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COVID

Famotidine molecule Image courtesy of Wikipedia

By Daniel Dunaief

An over-the-counter stomach-soothing medication may also relieve some of the symptoms of mild to moderate COVID-19.

Tobias Janowitz Photo courtesy of CSHL

In a study recently published in the journal Gut, Cold Spring Harbor Laboratory Assistant Professor Tobias Janowitz and a team of collaborators at CSHL and The Feinstein Institutes for Medical Research at Northwell Health demonstrated that Famotidine, the active ingredient in Pepcid, shortened the duration of symptoms for a diverse patient group of adults soon after developing COVID-19 symptoms.

In a placebo-controlled study, people taking 80 milligrams of Famotidine three times a day reported that symptoms such as headaches declined after 8.2 days, compared with 11.4 days for patients who were taking the placebo.

“We think that the results are preliminary, but encouraging,” Janowitz explained in an email. 

The research, which included 55 volunteers, may offer health care providers another tool to help treat mild to moderate cases of COVID-19. In the clinical study, the use of Famotidine helped reduce a potentially overactive inflammatory response without suppressing the immune system’s efforts to ward off the virus.

Participants in the study received Famotidine or placebo pills along with a host of instruments they could use at home to gather clinical data about themselves, including a cellular activated Apple iPad, a scale, thermometer, fitness tracker, spirometer to measure air flow in and out of the lungs and a pulse oximeter, which measured oxygen levels by taking a reading over a person’s fingernails.

The protocol for the study allowed volunteers to stay home, where they gathered results from the instruments and reported on their health and any symptoms they felt. Technicians came to the home of each volunteer on the first, seventh, 15th, and 28th days after entering the clinical trial.

Researchers and doctors involved in the analysis of the effectiveness of COVID believe this remote approach to participating in clinical trials could prove a safe and effective way to conduct research for other diseases.

“In today’s virtual world, our clinical trial strategy has significant implications for how to study new drugs in patients at home,” Dr. Kevin Tracey, president and CEO of the Feinstein Institutes, explained in a Cold Spring Harbor Laboratory news brief.

Janowitz added that other studies could also use testing protocols at home, including for other diseases. “We are looking forward to employing it to help develop better treatments for people with cancer,” which is the disease at the center of his research, he explained.

The CSHL Assistant Professor focuses on the whole body response to cancer, although many of the biological considerations are transferable to other diseases.

Pivot to COVID

According to Janowitz, “It was relatively easy for us to pivot to COVID research when it was a global area of unmet need.” 

The researchers chose Famotidine because of encouraging studies and from a case series, Janowitz explained. They also found a potential mechanism of action where Famotidine blocked the H2 receptor, which encouraged them to move to a phase 2 randomized clinical trial.

The researchers were pleased that the participants in this small trial included people from a range of ages and ethnic groups. Nearly two thirds of patients, who were 18 years and older, were from black, mixed-race or Hispanic communities.

“Patients with different ancestry may have different responses to this disease,” Janowitz explained. “It helps to learn about the generalizability of the results.”

In a CSHL news brief, Nicole Jordan-Martin, executive director for New York City Health + Hospitals, added that “accessible, safe and low-cost outpatient treatment options are a priority in our global efforts to combat COVID-19.” Northwell and New York City Health + Hospitals provided care for the communities most in need of support for New York City, she added.

The collaborators were also encouraged by their teamwork.

“Our institutions worked extremely well together to face challenges the pandemic posed, like offering digital solutions and reaching populations who struggled for access to care,” Dr. Christina Brennan, vice president of clinical research at the Feinstein Institute and co-investigator of the trial, said in the news brief. 

“From screening patients to organizing home delivery of the equipment and medication, this sets a new model for future trials and convenience for participants.”

Janowitz described the safety profile of Famotidine as “excellent” and said it “appears to have few interactions with other drugs and very few side effects in general.”

To be sure, Janowitz cautioned doctors and patients not to stock up on Famotidine before researchers conduct additional studies.

“Our trial is not conclusive and an early phase clinical trial (phase 1 or 2) is not sufficient to inform clinical practice,” he wrote.

Additionally without further study, researchers don’t know the best potential dose and dosing interval for this possible treatment. At this point, they know how long the drug stays in the blood and the strength of its binding to its receptor.

A dose of 20 milligrams per day or less may be too little to achieve an effect, but “we do not know this for certain,” Janowitz explained.

While researchers agreed that further studies were necessary to answer key questions, they believed that the results from this research could provide fodder for studies outside of the COVID world.

“It is possible that sustained inflammation contributes to illness in other contexts and changing this inflammation would be beneficial,” Janowitz wrote. “This will have to be explored separately. Importantly, the methods used in this trial are also transferrable, so we have learned a lot of important information” from this research.

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.”

County Executive Steve Bellone during a press conference in Hauppauge. Photo from Suffolk County

Following the recent CDC announcement, Suffolk County Executive Steve Bellone announced on Tuesday, Nov. 9 that the Suffolk County Health Department will begin administering free COVID-19 vaccines to children ages 5 to 11. 

