Tag: pandemic

Memorial Day 2020

Today, the United States observes Memorial Day. It originated as a day to honor Union soldiers who died during the Civil War, but expanded over time to include service members who died in any armed conflict.

I am also thinking today of all the civilians who lose their lives in wars. Perhaps, this is because I just finished watching World on Fire on Masterpiece, which is about people from various countries in World War II Europe.

As the country continues its struggle with the COVID-19 pandemic, we often hear politicians and media describe it as a war. The medical personnel, first responders, and caregivers are called the front line, a term that is sometimes also applied to other essential workers, such as transit, delivery, and grocery workers. I am confused, though, by the use of the term “warrior.” Sometimes, it seems that the general public are considered warriors, serving others by staying at home to avoid spreading the virus further. Others are using the term warriors to describe those who are giving up on stay-at-home orders and going back to “normal” whether or not the public health officials say it is wise.

I am extraordinarily grateful to be living in New York State, where our governor and other leaders are methodically working to expand economic activity while safeguarding public health. National news reports have shared data that twenty-four states are re-opening their economies with the rate of infection still increasing, even though the national guideline is that at least two weeks of declining infections is required first.

While I remain unsure of who the “warriors” are, I am painfully aware of who the casualties are in this war. As I write this, there are 98,000+ confirmed COVID-19 deaths in the United States. The number will surely reach 100,000 within the next two days. Over these last few months, the United States has lost more lives to coronavirus that it has service personnel in all the wars since the end of World War II combined.

Today, I am commemorating all the service members and civilians who died in war and all the pandemic victims. May their memories strengthen us to serve others.

a year ago today

Today is the first anniversary of my mom’s death. She was known as Nana here at TJCM and she appears in many posts from the past years.

Her death followed a long period of decline from congestive heart failure. In some ways, it seems that I lost her much longer ago because, as her illness progressed, she was not the same mom, the confidante with whom I spoke nearly every day of my life. She also wasn’t able to keep up her active social life in the senior community where she and Paco had lived since its opening ten years ago. She had a special gift for conversation, for listening attentively, and remembering each person’s stories. She also kept up with current events, so our conversations were often wide-ranging.

With so much changed in the world these last few months, I’ve often felt thankful that it was last year rather than this that we were dealing with Nana’s final months. Nana spent her last months in the skilled nursing unit of their senior community. Paco and I were able to visit as often as we wanted and my sisters came into town frequently for a few days at a time. Because our adult daughters E and T and our granddaughter ABC were in residence with us, they were able to visit often, too. This is one of my favorite four generations photos – Nana, me, E, and ABC at Thanksgiving in November, 2018.

Thanksgiving four generations

This spring, though, the skilled unit has been in full lockdown for weeks due to COVID-19. Visitors are only allowed when there is imminent danger of death. As difficult as the last few months of Nana’s life were, it would have been so much more difficult if we had not been able to be there to talk when she was awake, help with her meals, put in calls for staff when needed, and just be present. My heart goes out to all those who are residents of long-term care facilities and to their families as they continue to contend with being separated at this critical time.

I’m also grateful that Nana did not have to experience the permanent move of E and ABC to the UK. Being able to see her only great-grandchild regularly was a joy and it would have been so hard for her to lose that in-person connection. Nana was also spared the worry when the London contingent of the family were ill with probable COVID-19.

It’s hard to say if a year is a long time or a short time in these circumstances. Mourning follows its own path and this year has submerged us in a sea of societal grief and loss, as well. I only hope that I am able to be a testament to Nana’s love and care for her family and friends in these troubled times.

Smith commencement

On this weekend in an ordinary year, the Smith College campus and Northampton, Massachusetts would have been awash in graduating students, their families, and returning alumnae, participating in the traditional activities of commencement and reunion. (While all reunions used to be held simultaneously, now only landmark years, such as the 25th and 50th hold reunions in conjunction with commencement weekend. The other classes meet on the following weekend.)

This year, though, because of the pandemic, the festivities moved online. Saturday evening, the campus would have been illuminated with hundreds of lanterns. Instead, there was a global illumination event, with alumnae and friends of Smith lighting their own lanterns or candles in honor of the class of 2020.  Commencement was livestreamed on Facebook, with a special Zoom experience for graduates, family, and friends.

