Raleigh
Nov 8, 2022
The North Carolina Department of Health and Human Services is refreshing the COVID-19 dashboards to enhance design and user experience.
The first of three dashboard updates will be Cases and Deaths on Wednesday, Nov. 9. The Vaccinations and Hospitalizations dashboards will be updated later this year, and the Summary dashboard will be updated in early 2023. Dashboards will have a new look-and-feel, and some data will be moved from the main dashboard display to the Data Behind the Dashboards page.
The data that will be moved will continue to be updated and includes:
Total cases and deaths by PCR-positive vs. antigen-positive case classification
County and zip code level maps
Case and death data by demographic group by week
NCDHHS continues to elevate and publicly share data to help North Carolinians understand the impacts of COVID-19 and support state and local pandemic response efforts. Equity and a commitment to data transparency remain at the center of our work.
Staying up to date on vaccination and boosters continues to offer the best protection against COVID-19. Anyone 6 months of age and older can get vaccinated, and everyone 5 years and older can get the updated booster. Find a vaccine location near you at MySpot.nc.gov or by calling 888-675-4567.
North Carolina’s youngest students made strong gains in early literacy skills during the 2021-22 school year, outpacing the performance of students in other states where the same assessment is used to measure student progress throughout the year.
The gains were achieved during the first full year of a far-reaching statewide initiative to support elementary school teachers with extensive training in instruction based on the “science of reading,” a phonics-based approach with strong evidence of effectiveness. State education leaders are encouraged by last year’s assessment outcomes, which they say are an early indication that schools across the state are embracing the science of reading in the classroom even as many teachers are still learning about it through the two-year professional development program, Language Essentials for Teachers of Reading and Spelling, or LETRS.
The early literacy evaluation, an updated version of an assessment called mCLASS with DIBELS, is based on the science of reading and measures students’ proficiency in such key skills as phonemic awareness and phonics. The tool was used with all kindergarten through third grade students in North Carolina for the first time in the 2021-22 school year. Assessment results showed North Carolina students in all four grades made greater gains from the beginning of the school year to the end than students in other states using the same assessment.
State Superintendent of Public Instruction Catherine Truitt said the results show that the state is using the best approach to boost the literacy skills of all students.
“North Carolina took a huge step forward with the passage of the Excellent Public Schools Act in the spring of 2021, ensuring that all students learn to read based on the principles outlined by the science of reading,” Truitt said. “We still have a long way to go, but the results we’re seeing from last year are clearly pointing in the right direction. We’re going to reach the goal of getting students to be proficient readers by the time they finish third grade.”
The gains made by North Carolina students last year were compared with the gains of 1.6 million K-3 students elsewhere in the nation whose progress was tracked with the same assessment, according to Amplify, the education company that provides the mCLASS assessment under contract with the Department of Public Instruction.
NC K-2 Early Literacy Assessment Results vs. Students in Other States, 2021-22
Amplify reported significant increases in proficiency at every level in North Carolina grades K–2 by the end of the 2021-22 year, as measured by mCLASS with DIBELS 8th Edition benchmark data when compared with a data set representing students in all states except North Carolina.
The assessment that North Carolina schools used during the 2021-22 school year more closely matches the science of reading’s emphasis on five critical components: phonemic awareness, phonics, fluency, vocabulary, and comprehension. Consequently, comparisons from last year’s results to past years are not compatible.
Additionally, the assessment results are not comparable to the state’s end-of-grade reading tests, which are administered beginning in the third grade. Those exams measure whether a student has mastered grade-level standards, from a basic level to more rigorous comprehension, while the mCLASS assessment measures the essential, foundational skills that students need to become successful readers.
Teachers administer the mCLASS assessment with students individually at the beginning, middle and end of the school year, and are encouraged to use it at other times to monitor student progress. In addition to student progress data, the various components of mCLASS also help guide teachers in their literacy instruction and interventions.
Amy Rhyne, who leads the state’s early literacy program as director of the Office of Early Learning at the Department of Public Instruction, said she believes the state gains last year can be attributed to strong leadership and the commitment of teachers in school districts across the state to help drive the significant shift in early literacy teaching and learning.
“With the statewide focus in North Carolina on the science of reading, many districts jumped ahead of the formal LETRS training so they could learn more about the science of reading and establish aligned processes,” Rhyne said. “In many cases, we are seeing positive trends where the leader is onboard and advocating for this shift, as well as clear processes to support the implementation.”
