Illinois' 'fracking' future fractured









Thousands of landowners downstate have sold their rights to drill for oil and natural gas for upfront fees ranging from $50 to $350 per acre, plus a cut of the profits.

Others are fighting to prevent the drilling out of fear that they could be exposed to drinking water contamination, earthquakes, toxic gases and industrialization.

In the middle of this battle are Illinois legislators who have yet to pass laws to deal with horizontal hydraulic fracturing, better known as fracking. The issue is expected to be taken up again this year.





Horizontal hydraulic fracturing has opened up vast reserves of natural gas deposits in the U.S. that until now were impossible to tap. The drilling technique uses pressurized sand, water and chemicals to crack open layers of rock that trap such fuels hundreds or thousands of feet below ground.

The stampede to unleash such fuels has been compared to the Gold Rush of the 1840s. And in addition to the money being made by landowners in selling drilling rights, the fracking rush has brought jobs to other parts of the country.

"Other states have found the way to find the sweet spot to protect the environment and bring jobs; we should not miss that boat," said Tom Wolf, executive director of the Energy Council at the Illinois Chamber of Commerce.

For people desperate for jobs, a shale gas boom downstate can't come soon enough. Many counties are dealing with unemployment rates that top 10 percent.

Proponents of fracking hope to inject new life into areas of the state where a once-vibrant coal industry has declined precipitously. At the same time, there's a fear drilling will never begin unless the companies that want to extract the gas know what regulatory risks they face.

"If legislation doesn't pass at some point this year, from the state's perspective the risk is that the industry might invest elsewhere in other states that have more favorable conditions to invest in and develop these sorts of wells," said Leonard Kurfirst, a partner at Edwards Wildman Palmer LLP in Chicago who practices environmental law, chemical product liability litigation and regulatory compliance.

The state has laws to deal with gas and oil wells, but those regulations date to 1983 — before modern horizontal drilling techniques were used.

Without meaningful regulation, some landowners are learning that their property rights don't necessarily extend to what's buried beneath the surface. Some have found that their mineral rights were sold years before or that if enough neighbors give permission to drill, they can be forced to join them. Others, who want to test their drinking water for the presence of fracking chemicals, are learning they could be denied access to such information if companies claim it's proprietary.

Commonly referred to as the New Albany shale play, the gas lies in the Illinois basin, a 60,000-square-mile area that encompasses parts of Illinois, Indiana and Kentucky. The U.S. Energy Information Administration estimates New Albany holds 11 trillion cubic feet of shale gas, approximately enough to meet the needs of about 5 million households for 30 years, according to the American Gas Association.

Hydraulic fracturing has been around for more than 60 years, but the modern methods that have led to the shale gas boom were not used until the turn of this century. Unlike vertical wells of the past, modern horizontal wells vastly multiply the exploitable area of a well and involve more chemicals and water.

According to the Colorado Oil and Gas Conservation Commission, about 250,000 gallons might be used to frack a vertical well compared with as much as 5 million gallons to frack a horizontal well.

Southern Illinoisans Against Fracturing Our Environment (SAFE) is one of several organizations and environmental groups that want a moratorium on fracking in Illinois until a task force looks into the risks associated with hydraulic fracturing and recommends what kinds of regulations need to be in place.

The Illinois Chamber of Commerce is among those opposed to SAFE's proposal, which is similar to what New York state adopted with a four-year-old moratorium that has stalled natural gas development efforts.

"There is no energy source that is perfect for the environment or the economy. If there was, we would be using it," Wolf said.

Without regulations in place, a tacit moratorium already exists, Wolf said, explaining that drillers won't go forward with wells only to learn later that they face environmental regulations, new taxes or other unexpected hurdles.

The chamber released a study last month from David Loomis, a professor of economics at Illinois State University and director of the Center for Renewable Energy, estimating that downstate fracking could create 1,000 to 47,000 direct and indirect jobs depending on how many wells were drilled and what level of local resources were used.

Opponents countered that such jobs studies tend to be overly optimistic and don't take into account harmful environmental and quality-of-life issues that could come with fracking.





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Kelly to stay at Notre Dame








SOUTH BEND, Ind. -- Brian Kelly will remain Notre Dame's football coach, the school announced Saturday.

"This week, I had an incredible opportunity to speak with one of the premier organizations in sports about becoming their head coach," Kelly said in a statement released by the school.

