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News COVID-19

COVID-19 Dashboard is Mostly Back Online; Maryland Cases at “Red Alert” Levels

December 21, 2021 by Maryland Matters

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After being offline for more than two weeks due to a cyberattack, portions of the Maryland Department of Health’s COVID-19 dashboard returned to operation on Monday, and a top official said the agency has developed “workarounds” for most of the functions that were affected by the outage.

The updated numbers reflect a significant spike in cases and test positivity — a surge that a physician who serves in the state legislature said pointed to a dangerous time for the state’s hospitals in the weeks to come.

The department brought its systems back online just hours after Gov. Lawrence J. Hogan Jr. (R) announced that he tested positive for coronavirus.

The Dec. 4 attack left the agency unable to update some portions of the online portal it established in the early days of the pandemic. The department was able to report hospitalizations and vaccinations throughout the crisis, but not other data.

The lack of case count numbers and positivity rates left local health officials in the dark as to the full impact of the omicron variant and holiday travel. They knew from other metrics — hospitalizations, mostly — that the situation appears to be growing worse by the day.

From Dec. 1 through Dec. 20, Maryland reported 24,905 new cases, an average of 1,779 per day, though data for six dates are missing.

Over a comparable period in early November — before Thanksgiving get-togethers and holiday shopping — Maryland saw an average of just under 700 new cases per day.

The state’s rolling 7-day test positivity rate is now 10.27%, a dramatic increase from the 4.36% the state reported the day after Thanksgiving. For most of October and November, the state’s positivity rate was between 3% and 4%.

“Unless we take action soon, our hospitals are going to be very quickly overwhelmed,” said Sen. Clarence K. Lam (D-Howard), a physician in the preventive medicine program at the Johns Hopkins Bloomberg School of Public Health. “We are seeing rising rates even among those that are vaccinated — and this could tax an already-strained health care workforce that is barely holding it together right now.”

“This should be red-alert across the entire state,” he added.

The state is still unable to report updates on the number of people who have died due to COVID-19. Maryland’s official count has been frozen at 11,022 since Dec. 4.

Hogan has said little about the attack, though he has made cybersecurity a top issue as he broadens his profile beyond Maryland.

During a briefing for reporters, Chip Stewart, Maryland’s chief information security officer, refused to disclose details about the intrusion into the MDH computer network, citing the ongoing “criminal” probe being conducted by state and federal investigators. He would not say whether it was launched from overseas or whether a ransom payment has been requested.

“There is no evidence, at this time, that the incident resulted in unauthorized access to — or acquisition of — any data,” he said.

W. Lance Schine, deputy secretary of the Department of Information Technology, said health department employees were given “loaner computers” shortly after the attack.

“We are making good progress on bringing systems back online as safely and quickly as possible,” he added.

As the absence of updated COVID metrics stretched into its second week, state lawmakers voiced frustration with the governor’s low profile. Maryland Matters reported last week that key committee chairs were debating whether to hold a public hearing with top state health officials in December or wait until the General Assembly reconvenes in January.

The briefing and the restoration of data came just hours after Hogan announced on Twitter that he had tested positive.

“COVID numbers, we felt, were important for the public and we worked hard to bring up the numbers that we could,” said Schine. “Today was the soonest we felt those numbers were accurate enough to share with the public.”

Hogan, a cancer survivor, was been vaccinated twice and recently received a booster.

His spokesman, Michael Ricci, said Hogan is “feeling fine.” He is working at Government House, the governor’s residence, and holding meetings online.

Members of his executive protection detail have tested negative, Ricci said, as have family and other staff. “He’ll quarantine in line with recommendations from health officials.”

Hogan, who is tested regularly, tested negative on Thursday, Ricci said.

In an interview, Lam urged the governor to reinstate a mask mandate to slow the spread of the virus during the holidays and to keep hospitals from being overwhelmed. But he expressed doubt that Hogan would go down that road.

“There are breakthrough cases all over the place,” Lam said. “We’re seeing rates that we haven’t seen since December of last year, and that was before the vaccine.”

Del. Kirill Reznik (D-Montgomery) praised Hogan for being candid about his positive test result — and stressed that even people who’ve been vaccinated can become infected. “We know that breakthrough cases happen.”

Reznik had sent a letter last week to Health Secretary Dennis R. Schrader seeking an update about the attack and indicating that health care providers had not been paid in connection to the breach.

Reznik said Monday that the updated metrics “confirm everything that we have feared — which is that things are moving in the wrong direction and quickly.”

Stewart said systems relating to Medicaid operations — including eligibility verification and provide payments — are back online, as are systems for issuing birth and death certificates.

By Bruce DePuyt

The Spy Newspapers may periodically employ the assistance of artificial intelligence (AI) to enhance the clarity and accuracy of our content.

