Homer Cass sat in his hospital room looking out the window Monday morning, patiently waiting for his visitors to arrive.
A few minutes later, his son and grandson approached the other side of his window through one of Tucson Medical Center’s patios, calling him on their cellphone and placing it on speaker on the windowsill.
After putting a stop to visitations in March due to the coronavirus, TMC started allowing window visits about two weeks ago. People can see their loved ones through hospital room windows while they talk on the phone for up to 30 minutes.
Cass’ son, Richard Cass, and his grandson, Jason Cass, wore masks and leaned into the window to see Cass while they talked.
“You know, talking is great, but being able to actually get your eyes on him, I think it’s good for him, too, and also kind of helps him stay upbeat and motivated to get done what he needs to do to be able to get out of here,” Richard Cass said.
Judy Rich, president and CEO of TMC, said that as a nurse she understands how important it is for patients to be surrounded by their loved ones while they heal.
“When a person comes to the hospital, they need emotional support and they need to feel safe,” Rich said. “They need to feel connected to people that they love and there’s a real sense of isolation when that cannot occur.
“So the real driving force behind this was the understanding that people can feel quickly depressed and isolated in the hospital if they have no connection other than a phone call to a family member.”
Besides its four-story orthopedic and surgical tower, TMC is the largest single-story hospital in the country, with 95% of its rooms on the ground floor and more than 30 patios.
Visitors can often access the outside of a patient’s room without having to enter the hospital, Rich said. For those who do have to go through the hospital to be escorted to a courtyard, the hospital provides masks and takes everyone’s temperature as they walk into the building.
“It’s one of those moments where we realized that our unique architecture was really going to serve us well in this very special time,” Rich said.
The hospital rolled out the new visitation policy slowly, initially with one unit. Now, two weeks in, about six to 10 people a day visit hospital patients, Rich said.
The new visitation policy has allowed Homer Cass to see his wife of 50 years twice in the 13 days he’s been at the hospital, Richard Cass said.
“Her health is not great, so she doesn’t come all the time,” he said. “But I’ve been able to bring her a couple of times and I know that being able to see each other, it’s helped both of them, it made them both feel a little better.”
Homer Cass and his wife live in Bisbee. He was admitted to TMC with severe abdominal pain, he said.
“As it turned out, I had a mass growing on the side of my colon,” Cass said.
The mass was removed Saturday, and by Monday he said nurses were asking him to get three walks in each day to help his rehabilitation.
“Hopefully it’s not too much longer and we can get you out of here,” Richard Cass told his father. “Hopefully, the more walking you do the better, and things start working the way they’re supposed to.”
“Well, I’m trying. That’s really all you can say,” Homer Cass said.
“You just gotta keep doing what they’re asking,” Richard Cass said.
Not being allowed to visit in his dad’s room has made it difficult for Richard Cass to get information about his dad’s health and progress sometimes as information often gets passed on from doctors and nurses to Cass, who then has to relay the information to Richard. He said his dad could get easily confused because he’s on pain medication.
“But we’ve always been able to call the nurses and find out from them, ‘OK, this is what he’s telling us. Can you confirm it? Or can you tell us what’s happening?’” Richard Cass said. “And they’ve been real good about giving us information.”
Richard Cass said the family was worried when they realized his father would be admitted to the hospital during the pandemic, as people with severe cases of COVID-19 are being admitted at TMC.
“I understand they’re in a separate section of the hospital, but it was a concern,” he said. “But it sounds like they’re doing everything that they need to do to make sure that everything’s separated and they’re keeping clean, doing hand washing and wearing a mask and everything that they should be doing. So I think they’re doing a pretty good job of managing it.”
Photos: April coronavirus patient drill at Tucson Medical Center
Tucson Medical Center, coronavirus drill
Updated
Tucson firefighters treat a practice patient "dummy" entering the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Medical Center is estimating a $20 million loss in revenue for April alone — nearly 40 percent of its average monthly income — but the hospital says it is in a strong position to endure the pandemic.
5 million — this would account for nearly 40 percent of their average monthly income. Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson hospitals believe a resumption in elective surgeries, possibly soon, will help stabilize their operations.
Emergency room staff at Tucson Medical Center watch coworkers and Tucson fire paramedics during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
An empty emergency-room waiting area at Tucson Medical Center. About 100 fewer patients pass through the ER daily.
ergency room waiting area at Tucson Medical Center on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire personnel and emergency room workers from Tucson Medical Center work on a "dummy" patient at TMC during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Seating in a Coronavirus disease (COVID-19) testing tent outside of the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire EMTs and paramedics prepare to run a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire Department EMTs and paramedics prepare biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room workers at Tucson Medical Center talk with Tucson Fire Department EMTs and paramedics prior to a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Opportunities to donate and support health-care workers, including but not limited to housing, will be forthcoming online at www.hcwhosted.org.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
EMTs in masks personnel load up a gurney into the back of an ambulance after dropping off a patient at the Tucson Medical Center's emergency room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire paramedics help each other with biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
A Tucson Fire paramedic peers out the back of a TFD rescue ambulance during a drill at Tucson Medical Center Emergency Room on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room staff watch as coworkers and Tucson Fire EMTs and paramedics at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Arizona governor touts COVID vaccine coming soon; spurns calls for curfews, other rules
UpdatedPHOENIX — Arizona is expected to receive “hundreds of thousands” of COVID-19 vaccine doses by the end of this month, with priority for health-care workers, teachers, vulnerable populations and long-term-care residents, the state’s health chief said Wednesday.
The announcement came as Dr. Cara Christ also disclosed that 1 person out of every 7 who got tested for the virus last week in Arizona was infected. She also reported a new one-day record for cases.
But Gov. Doug Ducey, standing by her side, refused to put any new mitigation measures or restrictions in place to get the state to the point where a majority of Arizonans can be inoculated.
He specifically rejected a proposal by the chief medical officers of several Arizona hospitals to put in place a curfew, close restaurants to indoor dining and cancel group athletic activities. Instead, Ducey said he is relying on the idea that Arizona will have sufficient hospital beds to treat those who get ill in the interim.
However, that assumes hospitals can find the qualified medical personnel to staff these beds.
Earlier Wednesday, Marjorie Bessel, chief clinical officer for Banner Health, said the problem now, unlike this summer when virus cases peaked here, is that Arizona is no longer the state with the biggest surge. That makes it difficult to recruit help from elsewhere.
And while Banner is in the process of filling 1,500 positions, she said efforts are still underway to hire 900 more.
Ducey did agree Wednesday to provide an additional $60 million to Arizona hospitals to help them find the staff they need to handle the surge of people needing medical care. That is on top of a $25 million infusion less than a month ago.
“Grim” forecasts for this month and next
Bessel said the picture in Arizona is “grim,” predicting that Banner hospitals will hit 125% of bed capacity this month and exceed that, at least briefly, in January.
That trend is not unique to Banner.
Intensive-care-unit bed use is already at 90% of capacity in the state, the most recent data from the Arizona Department of Health Services shows.
Hitting 125% is not necessarily a problem as hospitals are required to have plans in place for such a surge, including converting non-ICU beds and other facilities for intensive-care use.
But the Institute for Health Metrics Evaluation predicts the demand for ICU beds will hit 300% of capacity in Arizona by the middle of January unless there are additional steps taken to curb the spread of the virus.
It was for that reason that Bessel and medical officers from Mayo Clinic and Dignity Health specifically asked Christ this week to impose the additional restrictions.
Bessel specifically praised Tucson Mayor Regina Romero and the City Council for voting Tuesday to impose a 10 p.m. curfew for three weeks.