"Like every kid who has ever put on a pair of football cleats, I have had thoughts about being a part of the NFL. However, after much reflection and conversation with those closest to me, I have decided to remain at Notre Dame."

Kelly interviewed with the Eagles on Tuesday, the day after the Irish's 42-14 loss to Alabama in the BCS championship game, but no word had emanated from South Bend on the status of the discussions until Saturday.

"This decision was motivated purely by my love for Notre Dame and the entire Fighting Irish community, the young men I have the great fortune to coach, and my desire to continue to build the best football program in the country," Kelly said. "We still have a lot of work to do and my staff and I are excited about the challenges ahead."

An extension and raise have been on the table for Kelly since well before the BCS title game took place and the process toward that is expected to continue.

"I was always confident that Brian would continue to lead our football program," athletic director Jack Swarbrick said in a statement. "I am very happy to have that confirmed and share Brian's excitement about what lies ahead for our program.

"I appreciate the Eagles reaching out to request permission to speak with Brian, and I also appreciate Brian keeping me fully informed throughout this process. We all look forward to what’s ahead for Notre Dame football."

What's unclear is whether there was actually ever an offer for Kelly from the Eagles. It's a moot point now, though the franchise issued a statement about the pursuit of college coaches such as Kelly and Oregon's Chip Kelly and Penn State's Bill O'Brien before him.


"There is no question we spent a considerable amount of time and effort looking at who we thought were the best collegiate candidates for our head coaching job," the team statement read.


"We did so knowing that there was a remote chance that these coaches would leave their current posts. We understood that going into the process, but we wanted to leave no stone unturned while trying to find the best head coach for the Philadelphia Eagles. We have no regrets about the effort we made in that direction and we will continue to proceed as planned in our search."

bchamilton@tribune.com

Twitter @ChiTribHamilton






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December video game retail sales drop 22 percent






NEW YORK (AP) — U.S. retail sales of video games and gaming systems fell 22 percent in December, capping a year of declining sales for the industry.


Research firm NPD Group said Thursday that overall sales fell to $ 3.21 billion from $ 4.1 billion in December 2011. NPD estimates that sales of new game hardware, software and accessories account for about half of what consumers spend on gaming.






Sales of video games themselves, excluding PC titles, tumbled 26 percent to $ 1.54 billion. Sales of hardware — gaming systems such as the Xbox 360 and the Wii U — fell 20 percent to $ 1.07 billion.


“Call of Duty: Black Ops II” from Activision Blizzard Inc. was December’s top game.


For all of 2012, total game sales dropped 22 percent to $ 13.26 billion.


Gaming News Headlines – Yahoo! News





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New Jimi Hendrix Music to Premiere on ‘Hawaii Five-0′






LOS ANGELES (TheWrap.com) – “Hawaii Five-0″ is about to undergo the Jimi Hendrix experience.


CBS’s hit cop drama will feature previously unreleased music from the late guitar legend Hendrix on a special episode airing Sunday, January 20, the network said Thursday.






he episode – which revolves around Chin Ho Kelly (portrayed by Daniel Dae Kim) being kidnapped and dropped off in Halawa Prison dressed as an inmate – will include seven tracks recorded by Hendrix, including “Bleeding Heart,” “Mojo Man,” “Hey Gypsy Boy,” “Inside Out,” “Crash Landing,” “Hear My Train A Comin’” and “Somewhere.” Following the airing, the tracks will be released on a new Hendrix album, “People, Hell and Angels,” which goes on sale March 5.


Chances are, plenty of people will hear the new tracks on “Hawaii Five-0″ – the episode will air in a special timeslot, at 10 p.m. on a Sunday, following the AFC Championship Game on CBS, which is expected to draw a robust audience.


The episode will also feature a guest-starring spot featuring “Beverly Hills, 90210″ alum Lindsay Price, who’ll play a prison nurse.


Music News Headlines – Yahoo! News





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‘Bodega Clinicas’ Draw Interest of Health Officials


HUNTINGTON PARK, Calif. — The “bodega clinicas” that line the bustling commercial streets of immigrant neighborhoods around Los Angeles are wedged between money order kiosks and pawnshops. These storefront offices, staffed with Spanish-speaking medical providers, treat ailments for cash: a doctor’s visit is $20 to $40; a cardiology exam is $120; and at one bustling clinic, a colonoscopy is advertised on an erasable board for $700.


