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Stony Brook University's COVID-19 testing site. Photo by Matthew Niegocki

With 694 more people testing positive for the coronavirus, the number of confirmed cases in Suffolk County is now 40,483.

In the Suffolk County hotspot testing sites, the number of positive tests was 1,320 out of 3,412 total tests.

The percentage of positive tests at these hotspots is 38.7, compared with 33 percent for the county as a whole.

Antibody testing for law enforcement continues, with 1,581 law enforcement officers tested by Northwell Health and New York State so far.

The number of people who have died from complications related to coronavirus increased by 21 in the last day, bringing the total to 1,568 for Suffolk County. As of yesterday, the deaths from the virus exceed the number of people killed over 100 years ago aboard the Titanic. The staggering number represents what will likely be a turning point for the county, let alone the entire country which topped 77,000 deaths.

County Executive Steve Bellone’s (D) office distributed another 163,000 pieces of personal protective equipment yesterday, bringing the total number of such life-saving items to over four million since the crisis began in March.

Bellone didn’t have the closely watched hospitalization information today because the reporting system was down.

Separately, Bellone said the county was able to honor the 75th anniversary of the end of World War II in Europe.

“Today, we would normally be bringing together our veterans and particularly our World War II veterans to honor them and thank them for what they did for our nation,” said Bellone during his daily call with reporters.

A group including Suffolk County Chief of Police Stuart Cameron and Suffolk County Veterans Services Agency Director Thomas Ronayne raised an American flag above Armed Forces Plaza today. The group saluted the flag and then brought it to the state veteran’s home.

That home has been hit especially hard by the pandemic. As of May 5, the home reported 65 residents have passed away due to the coronavirus. Additionally, 68 residents have tested positive, where out of those four are receiving treatment at neighboring Stony Brook University Hospital. 30 of those veterans are in the post-COVID recovery phase.

Bellone said the county also celebrated the graduation of 70 members of the police academy. While the ceremony was different than it otherwise would have been prior to the pandemic, the event, which was broadcast on Facebook, was watched by more than 25,000 people.

“Their willingness to step forward at any given moment to risk their lives for strangers is an extraordinary thing,” Bellone said. “We thanked them and their family members.”

Separately, as for the national and local elections coming this November, Bellone said he hopes the bipartisan cooperation that has characterized the response in Suffolk County and New York will continue.

“I don’t know if we’re going to see that on a national level [but] at the local level, we are working together in ways we haven’t in many years, maybe not since 9/11,” Bellone said. “That’s what we should do.”

Bellone suggested the county didn’t have “time to spare to worry about partisan nonsense.”

He pointed out how he and Comptroller John M. Kennedy Jr. (R), who ran against Bellone to become county executive, have been “working closely together to address issues here. I’m hopeful that will continue.”

Stony Brook Closes Satellite ER

Stony Brook University is closing the emergency room field satellite in the South P Lot amid a decline in the number of patients.

The hospital will keep equipment inside the tents in case of future need. The health care workers who had been staffing the field site will return to the hospital.

Stony Brook had seen approximately 2,600 patients at the coronavirus triage sites.

The drive-through testing site in the South P Lot will remain open. That site has tested 27,515 patients.

Residents who would like a test need to make appointments in advance, by calling 888-364-3065. The site is open seven days a week, 7 a.m. to 7 p.m.

Stony Brook University Hospital’s Team Lavender, and a Staff Support Team, delivered care packages to the employees at the Long Island State Veterans Home. The team put together 170 containers filled with donated items from the community including gum, chapsticks, drinks and snacks. They also included trays of home-baked goods, crocheted ear savers, and masks made by a veteran.

Team Lavender volunteers include doctors, nurses, social workers, patient advocates, chaplains, a faculty and staff care team, employee assistance program and employee health program. The team provides emotional, spiritual and psychological support for faculty and staff after an adverse or unexpected event.

Team Lavender completed a successful pilot during the last year in the NICU and maternity units. Team Lavender has worked together with the Staff Support Team to provide hospital wide support. Their efforts, previously performed in-person, are now available virtually for faculty and staff.

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Amanda Groveman, a Stony Brook Medicine Quality Management Practitioner, holding a "My Story" poster for Kevin, who enjoys bowling among his hobbies. Photo from Stony Brook Medicine

Patients battling COVID-19 at Stony Brook University Hospital have allies who can see them and their lives outside the context of the current pandemic.

Thanks to a team of nurses at Stony Brook who are calling family members to gather information and putting together pictures the family members are sending, over 89 patients have received the kind of personalized support they might have gotten if their family and friend network were allowed in the hospital during the pandemic.

“You get everything,” said Amanda Groveman, a Stony Brook Medicine Quality Management Practitioner, who has worked at the hospital since 2006 and created a Power Point template for the information. Family members are sending pictures at of them during Christmas, of people playing various sports, of pets, of other family members, and even a wedding picture from the 1930’s.

Once the nurses gather this information, they print out two copies and laminate them. One copy goes in the room, where the patient can also see it, and the other is in the hallway, where the doctor or nurse who is about to walk in can get a broader look at the life of the patient in the bed on the other side of the door.

