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WATCH NOW: Focus turns to care centers fighting outbreaks

WATCH NOW: Focus turns to care centers fighting outbreaks


WATERLOO — Black Hawk County’s battlefront in the war against coronavirus has shifted to fighting outbreaks at long-term care facilities as the death toll from COVID-19 reached 29 people.

The situation was reflected in a Facebook post Monday by Lisa Gates, president and CEO at Friendship Village: “Today was another difficult day. ... As of tonight we have 16 Pavilion residents with positive test results, and 7 residents who passed away. We have a few Pavilion staff yet to test but as of right now we have 20 employees in total who tested positive. Testing at the Landing will begin sometime this week.

“We took a moment (well, more than a moment) this morning to be overwhelmed and mourn our losses and worry about what’s next. We are ending the day still mourning but with having had numerous conversations with local and state health officials and area hospitals. This team is helping form a next course of action to help turn the tide and stop this insidious virus.”

Local officials, previously concerned primarily with the 1,000-plus case outbreak at Tyson Fresh Meats in Waterloo, have a new focus.

“They did not do anything to deserve the suffering that they’re now experiencing and enduring,” said Sheriff Tony Thompson at Monday’s Black Hawk County briefing, noting residents at those facilities have been sheltering in place since the pandemic began.

The Iowa Department of Public Health reports three long-term care facility outbreaks locally, with 62 cases at Harmony House and 11 at New Aldaya Lifescapes in addition to Friendship Village.

County officials are monitoring three other facilities in danger of becoming outbreaks, but declined to name them Monday. Both Western Home Communities and Ravenwood Specialty Care have reported at least some employees testing positive.

While residents are locked down in their rooms caregivers are not, including some with family members who work at Tyson, officials said.

Peoples Clinic co-director Dr. Sharon Duclos didn’t fault such workers, all of whom have done what employers asked of them.

“We’re asking everybody to continue to work, especially if you’ve got an essential job,” she said. “Sometimes, the viruses are just nearly impossible to slow up.”

Gates echoed that sentiment in her Facebook post.

“I am so very thankful for our entire employee team who love our residents and do everything possible to keep our resident family engaged, fed, safe and well cared for. We plan for emergencies such as fire and tornado but until the Covid-19 pandemic did we ever really consider having to deal with something like this. They have all ‘stepped up to the plate’ and are doing all they can and more.”

When care facility employees are out sick or in quarantine, it can create staff shortages — something some local facilities now face. Gates noted Friendship Village staffers have volunteered to fill in as needed and workers from three different staffing agencies also are augmenting care there.

The county emergency operations center also is trying to help.

“I’ve tried local resources. I’ve tried the (Iowa) National Guard” as emergency staffing for care facilities, Thompson said. But he said he hasn’t yet found a solution.

He said the situation was compounded by “failures of corporate greed and governmental ignorance,” lamenting the easing of state restrictions as the virus still rages.

“The plan went all to hell when Tyson failed to hold their line,” Thompson said, noting he believed the company could have done more to protect its massive workforce sooner. “Now, we are victimizing our county’s most vulnerable. And slowly — one to two per day — they’re dying.”

Nafissa Cisse Egbuonye, county health director, said it was a “reasonable assumption” that the county’s death toll will mount even as the infection rate plateaued — the county recorded seven more cases Monday for a total of 1,761.

“Two-and-a-half weeks ago, we were having 150 positive cases a day in Black Hawk County,” said MercyOne chief medical officer Dr. Matthew Sojka. “Now it’s 20, but it’s affecting a different group — it is the frail and the elderly.”

As the strain on staff and resources eases, MercyOne and UnityPoint are reopening elective surgeries and procedures, though both say the move will be slow and phased.

“Obviously, we can’t postpone elective procedures forever,” said Dr. Dan Glascock, chief medical officer with UnityPoint. “The time is right now for us to get patients back in the clinic a little more.”

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