Blue Light
I’m sharing this map in order to set the stage for the rest of the newsletter. Nobody that I know would have predicted back in March when COVID began to be an issue that in the run-up to the end of year holiday seasons, we’d be experiencing record-setting infection and fatality numbers. But here we are. And this map shows that Arizona is nearly all dark red, and that we’re certainly not alone.
On Friday, Tim Stellar called and asked me about the curfew we just adopted. I’ll write more about that below, but my comment to Tim was that,, at least for me, I didn’t support it because I felt it’d be a COVID game-changer. The hospitals want more strict measures – those will have to come from the State. My support of the measure was to link arms with the hospital folks in sending a message to the Governor that this is out of control and he needs to act. Moving the time back to 10 pm was an effort to reduce the impact on restaurants. But COVID is spreading as a result of behavior. And if we moved the needle just a little with the curfew, I’m ok with that. Showing our on-going support for our health care institutions was a significant reason for my support.
So keep that map in mind as you read. As I mentioned to the Pima County Interfaith group last week, this situation isn’t going away anytime soon. And in March, there’s no way I’d have predicted that in December, I’d be writing that sentence.
Craig Spencer is the Director of Global Health in Emergency Medicine in New York. But it doesn’t matter which E.R. he works in. The conditions right now are the same all over the Country.
Craig put together a short video of what life is like right now for Emergency Room workers – in the COVID era. You can use this link to watch it. Don’t cut it short after a minute – the full effect grows, as does the strain and stress on our health care workers. It’s not graphic or gross, so even if you’re squeamish, it’ll be ok for you to watch.
This week’s blue light honor is once again for health care workers. Each week for the past month, things have only gotten worse. The situation inside hospitals is impossible to describe to we who are just going about our daily affairs on the outside. Craig’s video is 1 day in their life – and it’s followed by another, and another.
On the news the other night, I saw a nurse being interviewed – again, it doesn’t matter which City she worked in – she was clearly emotionally strained, saying that when she got home, before she could spend any time close to her kids, she first had to get her clothes into the laundry and take a shower. Keep that in mind as I share thoughts about our curfew, and some of the blowback we’ve heard, principally from some bar owners.
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Curfew
The curfew we adopted last week runs from 10 pm until 5 am. It will not cure COVID, it might move the needle a bit, it will not tank the economy, and it did not deserve the heated response it generated. It sent a message. A needed and important message to the State, on behalf of hospital workers, and those of us who watch the news every night in disbelief as we continue to see large gatherings in bars and other private spaces. The message is embedded in the numbers. The numbers represent people.
When the curfew was first presented to me, I was told the hospital association wanted us to pass an 8 pm curfew, and that they were going to advocate that the Governor do the same. That turned out to be partially accurate. In fact, the hospital association said our proposed 8 pm curfew didn’t go far enough to be effective. They also want a return to the Statewide shelter in place Ducey had in effect late last spring. We do not have the authority to do that locally. When I was first told they supported the 8 pm curfew, I felt we should certainly support the health industry. When I learned, they didn’t feel it would be effective on its own and that they were lobbying for even more strict measures, other factors needed to be weighed.
In the run-up to the vote, I spoke to representatives from the hospital industry, Pima County, and to numerous members of the restaurant and bar industry, as well as other retail. Pima County had a voluntary 10 pm curfew in place. Why 10 pm? Because they didn’t want to crash the restaurants. The managers of the restaurants I spoke with each said they could live with a 10 pm time frame, but needed some time to burn off some of the perishable goods they had just received. I also had contact with the theaters. Having to stop showing movies at 8 pm would effectively kill their business. Few people go to a movie that begins before 6 pm. And theaters are selling limited seating tickets anyway. The 10 pm curfew worked for them as well. Bars? They want to keep selling until 2 am. If we impose the 10 pm curfew, that last 4 hours of possible spread is the small move in the needle I hope to see. It is not nearly what the hospitals are after. That would need to come from the State.