The effort, called “My Story,” is an extension of a similar initiative at the hospital for patients who have Alzheimer’s Disease and might also have trouble sharing their lives with the health care workers.

The nurses involved in the program include: Chief of Regulatory Affairs Carolyn Santora, Assistant Director of Nursing Susan Robbins, Director of Quality Management Grace Propper, Lisa Reagan, the patient coordinator and Nurse Practitioner April Plank.

“It’s not just a bullet point checklist,” Groveman said. “It’s creating a history of this patient.”

Some patients like to hear a particular type of music. Indeed, one patient routinely listened to so much “Willie Nelson, that was all he wanted to listen to.”

Grovemen said the contact with the family also connects the nurses to that family’s support network, which they now aren’t able to see in eerily empty waiting rooms.

“You speak to these families and then you feel like you do know this person well,” Groveman said. “At a certain point, it’s not just about the patient. It’s about the whole support system. You’re pulling not just for them, but for their whole family.”

The pictures serve as an inspiration for the nurses as well, who get to share their passion for pets or for sports teams.

These connections are especially important, as some patients have been in the ICU for weeks.

Each time a person leaves the hospital, the staff plays the Beatles song, “Here Comes the Sun,” which has also been encouraging to the hospital staff who has been treating them.

When Groveman returns to her family, which includes her husband Matt and their two children, each night, she puts her clothing in the washing machine and takes a shower before she enjoys her own family time.

“As soon as I walk in, they say, ‘No hug yet,’” Groveman said. Her kids have been “really good” about the new nightly pattern.

A by product of her new routine is that Groveman has also been washing her hands and wrists so often that she has developed what her daughter calls “lizard skin.”

She insists on disinfecting everything that comes in the house, which means that she has a collection of cardboard boxes on her porch that wait there until recycling day.

Amid all the public health struggles she and her fellow nurses see every day, she appreciates how Stony Brook has set up a room where nurses can meditate and relax.

Groveman said she’s surprised by the number of people who are coming in who are in their 30’s and 40’s. One of the more challenging elements of caring for patients is, for her, that she sees people who come in who are not in bad shape, but “unfortunately, with this, it can just be all of a sudden someone takes a downturn.”

Groveman had previously worked in pediatrics, where she said she recognized that any treatment for children also benefited the broader family.

“You are treating the family as well,” she said. “You really want to make that connection. Being a nurse is about making that connection.”

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Even as Suffolk County emerges from the worst of the public health crisis from COVID-19, County Executive Steve Bellone (D) expressed concern about the mental health toll the last few weeks has taken on residents.

“Throughout the crisis, we have talked about mental health,” Bellone said on his daily conference call with reporters. “As we move forward, it’s going to become a more important issue.”

People have been reacting to the crisis and helping others. During these stressors, residents have been “going on instinct” and are “exhausted,” Bellone said. “It’s when you start to slow down a bit or move away, that a lot of what you’ve encountered, what you’ve faced can start to manifest itself.”

He anticipates seeing more mental health challenges as the county moves out of this crisis period.

Bellone said he has encouraged residents to contact his office through 311 if they are dealing with mental health challenges, such as depression or anxiety. The Family Service League has provided health care for first responders, health care workers and veterans through a hotline.

The scale of the losses during the pandemic through April has been enormous, Bellone said. With an additional 26 people dying over the last day from complications related to COVID-19, the number of deaths for the county has reached 1,203.

The number of deaths highlights the reason residents in the county need to follow social distancing guidelines and remain at home, to the extent possible. Each day, the county moves closer to the 14-day period during which hospitalizations from COVID-19 decrease, which the county will reach if the declines continue through May 5.

In the last day, 67 fewer people were in the hospital from the virus, bringing the total to 903. Even as some residents were admitted to the hospital, 98 people left the hospital to continue their recoveries at home.

The number of people in the Intensive Care Unit from the virus has also dropped by 20 to 324.

In the last 24 hours, the county has also distributed 37,000 personal protective equipment, bringing the total to over 3.1 million since the pandemic reached Long Island.

Suffolk Forward Business Programs

Separately, the county executive announced a program to support small businesses called Suffolk Forward. Designed with Stony Brook University College of Business, the programs were created to help Suffolk County businesses respond to the current economic reality and develop ways to use resources.

Businesses will have the chance to gather information about new ways to increase revenue, build on their technology tools, refine business models, and receive individualized expert business advice.

Suffolk County and its partners will send a needs assessment survey to the restaurant, retail, and construction industries. After reading the replies, Stony Brook University will provide needed services and will report and track the results.

The first effort is the Suffolk Forward Gift Card Platform, which provides a one stop shop for Suffolk County residents to pre-purchase goods and services to support local retail and services businesses during the pandemic. The platform, which was created by Huntington-based eGifter, is free for businesses to participate. To purchase gift cards online, or to have your business feature on the web platform, click here.

The second initiative is the Suffolk Forward Job Board, which provides Suffolk County Residents with access to regional job opportunities and businesses with a pool of applicants seeking new jobs. Suffolk County will provide new details over time.

