Items

• 
  2021-02-01

  Why is Arizona worst for COVID-19 nationwide? Here are 7 contributing reasons

  This article discusses why Arizona's Covid rate was the highest in the country as of February 1, 2021. Contributing factors included a lack of mask-wearing and cross-border traffic.
• 
  2021-07-09

  Interview with Joseph Giangreco-Marotta

  Wife interviews husband about covid 19 experience.
• 2021-03-18

  Oakland clinic offers Mayan interpreter for COVID-19 vaccinations

  Oakland clinic offers Mayan interpreter for COVID-19 vaccinations La Clinica de La Raza is targeting Latin Mam or Mayan-speaking community with translation service Thursdays OAKLAND — A new COVID-19 vaccination clinic in the Fruitvale neighborhood is offering interpreter services for the Latin Mam or Mayan-speaking community. This month, La Clinica de La Raza began offering the community-targeted vaccination service at 32 locations across the Bay Area, including ASCEND Elementary School on East 12th Street, where Latinos who speak Mam, K’iche ‘and Q’eqchi’ can get translation help from appointment to inoculation on Thursdays. There are over 22 different Mam dialects spoken primarily by people of Guatemalan and Mexican descent. According to a recent UC San Francisco study, Mayan people with Guatemalan roots are the fastest-growing ethnic group in Oakland. “I’m here to support my community, getting them the service that they deserve,” Brenda Sucely Perez, the on-site interpreter at ASCEND, said last week while about 450 eligible people were vaccinated. Staff at the Fruitvale site have administered roughly 2,000 Moderna vaccines per week since opening on March 4, according to La Clinica officials. Salvador Garcia, an Oakland firefighter, volunteered at the vaccination clinic. “Coming to get the vaccination is a good thing because it would help prevent the spread,” Garcia said, adding that it’s especially important given how close relatives in the Latino community live. “When you’re around people in such tight quarters around here, the way the families live with each other, it’s just good to have the preventative measure of the vaccination.” It’s also one of the reasons the nation’s first and strictest stay-at-home orders proved ill-suited for the hard-hit Latino community, a four-month Bay Area News Group investigation found. That analysis showed case rates for the region’s Latino residents are nearly four times higher than White residents, while the Latino population has fared worse against the virus across California. During the fall case surge, economic pressure to keep working outside the home became another major factor in the Latino community’s higher COVID-19 positivity rate in the Fruitvale neighborhood than the rest of the state, according to a UCSF study conducted in September. The results of that study found that antibody-positive prevalence was 9.8% overall among people who live and work in Fruitvale, a predominantly Latino neighborhood. The number spiked to 26.8% among the Latin Mam, or Mayan, speaking community, USCF [sic] researchers noted. The COVID-antibody test shows that someone once had coronavirus.
• 
  2021-01-14

  D.C. Kept Swimming Open During the Pandemic. It May Have Saved Me.

  This is a story I wrote in Washington, D.C. in January 2021, during the pandemic, and in the immediate aftermath of the January 9 attack on the US Capitol. I had taken up swimming during the pandemic because the city happened to keep some pools open for lap swimming. This new activity brought me solace and comfort during a very difficult time for our city, our nation, and for me personally. This story captures all of this and distills it into a single poignant and emotional moment of solitude and togetherness at the end of the story.
• 
  2020-06-23

  SRVUSD Budget and Reopening Protest Photographs

  These are unpublished photographs I took while reporting for my school's newspaper, The Californian. These photographs show the people who attended the protest, including a mixture of students and parents. There are also a variety of signs showing various motivations for protesting. This entry is connected to the "San Ramon community protests SRVUSD spending and issues with remote learning" submission.
• 2020-06-29

  What should the school year of 2020-2021 mean for Cal High’s students?

  This is a set of three articles from The Californian, the student newspaper of California High School, each one arguing in favor of a different stance regarding the reopening of San Ramon Valley Unified School District schools. In the articles one can see the concerns that motivated high school students (well, three students in one high school) to form opinions about various forms of learning during the pandemic. One article argues for fulltime in-person learning, one article argues for completely remote learning, and the third argues for hybrid learning, a mix of the two. An illustration also accompanies the set of articles.
• 
  2021-05-03

  Josiah Collinge Oral History, 2021/05/03

  The interview describes the life of a young adult before the pandemic and how it changed during and after the pandemic. It also discusses the significance of the pandemic to him and those around him.
• 
  2020-10-24

  Believing In The Youth

  I participate in youth programs to get my voice heard.
• 
  2021-05-11

  The Difference that 473 Miles Makes

  The story talks about my family’s journey during the pandemic
• 
  2021-04-26

  P-EBT returns for Tempe Public Schools

  One unexpected surprise during the pandemic was that everyone enrolled at my daughter's school received the pandemic-electronic benefit transfer. Essentially, because kids were at home learning online, they did not receive breakfast or lunch at school. There were pickup options, but we didn't really use that service. So, instead, the state mailed us a card that can be used to buy groceries. It was really unexpected, and we just found out that we get another allowance this week. It's a really nice boost to the grocery budget and it recognizes the importance of nutritious, consistent meals for kids.
• 
  2021-04-26

  Image Submission for LE Collection Call

  [1] This copyright-free image, courtesy of pexels.com, shows Corporal S. Brantley from the Wheeling (West Virginia) Police Department monitoring a protest. [2] This copyright-free image, courtesy of pexels.com, shows officers from the New York City Police Department, some of whom wear COVID face masks, beneath scaffolding on a sidewalk.
• 
  2021-04

  Covit-19 Volunteering

  I like to volunteer for good causes, and I though that volunteering for a Covet-19 and I thought that volunteer at one of the Vaccination Centers was one of them . . . until I read the fine print. Among the normal document you have to sign, the last one was title “Consent and Assignment to use Likeness and Information”. The first part is just fine, of course if pictures are taken during your duty, you allow them to use it for promotion etc etc, but the second part is about “Information” and the text says: “Such Information may include my name, age, gender, address, work history, work location, job description, job title and other identifying information, including health conditions, and my comments, statements or other communications endorsing or describing any of my personal experiences or Cigna's products, services, programs and other initiatives based on such personal experience”. So, in order to volunteer for a good cause, I have to agree to release my personal info about my personal life and health condition? I attached the all document, please read the full document before volunteering, you may volunteering too much.
• 2021-04-23

  Yang Not Getting LGBTQ Support for NYC Mayor

  People in the LGBTQ community feel that the former Democratic Presential nominee is not out for their best interest but instead is just using them for their vote. They feel like he should push more for homelessness, housing, healthcare, and other issues important to the LGBTQ people but Mr. Yang says he loves and supports the community. He is running for New York City mayor and is the former nominee of the democratic party.
• 2020-06-29

