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Amid Wisconsin coronavirus outbreak, researchers explore link between college cases, nursing home deaths

For most of 2020, La Crosse’s nursing homes had lost no one to covid-19. In recent weeks, the county has recorded 19 deaths, most of them in long-term care facilities. Everyone who died was over 60. Fifteen of the victims were 80 or older. The spike offers a vivid illustration of the perils of pushing a herd-immunity strategy, as infections among younger people can fuel broader community outbreaks that ultimately kill some of the most vulnerable residents.

“It was the very thing we worried about, and it has happened,” Kabat said.

Local efforts to contain the outbreak have been hamstrung by a statewide campaign to block public health measures, including mask requirements and limits on taverns, he added. “Your first responsibility as a local government is really to protect the health and safety and welfare of your residents,” he said. “When you feel like that’s not happening and you have few tools or resources available to change that, it’s more than frustrating.”

As the number of coronavirus infections continue to soar in the upper Midwest, few places embody the nation’s divisions over how to tackle the pandemic better than Wisconsin. Even as the state’s weekly caseload has quadrupled in the past six weeks, bar owners and Republicans have thwarted some restrictions on public indoor gatherings, leaving public health professionals scrambling to contain the virus.

Wisconsin ranks fourth among states in daily reported cases per capita, with 59 per 100,000 residents. According to The Washington Post’s analysis of state health data, in the past week new daily reported cases have gone up more than 20 percent, hospitalizations have increased more than 26 percent and daily reported deaths have risen 22 percent.

In recent briefings, Wisconsin health secretary designee Andrea Palm said the state is doing worse than it was in March and April and has pleaded with residents to avoid going to bars and to practice social distancing.

“Wisconsin is in crisis, and we need to take this seriously,” Palm said last week.

Last week a judge in Wisconsin’s Sawyer County temporarily blocked an order from Gov. Tony Evers (D) limiting crowds in bars, restaurants and other indoor spaces to 25 percent of capacity, though a judge in Barron County reinstated it Tuesday. The Tavern League of Wisconsin, which represents the state’s bars, argued it amounted to a “de facto closure.” In May, the state Supreme Court struck down Evers’s “Safer at Home” order after Republican lawmakers challenged it, and a conservative activist has just sued to block Wisconsin’s statewide mask mandate.

Elizabeth Cogbill, who specializes in geriatrics and internal medicine in the Gundersen Health System, has been working 14-hour days since the pandemic began, staying late to talk to families who can no longer visit their elderly relatives.

Since June, Cogbill has been working with the county, other medical professionals and nursing home officials to curb coronavirus infections. They had managed to stifle several flare-ups without a death, until September.

In an interview, the 41-year-old doctor said that as the

Art and medicine essays explore diversity, bias, suffering

It’s a thought-provoking prescription for reflection and learning, and you don’t have to be an artist or a clinician to enjoy it.

Every Monday, the project sends subscribers an email that includes a piece of art work and a short essay that delves into challenging themes that connect the art to medicine. The essays are reflective and wide-ranging, covering uncertainty, death, suffering, salvation and more. Each is accompanied by a list of sources so that readers can learn more.

One recent newsletter included a reflection on permanence and the participation of AIDS patients in their own care tied to “Strange Fruit,” an installation by artist Zoe Leonard that was exhibited at the Philadelphia Museum of Art in 1998. Another featured Henri Rousseau’s “Woman Walking in an Exotic Forest” and tied it to questions of colonialism and diversity in medicine.

In a reflection on Horace Pippin’s 1940 painting “Supper Time,” the team reflects on cultural bias. Pippin, a Black artist who used his work to reflect on racism and slavery, regularly had his work branded as “primitive” and “tribal” by art critics. The essay connects the art world’s disquieting reception to Pippin’s work to clinicians’ implicit biases and the use of terms like “noncompliant” or “unmotivated” to describe patients.

“We’re trying to weave an interesting multidisciplinary lens of clinical medicine and anthropology and social justice,” Lyndsay Hoy, assistant professor of clinical anesthesiology and critical care at Penn Medicine and the co-creator of the project, told the Daily Penn.

Sign up to receive the weekly email yourself — or just tool around the intriguing list of themes the consortium has already explored — at rxmuseum.org.

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