The last three initiative, Tech Enhancement Program, the Suffolk Forward “Pandemic Shift” Business Workshops, and the Suffolk Forward Virtual Expert Network, provide small businesses with Stony Brook support and education services.

Through the Tech Enhancement Program, local businesses can identify their business technology needs and Stony Brook University business, computer science and IT students, under the direction of faculty, will assess the technology needs of each business and advise the owners. Technology can help businesses reopen during the pandemic and stay open.

The Suffolk Forward “Pandemic Shift” Business Workshops, which are coordinated by the Stony Brook University College of Business, offer a series of four 90-minute video workshops and peer support to help small businesses deal with four key steps: hope, survival, focus and pivot.

The Suffolk Forward Virtual Expert Network provides small businesses with complimentary consultation via virtual office hours with Stony Brook University College of Business professors. The free sessions aim to provide business leaders with the tools that could help them tackle ongoing business challenges.

New York Closes All Schools Until End of School Year

With the question hanging above educators heads for the past month, Gov. Andrew Cuomo (D) finally announced all schools in the state will remain closed until the end of the school year due to the ongoing pandemic. The decision applies to both grade school and higher education, and will mandate the use of distance learning for the next several months.

“Teachers did a phenomenal job stepping up to do this,” Cuomo said. “We made the best of a situation.”

The governor added with the number of school districts and children, it mandates precautions to protect young and old during the pandemic. He said it would not be possible to create a system that would socially distance children while also transporting them and keeping them in schools.

The decision also waives the requirement districts have 180 days of learning per school year.

Regarding in-person summer school, the governor said a decision will be made by the end of May.

On the topic of summer camps, Cuomo said just as he was leaving the press briefing that “whatever regional decision will also apply to the summer camps.”

SC Supervisors Discuss Summer

Meanwhile, the Suffolk County Supervisors Association announced a joint planning effort with three Nassau County Town Supervisors to develop ways to coordinate summer programs across all 13 towns. The group, which Babylon Town Supervisor Rich Schaffer is leading, is known as the Nassau/ Suffolk County Summer Operations Task Force.

The group, which met on Zoom for the first time today, dealt with a number of issues. They wanted to ensure consistent social distancing guidelines across communities.

They also planned to sync the timing of beach, park and facilities as much as they could, to ensure variation among areas doesn’t lead to a surge in crowding at any location. If they needed to close beaches, they also wanted to prevent crowds from forming in any town.

Uniform policies for beach usage, park activity and playground policies will ensure the safest approach to these areas, the supervisors said.

The group announced a goal of May 18 to issue guidelines the towns could agree on.

“Just as we consider the shared service model for other purposes, from purchasing to relieving overcrowding at our animal shelters, inconsistency in policies can lead to greater demand and greater risk at a single location, which we intend to avoid as the purpose of this collaboration,” said Town of Huntington Supervisor Chad Lupinacci (R). “Each Town has something to offer from our parks and beaches to our waterfront facilities — we want our residents and their families to enjoy everything our Towns have to offer without adding unnecessary risk.”

Beaches Open for Hiking and Jogging, not Swimming

Meanwhile, Brookhaven Town will open West Meadow, Cedar in Mount Sinai and Corey in Blue Point.

The Town is not opening the beach at these locations. Prohibited items and activities include chairs, umbrellas, blankets, coolers, fishing, congregating and any sporting activity. Dogs are also not allowed. No lifeguards will be on duty.

Residents will be allowed to walk, hike, and jog at these beaches as long as they maintain social distancing. Masks are recommended. Parking will be limited to 50% of capacity. Code enforcement and parks staff will maintain parking limits and patrol areas to ensure social distancing compliance.

The rules allow for passive uses only. People can’t congregate or engage in sports activities, or use playground equipment. People are also not allowed to shake hands or engage in any unnecessary physical contact. There is no fishing, swimming, blankets, coolers, umbrellas or beach chairs. Social distancing requires six feet between people who don’t live in the same home.  When residents can’t social distance, they have to wear face coverings.

Residents with coughs or fever are not permitted. The restrooms are closed. The town encourages people to limit their stays to allow other residents to enjoy the areas. Once the maximum 50% capacity is reached in the parking lots, they will close. As cars leave, others can visit.

With additional reporting by Rita Egan and Kyle Barr

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With a reduction of 77 hospitalizations in the last 24 hours from COVID-19, hospitalizations have dropped over 40 percent from their peak on April 10.

Indeed, the number of people in the hospital because of the coronavirus has dropped to 970, which is close to the number who were in Suffolk County hospitals at the start of April.

The end of the month of April “couldn’t be more different than when we started,” County Executive Steve Bellone (D) said on his daily conference call with reporters. “When we started [April], we had no idea whether that surge that we were talking about for so long would overwhelm” the health care system.

Bellone credited health care heroes with saving people’s lives and holding the line against the surge of people who developed symptoms from the disease.

The county is ending this month “in a far better place than we began,” Bellone added.

