The following information is from Jessica Williams of NOLA.com submitted by WizardMama to Coronaviruslouisiana [link] [comments] https://preview.redd.it/bmd4ug13gpf61.jpg?width=1024&format=pjpg&auto=webp&s=bbc68fdd3c9e8556fad301aa3fad5447aa6f7036 Mayor Cantrell
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LINKS TO WATCH submitted by WizardMama to Coronaviruslouisiana [link] [comments]
SummaryGov. John Bel Edwards
QuestionsIs mask mandate for indoors only or outdoors as well. How will be it be enforcedIt is indoors and outdoors when you cannot be physically distanced from others. When you go into an office building or retail establish or restaurant etc unless you meet one of those exceptions that mask needs to be on. If you are outside and are in close proximity with others you need to have a mask on. This mandate applies to all locations. There are exemptions for individuals and those 3 parishes if they choose to opt-out. If they were to opt-out, CDC guidance does not change and everyone is encouraged to wear masks if they can. Businesses will be required to tell people they need to have a mask on. Businesses can accept a representation from someone saying they meet one of those categories of exceptions. Other than placing law enforcement officers at every building there is no way to do it. There is not a goal to go out there and write citations. We want people to comply. We want businesses to make the effort to put up the signs and if someone does not meet the exception and refuses to wear a mask and if they don't leave they are trespassing. The mandate applies to churches but we will not be enforcing it in churches. WE will not be writing up pastors or doing those things. They are encouraged to understand that that setting where people are there for over an hour it is important for those individuals to wear a mask. If you were to cite a business what would the penalty be? Is it a fine? If so how much? I'll get that answer to you. That will not be the first resort. When we go to a business we remind them of the requirements. The first efforts are always going to be to pressure compliance and not a fine. Will citations be for business owners or.. The owners. Will you be pulling back on elective surgeries The office of public health has not told me that that is something they are recommending right now. There are hospitals around the state who have different staffing issues and they may choose to make a different decision for themselves. This has not been raised to a statewide level where I, the governor, would need to consider that. There are 3 major issues hospitals are facing:
Business owners have the right to ask you to put on the mask so if you have someone that can document that it would be good to have it on your person but owners are not required to ask you for that. Conditions that meet exemption for mask-wearing. Tiny minority fo people meet these.
In terms of casinos will they be limited Limitations only have to do with social gatherings, not businesses. Phase 2 occupancy requirements remain in place for commercial businesses. The only businesses that are affected by the new occupancy limitations are bars and event spaces. Why bars and not restaurants Data we have shows that restaurants do not pose the same risk of transmission as bars. Restaurants with bars in them can seat people at the bar as an extension of the seating area for the consumption of food. Does guidance apply to State employees Yes, both to employees and the general public entering a public building. Texas has begun to send ATF out to shut down businesses. We haven't issued any penalties it's more a warning system. Do you think this is working? Why not be stricter with enforcement Well, I just announced I am closing every bar. I do not know how to be more categorical than that. Last time I got an update we visited more than 3,100 commercial establishments. What I can tell you is that the vast majority of those were not out of compliance and if they were they got into compliance quickly. Likely it was something simple like employees wearing masks around their necks and not their faces. I have instructed that for repeat business offenders to start issuing citations so I believe you will start seeing that going forward. I've said from the very beginning a public health emergency of this nature if the people of Louisiana are going to insist that we enforce our way through it we will not be successful. We will continue to have people unnecessarily spreading this disease and then other people through no fault of their own, they may be the most responsible citizen out there, they may contract it because someone in their vicinity is choosing not to be a good neighbor. Then these individuals will go to the hospital and fill that bed and cause all of the problems for the hospital system and its providers, affecting not only the COVID community but anyone that's in need of medical service. To those people of Louisiana who say "well, we are not going to listen to any of that and we are going to make them enforce our way through it. Then we will be unsuccessful but I believe in Louisiana, we are better than that. Our people have always been good and resilient. We are faithful people. We know what it means to be a good neighbor. Now is a good time to be a good neighbor. If you don't like the mask mandate then don't like it, but wear your mask anyway if you are going to be out in public. If you want to criticize me, then criticize me. I understand this is going to be controversial. So be it. It the right thing to do. It's the essential thing to do. But don't sit back and say we will only be successful if we enforce our way through it. That is the wrong attitude. Can you talk about how the decision for the VP to come to Baton Rouge came to be and the testing issues that may be discussed? Many things made Louisiana an obvious place to come. We are back to #3 in the country for COVID19 cases per capita. They picked BR specific to do surge testing, one of 3 areas around the country to get above our baseline of 5,000 people. We haven't met that yet, but we are working towards it. Because of the steep increase in cases in BR but even steeper increase in positivity in BR. Louisiana has been on radar front and center for the White House Coronavirus Taskforce since the beginning. We have never come off their radar. I think that is. why he is coming here. While he is here he will talk about higher education and what we are doing to safely resume on-campus in-person instruction on time. What that mix of education of in-person