Health | Off Message | Seven Days | Vermont's Independent Voice
Wednesday, June 17, 2020

Posted By on Wed, Jun 17, 2020 at 2:04 PM

State officials are aiming to relax visitation rules for residents of long-term care facilities just in time for Father's Day weekend.

Residents will be able to have two visitors per day, as long as they socialize outside, wear facial coverings and keep a safe physical distance, Human Services Secretary Mike Smith said at a press conference on Wednesday. Visitors will be screened for COVID-19 symptoms when they arrive.

"We are going to try to expedite that in order to have this ready in time for this weekend," Smith said, setting Friday, June 19, as the target date.

The new rules, he said, "will help alleviate some of the loneliness and isolation for long-term care residents" who have been cooped up since March.

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Monday, June 15, 2020

Posted By on Mon, Jun 15, 2020 at 3:22 PM

click to enlarge Scott Extends State of Emergency to July 15
Jeb Wallace-Brodeur
Gov. Phil Scott
Gov. Phil Scott on Monday extended Vermont's state of emergency until July 15 in light of the ongoing coronavirus pandemic.

Scott initially declared a state of emergency in mid-March and has re-upped it three times since. The designation grants him authority to enact broad measures aimed at slowing the spread of the coronavirus.

"Remember, the state of emergency is just a vehicle, or mechanism, to do all the things we need to do to manage our response," Scott said at a press briefing. "It's not the same thing as the stay-at-home order. And it doesn't mean all restrictions stay in place. In fact, it gives us a way to lift them when the time is right." 

To that end, Scott announced that campgrounds can now return to full capacity. He said further steps can be expected in the near future if positive trends continue, with an announcement planned for Wednesday about visiting long-term care facilities.

"I know that with every move we make, some believe it's way too much, too fast. Others believe it's way too little and too slow," Scott said. "I hear and understand the concerns on both sides. But there are no easy answers or simple solutions — and there's certainly no roadmap. "

Officials also provided an update to a coronavirus outbreak in Winooski, which now accounts for 83 of Vermont's 1,128 total cases. Health Commissioner Mark Levine said recent data from the city suggests that the "box it in" testing and contact-tracing strategy may be successfully slowing the spread of the illness.

Levine cautioned that it was "way too early" to "put a checkmark and move on." But he said the state's overall rate of infection remains low enough to continue loosening business restrictions, dismissing any notion that the Winooski outbreak is connected to the reopening of the state's economy.

"We would see [outbreaks] all through the state if that were true," he said.

Scott has said that further outbreaks are inevitable until a vaccine is widely available. As he has done at other briefings during the pandemic, Scott took a brief moment Monday to stress that he will continue to follow the best advice of health experts.

"I know this has felt like a very long journey already. And so much uncertainty remains. You're tired of it, and just want it to be over. I can relate," he said. "But if we continue to stay smart, use common sense and take care of each other, we will get through this." 

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Monday, June 8, 2020

Posted By on Mon, Jun 8, 2020 at 5:11 PM

click to enlarge Sixty-Two Chittenden County COVID Cases Linked to Winooski Outbreak
File: Colin Flanders
Health Commissioner Mark Levine (left) and Gov. Phil Scott
At least 62 Chittenden County residents have tested positive for COVID-19 since an outbreak was discovered in Winooski two weeks ago, Health Commissioner Mark Levine said Monday.

Speaking at a press conference in Montpelier, Levine said that the latest case count included 48 Winooski residents, nine Burlingtonians and five other Chittenden County residents. "As I've said before, the virus doesn't really respect international, national, state or city boundaries," he said. "It spreads because we share the air we breathe."

According to Levine, none of the newly diagnosed have been hospitalized or killed by the disease — and only one in five of those interviewed by Department of Health staffers said they had experienced symptoms. Twenty-four of those diagnosed were under 18 years old, and the median age of the group was 21, Levine said.

State officials said that while they expect the case count to continue to grow in the coming days, they believe it remains concentrated in a particular community of Vermonters. "We continue to be able to make direct connections between the people involved in this case," Gov. Phil Scott said at the press conference. "As the Health Department put it to me, transmission is all within a close-knit web of people."

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Friday, June 5, 2020

Posted By on Fri, Jun 5, 2020 at 4:16 PM

click to enlarge Vermont Loosens Restrictions for Restaurants, Tourists
Screenshot
Gov. Phil Scott Friday
Restaurants will be able to reopen for limited indoor dining, and visitors from low-risk areas in the Northeast will be able to visit Vermont under the latest round of Gov. Phil Scott's measures to gradually reopen the state's economy.

Scott said Friday he and public health officials were confident that the modest changes were safe, despite an outbreak of COVID-19 in Winooski, where health officials reported 34 new cases on Thursday.