NCDHHS Announces Free COVID-19 NCDHHS anuncia pruebas gratuitas de COVID-19 disponibles por correo a través de la asociación de la Fundación Rockefeller
Raleigh
Some North Carolinians can now have free COVID-19 tests shipped directly to them, thanks to the expansion of a partnership between the North Carolina Department of Health and Human Services and the Rockefeller Foundation through Project ACT.
North Carolinians in eligible zip codes can receive up to five at-home COVID-19 tests free of charge and shipped directly to their door. Residents can find out if they are eligible and order the free tests by searching their zip code on the Project ACT website: accesscovidtests.org(Spanish).
“We remain committed to meeting the testing needs of priority populations across North Carolina —especially for historically marginalized communities,” said Dr. Susan Kansagra, NCDHHS Assistant Secretary for Public Health. “Thanks to our partnership with the Rockefeller Foundation we’re able to establish another way for residents in high need areas to get tests.”
North Carolina was previously enrolled in Rockefeller’s pilot program to provide tests in Edgecombe, Greene, Scotland and Robeson counties. Currently, 80 counties are fully covered by the program and 13 additional counties are partially covered.
To select eligible locations, NCDHHS used county Social Vulnerability Index and analyzed zip codes for percent uninsured, median income and distance from other testing options.
This partnership is another way NCDHHS is investing in making at-home tests available to the people who need them most. In July, the department launched Community Access Points for at-home tests. Through this program, NCDHHS partners with community organizations to provide free and easy access to COVID-19 tests for at-home use. Community-based organizations interested in participating can register online.
Get tested for COVID-19 if you have symptoms or if you have come in close contact with someone with COVID-19, even if you are up to date on your vaccines. Get tested at least five days after you last had close contact. For more information and to find testing locations, visit: covid19.ncdhhs.gov/FindTests(Spanish).
If you test positive, stay away from others and follow the CDC’s isolation guidelines. Seek medical care immediately if you have trouble breathing or experience other warning signs. COVID-19 treatments are available and can lower your risk of hospitalization or death. For more information, visit covid19.ncdhhs.gov/FindTreatment(Spanish).
Staying up to date on vaccination and boosters offers the best protection against COVID-19 for anyone 6 months of age and older. Find a vaccine location near you at MySpot.nc.gov or by calling 888-675-4567.
Algunos habitantes de Carolina del Norte ahora pueden tener pruebas gratuitas de COVID-19 enviadas directamente a ellos, gracias a la expansión de una asociación entre el Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS, por sus siglas en inglés) y la Fundación Rockefeller a través de Proyecto ACT(Project ACT).
Los habitantes de Carolina del Norte que viven en códigos postales elegibles pueden recibir hasta cinco pruebas de COVID-19 en el hogar de forma gratuita y enviadas directamente a su puerta. Los residentes pueden averiguar si son elegibles y solicitar las pruebas gratuitas buscando su código postal en el sitio web de Proyecto ACT: accesscovidtests.org/es.
“Seguimos comprometidos a satisfacer las necesidades de pruebas de las poblaciones prioritarias en Carolina del Norte, especialmente para las comunidades históricamente marginadas”, dijo la Dra. Susan Kansagra, Subsecretaria de Salud Pública del NCDHHS. “Gracias a nuestra asociación con la Fundación Rockefeller, podemos establecer otra forma para que los residentes en áreas de alta necesidad se hagan las pruebas”.
Carolina del Norte se inscribió previamente en el programa piloto de Rockefeller para proporcionar pruebas en los condados de Edgecombe, Greene, Scotland y Robeson. Actualmente, 80 condados están totalmente cubiertos por el programa y 13 condados adicionales están parcialmente cubiertos.
Para seleccionar las ubicaciones elegibles, NCDHHS usó el Índice de Vulnerabilidad Social (en inglés) del condado y analizó los códigos postales por el porcentaje de personas sin seguro, los ingresos medios y la distancia a otras opciones de prueba.
Esta asociación es otra forma en que NCDHHS está invirtiendo en hacer que las pruebas caseras estén disponibles para las personas que más las necesitan. En julio, el departamento lanzó Puntos de acceso comunitario para pruebas en el hogar. A través de este programa, NCDHHS se asocia con organizaciones comunitarias para proporcionar acceso gratuito y fácil a pruebas de COVID-19 para uso en el hogar. Las organizaciones comunitarias interesadas en participar pueden registrarse en línea (en inglés).
