Virginia’s Department of Health and Misinformation

by Kerry Dougherty

With each passing day the Virginia Department of Health looks more like a purveyor of panic than an agency protecting the health of Virginians with factual, up-to-date information.

As the governor stubbornly clings to his overly-restrictive lockdowns and mask mandate, the department has proven useful to him as it supplies the public with half-baked information that often seems designed to frighten and obscure rather than inform.

Examples?

First, the inexplicable secrecy surrounding what can only be described as Virginia’s nursing home slaughter. Since the beginning of March, 879 nursing home residents have died of COVID-19. (Check back later today, that number will rise, as it has every single day so far.) In fact, almost 57 percent of all Virginia deaths are nursing home residents.

Yet just try to find out WHICH nursing homes are experiencing outbreaks and the total number of deaths inside each facility. This information is a closely guarded secret that only a few tenacious reporters have managed to uncover.

As The Virginia Mercury reported last week, when the Centers for Medicare and Medicaid Services released a recent report detailing nursing home carnage there were problems with the information from Virginia. Of course.
The data was hotly anticipated.

But less than 24 hours after the federal Centers for Medicare & Medicaid Services released the names of nursing homes with COVID-19 cases, it became clear there were problems.

Case numbers for Virginia showed a sharp discrepancy with data from the state’s Department of Health. The dataset showed no information for 29 facilities. And one of the worst-ranked nursing homes in Virginia for COVID-19 deaths — a county-owned facility with a four-star rating from CMS — said the agency made a grave error in reporting.

There simply is no excuse for this level of incompetence.

And let’s not forget that the agency got caught last month combining antibody and Covid-19 tests.

It was May 13th when The Atlantic blew the cover off of the knob-turners in the health department. In a piece headlined, “How Virginia Juked Its COVID-19 Data: The state is combining results from viral and antibody tests in the same statistic. This threatens to confound America’s understanding of the pandemic”
The Atlantic said Virginia was producing “ information that is impossible to interpret.”

How helpful. Our health professionals at work.

Last week we found out that these same pros had also been juking the commonwealth’s positivity rates, by omitting more than 43,000 “mostly negative” Covid test results.

Seems two private labs had been faxing in test results. Health department personnel manually entered in the positive results — of course — but not the negative ones. The result was an artificially high positivity rate of almost 15 percent for the commonwealth. The rate of positive tests is one of the measures the governor is using to reopen the state. The negative tests were finally dumped in last week and the positivity rate dropped dramatically.

Virginia’s seven-day average for the percentage of positive cases reached a new low of 8% Friday after about 43,000 new coronavirus test results were added to the state’s official count, according to the Virginia Department of Health. The 8% positive rate is down from a peak of 22.2% on April 19.

Oh, and if you check the Department of Health’s website there’s this slice of misinformation:

That is NOT true. In fact there is growing evidence that people without symptoms are not spreading the virus. Even the World Health Organization’s top coronavirus expert said as much last week.

The organization attempted to walk back her statement the following day, but was unable to show any studies to the contrary.

And there’s this, from Virginia’s Health Commissioner, Dr. Norman Oliver. The Virginia Mercury reported that when he was asked about the dangers of COVID spread to protesters he compared them to front-line workers. Called them heroes, in fact.

No, I’m not kidding.

“In the same way that other people put themselves in a situation where they might have heightened exposure to COVID-19 but do so to help others, that we consider them to be heroes, it’s the same thing here.”

No, it’s not the same thing, Dr. Oliver.

You cannot compare doctors, nurses and EMTs who put their health in peril to help the sick, with protesters who violated the governor’s ban on gatherings of more than 10 people. Either large gatherings are dangerous or they aren’t.

It’s not his first totally inane statement. He should have been sacked back in April when he spread panic by declaring that business closures and lockdowns under the governor’s Phase One would last two years.

“Phase One will be a two-year affair,” Oliver told the Richmond Times-Dispatch. “There are a lot of people working on this, and I hope they prove me wrong, but I don’t see it happening in less than two years.”

The thought of a two-year shutdown sent shockwaves around the commonwealth.

The next day the governor quickly refuted his health chief’s statements.

“Phase One will not last for two years,” the governor’s office said in a text message to The Richmond Times-Dispatch. “We need to keep working together to beat this disease — not spread fear and misinformation.”

Misinformation. The Department of Health’s specialty.

This column was published originally at www.kerrydougherty.com.


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Comments

17 responses to “Virginia’s Department of Health and Misinformation”

  1. Steve Haner Avatar
    Steve Haner

    Another effective beating of a dead horse. Bacon’s Rebellion readers (left and right) have lost confidence. Perhaps some Virginia Mercury readers. In general, I’m not sure the public has. And while Phase One is over, Phase Two clearly will last into 2021….we’ve opened as far as Northam will allow, I suspect.

    1. Anonymous Avatar
      Anonymous

      I wouldn’t be too surprised if Northam keeps his orders in place into ’21, as you say. I would be more surprised if they have much purchase on the real world by then. I suspect that a few years from now, it will be clearer what a powerful incentive the lockdowns have given to everyone to keep as much work as possible work off the books, untaxed, and out of Karen’s fearful eye.

      It may very well be that the bulk of the public are not ready to push Northam and his foolishness aside this early. I wonder what will happen in the fall if there is a bad flu season and Northam demands a more restrictive lockdown again. Do you think the public will be willing to let him not just slow walk, but moonwalk?

      1. John Harvie Avatar
        John Harvie

        Who is Karen?

        1. MAdams Avatar

          It’s a new ubiquitous term for a busybody. Kind of link the term “okay, boomer”.

