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A6   U.S. NEWS
                      Monday 9 March 2020


















            Nursing homes face unique challenge with coronavirus



            By  KELLI  KENNEDY  and                                                                                             Pittsburgh  Department  of
            ADRIANA GOMEZ LICON                                                                                                 Medicine. He oversees 300
            MIAMI  (AP)  —  From  Miami                                                                                         facilities in Pennsylvania.
            to  Seattle,  nursing  homes                                                                                        For  now,  facilities  in  most
            and  other  facilities  for  the                                                                                    states  are  stressing  ba-
            elderly   are    stockpiling                                                                                        sic  precautions,  including
            masks  and  thermometers,                                                                                           hand washing and cough-
            preparing  for  staff  short-                                                                                       ing etiquette.
            ages and screening visitors                                                                                         Centers  throughout  the
            to  protect  a  particularly                                                                                        country  are  also  trying  to
            vulnerable population from                                                                                          prepare  their  staffs  for  the
            the coronavirus.                                                                                                    worst.
            In  China,  where  the  out-                                                                                        An  adult  day  care  center
            break  began,  the  disease                                                                                         in  Miami's  Little  Havana
            has    been    substantially                                                                                        neighborhood       bought
            deadlier  for  the  elderly.  In                                                                                    long-lasting     prepared
            Italy,  the  epicenter  of  the                                                                                     meals  in  preparation  for
            virus  outbreak  in  Europe,                                                                                        possible shortages. The He-
            the more than 100 people                                                                                            brew  Home  in  Riverdale,
            who died were either elder-                                                                                         New  York,  is  running  nurs-
            ly, sick with other complica-                                                                                       ing staff through drills to see
            tions, or both.                                                                                                     how they will handle situa-
            Of the 21 deaths across the                                                                                         tions at the 750-bed facility
            U.S.  as  of  Sunday,  at  least                                                                                    if the virus progresses. Their
            16  had  been  linked  to  a   In this March 4, 2020, photo, nursing assistant Natasha Borges, right, helps Rene Gonzalez, left,   IT department is setting up
            Seattle-area nursing home,   dry his hands after washing them at Little Havana Activities and Nutrition Centers of Dade County,   infrastructure  for  staff  to
            along  with  many  other  in-  Inc., in Miami.                                                                      work  remotely  if  they  be-
            fections  among  residents,                                                                        Associated Press   come sick.
            staff  and  family  members.                                                                                        "If  one  of  our  sites  has  an
            The  Seattle  Times  report-  quire the homes to have an  are now giving all visitors a  sibility  of  contracting  the  outbreak,  we  quickly  will
            ed  that  a  second  nursing  infection  prevention  spe-  short  questionnaire  asking  coronavirus scares him.    deplete  the  staff  in  that
            home  and  a  retirement  cialist  on  staff,  and  many  about  symptoms,  recent  "It's a concern," Marchand  location," said Randy Bury,
            community in the area had  have long had measures in  travel  and  contact  with  said. "It really is."             CEO  of  The  Good  Samari-
            each reported one case of  place to deal with seasonal  others, said company Vice  Many  facilities  across  the  tan  Society,  one  of  the
            the virus.                   flus and other ailments that  President Luke Neumann.     country  have  said  they  largest not-for-profit provid-
            That has put other facilities  pose a higher risk to the el-  Neumann  said  the  nurs-  were  having  trouble  get-  ers  of  senior  care  services
            in the U.S. on high alert, es-  derly.                    ing  homes  also  have  pur-  ting  medical  masks  and  in  the  country,  with  19,000
            pecially in states with large  Even so, facilities' response  chased  extra  thermom-  gowns  because  of  short-   employees in 24 states.
            populations  of  older  resi-  to the coronavirus has var-  eters in case they need to  ages.                       Some families are consider-
            dents,  such  as  Florida  and  ied across the country.   check visitors' temperatures  More  intensive  screening  ing pulling their loved ones
            California. About 2.5 million  In  Florida,  where  about  and  stockpiled  preventive  of visitors, meanwhile, is not  out of facilities.
            people  live  in  long-term  160,000  seniors  live  in  nurs-  supplies, including medical  sitting well with some.  Kathleen  Churchyard  said
            care facilities in the United  ing  homes  and  assisted-  masks, protective eyewear  "Some  of  the  visitors  have  her  family  has  decided
            States.                      living  facilities,  mandatory  and  gowns.  In  the  laundry  been  quite  reluctant  to  to  move  her  80-year-old
            "For  people  over  the  age  visitor  screening  is  not  in  rooms,  they  are  making  comply, and that has been  mother  out  of  her  retire-
            of  80  ...  the  mortality  rate  place  "because  we're  not  sure to use enough bleach  stressful," said Janet Snipes,  ment   community   near
            could be as high as 15 per-  at  that  stage,"  said  Kristen  and heat to kill any linger-  executive  director  of  Holly  Jacksonville,  Florida,  and
            cent," said Mark Parkinson,  Knapp, a spokeswoman for  ing virus germs, he said.       Heights  Nursing  Center  in  into her sister's home near-
            president  of  the  nursing  the Florida Health Care As-  At  the  South  Shore  Reha-  Denver.                     by if the virus is confirmed in
            home  trade  group  Ameri-   sociation.                   bilitation  and  Skilled  Care  Under  federal  regulations,  the area.
            can  Health  Care  Associa-  But elder care centers are  Center south of Boston, pa-   nursing  homes  are  consid-  Churchyard,  who  lives  in
            tion.                        posting  signs  urging  visitors  tient  Leo  Marchand  keeps  ered a patient's residence,  Concord,  North  Carolina,
            The  federal  government  to  stay  away  if  they  have  a  container  of  disinfecting  and  the  facilities  want  to  worries  her  mother  is  not
            is  now  focusing  all  nurs-  symptoms,  and  are  look-  wipes on a shelf by his bed  keep them connected with  taking  it  seriously,  and  is
            ing  home  inspections  on  ing  into  alternate  ways  for  that he uses several times a  family,  especially  when  particularly  worried  about
            infection  control,  singling  families  to  connect,  such  day.  The  71-year-old  Viet-  they are near death.    her dining hall.
            out  facilities  in  cities  with  as  through  video  chats,  nam  veteran  and  retired  "I  don't  think  you  can  flat-  "I  tried  to  get  her  to  buy
            confirmed cases and those  Knapp said.                    truck  driver  has  chronic  out prevent visitors," said Dr.  some  stuff  to  prepare.  ...
            previously cited for not fol-  Concierges in the 14 Florida  obstructive  pulmonary  dis-  David A. Nace, director of  She  said,  'No.  If  (the  virus)
            lowing protocol.             nursing  homes  run  by  the  ease that makes it difficult  long-term care and flu pro-  takes  me,  it  takes  me,'"
            Federal  rules  already  re-  Palm  Gardens  corporation  for him to breathe. The pos-  grams  at  the  University  of  Churchyard said.q
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