City Announces New Swine Flu Strategy

Focuses on Keeping Public Schools Open

By Conor Greene

The city’s strategy to fight the expected breakout of swine flu this fall includes offering free vaccinations to all elementary school children and providing the public with information regarding the number of cases reported in a specific school.

The plan, announced on Tuesday by city officials at Gracie Mansion, includes an “open school policy” that seeks to slow spread of the H1N1 virus and avoid mass closures. Mayor Bloomberg sought to assure residents that the city is better prepared to deal with an outbreak this fall after hospitals were overwhelmed this past spring and parents complained about a lack of information.

A recent White House study predicted that as many as 90,000 Americans could die as a result of a new H1N1 outbreak, with 60 million to 120 million becoming sick and hospital emergency rooms overwhelmed. However, the mayor on Tuesday said signs suggest a more “moderate” outbreak than predicted in the panel’s report.

“There is no indication the virus will be more virulent than what we experienced in May and June, but we must have and do have contingency plans in place in case the virus becomes more widespread or more severe in its symptoms,” said Mayor Bloomberg. “In situations like this, it’s natural to imagine the worst-case scenario, but all signs at this point in time do point to an outbreak that will be much more moderate.”

The city’s strategy to fight the spread of swine flu, particularly in schools, centers on measures “designed to slow transmission while classes and activities continue,” according to a press release. Aspects of the plan include getting children vaccinated, keeping them home when sick and following basic procedures such as thoroughly and frequently washing hands.

Once a vaccine for H1N1 becomes available this fall, the city plans to distribute it to health care providers and offer it for free to school-aged students. For elementary-aged students, the vaccine will be available within each school building, while older students will have to travel to central sites within each borough. Parental consent will be required before students are vaccinated.

The city also plans to use a central database to allow school nurses to report the number of students seen for influenza-like illness during each day. A daily public report will be posted on nyc.gov/flu listing schools reporting five or more cases the previous day. The daily report will also show the previous day’s absentee rate for every public school – though the city stresses that it is “important to understand that absenteeism is not by itself a measure of influenza activity.”

The third aspect of the city’s plan is an influenza-prevention campaign in each of its 1,500 public schools. Signs and classroom instruction will stress the importance of covering coughs and washing hands, restrooms will be continually stocked with soap and paper towels and parents will get written reminders to keep their children home when they’re sick. That message will be reinforced if a nurse sees five or more cases of flu-like illness in one day.

If a school experiences “excessive influenza activity” – defined as four percent of the student body (at least 15 children) being seen by a school nurse on a single day – a doctor or supervising nurse will visit the school to assess the situation. The supervisor will determine whether the school has students whose health conditions place them at high risk of influenza complications and may “recommend additional safety measures.” However, school closure will only be considered “as a last resort,” the city announced.

“Today is the first of what will be many efforts to keep New Yorkers informed about what we are doing to prepare for the return of the H1N1 and seasonal flu,” said Mayor Bloomberg. “We can’t predict this year’s flu season, but we can make sure that city government is fully prepared for whatever happens.” It was noted that 15 separate groups worked over the summer to create a strategic citywide response to the expected outbreak.

Still, the mayor’s announcement was met with concern from some local elected officials, including Councilwoman Elizabeth Crowley (D-Middle Village), who is worried the vaccinations won’t be available in time. She also argued that outside nurses should be hired to administer the vaccine, instead of having school nurses shoulder that responsibility as currently planned. “Flu season officially starts today and we still do not know [by] who andwhere the H1N1 vaccinations will be administered,” she said.

Nick Comaianni, president of Community Education Council 24, said city officials should consider closing entire school buildings if an outbreak is detected. “Obviously they will have to use judgment, but if you’re trying to prevent something from spreading, the best option is to close the school for a few days and let the germs die,” he said. “If you have cases out there within a school population, then I agree the schools must be closed… Once you see it spreading, I think the best thing is to close the schools.”

On the national level, President Barack Obama was briefed by cabinet members including Secretary of Health and Human Services Kathleen Sebelius and Secretary of Homeland Security Janet Napolitano. “I don’t want anybody to be alarmed, but I do want everyone to be prepared,” he said.

The virus killed about 500 Americans after first emerging in April and sickened more than 1 million individuals across the nation. Worldwide, more than 2,000 people died during the initial outbreak. Development of the vaccine is still underway and officials expect it to be available to the public by October. While it is taken on a voluntary basis, the president said it is “strongly recommended.”