“The fact is, outbreaks are going to continue,” Scott said. “But that’s exact why we built up our capacity to box them in, and we can start up our economy while also keeping people safe.”

He added, “While there may — and likely will — be more cases, we expect to contain it from spreading more broadly across the city or state.”

For that reason, Scott said that beginning Monday, June 8, restaurants will be able to serve people indoors using up to 25 percent of their seating capacity. Tables must be spaced six feet away, and advance reservations will be required.

“One of the many things that Vermont is known for is local food and craft brews, so I know how important this sector is to our economy,” he said.

While bars are not included in the order because of the typical close proximity of bar seating, Scott said the dining areas of bars and breweries will be allowed to host customers.

“I know they can’t make it on 25 percent capacity, but we’ve got to start somewhere, and we’ll be able to build on this if the number moves in the right direction,” Scott said.

At the moment, however, the state’s numbers are decidedly moving in the wrong direction. The Winooski outbreak represents a significant spike in the daily number of new cases, which have been in the single digits for weeks.

The new cases "will certainly skew our data,” said Michael Pieciak, commissioner of the Vermont Department of Financial Regulation. Pieciak stressed, however, that the sharp increase would likely “smooth out over time” if, as anticipated, the outbreak is contained. He stressed that neighboring states continue to have far higher infection rates than Vermont, with Maine averaging 33 new cases per day since April 1, and New Hampshire, 69.

That made it tricky for the administration to assert that now is the time to relax restrictions on travel from neighboring states. Currently, visitors are supposed to self-quarantine for 14 days. That restriction has effectively eliminated tourism to Vermont. 
click to enlarge Vermont Loosens Restrictions for Restaurants, Tourists
Screenshot
Counties in light blue have low enough infection rates that visitors to Vermont will no longer have to quarantine for 14 days.
Under new rules starting Monday, tourists and nonessential business travelers from low-risk areas of New England and upstate New York will no longer have to quarantine when visiting Vermont.

Low-risk counties are defined as those with fewer than 400 active cases per million. At the moment, 55 counties in the six states fit that bill. Pieciak said the threshold was chosen because it was approximately double the highest infection rates that counties in Vermont have experienced.

The counties are home to approximately 11 percent of the population of the six states, or 3.6 million people. No visitors from Canada are anticipated because the international border remains closed to nonessential travel.

Visitors will have to come in personal vehicles without stopping along the way. And once in Vermont, they will have to check for symptoms daily using an app called SARA Alert. The state has no way to check whether tourists are coming into the state from the approved counties, Scott acknowledged.

That burden will fall largely on the lodging industry, which will have to “keep an eye on who’s coming in” when they register, Secretary of Commerce Lindsay Kurrle said. Visitors will have to certify that they either met the 14-day quarantine or are coming from a county on the low-risk list, she said.

“Opening up to counties around our state and inviting folks here is going to require a little bit of trust and a lot of education,” Kurrle said.

She acknowledged that it was "not a perfect system" to rely on people's word but added, "We do trust that the lodging owners don’t want an outbreak any more than anybody does."

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Posted By on Fri, Jun 5, 2020 at 4:02 PM

click to enlarge 'Call to Action' In Winooski As Outbreak Takes Shape
Andrea Suozzo
COVID-19 testing in Winooski on Friday
The coronavirus outbreak in Winooski is confined to "one social network of families," Gov. Phil Scott said at a press briefing on Friday, but it could merit citywide restrictions if more infections are discovered.

Shortly before the governor spoke in Montpelier, a handful of interpreters and members of Vermont's immigrant communities showed up to a separate press conference outside of Winooski City Hall to ask city leaders and Vermont Department of Health officials to do more to support New Americans affected by the outbreak.

"One of the reasons why people are so infected may be because they don't have the information," said Dr. Virginie Diambou, a member of a multilingual task force that has been translating public health information into at least 10 languages. "They don't speak English, they speak their own languages, and they are being told there are no funds to be able to hire interpreters or translators."

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Thursday, June 4, 2020

Posted By on Thu, Jun 4, 2020 at 7:36 PM

click to enlarge Winooski Coronavirus Outbreak Widens With 34 New Cases
File: Jeb Wallace-Brodeur
Health Commissioner Mark Levine at a press conference in March
Updated at 9:38 p.m.

The recent cluster of COVID-19 cases in Winooski showed signs of a larger outbreak on Thursday, as health officials announced the biggest spike in new infections since the pandemic's April peak.

The Vermont Department of Health reported 36 new cases Thursday, with all but two of those new infections tied to Winooski. It's the sixth-largest single-day case total the state has announced since the first case was discovered in March.