  The Unpredictable Horrors of Pandemic

  The unpredictable horrors of pandemic “Corona Virus” the most lethal being on the earth that swept a mass population since its spread in December 2019. The Corona Virus had already started its attack and only a few cases had been reported in Wuhan, China until 2020, where it spread like a wildfire taking down millions of people. I belong to Nepal which is a neighboring country to China, so it surely was at higher risk which led to a countrywide lockdown in March 2020. It was then, people started to realize the seriousness of the situation. I would like to share my part of the pandemic experience in the first person “We” because I believe in this time I was with my family and we went through this experience- some bitter and some sweet but we were always together as a single unit. When the lockdown was imposed in Nepal, people were not aware of why it was being done. Why a mere viral disease was threatening nations? People took it as an excuse to vacation from work and school. We were told to stay inside the house, wear a mask and avoid gatherings by the national authorities. We could only go out for buying essentials (food, medicine) in the evening between 6-7 PM. Other times we were enjoying with our family because it is very rare to have this much free time in this busy life. We would cook new dishes, we also started gardening, growing vegetables in our backyard, and sometimes there was even “Movie Time” with the family. So, for the first few weeks, this lockdown was a perfect family time. Then the economy slowly started to tremble. People were left jobless, savings started to dry out. We were getting conscious and calculative on the grocery shopping. We own a garment factory (textiles and embroidery) so with no shops open during the time, we were also struggling with the money. My sister was currently stuck in Bangladesh because she had gone there for her educational studies and was stuck since both the countries were on lockdown. She finally arrived back home in June 2020 in an evacuation flight. She was then on self-isolation for 14 days. In these days of self-isolation, she showed no signs of COVID. Finally, on her last day of isolation, she went for a test and the horrors began. The reports came POSITIVE. This came as a shock to all of us because she had followed all the health protocols both in Bangladesh, during the flight, and after arriving in Nepal. We all were in disbelief and were taken aback. Unfortunately, the same day when the reports came out, there a news report regarding the lab where the reports were tested had cross-contamination, leading to inaccurate results in the hospital that day (the same day as my sister was tested). All of the samples were tested positive. Health authorities had to investigate that matter. But since she had no symptoms whatsoever, we wanted to re-check. Before we could even go to the other hospital, the members from the localities hurdled outside our house. They had been informed that an infected person was there in the area. My mom and dad went out to calm the crowd, trying to convince us that the results were doubtful and we were going for a re-check. The crowd was more like an angry mob and was dismissing all our claims, maybe also because this was the first case in our locality. They didn’t want to hear what we had to say. They forcefully started sealing the gates and the areas of our house, ordering all our neighbors to stay away from the area. They were told not to cross the gate and come in contact with us. Since the coronavirus is truly a big deal, though we had some doubts, we accepted that all our family members should go into isolation. But this was easier said than done. For those 14 days, we had no one around us to help. We couldn’t go out to get groceries or even other essentials. Our neighbors were threatened by the local authorities to not help us. They couldn’t send us the groceries or anything else. We were cast away from the whole society around that time. Luckily, we had an aunt living nearby. She used to leave us grocery items in our backdoors before the sunrise…. before anyone could even see. And we would run outside abiding by proper protocols, get those items and be back inside, panting, hoping no one saw us. At that time we had no money, limited food supply, and many mouths to feed. It was like we were living in an apocalyptic world. Baseless rumors had started to spread around the society stating we were seen partying and having gatherings a few days back. People would ring us up just to blame us as if we were the rotten ones. The most heartbreaking incident was when we were called by the local authority asking us to not come out on the balcony because according to them, somehow, we were exposing the virus in our area. Those 2 weeks became hell for our family. Finally, on the 14th day, all the members of our family members took a PCR test, and luckily, we were all tested negative. So in simple terms, we had recovered BUT society still didn’t accept us. Whenever we used to go to the shop, we were stared at and could hear whispers behind our back. People used to stay away from us and we were regarded (sort of) untouchables even after we had medical reports to prove them otherwise. Then a month later, even my maternal grandmother was infected with the virus. We could not go visit her as the hospital didn’t permit and she was under strict surveillance. She soon developed pneumonia as a complication of the COVID attack. Almost half of her lungs had been severely damaged and on 29th November 2020 she passed away. This pandemic left a great impact on us. We suffered great loss both emotionally and financially. From sneaking in groceries like smugglers to bidding goodbye to someone who loved us the most, it will always be an inerasable memory for us. Even as I write my experience, my words are not enough to emphasize the pain this pandemic has caused. But all I can say is we fought this as a FAMILY. One for All and All for One.
• 
  2021-04-21

  James Rayroux's JOTPY Portfolio

  --Reflections on the Pandemic Archive-- Looking back over my experience with the “Journal of the Plague Year” COVID-19 archive, my prevailing emotion is gratitude. This opportunity granted me experience that few historians earn, and the remote, asynchronous work schedule allowed me to collaborate with my colleagues in ways that maximized our respective contributions. The breadth and depth of our individual experiences and perspectives tremendously improved our collective process and products. I spent enough time in the Arizona State Archives last year to recognize such collections as historical treasure chests, but I have now participated in processing an archive’s content and navigating the ethical dilemmas those submissions sometimes create. Archivists and curators are the history profession’s truly unsung heroes, and their work facilitates society’s perception of itself. My background in police work and public safety drew me to the archive’s existing Law Enforcement collection. In taking on that subset, I succeeded in reshaping the collection’s parameters to now include stories about police and law enforcement. I wanted to diversify the collection to encompass perspective of both the police and the public with whom they interact and serve. While some overlap exists between the Law Enforcement and Social Justice collections, each remains distinct. Through my contacts and writing, I promoted a Call for Submissions to an international audience of law enforcement professionals to reduce their relative silence within the archive. Within the archive’s content, I recognized that one’s location might shape their pandemic experience, and I created and designed an Arizona-based exhibit to explore that. Further research and discussion with my mentors and colleagues ensured the exhibit illustrated these differences without excluding visitors whose diverse experiences could further enrich the archived and exhibited content. I am proud of my “Arizona’s COVID-19 Pandemics” exhibit, particularly because of its compressed, one-month incubation period. Beyond displaying images, data, and stories representative of the diverse pandemic experiences within the state, the ACP exhibit offers visitors numerous levels of interaction and engagement to became active participants and create their own exhibit experience. Visitors can complete opinion surveys, add a story to the archive, explore additional content related to the displayed pieces, view ever-changing results from pre-defined archival content searches, conduct their own archival search, view collective visitor survey results, and apply to join the staff. The exhibit’s searches will include the archive’s future submissions, which reshapes both the exhibit and the experience visitors may have with it. A more detailed explanation of my ACP exhibit may be reviewed here: https://covid-19archive.org/s/archive/item/43037 Because of Dr. Kathleen Kole de Peralta and Dr. Mark Tebeau, I stand prepared to join research, curation, and exhibition teams and immediately contribute to their work products. Despite my gratitude for this experience and the opportunities it presented, I look forward to the day COVID-19 is no longer part of humanity’s daily vernacular. James Rayroux 22 April 2021
• 
  2021-04-20