and distance learning will look like. Plus LSU is the current national champion and he gets to come down be on that fine university. We will meet in a large space in the club on the south end of the stadium. Did you talk to Clay about the new mandate or the petition gaining speed because of this? I speak to lawmakers frequently and had the opportunity to talk to them specifically about the proclamation I am signing today. I make sure they are getting regular updates and they see the number and trajectory they are on. So by the time we make these decisions, it is in their mind that this is something we may do. Yes, I had the opportunity to speak with them. The first time we have a surge in the state there was an awful lot of people who said that only affected Orleans or Jefferson Parish and not us, but that is not the case today. This is literally statewide. The hottest area in the state is in Lake Charles and the second hottest is in Lafayette. I think the petition would be a tremendous mistake. For us to be the only state without a public health emergency when we are number 3 in the country cases per capita, our positivity is over 15%, we have the highest case growth we've had in the entire public health emergency, our hospitals are filling up again, and all the coordination and resources we need to make available, and all of the coordination we need to do with the Federal government, not to mention making sure we are able to take advantage that they can only send to Louisiana IF we have a declared public health emergency, and the ability to take advantage of the Stafford act? All that would be threatened by a silly partisan petition. They can do if they want but that would be a tremendous mistake and the people of Louisiana will pay a higher price. I urge members not to sign it and if they did sign it to have their names taken off of it. Final Comments
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submitted by WizardMama to Coronaviruslouisiana [link] [comments] Made by Jeff Asher of the Times-Picayune LINKS TO WATCH
Summary
QuestionsWhat's the plan if we run out of space, is the plan to shift them to Morial?First off, we are going to make sure that doesn't happen that we don't run into a situation where we cannot provide healthcare. We still have 250 beds at the Morial Convention Center with staffing for 60 with 28 beds currently being filled. We can expand to 60 more beds quickly. Further, much of the investments we made early on created new permanent surge capacity at various hospitals around the state. So we are in better shape than we were before. Frankly, my bigger concern is not about beds, but about staffing. We believe we will be able to make the adjustments necessary and open the surge units, but the bigger challenge is around staffing. It is bigger this time because the surge we are seeing is happening in multiple parts of the country at one time. Hard to draw upon out-of-state staff because of those areas and not willing to give them up because they need them too. We discussed it with the VP last week after a phone email with hospital staff prior. Submitted a request through FEMA and it is currently pending. Looking to us the existing footprints of our hospitals, because it is easier to solve the staffing challenges than open up a new facility that isn't part of the existing footprint. No plan to currently create new facilities, but are working to fill staffing shortages. How much did you request from the FEMA As best as I can recall it was 300 Request to FEMA ranged from phlebotomists, ICU nurses, respiratory therapists, and so forth. I will get you the exact information. Some people in Acadiana and Lafayette, in particular, feel the local agencies and parish governments are not doing their parts to enforce the mandates. What can we do on the state level to drive home how important it is to follow the mandates When you watch Fauci or Birx speak and see what is coming out the CDC, that speak to you about the importance of these mitigations measures and you accompany it with the numbers we are seeing in Louisiana right now, not just cases but hospitalizations and deaths, you would hope the people would be responsible enough, take that into consideration, and they will comply because they understand it is important for those who are valuable, to help the medical community. Even if for some strange reason that is totally incomprehensible that you don't care about COVID you should care about there being capacity in the hospital if you get into a car accident or a family member has a stroke, you want that care to be available. We just need people to focus on the task at hand, do their part, be good neighbors. It is not that we won't force these things but if the people of Louisiana are going to make us enforce all of this we will not be successful. There are 4.6 million people in Louisiana, 10s of 1,000s of businesses if the people of Louisiana are going to sit back and say we will make you enforce every part of this we are doomed. As I mentioned the vast majority of businesses and people are being responsible but there are still too many that are not. So I am directing these comments to those individuals. IF you want to be mad at me, and disagree with me be mad and disagree but do so with a mask when you are outside of your house. Where do you think the deliberate misinformation campaign is coming from? I do not know. I am not personally investigating it. I am doing what I can to make sure no one attaches any credibility to it. This not just happening in Louisiana. This is happening in all of the other states that are having this tremendous resurgence. No one is out there "cooking the books". One thing we would do, if it was safe to do, is open our hospitals up so they could see with their own eyes the people who are fighting for their lives. They would know this is not a made-up number. This is grossly negligent and irresponsible. I am asking people not to do it and for others not to believe it. Are you surprised that bars are the top location for an outbreak of COVID I cannot say I'm surprised, bars were one of the last things opened because we knew the environment is not the easiest to control so people do things safely. It's just the nature of that establishment. Many people go to a bar to stay for several hours, have multiple drinks, and relax their inhibitions. They may have one mindset going in and another coming out. Then there is loud music and so you need to speak louder and release more particles if you happen to have COVID19. Then if you're listening you