support they received from the community and the collaborative spirit that strengthened the medical community.

“We functioned as a team often working with health care providers that were not our usual team members,” Dr. Sharon Nachman, chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, explained in an email. “It was not uncommon to see adult and pediatric physicians covering care of COVID-infected patients or working with residents across the spectrum of specialties making rounds together.”

For many health care workers, including Popp, the support from the community for health care workers was helpful and inspiring.

“I saw people and businesses alike help frontline workers in any way they could, making masks, bringing in food to the hospital, helping quarantined people with food shopping,” Dr. Popp wrote in an email.

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Jose M. Adrover and Mikala Egeblad. Photo by Lijuan Sun

By Daniel Dunaief

Cold Spring Harbor Laboratory Professor Mikala Egeblad thought she saw something familiar at the beginning of the pandemic.

Mikala Egeblad. Photo from CSHL

Egeblad has focused on the way the immune system’s defenses can exacerbate cancer and other diseases. Specifically, she studies the way a type of white blood cell produces an abundance of neutrophil extracellular traps or NETs that can break down diseased and healthy cells indiscriminately. She thought potentially high concentrations of these NETs could have been playing a role in the worst cases of COVID.

“We got the idea that NETs were involved in COVID-19 from the early reports from China and Italy” that described how the sickest patients had severe lung damage, clotting events and damage to their kidneys, which was what she’d expect from overactive NETs, Egeblad explained in an email.

Recently, she, her post doctoral researcher Jose M. Adrover and collaborators at Weill Cornell Medical College and the Icahn School of Medicine at Mt. Sinai proved that this hypothesis had merit. They showed in hamsters infected with COVID and in mice with acute lung injuries that disabling these NETs improved the health of these rodents, which strongly suggested that NETs are playing a role in COVID-19.

“It was very exciting to go from forming a hypothesis to showing it was correct in the context of a complete new disease and within a relatively short time period,” Egeblad wrote.

Egeblad, Andover and their collaborators recently published their work in the Journal of Clinical Investigation Insight.

Importantly, reducing the NETs did not alter how much virus was in the lungs of the hamsters, which suggests that reducing NETs didn’t weaken the immune system’s response to the virus.

Additional experiments would be necessary to prove this is true for people battling the worst symptoms of COVID-19, Egeblad added.

While the research is in the early stages, it advances the understanding of the importance of NETs and offers a potential approach to treating COVID-19.

An unexpected direction

Jose Adrover. Photo from CSHL

When Adrover arrived from Spain, where he had earned his PhD from the Universidad Complutense de Madrid and had conducted research as a post doctoral fellow at the Spanish Center for Cardiovascular Research in March of 2020, he expected to do immune-related cancer research.

Within weeks, however, the world changed. Like other researchers at CSHL and around the world, Egeblad and Adrover redirected their efforts towards combating COVID.

Egeblad and Andover “were thinking about the virus and what was going on and we thought about trying to do something,” Adrover said. 

Egeblad and Adrover weren’t trying to fight the virus but rather the danger from overactive NETs in the immune system.

Finding an approved drug

Even though they were searching for a way to calm an immune system responding to a new threat, Egeblad and Adrover hoped to find a drug that was already approved.

After all, the process of developing a drug, testing its safety, and getting Food and Drug Administration approval is costly and time-consuming. 

That’s where Juliane Daßler-Plenker, also a postdoctoral fellow in Egeblad’s lab, came in. Daßler-Plenker conducted a literature search and found disulfiram, a drug approved in the 1950’s to treat alcohol use disorder. Specifically, she found a preprint reporting that disulfuram can target a key molecule in macrophages, which are another immune cell. Since the researchers knew this was important for the formation of NETs, Daßler-Plenker proposed that the lab test it.

Working with Weill Cornell Medical College and the Icahn School of Medicine at Mt. Sinai, Adrover explored the effect of disulfiram, among several other possible treatments, on NET production.

Using purified neutrophils from mice and from humans, Adrover discovered that disulfiram was the most effective treatment to block the formation of NETs.

He, Assistant Professor Robert Schwartz’s staff at Weill Cornell and Professor Benjamin tenOever at Mt. Sinai tried disulfiram on hamsters infected with SARS-Cov-2. The drug blocked net production and reduced lung injury.

