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2021-03-25
Navajo Nation casinos reopen as new virus cases dwindle
By Donovan Quintero | Mar 25, 2021 | Business, CORONAVIRUS | CHURCH ROCK, N.M. Peterson Zah has a concern. On Tuesday, while hundreds of Fire Rock Casino patrons tried to win some money, the former Navajo Nation president wanted to hear what the COVID-19 public service announcement sounded like in Navajo. “I didn’t hear any of the PSA while inside because it’s so noisy,” he said. After taking a step outside the casino, the former Navajo Nation president said he was able to hear it. But that raised a concern for him. “And it’s pretty good,” Zah said, explaining the PSA in Navajo was clear and concise. “But you can only hear that clear outside and inside you can’t really understand it.” Zah said he was concerned no one would hear the COVID-19 safety guidelines everyone needed to follow. His other concern was that since many Navajo people have gotten both doses of the vaccines, many of them might become emboldened. “The reason why I was concerned is people have this attitude that because of the shots … they say, ‘Hey, I’m immune, I don’t have to worry about the virus.’ So when I go places I’m gonna take mine (mask) off,”’ Zah said Tuesday. According to the president’s office, more than 76,000 people have been fully vaccinated as of March 23 and more than 191,000 total doses have been administered. Zah didn’t think people should take any chances by easing up on protecting themselves from the contagious respiratory virus because some people were not wearing masks. After being closed for more than a year, Fire Rock Casino and Northern Edge Casino were on the fifth day of a two-week “soft reopening.” Just the gambling portion of the casinos were open at 25% capacity, and only Navajo Nation residents were allowed into the casinos, according to Navajo Gaming interim CEO Brian D. Parrish. Parrish clarified Navajo Nation residents meant everyone, including non-Natives, living on the reservation would have access to the casinos during the reopening phase. “We’re doing it with a two-phase reopening plan that started with Fire Rock and Northern Edge first,” he said. “We’re going to reevaluate with the Navajo Nation. They’re going to do audits and monitor our implementation of our workplace safety plan.” Of the 1,180 casino employees, 650 have returned to work since last Friday, said Parrish. Employees like Fire Rock Casino housekeeper Mildred Russell, who said she’s been out of work for over a year, were happy to be working again. “It’s been a struggle,” Russell said while cleaning a slot machine last Friday. “Hopefully this pandemic will be gone and everybody can go back to their normal lives.” Other employees, like casino security officer Vernon Keeswood from Hogback, New Mexico, shared Russell’s gratitude for getting the call to go back to work. “It’s good,” he said on Tuesday during a telephone interview that was arranged by Michele J. Crank, executive director of communications and public relations for Navajo Nation Gaming Enterprise. Instead of the usual hugs and shaking hands, Keeswood said, now it was “fist bumps” and “elbow bumps.” As for the reopening, he said many Northern Edge Casino customers “are pleased and happy” the Navajo casinos have begun reopening. He added a few customers were not sure if the casinos should reopen. “I hope everyone washes their hands and practices social distancing so we open to 100 percent capacity,” Keeswood said. “I hope it opens more.” After all, the threat of another COVID-19 outbreak looms on everyone’s mind, including that of Robert Peterson from Thoreau. “People are still afraid to come here but a lot of them want to enjoy being out instead of being stuck at home,” said Peterson, who said he lives alone, last Friday. Peterson said being alone and dealing with the pandemic has been hard for him. Despite his fears, he decided to head to Fire Rock to get his mind off COVID-19. Mary E. Silversmith, 79, from Lupton, Arizona, ensured no one came to visit her with a “no visitors allowed” sign posted on her hogan. She was happy to support the casino employees who returned to work. “The casinos were opened for the casino employees,” she said on Tuesday at Fire Rock. “Many of have children and they have bills to pay. “Because of that, I am OK with the reopening,” she said. “Some people have been criticizing the reopening. Not me, I don’t think that way or talk that way.” Before the pandemic, Silversmith said she frequently ate at Fire Rock, as well as at Twin Arrows Casino and Resort, when she had extra money to spend. Silversmith was wearing a surgical mask. To gain entry into both casinos during the soft reopening, a state ID, like a driver’s license, is required and a working number at which customers can be contacted. Temperature checks were also part of the requirements for anyone wanting to enter. After their temperature was checked, security asked customers to momentarily remove their masks and look at the front entrance security camera. The purpose of collecting all of the information is for contact tracing, said Parrish. “We have an excellent plan that’s in place,” he said. “We’ve had it reviewed and modified and enhanced by public health experts, not only on Navajo, but outside the Navajo Nation.” He added that Navajo Gaming invested close to $2 million in “equipment, supplies, signage, training,” to keep everybody safe. U.S. Indian Health Service officials toured both of the casinos’ kitchens on March 12, Parrish added, to review their safety procedures. “And in terms of reopening of the other properties, especially at a higher