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Omicron Variant

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North Shore school districts share what they’re doing to keep up with the new COVID variants. Stock photo

As students went back to school after the winter break, a spike in COVID-19 cases caused widespread absences fueled by the Omicron variant. 

As of Monday, Suffolk County has experienced a 24.1% positivity rate, according to the New York State Department of Health. 

These numbers come just one day before Gov. Kathy Hochul (D) announced that the state will be ending contact tracing for the virus. She said that keeping up with the number of cases is “nearly impossible” with the Omicron surge and the focus should rather be on vaccinations and testing. 

“We have 12,000 new cases a day. It is almost impossible to do contact tracing the way we have been in the past,” Hochul said at a news briefing in Manhattan Jan. 11.

The county has yet to announce if it will also stop contact tracing on the local level. 

But to continue keeping children safe in their schools, some North Shore districts have implemented new protocols, on top of mask wearing, social distancing and virtual learning.

Elwood

In a statement from Elwood school district, Superintendent Kenneth Bossert said that at the high point of the COVID surge, which was immediately following the holiday break, the district had approximately 200 students isolated or in quarantine.

“Any student who is directed to isolate or quarantine due to COVID-19 has the opportunity to work remotely in Elwood, K-12,” he said. 

Northport-East Northport

Residents in the Northport-East Northport community received a letter from Superintendent Robert Banzer last week providing an update on some changes that took place due to the surge. 

At the time of the notice, which was sent out Jan. 7, the quarantine and isolation expectations for students and staff reduced for positive cases from 10 days to five days as long as the conditions in the guidance are met. These changes to quarantine protocols are also outlined and are based on vaccination/booster status. 

For remote learning while quarantining, Banzer expressed his sympathy noting, “We understand that remote learning is not ideal,” but some changes were made for students to learn while at home. 

High school and middle school students were updated on the district’s virtual quarantine support schedule, which provides periodic access to a subject area teacher throughout the day. Elementary students were granted increased access to their quarantine support teacher. 

“A key difference between virtual quarantine support versus livestreaming a classroom (aka: turning the camera on in the classroom) is the ability for students to interact with a teacher and ask questions, which is not typically possible with a traditional livestreaming approach,” he wrote. “This creates conditions that allow for full attention on students; the large majority who are present in class, and those who are online seeking virtual assistance from the subject area teacher.”

The district, along with others on Long Island, was given testing kits for students and staff to conduct at home, as well as community testing to take place on Wednesdays from 9 a.m. until 5 p.m. at the Bellerose Avenue location. 

Smithtown

Smithtown schools are prioritizing in-person instruction, according to Superintendent Mark Secaur. 

“We strongly believe it to be superior to remote learning,” he stated. “That said, we do allow for remote learning via livestreaming for students who are unable to attend due to COVID-related quarantine and isolation requirements.”

He said he believes the district offers a safe in-person learning environment, so it has not allowed for students to “opt-in” to a remote environment unless they are forced to miss school due to a COVID quarantine or isolation period. 

Three Village

In a letter sent to residents, the Three Village School District has continued to keep students spaced at 3 feet and 6 feet when in the cafeteria. Plastic barriers can be put up if requested by the family, but none are being distributed to all at this time. 

The notice stated for secondary students, “Due to an increased number of COVID-19 cases after the post-winter recess, the following procedures will be enacted from Thursday, Jan. 6, until Friday, Jan. 21, at the high school, and until Friday, Jan. 28, at the junior high schools.”

These include livestreaming into classes if a student or family is in isolation. The livestream for Three Village occurs for the entire day, and not for individual periods of instruction. It is not interactive and will continue beyond the dates indicated for quarantined students only.

Comsewogue

Superintendent Jennifer Quinn said that some parents were concerned sending their children back to school after winter break, so the district implemented a 10-day virtual option for families, ending this week. Students always have the option to livestream into their classes.

“Virtual learning is good for the time being, but it’s not the best way to learn,” she said, noting that in-person learning is important for social and emotional growth. 

In conjunction with the virtual option, the district continues to follow the state’s mask mandate and 6-feet distancing. 

“When things calm down, we have written a letter to send to the governor asking that students sit at their desk with no masks,” Quinn said. “The spread is not happening in schools.”

But until the Omicron variant ceases, and things get back to some type of normalcy, Comsewogue will continue providing tests to students and staff. 

Quinn added that the day before school started, over 2,000 tests were given out. 

