SCIENCE

Los Angeles healthcare operators charged with 14 COVID-19 deaths

Published

4 days ago

March 18, 2023

On Tuesday, operators at a high-profile dementia care facility in Los Angeles were charged with elder abuse and other felony charges related to the death of an employee and 13 residents in the early days of the pandemic.

The Silverado Beverly Place Memory Care Community, near the Fairfax area, specializes in caring for older residents with Alzheimer’s and dementia and was the site of the March 2020 COVID-19 outbreak.

An employee and residents died during the outbreak, when 45 employees and 60 residents were infected, according to the Los Angeles County District Attorney’s office. The operators of the facility were sued in civil court by the family of several residents and the deceased employee. The object was the subject of a 2020 Times investigation.

The facility was supposed to be closed to visitors, prosecutors said, when a patient from a New York psychiatric ward was admitted there. Silverado Beverly Place’s own protocols required it to keep anyone out of a high-risk area like New York City, which at the time was considered the epicenter of COVID-19.

Prosecutors say the patient was not tested for coronavirus when he was admitted to the hospital and developed symptoms the next morning. But after they tested positive, they were not placed in quarantine, according to the criminal charge.

The prosecutor’s office claims that the institution’s management did not block visitors who traveled within the country or abroad for 14 days to areas where cases of COVID-19 were confirmed.

“These careless decisions created conditions that unnecessarily exposed Silverado personnel and residents to serious injury and, unfortunately, death,” Dist. Atti This is stated in the statement of George Gascon.

The three managers were charged with 13 counts of felony endangering the elderly and five counts of misdemeanor resulting in death. The latest charges were brought in connection with the management of the company’s health and safety of employees. Lauren Bernard Shook, Jason Michael Russo, and Kimberly Cheryl Batrum were charged, along with Irvine-based Silverado Senior Living Management Inc.

Prosecutors say the New York City patient was admitted to Silverado Beverly Place for financial reasons.

Investigators from the California Division of Occupational Safety and Health conducted a two-and-a-half-year investigation at Silverado Beverly Place, whose parent company operates several nursing facilities across the country. According to Cal/OSHA, Silverado Beverly Place was cited for violating the airborne disease standard, which is designed to protect “employees who are at increased risk of contracting certain airborne infections due to their work activities. “.

The facility listed $114,500 in proposed fines for violations, the unit said, but it appealed the fines.

Email Silverado Senior Living Management Inc. asking for comment on the allegations was not immediately resolved.

Gascon also read out the names of the 14 dead during a press conference in downtown Los Angeles. These nurses are Brittany Bruner-Ringo, Elizabeth Cohen, Joseph Manduke, Catherine Apotaker, Jake Khorsandi, Albert Sarnoff, Dolores Sarnoff, Myrna Frank, Frank Piumetti, Jay Tedeman, Luba Paz, Kay Kiddu, Richard Herman and Michael Horn.

Bruner-Ringo told her mother that the newly admitted patient was showing signs of illness – profuse sweating, a “productive” cough and a temperature close to 103 degrees, her mother told The Times.

“I said, ‘It’s definitely problematic,’” recalls Kim Bruner-Ringo, an experienced nurse in Oklahoma City.

The patient was so ill that Brittany Bruner-Ringo called 911 for an ambulance, but it was too late. In the days and weeks that followed, the virus spread throughout the facility.

According to her family, Bruner-Ringo stopped breathing on April 20, 2020 in the intensive care unit at Harbor-UCLA Medical Center. she was 32

“Every day I just prayed that Brittany could tell her own story,” her sister Breanna Hurd said.

Los Angeles criminal defense attorney Alan Eisner, who is not involved in the case, said the allegations are unique because they concern decisions made by senior care facility leaders in the early days of the pandemic.

“This is a once-in-a-generation pandemic,” Eisner said. “I don’t want to ignore all the people who died. But this is a high bar that prosecutors must prove and show that the institution is responsible for the death of all other patients and even a nurse.”

Jody Moore, an attorney representing seven clients who either became ill with COVID-19 or died in Silverado, said that by early 2020, the federal government had provided guidance to long-term care facilities on how to protect older residents, including screening and testing policies. .

“It doesn’t make sense to say loved ones can’t get in, private caregivers can’t get in because their paperwork says we’re putting residents at significant risk by exposing them to what can enter through the front door.” Moore said. “What they let in through the front door was someone with dollars attached. And that’s what’s really egregious misconduct here.”