capacity percentage, that’s going to be based not only on how well the enterprise does, but what’s happening with the public health metrics, the rate of vaccinations on Navajo and other key indicators like that,” the interim CEO said. The Navajo Gaming enterprise’s careful planning even got praise from Jordan Schermerhorn, a senior research associate at Georgetown Center for Global Health Science and Security. Schermerhorn stated in an email to NNGE their plan showed the tribe was leading “the entire country in a smart, careful return to normalcy.” “Combined with the Navajo Nation’s outstanding vaccine rollout, this soft reopening shows what is possible with a data-driven pandemic response in a community dedicated to public safety,” Schermerhorn‘s email said. Even the ventilation, air conditioning and heating systems, which completely re-circulate the air inside the casinos 15 times a day, were reviewed, said Parrish. “We’re ready to go to fifty percent, we’re ready to offer food and we’re ready to bring the rest of our team back,” Parrish said. Zah watched casino patrons trying to win money as sounds from the Tuesday afternoon hustle and bustle all but drowned out the COVID-19 PSA. “So basically, the attitude shouldn’t be such now that because they got their shot they don’t have to worry about it,” he said. “It’s still around. Even though ninety percent of the people may be wearing their mask, or all of them, if one of them comes in that has it, then we’re in trouble.” Zah explained a new COVID-19 variant is much smaller than the original strain, which to him was why everyone needed to double mask. “If you can see light through your mask that means it’s gonna go through,” Zah said. “We gotta start wearing two masks.” He said he intends to go on KTNN and remind everyone not to run off to Phoenix or Albuquerque just because they’ve been vaccinated. “At the same time, they still have to follow those protocols,” he said. “I want to say, ‘You gotta start wearing double masks.’” As of Tuesday night, the Navajo Nation Department of Health reported a cumulative 30,010 cases of the virus and 1,233 deaths. -
2021-03-26
‘They became warriors’: Reflections from the front lines as Tséhootsooí Medical Center workers share experiences
By Rima Krisst | Mar 26, 2021 | CORONAVIRUS, People | Tséhootsooí Medical Center workers share experiences Wilberta “Billy” Jackson, public health nurse III This pandemic has been the longest roller coaster of stress, grief, and loss. I’ve kept my routine simple – sleep, eat, and exercise. And, more sleep. This has been and will probably be the most challenging time of our lives. I could focus on all the bad, but so much good has come from this, from community members stepping up, leaders rolling their sleeves up and getting dirty, how we came together to care for our elders, and so much more. Professionally, we’ve adjusted and readjusted a million times over and completely changed how we deliver health care. We’ve had information, guidance, and policies being added or changing every day and we still were able to deliver health care in a safe, efficient manner. At the beginning of the pandemic, our leaders were warning everyone about the health care system being overwhelmed. Most people thought about it in terms of hospitals running out of beds, but they didn’t think of it in terms of how an underfunded and shorthanded public health force would respond to a pandemic in a rural area with limited resources, and where a population’s most basic physiological and safety needs are not being met. When you don’t have access to clean water, food, shelter and security, you’re not able to prioritize prevention measures until your basic human needs are addressed. The resiliency of the Diné people is unrivaled. The days I’m struggling or feel like giving up, I hear my grandmother’s words, and that’s what keeps me going. And my mother’s surprise delivery of Navajo soul food meals. I’m a public health nurse, so it won’t come as a surprise that I’m excited about the COVID vaccines. We’ve already seen a substantial decline in cases, hospitalizations, and deaths, so we know it’s working. My hope is that our response to the next pandemic or health care crisis won’t be complicated by politics, lack of national strategy, lack of preparation, and misinformation. Stacey Burnside, Primary Care registered nurse What I have learned from this pandemic is to cherish every day and every person that you love. COVID-19 has impacted my family and me profoundly. I lost an uncle and an aunt to COVID-19, and to this day, it is surreal that they are gone. As a primary care nurse, it is difficult to hear about losing a patient to COVID-19, and at the peak, it was almost a daily occurrence… The challenges that I faced during this pandemic were adapting to the changes in work roles and being separated from the people I love. The clinic that I worked in was closed when the pandemic hit the first peak, and I, along with my coworkers, was informed that we had to work in the Emergency Room. The moment that I saw a patient who needed me to be their nurse, despite having COVID-19, humbled me. That moment in the ER humanized COVID-19 for me and made me realize that I was put there for a reason. No matter what the situation is, nurses adapt, and the teamwork and strength we draw upon each other are phenomenal. A huge hit to me personally and professionally was losing a friend to suicide … dealing with grief, loss, and stress has been a daily thing. What has helped me is drawing strength from my God, husband and son, and family. There are many negatives to the pandemic, but one positive that many have seen