Middle Country 

Roberta Gerold, superintendent of Middle Country Central School District, is confident that things are looking up. She said on Tuesday, Jan. 11, that attendance in her schools is starting to get better. 

“I think we’re starting to plateau,” she said. “After reporting 10 days of absences after the breaks with family, today it’s finally slowing down.”

She added that the district is testing staff once a week, while students can get tested every Monday if the parent asks. 

“We want to make sure that if they have symptoms it’s not COVID,” she said. 

Middle Country has kept up with its mask mandates and physical distancing, as well. 

“Our positivity rate is still below the county and state rate,” she added. “We’re still as careful now as we were before.”

Students have the option to livestream into their classes if absent and are offered virtual instruction during quarantine. 

“Our staff is amazing,” Gerold said. “They are working double, triple duty to support the staff who aren’t there, and they are impacted at home, too, but are still here for our students relentlessly.”

Gerold commended the district as a whole: “We just want the students to be safe.”

Shoreham-Wading River

Superintendent Gerard Poole said that “luckily” things are better this week. 

“We are full in-person learning, but if someone is out, they can get a livestream,” he said. 

For grades K-5, students are spaced out at 6 feet and it’s the same for secondary students with activities like chorus, band and in the cafeteria. 

“The community parents continue to collaborate to help students,” he said. “And our nurses continue to be heroes … the flexibility of the staff is amazing. We are so thankful for them.” 

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Stock photo

The Greek letter versions of the variants are beating up on Suffolk County, just as families prepare to gather during the holidays and New Year.

Suffolk County reported a 13.6% positive testing rate on Dec. 20, which is the highest rate in over a year, according to County Executive Steve Bellone (D).

“The omicron variant is, without question, powering a surge in cases here,” Bellone said on a conference call with reporters. “We are seeing that play out in long lines for testing as the holiday season continues and as Christmas and New Year’s approach.”

Indeed, Bellone announced that he is using his emergency powers to create three new testing sites on Long Island. The county will open a site at Gabreski Airport in Westhampton Beach on Dec. 27, in West Sayville on Dec. 27, and in the Sound Beach area on Jan. 4.

Bellone said he chose these sites near locations where the positivity rate is higher.

Bellone encourages residents to visit the county’s website, at suffolkcountyny.gov/covid19 to get details about signing up for tests at these new locations.

As for holiday preparations, Bellone and Dr. Gregson Pigott, commissioner of the Suffolk County Department of Health Services, suggested residents could continue with their holiday gathering plans as long as they take adequate precautions.

“It’s important to be vaccinated with Pfizer or Moderna,” Pigott said. “It’s more important to get that third shot, that booster shot, that’ll give you the maximum protection.”

Infectious disease experts urged residents to remain vigilant about the virus during the current surge and as people prepare to visit families.

“I would suggest making sure that everyone test for COVID and receive a negative test result” before family gatherings, Sean Clouston, associate professor in the Department of Family, Population and Preventive Medicine, explained in an email. “This is especially true for those in which there are individuals who are either unvaccinated, or those where attendees either are vaccinated but aged 60 and older.” Hospitals in the area have seen a dramatic increase in emergency room visits from residents who contracted COVID.

“The number of COVID hospitalizations has tripled in the last three weeks,” Dr. Adrian Popp, chair of Infection Control at Huntington Hospital/Northwell Health, wrote in an email.

Popp explained that patients who have been vaccinated have a milder form of COVID, while unvaccinated patients have suffered more severe symptoms. About two thirds of hospitalized patients are unvaccinated at Huntington Hospital, while several patients are in the intensive care unit.

With the increase in omicron cases, Popp explained that “we are all concerned that we may be overwhelmed if too many sick patients will show up all at once in the emergency room.”

To be sure, even with the increase in hospitalizations from the fall, the number of people batting the disease in the hospital remains well below peak levels. As of a year ago, 526 people battled COVID in the hospital. This week, that number stood at 326.

“The numbers are increasing, but they are still less than they were,” Bellone said.

Dr. Sunil Dhuper, chief medical officer at Port Jefferson’s St. Charles Hospital, suggested a three-pronged approach to defending against the next phase in the spread of COVID.

Getting vaccines and boosters is the first and most important step. Treating vulnerable residents with monoclonal antibodies is the second, and testing and wearing masks is the third step.

GlaxoSmithKline’s monoclonal treatment, called sotrovimab, works the best against omicron, Dhuper said.