The vaccine clinics — which will be located at the H. Lee Dennison Building in Hauppauge — will be exclusively for children ages 5 to 17.

“I am beyond pleased that the CDC has recommended that children ages 5 to 11 years old be vaccinated against COVID-19,” Bellone said. “As a father, I am encouraging all parents who may have questions to talk with their pediatrician or a trusted healthcare provider about the importance of getting their children vaccinated. This vaccine saves lives and it could save the life of your child.”

On Nov. 2, the Centers for Disease Control and Prevention gave the final clearance for the use of the Pfizer vaccine for children ages 5 to 11, following the emergency use authorization granted by the Food and Drug Administration last month. 

All children ages 5 to 11 are now eligible to receive a two-dose primary series of the pediatric formulation of the Pfizer COVID-19 vaccine, effective immediately. This is the first COVID-19 vaccine to be permitted for use in the age group, leading the way for more than 28 million children in the United States to be vaccinated as soon as possible.

To date, nearly 88 percent of county residents 18 and over have received at least one dose of the COVID-19 vaccine and 74% of all county residents have received at least one dose.

Vaccines will be administered at the H. Lee Dennison Building located at 100 Veterans Memorial Highway in Hauppauge on Tuesdays and Thursdays from 4 p.m. to 8 p.m. and on Saturdays from 9 a.m. to 2 p.m. 

 While appointments are not required, they are strongly encouraged. Walk-ins will be available on a first come, first served basis. For more information on the County’s vaccine efforts, or to schedule an appointment call 311 or visit suffolkcountyny.gov/vaccine. 

Steve Bellone. Stock photo by Rita J. Egan

Suffolk County Executive Steve Bellone (D) tested positive for COVID-19.

The County Executive, who is vaccinated and has been observing mask mandates, is unsure of how he contracted the virus.

Bellone has mild symptoms and is currently not receiving any medical treatment.

“I hope this serves as a reminder to all residents that while we are making incredible progress in the war against COVID-19, we are not done just yet,” Bellone said in a statement. “I encourage anyone who is eligible to receive their booster shot to do so.”

At this point, no other members of his office staff or his family has tested positive.

Bellone said he feels in “good health and spirits,” according to the statement. He will continue to carry out the duties of the County Executive.

Meanwhile, the percentage of positive tests on a seven-day average in Suffolk County fell below 3% on Oct. 20, dropping to 2.9%, according to the Suffolk County Department of Health.

Local health care providers have been encouraged by the overall decline in positive tests, which they attribute in part to ongoing vaccination efforts.

The Food and Drug Administration provided emergency use authorization for the Moderna booster for a specific groups of people who were fully vaccinated at least six months ago. Those groups include: people 65 years and older; people 18 through 64 who are considered at high risk; and people 18 through 64 with occupational exposure.

The FDA also approved the use of a single booster dose for people who received the Johnson & Johnson vaccine at least two months ago.

The FDA also allowed a mix and match approach to boosters, authorizing those who received one type of vaccination to choose a different booster. Local health care providers said studies have shown that people who received the J&J vaccine had a higher antibody response after receiving a Moderna booster.

“The available data suggest waning immunity in some populations who are fully vaccinated,” Acting FDA Commissioner Janet Woodccock said in a statement. “The availability of those authorized boosters is important for continued protection against COVID-19 disease.”

Peter Marks, director of the FDA’s Center for Biologics Evaluation and Research said the FDA would gather additional data as quickly as possible to assess the benefits and risks of the us of booster doses in additional populations and plans to update the healthcare community and the public in the coming weeks.

For more information on vaccines in the area, residents can go to the web site: suffolkcountyny.gov/vaccine.

The web site also includes answers to frequently asked questions, such as: what are the side effects after I get the COVID-19 vaccine, is it safe to get a COVID-19 vaccine if I have an underlying medical condition, and what should I do if I am exposed to COVID-19 after being vaccinated.

Early in the pandemic, Bellone remained in quarantine and managed his responsibilities from home after Deputy County Executive Peter Scully tested positive for the virus. Bellone didn’t test positive at that point, although he, like so many others in the early days of the disease, waited days for the results of his COVID test.

Stony Brook University President Maurie McInnis. Photo from Stony Brook University

Stony Brook University has been at the center of the COVID-19 pandemic, as hospital staff has treated and comforted residents stricken with the virus, and researchers have worked tirelessly on a range of projects — including manufacturing personal protective equipment. Amid a host of challenges, administrators at Stony Brook have had to do more with less under budgetary pressure. In this second part of a two-part seriesPresident Maurie McInnis offers her responses in an email exchange to several questions. The Q and A is edited for length. See last week’s paper for an interview with Interim Provost Fotis Sotiropoulos.

TBR News: What are the top three things that keep you up at night?