As a proud member of the class of ’82, I watched the first part of the ceremony. (I admit that I didn’t watch the conferral of degrees, which included the name and photo of each graduate.) I was surprised by how often the alumnae were invoked in the addresses. It’s comforting to know that the strong connections among alumnae and to the institution persist, despite the efforts to divide people that have been so worrisome in the United States in recent years. I add my sincere good wishes to the new alumnae as we all try to find a positive path in the face of these troubled times.

Here are some of the things about the ceremony that I found especially striking:

  • The acknowledgement of the indigenous peoples of the region where the Smith campus now is by Director of Religious & Spiritual Life and College Chaplain Matilda Rose Cantwell ’96
  • The strong bond that President Kathleen McCartney has with the students, the alumnae, and the entire campus community and the sensitivity with which she treated the disruption of the pandemic
  • That 2020 Senior and Alumnae Class President Dimitra Konstantinos Sierros chose to attend Smith for much the same reason I had – because the students she met as a high schooler were so engaged and interesting that she wanted to be a part of such a vibrant community
  • That Speaker of the House Nancy Pelosi drew together the accomplishments of notable alumnae and the activism of the class of 2020 in her commencement address, while looking forward to the future endeavors of the graduates

This is not a reunion year for my class. When we meet for our 40th in 2022, I expect that there will be a vaccine and/or effective treatment for COVID-19 widely available so that we will be allowed to travel and gather on campus, although masks and less physical contact may still be a feature of post-pandemic life. I sense, though, that this experience of nurturing community at a distance will make our bonds even stronger.

The class of 2020 may prove to have the strongest bonds of all.

pandemic shopping

During our stay-at-home order period, shopping for food and other necessities has been one of the few opportunities to be away from the house, unless one is an essential worker. Most households have one designated shopper and it is suggested that shopping occur only once every 1-2 weeks.

At our house, I am the designated shopper. I also shop for my dad, who lives in a nearby senior community. He gets some meals through their dining service, but prepares breakfast and most lunches on his own.

Ideally, I would do one, very large shopping trip every two weeks, but this has proved impossible. Our area still has supply problems that cause stores to be out of stock of certain items, for example, flour, yeast, peanut butter, meat, toilet paper, canned beans, rice, frozen vegetables. It’s not that you can’t find your favorite brand. It’s that these products can be totally missing. There are also often limits to the number of containers you can buy of a product, as well. Staples like bread, milk, pasta, and canned beans are most likely to have that kind of restriction.

Because of this, I usually shop weekly, but need to go to two or three stores to find what we need. I am also making sure to keep a two-week supply of food on hand in case we need to quarantine, so I need to have food for immediate consumption and to keep the pantry stocked without compromising our emergency provisions.

We are also trying to give business to our local restaurants that are open for curbside pick-up. We are afraid that some of the local businesses that closed may never re-open, although we were happy that our favorite neighborhood Chinese restaurant, though closed for a few weeks, has now re-opened for carryout.

We have also been enjoying trips to our favorite ice cream stand, Sugar Lips, which makes their own hard ice cream and usually about ten vegan flavors. This is a special place for the lactose-intolerant people in my family. Sugar Lips usually attracts a lot of customers from the university, so we are hoping that the local folks can give them enough business to stay open until the students are able to return to campus.

Today, thanks to our region meeting the criteria for phase one re-opening, I was able to support one of my favorite shops in a nearby town to our west. They specialize in locally made products. I usually buy handmade soaps from them and I’m pleased that I was able to put in an order online. Bonus: they had some multipurpose headband/face masks for sale. Pickup from the store is by appointment. Maybe the next time, they will be able to be open for in-person browsing. I think that might be phase four, with facemasks and social distancing, of course.

Are you having shopping adventures in your area? Please share in the comments.

SoCS: re-opening?

I want to believe that our region’s re-opening of some businesses will not spark more cases of COVID-19.

I wrote earlier in the week about our area of New York State qualifying to re-open certain businesses. As of yesterday, non-essential retail can be open for curbside pick-up. Some construction and manufacturing can start up with appropriate precautions to protect workers. Plans have to be filed with our regional commission to make sure that they comply with CDC and state guidelines. This is stage one of four. All seven metrics that govern re-opening have to be met at all times. If something slips, signalling a possible outbreak, businesses will have to close again until conditions improve.

It’s bothering me that the media are lumping New York State in with the other 47 states that are ending stay-at-home policies. The vast majority of those states have not met the CDC guidelines for two weeks of declining cases, making public interaction much more dangerous. Those states are not trying to contain the virus but to mitigate it.