“We know that we usually get a second, larger wave of these flu viruses in the fall, and so response plans have been put in place across all levels of government,” added President Obama. “Our plans and decisions are based on the best scientific information available, and as the situation changes, we will continue to update the public.” The president also reminded Americans to take basic precautions, including staying home if sick and frequently washing hands. “I know it sounds simple, but it’s important and it works,” he said.

Locally, borough hospitals are making preparations to handle the expected influx of new patients this fall. Michael Hinck, director of public relations for MediSys Health Network, which runs Jamaica, Flushing and Peninsula hospitals in Queens, said preparation efforts have been ongoing after receiving as much as double the typical patient-load on certain days last spring.

“We’ve been expecting this since we were really at the center of the last outbreak. Our expectations are to see an increase,” said Hinck, who noted that two area hospitals closed earlier this year, just before the initial swine flu outbreak hit the area. “It put a strain on us, but luckily we have a long history of disaster preparedness so we quickly devised a plan. Like in the spring, we want the public to know we are prepared and will do everything we can to meet the needs.”

To prepare for the higher patient levels, Jamaica Hospital has added 40 additional in-patient beds and has plans to reallocate additional space for swine flu patients if necessary, added Hinck. Officials are also ready to be in constant communication with city and state health officials to monitor spread of the virus. “We’re going to manage all aspects of this situation and make sure we will be able to have continuity of care in other operations so other areas don’t suffer,” he said.

PS/IS 87 Upgrades and Concerns Over Playground Highlight Meeting

Superintendent Honored; Swine Flu Concerns Discussed

By Conor Greene

Hot topics at this month’s Community Education Council 24 meeting in Glendale included the ongoing push for upgrades at PS/IS 87, concerns over the conversion of the playground at PS 91 into a public park and a possible outbreak of swine flu this fall.

The meeting, held on Tuesday inside PS 91, began with a farewell to outgoing Superintendent Catherine Powis, who is retiring after 37 years with the district, and included election of the council’s officers for the coming year.

Superintendent Powis Honored

Prior to her final report as superintendent, Powis thanked many of the people she has worked with over her three-plus decades in the district. “I’m reordering my priorities,” she told the board and residents. “They’re called Sarah, Kate and Megan.”

She said her time here has been “very rewarding” and that she was “very fortunate to spend it in this wonderful district… I am very proud that I am part of this great district and its accomplishments,” she added, before being presented with a plaque from the council, a proclamation from Assemblywoman Cathy Nolan (D-Ridgewood) and heartfelt praise and well wishes from a number of parents.

Push for PS/IS 87 Upgrades Continues

Carlos Mercado, president of the PS/IS 87 parent’s association, told Sandy Brawer of the DOE that parents are “still fighting for our extension.” Among the most pressing issues is the lack of bathrooms, with just two stalls serving about 225 students on one floor. “We have kids who have medical needs who can’t wait,” he said. Other issues include the gym and cafeteria, which are not large enough to accommodate the school’s 600 students.

According to Mercado, the school agreed in 2000 to become the area’s first kindergarten through eighth grade facility under the understanding that the building would be expanded to handle the additional students. However, Brawer, the DOE’s Deputy Executive Director, had a different recollection of those events. “We understood that the facilities weren’t there to meet the needs of K through 8,” he said, adding that the parents still wanted to move forward with the change in grade structure.

Still, Brawer, who recently took part in a tour of the building, said he understood where the parents were coming from. “We do understand the cafeteria issues, and we do understand the bathroom issues,” he said. He noted that aside from the facility issues, “the building is in excellent shape” structurally. In addition, the majority of capital dollars generally go towards creating new seats within the overcrowded district. Hearings on the DOE’s next five-year capital plan will take place this fall, he added.

“We acknowledge some of the issues and are looking at what funding is available,” said Brawer. Once the DOE and SCA reviews the options, he will bring a proposal back to the education council. He wouldn’t rule out the possibility of a full addition, but stressed that officials are “going to be looking at competing interests in District 24 as to what the priorities are… The hope is that we will be able to do something to make it better.”

Council Vice President Peter Vercessi, who is a school administrator on Long Island, pushed Brawer to characterize whether the school’s facilities are at or below average. Brawer responded, “The building has needs, no doubt about it… but there are a lot of buildings in New York City that have needs.”