Hágase la prueba de COVID-19 si tiene síntomas o si ha estado en contacto cercano con alguien con COVID-19, incluso si está al día con sus vacunas. Hágase la prueba al menos cinco días después de la última vez que tuvo contacto cercano. Para obtener más información y encontrar ubicaciones de pruebas, visite el sitio web: ncdhhs.gov/HazteLaPrueba.
Mantenerse al día con la vacunación y las dosis de refuerzo ofrece la mejor protección contra COVID-19 para cualquier persona de 6 meses de edad o más. Encuentre una ubicación de vacuna cerca de usted en Vacunate.nc.gov o llamando al 888-675-4567.
The results, released last week, are the latest indication that while the current BA-5 variant continues to spike infection levels and spur new waves of hospitalizations, fewer Americans are wearing masks, are familiar with the latest treatments or are inclined to get a booster shot if they became available.
Last week, Gov. Roy Cooper announced he would lift the state of emergency related to the pandemic in North Carolina.
This week Dr. David Wohl, professor in the Division of Infectious Diseases at the UNC School of Medicine, told Policy Watch there is an obvious divide between the statistics and medical realities of the pandemic and public perception and sentiment.
“What we’ve seen over the last several months, if not longer, is a disconnect between what may make sense from a public health perspective and what the perspective is of the public,” Wohl said. “Regardless of the way the curves look, whether we’re talking about peaks or valleys, in general, the public has said, ‘We’re going to move on. We’re going to take it on the chin if we’re seeing more cases. We’ll take it on the chin if we see more hospitalizations, maybe even more deaths.’”
Today, a by-the-numbers look at COVID exhaustion nearly three years into pandemic that has killed more than a million people in America alone.
78 – the percentage of poll respondents who somewhat or strongly agreed with the statement “we will never fully be rid of the coronavirus in my lifetime”
46 – the percentage who said they have had or suspect they have had COVID-19 since the onset of the pandemic.
71 – percentage who said they believe they have had it once
25 – percentage who said they believe they have had it twice
3 – percentage who said they believe they’ve had it three times
61 – percentage who said their most recent COVID infection came after they were fully vaccinated
33 – percentage who said they personally know someone who has been reinfected in the last few weeks
36 – percentage who said they sometimes or always wear a mask when they are outside their own homes — that is the lowest percentage the polling has found since the onset of the pandemic
36 – percentage who said they never wear a mask outside their homes — a number that is up 14 percent since this time last year
36 – percentage who said they feel as though those around them have moved on from the pandemic but they haven’t
26 – percentage who said they were familiar with the antiviral pill treatment Paxlovid
27 – percentage who said their greatest concern was potentially passing the virus to someone with a higher risk of serious illness
17 – percentage who said their greatest concern was developing long COVID (the next highest concern)
85 – percentage of those fully vaccinated who said they would be very likely get a fourth shot if it were available
74 – percentage who said they would be likely to get another booster if it was recommended annually
76 – percentage if the booster was one that protected against new variants
54 – percentage who said other Americans are behaving in ways that are making the country’s recovery from the pandemic worse
Concerns about consumer prices, labor shortages continue
Raleigh
North Carolina’s economy fully returned to the employment level it enjoyed before the COVID-19 pandemic sent the world into an economic recession, state economists said Monday. The state’s economy recovered to pre-pandemic employment levels in July of 2021 and the GDP even earlier, and the state’s economy continues to grow despite concerns of inflation and high gas prices.
The state’s economy is expanding, with job growth being high relative to other states. Over the year, the labor force participation rate increased 0.5 percentage points, nonfarm jobs increased by 166,500, a 3.7 percent increase, and the unemployment rate fell by 1.6 percentage points.
“Our significant success increasing jobs during the pandemic shows North Carolinians are resilient and we need to focus on training workers and educating children to continue to grow our workforce,” Governor Roy Cooper said. “But right now, prices for gas and food are too high, and we have to find ways to make those costs more affordable while we keep bringing good paying jobs to our state.”
The data shows economic recovery but also places that need work. North Carolina’s unemployment rate fell by 0.2 percent from December to January, ranking 6th in over-the month change. The state unemployment rate is in the middle nationally at 25th as is its over-the -year change from January 2021. The labor force participation rate improved but the state is ranked 38th nationally. However, the state ranks 9th nationally in the number of total nonfarm jobs.
The labor market, or number of people seeking jobs, continues to be tight in North Carolina. For example, December figures show the state had only 0.8 job seekers per job opening, according to the NC Department of Commerce.
Annual state-level data revisions are published by the US Bureau of Labor Statistics in March. Revised data for 2021 show that the state economy is expanding after recovering to pre-pandemic total nonfarm employment last summer. The state’s unemployment rate reached a high of 14.2 percent at the start of the pandemic in April 2020.