  JOTPY Exhibit: "Arizona's COVID-19 Pandemics" by James Rayroux

  While working as a curatorial intern on ASU's 'A Journal of the Plague Year' COVID-19 archive, I created this exhibit on the pandemic experience within the state. In addition to obvious, overarching realities such as socioeconomic status and immediate access to healthcare systems, I initially believed one of the greatest deciding factors that determined one's experience in Arizona was an individual's residence in either predominantly urban or rural environments. The proposed exhibit had been originally titled "A Tale of Two Arizonas" to pay respect to Charles Dickens and the differing realities experienced here. To test my proposed hypothesis, I went about finding data, stories, and submissions that substantiated or disputed my premise. Within a short time, I had identified four distinct environmental drivers of personal pandemic experiences; to me, that indicated the existence of many more I hadn't yet found or had overlooked along the way. My evidence suggested a minimum of four pandemic locales: Urban, Rural, Border, and Tribal within the State of Arizona and its fifteen counties. The recorded health data and personal experiences demonstrated the naivete of my initial hypothesis, and I retitled the exhibit: "Arizona's COVID-19 Pandemics." The Exhibit Background section illustrates the vast dichotomies within Arizona in terms of population density and access to healthcare facilities. Given the virus's respiratory nature, these factors seemed especially relevant to driving diverse local experiences. I chose to include a flyer from the Coconino County Health and Human Services' "Face It! Masks Save Lives" campaign. The flyer included a specific line to "Stay Home When Sick" that seemed to illustrate a different public health paradigm than the broader "stay home" orders from Maricopa and Pima county. This section also features an image of Sedona's red rocks and a portion of The Wave to remind visitors of the wide-open rural areas accessible to all, as well as those with cultural significance to the Native American tribes and limited access to the general public. The next section asks a short, five-question survey in which visitors may participate. The Silver Linings piece features a short audio clip of a father and husband discussing some unexpected benefits of the pandemic. Visitors may explore additional Silver Linings stories and submit their own experience. The Tséhootsooí Medical Center piece seeks to illustrate the different pandemic experience on the state's tribal lands. I hoped to inspire some relevant emotional turmoil for the visitors through the piece's visual presentation. I wanted to create a series of waves with quotes from the medical center's healthcare workers. I hoped visitors' attention would be drawn to the large, bolded key words, and that they would first experience the segments out of sequence because of that. After potentially feeling a sense of chaos, they might settle themselves into a deliberate reading of the texts and find their own order within the experiences provided here. This piece allows further exploration of Native submissions and topics, a review of an additional related news article, and a submission prompt that invites visitors to offer guidance to hospital managers. The next piece illustrates the differences between mask mandates in communities across Arizona. In addition to hearing an audio clip of interviews with mayors and a public health official, visitors can explore additional submissions related to mask mandates and submit their thoughts on statewide mandates. The Arizona Department of Health Services provides zip-code specific infection data on its website, and the wide array of known case infections therein further illustrates potential dichotomies across the state. In working to include and represent this data in a consumable way, I encountered inconsistencies with tribal data. The nation's Indian tribes are overseen by Indian Health Services, a federal public health agency, and it does not collect or report data in the same manner as the State of Arizona or its counties. At first glance, the data would seem to suggest that tribal areas had less severe pandemic experiences than the rural and urban areas, which was not objectively true. I wanted to offer the unedited data to visitors, allow them to drawn their own conclusions, and invite them to offer their thoughts on what potential misunderstandings might emanate from these reporting differences. Visitors may also choose to review the foundational data from this piece, as well. I used the following two sections to offer submission prompts about the visitor's overall pandemic experience as a function of their location, as well as what they might have done if placed in charge of their city, county, or state during this pandemic. A diverse Search section allows visitors to explore additional topics of interest to them. 23 hyperlinks offer pre-defined search parameters. An Advanced Search link allows self-defined research, and a Join The Staff link connects visitors with opportunities to work within the JOTPY archive. A final section asks visitors to provide feedback on the exhibit, its content, and the pandemic in general. Both surveys within the exhibit will display overall results to visitors who participate in them. Through this process, I found incredible amounts and diversity of data outside the archive that spoke to these generally localized experiences, but not that much yet within the archive explained what Arizonans had experienced outside the state's urban environments. I created a call for submissions and delivered it to fifty rural entities that might help support the effort to collect and preserve more rural Arizona stories. Between all the local libraries, historical societies, museums, small-town mayors, and county health officials to whom I asked for help, I am optimistic the archive will better represent all Arizonans in the coming months and years. Despite the exhibit having been created, I ensured its internal search features would include future submissions and allow the exhibit to remain relevant long after its release.
• 
  2021-04-20

  Images and Audio from "Arizona's COVID-19 Pandemics" Exhibit

  During March and April 2021, I created an online exhibit from content within Arizona State University's "A Journal of the Plague Year" COVID-19 archive. Entitled "Arizona's COVID-19 Pandemics," the digital exhibit contained images previously submitted to the archive, along with several copyright-free images I found on pexels.com. I have attached all these images. Listed by their order of appearance within the exhibit, their sources are as follows: 1- "Face It" Campaign flyer: Coconino County Health & Human Services ( https://covid-19archive.org/s/archive/item/42998 ) 2- Red Rocks, Sedona: Courtesy of Gregory Whitcoe via Pexels.com 3- Online Learning: Courtesy of August de Richelieu via Pexels.com 4- Tséhootsooí Medical Center staff: Courtesy of FDIHB Marketing Department and Navajo Times newspaper ( https://covid-19archive.org/s/archive/item/41189 ) 5- Arizona's Mask Mandate Map: created by Sarandon Raboin ( https://covid-19archive.org/s/archive/item/26267 ) 6- Arizona COVID-19 Infection Zip Code Map: Courtesy of Arizona Department of Health Services ( https://covid-19archive.org/s/archive/item/42035 ) 7- Woman Shopping: Courtesy of Anna Shvets via Pexels.com 8- Woman on Rural Arizona Road: Courtesy of Taryn Elliot via Pexels.com 9- Masked Woman in Crowd: Courtesy of Redrecords via Pexels.com 10- The Wave: Courtesy of Flickr via Pexels.com (this image is found only in the PDF submission of the exhibit, not in the public-facing exhibit itself due to document formatting technicalities - the PDF version can be found at https://covid-19archive.org/s/archive/item/42998 )
• 
  2021-04-20