New York is putting in place a much different strategy. Only those areas of the state that have the virus contained are eligible. There is a requirement to do a certain number of tests weekly and there are contact tracers, so many for every thousand residents, so that if a case is detected, they can quarantine all contacts that have been close to the infected person so that we don’t get community spread. We hope that the testing, tracing, and monitoring will keep the virus contained, allowing more businesses and services to re-open over the coming weeks and months, while protecting public health. If the program is effective, we won’t need to back off and go back to stay-at-home, but we can if infection rates go up. More importantly, we would know that infection rates are climbing before they get out of control. It turns out that the reason New York had so many cases is that the virus was already out in the community months before anyone realized, coming into New York/New Jersey airports from Europe when everyone was thinking that it was only travel to China that was worrisome. Even now, the downstate region is still under stay-at-home for at least another month. The other area of the state that is still under stay-at-home is western New York, including Buffalo.

Because New York State’s plan is so well-thought-out and relies on science and the experiences of other countries in re-opening, I am hopeful that we will be able to protect public health while gradually getting more people back to work.

I am very afraid for the states that are re-opening more haphazardly, which is, sadly, most of them. They didn’t even follow the CDC guideline to have two weeks of declining infection rates before opening businesses. Many places also opened high-risk businesses, such as hair salons and bars, where social distancing is impossible. The experts who model suspected outcomes have all raised their estimates for infections and fatalities because so many states are taking such a risky path.

I’m sad and scared.

I want New York’s path to work. If it does, I want other states to adopt similar plans, so that we can save as many people as possible from illness and death.

Is that too much to ask?
*****
Linda’s prompt for Stream of Consciousness Saturday is using the word “want” within the first three words of the post. Join us! Find out more here:  https://lindaghill.com/2020/05/15/the-friday-reminder-and-prompt-for-socs-may-16-2020/

2019-2020 SoCS Badge by Shelley!
https://www.quaintrevival.com/

New York’s reopening plan

I’ve posted several times about how my state is handling the pandemic. Unlike many other states, New York State has taken a methodical, metric-based approach.

The whole state has been under a program called PAUSE, which is a stay-at-home order for all but essential workers and shopping for necessities. Starting on May 15th, certain regions of the state that have met the criteria will be moving into phase one of four for re-opening certain businesses.

My region, the Southern Tier, is qualified to re-open companies with worker and customer safety plans in place in construction, manufacturing, delivery/curbside pick-up retail, wholesale, agriculture, forestry, fishing, and hunting. The region needs to continue to meet the criteria each week, including testing and having contact tracers available. If criteria continue to be met, other businesses will open in phases. If the statistics show an outbreak is developing, the phased-in businesses will close until all the criteria are again met.

The state has a website called New York Forward, which has up-to-date information about the plan and the current status of each region. There is more information about the phase-in of businesses here. For those who would like more detail, there are many different pages and sections available on different aspects of the plan from the New York Forward main page link above, as well as a 50 page book, which includes some history, the basics of the plan itself, and future goals.

While there are no certainties in dealing with the pandemic, I am reassured that there is a detailed plan with metrics based on science and the experiences of other places dealing with the virus. It’s also good to know that there is continuous monitoring of the situation so that we can adapt the implementation as needed.

For the good of our state and the health and well-being of our residents, I hope the plan works well. If it does, I hope other governments will be able to use it as a template for their own plans.

We are better off if we make thoughtful, science-based decisions. This pandemic has shown how connected the world is. We all need to cooperate if we are ever going to end this diesase.

bad timing

The United States government authorized direct cash payments to adults in order to help people face the challenges of the pandemic economic impacts.

The implementation has been dicey, though.

Most of the payments were based on 2018 or 2019 income tax returns and were made by direct deposit, if banking information was on file with the Internal Revenue Service, or by check.

Unfortunately, the IRS didn’t cross-reference with the Social Security system, which meant that some payments were issued to people who were deceased. That is what happened with my parents, known here as Nana and Paco, who received a payment by direct deposit last month, even though Nana’s date of death was on file at Social Security.

Many others were similarly affected and, at first, it seemed that surviving spouses would be allowed to keep the full payment as had happened in a similar economic stimulus program a number of years ago.

However, a few days ago, the government issued instructions that required people to mail them a check for any payment sent on behalf of someone who had died.

