Archives for category: Health

John Thompson, historian and retired teacher in Oklahoma, is concerned about the lackadaisical responses of elected officials in his state and reliance on Big Data, not science.

The headlines could not be clearer; we’re headed for a disastrous surge in COVID-19. But many of the same public health experts who previously called for shutdowns and, recently, some top journalists are pushing the position that we should continue to reopen schools, even as they warn that community transmission of the virus continues. I am becoming more worried that some of those data-driven public health experts, who I respect, are stepping out of their lanes and giving advice to institutions, urban schools, that they may not understand, and the result could be disastrous.

The motivation is the sincere concern for children, especially the most vulnerable, who suffer from school closures.  A common meme in this debate, however, involves noneducators describing their children’s experiences while rarely indicating how affluent schools are very different than high-poverty urban schools. And I see little evidence that these researchers fully consider the harm that can be done by becoming less cautious.

I hope we are not seeing a repeat of the mess that was made so much worse by Big Data scholars who contributed to the data-driven, competition-driven school reform fiasco. While their skills with numbers were outstanding, they and the corporate school reformers who hired them, refused to listen to educators, and they added more evidence in support of the truism, “A little knowledge is a dangerous thing.” Due to their lack of curiosity about the complicated politics that drove education policy, then and (perhaps) now, the truism about metrics, “garbage in, garbage out” has been ignored.

A prime example of a researcher “going viral” when arguing that educators’ fears are “overblown” is Emily Oster. In May, Oster argued that “infection among kids is simply very unlikely.” Oster argued in October that:

Schools do not, in fact, appear to be major spreaders of COVID-19…. Our data on almost 200,000 kids in 47 states from the last two weeks of September revealed an infection rate of 0.13 percent among students and 0.24 percent among staff. That’s about 1.3 infections over two weeks in a school of 1,000 kids, or 2.2 infections over two weeks in a group of 1,000 staff.”

Oster even cited Florida and Texas as evidence that schools aren’t super spreaders, raising the question of why she would trust numbers published in those states. Moreover, a key to the first surge in those states was young people infecting members of their multigenerational homes. And as Rachel Cohen explained, Oster’s data “reflected an extremely small and unrepresentative sample of schools.” There was not a single urban traditional public school reporting data across 27 states in her dataset, including from Florida [and] Texas…”  Then, in November as more public health advocates pushed for more rapid reopenings, Texas became the first state to have a million infections.

I hope I’m wrong, but the data experts hired by the Billionaires Boys Club set out to prove that the reformers’ hypotheses about school improvement – which focused on classrooms, while ignoring the broader community – “can” work and transform schools. Now, data-driven analysis says that schools “can” be reopened more quickly. But in both cases, the question should have been about what “would” be the most likely results. Today, the evidence seems to say that a number of schools can be reopened safely, but the issue should be what would most likely happen in communities where public health recommendations are ignored.   

For instance, The New York Times published an analysis in early July with the theme, “We Have to Focus on Opening Schools, Not Bars.”  Since then, however, the focus was distorted by Trumpian ideology. For example, Oklahoma’s major metropolitan areas had taken a science-based, team approach to the coronavirus which kept infections down. But, the Trump-supporting Gov. Kevin Stitt pushed for a premature opening for businesses. On June 1, when the full reopening of public and private institutions began, the state only had 67 new infections.  On July 1, there was 355 new infections.  By August 1, daily infections jumped  to 1,000, and stayed around that level for three months. That number quickly doubled in November.

The Oklahoma City Public Schools had been professional when wrestling with the issue of reopening in-person classes. It started with pre-k and early elementary students, with the plan calling for the complete reopening of schools on Nov. 10. For reasons beyond the district’s control, it couldn’t have found itself in a worse situation, reopening at a time when all trends, national and local, seemed to foreshadow a tragedy. But the OKCPS was not only under pressure from ideology-driven Republicans, but it also faced a series of calls for reopening by many parents, and some journalists and medical professionals.

