Thursday, September 30, 2021

Record Month for COVID Deaths


Sixty five people died from COVID-19 in September, according to statistics from the City of San Angelo Health Department.  September's deaths exceeded the previous record of 64 deaths in January.  

Local Health Authority Dr. James Vretis attempted to mandate masks in Tom Green County Schools as deaths began increasing in August.  San Angelo Live reported reactions from local leaders:

“I learned about it the afternoon the order was put out,” said Tom Green County Judge Steve Floyd. Tuesday afternoon, the controversial mask mandate for all schools in the county was about to be released when Floyd first heard about it. Two days later, Floyd said Thursday morning that he was on the phone with the Texas Attorney General’s office. Tom Green County had landed to AG Ken Paxton’s “List.” The Republican ally of Governor Greg Abbott had compiled a list of counties that were defying the governor’s order forbidding the issuance of a mandate to wear a mask. Tom Green County was highlighted.

“I said, ‘look, I had nothing to do with it. I don’t have that authority,’” Floyd relayed his plea to Paxton’s office. Floyd said the mandate came exclusively from Tom Green County Health Authority Dr. James Vretis and Vretis is not in the county judge’s chain of command. In fact, Vretis, in his capacity as health authority, answers ultimately to the governor himself.

Mayor Brenda Gunter was more surprised with the mask mandate for schools than Floyd. She said the first she heard of it was when citizens blew up her phone. Some even stopped by her restaurant to give her a piece of their minds.

“I had no idea this was going to happen,” she said.

Floyd heads up an informal countywide coronavirus task force with key leaders, like from the city, county, school districts, Angelo State University, and Goodfellow Air Force Base. He said the committee met via teleconference on Monday and nothing was mentioned about issuing a mask mandate the very next day.

By mid-morning Wednesday after the issuance of the mask mandate by Vretis, many school districts were announcing intentions to not follow the order.

“If we have a mask mandate, who is going to enforce it?” Floyd asked.

Local leaders finally spoke out publicly via a series of videos on September 10th, doing so after positive cases, hospitalizations and deaths had risen dramatically.

Will anything happen to Dr. Vretis? Tom Green County Judge Steve Floyd washed his hands of the whole affair. “He works for the City of San Angelo. That’s for Brenda to decide,” he said.
I think Dr. Vretis deserves a West Texas "Neighbor Caring for Neighbor" Award.  Vretis tried to stem the loss of life that was predictable.  He got nothing but push-back.  City Council, outside Mayor Brenda Gunter, has sat on their mouths throughout this pandemic.

Texas state and local leaders pinned their hopes on the Delta variant flying through our community (it has) and reaching herd immunity (remains to be seen).  Shannon Medical Center hospitalizations are down from the seventies to the fifties on a daily basis.  

I feel for Shannon doctors and nurses who worry about verbal outrage and physical violence from patients.  I can't imagine trying to serve patients who denigrate their physician's professional medical knowledge.  

I was told West Texans helped one another in times of crisis when I moved here nearly thirty years ago.  Since the pandemic hit our community I tried to avoid bringing COVID-19 to elderly relatives.  Large sections of our community did not share the same concern.

Since the Delta variant hit Vretis showed more West Texas caring than state officials, local leaders or many Conch Valley citizens. 

Update 10-13-21:  Fresh off our deadliest month Governor Greg Abbott issued an executive order banning vaccine mandates.   Health professionals know the Texas Governor is not working on their behalf.  Private hospitals no longer have the freedom to protect their staff and patients.

Update 11-10-21:  A report from the Texas Department of State Health Services examined data from Jan. 15 to Oct. 1 and found that unvaccinated people were much more likely to get infected and die of the coronavirus than those who got their shots.  In all age groups, the state's unvaccinated were 40 times more likely to die than fully vaccinated people. The study also found that the unvaccinated in all age groups were 45 times more likely to have a coronavirus infection than fully vaccinated people.  Republican leaders sharpened attacks on public health strategies throughout the pandemic.

Update 12-28-21:  Red Team oriented San Angelo Live interviewed the "out of line" Dr. Vretis as the latest COVID surge begins, courtesy of the Omicron variant.  With cases rising rapidly I see few people wearing masks in area stores.  Neighbors continue to not care for neighbors.

