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FEATURE

DOWNSTROKE

SHELTERS AND THE CITY

During its Feb. 2 meeting, the Chico City Council boosted the continued efforts of the Chico Housing Action Team (CHAT) to provide shelter for unhoused individuals. The council approved $282,933 of Community Development Block Grant Coronavirus funding for CHAT, which hopes to develop the Town House Motel on the Esplanade into a noncongregate shelter with up to 30 units.

The council also decided to continue exploring turning city-owned property near the Silver Dollar Fairgrounds (currently home to Silver Dollar BMX) into a sanctioned camping area. The panel rejected (5-2, along party lines) a “safe car park” proposal (by a group called the North State Shelter Team) that would allow those living in automobiles to spend the night in designated lots.

COUNTY SEEKS HEALTH, ECO ASSISTS

Butte County Public Health is recruiting volunteers to help vaccinate the community against COVID-19.

Licensed health-care professionals and people without medical training can register through the Disaster Healthcare Volunteer program at healthcarevolunteers.ca.gov (select Butte County). Public Health will deploy volunteers at its vaccination clinics over the next several months.

Meanwhile, the county’s Planning Division will host the fi rst public workshop for updating the Butte County Climate Action Plan next Thursday (Feb. 18) at 5:30 p.m. on Zoom. The plan, adopted in 2014, identifi es ways to reduce greenhouse gas emissions to meet targets established by state law.

Visit buttecounty.net/dds/bccapup date2020 to register for the workshop and learn more about the CAP.

Misinformation in our midst

HOMETOWN MVP

Aaron Rodgers, one-time Pleasant Valley High School and Butte College football star and current NFL quarterback (and justannounced league MVP) for the Green Bay Packers has donated $500,000 to the newly formed Aaron Rodgers Small-Business COVID-19 Fund. A partnership with the North Valley Community Foundation (which contributed another $100,000 to the pot), the fund will be used for grants to local businesses that have fewer than 20 full-time employees and are suffering fi nancially due to impacts from the coronavirus pandemic.

“This is to get people through,” said Rodgers in an announcement via Instagram video on Feb. 3. “People are in need right now and who knows how long we have to save these businesses.”

Visit nvcf.org for more information on requirements and how to apply.

Woman alleges Enloe physician promoted propaganda downplaying COVID-19 as a ‘hoax’

In mid-December, Rebecca Lacque turned lungs and ears. But soon the visit took a advocated for business reopenings and to Enloe Medical Center seeking a bizarre turn. Just before exiting the room gatherings. COVID-19 test. Her husband had just to check on another patient, Lacque said, Lacque and her daughter were stunned. been diagnosed with the coronavirus, and Leavitt cued up his cellphone with a They were still grieving the coronavirusshe and her daughter video and left it for her and her daughter caused death of a family friend. When by had been experienc- to watch, telling them, “This guy really Leavitt returned, according to Lacque, he Ashiah Scharaga ing symptoms, such knows what he is talking about.” told her that he didn’t play the video to ashiahs@ newsreview.com as sore throat, fatigue and headaches. They What she heard next was a doctor named Roger Hodkinson speaking at a “totally understate the pandemic.” Lacque says she interrupted Leavitt, telling him couldn’t find a place to government meeting in Canada, Lacque the pandemic cannot be understated and get tested, so they went said. He claimed that the pandemic was mentioning the loss of her friend. to the emergency room, the “greatest hoax ever perpetrated on She was further shocked by his seeking answers. an unsuspecting public” and should be response. Leavitt continued to diminish

That’s where they met Dr. Lamont considered “nothing more than a bad flu the seriousness of the disease and lecture Leavitt, an ER physician. Everything season.” Hodkinson said that masks and her, she said, noting that people die of seemed normal at first—he checked their social distancing are “useless.” He then seasonal influenza each year. Lacque then

Rebecca Lacque stands outside Enloe Medical Center’s emergency room, where she says a physician showed her a video claiming that mask-wearing and social distancing are useless.

PHOTO BY ASHIAH SCHARAGA

asked if she and her daughter would be tested, and when he said no, they left.

