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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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Elder Services Celebrates More Thann 50 Years While Navigating Federal Challenges

By Breanna SteeleiBerkshires Staff

PITTSFIELD, Mass. — Elder Services of Berkshire County celebrated 52 years at its annual meeting Friday.

Guests gathered at the Country Club of Pittsfield to honor service members and hear about healthy aging in the county from keynote speaker Beth Dugan, a gerontology professor at the Manning College of Nursing and Health Sciences at University of Massachusetts at Boston.

Executive Director Chris McLaughlin welcomed everyone and recognized community partners and board members. He said the agency is supported by 135 employees and 260 active volunteers who help bring the nonprofit's mission to life.

"As the Aging Services Access Point and Area Agency on Aging for our 32 communities, Elder Services is the trusted resource for older adults and their caregivers, supporting their desire to remain at home safely," he said. "Whether it's a referral to a community resource or to one of our many programs, it's our job to meet people during some of life's most challenging times and to help them find solutions that enable them to remain independent," he said.

McLaughlin said he thought back on last year's meeting where they worried about cuts in federal funding and programs associated with the Trump administration's dismantling of the Administration for Community Living that never materialized. While that did not affect them he raised concern about Medicaid changes expected to take effect in January, including projected reductions in federal funding to Massachusetts and loss of Medicaid eligibility for some consumers because of the implementation of Trump's "Big Beautiful Bill."

"These changes will remove $3.5 billion in federal funding for Massachusetts and Medicaid eligibility for many, including some of our consumers, with disastrous consequences," he said.

Another challenge for the agency was a cap put in place on their enrollment for their home care program.

"Our state Home Care program, our agency's largest program, deploys homemakers, home health aides, and companions to the homes of Berkshire older adults and continues to grow at unprecedented levels," McLaughlin said. "The implementation of a cap on the number of Enhanced Community Options Program consumers we can enroll has basically cut in half the number of individuals we can service in this program. These individuals qualify clinically for nursing home level of care. This cap will remain in effect for the near future." 

But they are still looking up for the future.

"We understand more than ever before that in 2027 there will be changes designed to limit state spending for older adults and this will be compounded by even more older adults becoming eligible for our services. We look forward to learning more about how the Rural Health Transformation Program will benefit older adults in Berkshire County. We are of course worried about how MassHealth changes will impact our consumers and whether the Commonwealth will reduce our funding to support those who will lose Medicaid eligibility," McLaughlin said.

"Despite these challenges we remain optimistic about the future and will respond to them as we always do,  with purpose and resilience." 

The nonprofit also highlighted its successes through the Hospital Liaison Program that works with local hospitals to help older adults return home rather than enter a nursing home. Although its original funding had ended, Berkshire Medical Center secured a grant expected to support the program for another 30 months.

Volunteers also helped more than 4,000 Berkshire residents make Medicare and other health-insurance decisions. One volunteer helped a woman undergoing chemotherapy qualify for assistance with co-pays and find grants to address an outstanding bill and was able to complete her treatments without the added stress.

The lunch also awarded Elder Services employees. Lauren Larison, Laura Sexton, Jillian Tatro, Christine Barcus, Lisa Jamros, Nichole Pervere, Janet Richardson, Fred Minkle Jr., Karen Decker, Larry Belanger, Diane Cote, and Mary Moran were recognized for five years with Elder Services. Linda Gilardi, Judith Desjardins, and Sara Dastoli were recognized for 15 years with the agency and Bill Marsh and Deb Aldrich-Jegtvig were celebrating 30 years of service. 

The meeting included a change in the board with new President Kalee Carmel taking over for Barry Kriesberg, while recognizing Teresa Caldwell on her term ending.

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