Even as hospitalizations have declined, however, residents are continuing to test positive for the virus, as the number of new positive tests increased by 723 to 34,802.

Ever since the county created hotspot testing, the numbers from those seven sites, which now includes Southampton, have been increasing. The county has tested 2,459 people and has positive results on 881 of the 1,868 tests for which results are known.

The number of people with coronavirus in Intensive Care Unit beds also fell by 25 to 344.

Bed capacity is approaching 70 percent, which is the target rate to reopen the economy.

Bellone is also optimistic that the county will continue to move towards the Center for Disease Control and Prevention’s target of 14 straight days of declining hospitalizations from the virus. Once the county reaches that level, it can consider reopening the economy.

In the last 24 hours, 114 residents have left the hospital.

Deaths due to complications from the coronavirus continue to climb. The number of people who died in the last day from the virus was 22, bringing the total to 1,177 people.

Bellone said he doesn’t think there’s a resident of Suffolk County who hasn’t been impacted or know someone who lost a family member, friend or loved one to the disease. The county executive mourned the loss of Terri Freda, who worked in the Medical Examiner’s Office. Freda, who was a spokeswoman for the Suffolk County Medical Examiner’s office in 1997 after the crash of TWA Flight 800, and her husband both lost their battle with the virus.

“Our thoughts and prayers are with Terri’s family,” Bellone said.

The county will begin testing law enforcement this Monday and will administer 500 tests at Suffolk County Police Academy. Officers can register starting tomorrow.

Separately, Stony Brook University is urging residents with medical needs unrelated to COVID-19 to reach out to their doctors. People who are having cardiac issues or strokes need rapid-response medical attention, the hospital said.

In a press release, Stony Brook indicated that it has taken numerous steps to protect patients and minimize exposure to COVID-19, including: preventing crowding; adopting CDC guidelines about social distancing and protective equipment; ensuring that staff, doctors and patients are wearing masks; sanitizing facilities; and screening patients the day before their visits. Patients with symptoms of the virus are going to offices designated for COVID-19 care.

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Several weeks after viral hotspot testing sites in Suffolk County opened, the percentage of positive tests is coming back higher than for other areas.

After 1,077 people were tested in six sites, including Huntington Station and Wyandanch, 577 people tested positive for the virus that causes COVID-19.

“That is definitely a lot higher than the overall number in the county, which stands at 40 percent,” County Executive Steve Bellone (D) said on his daily conference call with reporters.

By testing in these communities, the county hopes not only to get an idea of the rate of infection in these areas, but also to communicate the importance of social distancing and isolating for people who have positive tests.

“By doing the testing, we have the direct one-on-one contact with patients and it is with Spanish speaking health professionals who can have an effective dialog,” Bellone said. The communication is “well-received by the patients.”

For some residents who live in more densely populated areas or who share a home with others who might have underlying medical conditions or whose age makes them vulnerable to the virus, the county has offered housing on a case-by-case bases, Bellone said. That has included hotels and shelters.

These situations could include people who are “coming out of a hospital where there is an issue in a home with vulnerable people,” Bellone said. “It’s not just with hotspot areas.”

Bellone also shared the results of broader testing throughout New York that Gov. Andrew Cuomo (D) has conducted to determine the rate of infection, which could include people who were asymptomatic or who had mild symptoms that dissipated quickly enough not to merit testing.

Based on preliminary data, Suffolk County could have about 250,000 people who have the coronavirus that causes COVID-19.

If that’s the case, “that tells us that there are a huge number of people who have had the virus and didn’t know they had it,” Bellone said. A scaled up testing program to detect the presence or the virus or of antibodies, along with an aggressive contact tracing program, could enable the county to contain the virus.

That could mean that Suffolk County could “reopen our economy with protective measures in place,” Bellone said. The testing and contact tracing, which former New York City Mayor Michael Bloomberg and Johns Hopkins University committed to supporting, are “very good news,” with the caveat that the county needs to “see those full results,” Bellone added.

The number of people who tested positive in the county in the last day was 709, which means that more than 30,000 people have received positive tests for the coronavirus.

The closely-watched hospitalization number dropped again in the last day, falling by 37 to 1,340 residents. The number of people in Intensive Care Unit beds has also declined by five to 494.

For the second straight day, about 10 percent of the population of people with COVID-19, or 131 people, have been discharged from the hospital.

The death toll also continues to climb towards 1,000, with 33 people dying from complications related to COVID-19, bringing the number for the county to 959.

On the supply front, the county executive’s office distributed over 24,000 pieces of personal protective equipment yesterday. The county also received 80,000 ear loop masks from New York State.

The procurement team in Bellone’s office received 27,000 isolation gowns, which have been in short supply and high demand.

The Stony Brook University Hospital extension, which was an all-out effort as the hospitalization was climbing dramatically, is completed. The beds at the facility are not occupied.

“I don’t think there are plans right now” to use those beds, Bellone said. “We are working to prevent a second wave rom happening. We know that has happened in past pandemics.”