President Maurie McInnis: My first and foremost priority is to make sure we never compromise or become complacent when it comes to the health and safety of our campus community. Another priority is to develop strategies for best working through our budget challenges, which were exacerbated by COVID-19. And the third thing that keeps me up at night — and fills my waking hours — is making sure I am doing all I can to bring our vast resources together so we can continue to uphold the mission and values of Stony Brook University.

TBR: How do you feel the University has managed through the pandemic and what are some of the strategies you found particularly effective?

McInnis: Stony Brook’s successes in keeping our doors open for in-person learning during the fall semester are well-documented. And I continue to be impressed by, and grateful for, what our entire campus community did to make that happen… From testing students before they came back to campus, to everyone joining together as a community to follow our safety protocols. COVID-19 has revealed our unique strengths — our community engagement, seriousness about academics, personal sense of accountability and collective responsibility for one another.

TBR: How do you feel the University has managed through the economic crisis?

McInnis: Even as the COVID crisis highlighted our strengths, it’s also shone a light on some problematic patterns — particularly in the area of budgets — that in previous years were able to slip by, for Stony Brook and other universities. Our priorities right now are to learn from this moment and build for a more sustainable future.

TBR: Even in the midst of historic challenges, what things still excite and inspire you about Stony Brook University?

McInnis: The short answer is that the things that drew me to Stony Brook initially are the same characteristics that excite and inspire me today. I’m talking about its commitment to a diverse and talented student body; faculty’s dedication to delivering world-class research, scholarship and patient care; its impressive record of high-powered research and student success; its role as a major economic engine in the region; and, its emphasis on community, civility and cross-cultural exchange. Our unique dual role as a top-rated, research-oriented university and hospital stood up to the test of the historically challenging year we’ve had.

TBR: How has Stony Brook’s hybrid learning platform differentiated it from other university online platforms?

McInnis: What made Stony Brook’s learning model so successful is the fact that we worked with areas across campus, intensely and continuously, to make sure we had the right fit for our school, students, faculty members, staff, community, everyone. A hybrid model made the most sense, safety-wise and to ensure the best academic experience.

TBR: If you weren’t in triage mode, what would you be doing?

McInnis: When I came to Stony Brook, I identified three areas that we will continue to focus on during, and post-pandemic, and as we tackle ongoing budget challenges. First, we will continue to support our world-class faculty. We’ll do that by creating an environment in which students succeed, and by continuing to enable cutting-edge breakthroughs in research and medicine. Second, we will embrace our own diversity to strengthen the intellectual and social environment at Stony Brook by creating a ‘one campus’ culture through increased multidisciplinary efforts. And third, we will continue to drive social and economic change on Long Island, in New York State and across the country by staying community-focused and engaging in partnerships that benefit the region.

TBR: What do you plan and hope for a year from now? What’s the best and worst case scenarios?

McInnis: I hope that we can use our experience during this pandemic to spark positive change for future generations of Stony Brook students, faculty and community members, and build on our strengths. We are the number one institution in reducing social inequality. And we need to continue to embrace our incredible impact in driving intergenerational socioeconomic growth and social mobility. Connecting students with opportunities after they graduate — from research positions to internships to career advising — will be important in expanding that impact.

I also want to build on our strengths as both a state-of-the-art healthcare facility and cutting-edge research institution. I want to bring these two areas closer together, blending our expertise across disciplines, as we’re already starting to do. We also plan to apply lessons learned from our shift to remote and hybrid learning.

TBR: Are there COVID research initiatives that Stony Brook is involved with that you hope to continue?

McInnis: Fighting the COVID-19 pandemic has required researchers from many disciplines to come together, demonstrating the depth and breadth of our capabilities. Stony Brook is involved in more than 200 dedicated research projects across all disciplines. These projects span 45 academic departments and eight different colleges and schools within the University, and I’m impressed with the caliber and sense of urgency with which this work is being done.

TBR: If you were offered the opportunity to take the vaccine today, would you?

McInnis: Yes, I would take it in a heartbeat, right now.

Doug and Kelly Jansson have been chronicling Doug’s near-death experience with the virus, and want people to know it can happen to anyone. Photo from Kelly Jansson

Doug Jansson hasn’t been home in over six weeks, and his story is being heard all around the world. 

Right now, the lead pastor of Living Word Church in Hauppauge is in the Intensive Care Unit at Stony Brook University Hospital, said his wife Kelly Jansson. But the good news is he’s alive and heading toward recovery after a terrifying battle with COVID-19. 

On Nov. 30, the Jansson family tested positive for the virus. After 10 days, his wife said, Doug was getting worse so they called an ambulance.

“I got a phone call the day before Christmas Eve that he was declining,” Kelly said, her voice breaking. “They didn’t think he was going to make it.”

Doug, a healthy, athletic 42-year-old father of three from Smithtown, shouldn’t have gotten the virus, she said. 

“I think I remember him being sick only a handful of times in the 20 years we’ve been married,” she said. “When we got COVID, he was worried about me — nobody was worried about him getting hit this hard.”