Lacque’s teenage daughter, Annalise, told the CN&R that it was “scary and maddening” to hear such claims coming from a doctor.

When Lacque got home, she filed a complaint with the hospital, which contacted her via phone and later replied with a letter assuring her that Enloe’s chief of staff had been notified and would investigate the incident. She went elsewhere for testing a week later and found out both she and her daughter were negative.

The situation continued to make her feel uneasy, however. How many people have sought care and been shown this video, she wondered?

“It was surreal that I had a licensed medical clinician in front of me who is trying to tell me that masks, testing and distancing are useless,” she said. “People listen to doctors.”

The U.S. Centers for Disease Control and Prevention—and numerous studies— report that mask-wearing and social distancing are vital to combating the spread of the coronavirus, which has killed approximately 465,000 people in the United States, including roughly 44,000 Californians. In Butte County, as of this story’s deadline, 10,343 people had tested positive for COVID and 148 had died. That’s a local case fatality rate of 1.4 percent.

Enloe responded to the CN&R’s request to interview Leavitt by providing a statement from Enloe CEO Mike Wiltermood saying that the hospital supports local, state and federal mandates to reduce spread of the virus. He was not aware of the complaint prior to being contacted by the CN&R.

During a phone interview, Wiltermood said that “regardless of people’s personal opinions on debatable items,” such as business and school shutdowns, COVID-19 needs to be taken seriously—people need to get vaccinated, wear masks and social distance.

Wiltermood told the CN&R that Enloe does not discuss individual disciplinary issues, but he noted that Leavitt is still a member of the Chico Emergency Physicians Medical Group, which Enloe contracts with for emergency services, and remains “in good standing.” He would neither confirm nor deny what allegedly occurred, but added that he personally reached out to the head of the medical group and “made it clear … this isn’t appropriate material to be showing our patients.

“They’ve assured me that they’ve dealt with the matter and it won’t happen again,” Wiltermood said.

“Despite maybe a one-off video that was shared, our employees have been very courageous through this whole thing,” he continued. “They take it very seriously, and we’re doing the best job we can under difficult circumstances.”

Wiltermood pointed to the hospital’s vaccination rate as one example. Approximately 2,800 out of Enloe’s 3,500 employees—80 percent of its staff—have received their first vaccine dose, he said.

Dr. Lamont Leavitt

PHOTO VIA ENLOE MEDICAL CENTER’S WEBSITE (ENLOE.ORG)

Disinformation nation

In addition to expressing concern about the spread of propaganda locally, Lacque said the incident at Enloe is indicative of a larger societal issue—a deadly pandemic made deadlier because Americans turn to questionable sources.

Eleven months into the public health crisis, misinformation remains rampant, in some cases infiltrating health care establishments the public is taught to trust. There have been numerous high-profile instances of medical personnel spreading falsehoods since COVID-19 appeared in the United States.

Millions of people have watched a press conference put on by physicians from

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One of the earliest examples of viralscale pandemic misinformation is attributed to two Bakersfield doctors who said that COVID-19 had a death rate no worse than influenza, a statement that gets repeated today despite having been debunked by the nation’s preeminent epidemiologists and leading health organizations.

an organization calling itself “America’s Frontline Doctors,” for example. The group claims there is a cure for the virus and that masks are therefore unnecessary. It was legitimized by Tea Party Patriots and former President Donald Trump, who personally promoted one of the doctors, Stella Immanuel, whose other notable theories include linking certain medical issues to people dreaming about having sex with witches and demons.

One of the earliest examples of viral-scale pandemic misinformation is attributed to two Bakersfield doctors who said that COVID19 had a death rate no worse than influenza, a statement that gets repeated today despite having been debunked by the nation’s preeminent epidemiologists and leading health organizations. (According to Johns Hopkins University & Medicine, the United State’s coronavirus case fatality rate is 1.7 percent, whereas the fatality rate of the seasonal flu was 0.06 percent in 2020.)

Similarly, Hodkinson, the Canada-based doctor Enloe’s Leavitt allegedly boosted, has been criticized for his inaccurate statements.

