Don’t Drop Your Guard Against COVID, Flu, and RSV

Published in RINewsToday on December 12, 2022

COVID 19 cases across the nation are fewer in number than this time last year. But health care experts say that the Covid-19 is here to stay.

A new poll released by the Washington, DC-based American Psychiatric Association (APA), the nation’s oldest medical association, shows that while nearly a third of Americans report that while they anticipate being more stressed out this holiday season than last year, they are less worried about spreading or contracting COVID at a festive family gathering. Researchers say the findings, reported in the Dec. 2022 Healthy Minds Monthly Poll, reported they were more worried about affording holiday gifts. The APA’s study was conducted online by Morning Consult from Nov. 9-14, 2022, among 2,209 U.S. adults, with a margin of error of plus or minus 2 percentage points.

Holiday Worries, Less Concern about COVID Pandemic  

According to the poll’s findings, 31% of adults say they expect to feel more stressed this upcoming holiday season compared to last. This is an increase of 9 percentage points since 2021. Potential drivers of holiday stress include worries like affording holiday gifts (50%) and meals (39%) and finding and securing holiday gifts (37%). Younger adults and those making less than $50,000 are more likely to worry about affording the holidays, say the researchers.

Compared to 2021, adults are less worried this holiday season about spreading (35% in 2021 versus 25% in 2022) or contracting (38% in 2021 versus 26% in 2022) COVID-19 at a holiday gathering, noted the researchers. Adults are also less worried about spending time with family who have different views about COVID-19 (30% in 2021 versus 18% in 2022),” they say.

“This is a busy time of year for many people, and it’s common to put a lot of expectations on ourselves during the holidays,” said APA President Rebecca W. Brendel, M.D., J.D in a Dec. 1st statement announcing the study’s findings. “We can all benefit by enjoying moments that bring meaning and belonging, but those times are different for each of us. It’s also okay to opt out of some or all events if they bring more stress or distress than joy. There is no one right way to spend the holiday time of year,” she said.

On the positive side, the researchers added, “the plurality of adults (47%) say they are most looking forward to seeing family and friends this holiday season, of the options tested. That varied by age: Older adults (45-64: 50%, 65+: 63%) are more likely than younger adults (18-34: 37%, 35-44: 36%) to say so. A fifth of American adults (21%) said they were most looking forward to eating good food.”

The researchers noted that parents (39%) are more likely than non-parents (27%) to say they anticipate experiencing more stress this holiday season compared to last year. “Young adults and Democrats are more likely to worry about discussing politics and spending time with family with different viewpoints about COVID-19 during the holidays,” they say.

“While Americans are looking forward to seeing family this year, it’s important to remain vigilant about COVID-19, the flu and RSV,” warns APA CEO and Medical Director Saul Levin, M.D., M.P.A. “We are in a different situation than in 2020 or even 2021, but it’s still important to take precautions and stay home if you are sick,” she said.

Beware of the “Tripledemic”  

 With the Christmas holidays just weeks away, older adults must now not let their guard down about protecting themselves against a “tripledemic” of COVID, flu and RSV, says Nick Landekic, a retired scientist and biotechnology entrepreneur who is a contributor to RINewsToday. 

“COVID is now a pandemic of older people,” warns Landekic in a Dec. 9 article in the state-wide news blog. “With the year-end holidays upon us and infection rates rising across the country, the stark new reality is COVID is now a pandemic of older people,” he says.

“Right now, is a particularly risky time with a ‘tripledemic’ of COVID, flu, and RSV, with almost the entire country at ‘high’ or ‘very high’ levels of infection. Hospitalizations and deaths are both up sharply over the past two weeks, with deaths increasing as well,” says Landekic.

According to Landekic, the most accurate predictor of ending up hospitalized or dying from COVID is age. “Older people are thousands of times more likely to die of infection than younger persons,” he says, noting that the statistics bear this out. “Ninety percent of COVID deaths are now among those over 65. Over 300 Americans continue to die of COVID every day, and nearly 1,000 just on December 7 – a rate of over 100,000 a year – and most of them are over 65,” he says.

(COVID is now a pandemic of older people – Nick Landekic: https://rinewstoday.com/covid-is-now-a-pandemic-of-older-people-nick-landekic)

“You don’t want to get sick from one of these viral  infections and miss visiting with family and friends during the Christmas and New Year holidays, says Michael Fine, MD, author and chief health strategist for the City of Central Falls, adding that  “we’re in a “tripledemic” of COVID, flu and RSV (filling the nation’s pediatric hospitals). “It’s the worst flu year we’ve seen in recent memory,” he says, noting that “it has come early and hit hard.”