  Northern Arizona's Coconino County "Face It" Mask Campaign and Online Toolbox

  The Coconino County Health & Human Services department created its "Face It" campaign in 2020 to promote the use of masks and face coverings in their communities. The following webpage is for the campaign's digital "toolbox" to give the public access to official signage for display to customers, the public, and employees to address mask use issues.
• 
  2021-04-19

  Navajo Department of Health COVID-19 Case Infection Data by Region through 19 April 2021

  This image, taken as a screenshot from the Navajo Department of Health website on 19 April 2021, shows COVID-19 infection case data by region within the Navajo Nation.
• 
  2021-04-19

  Navajo Department of Health Public Health Emergency Orders through 19 April 2021

  These eight documents are the eight Public Health Emergency Orders issued by the Navajo Department of Health issued through 19 April 2021.
• 
  2020-07

  The Calgary Stampede challenge coin, 2020

  This is a small story from my dad, a CBSA officer in Calgary Alberta. He collects and commissions challenge coins for his workplace, which has quickly become his main hobby over the pandemic, trading these coins with officers across Canada and America. The PDF document is his own description of what this coin is, what it represents and why it is so important to understanding how the COVID-19 pandemic impacted the city of Calgary, cancelling for the first time in it's history, the 'greatest outdoor show on Earth,' the Calgary Stampede. This event is intrinsic to Calgary's identity, a show which celebrates the ranching and agricultural roots of this city and ultimately this province. The Calgary stampede boasts chuckwagon races, agricultural expos, overpriced yet famous mini-doughnuts and provincial art exhibits and much, much more - it's one of the few times a year where it's socially acceptable to dress up like a cowboy or cowgirl.
• 
  2021-04-15

  At least 5,800 Americans infected despite vaccination; California, Washington open up vaccine eligibility

  At least 5,800 people who were vaccinated have contracted COVID-19. Of the 5,800, 400 were hospitalized and 74 died. Since the vaccines are only 90% effective, such infections were expected. The use of the J&J vaccines has been suspended until research into a rare blood-clotting side-effect is complete.
• 2021-04-13

  My COVID-19 Investigations Experience

  I work as a COVID-19 medical investigator for the Arizona county in which I live. The local COVID caseload continues to lessen here, but the local health department elected to extend our investigations and tracing contract through Jan 2022. I look forward to the day we have collectively worked this position into obsolescence. On the one hand, I’m grateful to know I don’t need to find new employment in the next 60 days, but I also worry about this particular use of taxpayer dollars. The reality is that we call on about 50-70 new cases per day at the current time. For a local population of about 1.5 million in this area, that's incredibly low. For our current team of about 20 agents, that takes an hour of dedicated dialing because few patients are answering their phones. During the surge last fall and winter, we had more than 3k cases per day just in this county, and we struggled to get through 200-300 cases per day as a team; most patients answered our calls, listened to our advice and guidance, and asked fearful questions about what to expect and how to keep their families and children safe. No longer. I think the public is excessively COVID-fatigued, and the reality for most people is NOT the horrific possibility that media coverage seems to have indicated as probable for everyone. The facts on the ground do not replicate those in the news, and I think most people have had COVID-19 or know (a lot) of people who have and survived with little more than a nuisance infection. The monster our societies were told to fear and expect didn’t come to fruition for most of the population, and few COVID patients with whom I speak feel uninformed, unprepared, or anxious about what lies ahead for them. Very few have concerns about protecting their families, at least that they express to me as a need for guidance, information, or uncertainty about their information or material needs or the future. All the social indicators seem to be that our local residents, at least, are ready to put this in the rearview and stop worrying about COVID. On the plus side, it has been very encouraging here to see that traffic is pretty much back to normal on the streets. Shops and businesses seem to be consistently busy. Despite all the resumed “normalcy,” our 14-day case count continues to generally decline. Given the “Arizona variant” that’s supposed to be haunting us, I’ll take that as positive evidence that vaccinations and natural antibodies seem effective against mutations and strains.
• 
  2021-04-14

  News Article: Pima County (AZ) Vaccinations Approach 250K - FEMA Vaccination Pods

  By: Valerie Cavazos - Posted at 12:50 AM, Apr 14, 2021 and last updated 12:51 AM, Apr 14, 2021 TUCSON, Ariz. (KGUN) — Pima County is now a step closer to FEMA setting up vaccination PODS and bringing in about a quarter million doses. The state first rejected FEMA's offer to run the PODS, criticizing Pima County on how it's operating its current vaccine locations. The state has now officially given the county the green light to allow the FEMA PODS, but with a long list of stipulations. "I don't think it's anything that prevents us from moving forward," said Supervisor Dr. Matt Heinz. He says the stipulations include "how the state is not involved in any way, the state registration system cannot be utilized, the county has to cover any and all costs, any moment the state can decide without cause and without notice that the agreement is null and void," he said. The state can also audit the funds used to create, implement, operate, and dismantle the site. Heinz told KGUN9 the county received the 4-page proposed Intergovernmental Agreement Tuesday afternoon. "I'm pleased that we're seeing progress, because now the county can now go over this the next 24 hours or so," Heinz said, "And hopefully, very likely, agree to these conditions which are largely ones we were expecting." Administrator Chuck Huckelberry wrote in a memo, "We are in the process of reviewing these requirements to determine their reasonableness and/or ability to comply."
• 
  2021-04-14

  News Article: Daily COVID-19 Updates for AZ and Counties - 04/14/2021

  Coronavirus in Arizona with Emphasis on local Pima County data: By: KGUN 9 On Your Side - Posted at 11:36 AM, Mar 21, 2020 and last updated 9:03 AM, Apr 14, 2021 TUCSON, Ariz. (KGUN) — Editor's note: This article was first published on March 21, 2020. It is updated daily and refreshed with the latest updates and cases throughout Arizona. Arizona Public Health officials are tracking the spread of coronavirus throughout the state. Here are the latest numbers provided by the Arizona Department of Health Services. Last updated on April 14, 2021 FULL SECTION: CORONAVIRUS IN ARIZONA Vaccinations in Arizona: New doses reported today: 46,744 Total doses administered: 4,213,938 Total number of people who have received at least 1 dose: 2,611,983 Total number of people who have received 2 doses: 1,745,928 Percent of population vaccinated: 36.3% Vaccinations in Pima County: New doses reported today: 9,029 Total doses administered: 578,853 Total number of people who have received at least 1 dose: 363,431 Total number of people who have received 2 doses: 242,638 Percent of population vaccinated: 34.8% Cases and Deaths through 04/14/2021: Number of deaths: 17,109 Number of cases: 851,265 New cases: 419 New deaths: 4 Total number of tests reported: 8,835,798 (Diagnostic and Serology) New tests reported: 17,381 Reported cases of COVID-19 by county: Maricopa: 529,471 Pima: 113,903 Pinal: 50,417 Navajo: 16,018 Coconino: 17,398 Yavapai: 18,642 Cochise: 11,769 Graham: 5,520 Santa Cruz: 7,882 Yuma: 36,943 Apache: 11,256 Mohave: 22,353 La Paz: 2,450 Gila: 6,855 Greenlee: 568 Breakdown of cases in Pima County: Total cases: 113,903 Deaths: 2,372 New cases: 81 New deaths: -1
• 
  2021-03-22