Update 12-31-21:  After banning mask mandates and preventing businesses from requiring employees be vaccinated, the Omicron variant punched a hole in Governor Abbott's reliance on antibody treatment for at-risk Texans.  Abbott blames the Biden administration which is like this Biblical passage.  "You can see the speck in your friend's eye, but you don't notice the log in your own eye."  Abbott did more to foster the spread of disease with his anti-public health stances.

Update 1-2-22:  America's sad state of affairs in public health is reflected by:

"Hundreds of state and local health officials across the country have retired, resigned or been forced out in partisan rancor over the pandemic."

Update 1-4-22:  The test positivity rate reached 28.3% for the last week of the year.  The Omicron variant is less deadly, an answered prayer.

Sunday, September 19, 2021

COVID Deaths Almost at January Levels


San Angelo's Health Department reported three more COVID-19 deaths today bringing the total to 402.  Over the last thirty days the city issued news reports on 62 deaths.  That's nearly the level of January 2021 when 64 patients died from COVID-19. 

Shannon Medical Center physicians shared their concerns about the Delta variant via video on August 24, 2021.  They painted a dire situation and asked citizens to get vaccinated and wear masks in public places.  

Nearly 40 more deaths occurred before local leaders rang the alarm to citizens in a series of videos on September 10th. Five days later ASU President Ronnie Hawkins announced a return to 100% face to face classes for on campus students beginning tomorrow.  Hawkins recommended masks and getting vaccinated, however there are many ASU employees and students who've refused both public health strategies thus far.  

Recent shopping trips revealed few citizens wearing masks.  Deaths are a lagging indicator as it can take weeks to months for people to perish from COVID-19.  Vaccines take time to build immunity.  Wearing a mask is the most immediate thing a citizen can do to protect their neighbor.

Update 9-21-21:  Deaths now total 406.   That's 65 deaths announced in the last thirty one days, which exceeds the highest monthly death toll since the pandemic began. 

Update 9-23-21:  Deaths reached 410 today. We remain in a bad time for people perishing from COVID-19.  

Update 9-25-21:  With 412 deaths announced yesterday, the last month has seen 65 deaths from COVID-19.  

Update 9-28-21:  Total deaths are now 424.  The City announced 7 new deaths today.

Friday, September 03, 2021

Resurfacing Rio Concho Again for $1.4 million


City Council will take up seventeen items in the Consent Agenda when it meets on September 9th.   Item eleven is:

k.  Consider awarding ES-05-21 Rio Concho Full Depth Reclamation to Reece Albert, Inc. in the amount of $1,396,642.86 and authorizing the City Manager to negotiate and execute all related documents

The Rio Concho rehabilitation, from S. Magdalen to Bell Street, involves a full depth reclamation (FDR) of the roadway. FDR is a reincorporation of the existing asphalt pavement and the existing base material along with cement and asphalt additives to provide a solid foundation for a new pavement surface.

Years ago the city tried to rehabilitate portions of Rio Concho with its new $1.2 million Benedetti machine.  



The pilot operation produced a less than uniform surface for drivers. The City eventually returned the Benedetti machine after failing to make it work as intended.  

Another gateway to the Downtown Business District is slated for renewal.

Update 9-11-21:  City Council approved the $1.4 resurfacing of Rio Concho in the Consent Agenda with no discussion of the item.

Wednesday, September 01, 2021

Number of COVID-19 Deaths Rise in August

 

The City of San Angelo Health Department reported 46 COVID-19 deaths for August, 18 of which were reported in the last week.  Yesterday there were over 150 new positive tests and nearly 80 patients hospitalized with COVID-19.  

COVID-19 vaccination rates in Tom Green County remain below the Texas average of 53%.  Locally only 38% of the population is fully vaccinated, while 44% received at least one dose.  Vaccination rates in surrounding counties are lower than Tom Green County. 

Masks and social distancing remain important measures as vaccinated persons can get COVID-19 and have a similar viral load as the unvaccinated.  

Shannon Medical Center doctors sounded the alarm on rising hospitalizations, ICU admissions and deaths from COVID-19.   Death data is a lagging indicator as it can take weeks to months for some patients to die from the illness.  

I don't know what the future holds for this deadly disease.  But, I do know I can help my neighbor by masking up, getting a booster shot when recommended and minimizing contact with others until we reach herd immunity.  I pray that is soon.