Filed Under: COVID-19 Tagged With: coronavirus, Covid-19, cyberattack, dashboard, health department, Maryland

“We Know Nothing”: Lawmakers to Probe Attack That Took Down Agency’s Computers

December 15, 2021 by Maryland Matters

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Two legislative committees that oversee the Maryland Department of Health plan to grill state officials about an attack that disabled the agency’s computers, top lawmakers said on Tuesday.

Gov. Lawrence J. Hogan Jr. (R) has revealed little about the Dec. 4 attack, which has significantly hampered the agency’s operations.

Health department employees initially were told to stay off their computers as a precaution. Although some systems have come back online, the agency has not posted COVID-19 case rates, testing or mortality data since Dec. 3.

Hospitalization and vaccine data are available, as are congregate and school outbreak reports. Maryland is experiencing its biggest spike in hospitalizations since April.

“The governor has been incredibly quiet about this issue,” said Del. Shane Pendergrass (D-Howard), head of the House Health and Government Operations Committee. “The question of how it happened, why it happened, how bad is it — all of those things need to be answered.”

Senate Education, Environment and Health Affairs Committee Chairman Paul G. Pinsky (D-Prince George’s) accused Hogan of being “absent.”

“He’s always out front when there’s good news — even it’s not because of his actions. But when there’s bad news, he’s not in front of the cameras,” the lawmaker said. “They shouldn’t duck this. They should say what the problem is [and] how long it’s going to take to fix it.”

“We know nothing” about the impacts the attack is having, Pinsky added, including whether hackers have sought a ransom payment, a common tactic.

Hogan’s office initially did not respond to requests for comment on Tuesday, and a Maryland Department of Health spokesman declined a request for an interview.

The agency also refused to answer written questions about whether the attack originated overseas, whether a ransom has been requested, whether employees are able to use their government-issued computers, how operations have been impacted, who is handling the investigation, or whether Health Secretary Dennis Schrader intends to testify at the legislature’s hearing.

The morning after this story was initially published, Hogan spokesman Michael Ricci sent a brief statement: “We fully briefed legislative leaders last week, and we will continue to provide information to legislators and constituents to the extent possible without compromising the ongoing investigation.”

At a press conference last Thursday, Hogan said, “Our system was compromised, but at this point it appears to be much, much less intrusive and with a much better outcome than we were afraid might be the case.”

“We don’t believe that any data was sacrificed, and I think they’re digging into it and getting into the problem,” he added.

On July 1, the state reported 97 COVID patients in Maryland hospitals. On Tuesday, there were 1,173, the most since April 22.

Anne Arundel officials reported Tuesday that there are 84 COVID patients in county hospitals, up from approximately 40 last week.

“It is concerning to have a doubling of our hospitalization in the last week and not know what our case rates look like right now,” County Executive Steuart Pittman (D) told reporters. “Not knowing what’s going on with the case rates means that [hospitals] can’t project what their hospitalization rates are going to be in two weeks.”

Most of Anne Arundel’s sickest COVID patients had not been vaccinated, Pittman said.

Anne Arundel Fire Chief Trisha L. Wolford said hospitals are “absolutely struggling” — as are her paramedics.

“The waits are incredibly long,” she said. “When they’re at the hospital for multiple hours, it’s heartbreaking that they can’t be out in the community.”

Wolford urged unvaccinated residents to “do the right thing for your community and your neighbors” by getting their shots.

In a statement, state health department spokesman Andy Owen said the agency “took down certain systems out of an abundance of caution following the recent network security incident.”

The agency’s priorities are “gaining full visibility into the affected network infrastructure,” bringing systems back online, and restoring full COVID-19 data reporting capabilities, he said.

Pendergrass has scheduled a hearing into the computer attack for Thursday, Jan. 13, the first full day of the legislature’s 2022 session. She and Pinsky have agreed to hold one together but Pinsky wants to hold it in December.

Regardless of when lawmakers hold their hearing, “the governor will not likely take responsibility for this, nor will anyone else,” Pendergrass said. “The administration is not ever very forthcoming about anything, in particular the Health Department.”

By Bruce DePuyt

The Spy Newspapers may periodically employ the assistance of artificial intelligence (AI) to enhance the clarity and accuracy of our content.

Filed Under: Maryland News Tagged With: attack, coronavirus, Covid-19, data, general assembly, health department, Maryland, network

State: Health Depts. Won’t ID Nursing Homes with COVID-19 Cases

April 24, 2020 by John Griep

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Medical privacy laws and a lack of any public health benefit are key reasons why additional details are not released about patients with confirmed cases of COVID-19.