Kelly said the next day he was put on a ventilator. “He was not doing well,” she said. “They weren’t sure if he was going to make it half the day.”

But she said the doctors and nurses at SBUH have been “amazing” toward her husband and family.

“I got a phone call saying they had a plan to save his life,” she said. 

Doug spent six days on life support and 13 on a ventilator. Eventually he was moved to the ICU where he sent his wife a text after more than two weeks.

“It was the best day of my life — it was incredible,” she said. 

Doug Jansson. Photo from Kelly Jansson

After being in the ICU for not even two days, he began complaining of severe pain. A CT scan revealed a pleural effusion (fluid in the chest), a secondary pneumonia, pleurisy and a small pneumothorax (air in the chest). His right lung collapsed.

Early on in the battle, Kelly — who isn’t on social media herself — decided to update Doug’s Facebook friends on his page, chronicling what was going on inside the hospital walls. His story has been shared hundreds of times thus far. 

“That’s Doug’s personality,” she said. “He’s so down-to-earth and real — I knew people would pray for him knowing what was happening.”

And the prayers are working. Throughout his illness, members from Doug’s church made it known they were praying for him.

Early on in the pandemic, Doug organized prayer parades around the hospitals. He held drive-in services to eliminate in-person gatherings. Now, he’s the one receiving prayers.

“I’ve gotten messages from people in other countries saying they’re standing and praying for him,” she said. “Now that Doug is fully awake and reading all these comments on Facebook with such encouraging words, he is so blown away that this was happening.”

Although Doug is still in the ICU, he’s stable. His oxygen levels are gradually going up, his voice is coming back and he can FaceTime with his family and friends from his hospital bed. He said that God was watching out for him these last six weeks, and that all the support from his neighbors and strangers has been emotional for him. 

“It’s been incredible,” he said. “All these random people praying for us, believing in us and praying to get me out of here … it literally brings tears to my eyes.”

Doug said he is so thankful for being able to tell his story, especially since he almost lost his life.

“There’s always hope in God,” he said. “During impossible situations, he comes through.”

His wife said it’s not over yet, and he has a long battle ahead of him. “But every day is a step forward, and any step forward is a significant step.”

While his titles are father, pastor, husband and son, Kelly said she has another name for him now.

“There is no doubt this is a miracle — God responded and did something,” she said. “I call him Miracle Man … God did this.”

Fairfield at St. James residents wanted to help the Smithtown community by gathering and donating tons of groceries to those suffering from food insecurity. Photo from Nicole Garguilo

Throughout the COVID-19 pandemic, everyday people felt that it was their civic duties to step up and make a difference. Some made masks, some drove around supplies, others gathered food for those who were hungry. 

Many of these people had jobs, families and their own struggles at home, but they knew they wanted to be a part of something bigger. They chose early on what side of history they were going to be on, the side that helped others and made a difference. 

“The sacrifice everyone made was apparent,” Carmela Newman with Operation Headband, said. “I grew tenfold from working with such amazing people.”

Operation Headband started out when Newman’s friends at local hospitals said their ears were red and raw from wearing uncomfortable masks all day. An avid sewer, she would volunteer and help sew costumes for local theater productions before the pandemic. 

“Me and my sewing buddy Bernice Daly put buttons on headbands and attached the elastic from the face masks, so it was off their ears,” she said. 

Then it took off. Her nurse friends began requesting them, first at Mather Hospital in Port Jefferson and then at Stony Brook University Hospital. Quickly, hospitals and facilities across Long Island were reaching out to Newman and her sewing friends in hopes they could get these comfortable accessories. The demand became so high that they ended up making a Facebook group and recruited other volunteers. 

The Ronkonkoma native said she couldn’t have done this alone. Newman credits Terry Ginzberg, Peter Graber, Teresa Mattison and Jeffrey Sanzel for being part of the team. 

“It was a fabrication of everyone coming together,” she said, the pun being intentional. “Everyone jumped on board to help. We became fast friends and family.”

Toward the end of the first wave of the pandemic, Newman said Operation Headband created 6,000 headbands and bandanas overall. Over 40 people volunteered to deliver the items while 15 sewers put the pieces together. In a little over four months, the group’s headbands helped health care professionals from the East End to Manhattan, in seven different states and made their way overseas to the U.K. “The group cared so much to be a part of this horrific thing that was out of our control,” she said. “There was no way we weren’t going to do this.”

Volunteers from LIOSMS. Photo from Kassay

Although it seems that everywhere one looks now there are masks, early on they were hard to find. That’s why Port Jefferson resident, one who would later become village trustee, Rebecca Kassay, started up a volunteer group that delivered over 40,000 PPE and comfort-care items to essential workers. 

Long Island Open Source Medical Supplies-Nassau and Suffolk County is celebrated for creating a Facebook group of hundreds of volunteers across the Island who gathered, purchased, created, donated and delivered PPE for frontline workers. 