I am not arguing against the principle of payments to only those who are living, but I wish that the program had been implemented with accuracy. It’s been painful dealing with the hassles and uncertainty of the situation.

I couldn’t make myself write the check and required note to the IRS on Mother’s Day, my first without my mom. I did put it in the mail today. Later this week will be Nana’s birthday and the following week the first anniversary of her death. I didn’t need another reminder of her absence from the government in the midst of it.

I feel badly for those whose loss is more recent, who may need the money to help pay funeral bills or to support surviving family. I would hope in those instances that the government would not demand that the money be returned, but I doubt that the current administration will act with compassion and competence.

It’s sad.

New York State and plans

Every day, I listen to Governor Andrew Cuomo of New York give his daily coronavirus briefing and take questions from the press.

I am definitely not alone.

I often watch through Facebook Live, so there is a comment stream during the briefing. While some of the people are, like me, New York residents, many others tune in from other states and countries. While there are some trolls, many people thank Governor Cuomo for his candid, factual presentation and his compassion. There are always some calls for him to run for president. I admit to having the occasional, totally improbable political fantasy that both the nominating conventions decide to choose a governor who has handled the pandemic as well as possible to run for president, so that instead of Trump versus Biden, we would have, say, Hogan versus Cuomo. Not going to happen, but I, for one, would breathe easier if it did.

This is a big week for New York State. Our current stay-at-home order expires May 15 and it is expected that some regions, including the Southern Tier where I live, will qualify to enter phase one (of four) for expanding what businesses and services may be opened and under what circumstances. There are a number of criteria to meet before being eligible, including at least a two-week decline of new cases, hospital and intensive care unit availability, and testing and contact tracing capabilities. All the businesses have to have plans in place for safe working conditions and customer delivery protocols. If COVID-19 cases start to increase, the state will go back to its prior level of operations until conditions improve again. The New York plan is based on medical science and the experiences of other countries and cities around the world as they try to increase economic and social activities after outbreaks of the virus. For reference, businesses like hair salons and dine-in restaurants don’t re-open until phase three.

Because of the planning and vigilance of our state government, I feel relatively secure that New York will be able to protect public health while gradually opening more and more public and private entities. I remain very worried, however, about the majority of states who are re-opening without even having had a decline in the number of cases. Indeed, right now, if you take New York out of the national statistics, you find that while New York’s infection rate is on a steady decline, the rest of the country is still on the increase. In addition, some countries that had contained the outbreak, such as Germany and South Korea, are having to back off with some of their re-opening of businesses because their case numbers are rising again.

I am hopeful that our region and other New York State regions that qualify will be able to move forward with our slow and thoughtful plans while still protecting public health. If that happens, I hope other states and countries will study our approach and adapt it to their regions.

With over four million confirmed cases world-wide, we need the best practices devised and enacted as soon as possible around the world.

a very different Mother’s Day

Today in the United States, we are observing Mother’s Day, which was originally begun as a call by women for peace, but that is another story.

I have been dreading Mother’s Day this year because it is the first since my mom’s death last May.  She was under hospice care in the nursing home, but we were still able to be with her and bring cards and flowers and treats. I keep thinking about how different it would have been this year with pandemic protections in place. No visiting is allowed. I know that is necessary to keep the virus away from such vulnerable people, but it must be so difficult today for all those moms, grandmothers, and great-grandmothers to be separated from their loved ones.

I am grateful to have daughter T here with us. We got to videochat with daughter E and granddaughter ABC. ABC showed me a special drawing that she and her dad had made for me for Mother’s Day. They were able to scan it and B printed it for me, so now it is on the mantel. It was fun to see ABC dancing about the living room, to hear her sing and “play” the piano, and hear her ever-expanding vocabulary. She will turn three next month. This is also the first Mother’s Day since they moved to London after E’s spousal visa finally came through. Though I wished E a happy Mother’s Day, the UK celebrated weeks ago.

It has also been unseasonably cold here. We have had snow this weekend, which is late in the spring for us. No outdoor flowers for Mother’s Day gifts this year!

Because of my mood and the pandemic restrictions, our celebration here will be low-key. B made Chelsea buns for breakfast, which were amazingly delicious and hot-from-the-oven. For supper, he is making lasagna, using the recipe that my mom always did. It is definitely the comfort food that I need today.