Antibody infusion clinics at Advent Hendersonville and Pardee Hospital receive $500k to help treat COVID-19 patients.
Federal pandemic recovery money is being used in a literal sense in Henderson County, where officials have allocated a portion of the county’s American Rescue Plan Act funds to establish COVID-19 monoclonal antibody infusion clinics.
During August and September meetings, the Henderson County Board of Commissioners voted to use up to $500,000 of the county’s $22.8 million in ARPA funds on infusion clinics at AdventHealth Hendersonville and Pardee Hospital.
Despite being the recipient of the second-largest amount of ARPA funds in Western North Carolina, Henderson County had not used the federal money on any other projects as of February, county spokesperson Kathryn Finotti said.
In contrast, Buncombe County, which received the largest amount of federal COVID funding in the region, had spent more than $23 million, or about 45%, of its ARPA money by the start of February, its COVID recovery spending page showed.
“The Board of Commissioners continues to work with community leaders to advocate for the best use of the ARP funding (in Henderson County),” Finotti said.
Infusion clinics in Hendersonville hospitals
Pardee and AdventHealth have been infusing COVID-positive patients with antibodies in their emergency departments since early in the pandemic. However, in August, with the delta variant causing cases to skyrocket, the logistics of an emergency department doubling as an infusion clinic became more difficult to navigate.
“Our emergency department got really busy with COVID patients,” said Dr. Teresa Hebert, AdventHealth Hendersonville chief medical officer.
“We were identifying patients who needed infusion and treating them in the emergency department, but that was causing delays in care because we didn’t have enough room for all the patients.”
Pardee encountered the same issue with demand for antibody infusion having “quickly outpaced both space and capacity within the emergency department,” said Carol Stefaniak, Pardee’s vice president of clinical services and chief nursing officer.
S0 in August, hospital officials decided to establish an independent space for antibody infusions, which, according to the N.C. Department of Health and Human Services, are given to high-risk COVID-19 patients within seven days of testing positive for the virus.
Henderson County steps in
Shortly after the hospitals created the clinics — Pardee’s inside the hospital and AdventHealth’s in a hospital-owned building across the street from the main facility — the Henderson County Board of Commissioners approved using ARPA to offer the hospitals financial support. Pardee’s clinic has since moved to the Mission Pardee Health Campus on Hendersonville Road in Fletcher.
According to the county’s current contracts with the hospitals, Henderson will pay up to $250,000 in staffing costs for the infusion clinics through June 30. Pardee and AdventHealth pay infusion clinic workers $50 per hour.
Since the federal government provides antibodies to hospitals, staff pay was a welcome piece of assistance, as finding clinic workers has been a “major challenge,” Herbert said.
“It’s a pretty labor-intensive process,” she said about the antibody infusion.
“You need a skilled nurse or EMT to administer it and to sit with (the patients), and then you need people trained in emergency management in case a patient has an emergency reaction or any other complications with COVID.”
The need for a clinic
Though COVID-19’s prevalence has waned over the past two years and demand for antibody infusions has ebbed and flowed, Hebert and Stefaniak said access to monoclonal antibodies is an important part of fighting the pandemic.
“For some people, they are the best thing,” Hebert said about the antibodies.
“Very vulnerable people who are immunocompromised are the most likely to be hospitalized, so using the treatment for them is really important to keep them out of the hospital. I don’t see the infusion as an option going away anytime soon.”
Two years after the coronavirus outbreak upended life in the United States, Americans find themselves in an environment that is at once greatly improved and frustratingly familiar.
Around three-quarters of U.S. adults now report being fully vaccinated, a critical safeguard against the worst outcomes of a virus that has claimed the lives of more than 950,000 citizens. Teens and children as young as 5 are now eligible for vaccines. The national unemployment rate has plummeted from nearly 15% in the tumultuous first weeks of the outbreak to around 4% today. A large majority of K-12 parents report that their kids are back to receiving in-person instruction, and other hallmarks of public life, including sporting events and concerts, are again drawing crowds.
The landscape in other ways remains unsettled. The staggering death toll of the virus continues to rise, with nearly as many Americans lost in the pandemic’s second year as in the first, despite the widespread availability of vaccines. The economic recovery has been uneven, with wage gains for many workers offset by the highest inflation rate in four decades and the labor market roiled by the Great Resignation. The nation’s political fractures are reflected in near-daily disputes over mask and vaccine rules. And thorny new societal problems have emerged, including alarming increases in murder and fatal drug overdose rates that may be linked to the upheaval caused by the pandemic.
