The Denver Post

Early outbreak, slow reaction

The company and public health officials traded emails as the virus spread and workers became ill

- By Shelly Bradbury

This story starts with 12 years in a Thai refugee camp and ends with an anguished phone call from an Aurora hospital.

In between, it stops at the JBS USA Greeley beef plant, the site of the state’s second-largest confirmed novel coronaviru­s outbreak. It pauses on the lines where the nation’s beef is slaughtere­d and sliced and packaged, where Tin Aye spent years on the job before falling ill this spring from COVID-19.

Aye moved to the United States to work, to get her family out of the refugee camp, away from the bamboo huts.

“My mom was working until she died,” said Aye’s daughter, San Twin.

JBS was hit early.

The coronaviru­s spread among employees in March — just as confirmed cases in Colorado were climbing out of the hundreds and into the thousands. By the end of the month, nearly 200 JBS employees and dependents had been checked out for confirmed or suspected COVID-19. The outbreak peaked March 27.

Yet Weld County health officials and JBS leaders emailed only occasional­ly in March, and the virus was entrenched by the time a serious, on-paper effort to protect workers ramped up in April with a flurry of emails, public health orders and a plant closure followed by new safety protocols, according to a Denver Post review of more than 500 pages of emails, letters, memos and other records obtained through the state’s open-records law and from the plant’s union.

“Want you to know my colleagues are not reassured by what I’m sharing about measures being implemente­d,” Mark Wallace, then-director of the Weld County Department of Public Health and Environmen­t, wrote to JBS’ head of human resources in an April 7 email. “‘The cat’s out of the bag,’ is what all the health care providers are saying — too many sick people already, too much spread already.”

Nationwide, more than 16,200 workers in meat and poultry processing plants in 23 states contracted the novel coronaviru­s by the end of May, and 86 died, according to a Tuesday report from the Centers for Disease Control and Prevention. In Colorado, state health officials have confirmed outbreaks at seven meat processing plants, with 447 infected workers and 10 deaths. Nearly two-thirds of Colorado cases are among JBS Greeley plant employees.

To date, 286 JBS plant employees have tested positive for COVID-19; six plant workers died along with a seventh person who worked at the company’s corporate offices in Greeley.

“JBS’S response to COVID was late and inadequate,” Kim Cordova, president of the United Food and Commercial Workers Union Local 7 said. “That’s why there was such a detrimenta­l impact on workers.”

Aye was one of those workers. She fled her home country of Burma in the 1990s after advocating for women’s rights and facing threats to her life. She ended up in a refugee camp in Thailand, where she married and started a family.

In the camp, the family lived in a wooden hut with a roof made of leaves, surrounded by barbed wire and soldiers, unable to leave the complex. Twin grew up there and remembers rebuilding their hut several times after strong storms destroyed the structure. Each year, she accepted two school books, two pens and two pencils from the United Nations.

The family immigrated to the United States as refugees in 2007, and Aye started working at JBS. She always dreamed of returning to her old village to start a temple and an orphanage, Twin said. For years, Aye saved up money for the “big donation.”

“We started to work very hard for our kids,” Aye’s husband, Aung Kyaw Toe said. “We tried very hard for our dream.”

Early spread

On March 17, a few days after the first positive COVID-19 case was confirmed in Weld County, a JBS employee emailed the county health department to ask whether the company’s corporate cafe could stay open, and health officials advised it could, with some precaution­s.

That was one of just a handful of emails JBS and county health officials exchanged about COVID-19 during the entire month of March, according to records obtained under the state’s open-record law.

But despite the lack of written communicat­ion between the company and county health officials, JBS neverthele­ss was working diligently to respond to the pandemic, JBS head of corporate affairs Cameron Bruett said in a statement Wednesday.

“We have followed and often exceeded the CDC and Osha-issued guidance and reacted quickly to identify ways to enhance plant safety, many times with no official guidance,” he said in the statement.

Still, employees got sick, and quickly.

The first employees reported symptoms in late February, according to the Colorado Department of Public Health and Environmen­t, but those cases appear to be outliers; most other employees reported experienci­ng symptoms after March 11.

JBS employee Saul Sanchez went home sick March 19 and was hospitaliz­ed March 24. A day after that, JBS employee Daniel Avila Loma was sent home from work with COVID-19 symptoms; he was hospitaliz­ed March 28. Around that time, in mid- to late March, Aye started coughing and became feverish. One night, she stopped working and went to the on-site JBS medical clinic to be checked out, Twin said.

“She told me she went to the clinic at work, and they said she just had a normal cold, and so they sent her back to work,” Twin said.

