The peoples of Florida and the coronavirus


THE VILLAGES, Fla. – For months, many of the residents of one of America’s largest retirement communities went on with their lives as if the coronavirus barely existed. They played bridge. They held dances. They went to parties in golf carts that looked like miniature Jaguars and Rolls-Royces.

And for months they seemed to have avoided the worst of the pandemic. From March through mid-June, there were fewer than 100 cases in The Villages, a sprawling community in central Florida where about 120,000 people live, mostly 55 and older.

But now, as cases increase in Florida, the virus appears to have reached residents of The Villages.

Since the beginning of July, hospital admissions for residents of The Villages have quadrupled at the University of Florida Health The Villages, the hospital’s critical care doctors said. Starting last week, the hospital admitted 29 Villages residents, all with the virus, said Dr. Anil Gogineni, a pulmonologist and critical care doctor. That was up in single digits three weeks earlier.

Dr. Anil Gogineni works at the University of Florida Health The Villages, where the coronavirus cases of Villages residents have quadrupled this month. —Eve Edelheit / The New York Times

In Sumter County, the largest of the three counties where most of The Villages is concentrated, the number of cases increased from 68 in the first week of June to more than 270 last week, according to the US Department of Health. county.

The Villages is a sprawling, palm-fringed complex so large it has three zip codes, 55 golf courses, and multiple libraries and cinemas, attracting wealthy retirees from across the country.

Now many residents face their new reality. “It’s leaking, come what may,” said Rob Hannon, 64, as he sipped a beer, adding that “friends who would come for years are saying, ‘We’re not going.'”

The golf course is still crowded, he said, as well as the hair salon where his wife, 53, works. “The women are still going in but they are a little more anxious,” said Rob Hannon. “You can’t stop living. But you can stop being arrogant.

In an email sent to residents last week, Jeffrey Lowenkron, chief medical officer for The Villages, said cases were on the rise and urged them to take “proactive steps to reduce the risk of disease transmission.”

A synchronized swimming club practiced with movements modified for social distancing. —Eve Edelheit / The New York Times

“They should consider postponing participation in social events with more than 10 people, particularly those held indoors,” he wrote. “The upward trend is accelerating.”

The fact that The Villages initially seemed to escape the worst of the virus had been a source of pride for Governor Ron DeSantis. The governor, a Republican who has strong community support, dismissed concerns about the risks during a visit in April. “There were written articles that said, ‘Oh, The Villages is going to crash and burn,'” he said. “They have an infection rate of 2% or 2.5%.”

But when he returned in early July, the infection rate had increased to 9%.

According to the Florida Department of Health, more than a third of the cases in the state, one of the most affected in the nation, have been among people aged 15 to 34, particularly in large cities. There have been serious outbreaks from the start in prisons, nursing homes and farms.

There are now signs that the age of Floridians who contract the virus is changing. Jackson Health System, the Miami-Dade County Public Hospital, said last week that 18% of its coronavirus patients were 80 or older. Two weeks earlier, that figure was 9%.

Health workers examining people in villages for coronavirus. —Eve Edelheit / The New York Times

About 20% of Florida’s population is age 65 or older, the highest percentage in the nation along with Maine, and that age group accounts for half of their coronavirus hospitalizations and more than 80% of deaths. As of Saturday, more than 45,000 of the state’s more than 350,000 cases are in that age group.

The increase in cases among older residents is likely due to the spread of the virus by young people who are not taking preventive measures such as wearing masks, said Dr. Madiha Syed, an infectious disease specialist who works at the University of Florida Health.

“You see, they don’t wear their masks,” Syed sighed. “What do you do?”

But even as cases increase, doctors at The Villages say they are prepared for an increase in patients. The hospital has sufficient capacity and antiviral drugs, Gogineni said.

However, one area of ​​concern is the four nursing homes in the community, and several others on the outskirts that also serve residents.