When I spoke with Paul Cunningham ahead of the meeting, we agreed that 10 pm with a 72 hour lead-in time made sense. I stand by that. With the numbers headed in their current direction, and with the hospitals advocating for even more stringent measures, in solidarity with them, we couldn’t do nothing. I believe we landed on a good compromise that sends the right message to not only the State, but to the public; COVID is out of control. Consistent with Pima County and CDC recommendations, please stay home when you don’t have to be out.
The picture on the left is of a medical team turning a COVID patient from the supine position over to the prone position. It takes a minimum of 5 staff to do it – and it happens in ICU’s multiple times per shift. The photo on the right is a busy bar. We sent a message to the folks on the right that our priority is with the folks on the left.
I’ll have more data below, but our Statewide positivity rate last week was 15% - and trending up. Our rather symbolic curfew aligns with the message from the hospital workers.
Governor’s Response
Predictably, the day after we adopted the curfew, Governor Ducey held a press briefing. In it, he announced yet another Executive Order (EO.) Actually, he issued 3 more EO’s. That makes 60 this year. Credit to Mayor Romero – she convened a meeting of the governing body, we discussed options, and finally decided on a course of action. That’s how public policy should work.
One EO was likely unnecessary in that it guarantees free access to a vaccine when one becomes available. That’s already the plan from D.C. But if he feels empowered by verifying it through an executive edict, then fine.
The next new EO relates to permits for large public gatherings. He continues to fail to define what such a gathering is, and we’re already not issuing permits for large public gatherings. So the new requirements he includes in this EO were irrelevant to how we’re doing business. Here’s the operative part of the EO:
It changes nothing we’re doing.
The final EO from last week relates to outdoor dining. We’re already doing this as well. In fact, I’ve written about extending outdoor premises more than once in this newsletter. I’ll give the Governor credit for maybe trying to fix one problem with adopting outdoor dining. When we’re giving an extension of premises for a restaurant, we cannot also extend their ability to sell alcohol unless the outdoor dining is immediately adjacent to the restaurant. You cannot have customers exit the building, cross a sidewalk, and then enter the new outdoor dining area. If he was trying to fix that, then ok. But this is all he says in the new EO:
So it appears to say we can now give the extensions, even when they’re not immediately adjacent to the restaurant, but according to the new Executive Order, the ability to consume alcohol still needs to be within 60’ of the building. That’s something, but it really isn’t going to be the savior of restaurants. If our curfew was largely symbolic, this certainly is as well.
Credit where it’s due. Ducey added $60M for hiring more health care workers. The trouble is that every State in the Nation is trying to hire more health care workers. There aren’t enough. That’s why early in the pandemic, the UA medical school allowed some near-to-graduation doctors to begin serving a bit early. There was a nursing shortage before the pandemic. The same is true of hospital technicians. I was glad to see him recognize the need for more funding, but that doesn’t magically create a new supply of available workers.
Individual behavior is so key. Please do your part.
Community Support
While all of this is happening, there are multiple ways the City and other partners are stepping up to help businesses, non-profits, and families make it through. We’re all waiting to see if Congress will come together and get some more relief out their door. In the meantime, here are some of the actions already happening in support.
From the City’s CARES allocation, we’re right now at about $50M in community support. This chart breaks down the amounts we’ve allocated, and the general categories the money has been directed to. For each category, there are people behind the description who are working directly with applicants and helping to get the money into their pockets. I’m grateful for all of those workers – most of whom never get thanked, but all of whom deserve to be recognized for the humanitarian work they’re involved with.
When I write about us waiting on another round of Federal relief, these are examples of the sorts of needs that money is meeting.
Our partners at Rio Nuevo have also allocated $1M in support of the businesses that exist within the downtown Rio Nuevo District. The YWCA is evaluating applications. Businesses can apply for grants in amounts up to $50K. The business must be within the District, have fewer than 50 employees, and the revenue lost must be associated with COVID. All of that is explained during the application process. But another $1M comes at a critically important time.