“A curfew is mitigation that absolutely can work,” Bessel said. “It can work and it will work if we deploy it.”
Ducey is not willing to take such steps, even as he conceded that the vaccines, which will only start to be available later this month — and only for those in the highest priority classes — won’t make any immediate dent in an increasing trend in cases.
“We are in for a tough several weeks here,” the governor said at his news conference Wednesday.
He said he was giving his “most sincere condolences” to the families of the 6,739 people in Arizona who have died so far from COVID-19.
“We grieve every death in Arizona and want to continue to do everything we can to contain the spread of this virus and protect lives,” Ducey said.
Ducey: Curfews “not the right approach”
But that won’t include the kind of new restrictions being urged by the hospital medical chiefs and others, and not the kind of curfew that takes effect Friday, Dec. 4, in Tucson.
“I don’t think it’s the right approach,” Ducey said. “We want to do things that will allow businesses to operate safely.”
He said the continuing restrictions imposed in late June, like occupancy limits on in-house restaurant dining, movie theaters and fitness centers, along with enforcement, “will be the best things we can do to continue to slow the spread.”
He brushed aside questions about the fact that the spread is not slowing, even as Christ acknowledged that 15% of the tests for the virus conducted last week are coming back positive.
“This week we’re trending higher,” she said.
The number of new cases reported per day hit a record on Nov. 23 in the state. Figures for more recent dates are still being updated.
For Ducey, the focus is on the economy.
“I don’t think the right answer is to throw hundreds of thousands of Arizonans out of work before the holidays to slow this spread because I don’t think it would slow the spread,” he said.
He said there are other complications of restrictions, “like suicide attempts, like depression, like emotional and social disconnection, like child abuse and like domestic violence.”
Safety measures for large events
The lone new regulation of sorts that Ducey did impose Wednesday is not anything the state would enforce.
His current executive orders prohibit gatherings of more than 50 unless local governments approve. Now, he said, these governments will have to have a written agreement with event organizers that they will require and enforce certain safety measures, like distancing and the use of masks.
Nothing in Ducey’s orders affects activities he said are protected by the First Amendment, like the rallies the governor attended this year during President Trump’s campaign.
That, then, leaves the vaccines.
More financial help for restaurants
Ducey said first priority will go to health-care and essential public-safety workers, residents of long-term-care facilities and other “vulnerable” populations.
He is specifically including teachers in that first group.
That dovetails with his often-repeated argument that he wants more in-classroom teaching and less online education. The premise is that once teachers have immunity, they will be more willing to return to work in classrooms.
The date for vaccines for all Arizonans has yet to be determined.
Ducey issued an executive order Wednesday spelling out that all residents will be able to get inoculated “without financial barriers.”
Ducey also set aside $1 million in grants to help restaurants and other dining facilities expand their outdoor dining operations.
There is a separate $100,000 going to the Arizona Restaurant Association for the same purpose, and another $100,000 to the Arizona Lodging and Tourism Association to aid hotels and their restaurants in strengthening their sanitation and mitigation practices to protect patrons and staff.
Not everything being done for restaurants is financial.
Ducey is suspending a provision in law that says restaurants can serve alcoholic beverages only to patrons dining in-house or at an outdoor patio directly connected to the business. That has proven to be a barrier for restaurants that have received local permission to operate in parking lots and on cordoned-off areas of the street where there is a sidewalk in between.
Tucson Medical Center and the Tucson Fire Department held a drill on April 10, 2020, to help establish procedures and solve problems when hand…
Pima County keeps voluntary curfew, enhances penalties for violating COVID-19 rules
UpdatedThe Pima County supervisors voted Friday to strengthen penalties related to noncompliance with COVID-19 regulations, including the potential suspension of restaurant licenses and civil penalties for people not wearing a mask in public.
In addition to several new enforcement actions, the Board of Supervisors also endorsed a strengthened public-health advisory by the Pima County Health Department that now requires businesses to report any known coronavirus cases.
The county’s voluntary curfew, which began Nov. 24, will remain in place each night from 10 p.m. to 5 a.m. through Dec. 31. Even as other areas of the county are asked to adhere to the voluntary curfew, the city of Tucson voted to implement a mandatory curfew earlier this week, which will be in place from Friday, Dec. 4, to Wednesday, Dec. 23.
“The point of an advisory is to really ensure that people understand the severity of what we are dealing with,” said Dr. Theresa Cullen, the county’s public-health director. “We are in a crisis situation.”
The increased enforcement measures come as new coronavirus cases reach unprecedented levels throughout the county and state. In the first four days of December, there have been close to 2,900 new infections in the county, exceeding the total number of cases in March, April and May combined.
Hospitals also continue to deal with a record number of COVID-19 patients, reporting only one available ICU bed in the county on Dec. 3. Officials throughout the state continue to see an accelerated growth curve with no signs of slowing down without serious statewide intervention.
“We in the hospitals are being stretched to the limit, even as we speak,” said Dr. Clifford Martin, an infectious-disease specialist at Tucson Medical Center, when addressing the board. “I ask you and the community to do whatever you can to help us in the hospital at this point.”
Based on action taken by Gov. Doug Ducey earlier this week, the board decided to enhance enforcement on a number of coronavirus regulations already in place.
Here are the actions that were taken by the board, in 3-2 votes with Republican supervisors Steve Christy and Ally Miller voting no on them:
Business regulations
In July, supervisors adopted a number of temporary measures applicable to restaurants, public pools, gyms, fitness centers, hotels and resorts, such as employee temperature checks, masks and gloves, occupancy limits, social distancing and cleaning requirements.
Under an amended proclamation, the county will now enhance its enforcement of these measures, allowing only one incidence of noncompliance before facing repercussion by the county Health Department. A second violation by a business could result in the possible suspension or revocation of the establishment’s license or operating permit.
Mask compliance
While the county has had a mask mandate in place since June, there were previously no penalties in place for noncompliance. On Friday, the board asked that all county jurisdictions and law enforcement agencies assist in enforcement action, which includes a $50 civil fine for not wearing a mask in public areas.
In addition, the board made it mandatory for businesses to refuse service to anyone entering their establishments without a mask, unless specific exemptions apply. A business could be fined up to $500 if they do not comply.
Event regulations
Anyone wishing to hold an event with more than 50 people will now be required to pay a $1,000 or more compliance deposit, depending on the size of the proposed event. If mitigation strategies are followed during the event, organizers would be entitled to get their deposit back.
There will be on-site inspections of these events to determine compliance.
Curfew
The voluntary countywide curfew, intended to curb evening social gatherings at bars and other places, will remain in place through Dec. 31.
After two weeks, the board will review whether the voluntary curfew and other measures are working by analyzing the number of infections per 100,000 residents as well as the percent of positivity within the county. If the county is still over 100 cases per 100,000 people and over 10% positive, the board will consider moving to a mandatory curfew.
“We don’t know what the next two weeks will bring,” County Administrator Chuck Huckelberry said. “We are at over 350 infections per 100,000. If that continues to increase, we will be back with more measures within the next two weeks.”
Older adults asked to shelter in place
In addition to the curfew, the Health Department is also asking for older adults and people with underlying medical conditions to voluntarily shelter in place, except to seek medical care, purchase food, attend work or other essential activities.
The enhanced public-health advisory also requires businesses to report any confirmed COVID-19 cases within their establishment and further comply with any contact tracing efforts by the Health Department. A website will go live next week for businesses to report these cases to the county.
Photos: April coronavirus patient drill at Tucson Medical Center
Tucson Medical Center, coronavirus drill
Updated
Tucson firefighters treat a practice patient "dummy" entering the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Medical Center is estimating a $20 million loss in revenue for April alone — nearly 40 percent of its average monthly income — but the hospital says it is in a strong position to endure the pandemic.