PS 91 Playground Concerns

Several residents expressed concerns over the city project to convert the playground at PS 91 into a public park that is open after school hours and on weekends. Parents and board members accused the DOE of pushing this project on them without providing an opportunity for public input and fear the property will be destroyed.

Brawer explained that the project is part of a mayoral initiative designed to make the space available to the community. However, residents pointed out that there is a public park just two blocks away and said living next to a school yard is very different than living next to an open park. “They put a park out there but never had any community input,” said CEC 24 President Nick Comaianni, agreeing with residents who are concerned the location will become a magnet for misbehavingteens. “This is an ideal spot if I’m a teenager and I don’t want anyone to see me,” adding that the project never came before the council.

“Nobody in this community was notified – they’re just forcing this down our throats,” added a resident who lives adjacent to the school and wants the park only open during school hours. “We want this for the children of PS 91. They deserve it.” Adding insult to injury was seemingly minor decisions by the DOE such as to install regulation height basketball hoops, which are only useful for older teens. “The 104th Precinct has too much to do to come here every time we call,” she added.

Comaianni said the issue isn’t necessarily with the overall program, but rather the poor implementation of it in this case. “The program is not a bad program – I think the issue is you put it in the wrong school,” he said.

Brawer said he would bring these concerns back to DOE officials. He wouldn’t say definitively who has the final say as to what hours the park would be open, but noted that city money was used with the understanding that the community-at-large would benefit. He said the principal “has some leeway” as to the park’s usage, but wanted to look into the issue further.

Preparing for Swine Flu Outbreak

Dermot Smyth, the area’s United Federation of Teachers representative, asked the board to consider devising a strategy to deal with a possible outbreak this fall of the swine flu, which killed 522 people across the country earlier this year.

Smyth referenced a recent report issued by a presidential panel report predicting a “plausible scenario” in which as many as 120 million people across the nation become sick, overwhelming hospital emergency rooms. The report suggested that as many as 1.6 million people could be hospitalized, with 300,000 intensive care patients.

He asked the council if the proper preparations are taking place on a local basis and asked members to come up with a “protocol” by next meeting. “We can’t leave it up to the chancellor and mayor” and instead need a “local answer,” he said.

In response, CEC member Brian Rafferty asked what exactly Smyth had in mind, noting that the council has limited power and doesn’t decide if schools are closed due to a swine flu outbreak. Comaianni reminded Smyth that the council’s requests in the spring that additional schools be closed were ignored.

Councilwoman Elizabeth Crowley (D-Middle Village) said her office would assist in coming up with a plan. “We need to make sure we get enough vaccinations… for those who are most susceptible,” she said, adding that a 27-year-old NYPD officer recently died from swine flu complications. “We need to make sure in our community that elderly and pregnant moms are the first to receive the vaccine. Then we have to make sure it’s available to the young,” she said.

A Crowley spokeswoman later said the councilmember is working with the health department to make sure proper precautions are taken in Queens, which was hardest hit by the swine flu outbreak this past spring.

Council Elections

Before the start of the regular meeting, the council held its annual elections. Comaianni was again named president and Vercessi was reelected as vice president. This year’s treasurer is Jeanne Forster, while Shwe Zin OO was again named secretary.

Thompson Warns of Queens Healthcare Crisis

The closing of two borough hospitals earlier this year and the recent swine flu outbreak have resulted in a healthcare crisis in Queens, warns city Comptroller William Thompson.

In a report issued on June 1, Thompson charged that hospitals in Queens, especially in the central and eastern portions, are in a “state of crisis” as their emergency rooms struggle to cope with a “torrent of patients amid H1N1 virus worries and the closures of St. John’s and Mary Immaculate hospitals” in February.

Thompson was joined by Queens Borough President Helen Marshall in front of Jamaica Hospital Center to bring attention to the growing crisis. Jamaica Hospital is among those facing a spike in patients as flu concerns have grown in recent weeks. A study by Thompson found that “emergency rooms are being flooded with patients, many who must now await admission, ambulance turnaround times are rising, and medical professionals are facing extraordinary challenges in their ability to provide care.”

Marshall, who first warned of the imminent closures of the hospitals at her State of the Borough address in January, noted that the state Department of Health has closed four borough hospitals in recent years, including Mary Immaculate and St. John’s, which combined accounted for about 50,000 emergency room visits each year.