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Dr. Bettina Fries and her neighbor Agjah Libohova holding new face shields that will soon be put into the PPE pipeline at Stony Brook Medicine and many metro area hospitals. Photo from SBU

Her forecast calls for a better summer and a difficult fall and winter.

Bettina Fries, the Chief of the Division of Infectious Diseases at Stony Brook Renaissance School of Medicine, sees improvements in the battle against COVID-19 over the next few months, and then a return of stormy weather in the winter.

There will be “much, much less cases in the summer. The reason is that people are more outside and there is less tightness together, but we have to be careful.”

Indeed, a decline in cases of COVID-19 won’t signal a victory over the virus. As the fall approaches, a second wave could exacerbate the typical arrival of the seasonal flu.

“We have a hard winter ahead of us,” Fries acknowledged. As one of several principal investigators involved in efforts to develop an effective treatment for the virus, Fries is working to mitigate the effect of the pandemic.

Fries is overseeing Stony Brook’s involvement in a trial of Regeneron’s drug Sarilumab, which blocks the binding of interleukin-6 to its receptor. The Food and Drug Administration has already approved the drug to treat juvenile rheumatoid arthritis and for the cytokine storm brought on by the treatment of acute leukemia with CAR-T cells.

The work at Stony Brook is a part of Regeneron’s tests in 50 medical centers. At this point, Fries has recruited three of the six patients who will receive the treatment.

Stony Brook is also involved in other studies of potential therapeutics. Sharon Nachman, the chief of the Division of Pediatric Infectious Diseases at Stony Brook Children’s Hospital, has given Remdesivir to two patients with severe symptoms. The drug, which was developed to treat Ebola and Marburg, targets and inhibits the RNA polymerase.

Meanwhile, Elliot Bennet-Guerrero, the Medical Director for Perioperative Quality and Patient Safety for Stony Brook Medicine plans to start a clinical trial of donated, post-convalescent plasma from COVID-19 patients. This approach dates back over 100 years, when serum made from immunized animals helped treat diphtheria.

While each of these approaches could provide relief and extend the lives of people suffering from the virus, Fries doesn’t expect a return to some semblance of normal until the development of a reliable vaccine, which could take another year or more.

Fries sees a potential legal battle developing as countries race to produce a vaccine. She believes the World Health Organization is the group most likely to succeed in ensuring that any effective treatment benefits all of humanity and not just the company or country in which it originated.

“The only organization in my opinion that would be able and have international support to oversee this and make sure this vaccine becomes accessible to everyone and is not getting hung up in patent or licensing disputes is the World Health Organization,” Fries said.

Fries said she believes the international community needs to come to an agreement well before scientists develop an effective vaccine.

“We need everybody in this world to become vaccinated,” Fries said. “It’s really important before we have a vaccine that the international community starts agreeing on what we are going to do if company XYZ in South Korea has the super vaccine first.”

Fries suggested that the American withdrawal from the WHO could prove to be a costly mistake to public health and to global efforts to combat the pandemic.

“Chances are high that the Chinese or Germans or South Koreans will have a vaccine before we do,” Fries said.

As for COVID-19, Fries said the consensus for the infection rate has changed over the last few months, as the virus has spread throughout the world. Indeed, each person who gets the virus now spreads it to about 5.7 other people, which is considerably higher than the rate of between 2.2 and 2.7 researchers had expected from earlier information.

While people who have endured life-threatening symptoms can become infectious, people are generally infectious before they are symptomatic.

As states and countries consider reopening from quarantines, lockdowns and shelter-in-place mandates, Fries said the most effective approach would likely involve a modified reopening with behavioral changes.

Hospitals and urgent care centers can and have changed the way they interact with residents who come into the emergency rooms. The longer-term transition for other businesses and enterprises is more challenging.

Bringing students back to colleges remains a difficult decision that schools around the country face over the next few months, particularly amid a situation in which information about hospitalization, mortality, and testing change by the day.

Sports like swimming and tennis may be able to resume without too many public health alterations, while opera and movie theaters may be more limited in how they can entertain audiences.

Separately, many people have already altered their health care routines, avoiding practices and procedures that could extend the quality and years of their lives. People may not have gotten their chemotherapy and may have missed the chance to get bypass surgery or stents.

“There’s collateral damage we don’t even know yet,” Fries said, “That’s going to be huge.”

Even if the mortality rate is closer to 0.5 percent, the overall number of infections and hospitalizations have “hijacked” the health care system, which can lead to a lower level of care for everyone else, Fries said.

The health care system has been “completely emergency-based for the last 50 days,” Fries observed.

As the country and world approach what might be more of a summer reduction in the numbers, Fries urged ongoing vigilance, even if there are no new cases for an entire month. She suggested that governmental oversight and regulation in connection with a strong health department can help manage through the next wave of cases.

The health care system has had to conquer the seemingly intractable problem of viral deaths, such as from the human immunodeficiency virus, or HIV.

COVID-19 is “very similar in the sense that there was so much despair at the beginning,” Fries said. “When you don’t have a cure, you need to attack a disease with different methods and be okay that you’re not going to cure it, but that you’re going to contain it.”