“This is the age of misinformation, and it’s scary because it shows that even intelligent people can be pulled off track,” Lacque said. “And it’s dangerous because lives are at stake.”

Locally, Butte County Public Health is tasked with educating the community on COVID-19. This includes underscoring the importance of personal safety measures.

In December, Public Health issued a press release in response to a planned demonstration outside its Chico office by people demanding that the county relax restrictions mandating closures. The department stated that while it supports people’s right to protest, attendees should wear masks and social distance. Months earlier, a swarm of unmasked protesters clamoring for Chico businesses to reopen gathered outside Chico City Hall.

Despite Public Health’s efforts, Butte County has been in the state’s highest (“purple”) tier throughout most of the pandemic. This means that the virus is considered widespread, with a high risk of COVID infection (the threshold for the tier is more than seven new cases daily per 100,000 people and more than 8 percent positive tests countywide). Butte County reached its highest number of new daily cases (240) on Dec. 11. However, over the past two weeks, the average number of daily confirmed new cases has dropped approximately 30 percent, from 69 per day to 49 per day.

Newly appointed county Public Health Officer Dr. Robert Bernstein said that poor national leadership under the Trump administration has exacerbated the public’s misguided perception of and response to the pandemic.

Without clear guidance from the federal government, the public has relied on questionable sources, including social media, he said, rather than health professionals.

Bernstein stressed that vaccinations are the most effective way to combat the virus, and that people must continue to practice preventative measures—including wearing masks, washing their hands and avoiding gatherings—in order to protect one another.

“Unfortunately, there’s a lot of vaccine hesitancy in our world today. It’s part of a problem that’s been going on the last four years under national leadership, using a lot of disinformation to cause fear and mislead people about what is true and not true,” Bernstein said.

“I think we all should be hopeful that this change is going to work well for everybody,” Bernstein added, referring to President Joseph Biden’s election. “I would hope that people depend on credible, reliable, authoritative sources of information—that is the CDC, the NIH [National Institutes of Health], WHO [World Health Organization] and FDA [U.S. Food and Drug Administration], and not depend on Twitter and social media for health-seeking behavior.” Ω

Spreading innoculation

Health officials tout safety of COVID-19 vaccines for most people while debunking myths

by Evan Tuchinsky evant@newsreview.com

As public health officials work to contain the coronavirus pandemic, they often feel like they’re waging two fights. The most direct is against the disease itself, which has sickened around 3.3 million Californians and killed more than 44,000—with 10,343 infections and 148 deaths in Butte County, as of Feb. 8. But they’re also up against knowledge gaps that have bred resistance to prevention efforts.

“Unfortunately, and particularly over the past four years, there’s been a plethora of social media sites that have mis- and disinformation, myths and falsifications, about a whole variety of things,” Dr. Robert Bernstein, Butte County’s public health officer, told the CN&R.

Nowhere has this been more evident than with vaccination.

The U.S. Food and Drug Administration has approved two COVID-19 vaccines, by PfizerBioNTech and Moderna, and is in the final approval step for a third, by Johnson & Johnson. Each has undergone clinical trials, compressed by circumstances, with the worldwide outbreak allowing researchers to find sufficient numbers of patients to verify safety and efficacy.

Yet, conspiracy theories pervade the internet. Some people— or bots—propagate the belief that vaccines contain tiny microchips for Big Brother tracking; others, that vaccines spread the disease. These falsehoods dog medical professionals attempting to build immunity levels in communities such as ours to levels that protect those who cannot get vaccinated for legitimate health reasons.

“There are authoritative sites of information for curious, educated people and for curious, not-soeducated people,” Bernstein said. “Those are websites for organizations like [the] CDC and the World Health Organization, and not like QAnon.” Chris Marking agrees. The pharmacy director at Enloe Medical Center, who’s overseen 10,000 COVID vaccinations of health-care and education workers since December, Marking has heard his share of wild notions, including a report—quickly debunked—that one of the vaccines sterilized women.

Local health officials stress the importance of getting informed, by their doctors and other reliable sources, before signing up for a vaccination.