I met last week with their Director Tony Penn and one of his staffers, Ken Briggs. I know Ken from his days at the International Rescue Committee. And Tony is a well known all-around good guy who’s doing a great job leading United Way. They painted a wonderful picture of how the money donated through the United Way is touching COVID-related needs throughout the community.
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Your United Way donations are funneled through some of their many partner agencies. How about this list – the array of needs they’re touching is one of the keys to the on-going popularity of the United Way.
Through those partnerships, they’ve directly supported thousands of people in Tucson and Southern Arizona.
Catholic Community Services – Rent Assistance
Another long-term partner of ours at the W6 office is Catholic Community Services (CCS.) We’ve been working with them for several years, helping move migrant families through Tucson and onto their next of kin. It’s the work many of you took part in at the Benedictine. Now CCS is working to get rental assistance CARES Act money into the right hands.
This is money the City allocated out of our CARES allotment. The CCS program has income qualifications. Use this chart to see if you qualify before contacting them:
The need must be based on COVID-related income factors. Those can include things such as having been laid off due to workforce reductions related to COVID, having had your hours reduced, or illness. They must get the funds distributed this month, so don’t wait on applying. These funds can also be used for utility payment assistance.
Contact CCS at 416.4760 if you want to check further on this program.
I write about the challenges we have with COVID and share the heartbreaking loss it’s bringing. And yet, it’s also important to recognize the great support work being done by hundreds of you throughout the region. Neighbor helping neighbor is one of the reasons this is such a great place to live.
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Eviction Update
Last week I met with members of the Pima County Interfaith Council. They had seen what I wrote in last week’s newsletter about the eviction tsunami headed in our direction and wanted to share thoughts on ways we can prepare for it. Or avoid it. There are no magic bullets, but right now is the time to be sharing your thoughts with the State. For more on that, please look back at last week’s newsletter and review what State Senator Kirsten Engle and others are advocating for with Ducey.
Eviction Lab is a website that tracks evictions nationwide. This link will take you to their site.
The most recent data they have is from 2016, but it will, at the very least, give a sense of how widespread this problem is. And COVID is only making it worse. I cut off this graphic at the top 25. Why? Because Tucson is #25 nationally in evictions. That lends even greater importance to the work Kirsten is trying to do at the State level. Here are the rankings:
If you’re inclined to write the Governor about this, some of the important changes he should make in the current eviction program include extending the eviction moratorium, and easing the process for people to make an application for rent assistance/eviction prevention dollars. I’ve heard him brag about how much money the State has earmarked for eviction assistance, but the reality is millions of dollars are sitting in that account unallocated. If it’s not out the door, it’s not helping people.
During my call with Tony and Ken from the United Way, they also brought up their work on helping people with tax returns. That’s starting early next year, and that money will also help stabilize people’s living situation. But the need for broader change is more immediate than waiting on a tax return. Reach out to Kirsten (kengle@azleg.gov) and she can give you the specifics on how you can help her up at the Capital.
Genna Update
I’ll keep these updates current as things in Genna’s case change. Last week the family received yet another piece of heartbreaking news. The case that has lingered for over 8 years was ‘vacated.’ There were conflicts of interest involving the recently elected County Attorn. Hence, ey, so the Court had to move it to another jurisdiction for trial.
Back around the time of the primary election, I wrote that the eventual winner of the election had received a campaign contribution from the killer. She returned it, but the fact that it had been offered and accepted was one factor in vacating the trial to a new jurisdiction. The other is that the new County Attorney has family ties to one of the people who conducted a psychiatric evaluation of the shooter. Together those factors have caused Pima County Attorney’s Office to have to step away from the trial. The family was given two equally unattractive options.
In each option, they’ll keep the same judge who has been assigned. So it won’t be a matter of having to travel to a new City to continue taking part in the process. One of the options was to allow that judge to decide on the case based on the facts in front of him, and including the possibility of probation. The family has rejected that possibility every time it has been suggested. And right now, with courts trying to keep people out of jail due to COVID, probation for killing Genna becomes a real possibility under this option. So the other option was to assign the case to a new attorney’s office and start again. That could be the State Attorney General, or some other County Attorney from a different County. The family does not get to choose.