“From mid-June through September, we continued to accept donations of PPE from makers, as well as connecting volunteers who want to continue making them to community groups that will get PPE to low-income families and students in school districts, individuals in shelters, Indigenous populations and other at-risk groups,” Kassay said.

More than 300 seamstresses, crafters and makers made and donated more than 15,000 face masks, 2,800 caps, 5,000 face shields, 12,000 ear savers and over 10,000 comfort-care items. Their fleet of 68 volunteer drivers worked hard to deliver the homemade PPE to over 130 facilities and collaborated with other volunteer groups by donating and exchanging fabric and materials.

It started when Kassay, with other local volunteers, began to see the demand for PPE and the need for help in hospitals. Her home, The Fox and Owl Inn in Port Jeff, became “the hub” that got things going. She and her fellow volunteers created a group that allowed people to communicate with one another with extraordinary teamwork. 

“After about a week it was growing so fast,” she said. “It ended up with 10 administrators managing a couple of hundred volunteers, selling masks, driving around materials, donating 3D-printed face shields, communicating with hospitals. The effort was to make everything much more efficient.”

But she said she truly couldn’t have done it alone. 

“Eleni Stamatinos was the mask coordinator and also helped train and coordinate with the other administrators,” Kassay said, adding that Stamatinos would work alongside her for 10-14 hours a day. “She has grown to be a dear friend of mine. While there has been immense tragedy during the pandemic, we have found beauty in the connections that might not have happened otherwise.”

And then there were volunteers she worked with, who spent hours helping out. 

“There are also countless Port Jefferson and surrounding area residents who contributed more time, heart and materials than I could’ve ever hoped for,” Kassay said. “We were driven by the satisfaction of bringing comfort to others. Other opportunities and priorities were pushed aside because of the urgency we all felt in the moment, and none of us regret it.”

While masks and other PPE were needed for frontline workers and the rest of the community, other volunteers dedicated their time at home to feed those who are struggling with food insecurity.

Fairfield at St. James residents donated tons of food. Photo from Nicole Garguilo

Nicole Garguilo, public information officer with the Town of Smithtown, said Fairfield at St. James, a senior living community, stepped up to help.

“They knew that they were high risk for the virus, but still wanted to help,” she said. “So, every month they’d get in a car caravan together, loaded up with nonperishables and meet us at the Gyrodyne parking lot.”

The town then delivered the food to Island Harvest of Hauppauge on their behalf. 

“It was really something to see our seniors put helping others in need before their own safety,” Garguilo said.

Carol Walsh, an 82-year-old resident at the community, was just one of the dozens of seniors who wanted to help.

“I know there are so many people who are hungry,” she said. “The feeling of isolation is so overwhelming, and people forget that others are out there who want to care and make people feel better. If we can make people smile and provide food it’s worth it.”

Walsh said their food caravans would often have between six and eight cars full of food. In September and October, they donated their collection to Island Harvest, but this month they brought more goods to the Smithtown Emergency Food Pantry. 

Denise Tortore & Rosane Ackley at Mather Hospital with Meals on Wheels. Photo from Meals on Wheels

And while these seniors collected nonperishables, the local chapter of Meals on Wheels brought hot and cold meals to those who were unable to leave their homes. 

Barbara Siegel said the Three Village Meals on Wheels group consists of about 150 volunteers and has been delivering food to those in need five days a week for 38 years.

Partnering with the kitchens at Port Jefferson’s Mather and St. Charles hospitals and Setauket Village Diner, a cold lunch and a hot dinner are delivered to people who are homebound. Siegel said that other chapters of Meals on Wheels had to temporarily shut down during the pandemic but not the Stony Brook operation, which covers from St. James, across the North Shore into Mount Sinai, down into Coram and toward Lake Grove. 

“We got more calls during pandemic,” Siegel said. 

And although Siegel thanks and appreciates all the volunteers who gave up their free time to drive around Suffolk County delivering these dishes, she said it wouldn’t have been possible without the office staff coordinating it all: Ruth Spear, Ronnie Kreitzer and Linda Bernstein.

Siegel said Spear is a caring individual, always cheerful when someone calls the office, willing to help them with whatever inquiry they have. Bernstein takes care of the financial side of things, while Kreitzer coordinates the driver routes. 

“The three ladies that are in the office are just invaluable — they never stop,” Siegel said. “They go to sleep at night and their heads are still going thinking about tomorrow. They do it from their heart and soul.”

But Spear was modest, saying it was a collaborative team effort.

“It’s just our job,” she said.

Kathleen Weinberger, Aramark Nutrition Services food service director with Kings Park school district, helped feed hundreds of students throughout the pandemic.

Aramark Nutrition Services delivering food. Photo from Weinberger

Weinberger said that at the start of the pandemic, she reacted and considered what the safest way to help families would be during the crisis. Aramark employees worked alongside the school district to incorporate a breakfast and lunch grab-and-go window at the high school. They also incorporated a Meals on Wheels bus delivery system with district bus drivers to those families who had no means of transportation.

