Former New York Gov. Andrew Cuomo set to testify on COVID-19 nursing home policies
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(WASHINGTON) — Former New York Gov. Andrew Cuomo is set to publicly testify Tuesday before Congress on his administration’s nursing home policies during the early days of the COVID-19 pandemic.
The hearing, before the Republican-led House Oversight and Accountability Select Subcommittee on the Coronavirus Pandemic, will see Cuomo defend his decision to allow COVID-19-positive patients back into nursing homes and long-term care facilities while the pandemic was underway.
Cuomo previously testified before the subcommittee during a closed-door hearing in June. Transcripts from that interview, as well as with high-ranking officials during Cuomo’s administration, will be released ahead of the public hearing.
“Andrew Cuomo owes answers to the 15,000 families who lost loved ones in New York’s nursing homes during the COVID-19 pandemic,” subcommittee Chairman Rep. Brad Wenstrup, R-Ohio, said in a statement last week. “On September 10, Americans will have the opportunity to hear directly from the former governor about New York’s potentially fatal nursing home policies.”
In March 2020, as COVID-19 cases were surging, Cuomo issued an order requiring nursing homes to readmit all residents who were “medically stable” and returning after being hospitalized for the virus.
“No resident shall be denied re-admission or admission to the [nursing home] solely based on a confirmed or suspected diagnosis of COVID-19,” the order read.
It further stated that nursing homes were “prohibited from requiring a hospitalized resident who is determined medically stable to be tested for COVID-19 prior to admission or readmission.”
At the time, Cuomo explained that the order would help expand hospital capacity to meet the demands of caring for the sickest COVID-19 patients. After facing criticism from nursing home advocates, however, the governor amended the order in May 2020, prohibiting hospitals from discharging patients to nursing homes unless they first tested negative for COVID-19.
Cuomo fought back against criticism of his policies and, in July 2020, a report from the New York State Department of Health (NYSDOH) stated that COVID-19 was introduced into nursing homes by infected staff, and that peak staff infections correlated with peak nursing home resident deaths. The report also found that “admissions policies were not a significant factor in nursing home fatalities.”
However, in January 2021, New York Attorney General Letitia James released a report that found the NYSDOH had undercounted the number of nursing home residents who died of COVID-19 by as much as 50%, and failed to count in its official death tally nursing home residents who died of COVID-19 after being admitted to hospitals.
In 2022, Cuomo’s representative said the Manhattan District Attorney’s office would not file criminal charges in connection with the former governor’s handling of nursing home deaths during the pandemic.
Earlier this year, an independent investigation, commissioned by current New York Gov. Kathy Hochul, found that although Cuomo’s nursing home response policy was based on “the best available data at the time,” communication to the public was poor and caused anxiety for family members of nursing home residents.
“Even the most well-intentioned policy had unforeseen consequences in [New York state] nursing homes,” the report read.
(NEW YORK) — A New Hampshire resident died after being infected with a rare mosquito-borne disease, health officials said Tuesday.
The resident, an adult from Hempstead — near the southeastern border with Massachusetts — had tested positive for Eastern Equine Encephalitis virus (EEEV). The patient was hospitalized due to severe central nervous system disease and died of their illness, according to an update from the state’s Department of Health & Human Services (DHHS).
This is the first reported human case of EEEV in New Hampshire in a decade after three people contracted the disease in 2014, two of whom died, DHHS said.
It’s unclear when the resident, who recently passed away, first became infected with EEEV. No other details were available including name, age or sex.
In addition to the person infected with EEEV, the virus has also been found in one horse and seven mosquito batches in New Hampshire so far this summer, according to the health department.
Neighboring states have been experiencing similar threats. In Massachusetts, 10 communities were designated as being under high or critical risk of the virus, according to the state’s Department of Public Health. Many of the areas began implementing targeted mosquito spraying to protect residents.
“In New Hampshire, mosquitos transmit infections including Eastern Equine Encephalitis Virus, West Nile Virus, and Jamestown Canyon Virus,” Dr. Benjamin Chan, New Hampshire’s state epidemiologist, said in a statement.
“We believe there is an elevated risk for EEEV infections this year in New England given the positive mosquito samples identified. The risk will continue into the fall until there is a hard frost that kills the mosquitos. Everybody should take steps to prevent mosquito bites when they are outdoors,” the statement continued.
EEEV is a rare but serious disease that spreads by bites from infected mosquitoes. It does not spread via touching or droplets from coughing or sneezing, according to the Centers for Disease Control and Prevention (CDC).
Most people who are infected either show mild symptoms or no symptoms at all. However, severe cases usually begin with fever, headache, chills and vomiting before progressing to encephalitis, which is swelling of the brain, or meningitis, which is swelling of the membranes that surround the brain and spinal cord.
Many survivors have ongoing neurologic problems including convulsions, paralysis and intellectual disability, and about 30% of encephalitis cases from this virus result in death.
