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  • Topeka's Stormont Vail to be listed as COVID-19 cluster site

    TOPEKA, Kan. (WIBW) - With more than a dozen employees, including a doctor, testing positive for COVID-19, state health officials have notified Stormont Vail that the hospital will be listed as a cluster site, a spokesperson with the health system confirmed Tuesday night.

    Matt Lara, communications specialist, said the Kansas Dept. of Health and Environment and Shawnee Co. health officials spoke with the hospital Tuesday afternoon. A cluster zone is said to be an area with two or more cases that are not linked.

    Lara said 13 employees at Stormont are confirmed to have COVID-19. He said they include at least one doctor, some nurses, and others. He said the doctor worked at an outpatient clinic. Other employees with the virus are associated with the emergency department and the post-anesthesia recovery unit.

    Two already have recovered and returned to work.

    All colleagues and patients who had contact with the infected employees have been notified, Lara said. He said health care workers are naturally in a high-risk environment, as they care for community members who may have been exposed to the virus or have it themselves.

    WIBW TV (Topeka, KS) - https://bit.ly/2XCzty8

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    Stormont Vail to be listed as cluster site for coronavirus; 13 employees test positive

    Tracing of three isolated incidents of coronavirus infection at Stormont Vail Health in Topeka means the largest hospital in Shawnee County will be listed as a cluster site by state health officials during the pandemic, Stormont Vail officials said Tuesday.

    Robert Kenagy, president and CEO at Stormont Vail, said in an interview that testing identified 13 employees, including a physician, as positive for COVID-19. Two of the 13 have recovered and returned to duty, he said.

    He said positive tests were tracked to an outpatient clinic associated with the hospital and the hospital’s emergency department and anesthesia recovery unit.

    Test results on a physician April 6 led the hospital to categorize three other doctors as high risk for infection and 41 additional personnel as low risk for contracting the virus. None of the 44 has tested positive, Kenagy said.

    However, he said, other people in contact with the physician did test positive. It isn’t clear where those people encountered the virus, he said.

    “Stormont Vail Health and our team members are in a high-risk environment for COVID-19,” Kenagy said. “It’s inevitable that some of our team members may become exposed to an individual that tests positive with COVID-19 due to the nature of the virus.”

    He said hospital policy prohibited disclosure of the infected doctor’s identity. The individual apparently misinterpreted symptoms as seasonal allergies or a pre-existing respiratory issue, he said, but other personnel observing the doctor requested the doctor be tested. He was tested April 3 and sent home.

    Kenagy said 105 hospital team members, or 2% of the hospital’s workforce, were placed under special monitoring because they were at risk of contracting COVID-19. Sixteen of the 105 are health care providers. By the end of this week, he said, about 60 in that group are expected to be removed from the watch list.

    Stormont Vail’s quarantine roster has fallen from a high of 150 on Monday, he said.

    Listing of the hospital as a cluster site is the responsibility of the Kansas Department of Health and Environment, which on Monday had documented 23 such locations in Kansas. Half were assisted living facilities, but KDHE’s list included religious venues, several businesses and a state prison. Stormont Vail expects to be added to the list as early as Wednesday.

    Stormont Vail employees suspected of having come in contact with a person or place where infection occurred are placed under scrutiny for 14 days, Kenagy said. Not all stop working at the hospital, but each is examined regularly.

    Two of the three physicians considered at high risk for infection returned to work early after testing negative, showing no symptoms of the coronavirus and needed at the hospital, Kenagy said.

    “We’ve really been very careful about following guidance from CDC and KDHE,” he said. “We’ve done all the tracers. We’ve tried to figured out where the contacts are and if the contact was low, or medium or high risk. We’ve done a lot of testing.”

    Stormont Vail requires employees to wear a mask during work hours because some people with the virus can appear asymptomatic. In addition, staff must take and log their temperature twice a day. If anyone exhibits symptoms, the hospital mandates they don’t come to work.

    He said the Topeka hospital had a peak of 13 patients with COVID-19. Two patients died, seven have been discharged and nine remained hospitalized, he said.

    Stormont Vail expects to begin use of its own coronavirus testing machine next week, he said. More than 3,000 home-sewn masks have been donated to Stormont Vail, he said.

    “We are really grateful for the people who are sewing these and donating them,” he said.

    On April 5, Stormont Vail said unprecedented financial disruption caused by the coronavirus pandemic prompted salary reductions of 50% for nonessential employees and cuts of 10% to 35% for other staff at the hospital. The expenditure reductions are to be reviewed every 30 days in response to COVID-19.