tend to get closer to hear than you should be. We were hopeful restrictions would work, but for the vast majority of bars, it proved to be too much. This is not just here in Louisiana. It is a WH Taskforce recommendation for our state and other states with high rates of COVID-19. It is also a worldwide recommendation. Once South Korea came out of its lockdown they had to shut down every bar in Seoul because they had a similar experience. With staffing being an issue is the Morial Convention center a viable option as a field hospital Dr. Henry Kaufman, chief medical officer at Our Lady of Lourdes: We have physical space, we have beds that are used during the day for outpatient surges. Those can be converted into hospital rooms. We have beds that are typically used for other purposes, and those have been converted to rooms. However, as we see an increasing number of transferrable cases in the community we see our nurses become infected. When a nurse becomes infected the quickest they return to work is 10 days. As a result, there is a huge pool of nurses who are currently out right now. This puts a strain on other nurses and staff in the hospital. So far it is working out, but our nurses are tired. The problem is not needing physical space, it is having enough people in our community to staff those beds to keep our nurses healthy. One way you can prevent yourself from getting COVID is to stay active and healthy, well-rested, and that your immune system is working well. Nurses, physicians, and staff are tired and not taking care of themselves as well as they need. This is a vicious cycle. Everyone is looking for staff right now. We are not at the point of reaching out to non-traditional areas for staffing. We have disucssed calling in retired nurses or those who have moved to other careers who still hold their licenses who could help. Have you thought of reaching out of state for staffing? Dr. Henry Kaufman, chief medical officer at Our Lady of Lourdes: We have contacted local staffing agencies, not many people available, anyone who is employable is employed. Everyone across the country is seeking nursing right now. Yes, we have considered that. Governor John Bel Edwards I've had requests to take national guard soldiers in a medical unit and have them available at the hospitals. But guess where the national guard soldiers in our medical unit work? In our hospitals. So I would be pulling them from one hospital to send them to another hospital around the state. The first thing we did was put out an EMAC request to all other states to see if they had anyone they could offer to address what we need. Exactly zero states offered any staffing. So then you start looking at staffing contractors and we are working that angle now. That is proving to be difficult as well, which is why we continue to work with FEMA on staffing. In regards to the Morial Convention Center, remember that facility is for the less acute patients to allow hospitals to free up space sooner than they would. So once a patient reaches that level of care where they don't need an acute bed, but can't go home, they can go to the Morial Convention Center for care. Having hospitals sending their less severe patients to the convention center is something we are considering. With the testing shortage issue in terms of a turnaround.. I just want to be clear we are doing an extraordinary amount of tests, but it is not a shortage of collection kits. There are reagent issues in the lab that are contributed to longer turnaround times, as well as the sure volume of tests. So of all the tests, we reported today 65% were within the last week. 30% were from the week before. That gives you an idea of the percentage of tests. This greatly impacts our ability to fight COVID-19. If someone waits 7-10 days to find out they are positive and did not curtail their activities, we know they are out there spreading that disease. Plus if it takes too long to get a test result back the contact tracing is too hard. So the turnaround time at the labs is the current challenge, not the testing supplies itself. with turnaround times does this challenge testing congregate settings In congregate settings, we are testing 100% of residents and staff every 2 weeks. We are seeing some delays in getting those results back. Anytime you see that it interferes with our ability to quickly get on top of the situation and appropriately quarantining patients. It is also true for the staff member who goes home at night and interacts with their family. Over the next approx 8-12 weeks it is the goal of the Federal Government to send a rapid point of care tests to every nursing home. We are starting to see those machines arrive in small numbers this week and that will continue. That way tests are administered with results being known within 24 hours. It sounds too good to be true, so we need to make sure the machines come and we have all the testing materials that are needed. Why are casinos not facing additional restrictions? I'm not going to tell you we haven't experienced any issues at casinos but I can say they have been few in number and much more easily removed because you only have only a small number of them operating. Plus it is the most regulated industry in Louisiana so if you go in there and tell them a problem the corrections get made. We know they have been very responsive to any remedial measures we have told them to take. That is why they are open. We believe they can safely operate at the level of occupancy we have described. We want as much of our economy opened as possible consistent with public safety and the health of our people. Where we can operate a business safely we want to do that. Under the limitations, we currently have in place with casinos they can operate safely. Closing RemarksWe have flattened the curve before and we can do it once again. We can do it without going back to Phase 1. But everyone must do their part. So if you want the economy open then we must all do our part. Please wear a face covering. Social distance. Stay home when you are sick. Wash your hands often. Watch out for the most valuable. The safest place you can be is at home. Lift one another upon prayer and focus on our blessings. If nothing else let's be thankful for our healthcare workers. Everyone has a healthy and safe weekend. God bless.👉 NEXT PRESS CONFERENCES Will be Tuesday and Thursday next week at the Capital. If there is a reason to meet at other times, whether related to weather or COVID19, I will let you know. |
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