is the love and strength we have found among our families. I am thrilled that we are at a point of a high vaccination rate in the Navajo Nation. I remember when I administered my first COVID-19 vaccine to a patient, it brought tears to my eyes, and I cried after work. Leah Chattin, respiratory therapist I’ve been a respiratory therapist since 2003. What I experienced throughout the first surge of COVID-19 here on Dinetah is not what you prepare for. I see the impact on my life as deep internal scars that I buried and to resurface those experiences is a nightmare. Imagine the inability to fully take a deep breath, something so simple we take for granted. Supporting my patients with breathing treatments, providing chest physical therapy, changing breathing devices constantly because the demand for oxygen escalates all in a 12-hour or more shift. All these specialized techniques to avoid the last option of intubation, allowing an artificial airway introduced to your trachea with an opening at the tip to provide mechanical breaths from a mechanical ventilator. Fear expressed from my patients was a frequent emotion. You are alone, isolated from your family, your loved ones, no familiar face to embrace, to celebrate your improvement or the worst, a decline despite the battle you have endured. I’d remind my patients not to give up… Instinct took over because I’m a mother too, a nurturer. I can remember softly stroking their hair, holding their hands, shedding tears, praying, putting myself in that empty place at bedside where your family should be gathered, processing the grief. Accepting loss was tremendously difficult. I lost myself because I did not decompress my emotions. My spirit slivered away slowly each time my patients faced rejection of our efforts to sustain life. How I endured and sustained my sanity was prayer requests. Prayer was undoubtedly my saving grace. This virus is fluidic, the path it took was unpredictable. I strongly believe we need to continue wearing a mask, following the CDC guidelines and begin or sustain our health and wellness. Putting into words my experience was not an easy effort, however it’s a pathway for healing. Every COVID patient I battled for will forever have a place in my heart. Sandra Fouser, nurse executive of the Primary Care and Specialty Clinics Seeing the virus cross the ocean and hit the heart of the Navajo Reservation forever changed our lives. As a health professional, I knew venturing into the unknown with limited protection meant some would survive and some wouldn’t. What I have learned working on the front lines – compassion, cohesiveness, companionship, strength, sadness and mental stress. We have been battered, beaten, praised, comforted and have also received recognition from all walks of life. I am proud to be a nurse. I believe the strength to endure comes from resiliency and the people we work with and the support of our families at home. As nurses, we cannot stand still. I feel it is in our blood to help and move forward. I have lost friends, coworkers, relatives and patients. The grief I feel is palpable, almost more than I can handle. Seeing my family, staff and patients suffer through illness and grief has been very challenging and heartbreaking. As a team, I believe when something happens to one of us, we all feel the effects, we grow closer and find comfort in each other. I see the vaccine as a progression toward eradicating the detrimental effects of this virus and giving us hope that there is a better tomorrow and that Hózhó will be restored. Dr. Karen Williams, hospitalist physician I am a Native physician (Mountain Maidu/Apache) and Indian Health Service Professional Scholar. When the pandemic started our hospitals were suddenly overwhelmed with large numbers of very ill patients needing oxygen. Some patients who worsened were placed on a “life support” or ventilators since they could no longer breathe on their own. Despite our best medical management efforts, including use of high-flow oxygen, there were patients who did not survive. I witnessed more death in a year than I have ever experienced in my career. This was traumatic for me because every day I came to work I felt like I was coming into a war zone. We saw people struggling to breathe and fighting for their life. We heard family members saying their goodbyes to their loved ones and crying over the phone. We held hands of those who took their last breath and witnessed co-workers not able to control their tears. If it were not for our team efforts, almost a military-style mentality, we could not have managed. As a hospitalist physician, the biggest challenge was ensuring that I had the most up-to-date medical knowledge to save a patient’s life. During the beginning of the pandemic many doctors throughout the country did not feel prepared. This was quickly overcome by learning medical strategies used by doctors throughout the world. The treatments used included steroids, anticoagulant medications, and high-flow oxygen. We had the support of our hospital’s incident command leadership and adapted to the changes. This included being able to offer our patients who needed oxygen a federal Drug Administration-approved “emergency use” medication called Remdesivir, and more recently Bamlavinimab for non-hospitalized patients My experiences on the front lines were psychologically and physically overwhelming … I sought support from elders and used my Native spirituality for strength. I also sought protection support from traditional Indian practitioners who set up a tipi and hogan outside the hospital for employees. I sometimes thought twice about the danger I was in. However, I