“It needs to be a thought-out decision,” said Marking, a pharmacist since 1995. “I think you need to get your news from a reputable source is the biggest thing, but if

Chicoan Glenn Tucker takes a selfie as health care workers administer the Moderna COVID-19 vaccine at Butte County Public Health’s clinic.

you have any concerns or questions, talk to people that actually are knowledgeable and have educations in this area, are not just repeating what someone told them a week ago or they read somewhere else.

“There’s some people that just probably shouldn’t have the vaccine; those are legitimate cases. But I don’t want someone who’s been persuaded into not getting it when it possibly could have saved their life, too.”

Case by case

Bernstein said there’s no substantial difference between the Moderna and Pfizer vaccines in terms of delivery, safety or efficacy (the U.S. Centers for Disease Control and Prevention has detailed information for each at cdc.gov). Both require two doses and both need to be stored at freezing temperatures (-4 Fahrenheit for Moderna and -94 for Pfizer).

Johnson & Johnson’s vaccine, through its Janssen Pharmaceuticals division, would be a single-dose regimen and refrigerated versus frozen. The FDA will consider its approval Feb. 26.

Supply constraints have impacted counties’ ability to vaccinate widely. A third vaccine would help alleviate that issue. In the meantime, Marking pointed to a recent manufacturing deal by Pfizer with drug manufacturer Novartis as a boost. Butte County has been allotted 55,625 doses so far.

In addition to Enloe’s 10,000 vaccinations, the hospital and Butte County Public Health have operated a community clinic at Meriam Park where another 7,500 in the county have gotten the shot. Those are residents who top the priority system established by the state, which emphasizes age and high-exposure occupations as the prime risk factors.

Seniors 65 and older can schedule an appointment now via the Public Health vaccination webpage (buttecounty.net/ph/ COVID19/vaccine). The site is

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also where anyone in an essential-worker field can find their priority order and details about the process. There’s no set timetable for when the general public will be able to get vaccinated, but estimates range from late-spring to summer.

For most people, there are some potential short-term side effects with the vaccines— soreness at the injection site and a general feeling of unwellness for a day or two (particularly after the second dose).

Those with pre-existing health issues may need to dig deeper. Both vaccines carry a contraindication for people who have experienced anaphylaxis after a vaccine or injected medicine.

“That’s probably the biggest pause I would put on it,” Marking said—noting that if, for instance, someone says they have an EpiPen for bee stings because of a past reaction that required a visit to the emergency room, he’ll advise them to “really make sure you’re thinking it through.

“Not that you can’t get the vaccine, but you obviously want to bounce it off some health-care professionals specializing in allergic reactions.”

Certain conditions, such as Bell’s Palsy and Guillain-Barré syndrome—for which people have hesitance for vaccines in general—also merit caution and consultation.

Physicians have debated whether pregnant women should get vaccinated. The WHO initially recommended against it then recently reconsidered, Marking said, while the American College of Obstetrics and Gynecology supports vaccination due to evidence that pregnancy elevates COVID19 risk. As such, expectant women should speak with their health providers to gauge their individual conditions.

Something else to note: The vaccines might not provide blanket immunity.

“The Moderna and Pfizer vaccines, once an individual has had both doses, should be effective in preventing that individual from getting COVID disease—and especially from getting severe COVID disease,” Bernstein said. “But as far as we know at the moment, [vaccination] doesn’t prevent the person from transmitting a SARSCOVID-2 [aka COVID-19] infection to another person.

“So it’s extremely important to continue to use the non-pharmaceutical interventions that we know are very effective: wearing a mask over the mouth and nose, staying 6 feet apart, avoiding large crowds and poorly ventilated places, washing hands. We don’t know yet what the level of coverage is we need in the community for ‘herd immunity’ and whether a person who’s been vaccinated is capable of shedding virus in a way that will infect another person.” Ω

Enloe Pharmacy Director Chris Marking.

PHOTO BY EVAN TUCHINSKY

Dr. Robert Bernstein, Butte County’s public health officer.

PHOTO BY EVAN TUCHINSKY

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