The two experiments were “useful in my opinion as it strengthens our results, since we blocked NETs and injury in two independent models, one of infection and the other of sterile injury,” Adrover said. “Disulfuram worked in both models.”

More work needed

While encouraged by the results, Egeblad cautioned that this work started before the availability of vaccines. The lab is currently investigating how neutrophils in vaccinated people respond to COVID-19.

Still, this research offered potential promise for additional work on NETs with some COVID patients and with people whose battles with other diseases could involve some of the same immune-triggered damage.

“Beyond COVID, we are thinking about whether it would be possible to use disulfiram for acute respiratory distress syndrome,” Egeblad said. She thinks the research community has focused more attention on NETs.

“A lot more clinicians are aware of NETs and NETs’ role in diseases, COVID-19 and beyond,” she said. Researchers have developed an “appreciation that they are an important part of the immune response and inflammatory response.”

While researchers currently have methods to test the concentration of NETs in the blood, these tests are not standardized yet for routine clinical use. Egeblad is “sensing that there is more interest in figuring out how and when to target NETs” among companies hoping to discover treatments for COVID and other diseases.

The CSHL researcher said the initial race to gather information has proven that NETs are a potentially important target. Down the road, additional research will address a wide range of questions, including what causes some patients to develop different levels of NETs in response to infections.

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Metro photo

As COVID-19 infection rates and deaths begin to decline, more attention to the pandemic’s effect on mental health is needed.

In “Amid declining COVID infections, worry about mental health remains” by Daniel Dunaief featured in the Feb. 24 TBR News Media newspapers and online, Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Services, cited two Centers of Disease Control and Prevention studies.

The research shows that the children’s mental health crisis alone has gotten worse during the pandemic. The CDC’s Household Pulse Survey also shows 39.2% of people nationally aged 18 to 29 had indicators of anxiety or depression between Jan. 26 and Feb. 7 of this year. As the group members increased in age, the percentage decreased, with 9.3% of those 80 years and above reporting mental health issues.

We have heard many times throughout the pandemic that the isolation and precautions needed to slow down the infection rate could increase anxiety and depression in people. At a press conference last week, held at the Smithtown Senior Center, elected officials discussed the importance of seniors returning to the activities they love and spending time with family and friends, which is vital for their overall well-being.

People need interactions with others to stay healthy and have someone to remind them that they are a good person and that the world is a better place with them in it. As we begin to remove our masks, it’s time to smile again and have conversations with those we encounter in our everyday lives.

Understandably, getting the virus under control during the height of the pandemic was a priority. Now, it’s more important than ever to talk about mental health and stop sweeping things under the carpet.

For most people, that could mean checking in with loved ones. Even if an in-person visit isn’t an option for some right now, a phone call or text message can make a difference.

While it was innovative and necessary to hold doctors’ visits, including those with psychiatrists and therapists, over Zoom during the pandemic, this is not the best option for everyone. Just as some students don’t do well with remote learning, many people don’t respond well to remote therapy.

Sometimes a person needs a one-on-one conversation face-to-face, not only with someone who isn’t judging them or doesn’t have an agenda, but also a professional who can see if they are making eye contact or fidgeting or not responding well to medication. Sometimes body language needs to be read to see if a patient is being truthful or just going through the motions.

While a conversation with a mental health professional is always a wise thing to do — whether in person or online — sometimes, for the real work to be done, it needs to be one-on-one in an office. So, if you need it, don’t hesitate to ask for an office visit. Most therapists are beginning to offer them again.

During the pandemic, people learned new ways of doing things to stay healthy, and some of those ways may be better. But meeting up with a friend and talking while eating or drinking coffee, or sitting on the couch in a therapist’s office — truly connecting — that can’t be beaten.

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Suffolk County Executive Steve Bellone, at podium, and Town of Smithtown Supervisor Ed Wehrheim at a press conference Feb. 25. Photo by Rita J. Egan

Suffolk County Executive Steve Bellone (D) and Smithtown Supervisor Ed Wehrheim (R) stopped by Smithtown’s senior citizens center to talk about COVID-19 and distribute at-home tests to center visitors Friday, Feb. 25.

Suffolk County Executive Steve Bellone talks with visitors at the senior citizen center. Photo by Rita J. Egan

Before the press conference, county Legislator Leslie Kennedy (R-Nesconset) began delivering the 10,000 at-home COVID-19 test kits received by the town courtesy of the county. The kits were distributed on the day of the press conference and Monday to local assisted living communities, faith-based and small food pantries and community centers in the greater township.