Fries urged patience as people confront the uncertainty ahead. The ongoing use of masks can help people confront the public health threat that she hopes a vaccine helps conquer.

One of the many clear lessons from this crisis, Fries said, is that those dealing with the public health threat needed to approach it with an understanding of the disruption to the supply chains, with everything from personal protective equipment shortages to ventilators in the right places to adequate staffing of doctors, nurses and other health care professionals.

The garment industry in New York is starting to make plastic coats, Fries said. “Why didn’t we start making that eight weeks ago?”

The same approach also applies to medicines. A multi-disciplinary approach using artificial intelligence could anticipate what hospitals and urgent care centers need, bringing the necessary and vital field of supply chain logistics into this enormous effort.

Ultimately, Fries expects a balance between best practices to keep people safe and the human need for interaction and full engagement professionally and socially.

“We can’t have everybody stay at home,” Fries said. “We have to find a new way of interacting and seeing each other.”
This article was amended April 24 to change the nature in which the drug Remdesivir works.

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From left, John Brittelli, Jon Longtin, and Dimitris Assanis, who are working on an early prototype of the CoreVent 2020. Photo from Stony Brook University.

Working against time and a potential shortage of life-saving ventilators, Stony Brook University scientists designed their own version, which they hoped no one would have to use.

In the course of 10 days, a team led by Jon Longtin, College of Engineering and Applied Sciences Associate Dean of Research and Entrepreneurship and professor of mechanical engineering, designed, built and tested a cheaper and easier ventilator, which they called CoreVent2020. They have spoken with a company in Shirley called Biodex Medical Systems, which could make as many as 30 of the originally crafted machines per day.

“It was an all-encompassing task,” Longtin said. “When we started this, COVID-19 cases were growing exponentially in the New York area. By following the curve at that point, we were going to run out of ventilators in a matter of one or two weeks.”

Indeed, just a few weeks ago, Suffolk County and New York State were still climbing the curve, without knowing when the peak would arrive. That meant that each day, the number of people hospitalized increased dramatically, as did the number of people who needed ventilators in the Intensive Care Unit.

The parts for the system Longtin, John Brittelli, a clinical professor in the Respiratory Care Program, and Dmitris Assanis, an assistant professor of mechanical engineering at Stony Brook, created cost about $2,000. This includes the cost for the arduino control panel, which is a computer board people have programmed to run their washing machines and to turn on lamps. The total cost compares with a price tag of about $30,000 for a regular ventilator.

The CoreVent 2020 favors a hospital setting, Longtin said, because it runs on medical compressed oxygen and compressed air.

“Most hospitals have compressed air, which we were able to use to make the design much simpler,” Longtin said.

Chris Paige, an anesthesiologist at Stony Brook University Hospital who worked on the ventilator, coined the term CoreVent, which suggests a “core” set of needed capabilities, but nothing more, Longtin explained in an email.

The researchers wanted to create a machine that didn’t have any proprietary parts, which would make the manufacture and distribution of the system considerably easier. The researchers wanted to make sure they could get the parts they needed and could still move forward even if a particular part from a specific manufacturer wasn’t available.

“Anything we used, we could buy from a number of different suppliers,” Longtin said. “As long as the specifications were the same, the design was simple and reliable.”

Longtin said the limits of time and resources, akin to the engineers at the National Aeronautics and Space Administration who helped bring home the damaged Apollo 13 rocket with its three-member crew, were omnipresent in designing and building the alternative ventilator system.

Longtin was grateful for the help and support of people in the engineering and medical side.

Longtin said he appreciated the opportunity to work together with his colleagues in the medical community and not only to build this alternative ventilator but also to build relationships across the Stony Brook community.

“I look forward to building upon these new relationships for other projects,” Longtin said. “Engineering and medicine will take a serious look at this and ask how we can work together to be more prepared in the future.”

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Peregrine falcon. Photo by Carl Safina

By Carl Safina

Carl Safina. Photo by Ines Dura

When I was 15 or so, an older neighbor took me fishing to his secret pond in Flanders. It was 1970, the year of the first Earth Day. He led me along a narrow trail through the pine woods to his special spot. It was a modest-sized pond, and the first thing I noticed was that right across the shore was a huge nest made of big sticks. It was a little dilapidated. Abandoned. 

I’d always loved birds. And among birds, I particularly was thrilled by hawks, eagles, and falcons. But living in a cookie-cut suburb of central Nassau County, my real-world contact with wild nature at that time was very limited. Much of what I knew was from books. I knew what that nest was. And I knew why it was abandoned.

It belonged to a spectacular species I’d never seen: huge fish hawks called ospreys. And I knew, also — from reading Newsday and Rachel Carson’s Silent Spring — that I would probably never see them because DDT and other hard pesticides had caused all their eggs to break. Adults were now dying off wholesale due to old age, and ospreys were already erased from most of the region. 

I knew all this from reading, but actually seeing that nest made me realize in a very visceral way how narrowly I’d missed growing up in a world that contained what it was supposed to contain. I could not believe the bad luck of the timing of my life. 