“The virus is in our community and it is spreading,” William Webb, Kent County’s health officer said Friday. “We want everyone to realize this is a serious situation and to practice social distancing and all of the recommendations that have been made over and over.”

Kent County saw a large increase in the number of confirmed cases between Wednesday and Thursday.

“We’re trying to spread the message that the virus is in our community and we should treat everyone as a potential carrier,” he said, noting social distancing, frequent hand washing and use of face masks has been urged for weeks. “Many people are asymptomatic and don’t know they’re infected.”

Webb said the health department focuses on public health exposure.

“When we get a positive test result, we make sure we contact the individual as quickly as possible” to make sure the person quarantines or self isolates, he said. Patients are asked about anyone with whom they came into close personal contact.

Close personal contact includes touching and shaking hands or being within six feet for at least 10 minutes.

“Obviously, we don’t want to identify specific individuals and we don’t want to give out details that could identify” a patient, Webb said.

In addition to medical privacy laws, there is little public health benefit to knowing who has tested positive and where they have been. And knowing too many details might be counterproductive.

“When we get into a lot of details, it creates a false sense of security,” Webb said.

He said area residents should take personal responsibility and make sure to follow the recommendations of health officials, including social distancing, frequent hand washing, and wearing face masks in public.

Confirmed cases and deaths in Kent County essentially doubled on Monday, when the county announced 15 COVID-19 cases — 12 residents and 3 staffers — at Autumn Lake Healthcare at Chestertown. One of the residents died from the virus.

A state strike team responded Sunday to the facility, assessing it and testing 60 patients and staffers, according to reports.

On Thursday, Kent’s confirmed cases had another big jump — from 36 to 64 — a nearly 78 percent increase. Webb could not comment Friday on whether the additional positive cases were related to Autumn Lake.

Since Monday’s announcement of the cases at that facility, the state health department has instructed local health departments not to identify nursing homes or other facilities where residents or staff have tested positive for COVID-19.

The Kent County Health Department announced that policy guidance from the Maryland Department of Health in a Friday statement.

“The Kent County Health Department continues to work closely with the Maryland Department of Health to support COVID-19 preparedness and response capacity in all nursing home facilities,” according to the statement. “Since releasing initial information regarding the outbreak at Autumn Lake Healthcare in Chestertown, all Local Health Departments have been provided policy guidance from the Maryland Department of Health (MDH), and it is our intent to follow that guidance.”

In accordance with the MDH guidance, local health departments “will not routinely disclose identifying information about nursing homes or other congregate living facilities in which residents and/or staff have tested positive for COVID-19,” according to the statement. “The disclosure of this information serves no public health purpose and could lead to the identification of specific persons who have tested positive for the disease.

“Cases of COVID-19 are closely monitored by public health authorities across Maryland, and the State continues to evaluate additional measures to protect the public and the facilities’ residents and staff,” according to the statement. “If further actions are needed to protect the public’s health and/or residents and staff of these facilities, the State will take those actions. If the disclosure of specific information is needed to protect the public’s health and/or residents and staff of these facilities, it will be
disclosed.”

On Thursday, in a list of frequently asked questions about the strike teams, the state health department said Maryland has 227 nursing homes and more than 160 have confirmed cases of COVID-19.

“To date, the strike teams have been involved in more than 40 visits to various congregate living facilities across the state, including nursing homes,” according to MDH.

Other FAQs included:

What are nursing home “strike teams”?

To provide immediate intervention in nursing homes and other congregate living facilities where COVID-19 is confirmed to be present, Governor Hogan implemented “strike team” operations to assist with assessment, testing and clinical care for individuals in nursing homes, including:

● Assessment teams to quickly evaluate each situation on-site, to determine equipment and supply needs

● Testing teams to identify those in close contact with a confirmed case and collect and send out specimens to produce the fastest results available

● Clinical teams to provide on-site medical triage and to stabilize residents

Do strike teams help in places other than nursing homes?

Yes. Gov. Hogan recently expanded strike team operations to include other facilities where those at highest risk for adverse COVID-19 outcomes live, including assisted living facilities and group homes for medically fragile children.

Who are the strike team members?

The composition of these teams varies depending on the specific nature of the mission and the needs of the facilities’ residents. Members may include National Guard personnel, representatives of local and state health departments, EMS and clinicians from local hospital systems.

In partnership with the Federal Emergency Management Agency (FEMA) and the U.S. Department of Health and Human Services (HHS), Maryland has also augmented these teams with three federal Disaster Medical Assistance Teams (DMAT) made up of physicians, paramedics and safety officers.

The Spy Newspapers may periodically employ the assistance of artificial intelligence (AI) to enhance the clarity and accuracy of our content.

Filed Under: News Homepage, News Portal Highlights Tagged With: Covid-19, Health, health department, medical privacy, nursing homes

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