Helena Apotaker received an email from the institution in the early days of the pandemic informing her that she would not be able to visit her mother Katherine. The announcement said the facility is being closed for the safety of elderly residents.

“No one was allowed in,” Apotaker told The Times. “They were going to protect our loved ones. This was their top priority. Well, not 30 days later, I think they lost their top priority.”

According to Apotaker, her mother had early stages of Alzheimer’s but was generally in good health. After her mother tested positive for COVID-19, Apotaker placed her in a hospice and was finally allowed to visit in person.

“I was in the building with my mother for a week when she died,” Apotaker said. “I can’t imagine what it was like for everyone who had to watch their parents die through a window or watch their loved ones die on FaceTime.”

Upon hearing the news that Silverado Beverly Place was under criminal investigation, Apohacker was filled with a sense of justice because it seems that people have forgotten about the pandemic and the people who have died.

“But I remember that my mother died,” she said. “The only thing I had to hold on to was the thought that maybe one day I would get justice.”

Times Staff Writer Harriet Ryan contributed to this report.

Related Topics:Angeles charged COVID19 deaths Healthcare Los operators

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SCIENCE

Black widows lose to brown widows in the fight for your attic and garage

Published

2 days ago

March 20, 2023

Jan Topete

Few spiders in the United States have a more fearsome reputation than black widows. But all over the South, bulbous arachnids with red hourglasses on their stomachs are in deadly competition with the brown widow, a relative from abroad, and lose.

This is not the case when one species beats another for food or habitat. In published studies Monday in the Annals of the Entomological Society of America, biologists have discovered that young brown widow spiders have a striking tendency to seek out and kill their American cousins.

“Brown widows will aggressively target black widows, target them,” said Louis Coticchio, research director at St. Petersburg College in Florida and author of the paper. “They’re not very good at being neighbors.”

Three species of black widow are found in North America, including the southern black widow, Latrodectus mactans. Extremely shy insect hunters, black widows love to live in basements, woodpile and sheds. This predilection for human habitation sometimes results in people being bitten – 1,004 cases in 2021, according to the American Poison Centers. – but deaths are extremely rare. “Black widows generally don’t bite when they’re being chased,” preferring to run, play dead or snap webs when someone pokes a finger, Mr Coticchio said. “Only if you pinch them, you can bite.”

Brown widows, a closely related species, arrived in Florida around 1935, probably from South Africa. A single mother produces several egg sacs and possibly thousands of spiders. Like black widows, brown widows love to live among people. Brown widows are less venomous than their native relatives and are not at all shy.

Mr. Cotticio worked for several years as a zookeeper at the Poisonous Species Zoo in California, hunting for spiders in his spare time. While hunting western black widows in suburban Los Angeles, he noticed that wherever they and brown widows crossed paths, black widows eventually disappeared. After receiving his bachelor’s degree from the University of South Florida, he discovered the same thing. “Each time I went back to the site, there were fewer and fewer of them until they were gone.”

To understand why, Mr. Coticchio and his colleagues studied mathematical population simulations of two species of widows, which showed that both black and brown widows were more likely to be eaten than to starve to death. booty

When they paired brown and black widows in containerized habitats — along with other related species such as red house spiders and triangular web spiders — the researchers found that brown widows were 6.6 times more likely to kill black widows than other species. Young brown widows, in particular, rushed straight to their natural cousins, eating them 80 percent of the time.

The researchers found that adult brown widows were less belligerent and significantly less likely to successfully kill a black widow lurking in established webs. But they still staged observable attacks. “Southern black widows have never been aggressors and have always been prey,” Mr. Cottigio said.

What drives such predation attempts? The researchers speculate that one possibility lies in the spiders’ respective temperaments: Brown widows tend to be bold, exploring nearby webs and attacking spiders that don’t fight back. House and web spiders challenge them, and brown widows often continue to coexist peacefully with them. Shy, retiring black widows usually tried to escape, resisting only as a last resort.

“We found the same high levels of aggression and activity in invasive brown widows in Israel,” said Monica Moveri, a spider biologist at Ben Gurion University of the Negev, who was not involved in the new study. “One key remaining question is whether brown widows are superior to native species” in other parts of the world they have invaded, she said.

In the southern and western United States, the outlook for urban black widows is bleak. But the species has a fallback: Black widows love deserts and forests as much as they do the suburbs, Mr Cottigio said, while brown widows prefer urban and suburban areas. The ongoing competition may end up driving black widows out of basements and attics in favor of the wilderness, where their aggressive relatives will not follow.