acknowledged that I would never walk away. This is a result of my obligation to the Native community and the hundreds of patients I had gotten to know for so long. I “warriored up” in my mind and sought to do the best I could. I do not foresee an end to mask wearing, and now recognize how careful we all must be to protect each other. I saw too many elders get severely ill and even pass away from COVID as a result of young family members not being careful and bringing it home. I have encouraged community members and my own family to get the vaccine as soon as possible. I received two doses of the Pfizer vaccine and said a prayer in my Native way each time for protection. Natasha Topaha, certified medical assistant, Mobile Unit Overall, this year has been extremely challenging, but also has reinforced my personal strength and resiliency. I have had ongoing concerns throughout the epidemic regarding my kids’ isolation and their mental health. It has been difficult, but doable, to manage both working in health care and supporting my family both emotionally and physically. I had constant worry about bringing the virus home and infecting my family given that I was working in high risk areas and providing COVID testing, vaccines and social and mental health support to patients. I found that doing outdoor activities with my family, such as bike riding and hiking, helped me ease my stress and helped teach my children some healthy coping skills. And we could spend time together! I feel very happy and grateful in both receiving the vaccine and being able to provide it to patients and the community. I feel safer at work and at home now. Johnny Willeto Jr., facility manager/logistics chief The strength to endure comes from within yourself. For me this began in my childhood as the son of Delphine Damon Willeto and Johnny Willeto Sr., who nurtured me to become a great human being. They taught me to be a courageous, productive worker and know my limitations. As a facilities manager, my main focus and responsibilities are the protection in the physical environment of all who walk through the doors of Fort Defiance Indian Health Board’s facilities. All we knew is that COVID-19 was airborne and surface communicated. I treated it as you would tuberculosis and ensured that my staff had adequate PPE to help protect them when they are tasked with working in the patient care areas. This responsibility was a big challenge when trying to procure medical equipment such as masks, gloves, safety glasses, gowns, scrubs, and so forth. Having an MBA has allowed me to flourish in this high stress environment and to adjust with adaptations to finding supplies and creating new relationships with trustworthy suppliers. Being in close proximity to patients who are struggling with getting well can be heart wrenching. Being able to fulfill my duties in the support role to the best of my ability for my community and teammates has allowed me to sleep well at night knowing that I gave it my all. I have lost a brother-in-law who contracted the virus in the Scottsdale area of Arizona. These were very difficult times because as Navajos we are accustomed to comforting each other by a hug or handshake. With COVID, gatherings are not safe, so having family meetings for planning the funeral is off and also the funeral usually consists of 10 minutes before the burial with only a few close family in attendance. One of the biggest assets I have gained is the spiritual belief in God and keeping the communication open by saying my prayers often – to be thankful for the blessings that have come my way or when asking for strength to endure the hardships. In my free time I isolate on the Willeto Sheep Ranch in Goatsprings Valley, Arizona, where I tend 120 sheep and goats. Being able to separate the everyday stress and recharge is paramount to going forward with courage and mental sharpness to make the right choices for the organization, patients and employees. The vaccines are an effective tool to help reduce the mortality of the virus on us and give us protection to this invisible enemy. Corinne Legah, Environmental Service supervisor Personally, I was scared when I first heard of the spread of the virus overseas. It was shocking how fast the virus traveled. In the beginning our team was needed to help keep the hospital sanitized and safe for patients. We reinforced training on the cleaning process for the airborne/droplet virus. I constantly stressed wearing PPE and hand washing. I am so proud of the team for stepping up by protecting our patients. They became warriors to fight the virus. I believe without my husband’s support and God I would not have been able to cope. I have lost friends and family from this virus. It saddens me that many of our people are now in the spirit world. Being a Native and growing up with Navajo beliefs, I had to be strong. My ancestors went through so much and our people are resilient. Prayer is our strength. I cried when I watched the news when the vaccine was given to the first person in the U.S. If everyone gets their vaccine we will be able to interact with family again. I am looking forward to that day! -
2020-08-03
Pandemic and Social Justice Movement in the workplace
This article is explaining how work environments will be changing, and for the better. The author explains how not only has the pandemic shown how flexible a work environment can be as far as working digitally and from home. The author also explains how the management of most workplaces need to be more flexible and diverse. The author also explains how we can better the work environment for social justice and lists a few ways.