For the public, the sense of optimism that the country might be turning the corner – evident in surveys shortly after President Joe Biden took office and as vaccines became widely available – has given way to weariness and frustration. A majority of Americans now give Biden negative marks for his handling of the outbreak, and ratings for other government leaders and public health officials have tumbled. Amid these criticisms, a growing share of Americans appear ready to move on to a new normal, even as the exact contours of that new normal are hard to discern.
A year ago, optimism was in the air
Biden won the White House in part because the public saw him as more qualified than former President Donald Trump to address the pandemic. In a January 2021 survey, a majority of registered voters said a major reason why Trump lost the election was that his administration did not do a good enough job handling the coronavirus outbreak.
At least initially, Biden inspired more confidence. In February 2021, 56% of Americans said they expected the new administration’s plans and policies to improve the coronavirus situation. By last March, 65% of U.S. adults said they were very or somewhat confident in Biden to handle the public health impact of the coronavirus.
The rapid deployment of vaccines only burnished Biden’s standing. After the new president easily met his goal of distributing 100 million doses in his first 100 days in office, 72% of Americans – including 55% of Republicans – said the administration was doing an excellent or good job overseeing the production and distribution of vaccines. As of this January, majorities in every major demographic group said they had received at least one dose of a vaccine. Most reported being fully vaccinated – defined at the time as having either two Pfizer or Moderna vaccines or one Johnson & Johnson – and most fully vaccinated adults said they had received a booster shot, too.
The Biden administration’s early moves on the economy also drew notable public support. Two-thirds of Americans, including around a third of Republicans, approved of the $1.9 trillion aid package Biden signed into law last March, one of several sprawling economic interventions authorized by administrations of both parties in the outbreak’s first year. Amid the wave of government spending, the U.S. economy grew in 2021 at its fastest annual rate since 1984.
Globally, people preferred Biden’s approach to the pandemic over Trump’s. Across 12 countries surveyed in both 2020 and 2021, the median share of adults who said the U.S. was doing a good job responding to the outbreak more than doubled after Biden took office. Even so, people in these countries gave the U.S. lower marks than they gave to Germany, the World Health Organization and other countries and multilateral organizations.
Even if the national mood seemed to be improving last spring, the partisan divides that became so apparent in the first year of the pandemic did not subside. If anything, they intensified and moved into new arenas.
Masks and vaccines remained two of the most high-profile areas of contention. In February 2021, Republicans were only 10 percentage points less likely than Democrats (83% vs. 93%) to say they had worn a face covering in stores or other businesses all or most of the time in the past month. By January of this year, Republicans were 40 points less likely than Democrats to say they had done so (39% vs. 79%), even though new coronavirus cases were at an all-time high.
Republicans were also far less likely than Democrats to be fully vaccinated (60% vs. 85%) and to have received a booster shot (33% vs. 62%) as of January. Not surprisingly, they were much less likely than Democrats to favor vaccination requirements for a variety of activities, including traveling by airplane, attending a sporting event or concert, and eating inside of a restaurant.
Some of the most visible disputes involved policies at K-12 schools, including the factors that administrators should consider when deciding whether to keep classrooms open for in-person instruction. In January, Republican K-12 parents were more likely than Democrats to say a lot of consideration should be given to the possibility that kids will fall behind academically without in-person classes and the possibility that students will have negative emotional consequences if they don’t attend school in person. Democratic parents were far more likely than Republicans to say a lot of consideration should be given to the risks that COVID-19 poses to students and teachers.
The common thread running through these disagreements is that Republicans remain fundamentally less concerned about the virus than Democrats, despite some notable differences in attitudes and behaviors within each party. In January, almost two-thirds of Republicans (64%) said the coronavirus outbreak has been made a bigger deal than it really is. Most Democrats said the outbreak has either been approached about right (50%) or made a smaller deal than it really is (33%). (All references to Republicans and Democrats include independents who lean toward each party.)
New variants and new problems
The decline in new coronavirus cases, hospitalizations and deaths that took place last spring and summer was so encouraging that Biden announced in a July 4 speech that the nation was “closer than ever to declaring our independence from a deadly virus.” But the arrival of two new variants – first delta and then omicron – proved Biden’s assessment premature.
Some 350,000 Americans have died from COVID-19 since July 4, including an average of more than 2,500 a day at some points during the recent omicron wave – a number not seen since the first pandemic winter, when vaccines were not widely available. The huge number of deaths has ensured that even more Americans have a personal connection to the tragedy.