Dodging the Bullet 

During the upcoming holidays, Fine says it is easy to protect yourself against the “tripledemic” to prevent infection.  He recommends the importance of getting a bivalent COVID booster  if you haven’t had a booster during the last four months.

“You want to be extra careful two weeks before attending holiday gatherings,” says Fine, a family physician who contributes on health and medical issues (as well as short stories) for RINewsToday and is the former Director of the Rhode Island Department of Health.  Specifically, wear masks in stores and avoid restaurants and bars for about two weeks before a gathering or planned travel. “I don’t think many are eating outside at this point,” he quips.

“Wearing a mask in an airport terminal is important when traveling to family gatherings,” says Fine.  While there is good air infiltration in the air, it is not so in terminals, he adds.

When attending a holiday gathering with multiple households, it is a very good idea for everyone attending to take a COVID 19 home test. “It is not perfect but better than nothing,” says Fine.

“Those who have not been vaccinated yet, you still have time to do so before attending those holiday gatherings,” says Fine

Fine believes that people who haven’t yet been vaccinated can take comfort from the last two years and our now extensive experience with the vaccine. “We have two years of experience with the vaccine with billions being vaccinated.  We haven’t seen any substantial programs. It’s now the best tested vaccine in history,” notes Fine. 

AARP concerned for working caregivers. Advice from Dr. Michael Fine

Published in RINewsToday on August 9, 2021

After the coronavirus (COVID-19) pandemic initially shuttered the nation’s businesses over a year ago and with Delta variant cases now surging among the 50 percent of the population not fully vaccinated, AARP releases a 17-page report exploring the concerns of working caregivers about returning to pre-pandemic business routines. 

AARP’s national survey, examining caregiver concerns during the COVID-19 pandemic, was conducted by phone and online panel on July 1-7, 2021, and included 800 U.S. residents 18 years or older who are currently providing unpaid care to an adult relative or friend and employed either full-time or part-time (but not self-employed).

Six in ten caregivers responding to the survey were paid hourly, while nearly four in ten are salaried workers. Almost seven in ten say that their job is “essential.” 

The researchers found that the COVID-19 pandemic impacted how working caregivers balanced their work and caregiving roles. Four in five caregivers expressed feeling stressed by juggling these dual responsibilities. More than three in five of the respondents say that they were spending more time caring for their loved one(s). When asked about the next 12 months, two-thirds of all working caregivers expect some, or a great deal of, difficulty balancing both job and caregiving roles. 

According to the AARP study, “Working Caregivers’ and Desires in a Post-Pandemic Workplace,” about half of working family caregivers were offered new benefits during the pandemic, including flexible hours (65%), paid leave (34%) and mental health or self-care resources (37%). About half of those surveyed were able to telework due to COVID 19; by early July, 22% were still working from home full time and 30% were working from home at least part-time. For those who could work from home, nearly nine in 10 said it helped them balance work and care responsibilities – and 75% are worried about how they will manage when their pre-pandemic schedules resume.

“Employers would be wise to consider how benefits like paid leave and flexible hours can help the one in six workers who are also caring for a loved one,” said Alison Bryant, Senior Vice President, AARP Research in an Aug. 4 statement released announcing the release of the report. “Living through the pandemic was challenging for working family caregivers – while some were helped by new workplace benefits and flexibility, the vast majority are worried about how to balance both roles going forward. Our research opens a window into how the pandemic changed the workplace and what working caregivers are concerned about in the coming year,” says Bryant.

As offices and other in-person workplaces begin to slowly re-open, many caregivers expressed concerns that they would bring the virus home to infect loved ones (63%) or contract COVID at work (53%). About three in five are worried about leaving the person they care for alone while they go to work. Among those who were able to work at home during the pandemic, almost nine in ten would like the option to continue doing so at least some of the time. And more than four in ten caregivers said they would consider looking for a new job if the benefits they were offered during the pandemic were rolled back.

AARP offers a range of free tools and resources to help employers retain working caregivers, including tip sheets, tool kits and online training for managers. The resources are available at www.aarp.org/employercaregivin

Dr. Michael FineThe pandemic of the unvaccinated

Don’t let your guard down, even if you’re vaccinated, warns Dr. Michael Fine, the former Rhode Island Director of the Department of Health. As the COVID-19 Delta variant cases spike across the nation, “it’s the pandemic of the unvaccinated,” he says. “Now 97% of the hospitalized are unvaccinated. As community transmission rises, it is more likely that vaccinated people will get infected and spread the virus,” he says.