I met with the family last week and listened to them weigh each option. Each one has it’s advantages, and each opens some vulnerabilities. Ultimately they decided to reject again the possibility of probation and roll the dice on a new jurisdiction. At this point, we don’t know what that will mean in terms of time delays, which in our system means justice denied.
I will say that this is a strong and united group. They’ve lived with this horror for over 8 years. Nobody in the family was advocating for cashing in their chips and walking away from the table. I’ll be there with them, and will continue to let you know how this unfolds.
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The Covid Tracking Project
I include each week a list of links you can use to track any of the various COVID-related measures. I’m adding one this week because it’s graphics are timely, and they really paint the picture of where the virus has taken us. The site is www.covidtrackingproject.com. I began this week by sharing thoughts on over-stressed our health care workers. This graphic from the COVID Tracking Project makes the point:
We are more than double the July high-water mark for hospitalizations. And based on the Thanksgiving behaviors we watched last week, expect that trend to continue in the bad direction. Last week in Pima County, there was 1 ICU bed available to the general public, and regular medical/surgical bed availability was the lowest it has been in this region since the pandemic began.
The UA COVID Modeling team issued a report recently. It was forwarded to Ducey, so he’s aware of this public health advice. In it, they made this declarative statement:
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The City of Tucson has a standing agreement with the State through which they can alert us at any time that they need the TCC as an alternate care facility. It will not surprise me if that call comes before Christmas.
Here’s a little more data that shows the spike we’re experiencing. In the first 6 days of December, we’ve had 5,307 new cases in Pima County. In March, April, and May, we had 2,278 total cases – combined for all 3 of those months. In August, we had 4,746 in the entire month. In September, we had 4,342, and in October, we had 2,892 total cases.
In the past week, we’ve exceeded all of those totals.
What about fatalities in Pima County? This graphic tells the story. Remember, the December totals are just the first week of the month. And that week does not include the spike we’ll see around mid-month when the Thanksgiving numbers start to appear.
In early October, when we hosted the Week of Mourning at Himmel Park, there were 622 deaths in Pima County. Since then, we’ve jumped to 730. That means since the October 4th memorial; we’ve, we’ve been averaging nearly 2 deaths per day in Pima County from COVID.
I received an email from some lady last week who wanted to argue about us “closing down the parks again.” We have not closed down the parks. We’re not taking reservations for use of the ramadas, and we’re not booking sports tournaments. The tension and hair-trigger readiness to fight over our policy changes is really evident in the emails and calls we get. The lady didn’t want to hear it, but here’s the reality; we’re responding to data, and to the recommendations of our public health experts. I say it every week – it's peoples’ behaviors that are causing this virus to continue finding new homes. And it’s costing more and more people their lives.
If you see a business that’s not complying with the Pima County Health guidelines, use this link to report them. Even Ducey said that on a second violation, the State is ready to start pulling liquor licenses.
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Vaccine Tracker
The NY Times put together a site that allows you to see where you might be in line when a COVID vaccine comes out. I know it’s sort of guesswork, but it’s fun to see generally where you’ll be in line when they start distributing the vaccines. When I punched in my data, this is what I got from the site:
Well, not particularly at the front of the line, but I guess that’ll give me time to see what side effects others are having before I step up for my shot.
It’s not scientific, but if you’d like to see where you are in line, click here. You’ll also see what categories of other people are in line with you.
Be Kind
This week’s Be Kind is for my City Council colleague Richard Fimbres, along with his staff. They reached out to Congresswoman Ann Kirkpatrick and her team, asking if they could break free some blankets for us to distribute to those in need. Ann’s office responded and confirmed that 10,000 disaster relief blankets will be distributed through the Salvation Army. In her letter, the Congresswoman says, “the effort was initiated by your action to encourage expedited delivery.” Good work, Richard and the W5 staff.