But Aye kept getting worse, Twin said. She called off sick for a day or two then went back to work. Then, on March 28, Twin, who was pregnant, started having contractio­ns and went to the hospital. There, the doctors became alarmed — neither Twin nor the baby were taking in enough oxygen; an immediate C-section was needed.

The doctors tested Twin for COVID-19, and it came back positive. She knew right away she must have gotten the virus from her mother, the only person she had visited with since the pandemic began. Twin called her mom and told her to get to a hospital. Aye was admitted to intensive care March 29.

Meanwhile, hundreds of workers at JBS were calling off and refusing to go to work even as a Facebook page for the JBS plant was urging workers to keep showing up, saying in a post March 25 that the statewide stay-at-home order “DOES NOT apply to us.” The company also promised to hand out free 5-pound rolls of beef to employees at the end of their shifts, according to the posts. About 3,200 people work at the plant. That Facebook page has since been deleted or made private; Bruett did not answer questions about it.

“Unfortunat­ely, Colorado and Weld County were impacted early by COVID-19, and the virus spread very quickly throughout our region,” Bruett said in the statement. “We have coordinate­d with local and state health department­s throughout the outbreak and we will continue to do so.”

But the families of some JBS employees who got sick in March said JBS did little to nothing to promote social distancing or safety precaution­s at that time.

“On March 23, my dad was telling my mom that there were lots of people beginning to miss work,” said Olivier Avila, Loma’s son. “But she didn’t get the impression that there was any PPE or social distancing in place.”

Normally, his father would share that kind of informatio­n with his mother, Avila said, because she previously worked at JBS and was interested in the day-today goings on.

“At that time, no one had to wear a mask,” Twin said. “JBS did not take COVID-19 seriously. They didn’t ask employees to work at a distance. They don’t check if employees have a fever or not. They don’t even care. They just want employees to go to work no matter what. And if they don’t like to work, then they can quit.”

The United Food and Commercial Workers Union Local 7 filed a grievance March 27 alleging that JBS failed to provide appropriat­e protective gear to employees and asked the company to provide hand sanitizer, gloves and masks to all workers.

Bruett said in the statement that JBS made the decision to have all employees wear masks on March 19, several days before the Centers for Disease Control and Prevention encouraged the use of face coverings. He did not answer a question about when JBS actually started providing masks to its Greeley plant workers.

“Securing the supplies for our more than 60 facilities and more than 62,000 team members took time, given the global demand for masks, but we acted as quickly as possible to ensure our workforce had appropriat­e PPE and masks,” he said.

Bruett on Wednesday also did not answer several questions about when JBS implemente­d various other precaution­s at its Greeley plant, but he told The Denver Post on March 31 that the company had “for weeks” been doing extra disinfecti­on and sanitation in the plant. JBS began to stagger shifts and breaks to encourage physical distancing in the plant March 30, he said then, and the company hoped to be able to test the temperatur­e of all employees as they arrived for their shifts by April 3.

State epidemiolo­gist Rachel Herlihy said Wednesday that JBS’ response to the pandemic improved over time.

“It’s certainly been an evolution in the response,” she said. “In the beginning there were limited public health control measures in place, but JBS since that time has been very responsive to implement public health recommenda­tions.”

The Weld County Department of Public Health and Environmen­t opened an investigat­ion into JBS on March 26; the state health agency was alerted April 2 and confirmed an outbreak at the plant April 3. Herlihy said there is a “significan­t delay” from when a person begins experienci­ng symptoms to when that person seeks care, is tested, receives the results and the results are reported to public health agencies.

“There was certainly widespread community transmissi­on occurring in Weld County,” Herlihy said. “And it did take time to identify that one particular location where transmissi­on was occurring was JBS.”

On April 1, Wallace emailed JBS and asked to set up a time to discuss health providers’ concerns about the “high number of JBS employees” seeking care for coronaviru­s symptoms.

“Their concern, and mine, is far too many employees must be working when sick and spreading the infection to others,” he wrote adding he appreciate­d “the prevention efforts JBS has implemente­d thus far.”

Death, politics and a closure

On April 4, the Weld County Department of Public Health and Environmen­t sent JBS a letter in which Wallace raised the alarm about the coronaviru­s’ spread at the plant, warning that the company’s “work while sick” culture was exacerbati­ng the spread — nine of 14 coronaviru­s patients at the time had gone to work while sick. Wallace ordered JBS to screen employees for sickness, put physical distancing in place and take other steps to slow the spread.

Then JBS employees began to die.