The threat of dangerous new variants had always loomed, of course. In February 2021, around half of Americans (51%) said they expected that new variants would lead to a major setback in efforts to contain the disease. But the ferocity of the delta and omicron surges still seemed to take the public aback, particularly when governments began to reimpose restrictions on daily life.
After announcing in May 2021 that vaccinated people no longer needed to wear masks in public, the Centers for Disease Control and Prevention reversed course during the delta wave and again recommended indoor mask-wearing for those in high-transmission areas. Local governments brought back their own mask mandates. Later, during the omicron wave, some major cities imposed new proof-of-vaccination requirements, while the CDC shortened its recommended isolation period for those who tested positive for the virus but had no symptoms. This latter move was at least partly aimed at addressing widespread worker shortages, including at airlines struggling during the height of the holiday travel season.
Amid these changes, public frustration was mounting. Six-in-ten adults said in January 2022 that the changing guidance about how to slow the spread of the virus had made them feel confused, up from 53% the previous August. More than half said the shifting guidance had made them wonder if public health officials were withholding important information (57%) and made them less confident in these officials’ recommendations (56%). And only half of Americans said public health officials like those at the CDC were doing an excellent or good job responding to the outbreak, down from 60% last August and 79% in the early stages of the pandemic.
Economic concerns, particularly over rising consumer prices, were also clearly on the rise. Around nine-in-ten adults (89%) said in January that prices for food and consumer goods were worse than a year earlier. Around eight-in-ten said the same thing about gasoline prices (82%) and the cost of housing (79%). These assessments were shared across party lines and backed up by government data showing large cost increases for many consumer goods and services.
Overall, only 28% of adults described national economic conditions as excellent or good in January, and a similarly small share (27%) said they expected economic conditions to be better in a year. Strengthening the economy outranked all other issues when Americans were asked what they wanted Biden and Congress to focus on in the year ahead.
Looking at the bigger picture, nearly eight-in-ten Americans (78%) said in January that they were not satisfied with the way things were going in the country.
Imagining the new normal
As the third year of the U.S. coronavirus outbreak approaches, Americans increasingly appear willing to accept pandemic life as the new reality.
Large majorities of adults now say they are comfortable doing a variety of everyday activities, including visiting friends and family inside their home (85%), going to the grocery store (84%), going to a hair salon or barbershop (73%) and eating out in a restaurant (70%). Among those who have been working from home, a growing share say they would be comfortable returning to their office if it were to reopen soon.
With the delta and omicron variants fresh in mind, the public also seems to accept the possibility that regular booster shots may be necessary. In January, nearly two-thirds of adults who had received at least one vaccine dose (64%) said they would be willing to get a booster shot about every six months. The CDC has since published research showing that the effectiveness of boosters began to wane after four months during the omicron wave.
Despite these and other steps toward normalcy, uncertainty abounds in many other aspects of public life.
The pandemic has changed the way millions of Americans do their jobs, raising questions about the future of work. In January, 59% of employed Americans whose job duties could be performed remotely reported that they were still working from home all or most of the time. But unlike earlier in the pandemic, the majority of these workers said they were doing so by choice, not because their workplace was closed or unavailable.
A long-term shift toward remote work could have far-reaching societal implications, some good, some bad. Most of those who transitioned to remote work during the pandemic said in January that the change had made it easier for them to balance their work and personal lives, but most also said it had made them feel less connected to their co-workers.
The shift away from office spaces also could spell trouble for U.S. downtowns and the economies they sustain. An October 2021 survey found a decline in the share of Americans who said they preferred to live in a city and an increase in the share who preferred to live in a suburb. Earlier in 2021, a growing share of Americans said they preferred to live in a community where the houses are larger and farther apart, even if stores, schools and restaurants are farther away.
When it comes to keeping K-12 schools open, parental concerns about students’ academic progress and their emotional well-being now clearly outweigh concerns about kids and teachers being exposed to COVID-19. But disputes over school mask and vaccine rules have expanded into broader debates about public education, including the role parents should play in their children’s instruction. The Great Resignation has not spared K-12 schools, leaving many districts with shortages of teachers, bus drivers and other employees.
The turmoil in the labor market also could exacerbate long-standing inequities in American society. Among people with lower levels of education, women have left the labor force in greater numbers than men. Personal experiences at work and at home have also varied widely by race, ethnicity and household income level.
