When the COVID-19 nursing home patients’ death rate reached 15,000, Governor Cuomo injected his ill-thought out remedy of signing a disorder by Executive Order—a la Biden—that would purportedly protect and reverse previous disingenuous missteps. How? By passing Executive Order 202.73 and subsequent modification (E.O. 202.30 and 202.40), which required testing all nursing home employees at least twice per week, as directed by the Commissioner of Health, and under the governor’s direction. This medical decree would now help save nursing home patients from the deadly SARS-CoV-2 to which employees had been exposed.
Almost adding insult to egregious injury, on June 10, 2021, the New York State Department of Health sent a “Dear Administrator Letter” (DAL) – NH-21-13, notifying nursing homes of an exemption for COVID-19 vaccinated employees from the mandated and routine bi-weekly COVID-19 testing, under a revised and signed Executive Order (“E.O.”), #202.88.
These signs of confusion come in the middle of the medical community’s gradual shift in thinking about the COVID-19 virus killer not posing as imminent a threat to relatively healthy employees who are infected. The fact remains that there is high risk in a fragile and health-vulnerable population as nursing home elderly individuals. Nursing home patients are defined given general comorbidities requiring skilled nursing care.
According to the Center for Disease Control and Prevention (CDC), “Nursing home residents are at high risk for infection, serious illness, and death from COVID-19. Testing for SARS-CoV-2, the virus that causes COVID-19, in respiratory specimens detects current infections (referred to here as viral testing) among residents in nursing homes.” Bi-weekly employee testing has proven to be an excellent and logical means of prevention and control to save the elderly population in nursing homes from community exposure.
In the past three months, however, at least one nursing home facility in Brooklyn, NY has recorded 123 employees who have been infected with COVID-19, of whom 37 were fully vaccinated. Of these 123 infected employees, 100% have been asymptomatic.
Therefore, 37 of the 123, or 30%, were fully vaccinated at the time of infection. Most telling is that all 123 employees were infected regardless of vaccination or non-vaccination. What this reveals is the high percentage index of those infected who, together with the occurrence of COVID-19 infection, CAN transmit the disease to vulnerable nursing home residents. This revelation offers stark contrast to multitude false claims to the contrary.
New York State epidemiologists are justified in calling for all employees to be tested. It is, indeed, a matter of life or death, as well as a move towards truly protecting our fragile and elderly community.