There are no human vaccines and no treatments specifically for EEEV. The CDC says rest, fluids and over-the-counter pain medications may help relieve some symptoms.
As of Tuesday, four cases have been reported aside from the New Hampshire case — with one case each in Massachusetts, New Jersey, Vermont and Wisconsin, according to the CDC.
The New Hampshire DHHS said residents can protect themselves by using effective mosquito repellents, wearing long-sleeve shirts and long pants when outside and avoiding outdoor activities when mosquitoes are the most active, including early in the morning and during evening hours.
Additionally, residents are advised to remove standing water from around their homes, which attracts mosquitoes, and to make sure doors and windows have tight-fitting screens.
(NEW YORK) — As mosquito season continues, public health officials in the U.S. have been tracking several different illnesses caused by the pesky flying insect.
Health officials are reporting at least eighteen deaths from West Nile virus in the U.S. this year, with three recent deaths recorded in Wisconsin and Illinois. There have been six cases of eastern equine encephalitis (EEE), including one person who died after testing positive for the virus, as well as dengue cases recorded in several states. The viruses that cause all three illnesses are transmitted to humans via mosquito bite.
“What we’ve seen is a rapid uptake in certain viruses that haven’t been in the limelight in recent years. Both West Nile virus and ‘triple E,’ which is eastern equine encephalitis, have had an uptick, particularly post-COVID,” Dr. Larry Han, an assistant professor of public health and health sciences at Northeastern University in Boston, told ABC News.
“There’s also been a rise in dengue relative to what we’ve seen in recent years. And so, these ‘triple threats,’ you might say, have led to more attention and more worry among the general populace.”
Experts who spoke with ABC News said some of the uptick is due to the “randomness” regarding which seasons have a greater number of cases than others, coupled with the general rise in mosquito-borne viruses during the summer and early fall months.
Here are some ways to tell the difference between West Nile, EEE, and dengue. However, if you’re concerned you might have contracted any of these viruses, you should contact your doctor immediately.
How common are West Nile, EEE and dengue?
West Nile virus is the leading cause of mosquito-borne disease in the contiguous United States, according to the Centers for Disease Control and Prevention (CDC). It was first identified in the Western Hemisphere in August 1999 after people were diagnosed in New York City.
Dengue viruses are spread through bites from infected Aedes species mosquitoes, mostly found in tropical and subtropical regions of the world, according to the CDC. These mosquitoes are also responsible for spreading Zika and chikungunya viruses.
“It would be very rare to see dengue cases unless you lived in more tropical climates, so you might see this in Florida, some Southern states along the East Coast, but, for example, you would nearly never see this in Massachusetts or in the Midwest or West,” Han said.
Comparatively, EEE is quite rare, with only a few cases reported in the U.S. every year. However, similar to dengue, most cases occur in the Eastern or Gulf Coast states, according to the CDC.
What are the symptoms?
The majority of people with West Nile virus do not present with symptoms, but about one in five will experience fever along with headaches, body aches, joint pain, diarrhea, vomiting, or a rash. Symptoms typically disappear in a week or less for most people but weakness and fatigue may last for weeks or months. For some people, however, the disease can progress to something far more concerning.
“About one out of 150 of those people that develop signs and symptoms can actually develop a more severe disease, like West Nile encephalitis, where we have the swelling of the brain that could potentially be fatal,” Dr. Thomas Duszynski, director of epidemiology education at the Indiana University Richard M. Fairbanks School of Public Health, told ABC News.
Similarly, about one in four people who contract dengue develop symptoms lasting two to seven days, but symptoms are usually mild and may include fever, rash, nausea, vomiting, muscle pain, joint pain and bone pain.
Duszynski explained that most U.S. dengue cases are typically seen among people who contract it while traveling abroad, where dengue is endemic or where cases are more common, and who then bring the virus back to the U.S. Because dengue’s symptoms are not specific to the virus, they’re often confused with other illnesses, according to the CDC.
Most people who are infected with EEE show either mild symptoms or no symptoms at all, according to the CDC. However, severe cases typically present with fever, headache, chills and vomiting.
Like West Nile virus, EEE also can progress to a more severe condition, like encephalitis or meningitis, the latter of which is swelling of the membranes that surround the brain and spinal cord. Many survivors can experience ongoing neurologic problems, including convulsions, paralysis and intellectual disability. About 30% of encephalitis cases caused by EEE result in death.
“I think the mortality risk if one were to contract dengue or West Nile virus would be very low. For EEE, it’s the opposite; it’s very high,” Han said.
Treatments and vaccines
There are no disease-specific treatments for any of the viruses. The CDC recommends rest, fluids, and over-the-counter medications to relieve symptoms. Patients with severe illness often need to be hospitalized and receive additional supportive treatments, such as intravenous fluids.
There also are no vaccines available for West Nile or EEE. However, a dengue vaccine is available in the U.S. and is FDA approved for children between ages 9 and 16 who have a laboratory-confirmed previous dengue virus infection and who live in areas where dengue is endemic.
