City mandates temperature checks, official notification to fight clusters of COVID-19 cases in nursing homes
Austin-Travis County Interim Health Authority Dr. Mark Escott has issued new control measures in an attempt to contain the spread of COVID-19 at nursing homes, assisting living and other long-term care facilities.
The city is tracking clusters at eight such facilities, across which 96 residents and 67 staff have tested positive for the disease. Fifteen residents and at least one staff member have died, Dr. Escott said during a press conference earlier today. These clusters account for nearly 60% of the county's overall deaths, and one facility has more than 35 residents who have tested positive for COVID-19.
"This is very concerning for us," Dr. Escott said at a press conference earlier today. "We have to do better."
The control measures, issued yesterday, require facilities to check all employees, patients, visitors and volunteers for symptoms and high temperatures prior to entry and check patients at least once a shift. Any unexplained fever must be reported to Austin Public Health, and in the case of a confirmed diagnosis of COVID-19, the facility must notify all patients, staff and next of kin.
If a facility develops a cluster—two or more cases among staff and patients—the city is working with the state to deploy a strike team of additional personnel and equipment to help contain the outbreak.
Dr. Escott said that there has been "a constant struggle with staffing" at long-term care facilities, an issue that is exacerbated by the coronavirus pandemic.
"That imbalance"—between sick residents in need of more care and staff shortages—"is only contributing to the furthering of the spread of this disease in these facilities," Dr. Escott said, adding that the city's priority is to respond quickly after the first cases are reported by a facility and, ideally, to help facilities without cases maintain that status.
On April 9, Texas Gov. Greg Abbott announced an emergency rule to temporarily allow more nurse aides to work at long-term care facilities temporarily, even if they haven't completed the full certification program.
Dr. Escott said he doesn't know if this rule has had an impact on staffing at area facilities but that he expects it to moving forward.
The city has not released the names of long-term care facilities that are seeing clusters, but it has identified clusters in other settings, including at the Salvation Army's downtown shelter and among a group of University of Texas-Austin students who traveled to Cabo San Lucas during their spring break.
"Privacy considerations are important," Dr. Escott said.
At an Austin City Council work session yesterday, Dr. Escott said residents will need to observe social distancing and wear masks when in public for at least a year. At today's press conference, he added that these measures will be necessary until herd immunity is achieved, such as by the introduction of a vaccine, and will be especially important for populations at higher risk of complications, such as those over 65 and with other medical conditions.
"If we can effectively cocoon people and prevent those who have a higher risk of being hospitalized or of needing a ventilator or dying then we can have more transmission in the community without as much effect on the health care system," he said, introducing a new term into our pandemic glossary.
These control measures follow the city's announcement last month that it had convened a nursing home task force that has set up isolation facilities to house nursing home residents who have tested positive for COVID-19, but do not require hospitalization, or have been discharged from hospitals.
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Austin City Clerk Jannette Goodall verified a petition to make four amendments to the city charter, including a shift to a strong-mayor form of government, moving it one step closer to the May 1 ballot.
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Mount Bonnell<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzNTUyMy9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY0MDEzODU5NX0.SQVQYQc5VpT_UQe-BQsexRgUp1yIUbjiB-Hz7cAgkUE/img.jpg?width=980" id="6a82f" class="rm-shortcode" data-rm-shortcode-id="6909566cc1a80e66660ddb3153882a5f" data-rm-shortcode-name="rebelmouse-image" data-width="1599" data-height="1066" />
(Spawnzilla/CC)<p>Mount Bonnell is probably the most well-known scenic locale in Austin and has been since the 1830s. Known for its panoramic view of downtown, Lady Bird Lake and the Hill Country to the west. Today thousands of visitors ascend the 106 stone stairs to the summit to take in the beautiful view. Located in Covert Park in Northeast Austin, the trail is dog-friendly with a leash, but it is not wheelchair accessible.</p>
