Cities, towns respond to rise in COVID cases
DANBURY — When new coronavirus cases climbed in August in Danbury, it didn’t take long to pinpoint the cause of the spread.
Specific neighborhoods were a problem, and contract tracing showed spread came from travel, churches, small gatherings, lake parties, youth sports and the power outages from the tropical storm.
The infection rate stabilized because of increased testing, contact tracing and residents following guidelines. The plan to curb the cases included “sending in the cavalry” Gov. Ned Lamont has said, providing additional staff to help with testing and tracing. The city is still seeing a daily average rate of 15.2 confirmed positive COVID-19 cases per 100,000 people, but the mayor has seen progress through the aggressive response by local and state officials.
“We’ve still got to keep compressing that down to low single digits until I really feel comfortable,” Mayor Mark Boughton said. “You’re still going to have some infection. Zero is not really an option right now until we have a vaccine.”
But in Norwich, New London and much of southeastern Connecticut, which have seen spikes in recent weeks, the virus has read throughout the community, rather than spikes in specific areas. Other than gatherings, officials have not found a strong pattern to determine cases’ origins as there is no large event or facility to tie the cases to.
“There’s just no pattern, which is troubling,” Norwich Mayor Peter Nystrom said.
Eleven communities, including Danbury, Norwich and New London, are considered to be in the “red,” meaning they have 15 or more cases per 100,000 people, the governor said Thursday. Those communities are encouraged to scale back some of the Phase 3 reopening guidelines, including restaurant capacity, in addition to canceling public events and potentially distance learning for schools. Towns creeping toward that rate include Bethany, Fairfield, Waterbury and Prospect.
“The transmission we’re seeing is happening among friends and family and co-workers,” Department of Public Health commissioner Deidre Gifford said, Thursday. “And whether that’s in a social setting in the workplace or a social-setting before or after work or if it’s happening on the weekends with friends and family and people letting their guard down a bit on the mask wearing – that’s where we are seeing the transmission. It’s in settings people might consider to be benign because they’re small and they’re with people they know. And, unfortunately, that is across the country… the type of transmission that we are seeing.”
In those three cities, the state has brought in resources to ramp up free testing, which is seen as a key way to track and prevent the spread. Sites are in easily accessible locations and do not require insurance or identification.
“This has been really foundational to Connecticut’s response,” said Amy Taylor, the Community Health Center’s western regional vice president. “It’s allowed people to go and find out if they’re exposed and whether they’re positive and then take the necessary precautions.”
Other successful strategies are collaboration between various partners, modeling mask wearing and promoting social distancing by shutting down activities that lead to spread, she said.
Challenges addressing outbreaks
Two “areas of concentration” have been a problem in Norwich, but cases have spread throughout the city, Nystrom said. Cases are rising among children and the elderly. Danbury saw the former.
A possible connection is Labor Day, with the spike starting to “rear its ugly head” about two weeks later, Nystrom said. The theory is that residents socialized with people outside their household, he said.
In New London, cases are coming from small social and family gatherings, rather than institutional settings, Mayor Michael Passero said.
“That’s a situation where people let their guard down,” he said.
Similar to Danbury, youth sports have been a problem, leading New London to prohibit highrisk sports on city fields, Passero. Passero said he doesn’t plan to scale back the Phase 3 regulations because there are several towns nearby residents could simply travel to.
Fatigue with the virus has been a major challenge, officials said.
“This is a marathon and people are getting tired,” Taylor said. “They just want to get back to what they’re comfortable doing, but that’s what allows the virus to spread.”
Accessible testing key
Making testing accessible is the best approach, regardless of where cases came from, Taylor said.
The Community Health Center, a private, nonprofit agency that receives federal funding, offers testing weekdays at its buildings across the state. Mobile teams bring testing to schools, churches, congregate living centers and other places that need it because of spikes, she said.
In New London, for example, the center has gone to the high school on weekends.
“People are comfortable going there,” Taylor said. “It’s another venue that provides ample space for people to line up and queue up for people to get tested.”
About 300 people are tested each week day at the permanent New London location, with 200 to 250 people tested on weekends, she said
New London geared up to increase testing when it spotted the first signs of a spike, which Passero said seemed to be the most “practical” step.
“I’m not sure if anyone has offered any sort of magical solution other than what we’re doing,” he said.