To respond to the
daily public health needs of Louisianans, the Louisiana Department of Health
has divided the state into nine regions. Each of these regions is led by a
regional medical director (RMD) or administrator who oversees the parish health
units in their region. Regional medical directors are in constant contact with
state health leadership and local leaders to help guide Louisianans through the
COVID-19 pandemic, particularly among key demographics.
In this Q&A blog
series, these public health leaders will be answering many of the same questions, and
together they will paint a statewide perspective of the COVID-19 pandemic and
their communities’ response. Today, you’ll hear from Region 4’s Dr. Tina
Stefanski, Regional Medical Director for the parishes of Acadia, Evangeline,
Iberia, Lafayette, St. Landry, St. Martin and Vermilion.
The most common questions now are about the transition back
to schools and how they will open again, safely, for teachers and students. We
have been assisting public and private schools with their plans to open,
reviewing our guidance with local school officials and answering their
questions.
These are not just pre-opening conversations, as I fully
expect to be having these discussions and addressing questions over the next
several months. You have to remember: There is no playbook for this. We must be
ready to deal with each new situation as it comes up. Although this will be challenging,
we are committed to having schools reopen safely.
What safeguards will be put into place to limit the spread
of the virus on school campuses? What is the notification process if a child or
faculty does become ill? What are the triggers for quarantining students and,
potentially, classes?
It is not just a school-to-parent communication. We need
parents to be fully transparent and notify the school if their child is ill and
if they have or may have COVID-19. This information will help us and the
schools determine if there were any possible exposures in the school setting.
Earlier on, I think people did not fully understand the
reasoning behind the wearing of a mask. All of that seems to be improving. It
has been great to see the increase in compliance with mask wearing in our
Acadiana area since the Governor’s mandate. The people of Acadiana really have
responded to this preventive measure, which is encouraging.
When it comes to large gatherings, the news isn’t the same. We
still see people gathering in large groups and not maintaining physical
distance, especially at social events like weddings and dinner parties. We’ve
had more than one report of a guest who becomes ill shortly after attending a
wedding. They were contagious at the wedding and inadvertently exposed other
people, who then became ill.
Changing behavior is hard. We have a very friendly, outgoing
culture here in Acadiana. The idea of social distancing is very new for all of
us, but it is such a critically important piece to slowing down transmission,
flattening the curve and, ultimately, saving lives.
When people test positive, feel ill or were a close contact
of someone with COVID-19, they must
stay home. We really need to do a better job of protecting our friends, family
and community.
A big challenge is getting the message across about the role
of asymptomatic spread: people who have COVID but no symptoms, or their
symptoms are very mild. They are still
contagious. When people don’t feel so bad, they are often reluctant to stay
home. Or, they think that their symptoms might be related to something other
than COVID. With this virus, there is such a wide range of symptoms and the
clinical picture is quite diverse — it really is challenging. Some people may
have only a sore throat, mild headache and fatigue. Others, a cough and
fever. Still others might only lose their sense of taste or smell.
When you live in a community with such a high level of viral
activity — as we have now — you have to suspect COVID when you have any of
these atypical symptoms. Then, stay home and monitor your symptoms. If they
persist or progress, seek medical attention and testing. But, please remember to stay home while you await your test results.
While staying at home, be sure to avoid close contact with
people who have high-risk conditions such as high blood pressure, heart
disease, diabetes, obesity or lung problems, or those who are older than 65. Older
people are more at risk of becoming severely ill or dying from infection with
this virus.
It’s uplifting to hear the stories of people who have had severe
cases and are fortunate enough to survive, but it’s also hard to hear of their lingering
health problems.
The most upsetting thing has been the loss of life in our communities.
This is ultimately what we, as a community, need to pull
together to prevent. We don’t want any other person or their family members to
suffer from these sad outcomes.
On a very positive note, we have a tremendous healthcare
community in Acadiana. The medical care delivered through our outpatient
clinics and hospitals is top-notch. We are incredibly fortunate to the have the
resources that we have here in Acadiana.
We have been busy with community-based testing. Our goal is
to direct testing to the places where we are seeing higher numbers of cases,
elevated positivity and hospitalizations, and to communities where access to
testing may be limited. I am still concerned about the slow turnaround times,
but they are improving. This is another hopeful sign.
We also remain very focused on nursing homes. As a state, we
have implemented routine facility-wide testing. This helps identify cases early
on and limit the spread of infection. Nursing home residents are the most
vulnerable of us. We are committed to doing all that we can to protect them.
We continue to work with our public officials, medical
professionals, community leaders, non-profit organizations and the general public.
We are sharing information and answering questions so we all have the tools we
need to protect the health of our families and communities.
We are fortunate to have multiple, active workgroups and healthcare
coalitions, well established and extremely helpful communication networks
between hospitals, physicians, public health and public officials. This remains
a rapidly evolving pandemic — guidance is updated, situations change — and we communicate
well and often through these networks.