In the meantime, Mr. Cottigio said, if you find yourself in a plot with black widows, do not rush to kill them: they are already having a hard time.

“If you have anything on your land,” he said, “do a good deed and take it out into the street somewhere.”

SCIENCE

Humor about space forces, laser dazzlers and the chaos that war in space can actually cause

Published

2 days ago

March 20, 2023

Jan Topete

SUBSCRIBE: Apple | Spotify

transcript

Lee Billings: Hello. This is Lee Billings.

Clara Moskowitz: And Clara Moskowitz.

We are editor-in-chief of Scientific American’s space science department. Today we start..

Billings: We are launching…

Moskowitz: So we’re launching… staying true to our roots… the new Science Quickly series.

Billings: we call Space is fast.

Moskowitz: In every episode, we take you on a journey to the sky.

Billings: Into the space.

Moskowitz: To explore what we know…

Billings: And what we have just learned about the universe we all live in.

Moskowitz: Today, in our introductory episode, we’ll start with… space forces.

Billings: It’s right….

Moskowitz: We sat down with Lieutenant General Nina ArmagnoDirector of the US Space Forces Headquarters

Billings: Welcome, lieutenant general, thanks for coming.

Moskowitz: So, can we start with a very simple question: what are the Cosmic Forces?

Armango: The Space Force is a service, just like the Army, Navy, Air Force, Marine Corps. We are the newest service for United States of America. And we were established on December 20, 2019.

The United States Space Force trains and equips Guardians so that the Guardians can conduct space operations for the benefit of our nation.

Billings: Now, for some people, Cosmic Forces sound, well, a little funny? Like something out of science fiction?

Moskowitz: I mean, pretty quickly after then-President Trump announced you all, pop culture kind of grabbed onto your story.

Armango: Do you mean Netflix?

Moskowitz: Yeah, that show starring Steve Carell.

[CLIP: Netflix’s Space Force ]

Armango: Actually, it was funny. I thought it was funny.

So the first couple of episodes seemed funny to me. And I hate to say it, but you know, it just made fun of the Coast Guard actually more than it made fun of the Space Force.

And to show the rivalry between the Air Force and the Space Force, I thought it was just fun. Because the truth is that we came out of the Air Force and we rely on the Air Force for many, many, many things, I mean it’s a real partnership run by the Ministry of the Air Force.

And we, at the Pentagon, each service has a corridor. And in the Space Force corridor, we have a humor section, because not only is there a Netflix series, but Ben and Jerry’s ice cream called “Boots on the Moon.” And I think there’s still one tiny box hanging in the Pentagon somewhere.

Billings: It’s nice to know the Guardians of the Galaxy, uh… I mean, the Guardians have a good sense of humor. But back to reality. How important are cosmic forces?

Armango: We’ve been in space operations for decades. I want to be clear that just because we have a new service does not mean that the United States has suddenly become active in space. We have been working for decades.

And in fact, when we were first established in 2019 and then again in January 2020, the funding line that we were already using was allocated and given to the Space Force, about $18 billion at the time.

This is big money. But this is 10% of the Air Force budget. And it’s only about 2% [Department of Defense] budget.

Fast forward to this week: The President’s budget request, which has been sent to Congress, is asking for $30 billion for the US Space Force. So it’s almost a doubling of requests, but I think it shows the importance of what we’re trying to do.

We do not just continue to provide the best services from the space industry, we also now have to protect and protect the space industry. And this is a great thing, that’s why the Cosmic Forces were created.

Because, joking aside, Russia and China threaten our capabilities. They create opportunities that could threaten our systems in space.

And we must be able to defend, defend and continue to operate so that in a future conflict, crisis or even war, our forces in any other field, in the air, on land, at sea, under water, can still gain a refined advantage. the data they currently receive from the space domain.

Moskowitz: What would it really mean to go to war in space?

Armango: Well, war in space would be devastating. Because that would probably destroy the domain itself. So, you know, the world as we know it would be very, very different.

Billings: Hey And what will it mean for ordinary people on Earth if we lose some of these opportunities in space?

Armango: I mean, you know, today, especially in modern American life, we benefit from this timing signal from the GPS constellation – this timing signal controls everything from, you know, the power that we enjoy to, you know , of blue color. dot on your mobile phone.