5 million — this would account for nearly 40 percent of their average monthly income. Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson hospitals believe a resumption in elective surgeries, possibly soon, will help stabilize their operations.
Emergency room staff at Tucson Medical Center watch coworkers and Tucson fire paramedics during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
An empty emergency-room waiting area at Tucson Medical Center. About 100 fewer patients pass through the ER daily.
ergency room waiting area at Tucson Medical Center on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire personnel and emergency room workers from Tucson Medical Center work on a "dummy" patient at TMC during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Seating in a Coronavirus disease (COVID-19) testing tent outside of the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire EMTs and paramedics prepare to run a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire Department EMTs and paramedics prepare biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room workers at Tucson Medical Center talk with Tucson Fire Department EMTs and paramedics prior to a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Opportunities to donate and support health-care workers, including but not limited to housing, will be forthcoming online at www.hcwhosted.org.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
EMTs in masks personnel load up a gurney into the back of an ambulance after dropping off a patient at the Tucson Medical Center's emergency room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire paramedics help each other with biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
A Tucson Fire paramedic peers out the back of a TFD rescue ambulance during a drill at Tucson Medical Center Emergency Room on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room staff watch as coworkers and Tucson Fire EMTs and paramedics at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Arizona governor touts COVID vaccine coming soon; spurns calls for curfews, other rules
UpdatedPHOENIX — Arizona is expected to receive “hundreds of thousands” of COVID-19 vaccine doses by the end of this month, with priority for health-care workers, teachers, vulnerable populations and long-term-care residents, the state’s health chief said Wednesday.
The announcement came as Dr. Cara Christ also disclosed that 1 person out of every 7 who got tested for the virus last week in Arizona was infected. She also reported a new one-day record for cases.
But Gov. Doug Ducey, standing by her side, refused to put any new mitigation measures or restrictions in place to get the state to the point where a majority of Arizonans can be inoculated.
He specifically rejected a proposal by the chief medical officers of several Arizona hospitals to put in place a curfew, close restaurants to indoor dining and cancel group athletic activities. Instead, Ducey said he is relying on the idea that Arizona will have sufficient hospital beds to treat those who get ill in the interim.
However, that assumes hospitals can find the qualified medical personnel to staff these beds.
Earlier Wednesday, Marjorie Bessel, chief clinical officer for Banner Health, said the problem now, unlike this summer when virus cases peaked here, is that Arizona is no longer the state with the biggest surge. That makes it difficult to recruit help from elsewhere.
And while Banner is in the process of filling 1,500 positions, she said efforts are still underway to hire 900 more.
Ducey did agree Wednesday to provide an additional $60 million to Arizona hospitals to help them find the staff they need to handle the surge of people needing medical care. That is on top of a $25 million infusion less than a month ago.
“Grim” forecasts for this month and next
Bessel said the picture in Arizona is “grim,” predicting that Banner hospitals will hit 125% of bed capacity this month and exceed that, at least briefly, in January.
That trend is not unique to Banner.
Intensive-care-unit bed use is already at 90% of capacity in the state, the most recent data from the Arizona Department of Health Services shows.
Hitting 125% is not necessarily a problem as hospitals are required to have plans in place for such a surge, including converting non-ICU beds and other facilities for intensive-care use.
But the Institute for Health Metrics Evaluation predicts the demand for ICU beds will hit 300% of capacity in Arizona by the middle of January unless there are additional steps taken to curb the spread of the virus.
It was for that reason that Bessel and medical officers from Mayo Clinic and Dignity Health specifically asked Christ this week to impose the additional restrictions.
Bessel specifically praised Tucson Mayor Regina Romero and the City Council for voting Tuesday to impose a 10 p.m. curfew for three weeks.
“A curfew is mitigation that absolutely can work,” Bessel said. “It can work and it will work if we deploy it.”
Ducey is not willing to take such steps, even as he conceded that the vaccines, which will only start to be available later this month — and only for those in the highest priority classes — won’t make any immediate dent in an increasing trend in cases.
“We are in for a tough several weeks here,” the governor said at his news conference Wednesday.
He said he was giving his “most sincere condolences” to the families of the 6,739 people in Arizona who have died so far from COVID-19.
“We grieve every death in Arizona and want to continue to do everything we can to contain the spread of this virus and protect lives,” Ducey said.
Ducey: Curfews “not the right approach”
But that won’t include the kind of new restrictions being urged by the hospital medical chiefs and others, and not the kind of curfew that takes effect Friday, Dec. 4, in Tucson.
“I don’t think it’s the right approach,” Ducey said. “We want to do things that will allow businesses to operate safely.”
He said the continuing restrictions imposed in late June, like occupancy limits on in-house restaurant dining, movie theaters and fitness centers, along with enforcement, “will be the best things we can do to continue to slow the spread.”
He brushed aside questions about the fact that the spread is not slowing, even as Christ acknowledged that 15% of the tests for the virus conducted last week are coming back positive.
“This week we’re trending higher,” she said.
The number of new cases reported per day hit a record on Nov. 23 in the state. Figures for more recent dates are still being updated.
For Ducey, the focus is on the economy.
“I don’t think the right answer is to throw hundreds of thousands of Arizonans out of work before the holidays to slow this spread because I don’t think it would slow the spread,” he said.
He said there are other complications of restrictions, “like suicide attempts, like depression, like emotional and social disconnection, like child abuse and like domestic violence.”
Safety measures for large events
The lone new regulation of sorts that Ducey did impose Wednesday is not anything the state would enforce.
His current executive orders prohibit gatherings of more than 50 unless local governments approve. Now, he said, these governments will have to have a written agreement with event organizers that they will require and enforce certain safety measures, like distancing and the use of masks.
Nothing in Ducey’s orders affects activities he said are protected by the First Amendment, like the rallies the governor attended this year during President Trump’s campaign.
That, then, leaves the vaccines.
More financial help for restaurants
Ducey said first priority will go to health-care and essential public-safety workers, residents of long-term-care facilities and other “vulnerable” populations.
He is specifically including teachers in that first group.
That dovetails with his often-repeated argument that he wants more in-classroom teaching and less online education. The premise is that once teachers have immunity, they will be more willing to return to work in classrooms.
The date for vaccines for all Arizonans has yet to be determined.
Ducey issued an executive order Wednesday spelling out that all residents will be able to get inoculated “without financial barriers.”
Ducey also set aside $1 million in grants to help restaurants and other dining facilities expand their outdoor dining operations.
There is a separate $100,000 going to the Arizona Restaurant Association for the same purpose, and another $100,000 to the Arizona Lodging and Tourism Association to aid hotels and their restaurants in strengthening their sanitation and mitigation practices to protect patrons and staff.
Not everything being done for restaurants is financial.
Ducey is suspending a provision in law that says restaurants can serve alcoholic beverages only to patrons dining in-house or at an outdoor patio directly connected to the business. That has proven to be a barrier for restaurants that have received local permission to operate in parking lots and on cordoned-off areas of the street where there is a sidewalk in between.
Tucson Medical Center and the Tucson Fire Department held a drill on April 10, 2020, to help establish procedures and solve problems when hand…
Pima County keeps voluntary curfew, enhances penalties for violating COVID-19 rules
UpdatedThe Pima County supervisors voted Friday to strengthen penalties related to noncompliance with COVID-19 regulations, including the potential suspension of restaurant licenses and civil penalties for people not wearing a mask in public.
In addition to several new enforcement actions, the Board of Supervisors also endorsed a strengthened public-health advisory by the Pima County Health Department that now requires businesses to report any known coronavirus cases.