From March 16 until June 30, they distributed 28,406 meals, seven days a week.

“There were many special moments from seeing their smiles on their faces and the wonderful handwritten ‘thank you’ notes and pictures drawn by the kids that really warmed my heart,” Weinberger said. 

The Kings Park resident said it’s important to consider others, not just during a crisis but every day. 

“People should gather together in good times, as well as difficult times, as it makes stronger ties within the community,” she said. “I’m willing to do whatever I can to lend a helping hand.”

Home care aides on Long Island have been essential in helping to prevent the spread of COVID-19 in homes. Photo from Home Helpers of Huntington Facebook page

By Kimberly Brown

The  responsibilities of home care workers and health aides to support the daily activities of those who are incapable of doing so themselves are always vital. However, since the pandemic began, home care aides on Long Island have become some of the most essential group of workers needed to help prevent the spread of COVID-19 from entering their patients’ homes — all while still performing their normal duties. The work of Long Island home care workers has been noted by not only the companies they work for, but their communities, too. Veronica Stokes from Home Helpers Home Care of Huntington expressed what work has been like since the pandemic started to take hold in March. 

“It’s very hard to be [emotionally] distanced when working with the elderly,” Stokes said. “I’m learning how to do it. I do everything except sign on their checks to pay the bills. I take [a lady] to get her nails done, shopping, going to the bank, everything. I cook for the weekend, and I put everything in the freezer and label it Saturday, Sunday, lunch, dinner.”

Though activities are already limited for high-risk patients, COVID-19 has further prevented them from partaking in day-to-day affairs. Workers like Stokes put in a valiant effort to ensure her clients feel some sort of normalcy while the pandemic still remains a threat. 

“Every day I used to pick sunflowers, and I would get little cups, put ice in them, and put them by everyone’s bedside,” she said. “Even if they can’t see the flowers, they can smell them. Or I would even use jasmine too, so they know someone was here. It’s the little things that help take their mind off what’s going on.” 

Many elders, as well as ordinary sick patients, have been unable to see their families due to the new rules that have been implemented at hospitals and health clinics. Home care workers like Pamela Garruppo from Critical Health Care in Port Jefferson shared stories about her patients and what they have been going through as they prepare for important surgeries and medical procedures. 

“I have a patient who is waiting for a liver transplant and she can’t see her family,” Garruppo said. “She couldn’t wait anymore because she needed the liver so badly, but couldn’t have any contact with her family since the hospitals shut down. I watched her husband cry because he couldn’t even go in to hold her hand.”

This isn’t Garruppo’s only patient who hasn’t been able to see their family. She describes another instance where a patient of hers, who lost her husband, was only allowed to see him for an hour a day before he passed. 

“Only two family members were allowed to see him, so they had to choose between one son or the other to go see their father before he died,” Garruppo said. “But that’s COVID, unfortunately.”

One of the best feelings Garruppo has is when she goes to see her patients and they express to her that they’re feeling better. 

“My patients are like my family,” she said.

An outside look at the Town of Huntington Senior Center. Photo from Facebook

The struggles home care workers have faced this year have been strenuous on their mental health and daily life. Despite the obstacles put in their way, Critical Health Care’s Regina Varacchi explained she doesn’t feel like the one who’s suffering the most right now. 

“I can’t even say that I’ve struggled so much, it’s really my patients that are struggling,” Varacchi said. “I’m the one who’s getting out of my house, working and seeing people. My struggle is watching what’s going on and seeing the depression. Just thinking about it breaks my heart.”

One of Varacchi’s patients, who she considered to be family, had been fighting cancer for eight years. Then the patient unexpectedly contracted COVID and passed abruptly. 

“This guy was the most amazing man ever, and he was a fighter,” she said. “Since he was compromised, they immediately admitted him and I think it was only one day later that they put him on the ventilator, and within two days he was gone. People don’t take it seriously until they lose someone they love.”

One good thing that has come out of the pandemic for Varacchi is that it initiated a reset. Being able to express her creative side by doing crafts and taking part in outdoor activities such as going to the beach, are things she would’ve never done if the pandemic didn’t exist. 

“It was a reset in life, and it makes you realize what you took for granted,” Varacchi said.

For other Critical Health Care workers such as Gail Crichlow-Hall, personal health was of the utmost importance when caring for others. Due to her position in working with patients free of COVID-19, she was more concerned about them than her own wellness. 

“If I’m ill there is a high possibility that I could pass that on to the patients, and you just don’t want to play that game,” Crichlow-Hall said. “I had to make sure I was healthy and that my household was healthy because ultimately that would affect my job and the patients.”

For Crichlow-Hall, one of the many downfalls COVID-19 has caused is the inability to create a bond with patients. She now has to consistently distance herself and believes social distancing in compromised patients will carry on for many years to come.  

“In the office, we used to be able to offer simple things like candy, coffee, things like that,” she said. “We no longer do that because it was in a common space where everyone could go and touch. You can’t get to know your patients or give them a friendly hug during the holiday time.”

