A woman in her 80s is the first person in the Thomas Jefferson Health District to die from the COVID-19coronavirus, officials there announced Tuesday.
The district includes the city of Charlottesville and the counties of Albemarle, Fluvanna, Greene, Louisa, and Nelson. The Virginia Department of Health updates its COVID-19 stats daily at 9 a.m., and all cases and deaths reported by health districts before 5 p.m. are included in the next day’s totals.
On Tuesday, the state reported 1,250 positive cases statewide, as well as 27 deaths and 165 people hospitalized. The Thomas Jefferson district has 50 positive cases, according to the most recent data.
Tuesday morning, Canterbury Rehabilitation & Healthcare Center in Henrico County reported that seven residents with confirmed cases of COVID-19 have died, and two other deaths from the past week are thought to be related to the disease.
In total, the center said in a news release, 41 residents have tested positive for the virus, including 22 new cases in the past four days. Of that group, 32 are receiving treatment either at a regional hospital or in an isolated ward at Canterbury.
In a statement from Administrator Jeremiah Davis, the center has started testing all staff and patients for the virus, and all are being monitored for symptoms. “Canterbury has secured and distributed [personal protection equipment] to all of our employees,” Davis said. “All COVID-19 patients at Canterbury are being cared for in an isolated unit. The COVID wing contains three hallways that each have a closed door with an isolation cart outside each door. Staff uses a dedicated external entrance, with shower and foot/shoe cleaning stations.”
To address the “industry-wide staffing crunch,” Canterbury has contracted with staffing agencies and temporarily doubled nursing staff wages, Davis said in the statement. “As of Monday, staffing levels had stabilized.”
Families of Canterbury residents can call a dedicated phone line to ask questions, and the center has made tablets available so family members can video-call residents.
“Our hearts go out to the families of those who have passed, and we deeply feel the loss within our community,” Davis said. “We also recognize this is an incredibly stressful time for anyone with an elderly or infirm loved one, particularly in a group setting.”
Virginia has 1,250 confirmed cases of COVID-19, the Virginia Department of Health reported at 9 a.m. Tuesday, March 31. That marks a rise of 230 cases since Monday.
The number of deaths is at 27, and 165 people are hospitalized with the virus, according to VDH. So far, 13,401 people have been tested. The Eastern region of the state has the highest number of fatalities, at 11.
Tuesday’s update notes that 111 people began feeling ill on March 24, a change from before, when the highest number — 95 — was on March 16.
Fairfax County continues to have the most recorded cases, at 224 today, followed by 104 in Arlington County, 94 in Prince William and 89 in James City County.
A man in his 70s has died from causes related to COVID-19, the Piedmont Health District reported Monday afternoon. This is first coronavirus fatality in the district, which covers Amelia, Buckingham, Charlotte, Cumberland, Lunenburg, Nottoway and Prince Edward counties southwest of Richmond.
With this death, the total of COVID-19-related fatalities statewide is 26, according to the Virginia Department of Health, although the number may be 28, due to two “presumed positive” deaths recorded last week in Henrico County. The state updates its coronavirus numbers each morning at 9 a.m., including all confirmed cases and deaths submitted by health districts and local health departments by 5 p.m. the previous day.
On Monday, the number of deaths announced was 25, and 1,020 positive cases statewide. Gov. Ralph Northam announced Monday afternoon a stay-at-home executive order, allowing the state to enforce guidelines that limit gatherings to no more than 10 people, including at beaches and parks.
Some people are testing out their baking skills during the coronavirus outbreak, while others are existing on Cheetos and M&Ms on the couch. The state’s restaurants want Virginians to remember that many eateries are still open for service, albeit in a different way than before, focusing on pickup and delivered provisions instead of dining in.
The Virginia Tourism Corp. and the Virginia Restaurant, Lodging & Travel Association have launched Virginia Is for Restaurant Lovers Takeout Week, running Monday, March 30 through Sunday, April 5. Unlike a regular restaurant week, the goal of this event is to order takeout, delivery or curbside pickup from restaurants — many of which have seen revenue fall dramatically in March.