County health officials describe the clinics as a parallel health care system, serving a vast number of uninsured Latino residents. Yet they say they have little understanding of who owns and operates them, how they are regulated and what quality of medical care they provide. Few of these low-rent corner clinics accept private insurance or participate in Medicaid managed care plans.


“Someone has to figure out if there’s a basic level of competence,” said Dr. Patrick Dowling, the chairman of the family medicine department at the David Geffen School of Medicine at the University of California, Los Angeles.


Not that researchers have not tried. Dr. Dowling, for one, has canvassed the clinics for years to document physician shortages as part of his research for the state. What he and others found was that the owners were reluctant to answer questions. Indeed, multiple attempts in recent weeks to interview owners and employees at a half-dozen of the clinics in Southern California proved fruitless.


What is certain, however, is that despite their name, many of these clinics are actually private doctor’s offices, not licensed clinics, which are required to report regularly to federal and state oversight bodies.


It is a distinction that deeply concerns Kimberly Wyard, the chief executive of the Northeast Valley Health Corporation, a nonprofit group that runs 13 accredited health clinics for low-income Southern Californians. “They are off the radar screen,” said Ms. Wyard of the bodega clinicas, “and it’s unclear what they’re doing.”


But with deadlines set by the federal Affordable Care Act quickly approaching, health officials in Los Angeles are vexed over whether to embrace the clinics and bring them — selectively and gingerly — into the network of tightly regulated public and nonprofit health centers that are driven more by mission than by profit to serve the uninsured.


Health officials see in the clinics an opportunity to fill persistent and profound gaps in the county’s strained safety net, including a chronic shortage of primary care physicians. By January 2014, up to two million uninsured Angelenos will need to enroll in Medicaid or buy insurance and find primary care.


And the clinics, public health officials point out, are already well established in the county’s poorest neighborhoods, where they are meeting the needs of Spanish-speaking residents. The clinics also could continue to serve a market that the Affordable Care Act does not touch: illegal immigrants who are prohibited from getting health insurance under the law.


Dr. Mark Ghaly, the deputy director of community health for the Los Angeles County Department of Health Services, said bodega clinicas — a term he seems to have coined — that agree to some scrutiny could be a good way of addressing the physician shortage in those neighborhoods.


“Where are we going to find those providers?” he said. “One logical place to consider looking is these clinics.”


Los Angeles is not the only city with a sizable Latino population where the clinics have become a part of the streetscape. Health care providers in Phoenix and Miami say there are clinics in many Latino neighborhoods.


But their presence in parts of the Los Angeles area can be striking, with dozens in certain areas. Visits to more than two dozen clinics in South Los Angeles and the San Fernando Valley found Latino women in brightly colored scrubs handing out cards and coupons that promised a range of services like pregnancy tests and endoscopies. Others advertised evening and weekend hours, and some were open around the clock.


Such all-hours access and upfront pricing are critical, Latino health experts say, to a population that often works around the clock for low wages.


Also important, officials say, is that new immigrants from Mexico and Central America are more accustomed to corner clinics, which are common in their home countries, than to the sprawling medical complexes or large community health centers found in the United States. And they can get the kind of medical treatments — including injections of hypertension drugs, intravenous vitamins and liberally dispensed antibiotics — that are frowned upon in traditional American medicine.


The waiting rooms at the clinics reflected the everyday maladies of peoples’ lives: a glassy-eyed child resting listlessly on his mother’s lap, a fit-looking young woman waiting with a bag of ice on her wrist, a pensive middle-aged man in work boots staring straight ahead.


For many ordinary complaints, the medical care at these clinics may be suitable, county health officials and medical experts say. But they say problems arise when an illness exceeds the boundaries of a physician’s skills or the patient’s ability to pay cash.


Dr. Raul Joaquin Bendana, who has been practicing general medicine in South Los Angeles for more than 20 years, said the clinics would refer patients to him when, for example, they had uncontrolled diabetes. “They refer to me because they don’t know how to handle the situation,” he said.


The clinic physicians by and large appear to have current medical licenses, a sample showed, but experts say they are unlikely to be board certified or have admitting privileges at area hospitals. That can mean that some clinics try to treat patients who face serious illness.


Olivia Cardenas, 40, a restaurant worker who lives in Woodland Hills, Calif., got a free Pap smear at a clinic that advertises “especialistas,” including in gynecology. The test came back abnormal, and the doctor told Ms. Cardenas that she had cervical cancer. “Come back in a week with $5,000 in cash, and I’ll operate on you,” Ms. Cardenas said the doctor told her. “Otherwise you could die.”


