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Businesses impacted by COVID-19 cases
BY JESSI STONE NEWS EDITOR
Acouple of Haywood County businesses have had to shut their doors temporarily after several employees were exposed to COVID-19.
Haywood County Health & Human Services issued a press release Aug. 10 stating that a cluster was identified among staff at Frankie’s Italian Trattoria in Maggie Valley. A total of five positive cases are connected with this cluster including employees and their close contacts.
Frankie’s posted on its Facebook page Aug. 5 that it would be closed “for the wellbeing of its staff.” The restaurant began take out service only on Aug. 10.
The health department press release stated that representatives of Frankie’s Italian Trattoria were contacted and offered an opportunity to provide a statement but did not respond. Haywood County Public Health is working to identify any additional close contacts of people identified in this cluster. The CDC defines close contact as being within approximately 6 feet of a person infected with COVID-19 for 15 minutes or more, without wearing a face covering, during the period in which they are contagious.
While a press release hasn’t been issued in reference to COVID-19 cases at The Buttered Biscuit in Waynesville, the breakfast hotspot posted on Facebook Aug. 1 that it’s owner Ted Vargo was in the hospital with COVID-19 and that the rest of the family also tested positive. The restaurant has been closed since late July.
A COVID-19 cluster connected to the Haywood County Public Schools’ Maintenance Department was reported Aug. 6. A total of nine positive cases are connected with this cluster including employees and their close contacts. A COVID-19 cluster connected to the Canton Police Department was reported on Aug. 4. Six employees, at all levels of the department, tested positive for COVID-19. On Aug. 3, clusters were reported at Woodland Baptist Church in Waynesville and at Shelton Laurel Salvation Army in Fines Creek.
“We encourage those with COVID-19 symptoms or exposures to remain home and see their healthcare provider for testing. Community spread due to the delta variant is on the rise and we all need to protect ourselves and those around us,” said Sarah Henderson, Haywood County public health director.
The North Carolina Division of Public Health defines clusters of COVID-19 in workplace, educational, and other community settings as a minimum of five cases with illness onsets or initial positive results within a 14-day period and plausible linkage between cases where cases were present in the same setting during the same time period.
In the last week, Haywood County Public Health has received notice of 167 new cases of COVID-19. As of 5 p.m. Aug. 9, the North Carolina Department of Health and Human Services has recorded a total of 4,892 cases in Haywood County since the pandemic began. According to the CDC, Haywood County and most of North Carolina are listed as areas of high community transmission. Mask-wearing indoors is now recommended in such areas. Masks are now required in Haywood County facilities, including the libraries, for employees and the public.
Beginning this week Haywood County started reporting the percentage of people vaccinated versus unvaccinated in its case numbers. This week 14.4 percent of all reported positive cases were people who were fully vaccinated.
“As COVID numbers rise due to the delta variant, a clear distinction is emerging, which should not come as a surprise. Infections are far more common and serious among those who are not yet vaccinated,” Henderson said. “The delta variant is more contagious and better at sticking with us once it gets inside our bodies, making it harder to fight off. Wearing masks when indoors and choosing vaccination are our best tools against this new variant of the virus.”
Hospitals have also returned to more visitor restrictions as cases continue to rise. Haywood Regional Medical Center is limiting visitation to one well visitor per patient at a time and prohibiting visitors under 18 years old.
Harris Regional Hospital and Swain Community Hospital are not allowing any visitors into the emergency room until further notice. Other inpatients are allowed one visitor a day. Visiting hours are limited to 9 a.m. to 4 p.m.
— Sarah Henderson, Haywood County Public Health Director
Despite ‘critical’ need, administrators fear workers will quit
BY PETER H. LEWIS ASHEVILLE WATCHDOG
The largest health care providers in Western North Carolina, including Mission Hospital in Asheville, recently confirmed that they are not requiring doctors, nurses, volunteers, or other hospital staff to be vaccinated against the COVID-19 virus despite a resurgence of infections and hospitalizations.
Most of the other major hospital systems in the state have made full vaccinations mandatory, citing staff and patient safety as a highly contagious COVID-19 variant spreads nationwide, almost entirely among people who have not been vaccinated or are only partly vaccinated.
Hospital administrators and clinical leaders say they agree that vaccinations represent the most effective way to stop the pandemic that has killed more than 600,000 Americans, including hundreds of people in Asheville and surrounding communities.
Few people are more familiar with the impact of the COVID-19 pandemic than hospital workers. Even so, hospital administrators in Western North Carolina — where science and politics are not always compatible — said nurses, nursing assistants and other hospital workers might quit their jobs at already understaffed health facilities rather than submit to mandatory COVID vaccinations. To fill vacant positions, hospitals typically must pay premium salaries to hire temporary replacement doctors and nurses.
The tensions between medical science and politics, and between hospital economics and patient and staff safety, are notable in the mountain region of the state, where anti-masking and anti-vaccination sentiment is common.
As of July 28, “almost 56 percent of Mission Health colleagues and 67 percent of our clinical providers are fully vaccinated,” a hospital spokesperson told Asheville Watchdog.
That figure for overall staff is slightly higher than the percentage of people in Buncombe County who are fully vaccinated, 52 percent as of July 28. The figure for “clinicians” — commonly defined as doctors and nurses and other health care professionals who provide direct medical care to patients — suggesting that one-third are not fully vaccinated.
At Pardee UNC Healthcare hospital in Hendersonville, an estimated two-thirds of the overall staff has been vaccinated, Pardee’s chief executive said.
At AdventHealth Hendersonville, 65 percent of the staff has been vaccinated, a spokesperson said.
Haywood Regional Medical Center in Clyde, a Duke LifePoint Healthcare hospital, said it does not require staff to be vaccinated. The Watchdog was unable to learn the percentage of inoculated staff at Haywood.