Virginia Tourism also is selling limited-edition “Virginia is for Restaurant Lovers” T-shirts, with a portion of proceeds donated to local relief efforts for food service workers.
“Virginia’s restaurant industry has been hit especially hard during this time,” Eric Terry, VRLTA’s president, said in a statement. “Restaurants are so vital to our economy, and we encourage those who can afford to do so, to continue to help out these establishments that have helped to put Virginia on the map.”
Takeout week is still in effect in spite of Gov. Ralph Northam’s stay-at-home order Monday, March 30. Under the order, restaurants can remain open as long as no more than 10 people gather in a space. Many restaurants began closing their dining rooms early in March to avoid spread of the virus; many have changed their business models and made major cuts in staffing. Others have closed indefinitely.
In the meantime, groups have sprung up on Facebook and elsewhere to let restaurants share menus, their new hours and other information to customers who want to support them in their time of hardship.
If you know of any other social media groups or websites that provide takeout and delivery information for Virginia’s restaurants, let us know and we will include a link.
Gov. Ralph Northam has issued a stay-at-home order for all Virginians through June 10. Virginians will only be able to leave their homes for essential reasons — such as picking up groceries or prescriptions, seeking medical care or going to a job if necessary — as the official number of COVID-19 cases in Virginia exceeded 1,000, three weeks after the state reported its first case.
“Stay home,” he said at his 2 p.m. news conference. “I want everyone to hear me: Stay home.”
Northam said that beaches and other recreational areas were “literally packed” this past weekend, so he has declared that “all Virginians” must stay home unless they are leaving for “food, supplies, work, medical care or to get fresh air or exercise,” adding that people must engage in “strict social distancing” when engaged in outdoor activities. Howeve
The governor spoke directly to people who have ignored experts and continued gathering in large groups, including at Hampton Roads’ beaches, calling them “very, very selfish.”
All educational institutions are to be closed, Northam added, and beaches are closed except for individual exercise or fishing, Northam said. “It is clear more people need to hear this basic message: Stay home.”
Among the specific orders:
All public and private in-person gatherings of more than ten individuals are prohibited.
Effective midnight Tuesday, April 1, no overnight stays of less than 14 nights at all privately-owned campgrounds.
Closure of all public beaches for all activity, except exercising and fishing.
State agencies will continue to work with Virginians to alleviate homelessness and prevent evictions.
Food banks can now assist anyone in need, regardless of stated income.
Exceptions to the order to stay at home include: leaving to obtain food, beverages, necessary goods or services; seeking medical assistance or prescription medications; caring for family members or an animal; exchanging custody of children; traveling to and from a place of worship, home, school or work; volunteering for a charity; leaving home because of a reasonable fear of personal safety; engaging in exercise or other outdoor activity, as long as social distancing is observed.
The order notes that the June 10 date can be amended or rescinded by another executive order.
The governor’s decision to issue the order Monday was partly because of his coalition with Maryland Gov. Larry Hogan, North Carolina Gov. Roy Cooper and Washington, D.C., Mayor Muriel Bowser to set similar enforcement policies, Northam said Monday. Hogan, Cooper and Bowser already have made similar stay-at-home orders, with North Carolina’s going into effect Monday at 5 p.m.
Northam also acknowledged his own experience as a physician — including as a U.S. Army medical officer during the first Gulf War — played a role in his decision.
“I know what it’s like to be in mass-casualty exercises,” he said. “I know what it’s like to be in the hospital, in the emergency rooms on the front line, and I have seen heroes literally across Virginia the past couple of weeks. Doctors, nurses, respiratory therapists, you could go right down the list. They are sacrificing their time. They are sacrificing, perhaps, their health, the health of their families, and I commend them for what they’re doing.”
But, he added, “I also see people congregating on the beach that are completely ignoring what we’re doing. I will remind those folks: You are being very, very selfish, because you are putting all of us, especially our health care providers, at risk. To date, this has been a suggestion to Virginians. Today it’s an order.”