Update 9-1-21:  The city reported seven more COVID deaths today.   There are 178 new positive tests and 80 patients are hospitalized with COVID-19.

Update 9-11-21:  City and community leaders finally spoke out asking citizens to do their part to minimize the spread and impact of SARS COV-2 and COVID-19.  This came after 59 deaths announced over the last thirty days.  

Update 9-17-21:  Five days after releasing a video on the seriousness of San Angelo's COVID situation ASU President Hawkins announced a "return to 100% face-to-face classes for our on-campus students beginning Monday, Sept. 20, 2021."  He recommends everyone wear a mask on ASU's campus and getting vaccinated for those physically able.

Update 1-4-22:  The test positivity rate reached 28.3% for the last week of the year.  The Omicron variant is less deadly, an answered prayer.

Friday, August 27, 2021

COVID-19 Returns to Tom Green County

The purpose of COVID-19 mitigation methods is to reduce the spread of SARS COV-2 virus so that local hospitals are not overwhelmed to the point they cannot provide care to people with other health conditions.

I thought West Texans pulled together in times of crisis, that neighbors helped neighbors.  As far as I can tell, actions against adopting basic public measures are making things worse.  That's what the data shows.  Daily positive cases are up again, as are hospitalizations:


Shannon Medical Center administrators and physicians have informed the public that they are nearing a breaking point.  This should be of concern to all residents.  

In their latest video Shannon doctors explain how the current Delta variant of COVID is far different than the prior versions.  It impacts younger people, is more transmissible and rapidly results in a higher viral load within those sickened. 


Our local healthcare providers have encouraged people to get vaccinated and to wear masks when indoors with other people.  Local Health Authority Dr. James Vretis has a front row seat in Shannon's ER to COVID-19's Delta variant. 

Reactions to his recent mask order reveal how many disregard basic public health measures.  The idea of prevention, while never strong, has nearly completely disappeared.  Shannon physicians shop in local stores, where most people are not wearing masks.  They send their kids to schools where a child wearing a mask is in a distinct minority, often the subject of derision from fellow students. 

Governor Greg Abbott, Tom Green County Judge Steve Floyd and school system leaders rolled the same dice as former President Donald Trump.  They are counting on the Delta variant to fly through our population hoping that herd immunity lies on the other side.  Their gamble puts at-risk citizens and healthcare providers in a precarious position.  

COVID-19 deaths ceased for over a month earlier this year.  We've had over 30 deaths since early August.  That's over one a day.  The situation has deteriorated and many citizens are acting like the virus is gone.

Dr. Vretiz swung against the Governor's mandate and struck out.  I give him credit for trying to act on his medical and public health knowledge.  It's simply unwanted by the majority of our community, who may pay a terrible price.

Update 8-28-21:  The city announced six confirmed COVID deaths.  Not included in the six deaths are the death of an 88 year old vaccinated friend and the passing of a 30 year old father of four who fought against local mask mandates.  May they rest in peace.

Update 8-30-21:  The city reported ten COVID deaths over the last three days.  Two of those deaths were in their 30's.

Update 9-2-21:  Concho Valley Homepage reported:

San Angelo is the city in Texas with the fastest growth of new coronavirus cases, according to a report by 247wallst.com.

The report claims the number of new positive cases of COVID-19 for week ending on August 30 in San Angelo is more than twice the average for the state of Texas.

Update 9-11-21:  City and community leaders finally spoke out asking citizens to do their part to minimize the spread and impact of SARS COV-2 and COVID-19.  This came after 59 deaths announced over the last thirty days.

Update 9-17-21:  Five days after releasing a video on the seriousness of San Angelo's COVID situation ASU President Hawkins announced a "return to 100% face-to-face classes for our on-campus students beginning Monday, Sept. 20, 2021."  He recommends everyone wear a mask on ASU's campus and getting vaccinated for those physically able. 

Update 12-31-21:  After banning mask mandates and preventing businesses from requiring employees be vaccinated, the Omicron variant punched a hole in Governor Abbott's reliance on antibody treatment for at-risk Texans.  Abbott blames the Biden administration which is like this Biblical passage.  "You can see the speck in your friend's eye, but you don't notice the log in your own eye."  Abbott did more to foster the spread of disease with his anti-public health stances.