“Short term funding from the state was targeted for equipment and infrastructure expansions, but did not address the need for additional healthcare professionals, especially nurses,” said Marshall. “Comptroller Thompson is right when he says that emergency rooms in Queens are in crisis. I warned the Governor’s office that the hospital system in Queens would not be able to handle a major emergency.”

The findings of Thompson’s latest study on the impact of hospital closings and the swine flu outbreak included:

•The number of emergency room patients at the surrounding hospitals soared right after St. John’s and Mary Immaculate hospitals closed earlier this year. For example, from mid-February to the end of March, there were 20 days when Jamaica Hospital’s emergency room exceeded 350 patients, versus only two such days during the same period in 2008.

•The number of patients brought to surrounding hospitals’ emergency rooms by ambulance soared. For example, comparing January to March 2009, the number of patients arriving by ambulance at Queens Hospital Center rose 51 percent, and at North Shore University Hospital-Forest Hills by 40 percent.

•Ambulance turnaround times – the amount of time from arrival at the emergency room until the ambulance is free to make the next call – increased significantly at Jamaica, Queens and North Shore University-Forest Hills hospitals.

•A Queens Hospital Center emergency room doctor with more than two decades of experience told the Comptroller’s office that he now sees 35 patients per shift compared with 20 before the two closures, that the conditions at the hospital have become a “living nightmare,” and that “the state of emergency medicine in Queens is the worst I’ve seen in my career.” His observations echoed other physicians, some of whom spoke of an overwhelming added patient load.

Thompson faulted the state DOH and city Department of Health and Mental Hygiene for “failing to acknowledge the deteriorating financial condition of Mary Immaculate and St. John’s hospitals in a timely fashion and failing to put in place a plan to address the impact of the closures.” After bailing out troubled healthcare provider Caritas, which owns the two closed hospitals, for the past several years, the state refused to provide any additional funding, leading to the closures in February.

“What we are seeing now is a crisis in the hospital and healthcare system in Queens, a version of which may very well spread to the other boroughs if H1N1 virus outbreaks appear in other neighborhoods,” said Thompson. “To be sure, while the timing of H1N1 virus itself was not foreseeable, the likelihood of some event of a similar nature causing a sudden surge in demand was both foreseeable and inevitable.”

Thompson offered a number of recommendations, including that individuals with flu symptoms should be triaged at ambulatory care facilities, the necessary resources to deal with emergencies should be activated, loans and working capital should be provided to cover expansion costs, data on emergency room utilization should be made public, hospitals should be staffed-up to meet increased demand, and gaps in service created by closures must be identified.

“The City and State need to pull key healthcare providers and other stakeholders together immediately to share information, identify patterns and develop solutions to address the current surge in demand stemming from the H1N1 virus,” said Thompson. “If the State Department of Health had begun planning in December 2006, as I suggested, it is likely that much of the current impacts in Queens could have been minimized or avoided entirely.”

Parents, Teachers Criticial of City's Handling of Swine Flu Outbreak

By Conor Greene

As swine flu continues to spread around the city, contributing to several more deaths and resulting in additional school closures, many parents and teachers feel the city isn’t taking the threat seriously enough.

Deputy Mayor Dennis Walcott touched on the city’s response to the outbreak at a meeting on mayoral control last week in Middle Village, and Dr. Roger Platt, assistant commissioner of the Department of Health’s Bureau of School Health answered questions at Tuesday night’s Community Education Council 24 meeting in Glendale.

However, despite hearing the city’s rationale behind closing some schools while leaving others open, many parents and teachers expressed displeasures with the city’s handling of the H1N1 outbreak, which now has contributed to four deaths across the city.

“We’ve tried to be very consistent as far as the criteria for closing schools,” Walcott told concerned parents last week, adding that it is not based solely on attendance rates or trips to the nurse’s office. “I totally disagree with you that it’s not being taken seriously” he told one teacher who criticized the city’s response. “It’s important that we have a citywide standard… System wide closing has not proven to be effective.”

At CEC 24’s monthly session, which was moved to PS 113 because PS 58 was one of the schools closed due to the outbreak, Superintendent Catherine Powis reported that PS 143 and IS 73 were set to reopen Wednesday (May 27) and PS 58 was to open the following day. However, many parents later expressed dismay over the criteria used to make decisions regarding school closures.