The governor, in the weeks after the virus showed up in Virginia, has issued public health orders closing restaurants’ dining rooms and shutting down businesses like hair salons and massage parlors, as well as telling businesses that they must have no more than 10 people in enclosed spaces. He also has emphasized Virginians’ duty to “flatten the line,” referring to social-distancing measures to prevent further spread of the virus, in addition to sourcing personal protective equipment, testing kits and other key items for health care facilities.
But Northam said on Friday that he already was doing everything to encourage Virginians to stay home when possible and that an explicit shelter-at-home order was not necessary. “We’re talking semantics here. We’re talking enforcement,” he said in response to a reporter’s question at Friday’s news conference.
Nevertheless, the number of positive cases has continued to rise in the state. On Monday morning, the Virginia Department of Health reported 1,020 cases and 25 deaths — although two “presumed positive” fatal cases were reported last week by Henrico County’s Canterbury Rehabilitation & Healthcare Center and confirmed by Dr. Danny Avula, director of the Richmond/Henrico County health departments, which would bring the statewide total to 27 fatalities.
Avula said Friday evening that the state should be prepared for a tenfold increase in positive cases over the next week and a half, which would follow the trend seen in Michigan, Illinois and Louisiana, states that saw massive jumps in the number of cases last week, rising quickly from the hundreds to multiple thousands by the weekend.
Nationally, experts are now warning the United States could see 100,000 to 200,000 virus-related deaths, an estimate that prompted President Trump to decide Sunday to keep social-distancing measures in place through April 30, despite his earlier announcement that the country would be “opened up” by Easter.
As of Monday afternoon, the United States has the most COVID-19 cases in the world, at 144,672 people, and 2,405 deaths.
During the first week of Virginia’s coronavirus crisis, a timer went off every 30 minutes at Perch, the high-end Pacific Rim seafood restaurant in Richmond. It was time to wipe down all surfaces again.
“We can control the inside, but we can’t control the outside,” says Mike Ledesma, executive chef and owner. The restaurant transformed a regular window to a takeout window, closing its dining room for the foreseeable future.
Following federal guidelines, Gov. Ralph Northam issued a statewide mandate for restaurants, fitness centers and theaters to limit capacity to 10 patrons or close. He declined to order restaurants to shut down their dining rooms, as some other states have mandated, out of concern for the impact on the restaurants and Virginians who depend on them for meals.
More than 100 Richmond-area restaurants voluntarily closed their dining rooms by mid-month. Things were similar to the north, where the Restaurant Association of Metropolitan Washington reported an anecdotal drop of 25% to 30% in business at Washington, D.C.-area restaurants in mid-March, numbers likely to rise swiftly.
Gilbert T. Bland, who owns a Burger King restaurant in Norfolk, was still keeping its dining room open, “but that’s subject to the evolving nature of the virus,” he says. “Our business is somewhat different, because it’s drive-thru-based.”
At the Southern, seasonal restaurant Foode and its smaller sibling Mercantile in Fredericksburg, founding partners Beth Black and Executive Chef Joy Crump broke some hard news to their staff: They were cutting five hours from their shifts that week. “Stage 2 is to close one of the restaurants,” Black says.
Foode staffers now run orders to the curbside daily for customers ordering takeaway chili, egg salad sandwiches and chocolate-chip cookies.
Bill Blackburn, whose HomeGrown Restaurant Group owns six Alexandria restaurants employing 175 workers, has servers delivering food in tents in front of five restaurants. “It may get painful at times, but there’s definitely an end,” he says. “This is a temporary blip.”
However, it’s not temporary for every restaurant and bar, some of which are permanently closed or don’t know when they’ll reopen.
Restaurateur Jake Crocker indefinitely closed his two popular Richmond restaurants, F.W. Sullivan’s Fan Bar & Grille and Lady N’awlins Cajun Café.
Pivoting to full-time delivery or takeout would have been too difficult and expensive, he explains, requiring a full kitchen reorganization and purchasing a “significant inventory of to-go containers and disposable silverware. … We’re not McDonald’s.”