The county’s voluntary curfew, which began Nov. 24, will remain in place each night from 10 p.m. to 5 a.m. through Dec. 31. Even as other areas of the county are asked to adhere to the voluntary curfew, the city of Tucson voted to implement a mandatory curfew earlier this week, which will be in place from Friday, Dec. 4, to Wednesday, Dec. 23.
“The point of an advisory is to really ensure that people understand the severity of what we are dealing with,” said Dr. Theresa Cullen, the county’s public-health director. “We are in a crisis situation.”
The increased enforcement measures come as new coronavirus cases reach unprecedented levels throughout the county and state. In the first four days of December, there have been close to 2,900 new infections in the county, exceeding the total number of cases in March, April and May combined.
Hospitals also continue to deal with a record number of COVID-19 patients, reporting only one available ICU bed in the county on Dec. 3. Officials throughout the state continue to see an accelerated growth curve with no signs of slowing down without serious statewide intervention.
“We in the hospitals are being stretched to the limit, even as we speak,” said Dr. Clifford Martin, an infectious-disease specialist at Tucson Medical Center, when addressing the board. “I ask you and the community to do whatever you can to help us in the hospital at this point.”
Based on action taken by Gov. Doug Ducey earlier this week, the board decided to enhance enforcement on a number of coronavirus regulations already in place.
Here are the actions that were taken by the board, in 3-2 votes with Republican supervisors Steve Christy and Ally Miller voting no on them:
Business regulations
In July, supervisors adopted a number of temporary measures applicable to restaurants, public pools, gyms, fitness centers, hotels and resorts, such as employee temperature checks, masks and gloves, occupancy limits, social distancing and cleaning requirements.
Under an amended proclamation, the county will now enhance its enforcement of these measures, allowing only one incidence of noncompliance before facing repercussion by the county Health Department. A second violation by a business could result in the possible suspension or revocation of the establishment’s license or operating permit.
Mask compliance
While the county has had a mask mandate in place since June, there were previously no penalties in place for noncompliance. On Friday, the board asked that all county jurisdictions and law enforcement agencies assist in enforcement action, which includes a $50 civil fine for not wearing a mask in public areas.
In addition, the board made it mandatory for businesses to refuse service to anyone entering their establishments without a mask, unless specific exemptions apply. A business could be fined up to $500 if they do not comply.
Event regulations
Anyone wishing to hold an event with more than 50 people will now be required to pay a $1,000 or more compliance deposit, depending on the size of the proposed event. If mitigation strategies are followed during the event, organizers would be entitled to get their deposit back.
There will be on-site inspections of these events to determine compliance.
Curfew
The voluntary countywide curfew, intended to curb evening social gatherings at bars and other places, will remain in place through Dec. 31.
After two weeks, the board will review whether the voluntary curfew and other measures are working by analyzing the number of infections per 100,000 residents as well as the percent of positivity within the county. If the county is still over 100 cases per 100,000 people and over 10% positive, the board will consider moving to a mandatory curfew.
“We don’t know what the next two weeks will bring,” County Administrator Chuck Huckelberry said. “We are at over 350 infections per 100,000. If that continues to increase, we will be back with more measures within the next two weeks.”
Older adults asked to shelter in place
In addition to the curfew, the Health Department is also asking for older adults and people with underlying medical conditions to voluntarily shelter in place, except to seek medical care, purchase food, attend work or other essential activities.
The enhanced public-health advisory also requires businesses to report any confirmed COVID-19 cases within their establishment and further comply with any contact tracing efforts by the Health Department. A website will go live next week for businesses to report these cases to the county.
Photos: April coronavirus patient drill at Tucson Medical Center
Tucson Medical Center, coronavirus drill
Updated
Tucson firefighters treat a practice patient "dummy" entering the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Medical Center is estimating a $20 million loss in revenue for April alone — nearly 40 percent of its average monthly income — but the hospital says it is in a strong position to endure the pandemic.
5 million — this would account for nearly 40 percent of their average monthly income. Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson hospitals believe a resumption in elective surgeries, possibly soon, will help stabilize their operations.
Emergency room staff at Tucson Medical Center watch coworkers and Tucson fire paramedics during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
An empty emergency-room waiting area at Tucson Medical Center. About 100 fewer patients pass through the ER daily.
ergency room waiting area at Tucson Medical Center on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire personnel and emergency room workers from Tucson Medical Center work on a "dummy" patient at TMC during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Seating in a Coronavirus disease (COVID-19) testing tent outside of the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire EMTs and paramedics prepare to run a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire Department EMTs and paramedics prepare biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room workers at Tucson Medical Center talk with Tucson Fire Department EMTs and paramedics prior to a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Opportunities to donate and support health-care workers, including but not limited to housing, will be forthcoming online at www.hcwhosted.org.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
EMTs in masks personnel load up a gurney into the back of an ambulance after dropping off a patient at the Tucson Medical Center's emergency room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire paramedics help each other with biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
A Tucson Fire paramedic peers out the back of a TFD rescue ambulance during a drill at Tucson Medical Center Emergency Room on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room staff watch as coworkers and Tucson Fire EMTs and paramedics at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Arizona governor touts COVID vaccine coming soon; spurns calls for curfews, other rules
UpdatedPHOENIX — Arizona is expected to receive “hundreds of thousands” of COVID-19 vaccine doses by the end of this month, with priority for health-care workers, teachers, vulnerable populations and long-term-care residents, the state’s health chief said Wednesday.
The announcement came as Dr. Cara Christ also disclosed that 1 person out of every 7 who got tested for the virus last week in Arizona was infected. She also reported a new one-day record for cases.
But Gov. Doug Ducey, standing by her side, refused to put any new mitigation measures or restrictions in place to get the state to the point where a majority of Arizonans can be inoculated.
He specifically rejected a proposal by the chief medical officers of several Arizona hospitals to put in place a curfew, close restaurants to indoor dining and cancel group athletic activities. Instead, Ducey said he is relying on the idea that Arizona will have sufficient hospital beds to treat those who get ill in the interim.
However, that assumes hospitals can find the qualified medical personnel to staff these beds.
Earlier Wednesday, Marjorie Bessel, chief clinical officer for Banner Health, said the problem now, unlike this summer when virus cases peaked here, is that Arizona is no longer the state with the biggest surge. That makes it difficult to recruit help from elsewhere.
And while Banner is in the process of filling 1,500 positions, she said efforts are still underway to hire 900 more.
Ducey did agree Wednesday to provide an additional $60 million to Arizona hospitals to help them find the staff they need to handle the surge of people needing medical care. That is on top of a $25 million infusion less than a month ago.
“Grim” forecasts for this month and next
Bessel said the picture in Arizona is “grim,” predicting that Banner hospitals will hit 125% of bed capacity this month and exceed that, at least briefly, in January.
That trend is not unique to Banner.
Intensive-care-unit bed use is already at 90% of capacity in the state, the most recent data from the Arizona Department of Health Services shows.
Hitting 125% is not necessarily a problem as hospitals are required to have plans in place for such a surge, including converting non-ICU beds and other facilities for intensive-care use.
But the Institute for Health Metrics Evaluation predicts the demand for ICU beds will hit 300% of capacity in Arizona by the middle of January unless there are additional steps taken to curb the spread of the virus.
It was for that reason that Bessel and medical officers from Mayo Clinic and Dignity Health specifically asked Christ this week to impose the additional restrictions.
Bessel specifically praised Tucson Mayor Regina Romero and the City Council for voting Tuesday to impose a 10 p.m. curfew for three weeks.