Dr. Platt stressed that closing schools “is not going to prevent the spread of this flu through the city” and warned that he doesn’t “think that absentee rates is a good guide” as to whether a school should be shut. He also repeatedly argued that for the “vast, vast majority” the symptoms only last several days and are not life-threatening for those who are otherwise in good health. “The most important message in all of this is, if you’re someone in a high risk category… at the very first sign of illness you must contact your doctor… Those are the people we are trying to protect when we close schools.”

The doctor also noted that closing schools obviously doesn’t prevent children from mingling in other settings. “We have to be realistic from a public health perspective as to what we can accomplish when we close schools,” he said.

Nick Comaianni, president of CEC 24, said he was one of those who wanted all schools closed, at least throughout the hard-hit district, when the outbreak first occurred. “Obviously it’s easier to transmit the virus in closed quarters,” he said, adding that school closings “give parents piece of mind” knowing the building was thoroughly cleaned. “Most of these absences… are due to parents keeping their children home due to anxiety,” he said.

Dr. Platt responded that, while it is “difficult for people to accept,” there is “little or no” benefit to closing schools since the virus doesn’t live for long on ordinary surfaces. “Should we observe routine hygiene standards in schools? No question about that.” But closing and cleaning is not a strategy that is “supported by any experts… People expect it, and it does make people feel better about the schools, but it is not really useful to stop the spread of flu.”

CEC Vice President Peter Verccessi asked what percentage of students must have flu symptoms for a school to be closed. Dr. Platt said that the “rule of thumb” is for a nurse to report to the Department of Health if at least five students have a fever. At that point the school is placed on a watch list, meaning health officials “look very carefully at that school” several times a day. If two percent of the population has symptoms on a given day, or if a pattern is detected, “it is very likely [the DOH] will recommend it close.”

CEC member Bill Kregler suggested that the handling of the situation is being controlled by politics instead of health factors. “Our children are pawns once again on an issue that politicians are bouncing back and forth.”

At one point the doctor admitted that there is “no question” that closing every school and quarantining all students would slow the spread of N1H1. “The question is, is it worth the price?” he added, drawing yells from members of the audience who clearly feel that the disruption to the school year is warranted.

One resident asked if the city will be prepared for flu season, considering how hard this virus has hit the city during warmer months. Dr. Platt said that the Center for Disease Control is working “furiously” to develop a swine flu vaccine. He warned it “may very well come back in October” in “more severe form… That’s what people [health experts] are worried about.”

A teacher from PS 229 told the doctor that it “infuriates” her when officials say the symptoms are mild. “I think it’s being downplayed,” she said, adding that two faculty members at PS 229, including one 30-year-old teacher, are still recovering from the flu. Dr. Platt responded that the two to three days of symptoms is merely an average. “I don’t think there is any question people are sick with that illness for longer.” He also said it’s possible those teachers don’t have swine flu.

Still, despite all the assurances that this situation is not much different from flu outbreaks that occur every week, some, including teacher Rosemary Parker, remained unconvinced. “I have never seen 40 kids lined up outside the nurse’s office,” she said. “I don’t think the DOH is taking this serious enough.”

“They’ve been playing politics with our health… for two weeks now and it has to stop,” added teacher Dermot Smyth.

Jeanette Bartels, parent of three students at PS 229, said that it seems like the city is “playing with a loaded gun.” She pointed out that students are transported to schools on buses that are also used for students at schools that were closed such as PS 58. “Why didn’t we just shut the system down?” she asked, repeating a question that was asked numerous times throughout the meeting.

Swine Flu Fears Renewed with City's First Death

By Conor Greene

A Queens assistant principal was laid to rest this week – the city’s first apparent swine flu victim – as the number of confirmed cases continues to rise.

With cases of the H1N1 virus mounting, officials scrambled over the past few days to shut schools that have apparent outbreaks of students with flu-like symptoms. At the same time, the Bloomberg administration has found itself defending its decision on to close all city public schools when the outbreak first hit Queens several weeks ago.

“We can’t stop the virus from spreading, unless you were to go wall yourself off and not have any contact with other humans,” said Mayor Bloomberg at a press conference earlier this week. “Our goal is to minimize the threat to those who are most at risk… We should not be surprised to see more serious illness.”