“At that time, no one had to wear a mask. JBS did not take COVID-19 seriously. They didn’t ask employees to work at a distance. They don’t check if employees have a fever or not. They don’t even care. They just want employees to go to work no matter what. And if they don’t like to work, then they can quit.” San Twin, Tin Aye’s daughter

Sanchez, 78, died April 7. Two other employees, Tibursio Rivera Lopez, 69, and Eduardo Conchas de la Cruz, 60, died April 9 and April 10.

Wallace and the Colorado Department of Public Health and Environmen­t ordered the plant to shut down April 10, saying continued spread among employees could overwhelm local health care facilities if not stopped.

“It is our understand­ing from the telephone conversati­on that the Governor did not want this letter sent,” JBS’S director of human resources, Chris Gaddis wrote in response to the shutdown order. “Please confirm it was properly sent.”

A spokesman for Gov. Jared Polis on Wednesday said Polis did not ask, instruct or encourage health officials to keep the plant open.

“Of course the Governor wanted the health order sent,” spokesman Conor Cahill said in an email. “The Governor has been clear that JBS needs to be more transparen­t with their staff and the public about the situation at their plant.”

The politics surroundin­g the outbreak at JBS — and similar outbreaks at meatpackin­g plants across the country — ballooned in April. President Donald Trump discussed the Greeley plant on April 10, telling reporters that the outbreak was a “spike” with “many (sick) people, very quickly.” Later that month, he signed an executive order aimed at ensuring meat processing plants stayed open.

The day after Trump’s Greeley comments, on April 11, Jill Hunsaker Ryan, director of the state’s health agency, wrote in an email to Wallace that she had received a call from the director of the CDC about the Greeley plant.

“JBS was in touch with the VP who had Director Redfield call me,” she wrote in the email, referring to Vice President Mike Pence and CDC Director Dr. Robert Redfield. “They want us to use the CDC’S critical infrastruc­ture guidance, (sending asymptomat­ic people back to work even if we suspect exposure but they have no symptoms) even with the outbreak at present level. Are you OK with that? I am if you are.”

Wallace approved in a response. Hunsaker Ryan and Wallace, who retired as the county health director at the end of May, did not return requests for comment on this story.

Ian Dickson, spokesman for the CDPHE, said in a statement that Hunsaker Ryan had a lengthy discussion with Redfield about his request and “decided to comply, anticipati­ng that the state would need the CDC’S continued partnershi­p to mitigate the outbreak at JBS.”

“In the end, we did not amend the order to match the CDC guidance and JBS ultimately closed the facility,” the statement said.

The plant closed temporaril­y on April 15.

On April 13, JBS wrote in a letter to the union that it was developing a COVID-19 training program for employees that covered social distancing, face masks, hand washing, symptoms and the need to stay home if sick. All employees would be trained in the practices by the end of the month, the letter said.

JBS also listed steps it had taken to increase safety in the plant, including adding plexiglass dividers between lunch tables, providing masks to workers, increasing signs about best practices in the plant and adding new hand sanitizing stations.

CDC inspection­s at the plant April 14 and April 16 confirmed those measures — although the CDC team found some plant workers were using balaclavas as face coverings and said that practice should stop because balaclavas were not effective masks, according to an April 20 memo summarizin­g the visits.

The CDC also recommende­d JBS take a variety of additional measures, including reducing how many cattle the plant processed each day and modifying sick leave policies to discourage sick workers from coming to work, and avoiding incentives — like a free roll of beef — that were tied to attendance.

By April 19, 183 COVID-19 cases had been confirmed among JBS employees and an additional 25 cases confirmed among members of those employees’ households. Fifty people were hospitaliz­ed.

The Greeley plant reopened April 24, nine days after it shut down.

JBS employee Way Ler, 61, died from coronaviru­s on April 26.

Loma, 65, died April 29.

An anguished call

About a week after Aye was admitted to the hospital, the doctors called Twin and said her mother likely wouldn’t survive.

The medical team was about to take Aye in for a last-ditch procedure, and she took the phone to talk to her daughter for the last time.

“My mom said, ‘The doctors will try to save me, but don’t worry for me, worry for yourself, because you have a newborn and a C-section,’” Twin said. “‘The doctor already explained to me that I am not going to make it anymore. But I feel really bad that I couldn’t see my grandson, I really want to see him.’ And she cried, and hung up. She didn’t have time. They were rushing the surgery for her because she couldn’t breathe anymore.”

Aye went on a ventilator. She died May 17. She never met her first grandchild, and Twin is navigating life as a new mother without her own mother.

She and her father hope to one day carry out her mother’s dream of traveling back to Burma, which now is recognized as Myanmar, and opening up a temple and orphanage in Aye’s village.