Given the national super spread, it’s likely that each city faced its own challenges, but here’s what drove community transmission in Oklahoma City: public gatherings ranging from the Tulsa Trump rally to the Weedstock festival to back-to-college parties; the complete reopening of most public school systems; the reopening of universities; high school and college football; the failure to enforce masks and social distancing policies or limit bars and indoor dining; holiday get-togethers; and then an unexpected blast of ice and rain which shut down electricity for hundreds of thousands of households for up to two weeks.  This sent thousands of households to stay in hotels, with family members, and hurriedly-made public spaces to escape the freezing weather.

On the weekend before the promised reopening of the OKCPS, a daily high of 4,507 new cases was reported. Granted, some of those numbers were due to delays in reporting due to ice. But the state’s three-day average was over 3,000 and since then the numbers have consistently been over 2,000.  (For comparisons sake, Oklahoma’s population is about 1.2% of the nation’s.) The worst increase was in Oklahoma County where according to the latest New York Times database, the seven day increase reached 58.8 per 100,000. And since the biggest public school dangers were in secondary schools, it was noteworthy that more than 5% of the state’s active cases were in the seven zip codes where all but three of the OKCPS middle and high schools were located.

At the Nov. 9 School Board meeting, when the state’s seven day average daily increase was 2,197, the American Federation of Teachers and other educators voiced their concerns about the reopening. After all, the White House Coronavirus Task Force put the metro area and Oklahoma County in the Red Zone. But, believe it or not, a state rating of Orange was used as the rationale for reopening all schools and extracurricular activities.

Moreover, some argue that schools don’t contribute as much as bars or indoor dining to the spread, but that misses the point. The question is whether school policies make conditions better or worse.   

Understanding the pressures that administrators and board members were under, when we got our electricity back, I sought to quietly urge caution, as opposed to writing about the need to close schools so they do not add to the spread which will get worse over Thanksgiving and that will make Christmas more dangerous.

I’d planned to send an email to OKCPS decision-makers with the link to the New York Times’ Are School Reopenings Over? School leaders may have felt trapped by political pressure from multiple sides, and this might encourage them to resist the pressure. But then I got my weekly email, The Grade,  from Alexander Russo, who has repeatedly attacked educators for failing to go back to in-person instruction. As in previous weeks, it included a series of journalists’ criticisms of supposedly over-cautious educators. At that, I knew I had to write a post to help counter that sort of public pressure.

But, guess what? As I went through the painful process of writing a piece explaining why we shouldn’t dare reopen the OKCPS at this time, it was announced that the district would pause the return to in-person instruction after four days! The Oklahoman reported that on Monday, the OKCPS will return to remote learning for the rest of the semester. It explained, “Rates of COVID-19 infections reached record highs this week while hospital space is at an all-time low for the pandemic. Other school districts in the metro area, which have taught in person for months, report hundreds of positive tests and quarantines every week among students and staff.”

 So, Superintendent Sean McDaniel reported that Oklahoma State Department of Health (OSDH) indicates that “cases per 100,000 for Oklahoma County are 67.3 for this week, as compared to 30.4 last week.” He explained:

As the number of COVID-19 cases has steadily risen over the last several weeks, we reached a significant turning point for Oklahoma County…The increase in positive cases for Oklahoma County has moved us into the OSDE’s (Oklahoma State Department of Education’s) Red Alert Level.

… Although our health officials have continuously supported our Return to Campus plan, they now recommend that we transition to Red Alert Level protocols.I would add that during the four days of in-person instruction, the state’s seven day average daily infections increased by 15%.
But, focusing on the positive, several suburban schools are following the OKCPS and returning to virtual learning.

The public health evidence regarding this fall’s debate about school closures is just as persuasive as it was this March when Oklahoma City schools quickly shut down. But, as Oklahoma and the nation face an even greater surge of Covid-19 infections, today’s complicated politics make it so much harder to engage in evidence-based decisions.

