VOL. CLXXVIII NO. 28
FRIDAY, JANUARY 21, 2022
HANOVER, NEW HAMPSHIRE
Local nursing homes report rising DHMC contends COVID-19 cases, staff shortages with staff shortages and full ICUs
MADISON COOK/THE DARTMOUTH STAFF
BY NOAH DURHAM The Dartmouth
NAINA BHALLA/THE DARTMOUTH SENIOR STAFF
Staff report milder illness in residents with the omicron variant.
BY Lauren Azrin The Dartmouth
Omicron has found its way into nursing and retirement homes in the Upper Valley, which have reported rising cases and staff shortages. Although COVID-19 cases in residential care facilities in the Upper Valley have declined substantially since the elderly became eligible for booster vaccines, infection rates now seem to be climbing, according to interim medical director of Hanover Terrace Daniel Stadler. Stadler noted, however, that, “the severity of those cases does seem to be dramatically less.” According to Kendal at Hanover’s director of community relations and
marketing Jeff Roosevelt, cases have spiked slightly in the last two weeks despite the fact that a majority of residents have received their booster shots. He said the rise in cases now seems to be “coming back down.” S i m i l a rl y, W h e e l o c k Te r r a c e assisted living facility director Melissa Suckling described a small outbreak of six residents and one staff member that occurred after Thanksgiving, which she believes resulted from visitors over the holiday. “Otherwise we’ve had no [recent] cases with residents here in our facility,” she said. “We haven’t had any major outbreaks.” According to a state COVID-19 dashboard, on Jan. 19, New Hampshire
experienced a seven day average of 2,663 active COVID-19 cases, and a seven day average positive test rate of 20.8%. Despite this, Suckling said that conditions at Wheelock Terrace have been gradually improving. “They have more access to family than before — they can interact with each other a lot more,” Stadler said. “I think the residents by and large are doing better.” Suckling said that Wheelock Terrace has returned to communal dining after putting it on hold during the nursing home’s minor Thanksgiving outbreak. She said the home has also been able to invite masked entertainers and take SEE NURSING HOMES PAGE 2
WRJ publisher sues Sen. Warren for alleged 1st Amendment violation
SUNNY HIGH 14 LOW -9
BY THOMAS WHITE The Dartmouth
NEWS
STUDENTS COPE WITH COLLEGE’S ISOLATE-INPLACE POLICY PAGE 2
OPINION
VERBUM ULTIMUM: LEFT OUT IN THE COLD PAGE 3
ARTS
STUDENTS, STAFF WORK TO ENABLE LIVE ARTS PAGE 4
SPORTS
FROM THE BLEACHERS: AN ODE TO THE GOAT PAGE 5 FOLLOW US ON
@thedartmouth COPYRIGHT © 2021 THE DARTMOUTH, INC.
On Sept. 7, Massachusetts Sen. Elizabeth Warren, a Democrat, sent an official letter to Amazon CEO Andrew Jassy expressing concerns that Amazon was spreading misinformation about COVID-19 vaccines and treatments through its search function and “Best Seller” algorithms. The letter has earned her a lawsuit from Chelsea Green, the White River Junctionbased publisher of a book related to COVID-19 Warren named in her letter. Warren wrote that Amazon’s failure “to prevent the spread of falsehoods or the sale of inappropriate products” is “an unethical, unacceptable, and potentially unlawful course of action from one of the nation’s largest retailers.” In particular, Warren identified a book by osteopathic physician Joseph Mercola and Organic Consumers Association founder Ronnie Cummins, called “The Truth About COVID-19: Exposing the Great Reset, Lockdowns, Vaccine Passports, and the New Normal,” as perpetuating “dangerous conspiracies about COVID-19 and false and misleading information as vaccines.” According to Warren’s letter, the book was listed as the first result when staff searched “COVID-19” and “vaccine.” Warren concluded the letter by requesting that Amazon perform a review of its algorithms, provide a public report on the extent to which its algorithms direct consumers to products containing COVID-19 misinformation and create a plan to modify its algorithms “so that they no longer do so.” On Nov. 7, the publisher, Chelsea Green Publishing, and authors of the book filed suit against Warren, writing that her letter violated their First Amendment right to publish books
that challenge government orthodoxy. The suit bases its arguments on the precedent set in the Supreme Court case Bantam Books, Inc. v. Sullivan, which held that state officials violated the First Amendment by “sending letters to booksellers warning that the sale of certain named books was potentially unlawful.” The lawsuit claims that on Sept. 10, 2021, as a result of Warren’s letter, national bookseller chain Barnes & Noble notified the publisher of “The Truth About COVID-19” by email that it would no longer sell the work as an ebook. The suit alleges — without providing specific evidence — that Amazon either has been or is now “covertly demoting, downgrading, or otherwise suppressing” the book. The suit acknowledges that Barnes & Noble reversed the decision several days later; neither Barnes & Noble nor Amazon are listed as defendants in the case. Mercola wrote in an emailed statement that in bringing the suit, he hopes to protect free speech and First Amendment rights, as “preserving open and free debate is central to our democracy.” “I believe successful treatments for COVID-19 have been suppressed, and there are real conspiracies that have been revealed that are essential to public well-being,” he wrote. In an official statement, Chelsea Green Publishing president and publisher Margo Baldwin criticized Warren’s letter as a move toward ideological control. “We’ve been here before in history and we know where it leads: tyranny!,” Baldwin wrote. “First burning books, then banning books, then disappearing books from search results. It’s all the same thing.” Nathan J. Arnold, a lawyer for the plaintiffs, said that unpopular speech SEE WARREN PAGE 2