The vaccine also is available in Puerto Rico and is part of the territory’s routine childhood immunization schedule, the CDC said.
Dengue can be caused by dengue virus strains 1, 2, 3 or 4, with a person being infected multiple times over the course of their life, Duszynski told ABC News, so a vaccine may be able to help prevent infection from a different strain.
“If I got infected with one strain, if I get bit by this mosquito with the same strain, I’m probably going to be okay,’ he said. “But it’s those three other strains that are out there that … I could get infected with even though I had strain 1.”
How to best protect yourself from infection
There are no differences when it comes to protecting yourself from dengue, EEE or West Nile virus, the experts told ABC News. Prevention methods include using effective mosquito repellents, wearing long-sleeve shirts and long pants when outside, and staying in places with air conditioning, when possible. The CDC also recommends emptying containers of still or stagnant water, to eliminate places where mosquitos can breed.
“The single deadliest [animal] to the human species has been the mosquito,” Han said. “So, while we might think of sharks or we might think of lions or tigers, it’s really the mosquito that has led to the devastation of the human population multiple times throughout history.”
“I’m not saying that we should kill off all mosquitoes, because they play an important role in ecology, but there are various new techniques and strategies people are thinking about to combat mosquito-borne viruses and illnesses,” Han continued. “I’m hopeful that we can make mosquito borne viruses less of a threat to humanity.”
(MADISON, Wis.) — Health officials are warning of the dangers of mosquitoes infected with West Nile virus after three recent deaths were recorded across Wisconsin and Illinois.
The Wisconsin Department of Health Services (DHS) confirmed on Thursday that two people have died and another was hospitalized due to the effects of the virus.
The cases were reported in Outagamie, Fond du Lac and Brown counties, according to the state’s DHS. Wisconsin officials did not release the identity of the individuals.
An average of 18 cases of illness from West Nile virus are reported in Wisconsin every year, according to DHS officials.
Earlier this week, health officials in Illinois announced the first death in the state from West Nile virus after a Lake County resident in their 80s had an onset of symptoms in mid-August and died soon after.
There were six West Nile virus deaths recorded in Illinois in 2023.
“Sadly, Illinois is reporting our first death of the year attributed to West Nile virus,” Illinois Department of Public Health director Dr. Sameer Vohra said in a statement Tuesday.
“This death — and the six that occurred last year in Illinois — are a stark reminder that West Nile virus poses a serious risk, especially to older people and those with weakened immune systems,” Vohra added.
What is West Nile virus?
West Nile virus is the leading cause of mosquito-borne disease in the continental United States, according to the Centers for Disease Control and Prevention.
There have been 289 human West Nile virus disease cases in 2024, according to the CDC.
Cases of the virus occur during mosquito season, which starts in the summer and continues through fall, according to the CDC. It was first introduced in the Western Hemisphere during the summer of 1999 after people were diagnosed in New York City.
Mosquitoes typically become infected with the virus after feeding on infected birds and then spread it to humans and other animals, the federal health agency said.
The majority of people with the virus do not have symptoms, but about one in five will experience fever along with headaches, body aches, joint pain, diarrhea, vomiting or a rash. Most symptoms disappear, but weakness and fatigue may last for weeks or months.
About one in 150 will develop severe disease leading to encephalitis, which is inflammation of the brain, or meningitis, which is inflammation of the membranes that surround the brain and spinal cord — both of which can lead to death.
To best protect yourself, the CDC suggests using insect repellant, wearing long-sleeved shirts and pants, treating clothing and gear and taking steps to control mosquitoes. This last step includes putting screens on windows and doors, using air conditioning and emptying out containers with still water.
Warnings of safety and awareness surrounding mosquito-spread illnesses are being heeded by health officials across the country.
On Tuesday, health officials in New Hampshire said a resident died from a rare but serious case of Eastern Equine Encephalitis virus, also called Triple E.
The patient was hospitalized due to severe central nervous system disease and died of their illness, according to the state’s Department of Health & Human Services (DHHS).
There have been cases reported in at least five states: Massachusetts, New Jersey, New Hampshire, Vermont and Wisconsin.
The U.S. averages 11 human cases of eastern equine encephalitis each year, according to the CDC.
Between 2003 and 2023, there have been at least 196 cases, including 176 hospitalizations and 79 deaths from EEE.
In Massachusetts, 10 communities were designated as being under high or critical risk of Triple E, according to the state’s Department of Public Health. Many of the areas began implementing targeted mosquito spraying to protect residents.
Similar to West Nile virus, Triple E can pose a significant health risk.
Symptoms can range from a febrile illness to more severe neurological problems, according to the CDC.
The disease is particularly dangerous if it leads to encephalitis, or inflammation in the brain, with approximately 30% of people with encephalitis dying.
Many survivors experience long-term neurological issues, according to the CDC, which notes there are no human vaccines or specific treatments available, making prevention crucial.