Looming over all of this uncertainty is the possibility that new variants of the coronavirus will emerge and undermine any collective sense of progress. Should that occur, will offices, schools and day care providers again close their doors, complicating life for working parents? Will mask and vaccine mandates snap back into force? Will travel restrictions return? Will the economic recovery be interrupted? Will the pandemic remain a leading fault line in U.S. politics, particularly as the nation approaches a key midterm election?
The public, for its part, appears to recognize that a swift return to life as it was before the pandemic is unlikely. Even before the omicron variant tore through the country, a majority of Americans expected that it would be at least a year before their own lives would return to their pre-pandemic normal. That included one-in-five who predicted that their own lives would never get back to the way they were before COVID-19.
Nearly a year after receiving the first portion of American Rescue Plan Act funds, Rutherford County has a tentative plan for how to spend the COVID-19 recovery money.
During a Monday meeting, the Rutherford County Board of Commissioners approved using more than $3 million of the county’s roughly $13 million in ARPA funds to match the state’s Growing Rural Economies with Access to Technology, or GREAT, grant, which provides funding to expand broadband access throughout North Carolina.
“Trying to get broadband service to the unserved and underserved portions of the community is highly important,” County Manager Steve Garrison said.
According to census data, 70.2% of Rutherford County households have a broadband internet connection. That’s well below the state’s percentage of 80.7% of households with a connection.
With GREAT grant applications due to the state by April 4, Monday’s meeting was the last chance for commissioners to approve using ARPA funding for a GREAT grant match. The next scheduled Rutherford County Commission meeting is also April 4.
Rutherford’s remaining ARPA dollars
Commissioners also put Rutherford’s remaining $10 million ARPA in funds in the lost revenue category — one of the four acceptable buckets for ARPA expenditures, according to the U.S. Department of the Treasury. They can allocate funds deemed “lost revenue” to specific projects later.
“Before allocation of this $10 million, a plan of how that $10 million would be allocated would still come back to you with line item detail,” county Finance Director Paula Roach said during Monday’s commission meeting.
The county will hire an external grant management team to create a plan for the remaining ARPA funds. Garrison said he hopes to have the grant manager on board to work with commissioners by April or May tentatively.
During a Feb. 7 interview with Carolina Public Press, Garrison did not speculate what, other than broadband expansion, the county’s federal COVID recovery money would be spent on when a grant manager is hired.
Federal Treasury guidelines require all ARPA funds to be allocated by the end of 2024 and spent by the end of 2026.
Coming up with a plan
Before this week’s vote, Rutherford County was one of only four Western North Carolina counties without a plan in place for its federal COVID recovery money. The three others — Mitchell, Madison and Avery — received ARPA allocations at least $8 million less than Rutherford.
Garrison said in a Feb. 2 email to Carolina Public Press that Rutherford had not established definitive ARPA plans because the county did not have the administrative capacity to manage the funds internally.
After a recorded interview with Garrison and several other WNC county managers, CPP published an article about WNC counties without ARPA plans on Feb. 14. Since the article’s publication, Rutherford has presented a tentative plan for ARPA funds and sent out a formal request for proposals for an ARPA manager.
Garrison referenced that CPP article several times, calling it an “unfortunate news release,” before introducing the resolution for a tentative ARPA plan during Monday’s meeting.
“I generally don’t make it a practice of offering a public rebuttal to news stories that I believe warrant correcting, but in the case of the recent article that was released by a reporter with the CPP, I’m going to make an exception,” he said.
Neither Garrison nor any other Rutherford County official has reached out to CPP regarding his assertion that the article was inaccurate in some respect.
Masks to Become Optional in State Agencies Starting March 7
Agencies May Continue to Require Masks in High-Risk Settings Such as Health Care, Corrections
Raleigh
Mar 1, 2022
Based on improving trends with COVID-19, masks will become optional in most state agencies and facilities beginning March 7. This coincides with updates to guidance from state health officials based on the emerging science and evidence to best protect North Carolinians.
“COVID-19 levels are declining rapidly, and we have vaccinations, boosters, and effective treatments that are making this step possible,” Governor Roy Cooper said. “This virus is still causing serious illness and death mostly in unvaccinated people and the best way to protect yourself is to get vaccinated and boosted.”
Under Executive Order No. 253 issued today, the Office of State Human Resources has updated policies for face coverings for state government agencies that are part of the Governor’s cabinet. Agency heads may require face coverings in settings that they determine to be high-risk including long term care facilities, correctional facilities, homeless shelters, and health care facilities, and federal regulations continue to require masks in certain facilities.