“A curfew is mitigation that absolutely can work,” Bessel said. “It can work and it will work if we deploy it.”
Ducey is not willing to take such steps, even as he conceded that the vaccines, which will only start to be available later this month — and only for those in the highest priority classes — won’t make any immediate dent in an increasing trend in cases.
“We are in for a tough several weeks here,” the governor said at his news conference Wednesday.
He said he was giving his “most sincere condolences” to the families of the 6,739 people in Arizona who have died so far from COVID-19.
“We grieve every death in Arizona and want to continue to do everything we can to contain the spread of this virus and protect lives,” Ducey said.
Ducey: Curfews “not the right approach”
But that won’t include the kind of new restrictions being urged by the hospital medical chiefs and others, and not the kind of curfew that takes effect Friday, Dec. 4, in Tucson.
“I don’t think it’s the right approach,” Ducey said. “We want to do things that will allow businesses to operate safely.”
He said the continuing restrictions imposed in late June, like occupancy limits on in-house restaurant dining, movie theaters and fitness centers, along with enforcement, “will be the best things we can do to continue to slow the spread.”
He brushed aside questions about the fact that the spread is not slowing, even as Christ acknowledged that 15% of the tests for the virus conducted last week are coming back positive.
“This week we’re trending higher,” she said.
The number of new cases reported per day hit a record on Nov. 23 in the state. Figures for more recent dates are still being updated.
For Ducey, the focus is on the economy.
“I don’t think the right answer is to throw hundreds of thousands of Arizonans out of work before the holidays to slow this spread because I don’t think it would slow the spread,” he said.
He said there are other complications of restrictions, “like suicide attempts, like depression, like emotional and social disconnection, like child abuse and like domestic violence.”
Safety measures for large events
The lone new regulation of sorts that Ducey did impose Wednesday is not anything the state would enforce.
His current executive orders prohibit gatherings of more than 50 unless local governments approve. Now, he said, these governments will have to have a written agreement with event organizers that they will require and enforce certain safety measures, like distancing and the use of masks.
Nothing in Ducey’s orders affects activities he said are protected by the First Amendment, like the rallies the governor attended this year during President Trump’s campaign.
That, then, leaves the vaccines.
More financial help for restaurants
Ducey said first priority will go to health-care and essential public-safety workers, residents of long-term-care facilities and other “vulnerable” populations.
He is specifically including teachers in that first group.
That dovetails with his often-repeated argument that he wants more in-classroom teaching and less online education. The premise is that once teachers have immunity, they will be more willing to return to work in classrooms.
The date for vaccines for all Arizonans has yet to be determined.
Ducey issued an executive order Wednesday spelling out that all residents will be able to get inoculated “without financial barriers.”
Ducey also set aside $1 million in grants to help restaurants and other dining facilities expand their outdoor dining operations.
There is a separate $100,000 going to the Arizona Restaurant Association for the same purpose, and another $100,000 to the Arizona Lodging and Tourism Association to aid hotels and their restaurants in strengthening their sanitation and mitigation practices to protect patrons and staff.
Not everything being done for restaurants is financial.
Ducey is suspending a provision in law that says restaurants can serve alcoholic beverages only to patrons dining in-house or at an outdoor patio directly connected to the business. That has proven to be a barrier for restaurants that have received local permission to operate in parking lots and on cordoned-off areas of the street where there is a sidewalk in between.
Tucson Medical Center and the Tucson Fire Department held a drill on April 10, 2020, to help establish procedures and solve problems when hand…
Pima County keeps voluntary curfew, enhances penalties for violating COVID-19 rules
UpdatedThe Pima County supervisors voted Friday to strengthen penalties related to noncompliance with COVID-19 regulations, including the potential suspension of restaurant licenses and civil penalties for people not wearing a mask in public.
In addition to several new enforcement actions, the Board of Supervisors also endorsed a strengthened public-health advisory by the Pima County Health Department that now requires businesses to report any known coronavirus cases.
The county’s voluntary curfew, which began Nov. 24, will remain in place each night from 10 p.m. to 5 a.m. through Dec. 31. Even as other areas of the county are asked to adhere to the voluntary curfew, the city of Tucson voted to implement a mandatory curfew earlier this week, which will be in place from Friday, Dec. 4, to Wednesday, Dec. 23.
“The point of an advisory is to really ensure that people understand the severity of what we are dealing with,” said Dr. Theresa Cullen, the county’s public-health director. “We are in a crisis situation.”
The increased enforcement measures come as new coronavirus cases reach unprecedented levels throughout the county and state. In the first four days of December, there have been close to 2,900 new infections in the county, exceeding the total number of cases in March, April and May combined.
Hospitals also continue to deal with a record number of COVID-19 patients, reporting only one available ICU bed in the county on Dec. 3. Officials throughout the state continue to see an accelerated growth curve with no signs of slowing down without serious statewide intervention.
“We in the hospitals are being stretched to the limit, even as we speak,” said Dr. Clifford Martin, an infectious-disease specialist at Tucson Medical Center, when addressing the board. “I ask you and the community to do whatever you can to help us in the hospital at this point.”
Based on action taken by Gov. Doug Ducey earlier this week, the board decided to enhance enforcement on a number of coronavirus regulations already in place.
Here are the actions that were taken by the board, in 3-2 votes with Republican supervisors Steve Christy and Ally Miller voting no on them:
Business regulations
In July, supervisors adopted a number of temporary measures applicable to restaurants, public pools, gyms, fitness centers, hotels and resorts, such as employee temperature checks, masks and gloves, occupancy limits, social distancing and cleaning requirements.
Under an amended proclamation, the county will now enhance its enforcement of these measures, allowing only one incidence of noncompliance before facing repercussion by the county Health Department. A second violation by a business could result in the possible suspension or revocation of the establishment’s license or operating permit.
Mask compliance
While the county has had a mask mandate in place since June, there were previously no penalties in place for noncompliance. On Friday, the board asked that all county jurisdictions and law enforcement agencies assist in enforcement action, which includes a $50 civil fine for not wearing a mask in public areas.
In addition, the board made it mandatory for businesses to refuse service to anyone entering their establishments without a mask, unless specific exemptions apply. A business could be fined up to $500 if they do not comply.
Event regulations
Anyone wishing to hold an event with more than 50 people will now be required to pay a $1,000 or more compliance deposit, depending on the size of the proposed event. If mitigation strategies are followed during the event, organizers would be entitled to get their deposit back.
There will be on-site inspections of these events to determine compliance.
Curfew
The voluntary countywide curfew, intended to curb evening social gatherings at bars and other places, will remain in place through Dec. 31.
After two weeks, the board will review whether the voluntary curfew and other measures are working by analyzing the number of infections per 100,000 residents as well as the percent of positivity within the county. If the county is still over 100 cases per 100,000 people and over 10% positive, the board will consider moving to a mandatory curfew.
“We don’t know what the next two weeks will bring,” County Administrator Chuck Huckelberry said. “We are at over 350 infections per 100,000. If that continues to increase, we will be back with more measures within the next two weeks.”
Older adults asked to shelter in place
In addition to the curfew, the Health Department is also asking for older adults and people with underlying medical conditions to voluntarily shelter in place, except to seek medical care, purchase food, attend work or other essential activities.
The enhanced public-health advisory also requires businesses to report any confirmed COVID-19 cases within their establishment and further comply with any contact tracing efforts by the Health Department. A website will go live next week for businesses to report these cases to the county.
Photos: April coronavirus patient drill at Tucson Medical Center
Tucson Medical Center, coronavirus drill
Updated
Tucson firefighters treat a practice patient "dummy" entering the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Medical Center is estimating a $20 million loss in revenue for April alone — nearly 40 percent of its average monthly income — but the hospital says it is in a strong position to endure the pandemic.