  Apache County (AZ) Library COVID-19 Guidelines after March 22, 2021

  This copyright-free image of a public-facing government webpage displays the COVID-19 protocols in place at Apache County (AZ) library locations after Governor Doug Ducey ordered local governments to phase out public health mandates on March 22, 2021. Unlike urban areas within the state, rural Apache County in northeastern Arizona no longer required mask use inside private or government (public) buildings and facilities.
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  2021-04-08

  Covid update from India

  A friend shares an update on how Covid is currently affecting India and the new measures put in place to control the spread. He adds information on the US consulate because he is a US citizen living in India.
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  2021-04-11

  Interview with Kristina Erickson: High school English Teacher weighs-in on School re-openings

  Conversation with Kristina Erickson an Arizona K-12 educator. Ms. Erickson weigh-ins on the March 15th executive order, in-person instruction, COVID protocols and procedures, and the future of education in her community
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  2021-04-10

  Muscogee (Creek) Nation provides mobile COVID-19 vaccine units to help rural Oklahomans get shot

  The Muscogee Creek Nation began a campaign in Oklahoma to provide COVID-19 vaccines to rural residents. The mobile vehicles feature refrigeration units and enough room for three nurses to work on administering the vaccine, completing the paperwork, and entering the data to the online system. "I'm not aware of anyone else taking vaccine into communities via a mobile unit so we are really excited to be able to expand this service into our rural communities and we hope to increase vaccination rates because of it," said Shoneen Alexander-Ross, Chief Performance Officer with the Muscogee (Creek) Nation Department of Health.
• 
  2021-04-09

  That time we closed down Figueroa street in protest fighting injustices to the people!

  #TBT That time we closed down Figueroa street in protest fighting injustices to the people! - If you saw my recent IG story where the police violated the rights of a black Deaf woman, this is a reminder we need to keep standing up, speaking up for our rights to be treated as a human being. I can not tolerate a world where those with power prey on those who understand thier power. - When I say Black Lives Matter this what I stand for everything else you see is just noise and will push away because all I know is Injustice anywhere is a threat to justice everywhere. - Stand with Me. Let's do our part to shape a better world. Power to the People all the time.✊🏿 - 📷 Gratitude @aanaconda
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  2021-04-07

  POL COVID-19 Update: Possible UK Variant in Pueblo of Laguna

  Both vaccine makers, Pfizer and Moderna, have tested the effectiveness of their vaccines against the UK variant and tests are showing the vaccines are effective against this strain. The POL EOC strongly encourages that we all take individual responsibility to get vaccinated to protect ourselves and our children who are still not able to receive the vaccine. The virus still has a hold of us and is putting our community at risk so we must continue to remain vigilant.
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  2021-04-10

  Stay-At-Home Order Reinstated for Navajo Nation Residents

  The Navajo Nation has reinstated the “Stay-At-Home” order due to an increase of Covid-19 cases. Two weeks ago, there was one day with zero reported cases. On Friday, there were 26 reported new Covid-19 cases.
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  2021-04-07

  Covid-19 Alberta Data

  This website is the official COVID-19 data tracker for the province of Alberta, this one in particular covers the increase of cases in Alberta on April the 7th, the increase in cases mirrored Ontario’s own massive outbreak of 3,000 new cases. Because of this, it is becoming more and more apparent that Alberta will be forced into another lockdown or at least a return to ‘step 1’ reopening restrictions. More and more Albertans are suffering from lockdown fatigue, and there is blatant unrest as many are becoming fed up with the constant opening and reopening, returning to step one – there has not been a decisive ‘win’ over the pandemic and many would point the government’s inaction to prove this. In regards to my small town of Cochrane Alberta, some businesses are stating that they will not shut-down with the return to step 1 or a renewed lockdown. Largely, they are stating that a lockdown would further gut small businesses which have suffered immensely from these restrictions – stating that smaller businesses have been largely left out to dry without provincial aid, while larger corporations continue to operate. Many of these larger businesses have operated throughout the pandemic while smaller businesses have been forced to shut their doors. On top of this, the same penalties apply to these larger stores, there have been large congested crowds lining up outside of such stores such as Ikea, or Wal-Mart; a condition which would result in a deathly fine if it were given to smaller businesses; but for these international corporations, these fines are nothing. While I’m personally in favor of lockdowns, it is hard to ignore the leniency given to these major corporations and the harm to these smaller businesses. Fore mostly we must protect human life by preventing the spread of COVID-19, yet we must also provide sufficient financial aid to these businesses; while also adjusting penalties to actually hurt these mega-corps when they break pandemic restrictions. However under a government which prides itself on austerity and corporate tax cuts, this will not happen. The attached image is the spike in cases on the 7th.
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  2021-04-07

  Sacramento: vaccination efforts opening up

  Sacramento City Councilmember Mai Vang distributes information about vaccination opportunities in her district. The notice contains information about registering in various languages including English, Spanish, Arabic, Hmong, and Vietnamese. Vaccination clinics have just begun to offer vaccinations to everyone aged 16 and up in Sacramento.
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  2021-04-06

  Gila County Health Department and COVID-19

  The Gila County webpage provides clear and concise information for residents on COVID-19 updates, as well as specific data to allow residents who wish to be vaccinated to choose which manufacturer's product they receive. This is unlike any of the major Arizona county sites, or even the state's site, as they do not allow residents to differentiate between the vaccines. Additionally, the information displayed here demonstrates how far ahead rural Gila County is in achieving President Joseph R. Biden's directive to allow all adults in America access to vaccines by April 19.
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  2020-04-27