I mean, the timing signal is everything, not to mention the positioning and navigation that GPS provides to the world for free.

A war in space could eventually disrupt these services. As a last resort, it can be destroyed completely and potentially for a very, very long time. Debris stays in space forever. So I don’t even want to bet a year on it. It will be decades.

I think we take it all for granted. I really do.

Moskowitz: You?

Armango: Oh no, no, I don’t know.

Many years ago, for example, if something went wrong with the GPS satellite. The checklist step said call the engineer because the engineer you know must have had some kind of electronic or, you know, system failure. Today, the first thought of the Guardians is that this could be nefarious, this could be the beginning of an attack.

Moskowitz: Tell us what would happen if a nefarious act were to take place in space. What could the enemy do?

Armango: An actor can attack us with cyber security. There are ground suppression capabilities that Russia and China have, and ground laser blinding capabilities that they have. They have ground-launched missiles, an anti-satellite weapon that they both demonstrated to China in 2007, creating thousands of fragments. And then Russia back in 2021, in November, another anti-satellite test.

In both cases, these countries remove their own non-functional satellites, but irresponsibly create thousands of debris.

Billings: Wait a second, what is a blinding laser?

Armango: This is a ground laser. And some satellites have very sensitive optics. And the laser can… so the blinder does no damage, so it kind of pulses with the laser. Doesn’t damage optics. But the more powerful laser they are working on can damage not only sensitive optics, but also destroy the solar array.

So, these opportunities are real, that is, they already exist.

Moskowitz: The scariest prospect in any war is nuclear weapons. What role does the Space Force play in protecting against nuclear war?

Armango: nuclear triad. The United States Space Force is essential to the nuclear triad.

Moskowitz: This is the combined land, sea and air nuclear arsenal of the United States.

Armano: We provide missile warning as well as satellite communications that will warn our country of a nuclear attack. This will provide communications for the President of the United States so that when he makes decisions about a nuclear response, this information will be transmitted through our satellite communications systems in space, which are operated by the United States Space Force.

So we are irreplaceable. That’s why we refer to our missile warning satellites and our SATCOM satellites as “valuable assets.”

Billings: Let’s say there was a nuclear attack. What then does the Cosmic Force do?

Armano: if the United States were attacked by nuclear force, we would be the first to know, because these missile warning sensors are constantly watching – they are actually watching all over the globe. And they’re looking for infrared radiation. So, the ICBM plume is quite large. And it will be detected by the first United States space forces and the facilities that we have in orbit.

They are definitely strategically targeted at Russian ICBM fields, as well as China, as China is also building up its nuclear capability.

Moskowitz: What opportunities do Russia and China actually have now?

Armano: Russia definitely had very combat-ready spaceships during the Cold War. Over time, these capabilities have weakened a little, but I would say that they still pose an acute threat.

China is growing rapidly and developing all the space capabilities we have. So, they’re definitely working on their missile warning system.

We don’t have to worry about a nuclear exchange. I mean… any nation that has nuclear weapons knows it’s existential.

Now Russia is talking about using tactical nuclear weapons. They wrote about it, spoke publicly about their use in conventional combat. And again and again the United States says, oh no, it’s a red line, it’s a red line.

There is a nuclear taboo that is observed by responsible nuclear countries. And that’s the best deterrent, it’s a taboo that you shouldn’t use nuclear weapons, even tactically, which sounds like they’re not that destructive, but nuclear weapons are destructive. And this taboo still exists, this red line is still very bright.

Billings: So Lieutenant General, you’re talking about containment. How to successfully calculate what will deter a nuclear attack?

Armano: Deterrence is indeed in the mind of the enemy. The idea is to be strong enough to make your opponent say “not today”. Every time they wake up, or should I hit the USA? Not today. Because the United States… our strength is a deterrent.

Moskowitz: Well, thanks, lieutenant. General Armano, it was a pleasure talking to you.

Armano: Thank you. It’s great to be here.

Billings: And thank you You to listen to Cosmos, Quickly. We have a lot more soon everything you wanted to know about space, but were afraid to ask.

Moskowitz: Science Quickly is produced by Jeff DelVishio, Tulica Bowes and Kelso Harper.

Billings: Dui Lin Tu and Nina Berman assisted us in filming this episode.

Moskowitz: Like and subscribe wherever you get your podcasts. And for more scientific news, visit ScientificAmerican.com.

SUBSCRIBE: Apple | Spotify