I know many or most Oklahomans will recoil from our governor ducking responsibility, refusing to even order masks, while saying the key is personal responsibility. But, I also understand that many parents will be upset by the return to online instruction only. And plenty of educators are frustrated by researchers like Oster who seem to have a simplistic view of the challenges faced by high-poverty schools, as opposed to the affluent classrooms that their children attend.

But we should remember that the OKCPS, like systems across the nation, was under great pressure to keep schools open. So, we need to stand up for our districts when they make these painful but necessary choices.

I wrote the other day that I am in quarantine. This was because my grandson was in a class where another student tested positive.

The students in the class were masked and socially distant.

My grandson tested negative. He will test again but it’s thus far looking good.

All this is a reminder to wear a mask, practice social distancing, and be vigilant.

Stay safe.

Benjamin P. Linas, an epidemiologist, writes in VOX that both blue and red states are doing the wrong things about the pandemic. The blue states are too quick to close down schools and the red states are too quick to keep them open without proper safety measures. The Trump administration has provided no guidance at all and left it to states to craft their own responses, which mostly fall along partisan lines.

He describes a plan that he hopes the new Biden administration will adopt that will both contain the pandemic and enable schools to be open for in-person instruction.

Linas offers a plan that he hopes will be the basis for a new approach:

Our current political leaders are failing to provide a clear, national plan for reopening America’s schools. The incoming Biden-Harris administration has announced that it will provide new funds and guidance, but details have not yet emerged. Below are four essential elements for such a plan. 

1) Clear guidance for when and how to open (and close) schools

Such guidance includes two components. One is reasonable, evidence-based thresholds for opening and closing our schools. The CDC has such guidance, but it is not clear how the thresholds were chosen. Further, the guidance has no bite. 

At no time has the CDC said that districts may not open above a given threshold. They simply “advise caution” or “reconsideration” of current policy. We need strong federal action to prevent schools from opening when Covid-19 is not yet controlled in their communities. We also need clear and effective guidance for when schools should be open. 

Second is making new strategy that envisions schools as one part of a larger public health policy. No district should employ school closures as the first intervention when Covid-19 cases rise. In a Covid-19 crisis, it may be necessary to close schools, but if so, then the school closures must be one component of a larger strategy that seeks to generally reduce mobility and social interaction, including restrictions on activities such as indoor dining, bars, gyms, and other places that we know Covid-19 is being transmitted.

2) Clear guidance for distancing in schools 

While 6 feet has become the default stance on appropriate distancing from others in most of the US, 6-foot distance requirements greatly limit the ability of public schools to bring all students back full-time. The reality is, in many public school districts, if we insist on all students being 6 feet apart at all times, many districts simply will not have the space (and thus not really be able to bring all kids back to school full-time until there is an effective, widely distributed vaccine). That means that there is a very realistic scenario in which even in 2021 schools will need to use a hybrid instructional model. 

Globally, the WHO identifies 1 meter (about 3.3 feet) as a minimum for distance from others. We need data-driven guidance for situations in which it is acceptable to distance less than 6 feet in educational settings. 

Fortunately, data does exist to help us gauge the risk of Covid-19 transmission with contact of various distances. Perhaps, with quiet activity and good air flow and all students reliably in masks, a 4-foot distance might be acceptable. Covid-19 is always a question of risk and benefit. The benefit of being back in school full-time is clear. What are the real risks of occasionally being 4 to 5 feet apart during the school day if everyone is wearing masks?

3) Strong mask mandates at the federal, state, district, and school levels 

Every message from every person of authority needs to reiterate the civic duty to wear a mask in public. Currently, many states leave masking mandates up to districts. This needs to change. People do not have a right to walk down the street naked, and almost every school district has a definition of clothing that is not appropriate to wear in school. Likewise, people do not have a right to have a naked face in school during this viral pandemic, and not wearing a mask is at least as inappropriate as wearing short shorts.

4) Robust testing and contact tracing 

It’s critical that whenever any child develops symptoms consistent with Covid-19, it is fast, easy, and free to obtain testing. It is not possible for parents to keep their child out of school for many days every time that child develops a new runny nose, or winter cough. Symptomatic testing is important to make it possible to stay in school. 