The Federal Homeless Blanket Program is active, and it’s funded for this fiscal year. The Program manager confirmed that the request for the 10,000 blankets is being filled using the existing stock. They’ll be sent to support the work of the Tucson Pima Collaboration to End Homelessness (TPCH,) using the Salvation Army as the pass-through. The TPCH is the group Ann Charles, and I have been working through on the hotels and other COVID homeless protocols. With the temperatures dropping, this help from Representative Kirkpatrick, and from Richard’s office comes at the right time.
And one other mention in this week’s Be Kind is to honor the recognition Mark Clark from the Pima Council on Aging received last week. That group has been active in food distribution, and other services to seniors throughout COVID. I partnered with PCOA on the social isolation Zooms we held back when all of this was new. They continue doing great work in support of our seniors.
Mark was given the 2020 Lifetime Achievement Award from the Arizona Chapter of the National Association of Social Workers. Unfortunately, due to COVID, the award didn’t happen at a large in-person gathering. But I know Mark is honored to be recognized. I appreciate both his work, and that of PCOA. It’s a well-deserved award.
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Small Cell Poles
Last week I met virtually with several members of the Verizon management team. The topic was how we get a voice in their pole site selection before it’s all a done deal. Also included in the meeting were some of our Transportation Department leadership. I’d describe it as having been a productive exchange.
Right now, many of you are painfully aware that you can wake up in the morning and find this at the corner of your block. It’s the construction of a new small cell pole. There will be thousands of them scattered around the City. The companies do not have to alert you as to location, timing, work plan, or any of the items I generally cover with contractors and residents when we do pre-construction meetings. Thank the State legislature for the fact that we have no voice.
Right now, Verizon has identified all of the sites they’re planning on installing poles for the rest of the year. Currently, they conduct ‘preliminary site selection’ meetings with City staff only for poles going into historic districts. I’ve asked for those meetings to take place for all poles, and for them to be expanded to residents as well as staff. We got part of the way to that solution.
Verizon will be submitting their proposed 2021 ‘Build Plan’ in January. That is the preliminary look at where they want to place poles during the next calendar year. They’ve committed to passing that list along to me, letting me go through it and pick out the locations that merit a preliminary site conversation with our office, and with you. There will be some planned for major arterials that won’t affect residents. But the Verizon management said where I pick out those that will be sensitive; they’re, totally up for a meeting before the site is finalized, and making sure the location isn’t going to cause some of the issues we’ve recently seen. They’re not required to do this, so I appreciate their willingness to invest that extra step and being a good corporate community partner.
I’ve asked Transportation staff to now reach out to the other providers and get us scheduled for meetings with them as well. It does a little bit of good to have one provider agreeing to this. But that’s negated if 3 or 4 others just continue along the same path they are on now. So, some progress. Hopefully, the Verizon competitors will see them leading in this and follow suit.
The state legislature will be meeting in the caucus soon to decide which bills to include in the upcoming session. Returning local voices to this issue must happen. Let your State legislators know this is a big deal locally.
COVID Trends in Arizona
If you’re a health care worker, one of the most concerning data points we’re tracking is hospitalizations. This graphic comes from the Arizona Department of Health Services website. It tells a pretty clear story. And remember, it does not include what will be happening in 1-2 weeks when the Thanksgiving impacts begin to hit the people who work in the system.
That reflects in-patient COVID patients. We started this in March. I’m keeping this map in the newsletter for a while so we can remember where this began.
With that, compare the March map (above) with today’s (below):
No change in the Harvard Global Health picture of Arizona. Everyplace in the State is still in the Red risk category, which calls for a shelter-in-place protocol. Governor Ducey will not be implementing anything like that, any time soon. That shifts the burden to each of us to practice safe behaviors.
Sustainable Tucson
This month’s Sustainable Tucson meeting will have more of a holiday party flavor than the usual lecture/dialogue on all-things-environmental. It’s all going to be family-friendly, so log into the meeting this week and have the family gather around. There will be a variety of activities.