At this point, the supply of that treatment, however, is limited. Dhuper hopes to get the supply issue resolved this Monday.

Until that is resolved, however, only people who are unvaccinated and who are vaccinated and immunocompromised or over 65 are eligible for this treatment, which is what the National Institutes of Health and Department of Health have recommended, Dhuper said.

The shortage of monoclonal antibodies is “an issue that needs to be addressed at the state and federal levels,” Bellone said. “I’m encouraged by what we’ve seen happening there. It’s an issue that we’ve heard from hospitals. With this surge, we’re seeing all of the capacity tested once again.”

Indeed, hospitals remain prepared to increase their staffing levels, particularly in January when people return from traveling and visiting family members.

“Everybody is aware that we may call upon any employee at any time, even if they are on vacation if we begin to see that the system is getting overwhelmed,” Dhuper said.

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Families opened their doors to each other during Thanksgiving, eager for a long-awaited reunion and hoping to keep out COVID-19. Stock photo

Despite the desire to relax, remove masks and go on with life, the pandemic, even prior to the emergence of a new, mutation-laden variant, has become a central concern among government and health care officials.

The stock market has felt the effects of concerns over the Omicron variant, hospitals are sending off some positive tests to check for the new variant, and the federal government is restricting travel from several countries in Africa.

While health care officials anticipate the inevitable presence of confirmed cases of Omicron in the United States and New York, they had already seen an increase in confirmed cases and had increased the need for treatment.

At St. Catherine of Siena Hospital in Smithtown, the hospital provided monoclonal antibody treatment for 32 people the Tuesday before Thanksgiving, according to St. Catherine Chief Medical Officer Dr. Mickel Khlat. That is up from an average of four to five a day just a few weeks earlier.

That increase comes not only from a rise in group activities indoors, but also from a reduction in the immunity conferred by vaccines that are less effective after six months.

Six weeks ago, unvaccinated patients represented 80% of those who received monoclonal antibody treatments, said Dr. Khlat. Recently, the percentage of vaccinated people who receive antibody treatment has risen to 50%.

“If you got the vaccine six or seven or eight months ago, your immunity is waning,” said Dr. Khlat.

Dr. Gregson Pigott explained that monoclonal antibody treatment could be lifesaving.

“The key is to seek treatment soon after a COVID diagnosis,” Dr. Pigott explained in an email.

The percentage of positive tests in Suffolk County has been rising at a rapid pace, mirroring the positive tests for the nation. The percentage of positive tests on a seven-day average reported on Tuesday, Nov. 29, was 5.3%. That is up from a seven-day average of 3.7% just two weeks earlier and 2.4% a month earlier, according to data from the Suffolk County Department of Health.

Dr. Susan Donelan, medical director of the Healthcare Epidemiology Department at Stony Brook Medicine, explained that this is likely a result of variable acceptance of vaccination opportunities, inconsistent or poor mask usage compliance, increased indoor activity, initiation of indoor heating and general pandemic fatigue.

At the same time, hospitals on Long Island and around the state are preparing and monitoring for the potential arrival of the Omicron variant, which the World Health Organization recently deemed a variant of concern in part because of the number of mutations to the spike protein. These mutations could alter the dynamic in the Stéphane Bancel indicated that vaccines may not be as effective against this variant.

Pigott suggested that too little is known to determine how effective the current vaccines would be against the new variant.

“We will learn more from the World Health Organization and the [Centers for Disease Control and Prevention] in the weeks to come,” Pigott explained in an email.

Dr. Adrian Popp, chair of Infection Control at Huntington Hospital/Northwell Health, said numerous mutations don’t necessarily mean this variant is any worse.

“It’s important to see what is the effect of these mutations,” Popp explained in an email. The answers to whether the strain is more virulent or if the vaccines are less effective are still unknown. The next few weeks could provide a clearer picture, Popp said.

Doctors urged residents to become vaccinated and, if eligible, get the booster.

“My message to the public is to still get the vaccine,” said Khlat. “I wouldn’t tell people to wait” until companies like Pfizer, Johnson & Johnson and Moderna develop vaccines or boosters for the latest variant. COVID is a “killer. I want everyone vaccinated as soon as possible.”

At the same time, hospitals are actively monitoring positive cases for the potential spread of the Omicron variant into the area.

Since the emergence of the new variant on Nov. 26, “Stony Brook’s labs have been hard at work in pursuit of an answer” to whether any patients have contracted the variant, Donelan explained in an email.