    The plan preserves staff assigned to “essential face-to-face patient care roles working in acute care and ambulatory settings” by not adjusting compensation for those health workers, Kenagy said.

    CJ Online (Topeka, KS) - https://bit.ly/34JgUdm

    Comment



    • COVID-19 (2019 Novel Coronavirus ) Quick Stats
      (Preliminary Numbers, Subject to Change)
      Updated 4/15/2020
      1 | P a g e
      For more information, visit www.kdheks.gov/coronavirus.
       There were 1,494 cases from 63 counties with 76 deaths reported as of
      10:30 a.m.
       There have been 342 of 1,201 cases that have been hospitalized.
       There have been 13,174 negative tests conducted at KDHE and private
      labs.
       Age range is 0 years to 99 years (median 53 years)
       There have been 356 tests at KHEL and 1,138 at private labs.
       810 cases are female and 683 are male and 1 unknown.
      ...
      https://www.coronavirus.kdheks.gov/D...update-numbers
      Twitter: @RonanKelly13
      The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

      Comment


      • Kansas governor extends stay-at-home directive until May 3

        TOPEKA, Kan. (AP) -- Gov. Laura Kelly on Wednesday extended a stay-at-home order for all Kansas residents for an additional two weeks and called a teleconference with top legislators to consider $17 million in aid for hospitals.

        The Democratic governor is keeping the shelter-in-place order in place until May 3, rather than Sunday, as initially planned. She’s also continuing to limit in-person worship services and other religious gatherings to 10 or fewer people, despite criticism from the Republican-controlled Legislature.

        HELPING HOSPITALS

        Kelly called a meeting of the Republican-dominated State Finance Council in hopes of helping hospitals and releasing state funds to the Adjutant General’s Department, which oversees the state’s response to emergencies. The council is the governor and eight top lawmakers, six of them Republicans, and it makes some financial decisions when the GOP-controlled Legislature is not in session.

        The session came only four days Kelly after successfully thwarted attempts by top Republicans to revoke a past order limiting in-person worship services and other religious gatherings.

        CORONAVIRUS STATS

        Statewide, the number of confirmed cases of COVID-19, the disease caused by the virus, grew Wednesday to 1,494, up 68 cases from Tuesday. The number of deaths increased by seven to 76.

        Nursing homes have been particularly hard, with the Clearwater Nursing and Rehabilitation Center in Sedgwick County joining those battling outbreaks. The facility has four cases and one death, The Wichita Eagle reports.

        It has a one-out-of-five star rating on the Medicare website that ranks long-term care facilities based on past inspections, citations and complaints. Facility owner Willie Novotny said the concerns raised in the Medicare inspection had nothing to do with the outbreak.

        Meanwhile, a variety retail store in western Kansas’ Garden City called Tienda Variedades Candy has been linked to multiple coronavirus cases, and now public health officials are warning shoppers that they may have been exposed there last month.

        Projections conducted by the University of Washington have pushed the COVID-19 peak for Kansas out to April 29. Some communities already are moving to tamp down further on public gatherings, with Manhattan announcing it was closing its pools for the summer.

        RACIAL DISPARITIES

        Black Kansans have been disproportionately affected, with 114 cases per 100,000 residents, compared to 33 cases per 100,000 for white residents as of Wednesday. The data is incomplete, though, with missing racial data for 23% of cases.

        Kelly described the trend as “alarming” in a written statement and said that it “points to, among other things, inequalities in healthcare -- some of which could have been addressed had Kansas expanded Medicaid.”

        NO ELECTRICITY SHUTOFFS

        Amid the outbreak, Kansas utility regulators Tuesday extended an emergency order barring utilities from shutting off service to customers who can’t pay their bills right now. The new order prohibits shutoffs of electric and natural gas utilities under state regulation due to nonpayment of bills through May 15.

        WIBW TV (Topeka, KS) - https://bit.ly/34FdhF7

        Comment


        • Johnson County officials give new way to see positive COVID-19 cases by zip code

          JOHNSON COUNTY, KS (KCTV) - The new Johnson County dashboard shows you zip code by zip code where people have tested positive for the coronavirus. You can click where you live and see how many positive cases are reported near you.

          So far, the 66062 zip code in Olathe has the highest number of positive cases with 33, with a population of 79,520.

          “I think some of those higher case counts are due to our increased testing in those areas particularly around long term care facilities,” Johnson County Department of Health and Environment Epidemiologist Elizabeth Holzschuh said.

          Other zip codes like 66211 in Leawood with a population of 5,651 have less than five positive cases. Holzschuh says tracking how COVID-19 spreads with limited testing has been more challenging than previous outbreaks including measles.