She declined to pay the $5,000. Instead, a family friend helped her apply for Medicaid, and she went to a hospital. The diagnosis, it turned out, was correct.


Health care experts say the clinics’ medical practices would come under greater scrutiny if they were brought closer into the fold.


But being connected would mean the clinics’ cash-only business model would need to change. Dr. Dowling said the lure of newly insured patients in 2014 might draw them in. “To the extent there are payments available,” he said, “the legitimate ones might step up to the plate.”


This article was produced in collaboration with Kaiser Health News, an editorially independent program of the Kaiser Family Foundation.



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The story behind Tribune's broken deal































































At the end of 2007, real estate tycoon Sam Zell took control of Tribune Co. in a deal that promised to re-energize the media conglomerate. But the company struggled under the huge debt burden the deal created, and less than a year later, it filed for bankruptcy.

One of Chicago's most iconic companies — parent to the Chicago Tribune — was propelled into a protracted and in many ways unprecedented odyssey through Chapter 11 reorganization.

On Dec. 31, after four years, Tribune Co. finally emerged from court protection under new ownership, but at a heavy cost. The company's value was diminished, its reputation was tarnished and its ability to respond to market opportunities during its long bankruptcy was constrained.

Tribune Co.'s bankruptcy saga began as an era of superheated Wall Street deal-making fueled by cheap money was coming to an end. The company's tale is emblematic of the American financial crisis itself, in which a seemingly insatiable appetite for speculative risk using exotic investment instruments helped trigger an economic collapse of historic proportions.

Tribune reporters Michael Oneal and Steve Mills, in a four-part series that begins today, tell the story of Tribune Co.'s journey into and through bankruptcy, throwing a spotlight on the key decisions and missed opportunities that marked a perilous time in the history of the company, the media industry and the economy.



Read the full story, "Part one: Zell's big gamble," as a digitalPLUS member.
To view videos and photos and for a look at the rest of the series visit, chicagotribune.com/brokendeal.





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Ald. Sandi Jackson resigns from Chicago City Council

Chicago Tribune political editor Eric Krol phones in to discuss the resignation of Alderman Sandi Jackson and the future of the Chicago City Council. (Posted: January 11, 2013).









Ald. Sandi Jackson has resigned from the Chicago City Council.

The 7th Ward alderman submitted her resignation letter to Mayor Rahm Emanuel today. It is effective Tuesday.

"After much consideration and while dealing with very painful family health matters, I have met with my family and determined that the constituents of the 7th Ward, as well as you Mr. Mayor, and my colleagues in the City Council deserve a partner who can commit all of their energies to the business of the people. Therefore, it is with a heavy heart that I tender my resignation as Alderman of 7th Ward, effective January 15, 2013," reads the letter released by the mayor's office.

Ald. Jackson's resignation comes after her husband, Jesse Jackson Jr., resigned from Congress before Thanksgiving amid federal ethics probes and a diagnois of bipolar depression.

Talk swirled around City Hall that Ald. Jackson also would step down, but she remained on the council until Friday afternoon.

Emanuel put out a statement about the resignation.

"As Sandi takes this time to focus on her family, we give her our deepest thanks and support for her service to our City and the residents of her ward.  Her leadership has been greatly appreciated in the Chicago City Council," the statement read.

"The process to identify a replacement for Alderman Jackson to serve and represent the residents of Chicago’s 7th ward will be announced early next week."

A month ago, amid rumors that she was considering a run to replace her husband in Congress, Jackson denied she was interested in the job and said she wouldn’t resign from the City Council unless "something catastrophic happens.”
 
At the same time, she also said she was undecided about whether to move back to Chicago from Washington, D.C., where the couple lives with their children.

"I will finish my term. I intend to finish my term," Ald. Jackson said then. "Unless something catastrophic happens -- I could step outside and get hit by a bus today."

Her husband, in his resignation letter to House Speaker John Boehner in November, appeared to try to shield his wife in the federal ethics investigation. "I am doing my best to address the situation responsibly, cooperate with the investigators, and accept responsibility for my mistakes, for they are my mistakes and mine alone," the former congressman wrote. "None of us is immune from our share of shortcomings or human frailties, and I pray that I will be remembered for what I did right."
 