The meeting will be a combination of music, dance, storytelling, some drama, and even some cooking demonstrations. I know, it’s not what this group usually does, but COVID is bringing out the creativity in many of us, so they’re sharing that side of their brains this month.
What’s Happening at Colleges Around the Country
During last week’s UA press briefing, they talked about the recent addition of on-line Ashford College to the UA’s offerings. It’s a controversial entre into virtual schooling using an institute that was sanctioned for violating standards and other issues. It’s not COVID-related, so I won’t cover it here. The Grand Canyon Institute put together a good paper on the controversy. You can find it at this link:
There continues to be COVID news from schools across the Country, though. At East Carolina U, the Chancellor and some Senior Administrators will be taking furloughs to help the school financially. They’ll be furloughing 23 administrators, including the Chancellor, Chief of Staff, Vice-ChancellorsVice ,Chancellors and Deans. The furlough will be for 10 days between December and the end of the fiscal year. It’s supposed to save about $250K. That’s roughly the salary of the #2 guy in UA athletics. I hope it saves some of the line workers’ jobs at their school.
At UNC, Chapel Hill, several dozen faculty members have reached out to Administration at the school and advocated for remote learning in the Spring. Their reasoning is that when students return after the break, the campus is likely to be overwhelmed by COVID transmission. They cited a similar decision recently made at the U Michigan in Ann Arbor. This is a quote from the UNC faculty letter: “We call on UNC administrators to put public health first, to show courageous leadership, and to accept the realities that the unchecked coronavirus has created for us all.” Right now, the University’s spring semester plans call for housing students in only single occupancy dorm rooms, conducting both entry testing and regular surveillance testing. It’d be great to see something similar with respect to off-campus students coming back into Tucson. You can read the full letter from the UNC faculty here: an open letter
Last Tuesday, the National Academies of Sciences, Engineering, and Medicine published some recommendations on testing for Colleges. In it, they were careful to remind administrators that Colleges and Universities are not a bubble in the middle of a community. This language comes from their report:
The paper also made these recommendations:
- Test asymptomatic students frequently (how frequently depends on your situation).
- Analyze testing data regularly, and use it to target testing efforts. Colleges can, for example, temporarily administer even more tests when outbreaks arise in a residence hall or Greek-letter house.
- Respond to positive tests quickly. Students who test positive should go into isolation “within hours, not days,” and their contacts ideally should be found and tested “3 to 5 days after exposure.”
No mention of any constitutionality concerns with respect to testing students who don’t live in on-campus dorms.
And this is Bruce Holle
After a 45-year teaching career that began at the UM in Ann Arbor, and finishing at the UK in Lexington, Bruce retired. He lasted 19 months into retirement before dying last week due to COVID-related complications. Each week for the past several newsletters, I’ve included photos of people we’ve lost due to COVID. Many have been related to Colleges and University’s. It’s intended to be sure we don’t get lost in the data and to remember every ‘data point’ relates to a person who has left behind loved ones. Bruce left a campus community, over 10,000 students he had taught, and of course, his family.
Pima County Health Department portal: https://www.arcgis.com/apps/opsdashboard/index.html#/426baca70718453a9f63a4f85e545d8b
The national CDC site: https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/index.html
For the NY Times data sets, use this link:
https://www.nytimes.com/interactive/2020/04/23/upshot/five-ways-to-monitor-coronavirus-outbreak-us.html
And you can find the Harvard data on this site: Harvard Global Health Institute Key Metrics
The State Department of Health site is at this link: www.azdhs.gov.
And track the advice on public schools through this link: https://www.azed.gov/communications/2020/03/10/guidance-to-schools-on-covid-19/ You can find all the dashboard information at the “School Reopening Public Health Benchmarks” spot. And here’s the UA daily update link. www.covid.arizona.edu. When it opens, click ‘See Latest Updates,’ and it’ll take you to a screen with the updated data.
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Sincerely,
Steve Kozachik Council Member, Ward 6 ward6@tucsonaz.gov
City of Tucson Resources
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