The role for asymptomatic screening is more complex. Routinely screening all members of the community holds promise as a strategy to identify and quarantine asymptomatic cases that may otherwise come to school. But we do not currently have the infrastructure or resources to make this happen. And in any case, the real pillars of safe school operation are community control, masks, and distancing. We cannot make asymptomatic screening a prerequisite to opening schools, because if we do, we will not be able to reopen.

This is what a plan to reopen looks like, but implementing it requires courageous leadership at the federal and state levels. With this plan in place, however, America can open its schools, keep students and teachers healthy, and contribute to a larger public health strategy to end the Covid-19 epidemic.

We went to dinner last night at my son’s house, especially to see the grandsons ages 7 and 14. I sat next to the older boy during dinner. The boys are tested regularly at their schools, which both are half in-person and half-remote. As we finished dinner, my son opened his email and found a message from the older boy’s school that he had been in class with a student who tested positive.

Consequently, I will be quarantining for two weeks and hoping to dodge this bullet. My lungs are compromised by a previous very serious hospitalization for pulmonary embolism. I will be careful.

With the upsurge in the coronavirus, the U.S. and Europe are facing new shutdowns to stop the disease. But there is one big difference. European nations are keeping their schools open, as schools in the U.S. close.

London (CNN) Late last month, Ireland entered a strict, six-week lockdown against the spread of Covid-19, under which social gatherings are prohibited, exercise permitted only within five kilometers of the home, and bars and restaurants closed.

But as he announced the new restrictions, Taoiseach (Prime Minister) Micheál Martin emphasized that schools and childcare facilities should stay open. “This is necessary because we cannot and will not allow our children and young people’s futures to be another victim of his disease. They need their education,” Martin said.

There has been a similar story in many European countries including Germany, France and England, which made it their mission to keep in-person learning going, even as they imposed strict measures to combat the second wave of the coronavirus pandemic.

 In contrast, major cities in the United States, including Detroit, Boston and Philadelphia, are shutting schools and moving classes online in a bid to stave off rising infection rates.

New York City schools may close as soon as Monday.

“There are rates of infection at which is too dangerous to keep schools open, and that has happened in a number of places in Europe,” Anthony Staines, professor of Health Systems at Dublin City University, told CNN.But he said that the major response should be “effective, highly resourced public health.”

“Schools do spread this virus, but they’re not a major route of spread,” he added.

Staines said it was appropriate for different places to employ different measures “because their economic situation is different, the spread of the virus is different.” Israel, for example, faced major outbreaks linked to schools.

School closures “may be part of a response for a period of time” but “with appropriate knowledge, information and understanding, closing schools is not required,” he added.”European countries have made a choice, I suppose, that trying to keep schools open is very important…”

France and England entered month-long second national lockdowns on October 28 and November 4 respectively. In both countries, non-essential businesses, restaurants and bars have closed, with residents only allowed to leave home for work, medical reasons, exercise or grocery shopping.

One key difference from the spring lockdowns in these two countries is that they have chosen to keep schools open.

Amanda Spielman, chief education inspector at UK education watchdog Ofsted, said in a report published this week that the decision to keep schools open during England’s second lockdown was “very good news indeed.” 

“The impact of school closures in the summer will be felt for some time to come — and not just in terms of education, but in all the ways they impact on the lives of young people,” she said.

The Ofsted report, published on Tuesday, found that some children had seriously regressed because of school closures earlier in the year and restricted movement.

It found that younsters without good support structures had in some cases lost key skills in numeracy, reading and writing. Some had even forgotten how to use a knife and fork, the report said. Some older children had lost physical fitness or were displaying signs of mental distress, with an increase in self-harm and eating disorders, while younger children had lapsed back into using diapers, it found.

Some children in Europe, the US and across the world have been missing schooling during the pandemic because of a lack of access to technology — and it’s hitting low-income students much harder.