          “As we are finding individuals who are positive for coronavirus and we are following up with their contacts often times those contacts are actually symptomatic, so having a cough or a fever or something along those lines, before we found out about the individual who was positive,” Holzschuh said.

          In Johnson County, Kansas, the most common symptoms of confirmed cases are cough, fever, shortness of breath and fatigue. So far 16 people have died and 28.3% of confirmed cases required inpatient hospitalizations.

          The most common preexisting conditions of confirmed cases are cardiovascular disease, diabetes and liver disease.

          “We are also seeing healthy individuals getting ill from this virus as well,” Holzschuh said.

          Johnson County’s first round of random community sampling tested 371 people. With most of those results in, nine people tested positive. Broader testing of essential services workers will begin this week.

          “Those are people that have been out there keeping us going. The delivery drivers, the drive-through restaurant workers, the grocery store workers,” Director of the Johnson County Department of Health and Environment Dr. Sanmi Areola said. “What we find in that group will give us a very strong indication of the spread in the county."

          KCTV5 (Kansas City) - https://bit.ly/2Vv8oKO

          Comment


          • Kansas dentists using 3D printers to create swabs needed for COVID-19 tests

            OVERLAND PARK, Kan. — It’s tough to test for the coronavirus without adequate tools.

            That's why health officials in Kansas are reaching out to dentists for help in creating testing swabs, which have become scarce nationwide. Those dentists are using 3D printers to create the swabs.

            Many dentists offices across Kansas remain closed during this ongoing public health concern.

            At south Overland Park’s The Art of Dentistry, Dr. Kory Kirkegaard is one of many Kansas dentists using 3D printers to create sheets of nasal swabs that are used for COVID-19 tests. A nationwide shortage of testing equipment has delayed coronavirus testing in many states.

            Dentists are involved in this effort since so many of them already own 3D printers, which are sometimes used to make fittings for dentistry work. Kirkegaard explained that one printed sheet will include 300 swabs, which are made of liquid resin.

            Much like influenza testing, those swabs are inserted into a coronavirus patient’s nose to collect cultures.

            “These nasopharyngeal swabs are 10 inches or so — tall or long. They’ll take about 24 hours to print 300 or so of them. Once you print them, then you clean them. Then, you process them and get them ready,” Kirkegaard said.

            Kirkegaard, along with Olathe’s Dr. John Fales, is one of at least two Johnson County dentists making the swabs.

            They’ll go to good use soon enough. Health officials in Kansas will use the swabs at drive-thru testing sites. Dr. Kirkegaard said he hopes to deliver the first batch of swabs to state officials next week.

            “That’s one of the neatest things. People started trying every way they could to make a ventilator split with their 3D printer or other things,” Kirkegaard said.

            Dr. Lee Norman with the Kansas Department of Health and Environment has been instrumental in connecting with Kansas dentists, asking them to use their 3D printers creatively.

            “We’ve already started enhanced testing in five counties,” Norman said. “That will allow us to broader population studies.”

            Fox4 (Kansas City) - https://bit.ly/3clwL4b

            Comment


            • Kansas Supreme Court cancels arguments on releasing inmates

              TOPEKA, Kan. (AP) — The Kansas Supreme Court on Tuesday night canceled arguments from attorneys over a civil rights' group attempt to force the state to release prison inmates with preexisting medical conditions making them vulnerable to the novel coronavirus.

              The high court's actions came with arguments originally set for Wednesday afternoon in a lawsuit filed last week by the American Civil Liberties Union of Kansas for seven inmates at state prisons in Ellsworth, Lansing and Topeka. A two-page order signed by Justice Marla Luckert sent the case to district court in Leavenworth County, home to the Lansing prison.

              The lawsuit argues that the inmates are housed in crowded conditions with limited access to adequate medical care. It also contended that releasing vulnerable inmates would allow proper social distancing and reduce the virus' transmission among remaining prisoners.

              But lawyers for the Department of Corrections and Attorney General Derek Schmidt's office on Tuesday filed a motion to dismiss the lawsuit, and Luckert's order said the state's response showed "there are significant issues of fact" that should be settled in district court.
              The state has confirmed that 18 inmates and 21 staff at the Lansing prison have tested positive for coronavirus. An inmate at a work-release facility in Wichita also tested positive, prompting the Department of Corrections to move 113 prisoners Sunday night to Lansing.

              Gov. Laura Kelly has said efforts are underway to identify inmates who are close to finishing their sentences and can be released.

              For most people, the coronavirus causes mild or moderate symptoms that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause a severe illness or death.

              Jails already have started shrinking their populations, including one in Sedgwick County that now has nearly 400 fewer inmates.