Unlike a lot of other businesses, restaurants “don’t have the luxury of sending waitstaff and cooks and bartenders to work at home. That just doesn’t work,” says Crocker, who gathered his employees, paid them and told them that his restaurants would be closed for the foreseeable future.
“I don’t know how they’re going to make a living. I don’t know how I’m going to make a living,” he adds.
To help displaced workers, the Virginia Employment Commission waived its one-week waiting period for unemployment benefits. Statewide, the unemployment benefit limit is $378 a week.
Meanwhile, restaurants and other businesses are trying to help each other out, raising funds online to help servers, hosts, bartenders and cooks make rent and pay bills.
Restaurants are trying to protect their staff and customers, and also keep them informed. “The transparency is what our staff expects from us,” Crump says. “Even when the truth is not lovely, we owe it to them.”
Follow the links below to read the rest of the stories in this Virginia Business special report about the impact of the coronavirus crisis:
Even before the outbreak of COVID-19, many Virginia hospital beds were routinely full.
“We are 90% to 100% occupied every day in VCU Health, generally [from] elective surgical care,” says Dr. Ron Clark, interim CEO of VCU Hospitals and Clinics.
In the days following Gov. Ralph Northam’s state of emergency declaration, health care officials across the commonwealth said they had enough surgical gowns, masks and gloves, as well as plans to increase the number of beds and ventilators to deal with a dramatic influx of patients in the spring and early summer if needed. Northam released $10 million in state funds for preparations, and hospitals placed orders for more supplies, including from the Centers for Disease Control and Prevention’s emergency medical stockpile.
But if the coronavirus pandemic isn’t slowed and reaches a tipping point, conditions could deteriorate rapidly, health care professionals say.
“It’s really important for folks to realize the pandemic is here; we’re going to see more cases in Virginia,” Clark says. “This is an opportunity for each of us to pitch in for the public health. I don’t know if people appreciate the power of that.”
Viral challenges
Faced with coronavirus, hospitals may have to cancel elective surgeries and add beds in pre-operative, post-operative and recovery areas to handle patients, doctors say. If the patient load increases dramatically as feared, additional temporary care sites may be needed. Many health systems are expanding telehealth programs in an effort to free up hospitals and medical facilities from treating patients with less serious maladies.
Rhodes Ritenour, Bon Secours’ vice president of external and regulatory affairs, told the governor in March that it would be helpful if the state or the federal government could relax doctors’ license regulations, allowing out-of-state physicians to pitch in as needed to deal with the crisis.
One major challenge for health systems is making sure they have enough intensive care beds and ventilators, the assisted breathing machines in high demand for patients in respiratory distress from COVID-19. Virginia Secretary of Health and Human Resources Daniel Carey said in mid-March that there are about 2,000 ICU beds across the commonwealth and about 400 ventilators. Based on data from the Kaiser Family Foundation, there are about 2.1 hospital beds available per 1,000 people in Virginia. However, the national average is 2.8 beds, according to the Organization for Economic Co-operation and Development. By comparison, Italy, which has been extremely hard hit by the pandemic, has 3.2 beds per 1,000 residents.
Dr. Rebekah Sensenig
The Defense Department freed up 2,000 ventilators and 5 million single-use respirator masks from military strategic reserves for nationwide use in March.
In the event Newport News-based Riverside Health System doesn’t have enough ventilators to meet patient demand, the system “would … work with our vendors to try to get more,” says Mark Rath, executive director of accreditation and support operations. “But … at the end of the day, if we don’t have enough vents for the patient demand, you may have to go back to bagging a patient or whatever the case may be to help support that patient.”
Bagging, explains Riverside epidemiologist Dr. Rebekah A. Sensenig, is the process of putting “a tube into the [patient’s] airway and then, instead of hooking them up to a machine, somebody would have to manually squeeze the bag every couple of seconds,” effectively breathing for the afflicted person.
At VCU Health System, on a normal day without COVID-19, there are 50 to 60 people on ventilators and 30 to 40 ventilators available on reserve, Clark says.