On Wednesday afternoon, family, friends and students gathered at Sinai Chapels in Fresh Meadows to pay their final respects to Mitchell Wiener, an assistant principal at IS 238 in Hollis. While city officials claim Wiener had a pre-existing health condition that contributed to his death on Sunday evening, the 55-year-old man’s family said he was in good health before he came down with flu-like symptoms.

Schools have been closed on a one-by-one basis, and some elected officials are now criticizing the Bloomberg administration for not taking broader action sooner. On Tuesday, Councilwoman Elizabeth Crowley (D-Middle Village) called on Chancellor Joel Klein all schools in District 24, which she called “one of the city’s most infected areas.” The request came a day after Klein, teacher’s union president Randi Weingarten and other held a press conference at IS 73in Maspeth after 330 out of 1,700 students called out sick.

“Given the high number of student and teacher absences, coupled with the tragic deaths of Assistant Principal Wiener and the 16-month-old baby in Corona, I believe we must close all the schools in District 24… [to] allow cleaning crews enough time to sanitize the schools in order to stop the spread of the virus and to ease concerns of parents, teachers, students and administrators throughout the area,” wrote Crowley in a letter to Klein.

A DOE spokeswoman said on Wednesday the decision to close schools is “subjective” and made on a “case-by-case basis” as determined by the Department of Health. “The DOH recommends to the DOE to close the school, and once that happens we do so immediately,” she said. Having all kids stay home “is not necessarily the answer” and doesn’t provide assurances that “it is going to protect anyone else from getting it.”

Crowley also called on the DOH to open more testing centers for residents. “There needs to be enough free testing options available for constituents who are without healthcare in order to keep all of our community members safe,” she said.

The criticism of Bloomberg’s decision not to close more public schools was echoed by Councilman Tony Avella (D-Bayside). “It is absolutely clear that Mike Bloomberg and DOH failed to hear the concerns of parents and through their inaction allowed the spread of this virus,” he said. “As I suggested back in late April, a more aggressive approach should have been taken to close public schools in northeast Queens. There is no doubt in my mind that by taking preemptive measures we could have helped quell the number of cases within New York City.”

Around the city, hospital emergency rooms were flooded with residents suffering from flulike symptoms. The pediatric emergency room at Elmhurst Hospital Center had waits of up to 10 hours, and Queens Hospital Center erected a yellow tent in the parking lot to handle its overflow of patients.

Mayor Bloomberg stressed that all ill residents should receive medical help, regardless of their immigration status. “Whether you have health insurance coverage or your immigration status is in question, it doesn’t matter. We will not ask about that,” he said. “The only question that matters is, are you severely ill? And if you are, our hospitals are there to take care of you.”

While health officials determined that a 16-month-old Corona baby’s death was not caused by swine flu, the national death toll rose to eight with the death of a 44-year-old St. Louis man. Of the approximately 5,500 cases nationwide, fewer than 300 are in New York. In the past week, 19 city schools – mostly in Queens - have been ordered to close by the health department, and another five did so voluntarily. There are also at least four confirmed swine flu cases at Rikers Island.

St. Francis Prep Closed as Swine Flu Hits Queens

By Conor Greene

As the number of people across the globe infected with swine flu continues to grow, officials at St. Francis Preparatory High School – the epicenter of the outbreak in Queens – have closed the building until Monday in hopes of stemming the spread of the virus.

As of Wednesday afternoon, the number of infected people worldwide had risen to 132 confirmed cases in 11 countries. In the U.S there have been 91 reported cases in 10 different states, including 51 confirmed cases in New York State.

Among those infected was St. Francis Prep senior Toni Ann Abruzzino of Ozone Park. Her symptoms began with a “really bad cough” during the week and came to a head last Thursday night. “Thursday in school all the kids were going home sick and were all over the nurse’s office,” she said. “I went to my [softball] game and felt fine, but when it got home it really hit me. I stayed home from school on Friday, and there were rumors going around schools. Saturday was when it came out that swine flu was going around prep.”

She said it was “kind of shocking that it was at my school… It was scary but they said it was a mild case that we have.” Still, a mild case translated into several days of suffering for Toni Ann. “It’s just taking a while and has to run its course. It’s on and off, some moments I feel fine, then I get a headache. I’m just waiting for it to get over… I hope everyone gets better.”