Bellone said he reached out to New York Gov. Kathy Hocul (D) for help with continuing aid to vulnerable populations. 

“This was the time to really begin the conversation about how we transition back to normal, to the stage where we are living with the virus, essentially the endemic stage of the virus, and you’re seeing that conversation happening now around the country, as well, which I think is very important,” Bellone said. “As we do that, as we move to that different stage of the virus and manage that risk moving forward, we do still need to be making sure we’re doing everything we can to provide the resources necessary to protect vulnerable populations, senior citizens, those who may have issues with immunity, etc. We need to make sure that things that we know work that are available that they are easily accessible and available to those residents.”

Suffolk officials have been working with various partners such as nonprofits and law enforcement agencies since the beginning of the year to distribute at-home tests, masks and hand sanitizer to the most vulnerable. Bellone said the county has distributed at this point over 200,000 test kits and expects over the next six months that Suffolk will be distributing several hundred thousand more test kits, focusing on the most vulnerable populations.

Bellone added that vaccines, testing and therapeutics have been making a difference.

The county supervisor thanked Wehrheim for his help during the pandemic.  

“Supervisor Wehrheim has been an example of the kind of leadership that you need in unprecedented times, and I truly appreciate his partnership and the work that we were able to do together during the pandemic,” Bellone said.

Wehrheim also thanked Bellone for helping the town ensure that no one went without essentials during the pandemic and for the county’s continued support, especially for those on fixed incomes.

“Now families can visit loved ones in nursing homes with easy access to at-home test kits,” Wehrheim said. “Our older seniors can come back to a great senior community and our great senior citizens department to enjoy socializing. Most importantly, we can get back to living again, safer.”

New phase

Bellone said Suffolk County is moving into a new phase of the pandemic. 

“We just recently went through what I would characterize as the second most impactful wave of this virus,” he said, adding the omicron wave’s variant infection and hospitalization rates were as high as at the beginning of the pandemic and the county once again saw double-digit deaths.

“We know that this pandemic has caused incalculable devastation, and there will be impacts that we’ll be dealing with for a long time to come, no doubt,” he said. “But, what is clear now is — I think a couple things — we’re moving into a different phase, and this virus is not going to go away. It is going to be here with us. It is something that we are going to be living with.”

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METRO photo

When people look back to spring 2020, they remember how the COVID-19 pandemic shut things down. Zoom became a regular form of communication, visits to grandparents were done in a drive-thru fashion and many people anxiously awaited their stimulus checks.

While those checks from the U.S. government were sent, some people needed the money more than others. 

Many people lost their jobs, their businesses and their livelihoods. In fact, according to the U.S. Bureau of Labor Statistics, in February 2020 — just before the pandemic hit the States — unemployment was at 3.5%. Just two months later, as the virus began to spread rapidly, unemployment rates skyrocketed to nearly 15%.

But what many people might not realize is how impacted the local arts were during this time. 

We as a society leaned on our first responders out in the trenches. We listened to our elected officials on the news every day hoping to hear something good. We shopped locally to help our business-owning neighbors. 

However, something that we all enjoy one way or another — the arts — was shattered and not much was being done to help our local artists, performers and creators. 

According to Johns Hopkins University research, as of December 2021, the percentage of job losses at nonprofit arts organizations remained more than three times worse than the average of all nonprofits. 

Artists/creatives were — and remain — among the most severely affected segment of the nation’s workforce. The arts are a formidable industry in the U.S. — $919.7 billion (pre-COVID) that supported 5.2 million jobs and represented 4.3% of the nation’s economy.

And now, nearing two years since the 2020 shutdowns, artists on Long Island are voicing how it felt. Many believe that significant relief funding was not given to the arts and related nonprofits despite the impact they have on Long Island’s economy.

Think about it. How many of us love to see a show at the local theater? How many of us hang artwork from nearby artists on our walls? How many of us enjoy live music as we dine at our favorite eateries? 

Those people had jobs, too. 

Sometimes we forget that the people working after a typical 9-to-5 shift are working, too. What some may call a hobby is a way of life for thousands of people.

We still have a way to go, and unfortunately COVID will haunt us for a very long time in more ways than one. But the next time you’re out to dinner with a friend, drop a tip in the guitar player’s case. Splurge on a drawing from a local artist and support your neighborhood theater. 

