3 months ago

UAB commitment to state vital in COVID-19 response

COVID-19 has affected virtually every facet of life in Alabama, and there may be nowhere that is more apparent than at the University of Alabama at Birmingham — an institution leveraging its expertise to fill a critical leadership role in response to the pandemic.

“The COVID-19 pandemic has showcased the vital importance of UAB to Alabama and the world,” said UAB President Ray L. Watts. “We continue to leverage research and innovation, community service, patient care, and education to make a big difference.”

As the country began to take note of the devastating virus, UAB’s world-renowned infectious diseases experts provided accurate and timely information across Alabama and beyond, and they have continued to collaborate with local, state and federal elected leaders, deliver critical information to our community, and inform media audiences worldwide.

UAB set an example for the state with early, decisive action to flatten the curve and promote aggressive social distancing among its 22,000 students, 23,000 employees and its patients from across Alabama, who account for more than 1.7 million visits a year to UAB medical facilities.

As a world-renowned research-intensive academic medical center, the state’s eyes turned to UAB Medicine for guidance on how to protect against the virus, medically prepare for a pandemic and care for patients once it arrived.

Preparing for the worst on the front lines

“When the COVID-19 crisis started, UAB Medicine took the position that we were going to do everything we could to help Alabama regardless of the cost,” said Will Ferniany, Ph.D., CEO of the UAB Health System. “We planned and prepared and shared what we knew to help others across the state plan and prepare as well.”

  • UAB experts prepared treatment guidelines and best practices and shared them with hospitals across the state.
  • UAB supply chain leaders provided support and advice to the governor’s office, the Alabama Hospital Association and Jefferson County’s supply chain efforts to secure personal protective equipment (PPE), not just for UAB, but for all health care providers across the state.
  • UAB pulmonologists helped the state evaluate proposals to purchase additional ventilators and made recommendations on the most appropriate options.
  • As the pandemic grew, UAB worked with state and local health departments, emergency management agencies, and Jefferson County on a plan to transform the Sheraton Birmingham Hotel’s 377 rooms into treatment rooms for patients in the event of a surge.
  • Plans were also coordinated with the U.S. Army Corps of Engineers on creating two 36-bed acute care units, if needed, in the Birmingham Jefferson Civic Center.
  • UAB physicians served on advisory panels and task forces to collaborate with and provide critical medical insights with local and state officials.
  • The UAB Health System and the Division of Geriatrics created a five-point plan to help nursing homes cope with the pandemic. Town hall meetings with the Alabama Nursing Home Association, Alabama Hospital Association, and state and local health departments resulted in a care continuum to develop strategies to fight the spread of infection in nursing facilities and provide a best practices care plan for testing and treating infected patients.
  • A similar effort is underway with state and private mental health facilities, where the UAB Department of Psychiatry is helping establish guidelines on the use of PPE and provide testing support.

Caring for those infected

UAB leveraged its large team of critical care physicians and nurses, as well as advanced knowledge and technologies, to care for complex COVID-19 cases, supporting higher recovery rates and saving lives. In addition to patient care, UAB led efforts to care for frontline health care heroes at UAB and beyond.

UAB Medicine made rooms available at nearby hotels for health care providers who did not want to return home and risk infecting their families. The university even offered a residence hall for self-isolating UAB staff and Birmingham-area first responders who had tested positive for COVID-19 or who had not tested positive but were worried about going home to their families. With the university’s full backing, the belongings of student residents who had returned home were packed and stored. The facility was thoroughly sanitized, and rooms were offered at no cost to frontline health care heroes.

UAB Health System member Baptist Health did the same, working with Auburn University at Montgomery to offer free housing to team members who had been exposed to COVID-19 or had family members at home with compromised immune systems.

Medical West Hospital, also a member of the UAB Health System, ramped up telemedicine in all of its primary care clinics to provide needed continuing care and testing ability. The hospital is also working with area nursing homes to contain the spread of the virus in those facilities through aggressive testing and best practices of evaluation and mitigation.

