DeSantis and his team have followed the science closely from the beginning, which is why they forged a nuanced approach, but one that focused like a laser on the most vulnerable population, those in nursing homes.
....................... The media didn’t exactly have their eyes on the ball. “The day that the media had their first big freakout about Florida was March 15th,” DeSantis recalls, “which was, there were people on Clearwater Beach, and it was this big deal. That same day is when we signed the executive order to, one, ban visitation in the nursing homes, and two, ban the reintroduction of a COVID-positive patient back into a nursing home.”
DeSantis is bemused by the obsession with Florida’s beaches. When they opened in Jacksonville, it was a big national story, usually relayed with a dire tone. “Jacksonville has almost no COVID activity outside of a nursing-home context,” he says. “Their hospitalizations are down, ICU down since the beaches opened a month ago. And yet, nobody talks about it. It’s just like, ‘Okay, we just move on to the next target.
........................... His focus has been on “clinically significant cases,” or serious cases that might require hospitalizations, and that pointed to the nursing homes.
First, Protect the Nursing Homes
Here, Florida is indeed quite vulnerable. The state has roughly 350,000 residents and staff at more than 4,000 long-term-care facilities.
The state took precautions with its seniors generally. “We advised, before there was even mitigation,” DeSantis points out, “if you’re 65 and older, stay home as much as possible and avoid crowds. And that was just something that made sense.” The state talked to senior communities like The Villages about what they were doing to mitigate risk, and they took common-sense measures, such as stopping big indoor gatherings.
..................... Florida fortified the hospitals with PPE, too, but DeSantis realized that it wouldn’t do the hospitals any good if infection in the nursing homes ran out of control : “If I can send PPE to the nursing homes, and they can prevent an outbreak there, that’s going to do more to lower the burden on hospitals than me just sending them another 500,000 N95 masks.”
.................Most facilities haven’t had confirmed cases. “But the ones that have,” he says, “the majority of them have had between one and five infections. So the infections are identified, but then, you’re isolating either the individual or the small cluster before you have an outbreak.”
The state has just deployed a mobile testing lab in an RV that has a rapid test with results in an hour or two. It goes to a community and the staff goes to different long-term-care facilities. “If you’re talking about an asymptomatic carrier, if you can identify that person instead of waiting 48 hours for lab results to come back, I mean, that could be the difference between saving a lot of infections,” according to DeSantis.
................. Finally, it has established several COVID-19-only nursing homes, with a couple more in the pipeline. The idea, again, is to get COVID-19-positive residents out of the regular nursing homes to the maximum extent possible.