Requirements remain in place that employees who are not vaccinated must be tested for COVID-19 at least once a week. Beginning March 7, employees may use at-home rapid antigen tests to meet the testing requirements in addition to PCR tests.
40% of U.S. adults report experiencing anxiety or depression
By Clayton Henkel – 2/3/2022 -NC Policy Watch
Prior to the pandemic, one in 10 American adults reported experiencing symptoms of anxiety or depression. Over the past two years, that rate has skyrocketed to four in 10 adults — 40%.
On Wednesday members of the powerful U.S. House Ways & Means Committee held its first hearing on mental health in more than a decade.
“On top of life’s typical triggers, people now also face the fear of contracting COVID-19, prolonged social isolation, the stress of uncertain or unpredictable childcare, and the anxiety of losing a job and economic security.” said Committee Chairman Richard Neal (D-Mass..) “The current state of our mental health care system is unacceptable.”
Dr. Wizdom Powell, Ph.D.
Dr. Wizdom Powell, director of the Health Disparities Institute and associate professor of psychiatry at UConn Health, provided moving testimony about the struggles to help her 14-year-old niece ‘Tasha’ during the pandemic.
“We, as a resourceful family launched into problem-solving mode. We attempted to locate a crisis center or other emergency psychiatric support services. I called colleagues to see if they could make a personal referral. None of these efforts produced a solution,” Powell said.
“The only option we had for rapid mental health support in 2020, during a period of intense tension between law enforcement and communities of color, was to call a police officer to the scene.”
Powell said while the responding officer was compassionate, he had no formal mental health training and no idea how to address the young teen’s acute psychotic break.
“I am here today also because we are failing Tasha and so many other children like her,” Powell said.
Powell said in the past year far too many untreated individuals have found themselves at an emotional cliff.
Several recent high-profile suicides, including former Miss USA Cheslie Kryst, who was from Charlotte, “are just a few tragic reminders that suicide knows no demographic boundaries,” Powell offered in her written testimony.
Deepa Avula of the NC Department of Health and Human Services
Deepa Avula, director of the North Carolina Division on Mental Health, Developmental Disabilities, and Substance Abuse Services, testified that the loneliness, isolation and stress of the pandemic has led to an increase in substance abuse.
“We see staggering rates of alcohol use. When we look at the retail sales in many states the increase was close to 40%, again this was at a time when restaurants were closed, bars were closed,” Avula said. “So, what that means is many, many, many individuals were consuming very heavy rates of alcohol at home and often by themselves.”
If you had a child, the drinks-per-day were four times higher than individuals who did not have children, according to Avula. “It really highlights the stressors that parents were under.”
Avula told the committee that even in a time of unprecedented need, the supply of mental health care services and the number of practitioners saw sharp declines.
“The National Council on Behavioral Health reported that 65% of its behavioral health organizations said they had to turn away, cancel, or reschedule patients.”
U.S. Rep. Mike Kelly (R-Pa.)
“We have more patients than we have doctors. We have more patients than we have physician assistants. We have more people who need help than people who can help them,” said Rep. Mike Kelly (R-Pa.).
“I don’t know that we can get a handle on this. The volume of what we need is just not there. What is it you think we should do?”
Avula said incentives and loan repayment would be one step to helping address the shortage of mental health care providers. Wages must also be commensurate with the work they are being asked to do. Cross-training would be another solution.
“The specialty field alone is not going to fix this. We need to be training primary care providers and other health care providers. It’s a large investment to do that. I think double, triple, quadruple that investment.”
School-based mental health services are also an integral part to any solution, Avula offered. “I think it is really important we flood the schools with as much mental healthcare as possible.”
Rep. Greg Murphy, a Republican from North Carolina and a practicing physician, called the current system of mental health care “tragic.”
U.S. Rep. Greg Murphy, a North Carolina Republican and practicing physician
Murphy suggested shaming people for not wearing masks or getting vaccinated has only added to the problem of depression. He said the porous U.S.-Mexico border has contributed to the spike in opioid addiction.
“Dr. Powell, what do you think the breakdown of the nuclear family has done on the crisis of mental health issues for children?” Murphy asked.
“Families play a critical role in ensuring youth develop positively. But I think we’ve also in our inclination to think about family- structures pathologized families that are poor or operating with matriarchs as the head, and we have not considered all of the other social factors surrounding those families that give rise to poor mental health,” responded Powell.
“Strengthening families is something we must absolutely do as a nation, if we are going to get are arms wrapped around this problem.”