Ann and Roy Butler Hike-and-Bike Trail and Boardwalk at Lady Bird Lake<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMjg0Ny9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzMjg2NjY4OH0.3hTVUhMTrJ7FkqWgYivC03M7NbQGhkvM85St6nSACF8/img.jpg?width=1200&coordinates=0%2C240%2C0%2C240&height=800" id="6db33" class="rm-shortcode" data-rm-shortcode-id="be5523bfa32d06f91a0e0915e7f1fd3b" data-rm-shortcode-name="rebelmouse-image" data-width="1200" data-height="800" />
(MX/Wikimedia)<p>The Ann and Roy Butler Hike-and-Bike Trail is a 10-mile boardwalk with numerous entrance and exit points and is Austin's most recognized and popular recreational trail. Not only is it an Austin favorite for exercise, it also hosts one of the most beautiful views of Austin's skyline the city has to offer. The paved trail runs over Lady Bird Lake, also known as Town Lake, giving people an undisturbed view of Downtown Austin overlooking the water. The trail is dog friendly with a leash and wheelchair accessible.</p>
Zilker Park<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMjc5Ny9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY1NDE0NzMzNn0.hE8NKm_6Ldoi36TZcTVHAbc9K6H1FWTqnI8cK60u3jY/img.jpg?width=980" id="2cb32" class="rm-shortcode" data-rm-shortcode-id="f4696ca4392a59a956761ae419b161a7" data-rm-shortcode-name="rebelmouse-image" data-width="1600" data-height="900" />
(Mwyzykowski0821/Wikimedia)<p>Zilker Park is Austin's pride and joy. The park hosts ACL every year (when there isn't a pandemic), the Trail of Lights each holiday season and other events in the city. The 351-acre space is the go-to locale for Austinites who want to get outside and enjoy a direct view of the city skyline--usually serving as a backdrop for any event held at the spot. As one of the only scenic destinations to allow dogs off-leash, it is the most dog-friendly spot in the city. Zilker Park is wheelchair accessible (although it might be best to avoid the park after rain).</p>
Barton Creek Greenbelt-Sculpture Falls<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzNTU2My9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyOTU1NDE2NX0.kM0EJgiwl60yCLYd2xMtqPUM9ukysu_KmQhMiP6XGMo/img.jpg?width=980" id="75e17" class="rm-shortcode" data-rm-shortcode-id="64cdd0ef728567c25261e17227855fe6" data-rm-shortcode-name="rebelmouse-image" data-width="4032" data-height="3024" />
(Austonia)<p><strong></strong>Sculpture Falls is a hidden location on the 7.9 mile Barton Creek Greenbelt. The best way to access the location is via the Hill of Life and the Trail's End access point in South Austin at 1710 Camp Craft Road. The scenic views of this location may not be sweeping views of the city skyline, however, the glistening pools and waterfalls, the trees hanging over the water make the spot one of the most underrated in Austin. The hike back up the Hill of Life is 1.5 miles and mostly on the sun, so make sure to bring plenty of water. The location is dog-friendly with a leash, but it is not wheelchair accessible.</p>
McKinney Falls-Upper and Lower Falls<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMjk3Mi9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYzODY3MTE0NH0.yBqNznABvsJCBp_tdrREOMI20eWy3a4dNLwBbe4SKAc/img.jpg?width=980" id="135bf" class="rm-shortcode" data-rm-shortcode-id="c712742e6dbe4592a7294aad89b9f655" data-rm-shortcode-name="rebelmouse-image" data-width="1760" data-height="796" />
Photo of Lower McKinney Falls
(Texas Parks & Wildlife Department)<p>McKinney Falls is one of the many Texas State parks and is a series of two waterfalls–an upper and lower falls. Both spots feature limestone waterfalls along Onion Creek and swimming pools. The lower falls are more shallow and recommended for families with younger children while the upper falls are a bit deeper. Pets are allowed on a leash in the park, however, they are not allowed in the water at the falls. The park is not fully wheelchair accessible. There is a $6 fee for adults to enter the park and children under 12 can enter for free. During COVID, it is recommended to make reservations to enter the park if you plan to visit.<br></p>
Westcave Outdoor Discovery Center<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzNTc0MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyMDEyNzM3Mn0.HATaya2WqEf1dRD6zO2WMvoCQii7mHKa9oJ9H2Huxqg/img.jpg?width=980" id="f503b" class="rm-shortcode" data-rm-shortcode-id="96c77fa947db2d4ae07efc545785fc12" data-rm-shortcode-name="rebelmouse-image" data-width="2040" data-height="1530" />
(Westcave Outdoor Discovery Center/Facebook)<p>Located in far-west Austin, Westcave Outdoor Discovery Center is the farthest out from Austin's city center and is another location that may not offer sweeping views of the Hill Country, however, the center features some of the most unique views in Texas. The highlight of the preserve is Westcave at the head of the canyon. It features a 40-foot waterfall backed by caves, diverse vegetation and an emerald pool. Canyon tours are not dog-friendly but are wheelchair accessible; they are offered every Saturday & Sunday. Self-guided hikes are offered Tuesday through Friday, 9:30 a.m. to 1:30 p.m. and require reservations.</p>