  Pandemic Street Art: Cross-country Corona Chalk Project

  A group of chalk artists connected remotely to create a piece of chalk art to honor frontline workers. The artists were Naomi Haverland from Seattle, Washington, Jolene Russell from Sacramento, California, Anat Ronen from Houston, Texas, Jessi Queen from Atlanta, Georgia, Shelly and Dave Brenner from Ann Arbor, Michigan. Dave photographed his wife Shelly, who is also a Certified Registered Nurse Anesthetist, for a collaborative chalk art piece with each artist making their part in their hometown.
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  2021-03-30

  News Article: Greenlee County (AZ) down to just 2 active COVID-19 cases

  "By Jon Johnson, jonjohnsonnews@gmail.com GREENLEE COUNTY – The Greenlee County Health Department reported Monday that the county had just two confirmed active cases of COVID-19. Greenlee County has tested more than 5,000 people for the course of the pandemic and has had a total of 568 cases, with 556 recovered and 10 deaths. The county offers the Moderna COVID-19 vaccine to all residents 18-years-old or older, and on Thursday (01-April-2021) Gila Health Resources will have a vaccine clinic for the one-shot Johnson and Johnson COVID-19 vaccine. Click here to learn more or to register. According to the Arizona Department of Health Services, 37.5 percent of Greenlee County’s residents have been vaccinated for COVID-19. That is the highest percentage out of Arizona’s 15 counties. Conversely, Graham County is listed as having just 18.1 percent of its population vaccinated, which is the third-worst out of Arizona’s counties behind Maricopa County at 17.5 percent and Apache County at 10.7 percent. Graham County: The Graham County Department of Health and Human Services reported three new confirmed positive tests for COVID-19 on Tuesday. While Graham County has had 5,364 total confirmed cases of COVID-19, as of Tuesday the county had just 138 confirmed active cases. Out of all its confirmed cases, 5,150 are listed as being recovered, and 76 have died. Graham County is also offering both the Moderna and Johnson & Johnson vaccines to all residents 18-years-old or older. Click here for more information."
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  2021-04-05

  Online Article: ‘Burned out’: Portland cops leave scathing exit interviews

  This article from Oregon Live/The Oregonian was picked up by Police1, and it discusses a number of exit interviews that retiring and resigning Portland Police Bureau officers, detectives, and administrators left during the past year. Of particular interest is the section that discusses the story of Jaykary Jackson: "Young officers of color have left, including Jaykary Jackson, who went to Boise, and Elise Temple, who was one of the Police Bureau’s recruiters. Temple declined to comment on the record. Jackson didn’t respond to messages but he was one of the officers who spoke out last summer about being on the front line of racial justice protests as an officer with the Rapid Response Team. A graduate of Portland State University who joined the Police Bureau after working for Nike for 10 years, he said then that he became a cop because he “wanted to make the most out of my life by helping others.” He also was following in the footsteps of his father and aunt. But Jackson said he was disgusted by the hatred he and other officers faced while standing on the police lines. He got hit by an explosive one night, felt tingling in his fingertips and heat from the device, and got berated by young white protesters. Often when he tried to talk to someone of color at the protests, he said, “Someone white comes up and blocks them and tells them not to talk.” Or yells, “Eff the police ... don’t talk to him.” He left shortly after he was named to be a new community engagement officer." The article illustrates the additional concerns that officers in major cities and law enforcement agencies face, especially when their civilian oversight overwhelmingly seeks to placate protests with emotional vindication in lieu of reasoned, rational, and planned reforms.
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  2021-04-05

  Greenlee County (AZ) Health Department's Daily COVID-19 Updates through April 5, 2021

  The Greenlee County Health Department uses its Facebook page to disseminate daily information related to the COVID-19 pandemic to its residents. The daily COVID-19 statistics are displayed as an image on the daily Facebook post, which allows examination of the department's content and messaging before and after the pandemic. Governor Doug Ducey declared a state of emergency in Arizona on March 11, 2020, which seems inconsistent with GCHD's daily posts from that period. Language on the GCHD posts consistently advised residents to stay home if they felt ill, rather than being consistent with Governor Ducey's voluntary Stay Home orders. For example, the March 30, 2021, press release to update a new active COVID-19 infection in Greenlee County reads as follows: "For Immediate Release, Tuesday, March 30, 2021, Greenlee County, Arizona. Public Information Contact: Steve Rutherford (928) 865-2601 NEW RELEASE - COVID-19 Positive Test in Greenlee County The Greenlee County Health Department is investigating one (1) new confirmed case of COVID-19. The case will put our current total at five hundred and sixty-nine (569) confirmed Greenlee County COVID-19 cases... We would like to remind the community to use masks appropriately when outside of the home, practice social distancing, wash your hands frequently, and do not go into the public when you are feeling sick, unless you are seeking medical attention." These updates demonstrate a significant dichotomy between the rural and urban experiences during this pandemic.
• 2021-04-03

  Big business, bigger crowds.

  This is a tweet from Toronto Ontario which depicts an absolutely massive group of people crowding outside of an Ikea in North York. Just this week, Ontario has seen a massive spike in coronavirus cases, which has prompted the province into another shock lockdown. However, it is apparent that these restrictions are somehow not applicable to big business. Rather, this Tweet touches upon another important feature of the pandemic and the Canadian ‘lockdown.’ Smaller businesses have been forced to pay out of pocket for the adequate infrastructure to remain open during a pandemic, and in many cases have been forced to shut down when ordered to by the province. However, with each passing lockdown it becomes more apparent that these rules, restrictions, and realities do not apply to the larger corporations and super-stores such as Ikea and Wal-Mart. Larger companies can afford to take the fines, they can afford the infrastructure, PPE and much more – smaller businesses simply cannot operate in these conditions, and there has been insufficient aid to make sure that these smaller businesses, their owners and employees are properly protected. And while cases continue to rise, and smaller businesses are forced to close; it makes little sense to give a free pass to these large transnational multi-million dollar companies.
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  2021-01-16

  Kaiser apologizes

  Kaiser Permanente apologizes for long phone wait times since the Covid-19 vaccine became available.
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  2021-01-15

  Retired Oakland cop attended US Capitol riot, OPD internal affairs investigation underway

  A former Oakland police officer has received a visit from the FBI. Jurell Snyder tells the ABC7 I-Team, agents interviewed him about attending last week's Trump rally that led to the assault on the Capitol, and about his social media posts promoting conspiracy theories. Some current Oakland police officers liked and commented on Snyder's posts, and now, the department is investigating those officers.
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  2021-03-27

  Is This Patriotic Enough?

