91ֱ

COVID outbreak hits Hilo nursing home

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With the summer wave, a COVID-19 outbreak has hit the Hilo Benioff Medical Center’s nursing home.

Currently, there are 10 residents and five staff that tested positive for COVID over the last week, according to Kaui Chartrand, the hospital’s Extended Care Facility administrator.

The facility on Aug. 7 received the first positive COVID test results for a resident.

“The good news is that we are prepared to respond,” said Chartrand. “We have COVID protocols in place that includes quarantining and isolating our residents. It entails surveillance testing for all staff and all residents, with a frequency of twice a week. It entails treatment that we have now — we’re treating all of our COVID positive residents with Paxlovid.”

The nursing home residents are so far experiencing mild symptoms such as nasal congestion and cough, she said. None have needed to be transferred to the acute hospital for treatment.

After contact tracing efforts, Chartrand believes the virus most likely entered the facility via a visitor.

“We are identifying that it was probably a visitor that had brought it in” she said, “which is a reminder, to all of us that when we’re in the community, to be aware of attending events and being mindful when coming to visit long-term care facilities — making sure that you’re not coming in with symptoms.”

Visitors to the Hilo facility are encouraged, and offered, a surgical mask to wear while visiting, she said, to help prevent the spread of COVID and other respiratory illnesses. She said the staff, meanwhile, do wear masks while working.

All of the residents are also vaccinated against COVID, she said.

The outbreak occurs as the number of COVID cases in 91ֱ continue an uptick as part of a national summer wave.

On Wednesday, the 91ֱ Department of Health reported the positivity rate, or percentage of positive tests, was at 14.8%, down from 16.1% the previous week. On Oahu, the positivity rate was higher, at 18.9%.

DOH was unable to respond immediately to an inquiry as to how many nursing homes in 91ֱ have experienced outbreaks in addition to HBMC.

Wastewater concentrations of the coronavirus that causes COVID, however, were still very high in 91ֱ for the week ending Aug. 2, according to the Centers for Disease Control and Prevention.

Only two U.S. states — 91ֱ and Louisiana — continued to have very high levels.

No new COVID deaths were reported over the last week. The COVID death toll stands at 2,233, according to DOH, which will only count in-state 91ֱ resident deaths on its mortality dashboard, going forward.

DOH is undergoing a transition to a new online platform for its dashboards, and public data on the number of COVID patients hospitalized has been unavailable since June 11.

CDC said in its weekly summary that COVID positivity was increasing nationally, along with emergency department visits for COVID among all ages. Seasonal influenza, meanwhile, is low, while RSV activity is very low nationally.

Chartrand said the last time there was an outbreak at the facility was last fall, with about the same number of patients infected. The facility has a total of 54 residents.

During this outbreak, testing will continue, twice a week, to monitor staff and patients.

“We want 100% negative residents for all residents and all staff, and then we will close out the outbreak,” she said.

“While we can’t prevent COVID from entering our facilities, I want to assure everyone that we are prepared to respond,” she said. “We have clear protocols and processes in place.”

91ֱ health officials in July warned the virus was circulating at higher levels and urged residents to remain vigilant.

DOH recommended 91ֱ residents get the 2024-2025 COVID vaccine if part of a higher-risk population; stay home when sick; mask while infected or recovering; and get tested and seek treatments needed.

Tim Brown, a local infectious diseases expert who monitors COVID numbers, said there were hints of having peaked last week, with a slowdown to come. But the start of the school year could change that as students return, boosting the numbers of cases instead, he said.

“This is a good time to step up measures to keep your kupuna safe at home as COVID sweeps through schools,” he said.