Bald Eagle. Photo by Carl Safina

And speaking of bad timing; that same year The New York Times Magazine ran a story on my favorite bird — another that I had only read about and seen photos of. The title of the story: Death Comes To The Peregrine Falcon. I would never see my favorite bird, because the same pesticides that were snuffing out ospreys had also wiped peregrine falcons from their cliff-nests from the New England to the West Coast and indeed all across Europe. 

Bald eagles — forget it. A few left in places like southern Florida and Alaska, places I was sure I would never get to. 

I assumed the trends would continue. I did not yet know that a small group of people based in a place called East Setauket were about to sue for the cessation of aerial spraying of DDT and some other chlorinated hydrocarbon pesticides. But they did. More surprising — they won! 

In a few years, with those pesticides banned, the new Endangered Species Act in place, and the Clean Air Act, Clean Water Act, and National Environmental Policy Act signed into law by a president named Nixon, the natural environment became noticeably cleaner. 

Scientists at Cornell University had succeeded in breeding some of the last peregrine falcons in the U.S. — hatchlings collected in Arctic Alaska. So in 1976, I drove up to Ithaca, tucked my long hair under my collar, and entered the office of the breeding facility to make the strongest case I could muster for why I would be a good candidate for helping to release the first generation of captive-bred peregrine falcons into a world newly cleansed of the worst pesticides of the time. 

Carl Safina with a peregrine falcon at the age of 21

And thus I started my professional career by securing the first of several dream jobs, spending part of the summer caring for and managing the release of three precious falcon chicks that were not just birds; they were three promises we were making to ourselves and to the future of Life on Earth. If it was going to be up to us — and it was, of course — this wondrous species, the fastest living thing in the world, would not vanish from this planet.

That was also the year that I saw an osprey in Cold Spring Harbor.

Other Cornell scientists, who refused to see our ospreys wither into oblivion, moved viable eggs from remaining Chesapeake pairs to failing Long Island nests, keeping a few remnant pairs on reproductive life-support so that a smattering of new young birds might survive and return to the region. 

It all started working. Ospreys did start coming back, laying eggs that no longer broke. Slowly at first and then to a degree I never could have imagined, ospreys recovered and came off the Endangered Species list. New York City now hosts the densest known nesting population of peregrine falcons in the world, sited on bridges and tall buildings, back in the Hudson’s Palisades, and even, locally, around Port Jefferson Harbor. 

Bald eagles are nesting on Long Island for the first time in our lives, with perhaps a dozen pairs now, and regular sightings in our Setauket and Stony Brook communities. All of that we owe to the few, early, never-say-die scientists and environmentalists of the first Earth Day era.

When the continued existence of several species of whales was very much in doubt, people who are now friends and colleagues of mine worked tireless, hard-fought battles that achieved, in 1986, a global ban on most commercial whale hunting. Another of my friends was burned in effigy for her tireless work to secure regulations that would prevent the last sea turtles on the East Coast from drowning in shrimp nets. 

But whales are now so common in our waters that it is no longer exceptional to see them from our ocean beaches. Sea turtle numbers have sky-rocketed from 1980s lows. Since the 1990s I’ve worked on several key campaigns to turn around the deep depletions in our fish populations and some of these, too, have worked beyond our — and our opponents’ — expectations. 

Osprey on a nest. Photo by Carl Safina

Last summer, a friend told me of seeing several whales from the beach in East Hampton. He said they were feeding just beyond the surf on dense schools of herring-like fish called menhaden. Because they formerly existed in enormous schools, are very energy and nutrient rich, and are eaten by many kinds of fish, seabirds, and marine mammals, menhaden have been called “the most important fish in the sea.” And because of recent hard-won catch restrictions, they’ve been rapidly recovering.

The morning after I got my friend’s tip, I checked five beaches from Amagansett to the west side of East Hampton. To my astonishment, I saw whales, dolphins, and dense schools of menhaden at every stop. The next morning I took my boat around Montauk Point for a water view. I first encountered the menhaden schools just west of the Point. Millions of fish extended in an unbroken school twenty miles long, with a humpback whale or two lunging spectacularly into breakfast every mile and a half or so. I went as far west as Amagansett, traveling just beyond the surf. I took a bunch of photos and decided to head back, knowing that the fruits of these spectacular recoveries continued far down the beach.

Nature is under withering pressure worldwide. But we here on Long Island are beneficiaries of some of the best successes I know about. And the successes are both spectacular and instructive. 

When we give natural communities and endangered species a break, and make the slightest accommodation to coexist and let life live, they strive to recover the abundance, vitality, and beauty of the original world. Two things are required: we have to want it, and a few people have to move a few obstacles and let it happen. And then we can have, and pass along, a more alive, more beautiful world. It can work.