Being a person of faith, Crichlow-Hall says the pandemic helped to solidify her beliefs in God. Her experience while working throughout the pandemic has proven to her that there is a higher being.

“And there is no way you can convince me moving forward of anything else,” she said with a laugh.

The Port Jefferson EMS team has been on the front lines of the pandemic since its start. The team covers the Mount Sinai, Port Jeff and Belle Terre communities. Photo from Michael Buckley

By Iryna Shkurhan

The work of first responders is indispensable to communities across the country, but during an exhausting year like 2020, it was even more so. They are the first on the scene of emergencies, and time and again put their lives at risk when they respond to all types of 911 calls. With COVID-19, it meant untold hours of difficulty and hardship, but their work helped secure the safety of thousands.

So, this year gave EMTs, paramedics and firefighters the added challenge of directly responding to the invisible killer, COVID-19, as the pandemic took on communities across Long Island, all while still responding to their usual fires and non-COVID related medical emergencies. Leaders and service members, some paid but mostly volunteers, weathered changes such as increased safety precautions and the rising demand for their assistance. 

Wading River Fire Department, made up of about 80 volunteer members, responds to over 1,000 calls every year. When asked if one person stood out this year for their work, Chief Branden Heller agreed that their whole department demonstrated above and beyond work.

“We say the entire department because of all the events that transpired this year,” he said. “Members exposed themselves to more hazardous situations then they were normally used to. Overall, it’s been a very busy year.”

This year his crew of fire and EMS volunteers as well as two paid paramedics overcame a PPE shortage and also dealt with a rise of brush fires, on top of a surge of COVID cases, as emergency calls spiked up in the spring.

Daniel Dongvort, third assistant chief of Smithtown Fire Department, lauded Ann Shumacher, a lieutenant and volunteer EMT for her contributions this year, and throughout her 15-year tenure. She is a mother and full-time nurse, working two jobs, who still found time and energy to devote countless hours to the department whenever she could. 

“She was nonstop helping riding ambulances and helping the community all throughout 2020, but what she’s done over her tenure is probably more telling of her personality and her dedication,” Dongvort said. “Her overall enthusiasm, passion and willingness to come out for the next call, time and time again, is something that’s contagious, especially to the younger members.”

Miller Place EMS Capt. Rob Chmiel, far right, leads a team of volunteers during the department’s 10th annual Stuff a Bus event Nov. 20. Photo by Kyle Barr

Rocky Point Fire Department, with over 130 active members, serves the Rocky Point and Shoreham communities. Volunteer members in the department respond to thousands of EMS and fire calls every year. The department’s David Singer was named an EMS firefighter of the year by Suffolk County Legislator Sarah Anker (D-Mount Sinai) in October. 

This isn’t the first time that Singer has been honored for his service to the community. 

As a member of the fire department for over 18 years, he has received his fire company’s Number One Responder Award and the Captain’s Award. 

Roselyn Coleman, an EMT for Riverhead Fire Department and volunteer for Miller Place Fire Department was nominated by Larry Fischer, fire commissioner and a retired EMS. “She’s one of our best,” Fischer said. Coleman has devoted her time to the community this year and showed consistent dedication by splitting her time between both departments.

Port Jefferson Volunteer Ambulance Corps provides emergency medical services and EMS protection to thousands of Long Islanders at all hours of the day. During the height of COVID, volunteers at Port Jeff EMS were working close to 180 hours in a two-week period. Many of the volunteers are students at Stony Brook University, who balance their EMT duties with their academic responsibilities. Nestor Kissoon and Adam Jones are two student-volunteer EMTs who were enrolled in SBU this year. 

“They did not shy away at all through the pandemic, and increased their hours to help meet the needs of the patients and the community,” said Virginia Ledford, administrative director of Port Jeff EMS. “They went beyond what was asked of them this year, and both always maintain a positive attitude.” 

Two full-time paramedics — Rob Stoessel, chief and executive director, and Mike Presta, deputy chief — worked tirelessly this year for their department. 

“At the beginning of the pandemic, they stayed at the building for what felt like weeks to make sure everyone was safe, prepared and that  the needs of the community were being met,” Ledford said. 

Miller Place EMS Capt. Rob Chmiel, far right, leads a team of volunteers during the department’s 10th annual Stuff a Bus event Nov. 20. Photo by Kyle Barr

John Quimby, chief of Mount Sinai Fire Department, was commended by his first assistant chief, Randy Nelson. Quimby’s first year as chief came at the same time as COVID, and such a time required making tough but necessary decisions to prioritize the safety of his team. This year was especially difficult for the department after a few members passed away.

“Ensuring that in everything that we do, the members’ safety and health has always been paramount in all the decisions that he’s made,” Nelson said of the chief. 

Quimby made the decision to halt volunteer training in April, which Nelson said was crucial to the department, especially to minimize the spread of COVID-19. The chief also made the decision to conduct all meetings virtually. 