The arts helped us during the pandemic. We found solace in other people’s creations. Now it’s time to pay back the artists and show them how much they are needed, wanted and loved.

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Thomas Manuel inside The Jazz Loft in Stony Brook. Photo by Julianne Mosher

The Long Island Arts Alliance is asking artists, performers and creators to share their stories amidst the COVID-19 pandemic.

Lauren Wagner, executive director of LIAA, said that over the last two years, the group has been asking creatives to share the experiences pre-pandemic and onward in hopes that new legislation will be created to further help the art and culture sector locally.

“The percentage of job losses in the arts is three times worse than other nonprofit organizations,” she said. 

LIAA serves as an alliance of and for the region’s not-for-profit arts, cultural and arts education organizations.  LIAA promotes awareness of and participation in Long Island’s world-class arts and cultural institutions in both Nassau and Suffolk counties. 

Formed in 2003, LIAA offers leadership and diverse support services to arts organizations, serves as an advocate for arts education in our schools and collaborates on strategies for economic development and community revitalization.

An advocate for artists, painters, sculptors, dancers, performers and musicians, Wagner added that when things were shut down two years ago, LIAA decided it wanted to reach out to its community to find out how people were handling the stressful changes.

That’s when LIAA came up with surveys to give a platform for creators to explain what’s going on in their lives.

“The surveys are to poll everyone’s status,” Wagner said. “Then, we use those numbers to go back to our new legislators and say, ‘Hey, this is what’s going on and we need help.’”

Most recently, a 2022 update has been posted to the LIAA website. This is the third survey to make its way around the arts community.

The survey states, “As COVID-19 extends into 2022, it is important to secure updated information about the continuing impact of the pandemic on the creative sector and creative workers. The information you provide is critical to advocacy efforts for the arts and culture sector across Long Island.”

Wagner said the more creatives who participate, the better.

“Artists/creatives were — and remain — among the most severely affected segment of the nation’s workforce,” she said. “The arts are a formidable industry in the U.S. — $919.7 billion (pre-COVID) that supported 5.2 million jobs and represented 4.3% of the nation’s economy.”

She added that they have not seen significant relief funding earmarked for the arts from the local government despite the impact the sector has on the local economy.

“The American Rescue Plan provided $385,003,440 to Nassau County, $286,812,434 to Suffolk County, and an additional $170 million to our local townships,” she said.

But when it comes to the higher levels of government, Wagner said that things often get “skewed” because of the Island’s proximity to New York City.

“I hate to say compete with the city, but we do,” she said. “We’re a great economic driver on Long Island and we get forgotten about.”

She said the surveys could “paint a real picture of what it’s like to be an artist on Long Island.”

The artists

Patty Eljaiek. Photo from Patty Eljaiek

Patty Eljaiek, a visual artist from Huntington Station, said that many people might not realize the impact art has on the community — especially financially.

“I think it’s part of the perception that art is not a business,” she said. “Art is a business.”

Elijaiek added that if an artist is looking to share their expertise with the world, they are, in fact, a business. 

“Art has been something that people appreciate but they don’t know how to put value to it,” she said.

Wagner agreed. She said that early on during the pandemic, people looked to the arts for solace.

“Artists are second responders,” she said. “First responders save lives, but artists put everything back together.”

Alex Alexander, a musician in Rocky Point, said that people who work in the arts — such as being a working musician — don’t have the typical 9-to-5 routine.

“You can plan with a 9-to-5,” he said. “I can’t plan my life as other people would.”

And Tom Manuel, executive director of The Jazz Loft in Stony Brook and a musician himself, said that his venue was shut down for 15 months throughout the pandemic, but still continued to serve its community with outdoor shows despite the lack of revenue coming in. 

Manuel said that while big industries were being saved by the federal government, the nonprofit sector was “left out” and they had to look to their sponsors to help save them. 

“We were really blessed in that we had a lot of our donors and sponsors step up and say, ‘Hey, we know that you’re closed, but we’re going to still give our sponsorship and don’t worry about programming, just stay open,’” he said.

Board members at The Jazz Loft began raising money themselves for other artists who were struggling, raising nearly $20,000 worth of assistance.

But the pain and struggle were still there as they helped their peers. 

“The statistics show of all the things that could close and not reopen, the most unlikely place to reopen after being shuttered is a performing arts venue,” he said. “That’s the data.”