Carl Safina is an ecologist and a MacArthur Fellow. He holds the Endowed Chair for Nature and Humanity at Stony Brook University and is founder of the not-for-profit Safina Center. He is author of numerous books on the human relationship with the rest of the living world. Carl’s new book is “Becoming Wild; How Animal Cultures Raise Families, Create Beauty, and Achieve Peace.” More at CarlSafina.org and SafinaCenter.org

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Stony Brook's Mobile Stroke Unit is continuing operations despite the ongoing coronavirus pandemic. Photo from SBUH

Amid the start of new coronavirus testing at hotspots including Wyandanch and North Amityville today, the number of residents testing positive for the virus that causes COVID-19 increased by 960 in the last 24 hours to 24,483.

At the same time, hospitalizations have declined by 45 patients to 1,585.

“That is the key number we have been watching,” Suffolk County Executive Steve Bellone (D) said on his daily conference call with reporters.

The number of people in the Intensive Care Unit also fell by 25 to 537, while the number of people intubated also declined.

The drop in hospitalizations marks the third time in five days that the closely watched gauge has declined, while the increases in the previous two days were smaller than the weekly average in the prior week.

Bellone suggested that these numbers could suggest a “leveling off,” albeit at a high level.

Suffolk County continues to add hospital beds, increasing capacity by 39 to 3,425, with 744 ICU beds.

The number of beds available is now 655 overall, with 112 ICU beds.

The “good news,” Bellone said, is that 152 people were discharged from the hospital in the last day.

At the same time, the county continues to suffer losses stemming from the virus. In the last 24 hours, 40 people have died, bringing the number of deaths to 693.

Earlier today, Gov. Andrew Cuomo (D) extended New York Pause to May 15, which means that schools and non-essential businesses will remain shut through at least that period. Starting tomorrow, residents of New York will be required to wear face masks when they are in public places and they can’t maintain social distancing of at least six feet.

Bellone mentioned several initiatives the county has started to manage the economic and employment recovery.

He described the potential need to change the Suffolk County Tax Act, which is a law that’s been on the books for 100 years that blocks the county’s ability to access tax funds until the middle of the year.

“Because of that, the county has to borrow money to get through the first six months of the year,” Bellone said.

Bellone announced that the county has created a COVID-19 Fiscal Impact Panel, which will analyze the ways the virus is causing damage to the county’s finances. Emily Youssouf, who Bellone described as an “expert in private and public sector finance,” will chair that panel. Youssouf had been a board member for the New York City Housing Authority under the Bloomberg Administration.

Stony Brook Announcements

Stony Brook University said it will continue to operate its two Mobile Stroke Units. The specialized ambulances are available every day from 8 a.m. to 8 p.m. The units allow patient triage and treatment in the field. Clinicians aboard the ambulances can administer a medication that minimizes brain injury at any location and then, when necessary, can transport the patient to the closest facility.

With a stroke, time is critical to save brain cells, explained Dr. David Fiorella, Director of the Stony Brook Cerebrovascular Center and founder of the mobile stroke centers.

Separately, Stony Brook University Hospital recognizes the anxiety patients feel when each health care professional who comes into their rooms is wearing a mask and, often, a face shield that hides most of their face. In one unit of the hospital, care givers will begin wearing staff ID pictures on their gowns so patients can see the face of the staff member providing care. The idea may extend to other areas of the hospital after a pilot period.

The idea, called the Face Behind the Mask, came from Nurse Practitioner April Plank after she started working in a COVID unit

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Printers at Stony Brook University were donated by the Comsewogue School District. Photo from Deniz Yildirim

By Deniz Yildirim

The Comsewogue School District is helping Stony Brook University in the fight against the COVID-19 coronavirus outbreak. Comsewogue found out about the project from David Ecker, a professor and director of iCREATE at Stony Brook University. Ecker was inspired by an article he read about a good samaritan producing face shields for a hospital upstate and thought if he could we do it with a 3D printer? He went out the next day with his wife to gather supplies from Joan Fabrics, Home Depot and Staples. He produced a sample face mask that was so impressive, Stony Brook University asked him to make five thousand more. That Sunday morning, Ecker met with his team at Stony Brook University. 

“I designed stations; a station for inspecting the 3D-printed models, another for putting on the weather stripping, inserting the foam, cutting the elastic to size and finally adding the face shield.” Ecker said. “This process allows multiple people to work at the same time while still practicing social distancing.” 

Comsewogue was excited to lend a helping hand by providing over 1,000 yards of filament, the material used to make the frame of the face shield. Comsewogue also delivered five of its MakerBot Replicators and 3D printers for Stony Brook to borrow for this project. Vincent Verdisco, an art educator for over 20 years who teaches Auto-CAD in several of his courses said, “it’s so rewarding to be able to help out during this crisis.” 

Verdisco has been working with Ecker to help improve the mask designs for this project. 

“Now more than ever we have to support one another and it’s nice to show my students the real-life application of what we study in my courses,” Verdisco said. A list of materials and links to the designs are available for free at https://nyinnovate.com/faceshields. 

“It’s a great community effort and I am so thankful we can do this,” Ecker said. “We are doing what we love, innovating to help the front line medical professionals in any way possible.”

Other school districts or organizations want to lend their 3D Printers should contact [email protected].

Deniz Yildirim is a librarian at the Terryville Road Elementary School.

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