5 million — this would account for nearly 40 percent of their average monthly income. Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson hospitals believe a resumption in elective surgeries, possibly soon, will help stabilize their operations.
Emergency room staff at Tucson Medical Center watch coworkers and Tucson fire paramedics during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
An empty emergency-room waiting area at Tucson Medical Center. About 100 fewer patients pass through the ER daily.
ergency room waiting area at Tucson Medical Center on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire personnel and emergency room workers from Tucson Medical Center work on a "dummy" patient at TMC during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Seating in a Coronavirus disease (COVID-19) testing tent outside of the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire EMTs and paramedics prepare to run a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire Department EMTs and paramedics prepare biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room workers at Tucson Medical Center talk with Tucson Fire Department EMTs and paramedics prior to a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Opportunities to donate and support health-care workers, including but not limited to housing, will be forthcoming online at www.hcwhosted.org.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
EMTs in masks personnel load up a gurney into the back of an ambulance after dropping off a patient at the Tucson Medical Center's emergency room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire paramedics help each other with biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
A Tucson Fire paramedic peers out the back of a TFD rescue ambulance during a drill at Tucson Medical Center Emergency Room on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room staff watch as coworkers and Tucson Fire EMTs and paramedics at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Arizona governor touts COVID vaccine coming soon; spurns calls for curfews, other rules
UpdatedPHOENIX — Arizona is expected to receive “hundreds of thousands” of COVID-19 vaccine doses by the end of this month, with priority for health-care workers, teachers, vulnerable populations and long-term-care residents, the state’s health chief said Wednesday.
The announcement came as Dr. Cara Christ also disclosed that 1 person out of every 7 who got tested for the virus last week in Arizona was infected. She also reported a new one-day record for cases.
But Gov. Doug Ducey, standing by her side, refused to put any new mitigation measures or restrictions in place to get the state to the point where a majority of Arizonans can be inoculated.
He specifically rejected a proposal by the chief medical officers of several Arizona hospitals to put in place a curfew, close restaurants to indoor dining and cancel group athletic activities. Instead, Ducey said he is relying on the idea that Arizona will have sufficient hospital beds to treat those who get ill in the interim.
However, that assumes hospitals can find the qualified medical personnel to staff these beds.
Earlier Wednesday, Marjorie Bessel, chief clinical officer for Banner Health, said the problem now, unlike this summer when virus cases peaked here, is that Arizona is no longer the state with the biggest surge. That makes it difficult to recruit help from elsewhere.
And while Banner is in the process of filling 1,500 positions, she said efforts are still underway to hire 900 more.
Ducey did agree Wednesday to provide an additional $60 million to Arizona hospitals to help them find the staff they need to handle the surge of people needing medical care. That is on top of a $25 million infusion less than a month ago.
“Grim” forecasts for this month and next
Bessel said the picture in Arizona is “grim,” predicting that Banner hospitals will hit 125% of bed capacity this month and exceed that, at least briefly, in January.
That trend is not unique to Banner.
Intensive-care-unit bed use is already at 90% of capacity in the state, the most recent data from the Arizona Department of Health Services shows.
Hitting 125% is not necessarily a problem as hospitals are required to have plans in place for such a surge, including converting non-ICU beds and other facilities for intensive-care use.
But the Institute for Health Metrics Evaluation predicts the demand for ICU beds will hit 300% of capacity in Arizona by the middle of January unless there are additional steps taken to curb the spread of the virus.
It was for that reason that Bessel and medical officers from Mayo Clinic and Dignity Health specifically asked Christ this week to impose the additional restrictions.
Bessel specifically praised Tucson Mayor Regina Romero and the City Council for voting Tuesday to impose a 10 p.m. curfew for three weeks.
“A curfew is mitigation that absolutely can work,” Bessel said. “It can work and it will work if we deploy it.”
Ducey is not willing to take such steps, even as he conceded that the vaccines, which will only start to be available later this month — and only for those in the highest priority classes — won’t make any immediate dent in an increasing trend in cases.
“We are in for a tough several weeks here,” the governor said at his news conference Wednesday.
He said he was giving his “most sincere condolences” to the families of the 6,739 people in Arizona who have died so far from COVID-19.
“We grieve every death in Arizona and want to continue to do everything we can to contain the spread of this virus and protect lives,” Ducey said.
Ducey: Curfews “not the right approach”
But that won’t include the kind of new restrictions being urged by the hospital medical chiefs and others, and not the kind of curfew that takes effect Friday, Dec. 4, in Tucson.
“I don’t think it’s the right approach,” Ducey said. “We want to do things that will allow businesses to operate safely.”
He said the continuing restrictions imposed in late June, like occupancy limits on in-house restaurant dining, movie theaters and fitness centers, along with enforcement, “will be the best things we can do to continue to slow the spread.”
He brushed aside questions about the fact that the spread is not slowing, even as Christ acknowledged that 15% of the tests for the virus conducted last week are coming back positive.
“This week we’re trending higher,” she said.
The number of new cases reported per day hit a record on Nov. 23 in the state. Figures for more recent dates are still being updated.
For Ducey, the focus is on the economy.
“I don’t think the right answer is to throw hundreds of thousands of Arizonans out of work before the holidays to slow this spread because I don’t think it would slow the spread,” he said.
He said there are other complications of restrictions, “like suicide attempts, like depression, like emotional and social disconnection, like child abuse and like domestic violence.”
Safety measures for large events
The lone new regulation of sorts that Ducey did impose Wednesday is not anything the state would enforce.
His current executive orders prohibit gatherings of more than 50 unless local governments approve. Now, he said, these governments will have to have a written agreement with event organizers that they will require and enforce certain safety measures, like distancing and the use of masks.
Nothing in Ducey’s orders affects activities he said are protected by the First Amendment, like the rallies the governor attended this year during President Trump’s campaign.
That, then, leaves the vaccines.
More financial help for restaurants
Ducey said first priority will go to health-care and essential public-safety workers, residents of long-term-care facilities and other “vulnerable” populations.
He is specifically including teachers in that first group.
That dovetails with his often-repeated argument that he wants more in-classroom teaching and less online education. The premise is that once teachers have immunity, they will be more willing to return to work in classrooms.
The date for vaccines for all Arizonans has yet to be determined.
Ducey issued an executive order Wednesday spelling out that all residents will be able to get inoculated “without financial barriers.”
Ducey also set aside $1 million in grants to help restaurants and other dining facilities expand their outdoor dining operations.
There is a separate $100,000 going to the Arizona Restaurant Association for the same purpose, and another $100,000 to the Arizona Lodging and Tourism Association to aid hotels and their restaurants in strengthening their sanitation and mitigation practices to protect patrons and staff.
Not everything being done for restaurants is financial.
Ducey is suspending a provision in law that says restaurants can serve alcoholic beverages only to patrons dining in-house or at an outdoor patio directly connected to the business. That has proven to be a barrier for restaurants that have received local permission to operate in parking lots and on cordoned-off areas of the street where there is a sidewalk in between.
Tucson Medical Center and the Tucson Fire Department held a drill on April 10, 2020, to help establish procedures and solve problems when hand…
Pima County keeps voluntary curfew, enhances penalties for violating COVID-19 rules
UpdatedThe Pima County supervisors voted Friday to strengthen penalties related to noncompliance with COVID-19 regulations, including the potential suspension of restaurant licenses and civil penalties for people not wearing a mask in public.
In addition to several new enforcement actions, the Board of Supervisors also endorsed a strengthened public-health advisory by the Pima County Health Department that now requires businesses to report any known coronavirus cases.