Dr. Fine further responded to requests about how we should approach this latest wave of COVID in Rhode Island:

“For most vaccinated people, Covid-19 will be a mild disease,” says Fine.  For those with chronic disease like high blood pressure, diabetes, heart disease, COPD and cancer, one study from Israel suggests that the risk of hospitalization and death is equal to the unvaccinated,” he says.  

“As community transition rises, I’m expecting some hospitalizations and death in vaccinated people with chronic disease. That group would do well to self-isolate — to stay home and let others shop for them, until community transmission falls to less than 35/100,000/week. We are now a place with high transmission, about 140/100,000/week,” states Fine.

Fine urges businesses to require all employees working together to be vaccinated, wear masks and get weekly Polymerase Chain Reaction (PCR) tests for the COVID-19 virus.

Teleconferencing technology should replace onsite or outside meetings, he says.  

Working caregivers can be protected from bringing COVID-19 home by being vaccinated and should get two PCR tests a week, and limit contact with other people by avoiding shopping at stores or going to restaurants.

Red Bandana Fund Concert to be Walton’s Legacy

Published in Pawtucket Times, June 7, 2013

           Richard Walton, who died on Dec. 27, would have loved it.  Five months after his death one late Sunday afternoon, over 40 people including the musicians who had just played at The Red Bandana Fund Inaugural Concert (that was attended by hundreds), family members along with the organizers and volunteers of this fundraiser, gathered to drink beer and reminisce about Walton’s extraordinary life at his favorite Pawtucket hangout, Doherty’s East Avenue Irish Pub.

          People swapped favorite stories for hours, detailing how the late Walton “touched their lives,” noted one attendee, Richard Wahlberg, one of the organizers.  “Every one had such an interesting story to tell about Richard,” he stated, noting that the Warwick resident, known as a social activist, educator, humanitarian, very prolific writer, and a co-founder of Pawtucket’s Stone Soup Coffee House “had made everyone feel that they themselves had a very special, close relationship with him.” 

         Seeing so many of Walton’s friends at June 2nd concert, Wahlberg and other attending viewed the event as a “gathering of the clan” since the audience was really Walton’s extended Rhode Island family.    

 Walton’s Legacy of Supporting the Needy

         The idea to organize last weekend’s fundraiser concert to raise money to support the causes of the late Richard Walton and others like him who work to improve the human condition was literally kicked around a few days after Walton’s death by his daughter, Cathy Barnard, his son Richard and a few close friends, noted nationally-acclaimed children’s entertainer and storyteller, Bill Harley.   

          According to Harley, an annual fundraiser, supporting the newly formed Red Bandana Fund, would replace Walton’s annual birthday bash – usually held the first Sunday in June – to raise money for Amos House & the Providence-Niquinohomo Sister City Project and other progressive causes.  Over 24 years, Walton had raised large sums of money for these favorite charities, attracting hundreds of people each year including the state’s powerful political and media elite to celebrate his progressive causes at his family compound located at Pawtuxet Cove in Warwick. 

         Coming up with a name for Walton’s fundraiser that would ultimately be tied to his unique fashion sense and was the idea of her brother, Richard, states Barnard.  Her brother, like most people, had a vivid, visual image of his father, who had long white hair and beard, being known for wearing his trademark worn blue jean overalls, a red bandana and Stone Soup baseball cap.

          “When Dad’s closest friends came over to the house after his death they wanted one of his red bandanas to remember him,” Barnard remembered.

       “It was like a talisman to them,” stated Barnard, that became a great way to create the perfect moniker and recognition for an upcoming fundraiser.

          Barnard says that her father didn’t opt for a traditional burial, so there would be no monument of stone over his grave to remember him or a place for family and friends to visit.  His cremated remains were scattered the day before the Sunday fundraiser by his family and very close friends in his beloved garden and sent by paper boat from the inlet where his compound was located into Narragansett Bay.

         But, there is The Red Bandana Fund now, says Barnard, noting that “we cannot think of a more appropriate memorial.”  Over 300 people attended the inaugural Walton fundraiser, bringing in more than $12,000 from ticket sales, silent action and raffle.