Stony Brook routinely sends 10 random samples of positive COVID swabs each week to the Wadsworth Virology lab for genomic sequencing. The hospital epidemiologist reviews the available electronic medical record of all positives to identify any patient who may have key characteristics, such as traveling in areas in which Omicron is more prevalent.

“Our lab is working directly with Wadsworth to facilitate rapid sequencing of any samples with high suspicion,” Donelan added.

Scientists are also trying to determine whether this variant has different symptoms and outcomes from the original virus.

The mRNA platforms from Pfizer and Moderna have the ability to pivot rapidly in the manufacturing process in response to changes in the genetic sequences of the virus.

Thanksgiving and holiday effects

With families coming together over Thanksgiving, health care professionals anticipate that the number of cases will rise.

“Thanksgiving gatherings, historically, have provided an annual springboard for cross-transmission of all sorts of respiratory viruses,” Donelan wrote. “This year shouldn’t be expected to be different.”

Pigott added that he would anticipate that the number of positive cases
would rise.

As for travel during the December holidays, Pigott advises people to practice prevention strategies that include washing their hands frequently, wearing masks in public indoor settings, keeping their distance as much as possible in public and when people don’t know the vaccination status of others.

Khlat suggested that people didn’t necessarily need to cancel any holiday travel plans because of the new variant. He urged people to “be smart” and make sure they wear masks on airplanes and remain aware of their surroundings.

“We can’t be prisoners,” he said. He also recommended that people stay home if they have symptoms like sniffles or a cough.

Khlat, who is planning to travel in January, will bring along hand sanitizer and may wear an n95 mask.

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Gov. Kathy Hochul. File photo by Julianne Mosher
State of Emergency to Trigger Use of Surge and Flex System and Expand Purchasing Ability
Department of Health Will Be Permitted to Limit Non-Essential, Non-Urgent Scheduled Hospital Procedures If Necessary to Ensure Capacity
New Omicron Variant Not Detected in New York State Yet, but Hochul Warns: ‘It’s Coming’

New York State Governor Kathy Hochul today announced urgent action to boost hospital capacity and address staffing shortages ahead of potential spikes in COVID-19 cases this upcoming winter. Through an Executive Order signed by Governor Hochul, the Department of Health will be allowed to limit non-essential, non-urgent procedures for in-hospitals or systems with limited capacity to protect access to critical health care services. Limited capacity is defined as below 10% staffed bed capacity, or as determined by the Department of Health based on regional and health care utilization factors.

The new protocols will begin on Friday, December 3, and will be re-assessed based on the latest COVID-19 data on January 15. The Executive Order will also enable New York State to acquire more quickly any critical supplies to combat the pandemic.

“We’ve taken extraordinary action to prevent the spread of COVID-19 and combat this pandemic. However, we continue to see warning signs of spikes this upcoming winter, and while the new Omicron variant has yet to be detected in New York State, it’s coming,” Governor Hochul said. “In preparation, I am announcing urgent steps today to expand hospital capacity and help ensure our hospital systems can tackle any challenges posed by the pandemic as we head into the winter months. The vaccine remains one of our greatest weapons in fighting the pandemic, and I encourage every New Yorker to get vaccinated, and get the booster if you’re fully vaccinated.”

The Hochul Administration continues to take comprehensive steps to prevent the spread of COVID-19, including mask protocols in health care and P-12 school settings, correctional facilities and detentions centers, public transportation and at transportation hubs, and implementation of the HERO Act which requires all employers to implement workplace safety plans in response to COVID-19.

The Administration continues to focus on boosting vaccination rates among New Yorkers, including bolstering the State’s network of vaccine access points, and working to expand testing supplies. That also includes acting on our comprehensive plan to vaccinate school-aged children 5-17, provide incentive programs, combat vaccine misinformation campaigns, increase vaccine awareness, deploy pop-up vaccines in targeted low-vaccination areas, and implement vaccine requirements for health care workers. On August 24, the vaccination rate among adults with one dose was 78.8%. Today, it is 90.2%.

Further, the Administration continues to ramp up booster shots and urges all New Yorkers to get the booster dose once fully vaccinated. As of November 24, over 2.2 million boosters and/or additional doses have been administered. Nearly 4,500 locations across are administering booster shots.

The Administration will continue to partner with local leaders to make vaccines, boosters and testing more widely available.

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