It was also comforting to watch mass recorded from television. The one I chose was my mother’s favorite when she was homebound for so many months. Of course, they mentioned Mother’s Day and included prayers for mothers. It was another way to remember my mom on this special but difficult day.

re-opening fears

Some of the states here in the US are re-opening stores, hair, salons, dine-in restaurants, recreation activities, and other businesses, even though they haven’t met the not-very-ambitious federal benchmarks to do so during the pandemic.  They feel safe enough because they are not large cities like New York City or Chicago and they don’t have thousands of new cases every day in their state – or are ignoring it if they do.

I’m afraid they are ignoring not only science but also the experience of my state, New York.

The health guidelines are that limited re-opening should not occur until a state has had two weeks of decline in the number of cases. The reason for the two week timeframe is that fourteen days is considered the maximum incubation period, although people can develop symptoms as few as two days after exposure. If numbers are declining for two weeks, it signals that the outbreak is under some measure of control, so careful resumption of some business and recreational activities can resume in conjunction with testing widespread enough to quickly detect a rise in cases, in which case stricter measures would be resumed until there was again a two week decline. Not only do the states that are opening not meet the two-week decline criteria but also they don’t have the testing capacity to quickly detect an uptick in cases.

The Centers for Disease Control and Prevention, in studying the virus’s path in the United States, now realize that the strain that has caused so much illness and death in New York came through Europe, not directly from China. This strain appears to be even more virulent than the strain that came to the western US directly from China. During the weeks when the administration was banning travel from China, thousands upon thousands of travellers arrived from Europe to NYC area airports, some of them bringing the virus with them. It’s now estimated that there were 10,000 cases in the NYC area before any were officially recognized as COVID-19; this explains why New York State has so many more cases and, unfortunately, deaths than other states. The virus was already wide-spread in an area with a high population density weeks before anyone realized it.

New York, through closing all but essential or work-from-home businesses and encouraging most people to stay at home except to buy needed supplies, has managed to bring down the number of new cases, hospitalizations, and deaths, although not yet for long enough to enter phase one re-opening of some businesses. Plans are being made for eventual re-opening with testing in place to make sure that things will not get so out of hand that our hospitals will be overwhelmed with critical cases. There is the very real possibility that, despite all the planning and precautions, we might have to reverse course and close down again if the numbers start climbing. Until there is a vaccine, it is unlikely we will be able to get the case number down to zero or resume large-scale gatherings.

It’s not that Governor Cuomo and other state leaders don’t want to open more of the economy. They do, but not at the cost of more debilitating illness and death. As a community, we are all responsible for trying to protect the health of others, especially those most vulnerable to complications and those who are working in health care, food service, delivery, transit, custodial, and the other essential businesses that have been continuing to serve throughout the pandemic and who have been getting sick at much higher rates than other New Yorkers.

Our state leaders are also acutely aware of those who are unable to work because of the restrictions in place. There is enhanced unemployment insurance in place, as well as emergency food, utility, health, and homeless outreach programs. They are refusing the false dichotomy of illness/death or the economy, trying to prioritize health and life for everyone so that we are healthy to re-build our economy.

There are some New Yorkers and some folks in other states who are claiming that they have a right to be anywhere they want and do anything they want and that government has never interfered in people’s lives like this. They are overlooking that with our rights, both political and human, come responsibilities. The individual has the right to risk their own health, for example by drinking alcohol, but with that comes the responsibility not to harm others through violence or driving drunk. National and state governments have taken action to protect the public health in prior epidemics, such as the 1918 flu pandemic and the waves of polio that afflicted the world before the development of the vaccine. As I am fond of pointing out, in the Preamble of the Constitution, we the people of the United States established our national government to “promote the general welfare.” Each person has that responsibility to all the others. While some may have fallen into the illusion that individual freedom entitles them to do whatever they want, our system has always been a social one. One person’s freedom can’t interfere with others’ well-being, at least, not without challenge.

As I watch the news of opening of businesses in other states and see people in large gatherings without personal protection, I worry that, within a couple of weeks, there will be coverage of spikes in cases, more hospitalizations, and more deaths, especially because some of the states have re-opened with major outbreaks in factories, nursing homes, and prisons, as though those cases won’t spread beyond facility walls. Maybe the strain they have circulating is not the more virulent one we have suffered with in New York.

Or, maybe, our collective burden of sorrow will be increased, knowing that learning lessons from New York’s experience could have saved heartbreak and lives, if only people had heeded them.