              Derby Informer (Derby, KS) - https://bit.ly/2K9MrLS

              Comment


              • Executive Orders

                Links to the various executive orders for each state, including Kansas

                Council of Stage Governments - https://web.csg.org/covid19/executive-orders/

                Comment


                • Kansas Chamber of Commerce released plan to safely restart state economy

                  https://files.constantcontact.com/a5...1c6955204a.pdf

                  Comment


                  • Ks Dept Health Update

                    1588 cases
                    359 hospitalized
                    80 statewide deaths

                    cases by sex
                    female 847
                    male 736

                    Cases by age
                    0-9 years - 20
                    10 - 19 years - 34
                    20 - 34 years 287
                    35 - 44 years 228
                    45 - 54 years 284
                    55 - 64 years 297
                    65 - 74 years 211
                    75 - 84 years 122
                    85+ years 105

                    rates by race
                    White 915
                    lack 267
                    American Indian and Alaska Native 9
                    Asian 13
                    Other race 39
                    Note reported 345

                    rates by race for deaths
                    White - 45
                    black or African American - 26
                    not reported - 9

                    Comment


                    • Not all hospitals in Kansas are publicly releasing info about how many COVID-19 cases they’re treating

                      WICHITA, Kansas — Flatten the curve: A phrase that didn’t mean anything two months ago is now the driving factor behind social distancing, stay-at-home orders and limiting the number of people who can gather in one place.

                      The idea is to make sure hospitals aren’t overrun with severe COVID-19 cases, as well as help hospitals conserve limited resources such as personal protective equipment.

                      But in Kansas there isn’t publicly available data on whether a hospital is close to filling up. And few are willing to share that information.

                      At this point, the Kansas Department of Health and Environment said 327 people have been hospitalized with COVID-19, but it doesn’t provide which hospitals or whether patients have gone home.

                      Stormont Vail in Topeka is a rare exception. Every day, the hospital publishes a dashboard with information like how many patients it’s treating for COVID-19, ventilator usage and tests administered. While it strays from giving specific numbers of available beds, it does provide a percentage of how many of its hospital and intensive care beds are in use.

                      “It displaces rumor,” Stormont Vail CEO Dr. Rob Kenagy said of releasing the information. “It displaces fear.”


                      He said early on there were a lot of questions from the community and staff about whether the hospital would be the next Italy, Spain or New York City in terms of being overwhelmed. In their crisis plan, he said, transparency seemed like the best option.

                      The hospital is also providing a daily color-coded indicator of where they stand with personal protective equipment; green for good, yellow for getting low and red for critical need.

                      “If we were to get into a place where our capacity would be tested, we felt like it would be best for our community and our team members to know the detail of those capacity constraints,” Kenagy said.

                      Lawrence Memorial Hospital sends out a similar daily dashboard.

                      The University of Kansas Health System in Kansas City, Kansas, isn’t going quite that far. But it has provided a daily total of how many COVID-19 cases it’s treating — hovering at about 30 for a few days.

                      “That’s really what’s telling us where we are on the curve because we haven’t tested enough people out in the community,” said Dr. Steve Stites, the chief medical officer at the University of Kansas Health System. “We don’t have the same public health structure we once did. We don’t have the same testing we once had.”

                      In a news conference Tuesday, he said stagnant hospitalization numbers likely mean that the Kansas City area is flattening the curve.

                      Meanwhile, most other hospitals are keeping mum. Salina Regional Health Center, Saint Catherine Hospital in Garden City and the St. Luke’s Hospital system declined to provide capacity information. Ascension Via Christi in Wichita and HCA hospitals in the Kansas City metro did not respond to a request for data.

                      Some might not be used to giving out the information, others may be worried about competitors knowing any weaknesses. Either way, the information exists. It’s just not public.

                      The Kansas Hospital Association provides services for and lobbies on behalf of Kansas hospitals. In an emailed statement, KHA vice president Cindy Samuelson said its members are working with government officials on a daily basis to monitor and report system capacity, as well as planning for increased demand.
                      PREDICTING THE FUTURE


                      The good news, if there is such a thing during a pandemic, is that one of the main models predicting hospital resource use shows Kansas will have plenty of capacity.

                      Kansas is expected to reach peak resource use on April 20, needing 485 beds for coronavirus patients, according to the Institute for Health Metrics and Evaluation. The organization’s model shows the state has enough capacity for 4,810 COVID-19 patients. (IMHE calculated capacity based on a hospital’s total number of beds minus their historical average daily use for other types of patients.)