Sunday, August 22, 2021

Animal Shelter Advisory Committee to Meet Next in October

The City of San Angelo canceled the Animal Shelter Advisory Committee's August meeting.  The ASAC will not meet again until October 21, 2021.  

In its last meeting the ASAC took up the issue of community cats.  San Angelo's City Council approved $5,000 for the shelter to fix "nuisance" cat collections known to City Council members.  The shelter asked for the funding after it released nearly 50 shelter cats into San Angelo neighborhoods.  Only one of those cats arrived at the shelter having been spayed/neutered.  The average time these cats had been in the shelter was 12 days, with one stay as long as 202 days.

The Animal Shelter released 48 unaltered cats into city limits.  Bentwood, Fort Concho, Santa Rita, Angelo Heights, Lake View, Southland Hills, The Bluffs, Bellaire, River View Heights and Wall received cats with intact reproductive systems, courtesy of the city Animal Shelter. 

Rather than plan to rectify the problem they offloaded into San Angelo neighborhoods the ASAC ran down Critter Shack, the only local animal rescue helping local citizens practice trap-neuter-return-maintain for Community Cats.    Critter Shack was not invited to City Council's June 15th or ASAC's June 17th meeting to represent the many services provided to address Community Cats.  

The rescue did reach out to members of City Council on June 11th offering to meet and share information on its Community Cat efforts.  

We are the contact for many caretakers who are actively practicing TNR, through our web site, through our low-cost spay/neuter clinic, through our partnership with Cassie’s Place for our West Texas Fix program that entirely focuses on cats, through our new voucher program, “Fix Your Critter,” and through our efforts in outlying communities to offer free or very low cost spay/neuter services to many caretakers. We deal successfully with hundreds of colony caretakers in the Concho Valley and any suggestion to City Council members to the contrary is simply untrue. We have an ever-growing list of caretakers and offer as much assistance as we possibly can to these men and women. Since the passing of the ordinance that offers some protection to the caretakers, our programs have focused on providing help to these colony caretakers and a large part of our annual budget is aimed at helping colony caretakers and cat owners in education, financial assistance and low-cost spay/neuter programs. If you or Council members have any questions about our caretaker registrations or programs, I would be happy to meet with you to discuss our efforts in these areas. The ordinance has been a step forward in protecting caretakers who are actively working with TNR and the cats in their care. 

Information shared with Shelter Director Morgan Chegwidden was withheld from the Animal Shelter Advisory Committee meeting on 6-17.  

Meeting minutes reflect none of the fiction, derision and disparagement city staff "presented" on June 17th.  They are inaccurate on multiple levels.

I offer a more accurate summary for consideration, although none of this was actually discussed by the ASAC:

City staff orchestrated a narrative that allows it to send more money to Concho Valley PAWS, giving PAWS a toehold in the shelter's return to field effort.  At any point since Council passed the Community Cat ordinance PAWS could've met the program requirements and been designated a sponsoring organization.  It has not done so, leaving Critter Shack at the only local rescue assisting citizens wishing to practice trap-neuter-return-maintain.  Critter Shack would have never released nearly 50 unaltered cats into city neighborhoods, something the city of San Angelo did between October 2020 and February 2021.  The city did not contact its only Community Cat sponsor before dumping unaltered cats on citizens.  Critter Shack operates a weekly spay/neuter clinic and would have worked these cats into their operation.  

City Council expects shelter leaders to run a public information effort on addressing cat collections and report back the impact of their $5,000 in additional funding.  Will that be before October 21, 2021?

Saturday, August 07, 2021

West Texas Legislative Summit Beyond Covid-19

Texas Congressmen turned out in droves for this years West Texas Legislative Summit with its Beyond COVID-19 theme.  Like everyone I'd hoped for a fading pandemic.  The Delta variant scuttled that vision.  Shannon Medical Center has seen its COVID patient census rise into the fifties.  

Shannon CEO Shane Plymell kicked off the legislative summit.  On July 23rd he interviewed Dr. Chris Barnett on SATV regarding the rapidly spreading Covid variant.  

Rep. Dan Crenshaw (R-TX) admitted President Trump lost the election. 

White men and the suburbs turned on Donald Trump, Crenshaw said, pointing to the gains in the House and the less-than-expected losses in the Senate.

“My district is very suburban. Trump won by 1 point, I won by 13 points,” Crenshaw said. “Suburbanites don’t like mean tweets.”