Toni Ann is “very close friends” with some of the students who recently returned from Mexico, and had contact with one traveler before coming down with symptoms. “They didn’t get sick, so it’s weird how it all happened,” she said. “It’s not their fault. Of course it’s from Mexico so it’s kind of on them because they went, and they feel like people think it’s their fault but it’s not.”

During a conference call on Tuesday arranged by Rep. Anthony Weiner (D-Forest Hills), St. Francis Headmaster Brother Conway said the decision to close until Monday was to give enough time for all cases to be identified and for students and faculty to recover. “The guidelines set by the Department of Health indicate that if we do add this time, it should provide adequate time for any students who are ill to recover,” he said. “Students are going to be told they need to keep up with their studies – this is not a vacation.”

“We’re hoping and praying that this passes quickly so next week we can get the students back into classes,” added Brother Conway. The process of cleaning the school, located at 6100 Francis Lewis Boulevard, began last Friday afternoon (April 24) and was completed by the end of the weekend.

The first sign that something was amiss came on Thursday, when about 100 students were absent, said Brother Conway. At the same time, “flocks of kids going to the nurse’s office, all reporting the same symptoms.” Because of the number of students complaining of the symptoms, the nurse, Mary Pappas, immediately contacted the city Board of Health to inform them of the possible outbreak.

Students continued to arrive at the nurse’s office the following day, with about 150 total visits between the two days. Brother Conwaycalled that number a “significant amount” compared to a typical school day. He defended the school’s decision to remain open Friday since students that day seemed to come down with symptoms later in the morning. “It wasn’t like they were lined up outside the nurse’s office as soon as we got here. I don’t know if closing on Friday would have done anything but I can’t predict that,” he said.

Brother Conway also responded to criticism that parents weren’t properly notified about the situation. “I don’t know how they could feel left in the dark,” adding that updates were constantly posted on the school’s Website. “I don’t think parents should feel they were left out of the loop.”

While there have been some reports of parents critical about the school’s response to the outbreak, Colleen Abruzzino said she doesn’t think officials could have done anything more. “They always do the right thing and really care about the students,” she said. “I don’t think they knew what they were dealing with either. I don’t think anybody knew until we realized these kids came from Mexico.”

According to a health alert issued Tuesday night by the city Department of Health, the Centers for Disease Control and Prevention has confirmed 44 cases of swine influenza among students and staff at St. Francis Prep. The illnesses “appear to be no more severe than usual seasonal influenza, and all patients we know of are recovering, with the overwhelming majority having had mild illness.”

On Wednesday morning, Gov. David Paterson announced that three new “probable” cases of swine flu were identified upstate. In addition, two cases are suspected at two Brooklyn Catholic schools. As a result, St. Brigid in Bushwick and Good Shepherd in Marine Park will be closed for the remainder of the week.

Officials say that one of the Brooklyn students has a sibling at St. Francis Prep. The CDC is stressing that this is a “rapidly evolving situation” and urged residents to stay alert for updates.

The decision not to close all area schools drew criticism from Councilman Tony Avella (D-Bayside) whose district includes St. Francis Prep. In the letter, sent to Mayor Bloomberg and Health Commissioner Thomas Frieden, Avella notes that “many parents are deeply concerned that schools in this area remain open despite the extensive and close connections between St. Francis Prep and the rest of the area schools.”

“While I am aware that the [city DOH] has recommended to keep schools open unless there are more than a few confirmed cases of swine flu in any particular school, many of these parents believe that the Department ofHealth and the Board of Education should close the public schools in northeastern Queens for the rest of the week in order to attempt to control the further spread of this virus,” wrote Avella. “Given the deep interconnectedness of St. Francis Prep and the rest of the schools in this area it seems only prudent that the City consider taking this step.”

The state Association of Homes and Services for the Aging is stressing that the elderly and frail population is especially at risk of contracting the flu. “If you
are not feeling well, we’re asking you to visit your doctor, not your dad in a nursing home or your grandmother who gets home care visits,” said Carl Young, NYAHSA president. “Our nursing homes and senior service staffs are following strict infection control programs, and the public’s compliance will be of enormous help.”

Meanwhile, officials at St. Francis Prep are continuing to navigate through this “very difficult time,” said Brother Conway. “With a very large school like this, we’re taking everything day by day and even moment by moment,” he said.