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                                                                                                 U.S. NEWS Monday 9 noveMber 2020
            Nursing home COVID-19 cases rise four-fold in surge states




            By    RICARDO     ALONSO-                                                                                           virus is spreading.
            ZALDIVAR                                                                                                            — During the same period,
            Associated Press                                                                                                    nearly 1 in 5 nursing homes
            WASHINGTON  (AP)  —  De-                                                                                            reported shortages of basic
            spite  Trump  administration                                                                                        protective supplies such as
            efforts  to  erect  a  protec-                                                                                      masks and gowns.
            tive  shield  around  nursing                                                                                       —  Nearly  1  in  4  facilities
            homes,  coronavirus  cases                                                                                          reported  a  nurse  staffing
            are  surging  within  facilities                                                                                    shortage.
            in states hard hit by the lat-                                                                                      Most  of  the  states  in  the
            est onslaught of COVID-19.                                                                                          study are in the middle and
            An analysis of federal data                                                                                         northern  tiers  of  the  coun-
            from  20  states  for  The  As-                                                                                     try. The Commons, a senior
            sociated  Press  finds  that                                                                                        living  community  in  Enid,
            new  weekly  cases  among                                                                                           Oklahoma, that includes a
            residents  rose  nearly  four-                                                                                      nursing home, is in a coro-
            fold  from  the  end  of  May                                                                                       navirus hotspot. The oil and
            to late October, from 1,083                                                                                         gas hub has a positive rate
            to  4,274.  Resident  deaths                                                                                        approaching  18%.  A  local
            more  than  doubled,  from                                                                                          mask  mandate  has  twice
            318 a week to 699, accord-                                                                                          been  shot  down,  said  Ste-
            ing to the study by Univer-                                                                                         ven  Walkingstick,  CEO  of
            sity  of  Chicago  health  re-                                                                                      The Commons.
            searchers Rebecca Gorges                                                                                            "From  my  standpoint,  a
            and Tamara Konetzka.                                                                                                mandate  unfortunately  is
            Equally concerning, weekly                                                                                          needed," said Walkingstick.
            cases among nursing home                                                                                            "I  don't  want  the  govern-
            staff  in  surge  states  more                                                                                      ment  involved,  but  evi-
            than quadrupled, from 855                                                                                           dence  has  shown  we  are
            the  week  ending  May  31,   In this May 8, 2020, file photo registered nurses Beth Andrews, top, and Erin Beauchemin work with   not going to do this volun-
            to  4,050  the  week  ending   a patient in the COVID-19 Intensive Care Unit at Harborview Medical Center in Seattle.   tarily."
            Oct.  25.  That  rings  alarms                                                                     Associated Press   Walkingstick  said  he  be-
            because  infected  staffers                                                                                         lieves  the  U.S.  has  gotten
            not yet showing symptoms  ing into cold weather sea-      getting into, or to prepare,  how  to  do  things  better,"  better at saving the lives of
            are seen as the most likely  son when many experts ex-    prepare, and prepare, and  she  said.  Other  academic  COVID-19 patients, but not
            way the virus gets into facil-  pect the virus will be harder  then have it hit," she said.   experts have reached simi-  at keeping the virus out of
            ities. When those unwitting  to  contain.  The  seven-day  Responding  to  the  study  lar conclusions.             nursing homes.
            staffers  test  positive,  they  rolling  average  for  daily  findings,  the  federal  Cen-  Highly  rated  by  Medicare,  Thorson,  head  of  the  Fort
            are  sidelined  from  caring  new cases stood at nearly  ters  for  Medicare  and  St.  Paul  Elder  Services  in  Dodge facility, said it takes
            for  residents,  raising  pres-  104,000  on  Saturday,  ac-  Medicaid Services issued a  Kaukauna,  Wisconsin,  has  a lot of effort to try to keep
            sures on remaining staff.    cording to data from Johns  statement  saying  that  "the  had  72  COVID-19  cases  the  virus  out,  and  it's  de-
            The  administration  has  al-  Hopkins University.        bottom line is that the CO-  among  residents  and  74  moralizing  to  see  it  break
            located  $5  billion  to  nurs-  Nursing  homes  and  other  VID-19  pandemic's  effect  among staff, according to  through.