It wasn't mean tweets.   Many Americans wanted a President who cared enough to mount an effective public health response to a pandemic.  Trump had a 7 million vote deficit, a referendum on his botching the pandemic.  

Texas gutted public health after the new millennium, removing access to primary care as key public health strategy.  Nationally public health has been so diminished citizens don't view it as their responsibility.   

Healthcare workers view the public's indifference, even antagonism, to public health strategies as bizarre.  The president of the Austin-based Texas Organization of Rural and Community Hospitals offered:

“It stuns me why we had to make this a political issue.  That’s the sad thing about this — it’s all political.”

Texas Governor Greg Abbott took public health steps last year to combat the virus.  Not now. 

“Going forward, in Texas, there will not be any government-imposed shutdowns or mask mandates,” Abbott said. “Everyone already knows what to do.”

The numbers have prompted even the state health department to ring the alarm in a way that Abbott has not, tweeting Wednesday that Texas is “facing a new wave” and the variant “has erased much progress to end the pandemic.”

Everyone does not know what to do and Governor Abbott knows it.

Some of the most powerful conservatives in the United States have, since the beginning of the Covid-19 pandemic, chosen to sow disinformation along with mockery and distrust of proven methods of combating the disease, from masks to vaccines to social distancing. Their actions have afflicted the nation as a whole with more disease and death and economic crisis than good leadership aligned with science might have, and, in spite of hundreds of thousands of well-documented deaths and a new surge, they continue. Their malice has become so normal that its real nature is rarely addressed. Call it biological warfare by propaganda.

We are beyond COVID-19 like we are beyond the Texas electrical grid failure.  In both cases elected leaders failed the people they were supposed to serve.  Trump paid the price with election defeat, something he is incapable of facing.

It remains to be seen how deadly the Delta variant will be.  The City of San Angelo announced five COVID deaths the last two days.   Four of the five were unvaccinated while one had been fully vaccinated.

Cases are widespread in our community.  It's time we took care of one another.  Just like the winter storm help is not coming from our leaders.

Update 8-8-21:  Medical experts weighed in on Texas recent COVID moves:

The Texas Education Agency (TEA) is out with new COVID-19 health guidance for schools that's giving some medical experts cause for concern

The new guidelines state that schools don't have to inform parents of positive cases; schools do not have to contact trace; and parents can choose to send a student to school if he or she has been in close contact with a positive case, among other updates. 

“How can a family assess their own risk if they don’t know if their kid was exposed? The context here is that (it’s) indoors, close proximity, poor ventilation, and mask-free with unvaccinated people. It’s objectively insane." --Dr. Dara Kass, associate clinical professor of emergency medicine at Columbia University Medical Center in New York City

"It's meant to send a message:  We don't care about public health expertise or guidance, we are all about liberty and freedom unconstrained by any responsibility to others."--Gregg Gonsalves, associate professor of epidemiology at Yale University 

The Delta variant invaded India and the UK with a rapid rise then a relatively quick fall off.   This occurred over 72 days in India.

Update 8-11-21:  Shannon CEO Shane Plymel and Dr. Doug Schultz said 67 patients with COVID were in the hospital and 12 in the ICU.  80% of those patients did not get the COVID vaccine.  The surge is steeper than the last wave. 

Update 8-14-21:  There are no pediatric ICU beds available in North Texas.  San Angelo had 3 COVID deaths and 67 hospitalizations yesterday.  Republican leaders fiddle while COVID burns through their supporters.  Citizens want leaders who care about their lives.  Trump lost the election by 7 million votes for botching the pandemic response.

Update 8-16-21:  Physicians wish we were "beyond COVID-19."  "This time around we have a vaccine that can prevent a majority of Covid hospital cases, yet our ICUs in certain states are fuller than ever. Fewer people are wearing masks and I am worried for a particularly brutal flu season combined with continued Covid Delta spread."  This was a race we lost.

An unvaccinated male in his 20's died from COVID according to local health officials.  As many as 73 patients were hospitalized with COVID over the weekend.  

Texas ordered mortuary trailers from FEMA for an expected surge in COVID-19 deaths.  

Update 1-2-22:  America's sad state of affairs in public health is reflected by:

"Hundreds of state and local health officials across the country have retired, resigned or been forced out in partisan rancor over the pandemic."