Red Bud Isle<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzQ0MTk2MS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2MTcwNDA4N30.ImQe01BIolSJVNBCJAFbQz1WfuDP8fitr_XXZWNytQk/img.jpg?width=980" id="767c3" class="rm-shortcode" data-rm-shortcode-id="a21655c41f9c7da188eb99dd0371d2dd" data-rm-shortcode-name="rebelmouse-image" alt="lady bird lake dog winslow swimming" />
(Austonia)<p>Red Bud Isle is one of the most popular areas for pet owners to let their dogs off-leash in Austin. The small island lies just below the Tom Miller Dam on Town Lake. The edge of Red Bud Isle offers a view of Town Lake and the densely-packed trees to either side. Depending on the time of year, colorful kayaks and stand-up paddleboards add some pop of color to the view. The 13-acre park is, of course, dog-friendly and wheelchair accessible. Be careful with your pets during the summer months, however, as there have been <a href="https://austonia.com/city/algae-killing-dogs" target="_blank">toxic algae blooms two years in a row</a>.<br></p>
Wild Basin Preserve<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMzEyNC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTYyNTMwODY3N30.aw3W_bvqThNlF_9WGE5GVte7ajhJoPQxQEUnM4FCT4Y/img.jpg?width=980" id="0b1a3" class="rm-shortcode" data-rm-shortcode-id="615c86b10cc2c034b9518f73534cad3e" data-rm-shortcode-name="rebelmouse-image" data-width="1600" data-height="900" />
(Larry D. Moore/Wikimedia)<p><span style="background-color: initial;">The Wild Basin Preserve is 227 acres of Hill Country woodlands owned by Travis County and St. Edwards University as part of the larger Balcones Canyonlands Preserve, which protects the unique environments of seven endangered species and 28 threatened plant and animal species. The preserve is home to the endangered Golden-cheeked warbler as well as many other Texas-native plants and wildlife. There isn't any one location that is the highlight of the preserve—the highlight is spotting the local wildlife. While it has been closed for the past several months, Wild Basin is expected to open for limited hours in late-January. It is not pet-friendly and is somewhat wheelchair accessible.</span><span style="background-color: initial;"></span><br></p>
Barton Springs<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMjk2NS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2NTY4NzMzMH0.1Nd-a5CEiPDSaLOB_nJYAZiHC8dZVvS5l4QOJhHsvd8/img.jpg?width=980" id="721f6" class="rm-shortcode" data-rm-shortcode-id="82bc4f00174755913a86a103f01ad6ad" data-rm-shortcode-name="rebelmouse-image" data-width="720" data-height="403" />
Section of Barton Springs on the paid access side. (austintx.gov)<p><span style="background-color: initial;">Barton Springs is another one of those locations that doesn't have one particular highlight. There are two sections to Barton Springs: one section requires a small entrance fee and allows for a little more space to sprawl out, whereas the other, much larger, section is free but sometimes requires a little creativity with where you set up camp. Both sides feature cool, clear, blue water from the natural springs in the area. </span><br></p>
Congress Avenue Bridge<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMjc4OC9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2MDkyNjcxNn0.ieWjFaKRtsoVrudyGVtp_q3xlM8ghFgd7Y-QZqQVOoo/img.jpg?width=980" id="c4dfa" class="rm-shortcode" data-rm-shortcode-id="4e69c74aa25973d14285a49d8b070bd1" data-rm-shortcode-name="rebelmouse-image" data-width="641" data-height="426" />
(Texas Parks & Wildlife Department)<p>The Congress Avenue Bridge goes over Lady Bird Lake and is a place to get a very unique view of the city. Every year, Austinites gather on the bridge to witness up to 1.5 million Mexican free-tailed bats feed on 10-30,000 pounds of insects. The best time to view the bats is mid-August when you can see them ascending into the evening sky. This area of Austin is wheelchair accessible and pet-friendly with a leash.</p>
The Middle of Town Lake<img lazy-loadable="true" data-runner-src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yNTUzMzExOS9vcmlnaW4uanBnIiwiZXhwaXJlc19hdCI6MTY2MjIxNDQzN30.DAnxtXZTYH60LicTxw4J_qzJ7CSZ2ez7hNi8qFaxjJ4/img.jpg?width=980" id="a81af" class="rm-shortcode" data-rm-shortcode-id="4dc3198f3a64889a16d7f442f56e0a2c" data-rm-shortcode-name="rebelmouse-image" data-width="4032" data-height="3024" />
Evening view from the middle of Town Lake
(Laura Figi/Austonia)<p><span style="background-color: initial;">This one might seem a little odd, but get yourself a kayak or stand up paddle board and enjoy the view of the city from the water. It's a unique perspective on the city that is probably the best representation of why this city is so unique. There are also some boat tours throughout the year. Boat tours are wheelchair accessible. The lake has multiple entrance points and pets are allowed on water vessels, but not in the water.</span><br></p>