Recognizing disparities

Recognition of the disproportionate burden of disease on minority populations was highlighted in an editorial by Selwyn Vickers, M.D., senior vice president for Medicine and dean of the UAB School of Medicine, along with 14 medical school deans and health leaders. The editorial, published in USA Today, drew attention to the higher rates of infection and mortality in persons of color, and called for refinement of governmental and health care responses to pandemics to provide greater access to resources for the underprivileged and underserved.

A second thought-provoking editorial penned by Vickers and the group of deans stated the case for increased medical education in social determinants of health. The editorial, published by the American Association of Medical Colleges, calls for changes in medical school curriculum to better educate the next generation of physicians on the effects of health disparities on population health.

The School of Public Health, led by Dean Paul Erwin, Ph.D., and Shauntice Allen, Ph.D., has reached out to residents of the Housing Authority of the Birmingham District to answer questions and dispel myths about coronavirus and race. The school and local faith communities have hosted live events on Facebook and used YouTube videos to reach this underserved population.

SOPH’s Bertha Hidalgo, Ph.D., has maintained an active presence on social media in both Spanish and English to provide information to the general population about COVID-19 and to help break down the science to people without scientific backgrounds.

In a partnership between JCDH, Birmingham Strong, federally funded health centers in the area, and UAB’s Minority Health and Health Disparities Research Center, UAB launched additional testing sites in disadvantaged neighborhoods across the Greater Birmingham area. A call center for appointments was set up and neighborhoods identified. The clinics feature drive-in and walk-up testing, and they anticipate testing between 50 and 100 individuals per day at each site.

“As we reopen across the state, we know that it will be vitally important to continue community testing,” said Jordan DeMoss, vice president for Clinical Operations at UAB Hospital. “We understand that not everyone is capable or willing to come to our downtown testing site. We feel it is important that we reach out, especially to our underserved communities, for testing, for education and for awareness as we build trust in the health care system.”

The health system also supports underserved residents of Jefferson County as it moves forward with plans to operate Cooper Green Mercy Health Services as part of a University Authority. The Authority will provide better access to UAB’s high-quality care for Cooper Green patients.

Testing innovative therapies

In addition to being on the front lines of patient care and serving others doing the same, UAB is on the front lines of drug discovery, spearheading the development of possible therapeutics against COVID-19. One of the most promising treatments is remdesivir, developed under the guidance of the UAB-led Antiviral Drug Discovery and Development Center.

Dr. Anthony Fauci of the NIH has said that remdesivir is now the standard of care for hospitalized patients with moderate to severe illness. UAB is the only hospital in Alabama able to offer these treatments for our citizens through multiple clinical trials:

  • Remdesivir
  • Nitric oxide
  • Convalescent plasma
  • Selinexor
  • Tocilizumab
  • Canakinumab on cytokine release syndrome

Supporting community testing

UAB Hospital administrators and leaders in pathology have been able to secure hard-to-get testing equipment, materials and PPE to expand testing in the region, as well as expand testing into previously underserved areas. UAB medical students volunteered at community testing sites and manned phones lines to deliver results.

Due to UAB’s efforts in molecular testing led by Sixto Leal, M.D., UAB was among the first academic medical centers in the country to offer in-house testing by launching a laboratory-developed test in March. Leal and his team are currently testing between 300 and 500 samples daily with COVID-19 RNA testing, confirming the presence of the virus in patients, with a turnaround time of less than 24 hours. This includes all inpatient admissions and health care workers, as well as all patients undergoing surgical procedures at UAB Hospital, and labor and delivery patients. A second COVID-19 RNA testing platform with less than two hours’ turnaround time is now operational as well.

To support the Jefferson County Department of Health, UAB developed a testing call center and drive-in site on UAB property. That site has now tested more than 5,000 community members. Hospital laboratories quickly geared up to increase testing capacity, now processing 600 tests per day.

Medical West Hospital worked closely with mayors in west and southwest Jefferson County, and tested more than 600 patients with the help of Cahaba Medical Care.

Baptist Health quickly opened two Coronavirus Care Clinics in mid-March, within a week of one another, with phone screening/testing and a drive-up appointment model. To date, the clinics have served nearly 20,000 patients via phone screenings and more than 2,500 patients via drive-up screenings. These clinics helped identify COVID-19-positive patients in a drive-up clinic setting allowing for a safe and seamless referral to appropriate medical care.