At the start of the pandemic, DeSantis took an aggressive approach in nursing homes, and the state outbreaks were not as deadly as in places like New York. DeSantis banned nursing home visits, ordered them not to readmit residents unless they had negative results twice, and opened at least 14 coronavirus-only facilities.

Residents playing beach tennis. —Eve Edelheit / The New York Times

That helped curb the spread, but now health officials are concerned that nursing homes cannot avoid an avalanche of cases.

Located outside the limits of The Villages and caring for some of its residents, Lady Lake Specialty Care reported 47 cases last week, according to Greystone Healthcare Management.

In the latest effort by the Florida government, the Agency for Health Care Administration last week issued a couple of emergency rules that require every nursing home and assisted living facility in the state to evaluate staff members every two weeks. (The rules do not apply to long-term care facilities.)

DeSantis said Wednesday that more than 120,000 staff members at nursing homes and assisted living facilities have been evaluated over the past week, of which about 2.8% were positive. “We are really happy with that,” he said. Still, she downplayed a recent outbreak at an unidentified long-term care facility in north-central Florida, where 50 staff members tested positive.

Even with the increase, many residents of The Villages say they are in conflict with the virus and what to do next.

Booths and stands are closed near softball fields. —Eve Edelheit / The New York Times

Some steps have been taken to help curb infections. The crowds around the fake Spanish colonial buildings and fountains are smaller, the theaters are closed, and the bands have stopped playing.

However, residents still congregate every day without wearing masks. They turn up the volume on a radio and dance in the squares. They crowd bars where songs by Elvis Presley and Bobby Sherman play. There are picnic and water aerobics classes.

Jim Lomonaco, 67, a former law enforcement official, ignored the latest headlines.

“I am not pressing my luck, but I am not too worried. If it’s here, it’s already here, we have no walls, ”he said on a recent day. Laughter was heard from other retirees clustered around tables at a nearby restaurant. A few meters away, dozens of others were practicing a dance.

Don Phillippi and his partner, Flo Collins, both 79, were sitting looking in their golf cart, which many at The Villages call a golf car.

Collins, a retired nurse, said the couple wore masks when shopping for groceries and that they mostly stayed indoors playing card games. “I’m a nurse, so I know that,” she said.

During the pandemic, residents continued to dance in the squares, crowding bars and picnicking. —Eve Edelheit / The New York Times

The only time they socialize is when they celebrate a birthday with friends in a restaurant. “But we will have a private room,” Phillippi insisted. “And we take the temperature and all that sort of thing. To make sure everyone is okay. “

Even if they have had the virus, most Villages residents are reluctant to talk about the virus.

A resident declined to be interviewed because he was embarrassed after getting infected at a party.

“People are being very reserved,” said Neil Craver, 66, who said he contracted the virus two weeks ago. “It is like the plague and they don’t want anyone else to know that they are sick.”

Residents say they have received no instructions on how to tell management if they get sick.

About two-thirds of residents are Republicans, according to local party presidents, and as elsewhere, some political precautions are taken.

“You can tell who is a Democrat, who is a Republican by their masks,” said Chris Stanley, the leader of the Villages Democratic Club.

“You can tell who is a Democrat, who is a Republican by their masks,” said Chris Stanley. —Eve Edelheit / The New York Times

“It doesn’t make sense to me that there is some kind of magic umbrella that keeps the virus at bay, particularly because people are throwing parties, with houses that have six, five golf cars parked out front,” he said.

Villages resident Amy Rose lost her husband, Chad, a laboratory technician at one of The Villages’ hospitals, to what she believes to be the coronavirus. Her death, however, was recorded as a heart attack.

She and her husband had coronavirus-like symptoms in January after visiting Disney World when the virus caused little concern in the United States. In April, Rose, 47, who had a heart condition, suddenly collapsed after exercising.

Rose’s cardiologist told her that the coronavirus had likely contributed to her heart attack by narrowing the arteries. “They said that because he had that history of a heart attack, they didn’t do the autopsy. They just declared it. “

“His death was very violent,” she said, crying. “It was horrible.”


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