Emergency measures
Dr. Joel Bundy
Norfolk-based Sentara Healthcare, the largest hospital system based in the state, with 2,741 beds in 12 hospitals in Virginia and North Carolina, is prepared to transfer ventilators and any equipment between its hospitals as needed, says Dr. Joel Bundy, the health system’s chief quality and safety officer.
Sentara’s size works in its favor, Bundy adds. Hospitals that are already at capacity can quickly transfer patients anywhere within the system. And if needed, hospitals can move some patients to outdoor tents and some nonemergency elective surgeries — such as cancer removals — could be done at ambulatory clinics or less-burdened facilities. “It may mean if I need a biopsy and I live near Hospital X, and they don’t have capacity, I may go to Hospital Y.”
Sentara ramped up its coronavirus response quickly, setting up three drive-thru COVID-19 screening and testing locations in Virginia Beach, Williamsburg and Chesapeake. After two days, they suspended the initiative when they ran low on testing kits, but reopened two drive-thrus a day later.
Hospitals were also getting creative with check-ins, moving registration and screening areas outside to protect people in emergency rooms and waiting rooms from potential COVID-19 exposure. In Northern Virginia, Inova Health System facilities screen potential COVID-19 patients by phone. Some Bon Secours hospitals have set up tents in parking lots.
In the event of an emergency with massive numbers of infected people, regional hospital associations like the Eastern Virginia Healthcare Coalition, which covers the Peninsula region and Hampton Roads, have the ability to pool resources to form temporary hospitals. “Every hospital has the capacity to do a small piece of that or to come together if we need to create the mobile COVID hospital,” says Rath with Riverside.
Testing and screening for the virus have also posed challenges for hospitals.
In mid-March, hospitals basically had two testing options: The Virginia Department of Health, which has very tight restrictions on who gets tested, and two private labs: North Carolina-based LabCorp, which takes two to five days to deliver test results, and Quest Diagnostics in New Jersey.
The University of Virginia Health System rolled out its own COVID-19 test on March 19, with plans to scale up to testing 80 people per day. And Sterling-based biotech firm Aperiomics launched a $250 commercial test available to medical providers, saying its lab has the capacity to deliver 1,000 test results per week.
Sentara was also working on developing testing kits, with a goal to start testing by the end of March. It takes two hours to get results, Bundy says, which would help if a hospital needs to test a doctor, nurse or lab technician who may have been exposed.
“Development of rapid testing is welcome,” says Dr. Tina Latimer, director of emergency services for Bon Secours Mercy Health’s Richmond and Hampton Roads hospitals. “Having community testing will leave ERs for the most vulnerable populations. We are the safety net.”
Follow the links below to read the rest of the stories in this Virginia Business special report about the impact of the coronavirus crisis:
In an attempt to slow the spread of COVID-19 and encourage social distancing, state offices, schools and universities across the commonwealth pivoted to telework in mid-March.
Amazon.com Inc., Capital One Financial Corp., Elephant Insurance, Dominion Energy Inc., Genworth Financial Inc. and many more companies big and small made the transition in short order as predictions for the pandemic grew bleaker and scarier — and working parents began figuring out how to balance telework with caring for kids who were also sent home.
Blake Hodges, the Richmond-based vice president of enterprise risk at Genworth Financial, the S&P 400 insurer, oversees the company’s teleworking, which started en masse in mid-March for its 2,000 employees in Richmond and Lynchburg. He’s working from home, accompanied by his wife and two elementary school-age children, plus their large dog.
“The dog hasn’t barked much” during phone meetings, he says. “I think everyone is adjusting to this. Everyone has been understanding of those distractions.” To prepare and handle any unforeseen tech issues, Genworth increased staffing on its IT help desk for the first day of company-wide teleworking.
Genworth issued portable Wi-Fi hotspot devices to ahandful of employees with poor internet access at home. Secure connections are established through virtual private networks, which block sensitive information from hackers. Morning catch-up meetings are now held via Skype, and colleagues communicate more through online chats.
“Our first and foremost goal is to minimize the interaction between each other, as it relates to keeping employees safe,” Hodges says.