  2. sherlockj Avatar
    sherlockj

    The Virginia Department of Health, which I have observed closely for 15 years, is the single most dysfunctional organization I have encountered in 55 years, nearly thirty of which were in government service and the next 10 supporting federal and state governments as a contractor. No other organization is close. This is not a new conclusion. It started to come into clear view in my first year of analyzing that organization in 2006.

    The issue is that no Governor or his cabinet Secretary of Health and Human Resources has done anything about it. Until one does, the horse is not dead, it just smells like it is. Even Gov. Northam should be picking up the stench.

  3. Reed Fawell 3rd Avatar
    Reed Fawell 3rd

    Meanwhile, University of Virginia modelers eagerly crank this misinformation into their covid-19 projection machine seemingly tailored to support the Governor’s policies, and to falsely claim, down to the very last death, how many lives the Governor has saved.

  4. CrazyJD Avatar

    I’m waiting for Peter and Larry and Nancy’ defense of this turkey.

    1. Nancy_Naive Avatar
      Nancy_Naive

      What? I’ve NEVER defended Kerry, although she does need it.

  5. Peter Galuszka Avatar
    Peter Galuszka

    CrazyJD. SNORE! How many times must we go over this again?

    1. Nancy_Naive Avatar
      Nancy_Naive

      Well, he IS Crazy.

  6. There’s one thing none of us who have written on these issues have addressed: how many of the 414 outbreaks are not in the 289 nursing homes under Virginia Dept of Health and CMS and the 15 who are not, and how many are in the 570 assisted living facilities operating under Dept. of Social Services.

    With VDH combining nursing homes and assisted living facilities in the long term care facilities category, we can never reconcile the CDC/CMS nursing home report with the VDH LTCF outbreak report.

    When VDH says today there have been 3409 outbreak cases in healthcare workers, they don’t say how many worked in nursing homes or assisted living facilities, or if VDH includes staff deaths in the 889 under LTCF.

    Will let you know if VDH replies to those questions.

  7. LarrytheG Avatar
    LarrytheG

    Quite a few folks in Virginia do “get it” and they are social distancing and wearing masks and in general recognizing the realities of the virus as well as the fact that institutions and government are struggling to do right and sometimes not.

    But at the end of the day, there are about 20% who will not be satisfied no matter what. They’re mad as hell about the virus and it has GOT TO BE someone’s fault and who better to blame than the political party you always hated to start with?

    Despite Kerry’s rants – most folks have made sense of the problem and have figured out how to adapt.

    Some just will not and will not be quiet about their unhappiness also… we call them “high maintenance” types and yep, Kerry excels.

    Compare Northam to other Governors. Show me a comparison with a big difference.

    What we’re seeing now is states opening up – and the virus coming back in states that opened up too fast and too much.

    The terrible VDH? give me a break. Hardly any VDH including CDC has been perfect. CDC was grouping tests together also

    And WHO and the “masks” – this is the same WHO that Conservatives said didn’t know their butts from a hole in the ground – until of course they said something Conservatives like and now they’re GODs!

    Most folks understand the masks. Yes, there is a lot of information flying around but part of being an adult means you look at all of it then start to make some sense of it and act accordingly. Most folks are. Some apparently cannot or will not AND they feel the need to bitch and complain with a megaphone about how the world is so unfair to them!

  8. Tom Banford Avatar
    Tom Banford

    Just dedicated civil servants doing their jobs as best they can. It is so easy to criticize from afar.

    1. sherlockj Avatar
      sherlockj

      Tom, your characterization of VDH as civil servants doing their jobs as best they can does not match my observations of the performance of the organization over 15 years. I’m absolutely sure that description matches many individual employees. Just not enough, especially in leadership positions. I wish it did.

  9. Tom Banford Avatar
    Tom Banford

    sherlockj, you may be right about the leadership but as Larry said not even the CDC is perfect. Unfortunately, people tend to generalize and to paint with a broad brush. Misrepresentation is also used to support their own narrative as Kerry tends to do. The issue is not about asymptomatic people spreading the virus but rather about pre-symptomatic spread . Evidence clearly shows that the 3 or 4 day period prior to symptoms developing is a prime time for spread. Masks are obviouly crucial for indoor contact with strangers over a prolonged period.

    1. sherlockj Avatar
      sherlockj

      The “issue” can be characterized many ways. One way to think of it is that many Governors shut down their entire economies yet failed to protect by far the most vulnerable portion of the population, old people, especially those living in nursing homes and assisted living facilities. That protection needed to start years before COVID.
      In Virginia, we have some of the most understaffed nursing homes in the country and have for years. The exact cause of that is that the Virginia Department of Health (like the Departments of Health of all the states) conducts both federal and state nursing home inspections. VDH has chronically failed to report the understaffing that daily payroll data clearly show exists. Absent the inspection citations of deficiencies, the nursing homes have gotten away with that understaffing and have folded it into their business models. I have studied the inspection reporting numbers of all of the states. Some do a very good job of this. Some don’t. Virginia ranked 48th in my survey.
      Look to the failed VDH bureaucracy as the cause of COVID nursing home deaths, the COVID testing ranking of nearly last in the nation, the healthcare infrastructure preparation for COVID ranking of nearly last in the nation, and so many more.

  10. New note: A VDH spokesperson answered a question I sent, that the long term care facilities numbers (nursing home and assisted living) include staff members too. They do not break out nursing home staff from assisted living staff.

    IF the CDC/CMS report functions better this week, we can get some idea of staff cases and deaths, but not hospitalizations.

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