  Lee Wong, chairman of the West Chester, Ohio, Township Board of Trustees, condemned anti-Asian violence during an impassioned speech that has now gone viral.
• 
  2021-04-01

  Live theaters get long-awaited reopening guidelines from state, but many hurdles remain

  San Deigo County has issued reopening guidelines for theatres. This marks the first time the theatres will be able to reopen in over a year. However, with the new guidelines theatres fear being accused of privacy violations.
• 
  2021-03-30

  News Article: Pima County keeps mask mandate in defiance of Gov. Ducey

  This article from the Associated Press relays the arguments Pima County officials have made in keeping mask mandates in place despite recent orders from Governor Doug Ducey on 25-March-2021 that prohibit new mask requirements and phase out current restrictions previously issued by local governments across Arizona.
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  2021-03-29

  Bisbee (AZ) Mayor Ken Budge Lifts Mask Mandate

  This March 29, 2021, episode of The Daily Chirp podcast from the Douglas Herald discusses Bisbee Mayor Ken Budge's recent retraction of mask mandates in that community
• 
  2021-03-29

  Senior Border Patrol officer says border migrant flow will only worsen

  "Senior officer says border migrant flow will only worsen" By Lyda Longa, lyda.longa@myheraldreview.com, Mar 29, 2021 The situation with undocumented migrants flocking to the Southwest border of the United States from Mexico is only going to worsen, a senior Border Patrol agent warned Friday. The agent, who spoke to various media outlets during a conference call, said at least 380,000 undocumented people had been apprehended at the Southwest border in February and the numbers would be higher for March and beyond. The agent spoke on background with the agreement that media would not reveal his name. “I fully expect to see the numbers increase as we go into the summer months,” the senior agent said, concerning migrant crossings. In Cochise County that warning has begun to bear out near Douglas and in Willcox, where the already stretched-thin Border Patrol is arresting more single adults attempting to slip into the country or taking in and processing children who are flocking to the border unaccompanied. Douglas Mayor Donald Huish said Friday the latest information he received this week from Border Patrol agents at the station just outside Douglas is that they’re confronting and repatriating about 100 single adults daily who are trying to slip in illegally. “They are getting closer and closer to town,” Huish said. What concerns Huish even more is that Border Patrol agents from the Douglas station are being pulled out to help in busier areas such as Yuma and Tucson. “They’re siphoning them off to the western part of the state and leaving us with a skeleton crew,” Huish said. In Willcox, Mayor Mike Laws said he was told two weeks ago by the Border Patrol there were 54 unaccompanied children at the Border Patrol station. “That was two weeks go. Who knows now?” Laws said. “The station can only hold up to 81.” Laws said he was told by Border Patrol that a “third party” has been arriving at the facility and taking 10 to 20 children to Phoenix by via bus. The mayor said he does not know how often the transportation comes or who the third party is. “We have not seen anyone (undocumented migrants) running the streets so far,” Laws said. “All we have is the youths, but we don’t see them either.” Laws and Sierra Vista Mayor Rick Mueller said citizens in their respective communities would gladly help the undocumented migrants but there aren’t enough resources available to do so. Laws, Mueller and other mayors in Cochise County signed a letter recently asking the federal government for help with the matter. Last week, the town of Gila Bend, which has a population of about 2,000, declared an emergency after Border Patrol agents dropped off a group of migrant families with children in a park. Gila Bend Mayor Chris Riggs told reporters he and his wife ended up using loaned vans to drive the families to the Phoenix Welcome Center so they would have a safe place to stay. Riggs said Border Patrol agents told him to expect more of the same. Mueller said there have been no such issues in Sierra Vista, but he is worried that the municipality, if hit with something similar to what happened in Gila Bend, would have no resources to offer. Last week Arizona senators Kyrsten Synema and Mark Kelly announced they’ve been pushing for more federal resources to help Arizona cities with a sudden influx of undocumented migrants. The senators helped secure at least $110 million from the Federal Emergency Management Agency as reimbursement to cities that assist migrants left within their jurisdictions. Also last week, Arizona Gov. Doug Ducey and Florida Senator Rick Scott — who sits on the Homeland Security Committee — called on President Joe Biden and Department of Homeland Security Secretary Alejandro Mayorkas to visit the Southwest border. Ducey and Scott, accompanied by a handful of law enforcement and other elected officials, had toured a portion of the border near Douglas. At his first press conference on Thursday since taking office in January, Biden said he would come to the border soon, but thought a visit now would deflect attention from the issue at hand. The senior Border Patrol agent who spoke Friday, meanwhile, said 300 Border Patrol agents who work along the northern border of the U.S. have been “mandated” to the Southwest border to assist with the influx of migrants. He said about 2,000 family units out of the 6,000 who are trying to cross daily are being processed in Texas by the Border Patrol. The agent revealed that unaccompanied children are being kept in Border Patrol facilities longer than the 72 hours established by law because too many are showing up and agents are overwhelmed. “They’re keeping them a few days, sometimes up to a week,” the senior agent said. Once an unaccompanied child is encountered, Border Patrol contacts the Department of Health and Human Services. The latter makes arrangements for the migrant children to be taken by the Office of Refugee Resettlement. The agent also mentioned an increase in the criminal element among undocumented migrants. “The threats we see are significant,” the senior agent said. “We have seen criminal (undocumented migrants).” Additionally, he said that COVID testing for migrants is only being done in facilities in Del Rio, Texas, and soon in the Rio Grande Valley in Texas. Other than that, testing is being undertaken by non-governmental agencies that are helping the migrants and U.S. Immigrations and Customs Enforcement officials. He said it was probable that some migrants with COVID-19 may have been released into communities.
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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!
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  2021-03-09