“It makes me feel a lot better about the work that we do, and a lot more comfortable given the situation,” Nelson said. “It’s an uncomfortable situation to be in, but his decision-making through it all has certainly made it a bit easier to accept.” 

Stony Brook Fire Department Chief Pete Leonard was also named an EMS firefighter of the year, this time by county Legislator Kara Hahn (D-Setauket) for her legislative district. Leonard has dedicated his time and energy to the fire department for over 35 years and has been a crucial asset to the Stony Brook community, this year especially.

In addition to his duties as chief, he also works as a full-time paramedic with Stony Brook University Hospital, where he is the first to provide care for critically ill patients being transported to hospitals. He continued to work throughout the pandemic as his department received a massive 10% in calls in the spring. 

Leonard described managing both responsibilities as “a delicate balancing act” where he worried about his health and safety on the job as a paramedic, and then came home worrying about the safety of his 75-member department.  

“There isn’t anything I wouldn’t do for them,” he said. “And there isn’t a thing there they wouldn’t do for their community. Between our volunteer and paid staff, they have been exemplary and beyond words.”

He also described the cooperative relationship between all the fire departments on Long Island as they endured shortages of PPE. If one department was low on supplies, another department would chip in to offer theirs. They reached out to other departments to help out whenever necessary and, because of their cooperation, no department has had to go without PPE this year.

“It was a very cooperative relationship, and really showed the true spirit of what it is to work in this industry, and work together,” Leonard said. 

An inside look at Smithtown school libraries. Photo from district

School libraries are looking a little different nowadays.

In response to the COVID-19 pandemic, Smithtown Central School District had to revamp its library protocols, said Vincenza Graham, director of world languages, ESL & library media services. Like many districts across Long Island, new initiatives have changed how students take out books, read and learn.

“Pandemic or not, libraries are used to constant change,” Catherine Masrour, a librarian at High School West, said. “For years, libraries have been evolving as a result of the rise in access to digital information and the constant and ever-changing world of technological innovations.”

Masrour said that as librarians, they are constantly looking at their students’ needs, trying to provide them with the best resources to be successful — including in a virtual world. 

Students distanced by barriers at Smithtown High School West. Photo from Smithtown School District

“I felt so proud last week when one of my students contacted me to share the news of her college acceptance,” she said. “She thanked me for helping her with her college essay last spring via several Google Meets, and then again, this fall just before she submitted her final application. Hearing the excitement in this student’s voice gave me one more reason to say that I love what I am doing.”

Smithtown elementary schools began virtual programs and fully remote options to students and had to revamp book circulation to keep the library safe for students and staff.

“This system has required the students to truly look beyond the cover of a story, and many have shared that they wouldn’t have taken out some of the books they truly enjoyed if they hadn’t utilized this system,” said Ellie Eichenlaub, a librarian at Dogwood Elementary School and Smithtown West High School. “While this school year has brought some unique challenges, it is nice to reflect on some of the good that it has brought to our students.”

And when staff was back at school in September, Michelle Robinson, a librarian at Tackan Elementary School, said her students wanted to pick up right where they left off in March.

“My fourth-graders were asking if we were going to continue working with author Robin Newman as we did in third grade, and my fifth-graders were asking if we were going to work on our Summer Olympics sport research project that we began at the end of February of fourth grade,” she said. “It made me realize how much they had missed our library as well.”

Keely Schuppert, a librarian at St. James Elementary School, said librarians at her level are in a unique situation of being able to watch their students grow as readers each year from kindergarten through fifth grade.

“It’s the greatest feeling to be able to provide a student with a book they’ve really been wanting to read,” she said. “With masks being a necessity, we have all become very skilled at reading our students’ eyes. It’s the beautiful glimmer in a child’s eyes that reminds me why I love what I do each and every day.” 

Middle schoolers have been able to take out e-books through a new digital platform and are gaining access to print resources by placing holds on books via the library catalog, according to director Graham.

“After our revamped library orientation for sixth-graders, one student asked if we had any manga [Japanese publications],” said Sheila Tobin Cavooris, a librarian at Great Hollow Middle School. “She was so excited when I showed her our graphic format collection, and her enthusiasm was echoed by a number of other students who shared her interest.”

Accompsett Middle School librarian Donna DeLuca said that while sixth-grade orientation was a bit challenging this year, she wanted to keep things as close to normal as possible. 

“At AMS, we had our usual scavenger hunt throughout the library to learn about the different sections and resources available,” she said. “In each section, students recorded themselves talking about what they learned. Even though we followed mask, social distancing and ‘no touch’ guidelines, students were so happy to be up and about and not sitting in front of a screen.”

The human touch is still all important. “When I run after-hours office hours through Google Meet, sometimes from 8 to 9 at night, the kids are appreciative to see a friendly face, happy to be able to ask questions and relieved to know the library safety net is still there,” Smithtown High School East librarian Jean Marie Kliphuis said. “I’ve always told them that our job is to support their work, and whether we are digital or in person, that hasn’t changed.”