Peter Greene thought his small school district could somehow escape the pandemic. He was wrong.

http://curmudgucation.blogspot.com/2020/11/new-update-from-what-is-no-longer.html

He wrote:

It has been just about two months since I told you that if anyone had a shot of starting school up without major Covid consequences, it would be my little corner of the world. I’m here to report that things are not going well.

Back on September 7, the number of cases for the whole county, since March, was 70. People were not panicked, but cautious, with the usual outlying groups of deniers and total freak-outers. Okay, lots of deniers–this is Trump country, and at this point locals know that there are some stores you avoid if you take masking seriously. Our four school districts went ahead and opened, with two choosing a sort of gradual “soft” opening, and the other two just going for it. 

By October 15, the number of cases had doubled. Two of the four high schools had had two cases each. One shut down to clean for 48 hours; the other sent forty students to isolation. Everyone’s sports are still going on, but with limited audiences. 

Yesterday, the state said we had our highest single day total–46 confirmed cases. I’m sure that’s nothing in major cities, but we’ve got fewer than 50K in the whole county. And our totals are probably lagging because there is no place to go get tested in this county. 

That brings our grand total to 359. As you can see, we’re escalating quickly. 

In schools, things are going poorly. At my former district, somehow, they managed to expose the entire administration team, so all administrators and most of the main office staff have been in isolation. This week the district has gone to virtual school. Two weeks back, an entire fifth grade team was sent into isolation. In another district, three teachers have just tested positive. The state has met with several local superintendents, and schools are going to the hybrid model next week; one administrator has already told his people that after a week of hybrid, they’ll be going virtual. 

Please open the link and read the rest of this interesting post.

NYC Schools: A Double Crisis! A Forum on Thursday  Nov. 12 at 6:30 PM

How have pandemic and policy exacerbated the inequity in NYC public schools? What can be done? 

Thursday Nov. 12 at 6:30 PM

Join us at our next virtual event as we discuss these issues with our excellent panelists.

Speakers: (list to date; parent panelist will be announced)
Kevin Bryant — Principal at NYC DOE High Schools and current candidate for a PhD in Education at Harvard
Leonie Haimson — Executive Director of Class Size Matters
Jonathan Halabi –High School Teacher, DOE, & Chapter Leader, UFT
Tracey Willacey –Teacher for the NYC DOE for over 25 years

Co-Moderators: 
Gloria Brandman, Retired Teacher, activist with Move the Money/NYC;
Natasha Santos, Program Coordinator, Brooklyn For Peace

See it on Facebook. Please RSVP and invite your friends!

Register now

Chicago Public Schools are ready to open, according to officials.

CHICAGO — Chicago Public Schools said classrooms are ready for students and teachers to safely return Wednesday after the district installed air purifiers and took other measures to prevent the spread of COVID-19.

Last month, the Chicago Teachers Union said neither teachers nor students should return to class because school buildings are old and not designed to sufficiently ventilate and purify air during a pandemic.

CPS said it addressed those concerns by spending $8.5 million to put a HEPA air purifier in every classroom. District officials said the 20,000 purifiers are capable of removing “99.9% of ultrafine particles,” including airborne mold, bacteria and viruses like COVID-19. 

Additionally, CPS officials said the district implemented the top five COVID-19 mitigation efforts recommended by the Centers for Disease Control to keep schools safe, and hired independent industrial hygienists to produce a school-by-school analysis of air quality and ventilation systems.

Now the district says classrooms are ready for students and staff so long as they have either a HEPA filter or an operating mechanical ventilation system which includes both an air supply and an exhaust. By those standards, CPS says 99% of its classrooms are ready and the ones that are not will be prioritized for repairs. 

Economist Emily Oster of Brown University has become the go-to expert on the risks that children might get COVID. She has written widely in the popular press and been quoted extensively by others about the low risk of reopening schools. Oster is an economist, not a public health expert.

Writing in The American Prospect, journalist Rachel Cohen quotes many public health experts who disagree with Oster. She writes that Oster’s datasets are incomplete and flawed. There is more uncertainty about the risks to children than Oster reports, she writes.