            ing  homes,  shipped  nearly  long-term care facilities ac-  on  nursing  homes  is  com-  its Facebook page. The first  "Don't forget about us, be-
            14,000  fast-test  machines  count  for  about  1%  of  the  plex and multifactorial."  case among residents was  cause we are still here, do-
            with  a  goal  of  supplying  U.S.  population,  but  rep-  The  agency  noted  differ-  Aug. 19, and 15 have died,  ing the best we can in rural
            every  facility  and  tried  to  resent  40%  of  COVID-19  ent  ways  the  administra-  said the facility's president,  areas," she said.
            shore  up  stocks  of  protec-  deaths,  according  to  the  tion  has  worked  to  help  Sondra Norder.            The  20  states  analyzed  in
            tive  equipment.  But  the  COVID Tracking Project.       nursing  homes  and  said  "The  outcomes  are  really  the  study  were  Alaska,  Ar-
            data call into question the  In  Fort  Dodge,  a  manu-   its  focus  now  was  on  en-  not  much  different  here  kansas,  Iowa,  Idaho,  In-
            broader White House game  facturing  and  transporta-     suring  that  residents  and  than they were in New York  diana,  Kansas,  Kentucky,
            plan, one that pushes states  tion center in north-central  staff  would  "immediately"  back  earlier  in  the  pan-  Minnesota,  Missouri,  Mon-
            to  reopen  while  maintain-  Iowa, Julie Thorson said she  have access to a vaccine  demic,"  Norder  said.  "It's  tana, Nebraska, New Mex-
            ing that vulnerable people  knew she was in for a bad  once approved. But it also  been  called  the  perfect  ico,  North  Dakota,  Ohio,
            can be cocooned, even if  week  when  several  em-        added  that  facilities  "bear  killing  machine  of  the  el-  Oklahoma,  South  Dakota,
            the  virus  rebounds  around  ployees  at  the  Friendship  the  primary  responsibility  derly, especially those who  Utah,  Wisconsin,  West  Vir-
            them.                        Haven nursing home tested  for  keeping  their  residents  live in congregate settings."  ginia,  and  Wyoming.  They
            "Trying  to  protect  nurs-  positive  last  Monday.  As  safe."                       Kaukauna  is  a  small  city  were  selected  because
            ing  home  residents  with-  president of the senior living  "Many  times,  the  likely  about  100  miles  north  of  they're  now  seeing  their
            out  controlling  community  community,  Thorson  con-    causes  of  nursing  home  Milwaukee.                     highest hospitalization rates
            spread  is  a  losing  battle,"  tacted  the  county  health  outbreaks  are  simply  nurs-  The  study,  based  on  data  for COVID-19.q
            said Konetzka, a nationally  department.  "They  were  ing homes failing to comply  reported by nursing homes
            recognized expert on long-   basically  not  surprised  be-  with basic infection control  to  the  government,  also
            term care. "Someone has to  cause  they're  seeing  it  all  rules," the statement said.   raised other concerns:
            care for vulnerable nursing  over the county," she said.  But  Konetzka  said  her  re-  —  For  the  week  ending
            home residents, and those  Residents  also  started  test-  search has shown that nurs-  Oct.  25,  about  1  in  6  nurs-
            caregivers move in and out  ing positive. The facility had  ing  home  quality  has  no  ing  homes  in  surge  states
            of  the  nursing  home  daily,  11  new  cases  among  resi-  significant  effect  on  cases  did  not  report  having  test-
            providing an easy pathway  dents, as of Friday.           and deaths once commu-       ed  staff  the  prior  week.
            for the virus to enter."     "I  was  thinking  all  night  nity  spread  is  factored  in.  Government  requirements
            The nation is setting records  what's worse, to have it hit  "It's not like the high-quality  call for staff testing at least
            for coronavirus cases head-  and not know what you are  facilities  have  figured  out  weekly in areas where the
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