Reopening the state

On the eve of Alabama’s updated stay-at-home measures that allowed greater access to retail, UAB distributed posters through an extensive grassroots effort for retailers and individuals to encourage safe shopping to allow businesses to remain open.

In addition to awareness, tracking the virus is a critical element in the reopening plan. A group of UAB experts created www.helpbeatcovid19.org, a symptom tracker to help determine the spread of the virus. More than 58,000 people are using this tool to track their daily symptoms, providing up-to-date information that tracks the progression of symptoms in communities in real time. The resulting interactive map shows hot spots that indicate a rise in symptoms.

UAB public health experts also launched predictive models to help decision-makers accurately assess the likely trajectory of COVID-19 in the state.

  • Suzanne Judd, Ph.D., developed a Jefferson County COVID-19 community-based disease outbreak model and provided it to the JCDH.
  • Jerry McGwin, Ph.D., has developed a model for the UAB Health System to predict the trajectory and characteristics of COVID-19 patients to aid in UAB’s personnel and resource management and planning.
  • McGwin has also developed a model to predict the trajectory and characteristics of COVID-19 patients admitted to hospitals in Jefferson County and in the state of Alabama to aid in resource management and planning.
  • Andrew Rucks, Ph.D., and W. Jack Duncan, Ph.D., are creating graphs that plot the daily path of COVID-19 in Alabama and Jefferson County from mid-March to the present. The graphs show the total number of cases, deaths and hospitalizations on any given date.

UAB experts are also members of panels looking at ways to safely and effectively reopen the state.

  • Vickers serves on the executive committee of the governor’s task force.
  • Jeanne Marrazzo, M.D., director of the UAB Division of Infectious Diseases, serves on the state coronavirus task force.
  • Other medical professionals are serving as advisers to elected officials at the local, regional and state levels on the progress of the virus, and of the efficacy of efforts to flatten the curve and reduce the incidence of infection.
  • The UAB Health System is actively working with hospitals in the region on guidelines for opening elective surgery and returning to normal patient volumes.

Putting the UAB research engine to work

In addition to ongoing drug development and clinical trials work, UAB is ramping up new research in the fight against COVID-19. In March, UAB launched the Urgent COVID-19 Research Fund, and in three weeks raised $1.1 million from Birmingham and state business leaders.

The money was dedicated to clinical and basic research projects proposed by UAB faculty in the School of Medicine, in conjunction with the Hugh Kaul Precision Medicine Institute. A request for applications for basic science proposals was issued in mid-March to faculty of the school. Fifty-two proposals were submitted. In late April, 14 projects were selected for funding.

Among those projects:

  • Vaccine development
  • Repurposing FDA-approved medications for use against COVID-19
  • Discovery of novel therapeutic targets
  • Disease tracking systems
  • Improvements in testing platforms
  • Creation of reagents for use in antibody immunity studies
  • Bio-repositories
  • Clinical registry of COVID-19
  • Creation of animal models of COVID-19
  • Understanding the cytokine release syndrome implicated in patients with severe disease

Outreach to Birmingham — and the world

UAB began regular media briefings in February to better inform the public about the novel coronavirus threat, prior to the first identified cases in Alabama.

  • UAB faculty have been regular fixtures on local and national television and quoted in major media publications around the world.
  • UAB has presented regular media briefings to state media outlets, in conjunction with the City of Birmingham, Jefferson County Department of Health and Emergency Management Agency.
  • UAB’s uab.edu/coronavirus website offers information, videos, images, infographics and more that have been shared widely in social and traditional media, reaching hundreds of thousands of people online.
  • The helpbeatcovid19.org website provides a place for the public to donate money, material or just show their support for frontline health care workers, first responders or those in need.

Educational leadership

UAB and the University of Alabama System have taken a leadership role in helping institutions of higher education plan toward a safe return to campus when in-person classes and activities resume.

The UA System established a task force made up of representatives of all three campuses and leveraging UAB’s extensive medical expertise to develop plans for reopening universities — guidance that will be shared with other institutions across the state.