Health Commissioner Mark Levine and city officials will hold a press conference at Winooski City Hall at 9:30 a.m. Friday morning to discuss the outbreak, shortly before Gov. Phil Scott is expected to allow some indoor dining to resume across the state.

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Posted By on Thu, Jun 4, 2020 at 6:32 PM

click to enlarge Scott Administration Outlines $375 Million Health Care System Bailout
File: Jeb Wallace-Brodeur
Secretary of Human Services Mike Smith
Gov. Phil Scott's administration provided new detail on Thursday about its plan to provide $375 million to the state's beleaguered health care industry.

In a presentation to the Senate Health and Welfare Committee, Human Services Secretary Mike Smith said the administration had already doled out $42 million in emergency funding to health care providers during the coronavirus pandemic and hoped to give the industry $333 million more.

"Vermont has a goal of a health care system that is financially viable," he said.

Scott and Smith have been hinting for weeks that they were working on a plan to inject more than $300 million into the industry. During a press conference on Wednesday, Smith indicated that the number could be as high as $375 million. "[It's] going to be quite expensive," he said. "Our health care system suffered quite a body blow during this."

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Wednesday, June 3, 2020

Posted By on Wed, Jun 3, 2020 at 3:46 PM

click to enlarge Scott Expected to Announce on Friday the Return of Indoor Dining
File: Jeb Wallace-Brodeur
Gov. Phil Scott and Health Commissioner Mark Levine at a recent briefing
Editor's note: The state reported on Thursday morning 36 new cases of coronavirus, 34 of which were in Chittenden County.

Gov. Phil Scott expects to announce more major steps to reopen Vermont's economy on Friday despite a new coronavirus outbreak in the state's most populous county.

Scott teased his upcoming moves during a press briefing Wednesday. He said he hopes to lift indoor restaurant dining restrictions and make it easier for people to travel to Vermont from out of state.

Health Commissioner Mark Levine followed up Scott's comments with news that increased testing in Winooski has revealed approximately 10 to 20 new cases on top of the seven cases identified in that city last week. Levine said the state's epidemiology team is still validating the results of the 200 tests performed Monday and Tuesday and expects to have firmer figures later this week.

"While Vermonters have done much to flatten the curve, these cases illustrate the fact that the virus is still active in our state, as it is around the country," Levine said.

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Tuesday, June 2, 2020

Posted By on Tue, Jun 2, 2020 at 6:08 PM

click to enlarge In Vermont, the Ventilators Never Arrived
Dreamstime
A ventilator
In late March, as Vermont's coronavirus infection rate was doubling every five days, state officials projected they might need as many as 565 ventilators to treat an expected surge of COVID-19 patients.

They scrambled to add to an existing collection of 177 critical care ventilators and 69 other units spread throughout the state's health care system, according to Public Safety Commissioner Mike Schirling. Even Gov. Phil Scott got in on the action, cold-calling contacts within the industry to implore them to help obtain the machines. At one point, Schirling said, the state had ordered as many as 450 — at a cost of roughly $5 million.

To date, only 10 have arrived.

"Because the rest of the world faced the crisis before we did, there was buying going on before the U.S. was even in the game," Schirling said. "So we were lucky to be able to get orders in."

In some cases, the state pared back its requests because its need for ventilators decreased. In others, it canceled orders because anticipated shipping dates were too far in the future. And in one case, according to Schirling, the federal government used the Defense Production Act to swoop in and claim 200 units Vermont had ordered from Philips.

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Tuesday, May 26, 2020

Posted By on Tue, May 26, 2020 at 4:31 PM

click to enlarge Lawmakers Move to Sideline Scott From Vote-by-Mail Decision
File
Gov. Phil Scott (left) and Secretary of State Jim Condos
Democratic lawmakers moved forward Tuesday with plans to strip Republican Gov. Phil Scott of a say in whether the November general election should be conducted largely by mail.

The Senate Government Operations Committee approved a bill that would remove Scott's power to decide how to conduct elections in 2020, leaving that authority solely with Secretary of State Jim Condos, a Democrat.

Condos and state elections officials have said they want to mail general election ballots to all registered voters to keep crowds small at the polls due to COVID-19 concerns. Health experts have raised the prospect of outbreaks in the fall.

“We just want to make certain that every Vermonter has the ability to vote safely in what will quite likely be a high-turnout election,” Chris Winters, deputy secretary of state, told the committee.

Scott has said he thinks the decision could wait until after the August 11 primary. Elections officials say there isn’t time to switch to mail-in voting by that date, but postcards will remind voters that they can request an absentee ballot. The governor would prefer to move toward restoring a sense of normalcy by holding a regular November election, if possible.

Elections officials have countered that the decision needs to be made now because mailing and printing contracts, voter education, and clerk training all need to commence to ensure the election goes smoothly.

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