The county’s voluntary curfew, which began Nov. 24, will remain in place each night from 10 p.m. to 5 a.m. through Dec. 31. Even as other areas of the county are asked to adhere to the voluntary curfew, the city of Tucson voted to implement a mandatory curfew earlier this week, which will be in place from Friday, Dec. 4, to Wednesday, Dec. 23.
“The point of an advisory is to really ensure that people understand the severity of what we are dealing with,” said Dr. Theresa Cullen, the county’s public-health director. “We are in a crisis situation.”
The increased enforcement measures come as new coronavirus cases reach unprecedented levels throughout the county and state. In the first four days of December, there have been close to 2,900 new infections in the county, exceeding the total number of cases in March, April and May combined.
Hospitals also continue to deal with a record number of COVID-19 patients, reporting only one available ICU bed in the county on Dec. 3. Officials throughout the state continue to see an accelerated growth curve with no signs of slowing down without serious statewide intervention.
“We in the hospitals are being stretched to the limit, even as we speak,” said Dr. Clifford Martin, an infectious-disease specialist at Tucson Medical Center, when addressing the board. “I ask you and the community to do whatever you can to help us in the hospital at this point.”
Based on action taken by Gov. Doug Ducey earlier this week, the board decided to enhance enforcement on a number of coronavirus regulations already in place.
Here are the actions that were taken by the board, in 3-2 votes with Republican supervisors Steve Christy and Ally Miller voting no on them:
Business regulations
In July, supervisors adopted a number of temporary measures applicable to restaurants, public pools, gyms, fitness centers, hotels and resorts, such as employee temperature checks, masks and gloves, occupancy limits, social distancing and cleaning requirements.
Under an amended proclamation, the county will now enhance its enforcement of these measures, allowing only one incidence of noncompliance before facing repercussion by the county Health Department. A second violation by a business could result in the possible suspension or revocation of the establishment’s license or operating permit.
Mask compliance
While the county has had a mask mandate in place since June, there were previously no penalties in place for noncompliance. On Friday, the board asked that all county jurisdictions and law enforcement agencies assist in enforcement action, which includes a $50 civil fine for not wearing a mask in public areas.
In addition, the board made it mandatory for businesses to refuse service to anyone entering their establishments without a mask, unless specific exemptions apply. A business could be fined up to $500 if they do not comply.
Event regulations
Anyone wishing to hold an event with more than 50 people will now be required to pay a $1,000 or more compliance deposit, depending on the size of the proposed event. If mitigation strategies are followed during the event, organizers would be entitled to get their deposit back.
There will be on-site inspections of these events to determine compliance.
Curfew
The voluntary countywide curfew, intended to curb evening social gatherings at bars and other places, will remain in place through Dec. 31.
After two weeks, the board will review whether the voluntary curfew and other measures are working by analyzing the number of infections per 100,000 residents as well as the percent of positivity within the county. If the county is still over 100 cases per 100,000 people and over 10% positive, the board will consider moving to a mandatory curfew.
“We don’t know what the next two weeks will bring,” County Administrator Chuck Huckelberry said. “We are at over 350 infections per 100,000. If that continues to increase, we will be back with more measures within the next two weeks.”
Older adults asked to shelter in place
In addition to the curfew, the Health Department is also asking for older adults and people with underlying medical conditions to voluntarily shelter in place, except to seek medical care, purchase food, attend work or other essential activities.
The enhanced public-health advisory also requires businesses to report any confirmed COVID-19 cases within their establishment and further comply with any contact tracing efforts by the Health Department. A website will go live next week for businesses to report these cases to the county.
Photos: April coronavirus patient drill at Tucson Medical Center
Tucson Medical Center, coronavirus drill
Updated
Tucson firefighters treat a practice patient "dummy" entering the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Medical Center is estimating a $20 million loss in revenue for April alone — nearly 40 percent of its average monthly income — but the hospital says it is in a strong position to endure the pandemic.
5 million — this would account for nearly 40 percent of their average monthly income. Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson hospitals believe a resumption in elective surgeries, possibly soon, will help stabilize their operations.
Emergency room staff at Tucson Medical Center watch coworkers and Tucson fire paramedics during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
An empty emergency-room waiting area at Tucson Medical Center. About 100 fewer patients pass through the ER daily.
ergency room waiting area at Tucson Medical Center on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire personnel and emergency room workers from Tucson Medical Center work on a "dummy" patient at TMC during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Seating in a Coronavirus disease (COVID-19) testing tent outside of the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire EMTs and paramedics prepare to run a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire Department EMTs and paramedics prepare biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room workers at Tucson Medical Center talk with Tucson Fire Department EMTs and paramedics prior to a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Opportunities to donate and support health-care workers, including but not limited to housing, will be forthcoming online at www.hcwhosted.org.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
EMTs in masks personnel load up a gurney into the back of an ambulance after dropping off a patient at the Tucson Medical Center's emergency room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Tucson Fire paramedics help each other with biohazard suits before running a drill at the Tucson Medical Center's Emergency Room, on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
A Tucson Fire paramedic peers out the back of a TFD rescue ambulance during a drill at Tucson Medical Center Emergency Room on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Emergency room staff watch as coworkers and Tucson Fire EMTs and paramedics at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Tucson Medical Center, coronavirus drill
Updated
Nurses and technicians in the emergency room at Tucson Medical Center during a drill on processing patients experiencing respiratory emergencies or symptoms of COVID-19 on April 10, 2020.
Arizona governor touts COVID vaccine coming soon; spurns calls for curfews, other rules
UpdatedPHOENIX — Arizona is expected to receive “hundreds of thousands” of COVID-19 vaccine doses by the end of this month, with priority for health-care workers, teachers, vulnerable populations and long-term-care residents, the state’s health chief said Wednesday.
The announcement came as Dr. Cara Christ also disclosed that 1 person out of every 7 who got tested for the virus last week in Arizona was infected. She also reported a new one-day record for cases.
But Gov. Doug Ducey, standing by her side, refused to put any new mitigation measures or restrictions in place to get the state to the point where a majority of Arizonans can be inoculated.
He specifically rejected a proposal by the chief medical officers of several Arizona hospitals to put in place a curfew, close restaurants to indoor dining and cancel group athletic activities. Instead, Ducey said he is relying on the idea that Arizona will have sufficient hospital beds to treat those who get ill in the interim.
However, that assumes hospitals can find the qualified medical personnel to staff these beds.
Earlier Wednesday, Marjorie Bessel, chief clinical officer for Banner Health, said the problem now, unlike this summer when virus cases peaked here, is that Arizona is no longer the state with the biggest surge. That makes it difficult to recruit help from elsewhere.
And while Banner is in the process of filling 1,500 positions, she said efforts are still underway to hire 900 more.
Ducey did agree Wednesday to provide an additional $60 million to Arizona hospitals to help them find the staff they need to handle the surge of people needing medical care. That is on top of a $25 million infusion less than a month ago.
“Grim” forecasts for this month and next
Bessel said the picture in Arizona is “grim,” predicting that Banner hospitals will hit 125% of bed capacity this month and exceed that, at least briefly, in January.
That trend is not unique to Banner.
Intensive-care-unit bed use is already at 90% of capacity in the state, the most recent data from the Arizona Department of Health Services shows.
Hitting 125% is not necessarily a problem as hospitals are required to have plans in place for such a surge, including converting non-ICU beds and other facilities for intensive-care use.
But the Institute for Health Metrics Evaluation predicts the demand for ICU beds will hit 300% of capacity in Arizona by the middle of January unless there are additional steps taken to curb the spread of the virus.