“We are extremely fortunate that UAB, home to one of the world’s foremost academic medical centers, is part of our system,” said UA System Chancellor Finis St. John. “With knowledge and guidance from the scientists, doctors, researchers and numerous higher-education experts on our campuses, we are developing comprehensive plans to make sure our three campuses are the safest in America when our students return. Our task force will consider strategies of all kinds: testing measures, enhanced cleaning, classroom procedures, housing policies, security and wellness programs, and more.”

Watts says UAB will continue to work aggressively to support Alabama’s fight against COVID-19 and the state’s recovery.

“We have worked very hard to respond to the pandemic from every aspect of our organization,” Watts said. “I’m proud of the people of UAB: frontline health care workers, researchers, support staff, faculty, students and everyone who is a Blazer as we adapt to a new reality. We are also hard at work planning for when this is over, so that UAB will be an even stronger and better organization and be here to serve the people of Alabama.”

(Courtesy of UAB)

5 hours ago

Alabama Power sends hundreds of linemen, support personnel to assist after Tropical Storm Isaias hammered East Coast

Tropical Storm Isaias hit the eastern coast of the United States hard this week, leaving millions of Americans without power while producing high winds, heavy rain and tornadoes.

In the wake of the storm’s wrath, Alabama Power Company on Wednesday morning sent 133 lineworkers and 94 support personnel to New Jersey to assist utility FirstEnergy in its storm response.

A release from the company outlined that Alabama Power upon arrival will support FirstEnergy subsidiary Jersey Central Power and Light, which serves 1.1 million customers in the central and northern parts of the Garden State.

In addition to directly supporting FirstEnergy, Alabama Power advised that it released more than 325 contract lineworkers to assist in storm restoration at various other utilities along the East Coast.

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“Our crews are prepped and ready to offer assistance in the restoration efforts following Tropical Storm Isaias,” stated Kristie Barton, Alabama Power Company’s power delivery services general manager.

“As soon as it is safe to do so, which includes observing all of our COVID-19 safe practices protocol, we’ll be working to restore power as quickly as possible,” she continued.

The company’s help was reportedly coordinated through the mutual assistance program of the Southeastern Electric Exchange, a trade association comprised of several member utilities.

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn

5 hours ago

Ivey named to leadership of National Governors Association

The National Governors Association (NGA) on Wednesday announced its new executive committee for 2020-2021, with Governor Andrew Cuomo (D-NY) becoming chair of the association that represents the 55 leaders of all American states and territories.

Members of the executive committee were elected during the NGA summer meeting, which was held in a virtual format this year.

Governor Kay Ivey (R-AL) was one of the governors elected to the nine-member executive committee.

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“I’m honored to have been elected to serve on the [NGA] Executive Committee for 2020-21,” Ivey said in a Wednesday tweet. “I look forward to working with my fellow governors to develop initiatives & policies to support our country now & in the future.”

The NGA recently highlighted Alabama’s workforce development efforts under the Ivey administration as a model for other states to emulate.

Ivey assumed the governor’s office on April 10, 2017. In November 2018, she was elected to her first full term as Alabama’s chief executive. That term will expire in January 2023. Ivey could seek reelection in 2022.

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn

6 hours ago

Mo Brooks: Democrats are banking on creating more moochers in 2020

The latest stimulus bill in Congress is tied up for many reasons, but a major sticking point appears to be the continuation of a $600 a week unemployment booster on top of what states already pay in benefits.

With the current impasse, there is currently no bonus to be given to those who are unemployed.

This is creating a battle between those who want to keep the bonus payment going for the foreseeable future and those who believe that the high payment is keeping people from vigorously re-entering the job market.

The stalemate in Washington, D.C. will eventually break. Some form of sweetener will be included, and the battle for stimulus will move on to the next bill.

U.S. Representative Mo Brooks (R-Huntsville) views this battle as part of the larger ideological battle in the United States.

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Brooks appeared on WVNN’s “The Dale Jackson Show” on Wednesday and referred to the Democratic Party as “the moocher party.” He said he believes this disconnect all started in the 1960s when Democrats embraced the idea of the “Great Society.”

Brooks opined, “Democrats have discovered that’s a huge voting block that they get in elections, so one way to win an election is to turn more independent, self-reliant voters into moochers.”

The congressman from Huntsville believes this is nothing new and noted how political it all is.

“Democrats perceive that that’s going to help them tremendously in the 2020 elections just a few months from now,” he advised.