Raleigh-based WakeMed Health & Hospitals, Durham-based Duke University Health System, Chapel Hill-based UNC Health, Charlotte-based Atrium Health, Greensboro-based Cone Health, Wake Forest Baptist Health and Winston-Salem based Novant Health, all announced last week that they would require everyone on staff to get COVID-19 shots as a condition of continued employment.
Dr. William Hathaway, chief medical officer for Mission Health, HCA Healthcare North Carolina Division, told The Asheville Citizen Times recently that while the new COVID-19 “delta” variant is three to four times more contagious than the “alpha” strain that led to lockdowns last year, the failure to vaccinate all the people who could benefit from inoculations is the main cause of rising cases.
Mission Health announced that because of resurgent cases, it has restricted visitation to allow only one visitor per patient per day at Mission and its other hospitals.
But while calling vaccinations “critical” to protecting patients and staff, HCA Mission Healthcare has not joined with the other large hospital systems in making the shots mandatory for staff.
“While colleagues are not required to be vaccinated for COVID-19, our infectious disease experts, as well as those at the CDC, are strongly encouraging vaccination as a critical step to protect individuals from the virus,” said Nancy Lindell, Mission Health spokesperson.
“As a reminder to protect yourself and prevent the spread of illnesses follow the 3 Ws: Wear a mask, Wait 6 feet apart, Wash your hands frequently,” Mission Health advised in a news release this week.
ADMINISTRATORS FEAR LOSING STAFF
“We believe vaccinations are the key to ending this pandemic and strongly encourage all of our team members to get a COVID vaccine,” James M. Kirby II, president and CEO of Pardee, said in a recent statement. However, he said, “After consulting with our clinical and medical staff leadership, Pardee has made the decision to not require or mandate COVID-19 vaccinations for our team members.”
“Several factors played into this decision,” Kirby said, “including an understanding of what we’re experiencing regionally with our workforce, the current [emergency use authorization] status for vaccines, and what’s in the best interest of sustaining services for our community.”
“As the county hospital and a growing regional resource, we are focused on maintaining critical services for our broader community like treating heart attacks or cancer, and addressing day to day urgent and emergent needs,” Kirby continued. “If we were to mandate the vaccine, rather than continuing to encourage and educate, we run the risk of staff departures which would diminish our ability to provide these critical services to our community.”
Kirby said that because Pardee currently does not require a COVID vaccine, it has not required its staff to report whether they’ve been vaccinated or not. “However, based on available reporting metrics and our understanding of vaccinations provided at Pardee to date, we estimate that approximately twothirds of our team members are vaccinated,” Kirby said.
Almost all hospitals in North Carolina are struggling to attract and retain nurses and nursing assistants, and many of them currently have hundreds of open positions. But many of the largest hospitals calculated that requiring all staff to be vaccinated would be better for patient and staff safety, outweighing the possible loss of staff who decline to get the shots.
The problem is not unique to Western North Carolina.
“It’s a real problem that you have such high levels of unvaccinated individuals in hospitals,” Lawrence Gostin, director of the O’Neill Institute for National and Global Health Law at Georgetown University in Washington, D.C., told WebMD Health News.
“We have to protect our health workforce, and we have to protect our patients. Hospitals should be the safest places in the country, and the only way to make them safe is to have a fully vaccinated workforce,” Gostin said.
Opponents of mandatory vaccination point out, correctly, that the COVID-19 vaccines were rushed through development and have not yet been formally approved by the federal Food and Drug Administration (FDA), although they have been granted emergency use authorization (EUA) status because of the global health crisis.
In an open letter to all residents of Henderson County, doctors, nurses and health officials of Pardee UNC Health, AdventHealth Hendersonville, Blue Ridge Health and the Henderson County Department of Health all rebutted arguments by anti-vaccine proponents, including one that the “emergency use” status of the COVID-19 vaccines means they are still considered experimental and unsafe.
“The scientific data confirm to us that the COVID-19 vaccine has been proven to save lives,” the clinicians wrote, citing “ample data from millions of vaccine recipients in multiple countries and in multiple settings which verify the original data on which the [emergency use authorization] was based.”
POLITICS VERSUS SCIENCE
Vaccination rates are lower than national averages in conservative Western North Carolina. Numerous studies have found a correlation between vaccination rates and political party affiliation. In a recent
Washington Post-ABC News poll, 47 percent of Republicans said they were not likely to get vaccinated, compared with 6 percent of Democrats.
Western North Carolina’s freshman Republican congressman, Madison Cawthorn, said in January that he would not be vaccinated, and more recently has been a vocal critic of any efforts to make COVID-19 vaccinations or masking requirements mandatory.
Earlier this month, at a Republican Party conference in Texas, Cawthorn called Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and the nation’s foremost vaccine advocate, a “pawn of the Chinese government” who should be criminally prosecuted if Republicans retake the U.S. House in the 2022 elections.
“Now they’re talking about going doorto-door to take vaccines to the people,” Cawthorn said at the conference in Dallas, referring to the Biden administration’s suggestion of sending volunteers into communities to offer vaccines to the unvaccinated.
Cawthorn said a door-to-door plan would require a “massive” operation.
“Then think about what those mechanisms could be used for,” Cawthorn said. “They could then go door-to-door to take your guns. They could then go door-to-door to take your Bibles.”
The United States Post Office began door-to-door delivery operations 219 years ago. Asheville Watchdog has been unable to find evidence that the massive postal mechanism has been used to seize guns or Bibles. (Asheville Watchdog is a nonprofit news team producing stories that matter to Asheville and
Buncombe County. Peter H. Lewis is a former senior writer and editor at The New York Times.
He can be reached at plewis@avlwatchog.org.)