But she concludes by giving Oster credit:

Oster, unlike others and to her credit, does acknowledge that some people will get sick and even die if schools reopen. In addition to emphasizing the social, emotional, and academic harms students face by missing in-person school, Oster says we accept mortality risks in normal times, like allowing people to drive cars, have swimming pools, and avoid the flu shot. “There will be some in-school transmission, no matter how careful we are,” she wrote in July. “This is the unfortunate reality. Some of these people may get very sick. If we are not willing to accept this, we cannot open schools.”

States like Montana have a strong tradition of rugged individualism. That tradition is now in conflict with the need for public health measures. This story in the Los Angeles Times is a fascinating read. A doctor in small-town Montana is a leader of the anti-masking rebellion. So far, she’s winning.

WHITEFISH, MONT. — When Steve Qunell won a seat on the City Council last year in this town of 8,000, he figured he’d be dealing with potholes and affordable housing.

Instead, he finds himself at the center of a raging debate over how to fight the coronavirus, which is surging in Montana like never before.

The state’s governor, Steve Bullock, a Democrat who is in the final stretch of a tight U.S. Senate race and has been reluctant to impose restrictions that could hurt his campaign, called on the hardest-hit counties to consider shutting bars and enforcing a statewide mask mandate.

There was little appetite for that in conservative Flathead County, where the health board has been dominated by an outspoken doctor who argues that the pandemic is a hoax.

That left the Whitefish City Council.

“We are the last line of defense,” Qunell, a 49-year-old high school social studies teacher, told his fellow council members during an online public meeting this week. “Are we going to lead? Or are we just going to follow the nonbelievers in the county?”

Places like Whitefish once could afford to view the pandemic as a distant big-city problem. Through mid-September, sparsely populated Montana had a death toll of 140.

But that figure has doubled over the last five weeks as a new wave of infections sweeps the country. More than 85,000 cases were reported nationwide Friday, the most in a single day since the pandemic began. 

The worst outbreaks are in the rural Midwest and Rocky Mountains. With 4,693 new cases over the last week, Montana had the country’s third-highest infection rate, trailing only the Dakotas.

The rise in Montana has overwhelmed efforts to conduct contact tracing and strained health systems across the state.

And as events in Whitefish show, efforts to stem exponential increases are pushing up against a culture that prides itself on rugged independence and freedom from government rules.

Early in the pandemic, Whitefish, a gateway to ski areas and Glacier National Park, moved more decisively than many other communities to contain the virus. 

Last spring, the City Council ordered hotels and short-term rental properties to take in only essential workers — a requirement that remained in place until the end of May.

Whitefish was also one of the first cities in Montana to make people wear masks — though the governor soon issued a mandate statewide.

Still, from the beginning, there was strong local opposition to such restrictions. 

Leading the resistance was Dr. Annie Bukacek, a 62-year-old internist known for her far-right views and opposition to vaccination.

Flathead County commissioners appointed her to the county health board last December after dismissing two other doctors with more public health experience — changes the commissioners said were meant to increase the diversity of views.

Bukacek became a hero of anti-lockdown activists across the country last spring after she delivered a speech to a local church congregation alleging that the federal government was exaggerating the coronavirus death toll.

“People are being terrorized by fearmongers into relinquishing cherished freedoms,” she told members of the Liberty Fellowship. 

She wore a lab coat and stethoscope for her presentation, which has been viewed more than 860,000 times on YouTube.

The congregation is led by Chuck Baldwin, who is described by the Montana Human Rights Network as “the unofficial reverend of the militia movement.” He has defied state orders by continuing to hold in-person services. 

Bukacek and a small group of allies protest outside schools and government buildings a few times each week to demand an end to mask requirements and other state restrictions they equate to martial law.

Their message struck some as plausible last summer as cases and deaths remained low, even as more tourists than expected visited Whitefish and the national park.

Eventually though it became clear that Flathead County, population 100,000, would not avoid the kind of suffering that so many other parts of the country had experienced. 