Manuel said that jazz is all about improvisation — which is what musicians did — and to work through the blues.

“I think that one of the beautiful things that did come out of the pandemic is people realized how important the arts were to them,” he said. “I think there was a reconnection that was established, which is a beautiful thing.”

Artists can participate in LIAA’s survey until Feb. 16 online now at longislandartsalliance.org.

“People don’t realize this is their livelihood on the line,” Wagner said. 

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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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Joe Conlon and Mary HInd are the founding partners of Virtual Therapy for Kids. The service is built around video games. Photos from Joe Conlon

By Chris Mellides

Growing up with video games was commonplace for many children and teens throughout the 1980s, 90s and beyond. But what if these pixelated worlds weren’t designed to spoil your mind as so many parents would insist on, following Saturday morning cartoons and bottomless bowls of Cap’n Crunch cereal?

Joe Conlon

What if, instead, video games helped repair those young, developing minds?

Regarding the topic, 33-year-old East Northport resident and licensed clinical social worker, Joe Conlon, and founding partner Mary Hind, a clinical social worker and therapist herself, answer back with their business Virtual Therapy for Kids. 

The service they created is built around the most accessible and widely consumable media in the world — video games, where some of the more popular titles include online available juggernauts such as Fortnite, Minecraft and Roblox, according to Conlon, who leaps out of his therapist’s chair and into a virtual world where “meeting the clients where they’re at” is paramount, and where playing alongside them holds its own blend of fun and incremental learning, according to him. 

Conlon recalls a time before COVID-19 when parents of children with developmental disabilities would be running late only to request a phone session for their child and Conlon would simply refuse to make the appointment. 

“I just cannot do it over the phone,” he said. “It’s so hard to connect with the kids, especially [when] audio and video wasn’t even a thought.”

Hind offers her own insight, which aligns with her business partner. Hind hails from Babylon, graduated from Hunter’s Silberman School of Social Work in 2019 with a focus on Children and Adolescents and Child Welfare and is a fierce advocate for the mental health of the children she serves.

Mary HInd

“Working with a niche population and being virtual, allows me as a therapist, to capitalize on kids having sessions in the comfort of their own space,” said Hind. “This means allowing kids to create a therapeutic environment, with far less pressure than a traditional therapy setting.”

The focus is on engaging with children and adolescents between the ages of 4 and 17 in a way where cognitive behavioral treatment transforms into online gaming therapy — a concept that the young entrepreneur credits to the children that altered his view of what remote learning could become.

It’s hard to believe that as founding members, Conlon and Hind have yet to meet in person, and though they are apart, together they forge a business partnership intended for the betterment of children and the parents that require the help of professionals.

“I’m taking the symbolism in the game and making parallels to life,” Conlon said. “Kids say you’re much more yourself when you’re in these digital worlds.”

He added, “I’m trained to see where the kid has anxiety based on what the parents tell me. Kids with ADD [attention-deficit disorder] and ADHD [attention-deficit hyperactivity disorder], for example, are overly emotional.” And so they require interaction with Conlon and Hind, who log on and set goals for their kid clients to complete on a weekly basis within a particular video game title. 

In Fortnite, Conlon will instruct his clients to complete a seemingly difficult task, such as building a wall to guard against oncoming attacks from other competing online players. 

The response to the goals that the two licensed therapists set have been very positive, according to Conlon, who also said that his clients get excited completing a complex task requiring concentration, and that the parents of these children are overjoyed in sharing with a child’s achievement.  

In what seems like an endless pandemic, business partners Conlon and Hind see potential for the growth of their business and for aiding their communities both on and offline where therapy and consultation rates start at $45. Their website is www.virtualtherapyforkids.com.

Older parents attempt to understand a generation growing into the next evolutionary cycle of the internet, and what that means for the emotional health and well-being of their children can be distressing, according to Conlon. 

“How they cope in an ever-changing world where digital avatars and virtual gaming has become the norm, fitting in and navigating tenuous relationships is harder than it has ever been before,” Conlon said. 

“Diagnosing kids is what led me to diagnose myself,” he said. “Having ADHD, we’re more likely to keep thinking outside the box.”

“When you’re stuck in the storm, you go and get some bandages, go find a safe spot and go back into battle,” Conlon said, which is perhaps a lesson in gaming and life in general. 

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