  Navajo Nation outpacing states in rate of vaccinations

  By Rima Krisst | Mar 9, 2021 | CORONAVIRUS, News | WINDOW ROCK President Jonathan Nez proudly said last week that the Navajo Nation had exceeded its goal of administering 100,000 COVID-19 vaccine shots by end of February, crediting tireless health care workers who have been serving seven days a week to plan vaccinations and administer the vaccines. On Tuesday, the president’s office reported that 135,161 COVID-19 vaccine shots have gone into arms on the Navajo Nation, which represents 92% of the total 146,980 doses received and includes 48,800 persons who have had their second shots. This means that over 26% of the approximately 327,000 enrolled Navajos have gotten a shot through the Navajo Area Indian Health Service and tribal health care system, which is an amazing feat. By comparison, in New Mexico 22.4% of the population (738,705) has been given at least one shot. Arizona has administered at least one shot to 17.1% of the population (1,847,750), with Utah trailing behind at 12.2% receiving at least one shot (687,925), according to the CDC data vaccine tracker. And as of March 2, 15.3% of the U.S. population had received at least one shot, with 76.9 million shots administered, including 25.4 million receiving the second dose. Approximately 1.8 million vaccines per day are being administered daily in the U.S. So, percentage-wise, Navajo is outpacing both neighboring states and the general U.S. population. ‘Amazing partnership’ On a Feb. 25 IHS media call, IHS Chief Medical Officer Rear Adm. Michael Toedt reported that as of Feb. 18 the IHS had also achieved its goal of administering 400,000 doses of COVID-19 vaccine “across IHS, tribal, and urban Indian Health programs,” representing 16% of the “target population,” with 6.3% receiving two doses. “This milestone was reached ahead of schedule despite severe weather, making travel to health facilities difficult across much of Indian Country and leading to shipping delays,” said Toedt. Toedt said most IHS facilities have now vaccinated the majority of their priority populations and are moving into Phase 2, which includes those who work in higher risk settings such as schools and prisons. “Very shortly we expect that everyone who needs a vaccine will be able to receive it,” he said. Toedt credited IHS and tribal health care employees across the country who are committed to ensuring the protection of tribal communities in 11 geographic areas covering 26 states and 349 health facilities, many in rural and remote locations. “We have had an amazing partnership with our tribes to use all available resources to help with delivery of vaccine,” said Toedt. This included distribution and redistribution of vaccines by ground and air transportation as needed. Toedt said the IHS has also conducted over 2 million COVID-19 tests at a higher per capita than most states and is reporting a seven-day average test positivity rate of 4.5%, below the 5.6% all-races rate in the U.S., despite the fact that COVID-19 has had a disproportionate impact on American Indians/Alaska Natives. The Navajo Nation has conducted 245,085 COVID-19 tests resulting in 29,774 positive cases. ‘Developing trust’ Coordinated public relations campaigns in partnership with tribes have been key to the success of the vaccine rollout, said Toedt. Navajo Area IHS Chief Medical Officer Loretta Christensen agreed, saying public messaging has been critical. “This collaboration is one of the reasons we’ve been extremely successful,” said Christensen. “Honesty and transparency, developing that trust with the people you are serving is vital. We have spent a great deal of time on that relationship with our Navajo people to encourage them to be vaccinated.” She said the communication process has been very unified across Navajo and with the president’s office, using social media, radio, and a bilingual approach. “This is constant public education,” she said. “We encourage people in a very personal way that we would like them to be safe, keep their families, their communities safe. We feel very fortunate and grateful that our population has really stepped up.” Toedt acknowledged there has been some vaccine hesitancy relating to how quickly the vaccines were developed and whether or not they are completely safe, which has made some people distrustful. According to IHS Public Affairs Specialist Joshua Barnett, a recent IHS-funded survey by the Urban Indian Health Institute reported that 75% of Native Americans were willing to get a vaccine and 74% believe that doing so is their responsibility to help protect their community. “I’m confident that the process for vaccine development has the full integrity and completeness of time necessary to make sure these vaccines are safe, but it’s our job as healthcare providers to communicate that in a way that’s acceptable and trusted by our population,’ said Toedt. “We know our efforts are working and we’re seeing good delivery and acceptance of these vaccines in our communities.” Reaching the homebound Christensen said one of the strongest assets in the Navajo vaccination campaign has been the collaboration between public health nurses and community health representatives in reaching out to community members at the local level, including homebound elders and persons with disabilities. “These are the people out in the rural areas that know the families, that know the homes,” said Christensen. “We rely on them for that person-to-person contact out in the communities.” She said between 4,000 to 5,000 homebound individuals have actually been vaccinated at home or close to home. Moving forward with the goal of getting the Navajo population vaccinated and achieving “community immunity,” Navajo Area IHS wants to make sure that all 27,000 square miles of the Nation have been penetrated, said Christensen. “We want to be able to target any communities, populations or subgroups that have perhaps maybe not been able to get vaccinations,” she said. “So, our first step is to heat-map our whole area and then focus on those populations that are perhaps more rural or don’t have easy access to healthcare facilities.” “Our goal is to get every single person vaccinated and to keep our populations in Arizona, New Mexico and Utah safe,” she said. Christensen said her team will be working with chapters to identify anyone who might have been missed. They have also reached out to Navajos living off reservation and have established an online registry to help people find a place to get their vaccination. “We highly encourage them to come back if they need to and we will certainly take care of them and their families,” she said. Tracking variants In regard to surveillance for COVID-19 variants, Toedt said IHS does contribute its tests to state public health labs as well as different large lab corporations such as TriCore, LabCorp. and additional processes for genomic testing are in development. “The samples that are included through those mechanisms are sampled through the CDC’s processes to test for genomics,” said Toedt. Christensen said similarly the Navajo Area and the Health Command Center are working to establish more specific genomic surveillance within Navajo Nation. “In the meantime, we are participating in testing both in New Mexico and Arizona,” said Christensen. Christensen said the Navajo Epidemiology Center has also reached out to bordering states requesting any relevant information on variants be shared. “We all stand by ready to support this process and we are hopeful that we will have more specific information for Navajo Nation very soon,” she said. Christensen confirmed that she was not aware of any variants having been identified on the Navajo Nation from random sampling. “We have requested that information but we have not received it as of yet,” she said. Adverse events Any adverse events, or serious side effects, related to vaccinations within IHS are collected and reported to the same CDC system that collects the data nationally, said Toedt, but the data broken down by individual tribes is not publicly available. “We are part of that Vaccine Adverse Event Reporting System through the CDC,” said Toedt. “All adverse drug reactions are investigated by the CDC to determine what category it goes in and how they analyze data.” Navajo Area is gathering information on any adverse events on the Navajo Nation, but there are patient privacy issues when it comes to sharing that publicly, said Christensen. “We do, as (health care) institutions across Navajo Nation, share basic data with each other when we’re doing best practices,” she said. Christensen would not answer whether or not there had been any adverse events on the Nation. “I will say we have done very well with these vaccines,” she said. “There are certainly side effects which have been well defined, but we’ve had minimal significant adverse events. I cannot quantify that for you, but we are tracking those events across Navajo Nation.” Preventing transmission As far as keeping everyone safe after being vaccinated, Toedt said it’s still important to continue to wash your hands, stay six feet apart and to wear a mask. This is because vaccinated persons can theoretically still contract COVID-19 and spread it after being vaccinated, although they may not have any symptoms due to protection from the vaccine. There are also still many unknowns related to COVID-19 variants and to what extent they may evade vaccine protection, be more transmissible, or cause more serious disease. “We have been trying to report on possible variants most recently, explaining that we don’t have all the information yet on what the long term effects of those variants are,” said Christensen. “So we highly suggest that you still watch your distance, wash your hands and wear your mask.” Christensen said public messaging encouraging everyone to abide by the public health protocols in place, regardless of vaccination status, will continue until there is community immunity.