The first major outbreak in Whitefish struck a nursing home in August, infecting 43 of the 52 patients — and ultimately killing 13 of them. 

The county’s biggest hospital, the Kalispell Regional Medical Center, soon started seeing more admissions to its coronavirus ward. 

Erica Lengacher, a 46-year-old critical-care nurse who works nights in the ward, could cope with the stress of watching patients dying. That was part of the job.

Harder to deal with was the indifference that opponents of basic safety measures seemed to have for victims of the pandemic. 

“I just felt deep, deep sadness that while I saw patients suffer and die, there was a sense that our community had moved on and didn’t really care,” she said.

“I realize that there’s a historic tension between public health and individual liberties,” she said. “But a good portion of our community is flouting the state mask mandate, and I still can’t get my head around how this has become so politicized and divisive.”

The number of patients on the coronavirus ward has hovered around 29 in recent days, but managers are recruiting more nurses in case things get worse.

Recent outbreaks in Flathead County — where the total number of people known to have been infected doubled to more than 2,800 over the last three weeks — have been traced to large gatherings at four churches, four weddings, three political events and two trade shows.

This week the county health department advised residents to stay at home as much as possible and limit contacts outside their families to no more than six people a week, each for 15 minutes or less. The recommendations have been widely disregarded.

Tamalee St. James Robinson, the interim county health officer, said in an interview that she has the authority to make such measures mandatory but that more rules would be useless because officials were refusing to enforce those already in place.

The county prosecutor, Travis Ahner, said he was focused on crime and didn’t see a point in cracking down on businesses for mask violations.

For their part, the county commissioners released a statement this month supporting “the Constitutional rights of Montanans to make choices about personal protections for themselves.”

“Where does that leave me, just me out there?” Robinson asked.

As for the county health board, Bukacek prevailed in the latest battle over whether to limit social gatherings.

“Statistically, for practical purposes, COVID in Montana has 100% survival,” she said last week during an online public meeting of the board.

“No, it doesn’t!” shouted Dr. Jeffrey Tjaden, a local infectious disease specialist who attended to warn that without immediate action things were likely to get much worse.

A minute later, he interrupted her again to say that he was so fed up with her presentation that he was logging off.

“I’m not saying that the people who died didn’t matter,” she said after he was gone.

At the end of the night, the board members were left with a single proposal: no gatherings of more than 500 people.

They rejected it with a 5-to-3 vote.

That prompted criticism from the governor, who said he was disappointed that the board ignored experts and that “some are trying to politicize this virus” over protecting health and safety. 

“The message was presented loud and clear that if the virus spread is not controlled in the Flathead area, schools will have to close, parents will be out of the workforce, businesses will be hurt and the hospital will run out of bed capacity,” Bullock told reporters.

This week, he announced that state investigators had conducted spot checks on more than a dozen businesses in Flathead County and that authorities will ask a judge to temporarily shut down five establishments deemed “egregious violators” for flouting mask requirements and social distancing standards.

The biggest looming threat may be winter, because the virus spreads most easily when people are indoors.

In Whitefish, temperatures plunged Friday as the season’s first major snowstorm hit.

“It’s time for action, and it has unfortunately fallen to us,” Qunell told his colleagues at this week’s City Council meeting.

The city manager suggested writing a letter to the health board encouraging it to act. A councilman said another letter to businesses might persuade them to cooperate. 

Qunell didn’t see the point.

“The county’s not going to do anything no matter what letters we write,” he said.

He wanted the council to vote to close bars by 10 p.m. — before they usually get crowded and rowdy — and limit restaurants to 25% of capacity. 

But the only thing the council decided was to meet again Monday to consider imposing limits during Halloween weekend, when Whitefish traditionally puts on a popular downtown bar crawl. 

In an interview, Qunell said Whitefish must find a balance between protecting citizens and the economy that has eluded national, state and county leaders. 

“There’s been a failure of leadership from the very highest levels,” he said. “The responsibility keeps getting pushed downhill, and it’s ended up in our laps.”