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Pittsfield Health Board Talks Nationwide Effort to End the COVID Emergency

By Brittany PolitoiBerkshires Staff
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PITTSFIELD, Mass. With Pittsfield still in the highest incidence rate for COVID-19 transmission, the Board of Health addressed a possible nationwide decision that the virus is no longer an emergency.
 
In late January, President Joseph Biden announced an intent to end national and public health emergency declarations in May.  This could reportedly affect insurance coverage of tests, vaccines, and treatments.
 
Public Health Nurse Patricia Tremblay said that there is an expectation to hear a verdict in April and the city will continue to follow guidance from the Center for Disease Control and the Massachusetts Department of Public Health.
 
"There is a lot of changes, I think, that are coming," she said to the board on Wednesday.
 
She also reported nationwide conversations around vaccination that shift it to a regular yearly shot, similar to the flu vaccine.
 
"I know that the vaccine organizations, the (Food and Drug Administration) and the CDC, are all looking at the option of doing one booster a year but none of that has been voted or settled," Tremblay reported.
 
Berkshire County Head Start was notified by the state that they should put in their spring order for COVID test kits that are used for mitigation and were told that the free kits would no longer be provided after that time.
 
Board member Steve Smith asked "if and when" health facilities will no longer require masks and Tremblay said that there have already been efforts to remove that requirement in New York state.
 
Smith wondered what the declaration would mean for the BOH and the city.
 
"For a long time, we every month revisited our mask directive, which was never a mandate, but we talked about when to dismiss or get rid of the directive and when to reapply the directive," he said.
 
"And I just don't know, in this discussion about COVID I'm just wondering where we are."
 
He pointed to some peoples' view that the virus is here to stay and will have to be managed like the flu.
 
"I just wonder where we are with that," Smith added.  "By the federal government if it's no longer an urgent type of health issue maybe it won't be back?"
 
On Wednesday there were 19.7 cases per 100,000 people, 12 new cases, and 55 estimated actively contagious cases.  The positivity rate was around 10 percent.
 
Sewage concentration has been identified as the truest way to judge the virus's impact on the community, as other metrics don't include at-home tests.  There were 1.5 million copies per liter on Wednesday, compared to about 650,000 copies per liter in mid-Feburary.
 
There are around 7 hospitalizations for the virus at Berkshire Medical Center.
 
"We've had a little uptick but it was school vacation week last week and it had gotten to the point where we had relatively small numbers of cases every day, a couple of days we didn't have any cases," Tremblay explained.
 
"Typically the two high-risk populations we look at are children under 18 and adults 65 and over.  We were getting anywhere from two to six adults in that risk population and the children were not as frequent."
 
The city remains in the "red zone" for transmission, having more than 10 cases per 100,000 and a positivity rate above 5 percent. It has essentially remained in this category since last year with some reprieve in the spring that put the city in the lesser "yellow zone."
 
Late last year, there was a death, bringing the city's count to 92.
 
Tremblay said it is "sort of sad" that only 77 percent of residents are fully vaccinated and 89 percent have received one dose, a metric that has been consistent for some time.
 
She also reported seeing two kinds of families when it comes to testing, those who test regularly and utilize the health department's free kits that are available to the public and those who are "pretty religious" about not testing for a variety of reasons.
 
 
 

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BRTA Hears From New ITS System to Help With Rides

By Breanna SteeleiBerkshires Staff

PITTSFIELD, Mass. — The Berkshire Regional Transit Authority heard from an "intelligent transportation system" company on what it can bring to the bus service.

Spare Labs presented to the board last week, showcasing its platform for demand-response services, fixed-route information, service planning, and rider engagement. 

Spare representatives said the company has been working with transit authorities across the state and hope to "de-risk" the service with software changes.

"We know how tough it is to make a software change. It's no small feat. We've done it quite a few times in the states, so you're now working off of a blank piece of paper. We understand what your partners have done, positives and negatives, so you're building with that in mind," said senior growth manager Joshua Bethel.

Bethel emphasized a hands-on implementation where they will work with BRTA staff to prepare data, test the system, train dispatchers, drivers, and administrators, and help with rider communications.

"One example of how we've de-risked is the MBTA, one of the largest paratransit services [The Ride] in North America. In their switch to Spare, they saw immediate results. So our kind of implementation process is extremely white glove," he said. "We like to get in the trenches. We like to be with you on site, opening up a lot of times. We're here 4 a.m. when the days open, working with you. So look at this as an active partnership." 

Bethel gave an example on how the system helped the Massachusetts Bay Transit Authority with a training approach.

"Internally, every stakeholder will have some type of training, whether it's a dispatcher, a driver, admins. You all will have some level of training and different permissions in the system. Because of that approach, MBTA saw immediate great results," he said. "Their on-time performance pre-spare was 88 percent. Within 24 hours of launch, they were up to 95 percent, and they are continuing to grow."

Spare described several ways riders could interact with the system — a BRTA-branded smartphone app, online booking through a web portal, phone booking with a human dispatcher, text-based interactions, and an AI phone agent for routine requests, such as booking, canceling, or checking the status of a trip.

"One of the biggest differences that riders will see is everything will truly be at their fingertips, and we have multiple ways we're going to stay up to date based on what's available to them, we obviously will have a router app on the smartphone, but we offer availabilities for people who don't have that," Bethel said. "So, for someone who doesn't have a smartphone but they have access to a computer, we have a webbooker. For someone who doesn't have access to a computer but they need to call in, we also will be teaming what you have from a dispatcher standpoint. We also offer an AI call taker who can answer frequently asked questions, and when wait time is too hard, too high, automatically clicks in and says, 'Hey, this is the final wait time. You can call, you can cancel.' So effectively, with the technology, you can reduce wait times as you grow."

Their platform could also account for rider accessibility needs when matching trips to vehicles and could flag cases where a rider's booking did not reflect their usual needs. It can also have caregivers and others book on a rider's behalf if need be for medical appointments and more.

Earlier in the meeting, BRTA Deputy Manager Benjamin Hansen spoke on the ridership numbers citing inaccurate data on how many are riding because of the outdated system. Their system will be able to know in real time when a passenger boards and when one gets off. 

Spare also described tools intended to support route and demand-response planning, including; reporting by route, stop, time of day, and rider; integrations with passenger counting hardware and other systems; real-time vehicle and trip information; traffic-aware routing, which could use Google traffic data; and alerts for unusual patterns or apparent data discrepancies.

They said data could be brought into the platform from existing hardware and configured into reports for BRTA. The Spare team would work with BRTA during implementation to decide which data to import and which measures the agency needs. 

Many of the questions posed by the board were about the selling of data and how rider data is protected. Spare representatives said the company does not sell rider data and that BRTA would control the permissions as the data would belong to BRTA. As for a government agency asking for the data, they were unsure and said they would have to verify the rules for sharing information, but added they are compliant with the Americans With Disabilities Act and federal and state law. 

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