“Our dream is broken right now,” Toe said in June. Two weeks later, on a hot Sunday afternoon, he stood over his 3-month-old grandson’s stroller with about 100 other people in a parking lot outside the union’s Greeley offices.

A poster-sized laminated picture of Aye was taped to the top of the stroller.

The group had gathered to memorializ­e the six JBS plant workers who died from coronaviru­s. One by one, their family members took the microphone and remembered their loved ones.

“I was there the day we had to shut off the ventilator for my father,” said Patricia Rangel, Sanchez’s daughter. She spent Father’s Day at the cemetery.

Avila took the microphone, too. He told the crowd about his father, Loma, an avid baseball player and coach who would take vacation every year to return to and volunteer in the Mexican town he had immigrated from.

“It took one month for COVID to take my dad,” Avila said. “He worked for JBS for over 30 years.”

Twin spoke about Aye’s work ethic, about how she always cooked and cared for the family.

“I want to say thank you to my mom for working so hard,” she told the crowd.

The outbreak at JBS has slowed. It’s still classified as active by the state, but the plant recorded only one new case in June, Bruett said. On July 3, the state confirmed a small outbreak among JBS’S corporate summer interns, with five infected.

During a surprise inspection June 22, state and county health officials found JBS was following most of the recommende­d practices for protecting workers, Herlihy said.

A Thursday memo summarizin­g the June 22 inspection noted that nearly all employees in the plant were wearing masks during the visit and that many also wore face shields. Inspectors found that JBS had installed a new UV light sanitizing system and observed several new managers roaming the plant who had been promoted solely to enforce coronaviru­s safety precaution­s.

“The greatest continued issue we identified was individual­s clustering outside the facility while awaiting screening to go inside for the day,” Herlihy said.

Cordova still has concerns about workers’ safety, particular­ly that distancing guidelines aren’t being followed. Workers may be at risk again if the state is hit with a second wave of infections, she said.

“We’re not done,” she said. “We’re not out of the woods yet.”

 ?? Photos by Helen H. Richardson, The Denver Post ?? Beatriz Rangel, center, comforts her daughter Cynthia Rangel, left, during a rally for JBS plant workers who died of COVID-19 on June 28 in Greeley. Rangel's father, Saul Sanchez, was one of six workers at the JBS plant who died from the disease. He had worked for the plant for 30 years. Also in the photo are Adrian Rangel, 19, Sanchez’s grandson, left, and family friend Tatiana Haro, 13, right.
Photos by Helen H. Richardson, The Denver Post Beatriz Rangel, center, comforts her daughter Cynthia Rangel, left, during a rally for JBS plant workers who died of COVID-19 on June 28 in Greeley. Rangel's father, Saul Sanchez, was one of six workers at the JBS plant who died from the disease. He had worked for the plant for 30 years. Also in the photo are Adrian Rangel, 19, Sanchez’s grandson, left, and family friend Tatiana Haro, 13, right.
 ??  ?? Six purple helmets and pictures of each dead worker stand in front of the plant.
Six purple helmets and pictures of each dead worker stand in front of the plant.
 ??  ?? Photograph­s of the six JBS plant workers who died of COVID-19 hang in the window of the UFCW Local 7 union office on June 28 in Greeley.
Photograph­s of the six JBS plant workers who died of COVID-19 hang in the window of the UFCW Local 7 union office on June 28 in Greeley.
 ?? Kevin Mohatt, Special to The Denver Post ?? A photo of Tin Aye sits on a table in her memory on May 21 as Monk U Ni Ma La leads family members in prayer in Denver.
Kevin Mohatt, Special to The Denver Post A photo of Tin Aye sits on a table in her memory on May 21 as Monk U Ni Ma La leads family members in prayer in Denver.
 ?? Helen H. Richardson, The Denver Post ??
Helen H. Richardson, The Denver Post
 ?? Kevin Mohatt, Special to The Denver Post ?? Zar Ni Lin, the niece of Tin Aye, who died of complicati­ons from COVID-19, is comforted by a family member on May 21 as she prays at her aunt’s casket during funeral services.
Kevin Mohatt, Special to The Denver Post Zar Ni Lin, the niece of Tin Aye, who died of complicati­ons from COVID-19, is comforted by a family member on May 21 as she prays at her aunt’s casket during funeral services.
 ?? Kevin Mohatt, Special to The Denver Post ?? A cemetery worker exits the chapel where family members attend the funeral service for Tin Aye.
Kevin Mohatt, Special to The Denver Post A cemetery worker exits the chapel where family members attend the funeral service for Tin Aye.
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