          At this event, the first recipient of The Red Bandana Fund Award, Amos House, was chosen because of Walton’s very long relationship with the Providence-based nonprofit.  He was a founding board member, serving for over 30 years, being board chair for a number of years.  For almost three decades, the homeless advocate spent an overnight shift with the men who lived in the 90-Day Shelter Program each Thursday bringing them milk and cookies.  Each Friday morning he would make pancakes and eggs in the soup kitchen for hundreds of men and women who came to eat a hot meal.

 Putting the Pieces Together

         The organizers were gathered by Bill Harley on the advice of Richard’s family and those closest to him from the progressive community and organizations Richard was affiliated with.  In true Richard Walton fashion this was a largely self organizing group built on the complementary strengths of the members, noted Wahlberg.  Over five months, this group had planned all the organizational facets, from marketing, pre-selling tickets, booking Shea High School, recruiting volunteers for the day of the event, along with getting items donated to be sold at a silent auction and raffle.

         With the decision to host a fundraising concert, “it became incredibly painful to have to limit the list of who we would invite to play,” said Harley, noting that every one who knew Walton wanted to perform to pay tribute to him.

          As Rudy Cheeks, of Phillipe + Jorge’s Cool, Cool, World, would remark in his May 31st column, the two hour concert would be an amazing blend of folk and traditional music, a little bit of classical, along with singer-songwriting greats, all sharing the same stage for the evening.  They included: widely recognized singers and song writers, Bill Harley, Kate Katzberg, Atwater-Donnelly, Sally Rogers and Howie Bursen, Christina Tompson, accompanied by Cathy Clasper-Torch on fiddle and Marty Ballou on stand up bass.  Consuelo Sherba opened the concert by playing a short classical set.

        According to Harley, who served as the event’s musical director, internet files of the selected music (three songs for each performer) went back and forth between those chosen to play, to help them to quickly learn the music to be played at the upcoming concert.  He noted that each song had to have simple chord arrangements with words that the audience could easily remember. Most important, “these songs were chosen to reflect who Richard, the person was,” he said.  Amazingly, the musicians would gather just two hours before the performance to practice with each other.

 Those Who Knew Him

         At intermission, I caught up with Andy Smith, former music critic at the Providence Journal who now covers hard news for that daily paper.  He knew Walton for years covering Stone Soup Coffee House and sporadically attending his legendary birthday party over the years.  “No one could hang out in Rhode Island without knowing about Richard Walton,” he says.  That’s true.

         The Red Bandana Fund Inaugural Concert was a “very sweet, very nice chance for people who know Richard to come together and celebrate his life,” observed Smith, noting that “the best way to do this was through music.”  He would have had a good time if he were here today, says Smith, adding that  “May be he is here [in spirit].”

         Like many attendees, Jane Falvey, treasurer of Stone Soup Coffee House noted, that Walton touched many lives. “Like stones cast into a pond, the ripples form ever-widening circles that overlap, and so it was at the inaugural Red Bandana Concert – Richard’s many circles embracing each other in remembering and celebrating his wonderful life and the purpose he created in all of us,” she said.

        Also in attendance, Dr. Michael Fine, Director of Rhode Island’s Department of Health, who came with his wife, Carol, called Walton  his “old friend,”  giving him a unique descriptive nickname, the “Prince of Pay it Forward.”

         Dr. Fine believes that Walton understood the value of living in a democracy. “He taught us about this value and gave us examples of what we would have to do each and every day to keep it alive,” he said.  Walton also taught us how to take care of each other,” stated Dr. Fine. 

         Linde Rachel, a resident of Maureillas, France, and companion of Walton’s for 9 years who traveled with him throughout Europe, Africa and the Baltic States, sees an important message in the songs sung at last Sunday’s The Red Bandana Fundraiser.  “The songs were all about being part of a community, the one that he helped to create and was part of,” stated Rachel.   

         Days later, Barnard tells me that she is thrilled with the success of The Red Bandana Fund Inaugural Concert.  “We were amazed at the large turnout,” she says, noting that she even met people in person she had heard her father talk about over his long years.

         “We’re hoping that this will be just the beginning and not the end of it,” says Barnard, the beginning legacy of her father’s long-tradition of giving back to those in need.

       Her father would surely nod his head in agreement.

          For more information about donating to The Red Bandana Fund, go to http://www.soup.org/page1/RedBandana.html.

         Herb Weiss, LRI’12, is a writer who covers health care, aging, and medical issues.  He can be reached at hweissri@aol.com.