Amazon asked all of its employees to work from home if they can. Those who must go to work — including at fulfillment and distribution centers — have paid and unpaid time off available if they don’t feel comfortable being at work, according to an Amazon spokesperson, and anyone diagnosed with COVID-19 or quarantined can receive up to two weeks of paid leave. All hourly workers have unlimited unpaid time off.And Amazon plans to pay anyone in support roles whose work is interrupted during the crisis, a spokesperson says.
Henrico County-based Elephant Insurance, which sent 95% of its 675 employees home to telework, gave its employees the latitude to “take time off as needed with no need to use their paid time off allotment” if they’re feeling unwell, says company CEO Alberto Schiavon.
Standards differ for contractors and temporary employees who are employed by staffing firms but work for big companies. Genworth has encouraged staffing firms to allow contractors to telecommute, Hodges says, “but it is up to the business. Our understanding is they’re working from home.”
And while workers are out of the office, some companies, like Dominion, are taking the opportunity to deep-clean their workspaces.
Dominion is also “talking to employees about hygiene and not traveling domestically or internationally,” says spokesperson Le-Ha Anderson. Many of the utility’s 21,000 Virginiaemployees started teleworking in mid-March, although a significant number work on power lines or have other jobs that can’t be done remotely.
Businesses are also focused on keeping up workflow and maintaining efficiency while employees are out of the office and working remotely.
Regular, scheduled communication between supervisors and employees is key for anyone worried about productivity dropping, says Chris Arabia, manager of statewide mobility programs at the Virginia Department of Rail and Public Transportation (DRPT).
Colleagues should set a specific time every day to connect via teleconference call or video chat and talk about the daily game plan, says Arabia, who also oversees the state’s Telework!VA initiative to encourage businesses to adopt telework programs.
And with no clear indication as to when the crisis may end and work will return to normal, businesses may need to put additional effort into honing worker skills and preserving workplace culture.
“For Genworth right now,” says Hodges, “with telework in the foreseeable future, [we] encourage employees to keep fresh and keep up their habits.
Regional health departments announced five more deaths related to COVID-19 on Sunday, bringing the state’s confirmed total to 27.
Arlington Health District, which had 84 cases reported Sunday, the second-most in a locality in Virginia, reported its first two deaths from the coronavirus.
The first patient was a 72-year-old with chronic medical conditions, who had been ill with COVID-19 for a few weeks. The second was a 60-year-old with chronic medical conditions, identified with COVID-19 this past week, according to a news release Sunday.
The Mount Rogers Health District reported that a man in his 80s has died. Mount Rogers covers Bland, Carroll, Grayson, Smyth, Washington, and Wythe counties, and the cities of Bristol and Galax in Southwest Virginia.
The Peninsula Health District reported that a woman in her 80s has died. The cause of death was respiratory failure, and this is the district’s eighth coronavirus-related death, the most in one district in the state. Peninsula covers Newport News, Poquoson, Williamsburg, James City County and York County.
In the Alleghany Health District, which covers the Alleghany, Botetourt, Craig and Roanoke counties and the cities of Covington and Salem, a woman in her 80s has died, according to a news release Sunday. This is the region’s first fatal case.
Also, Henrico County Health Department Director Dr. Danny Avula confirmed Sunday that the number of fatalities connected to the Canterbury Rehabilitation & Healthcare Center has risen to eight residents. Six men — including two in their 60s, three in their 70s and one in his 90s — and two women, one in her 60s and one in her 80s, have died from complications related to COVID-19.
More than 50 residents of the longterm care facility are showing symptoms, Avula said Friday, and the center has moved them to an isolated ward where three have since died. Others are hospitalized. On Friday, the center reported that six staff members also have tested positive, along with 19 residents. Some have received testing through private labs, and the Virginia Department of Health must confirm the test results before including them among known positive cases in the state, Avula said.
The Virginia Department of Health updates its numbers of cases and deaths statewide every day at 9 a.m. Sunday morning, there were 22 deaths and 890 positive cases in Virginia.
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