                      “Quite honestly, we’re not at capacity yet,” KDHE Secretary Lee Norman said. “We have a lot of ability to surge in terms of the beds and the type of beds.”

                      Even the worst-case scenario of the IMHE model predicts Kansas would need only about 1,500 hospital beds — again, well under the system’s total capacity.

                      But a model is only as good as its assumptions, and doesn’t represent the individual needs of each region or hospital.

                      “If you actually have real data, that trumps any kind of model,” said Amesh Adalja, an infectious disease physician and researcher at John Hopkins University. “We want our models to accurately reflect reality, but they’re not a substitute for reality.”

                      Local hospital administrators agreed that making sure the actual hospitalization numbers line up with the latest model depends on continued social distancing and staying at home efforts.

                      “The fact is that it has helped a tremendous amount,” Kenagy said. “And we will be able to weather the size of the surge.”

                      Shawnee Mission Post (Shawnee, KS) - https://bit.ly/2VzkylL

                      Comment


                      • Wilson County, Kansas marks 1st positive case of COVID-19

                        FREDONIA, Kan. — The Wilson County Health Department says the moment they have been preparing for has officially arrived.

                        The county’s first case of COVID-19 was confirmed Wednesday afternoon.

                        The patient is a woman in her 90’s.

                        She has been hospitalized and had been tested for COVID-19.

                        She was released from the hospital when she had been fever-free for more than 72 hours, and her test results were officially confirmed today.

                        KSN (Wichita) - https://bit.ly/2VvKjDw

                        Comment


                        • SMITH COUNTY REPORTS FIRST COVID-19 CASE

                          SMITH CENTER – The Smith County Health Department reported their first COVID-19 case on Tuesday.

                          The case is a female over the age of 60 with no known travel history. She is currently maintaining in-home isolation and is stable. The Smith County Health Department is working diligently to identify any close contacts of the individual and those who were exposed will be contacted as soon as possible.

                          Beloit Call (Beloit, KS) - https://bit.ly/3afq1Ub

                          Comment


                          • Cluster of COVID-19 cases confirmed at nursing home in Clearwater

                            A cluster of positive COVID-19 cases have been confirmed at a senior living facility in Clearwater. One of the residents has died from the disease.

                            In total, four residents at the Clearwater Nursing & Rehab Center tested positive for COVID-19. The Sedgwick County Health Department says it's working to identify all those who have made contact with the residents so they can be properly quarantined or isolated.

                            FOX Kansas - https://bit.ly/3bfgiOR

                            Comment


                            • Four more deaths reported at KCK’s Riverbend nursing facility

                              KANSAS CITY, Kan. — Four additional coronavirus deaths have been reported at a Kansas City, Kansas nursing facility.

                              The deaths were reported on Thursday at Riverbend Post Acute Rehabilitation, bringing the total number of resident deaths to 19.

                              So far, 92 residents and 24 staff members at Riverbend have tested positive for COVID-19. 10 residents are currently hospitalized.

                              Dr. Allen Greiner, Chief Medical Officer with the Unified Government’s Public Health Department said people who have spent time inside the facility are most at risk.

                              “We recognize that community members in the neighborhoods surrounding the Riverbend facility are concerned for the safety of themselves and their neighbors. The highest risk connected to this cluster of cases is for anyone who has spent time inside the facility, in close contact with residents or staff who are infected.”

                              Griener says people in surrounding neighborhoods who have not been inside the facility are not at higher risk than other Wyandotte County residents.

                              “People in the surrounding neighborhoods who have not been inside the Riverbend building or in close contact (within 6 feet for a total of 10 minutes) with someone who has COVID-19 are not likely to be at higher risk than anyone else living in Wyandotte County,” he said.

                              Residents are encouraged to stay home as much as possible and follow instructions in Governor Laura Kelly’s stay at home order.

                              Fox4 (Kansas City) - https://bit.ly/3etah3f

                              Comment



                              • COVID-19 (2019 Novel Coronavirus) Quick Stats
                                (Preliminary Numbers, Subject to Change)
                                Updated 4/17//2020
                                • There were 1,705 cases from 66 counties with 84 deaths reported as of 11 a.m.
                                • There have been 375 of 1,377 cases that have been hospitalized.
                                • There have been 15,196 negative tests conducted at KDHE and private labs.
                                • Age range is 0 years to 99 years (median 52 years)
                                • There have been 398 positive tests at KHEL and 1,307 at private labs.
                                • 901 cases are female and 794 are male and 10 unknown.
                                https://www.coronavirus.kdheks.gov/D...update-numbers
                                Twitter: @RonanKelly13
                                The views expressed are mine alone and do not represent the views of my employer or any other person or organization.

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