It was for that reason that Bessel and medical officers from Mayo Clinic and Dignity Health specifically asked Christ this week to impose the additional restrictions.
Bessel specifically praised Tucson Mayor Regina Romero and the City Council for voting Tuesday to impose a 10 p.m. curfew for three weeks.
“A curfew is mitigation that absolutely can work,” Bessel said. “It can work and it will work if we deploy it.”
Ducey is not willing to take such steps, even as he conceded that the vaccines, which will only start to be available later this month — and only for those in the highest priority classes — won’t make any immediate dent in an increasing trend in cases.
“We are in for a tough several weeks here,” the governor said at his news conference Wednesday.
He said he was giving his “most sincere condolences” to the families of the 6,739 people in Arizona who have died so far from COVID-19.
“We grieve every death in Arizona and want to continue to do everything we can to contain the spread of this virus and protect lives,” Ducey said.
Ducey: Curfews “not the right approach”
But that won’t include the kind of new restrictions being urged by the hospital medical chiefs and others, and not the kind of curfew that takes effect Friday, Dec. 4, in Tucson.
“I don’t think it’s the right approach,” Ducey said. “We want to do things that will allow businesses to operate safely.”
He said the continuing restrictions imposed in late June, like occupancy limits on in-house restaurant dining, movie theaters and fitness centers, along with enforcement, “will be the best things we can do to continue to slow the spread.”
He brushed aside questions about the fact that the spread is not slowing, even as Christ acknowledged that 15% of the tests for the virus conducted last week are coming back positive.
“This week we’re trending higher,” she said.
The number of new cases reported per day hit a record on Nov. 23 in the state. Figures for more recent dates are still being updated.
For Ducey, the focus is on the economy.
“I don’t think the right answer is to throw hundreds of thousands of Arizonans out of work before the holidays to slow this spread because I don’t think it would slow the spread,” he said.
He said there are other complications of restrictions, “like suicide attempts, like depression, like emotional and social disconnection, like child abuse and like domestic violence.”
Safety measures for large events
The lone new regulation of sorts that Ducey did impose Wednesday is not anything the state would enforce.
His current executive orders prohibit gatherings of more than 50 unless local governments approve. Now, he said, these governments will have to have a written agreement with event organizers that they will require and enforce certain safety measures, like distancing and the use of masks.
Nothing in Ducey’s orders affects activities he said are protected by the First Amendment, like the rallies the governor attended this year during President Trump’s campaign.
That, then, leaves the vaccines.
More financial help for restaurants
Ducey said first priority will go to health-care and essential public-safety workers, residents of long-term-care facilities and other “vulnerable” populations.
He is specifically including teachers in that first group.
That dovetails with his often-repeated argument that he wants more in-classroom teaching and less online education. The premise is that once teachers have immunity, they will be more willing to return to work in classrooms.
The date for vaccines for all Arizonans has yet to be determined.
Ducey issued an executive order Wednesday spelling out that all residents will be able to get inoculated “without financial barriers.”
Ducey also set aside $1 million in grants to help restaurants and other dining facilities expand their outdoor dining operations.
There is a separate $100,000 going to the Arizona Restaurant Association for the same purpose, and another $100,000 to the Arizona Lodging and Tourism Association to aid hotels and their restaurants in strengthening their sanitation and mitigation practices to protect patrons and staff.
Not everything being done for restaurants is financial.
Ducey is suspending a provision in law that says restaurants can serve alcoholic beverages only to patrons dining in-house or at an outdoor patio directly connected to the business. That has proven to be a barrier for restaurants that have received local permission to operate in parking lots and on cordoned-off areas of the street where there is a sidewalk in between.
Pima County keeps voluntary curfew, enhances penalties for violating COVID-19 rules
UpdatedThe Pima County supervisors voted Friday to strengthen penalties related to noncompliance with COVID-19 regulations, including the potential suspension of restaurant licenses and civil penalties for people not wearing a mask in public.
In addition to several new enforcement actions, the Board of Supervisors also endorsed a strengthened public-health advisory by the Pima County Health Department that now requires businesses to report any known coronavirus cases.
The county’s voluntary curfew, which began Nov. 24, will remain in place each night from 10 p.m. to 5 a.m. through Dec. 31. Even as other areas of the county are asked to adhere to the voluntary curfew, the city of Tucson voted to implement a mandatory curfew earlier this week, which will be in place from Friday, Dec. 4, to Wednesday, Dec. 23.
“The point of an advisory is to really ensure that people understand the severity of what we are dealing with,” said Dr. Theresa Cullen, the county’s public-health director. “We are in a crisis situation.”
The increased enforcement measures come as new coronavirus cases reach unprecedented levels throughout the county and state. In the first four days of December, there have been close to 2,900 new infections in the county, exceeding the total number of cases in March, April and May combined.
Hospitals also continue to deal with a record number of COVID-19 patients, reporting only one available ICU bed in the county on Dec. 3. Officials throughout the state continue to see an accelerated growth curve with no signs of slowing down without serious statewide intervention.
“We in the hospitals are being stretched to the limit, even as we speak,” said Dr. Clifford Martin, an infectious-disease specialist at Tucson Medical Center, when addressing the board. “I ask you and the community to do whatever you can to help us in the hospital at this point.”
Based on action taken by Gov. Doug Ducey earlier this week, the board decided to enhance enforcement on a number of coronavirus regulations already in place.
Here are the actions that were taken by the board, in 3-2 votes with Republican supervisors Steve Christy and Ally Miller voting no on them:
Business regulations
In July, supervisors adopted a number of temporary measures applicable to restaurants, public pools, gyms, fitness centers, hotels and resorts, such as employee temperature checks, masks and gloves, occupancy limits, social distancing and cleaning requirements.
Under an amended proclamation, the county will now enhance its enforcement of these measures, allowing only one incidence of noncompliance before facing repercussion by the county Health Department. A second violation by a business could result in the possible suspension or revocation of the establishment’s license or operating permit.
Mask compliance
While the county has had a mask mandate in place since June, there were previously no penalties in place for noncompliance. On Friday, the board asked that all county jurisdictions and law enforcement agencies assist in enforcement action, which includes a $50 civil fine for not wearing a mask in public areas.
In addition, the board made it mandatory for businesses to refuse service to anyone entering their establishments without a mask, unless specific exemptions apply. A business could be fined up to $500 if they do not comply.
Event regulations
Anyone wishing to hold an event with more than 50 people will now be required to pay a $1,000 or more compliance deposit, depending on the size of the proposed event. If mitigation strategies are followed during the event, organizers would be entitled to get their deposit back.
There will be on-site inspections of these events to determine compliance.
Curfew
The voluntary countywide curfew, intended to curb evening social gatherings at bars and other places, will remain in place through Dec. 31.
After two weeks, the board will review whether the voluntary curfew and other measures are working by analyzing the number of infections per 100,000 residents as well as the percent of positivity within the county. If the county is still over 100 cases per 100,000 people and over 10% positive, the board will consider moving to a mandatory curfew.
“We don’t know what the next two weeks will bring,” County Administrator Chuck Huckelberry said. “We are at over 350 infections per 100,000. If that continues to increase, we will be back with more measures within the next two weeks.”
Older adults asked to shelter in place
In addition to the curfew, the Health Department is also asking for older adults and people with underlying medical conditions to voluntarily shelter in place, except to seek medical care, purchase food, attend work or other essential activities.
The enhanced public-health advisory also requires businesses to report any confirmed COVID-19 cases within their establishment and further comply with any contact tracing efforts by the Health Department. A website will go live next week for businesses to report these cases to the county.
