Covid-19 Update

jay • May 4, 2020

May 4, 2020

Little Rivers tested 27 people last week and all with negative results. The CDC reported that 701,913 specimens were tested last week in the U.S. with 16% positive. Vermont has tested 17,332 tests to date with 902 positive cases, a rate of 5.2% positive results. 

Last week we had a total of 442 patient visits including 56 televisits and 234 phone visits. Our overall visit count is about 60 to 65% of our pre-pandemic visit rate, and behavioral health visits are at the same rate as the pre-pandemic rate. The National Association of Community Health Centers reported today that community health centers in rural areas will receive much needed funds. Community health centers have suffered plummeting revenues because patients are avoiding routine primary care during the pandemic. Health centers serve 1 in 5 rural residents and operate with slim margins. Little Rivers has worked hard to provide COVID-19 screening, testing, and safe primary care when needed in our clinics and through televisits & phone visits whenever possible. Our East Corinth Clinic resumes in-person care starting tomorrow on Tuesdays and Fridays. Please call first, and we will coordinate a visit for you in a safe manner and regardless of your ability to pay. If you need a primary care provider, we will happily help you establish at Little Rivers. 

Vermont Hospitals can now resume nonessential outpatient clinic visits, diagnostic imaging and outpatient surgeries and procedures, according to a statement from Vermont Governor Scott's office. Surgeries that require overnight stays are still on hold. Scott said Vermonters should expect the coronavirus state of emergency to extend beyond the May 15 expiration of his current “stay home, stay safe” mandate. 

Join us on Thursday at noon at our Community Zoom meeting to a provide information about how to access health care, how to apply for health insurance, sliding fee scale, access to care regardless of your ability to pay, and access to food & transportation. The meetings are open to anyone, and access can be by phone, online with audio and video, or online chat. More meeting information is available on our website home page under ‘Upcoming Events’ at https://www.littlerivers.org/ or on our Facebook page at https://www.facebook.com/littlerivershealthcare/.

VT COVID-19 Cases (as of midday today): Total cases: 902, New Cases: 23 (since Friday), Deaths: 52 (2 new deaths since Friday). Vermont has 8 patients currently hospitalized for COVID-19 and 7 hospitalized under investigation. Windsor County has 43 cases, Washington County has 35 cases, Caledonia County remains at 14 cases and Orange County at 8 cases (1 new case). Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.
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Taking Aim at High Blood Pressure: Little Rivers Joins Target: BP™ Little Rivers Health Care is proud to announce our participation in Target: BP™ a national initiative led by the American Heart Association (AHA) and the American Medical Association (AMA) dedicated to reducing heart attacks and strokes by improving blood pressure control. Nearly half of adults in the United States have high blood pressure, and many don’t even know it. Left unmanaged, high blood pressure quietly increases the risk of heart attack, stroke, kidney failure, and more. At Little Rivers, we believe that with the right tools, education, and support, our patients can take control of their heart health — right here in our community. ~47% 130/80mm Hg 11 mmHg of U.S. adults have threshold for Stage 1 hypertension potential reduction high blood pressure with the DASH eating plan What Target: BP™ Means for You Through this partnership, your Little Rivers care team has access to the latest evidence-based resources to better diagnose, treat, and help you manage hypertension. The program is built around the MAP framework — Measure accurately, Act rapidly, and Partner with patients — because we know that the best outcomes happen when we work together. That partnership looks like collaborative goal-setting, clear communication (we’ll always ask you to repeat back instructions in your own words to make sure everything is clear), and a judgment-free space to talk honestly about what’s making blood pressure management hard for you. What You Can Do at Home Managing blood pressure isn’t only about medication. Small, consistent lifestyle changes can make a meaningful difference: • Get moving: Aim for 90–150 minutes of moderate activity per week — brisk walks count. • Reduce sodium: Less than 1,500 mg per day is the goal. Even cutting 1,000 mg helps. • Eat the DASH way: Fruits, vegetables, whole grains, and low-fat dairy — and less red meat. • Manage your weight: Even a 5% weight loss can lower your blood pressure noticeably. • Take medications as prescribed: Take them as directed and never stop without talking to your provider first. • Monitor at home: Two readings in the morning and evening, for seven days, gives your care team the clearest picture. How to take an accurate home reading Avoid caffeine, smoking, and exercise for 30 minutes beforehand. Sit with your back supported, feet flat, arm at heart level — cuff on bare skin above the elbow. Rest 5 minutes before measuring. Take two or three readings one minute apart, and record them. If you’re on blood pressure medication, measure before you take your dose. How Little Rivers Supports You We’re committed to removing barriers that make managing your health difficult. Here’s what we offer: 1. Blood pressure loaner cuff program: Monitor your blood pressure at home with a loaner device and personalized 7-day log — ask your care team to get started. 2. Appointment preparation guide: Arrive ready to discuss your medications, goals, and any obstacles. No question is too small. 3. The Food Farmacy: Our program connecting patients to fresh, affordable produce and nutrition support right in our community. Eating well is one of the most powerful tools for blood pressure control, and we want to make it accessible to everyone. Learn more at littlerivers.org/the-food-farmacy. 4. Ongoing education: AHA- and AMA-backed fact sheets and resources so you always understand your numbers and your options. Ready to take the next step? Talk to your Little Rivers care team at your next appointment, or visit littlerivers.org/the-food-farmacy to learn more about the Food Farmacy and our heart health programs.