My takeaway:

Brooks, of course, is right.

The argument from the media and their Democrats is always going to be some version of: “We want to give you [this] and they don’t because they want you to die.”

Free healthcare, free childcare, free college education, and it never stops.

Stopping any of this is the equivalent of kicking a baby in the face and taking its food.

Democrats have bought into this idea for years, and in the time of rampant unemployment and a pandemic, they will kick their grievance politics into full gear to gain new power.

The House, Senate and presidency are at risk this year. Republicans can give in and extend the $600 unemployment benefit (they will), and Democrats will just move to the next free item.

In 2020, this strategy might work.

Listen:

Dale Jackson is a contributing writer to Yellowhammer News and hosts a talk show from 7-11 AM weekdays on WVNN.

8 hours ago

Dollar General opens 450,000 square foot distribution center in Montgomery

Budget shopping chain Dollar General on Wednesday announced the opening of its large, new cold storage distribution center in Montgomery.

The 450,000 square foot facility is the product of a $26 million investment for the company and will support around 65 new jobs in the River Region.

The Montgomery facility is cold storage, meaning it is designed to store goods that must be kept chilled like milk and deli products.

“Welcome to Montgomery Dollar General, thank you for investing in our state and in our people,” said Governor Kay Ivey on Wednesday during a digital event celebrating the facility being opened.

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“We are incredibly grateful for the tremendous support from both state and local officials who helped make this project happen,” remarked Rod West, Dollar General’s vice president of perishables growth and development.

The low-cost retailer opened its first store in Alabama in 1965 and now has around 800 retail locations in the Yellowhammer State.

“Dollar General is a trusted company with a long history in Alabama,” said Elton Dean, Montgomery County Commission chairman, in a statement on Monday.

“The River Region has a lot to offer, and we are thrilled that this esteemed organization, that does business across the country, recognizes that,” Dean added.

Dollar General also has a traditional distribution center in Bessemer and claims to employ approximately 8,100 Alabamians in total.

Montgomery’s new distribution center is located on Mobile Highway, around 15 minutes southwest of downtown.

“We welcome Dollar General and look forward to years of partnership and progress to come,” commented Montgomery Mayor Steven Reed on Wednesday,

The company says it will support around 1,500 stores in surrounding areas and help spur the “DG Fresh” initiative “which is a strategic multi-phased shift to self-distribution of frozen and refrigerated goods such as dairy, deli and frozen products” according to a release.

“We are confident that Dollar General recognized our strong workforce and business-friendly environment when choosing a location for this facility. We are excited to welcome Dollar General and countless companies to come, to grow in Montgomery,” concluded Arthur DuCote, Montgomery Area Chamber of Commerce chairman.

Henry Thornton is a staff writer for Yellowhammer News. You can contact him by email: henry@yellowhammernews.com or on Twitter @HenryThornton95

8 hours ago

Alabama Forestry Association endorses Tommy Tuberville for U.S. Senate

The Alabama Forestry Association (AFA) on Wednesday announced its endorsement of Republican nominee Tommy Tuberville in the Yellowhammer State’s 2020 U.S. Senate race.

Tuberville, after defeating former U.S. Attorney General Jeff Sessions in last month’s GOP primary runoff, is set to face U.S. Senator Doug Jones (D-AL) in November’s general election. The AFA had endorsed Sessions in the runoff contest.

In a statement, AFA executive vice president Chris Isaacson said, “We are proud to endorse Tommy Tuberville in the United States Senate race. He is a conservative with an impressive list of accomplishments, and we know that he will continue that record in his role as U.S. Senator.”

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“Tommy knows that decisions made in Washington impact families and businesses and will be an effective voice for the people of Alabama,” he concluded.

This comes as another major endorsement for Tuberville from the agribusiness community. The Alabama Farmers Federation endorsed the former Auburn University football coach last year and has been credited as being integral along his path to securing the Republican nomination.

“I am honored to have the endorsement of the Alabama Forestry Association. The AFA is an excellent organization that stands for pro-business policies. Protecting Alabama industry is a key to our state’s success,” Tuberville stated.

Sean Ross is the editor of Yellowhammer News. You can follow him on Twitter @sean_yhn