As a result of significant spikes in cases of COVID-19 nationwide and in the Upper Valley over the past few months, and in large part due to the onset of the omicron variant, Dartmouth Hitchcock Medical Center is reporting staff shortages and full intensive care units. COVID-19 cases at DHMC have increased during the most recent surge, according to Feller-Kopman. On Jan. 19, New Hampshire saw a seven day average of 2,663 active COVID-19 cases, according to the state dashboard, up nearly five-fold from a seven day average of 589 on Oct. 19, 2021. “So many people have it, you can assume that everyone has it,” FellerKopman said. DHMC epidemiologist Dr. Justin Kim wrote in an email statement that he believes the region is currently in a “plateau” period before cases decline in February. “COVID-19 case counts are not likely to get worse, but they will likely be slow to improve over the next few weeks,” he wrote. Feller-Kopman said that much of the hospital’s most recent surge was initially due to the delta variant, but was soon overtaken by the omicron variant. However, he added that the specific time frame during which the omicron variant took over — or any specific details about the percentage of cases that have been the omicron versus the delta variant — remains unclear. “We don’t get such genotyping on a case-by-case basis,” Feller-Kopman said. However, he added that the hospital has noted a marked trend among the patients being admitted for care. “I would estimate over 90% of the patients who are in the ICU and on ventilators, as well as just general hospitalized patients, are unvaccinated,” Feller-Kopman said. “If you’re vaccinated and boosted, unless you’re otherwise immunocompromised, the odds of ending up really sick are quite low.” On average, the omicron variant is less severe than delta, but hospitalizations at DHMC have increased nonetheless. “Even if we know that omicron is less virulent, just by infecting so many more people, if you have a smaller percentage getting really sick but it’s a larger [total number], you’re still going to have a lot of people who are really sick,” Feller-Kopman explained. Such pressures have put a strain on DHMC’s ICU capacity. According to
Feller-Kopman, the hospital increased its ICU capacity from two teams to four teams and has employed workers overtime during the pandemic, but the ICU has still been completely full at points in the last few weeks. “We unfortunately have had to turn away patients just because we don’t have the capacity to care for them,” he said. Aside from leading to spikes in cases, this most recent surge has led to staffing shortages due to sick staff, a scenario Kim called a “twin-demic.” “Staffing challenges remain … where we are most strained,” Kim wrote. According to Feller-Kopman, even before the omicron surge, DHMC already had trouble finding staff due to the labor shortage in the Upper Valley. In response to these staffing shortages, DHMC has hired travel nurses and solicited the support of FEMA and the National Guard, Kim and Feller-Kopman said. “We can use any help we can get, from administrative to clinical duties,” Kim wrote, adding that “FEMA has been extremely helpful in supplementing our staff in various capabilities.” According to Feller-Kopman, the recent surge has put a significant emotional strain on DHMC’s staff. “People are just tired,” FellerKopman said. “They’ve been working really hard and they’ve been working extra.” Kim echoed this sentiment, noting that staf f are “exhausted” and “frustrated,” especially given the widespread availability of vaccines. “It’s very hard on our staff to have to contend with our ICU being constantly filled with COVID-19 patients and to have to see so much patient suffering day in and day out,” he wrote. Feller-Kopman predicted that the country may be approaching the point where COVID-19 becomes an endemic disease, existing at a relatively stable level in the population. “After we recover from this current surge, and there’s a combination of a whole lot of innate immunity from exposure and ideally vaccination, maybe we’ll get into the phase where this becomes like the flu,” he said. D H M C e m e rge n c y m e d i c i n e doctors Matthew Roginski and Scott Rodi and DHMC pulmonologist Alix Ashare did not respond to requests for comment. Former Dartmouth COVID-19 task force co-chair Lisa Adams declined to comment, pointing to an article she wrote for the Infectious Disease Society of America reflecting on the College’s winter 2021 outbreak.