The former congressman paid his wife hundreds of thousands of dollars in campaign funds to act as his political consultant.


Ald. Jackson could not be reached for comment.


Rev. Jesse Jackson Sr., the former congressman’s father and the former council member’s father-in-law, was reached Friday afternoon by telephone, but had no comment on her resignation.








“I think that she has made a very personal decision that she feels is in the best interests of her family and her constituents,” said Ald. Patrick O’Connor, 40th, the mayor’s floor leader.


Emanuel will have 60 days to name a replacement, according to the Chicago Board of Election Commissioners.


"He is looking for someone who has a history of community involvement and engagement," Emanuel spokeswoman Sarah Hamilton said.


Former Mayor Richard M. Daley got to substantially shape the City Council during his two-decade tenure, appointing scores of aldermen who tended to be loyal to him in return. All told, Daley got to make 35 appointments.


Jackson's resignation marks Emanuel's first chance to appoint an alderman since taking office in May 2011.


Sandi Jackson was elected to the City Council in 2007, defeating then-Ald. Darcel Beavers, who had been appointed to succeed her father, William Beavers, who moved to the Cook County Board. Jackson defeated Darcel Beavers in a 2011 rematch.






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Canada natives block Harper’s office, threaten unrest






OTTAWA (Reuters) – Aboriginal protesters blocked the main entrance to a building where Canada’s prime minister was preparing to meet some native leaders on Friday, highlighting a deep divide within the country’s First Nations on how to push Ottawa to heed their demands.


The noisy blockade, which lasted about an hour, ended just before Prime Minister Stephen Harper and his aides met with about 20 native chiefs, even as other leaders opted to boycott the session.






Chiefs have warned that the Idle No More aboriginal protest movement is prepared to bring the economy to its knees unless Ottawa addresses the poor living conditions and high jobless rates facing many of Canada’s 1.2 million natives.


Native groups complain that successive Canadian governments have ignored treaties aboriginals signed with British settlers and explorers hundreds of years ago, treaties they say granted them significant rights over their territory.


The meeting was hastily arranged under pressure from an Ontario chief who says she has been subsiding only on liquids for a month. It took place in the Langevin Block, a building near Parliament in central Ottawa where the prime minister and his staff work.


Outside in the freezing rain, demonstrators in traditional feathered headgear shouted, waved burning tapers, banged drums and brandished banners with slogans such as “Treaty rights not greedy whites” and “The natives are restless.”


Until midday on Friday, it was uncertain if the meeting would go ahead, with many native leaders urging a boycott and others saying it was important to talk to the government.


“Harper, if you want our lands, our native land, meaning everyone of us, over my dead body, Harper, you’re going to do this,” said Raymond Robinson, a Cree from Manitoba.


“You’ll have to come through me first. You’ll have to bury me first before you get them,” he shouted toward the prime minister’s office from the steps outside Parliament.


The aboriginal movement is deeply split over tactics and not all the chiefs invited to the meeting turned up. Some leaders wanted Governor-General David Johnston, the official representative of Queen Elizabeth, Canada’s head of state, to participate.


Johnston has declined the invitation, saying it is not his place to get involved in policy discussions. He instead was later hosting a ceremonial meeting with native leaders at his residence.


The elected leader of the natives, Assembly of First Nations National Chief Shawn Atleo, was one of those who attended the meeting with Harper.


He said his people wanted a fundamental transformation in their relationship with the federal government, and would press for a fair share of revenues from resource development as well as action on schools and drinking water.


BANGED ON THE DOOR


Gordon Peters, grand chief of the association of Iroquois and Allied Nations in Ontario, threatened to “block all the corridors of this province” next Wednesday unless natives’ demands were met. Ontario is Canada’s most populous province and has rich natural resources.


Peters told reporters that investors in Canada should know their money was not safe.


“Canada cannot give certainty to their investors any longer. That certainty for investors can only come from us,” he said.


Manitoba Grand Chief Derek Nepinak, who said on Thursday that aboriginal activists have the power to bring the Canadian economy to its knees, was one of the leaders of the protest at the Langevin Block.


“We’re asking him to come out here and explain why he won’t speak to the people,” said Nepinak, who banged on the door at the main entrance to Harper’s offices after choosing to boycott the meeting.


Nepinak and other Manitoba chiefs are also demanding that Ottawa rescind parts of recent budget acts that they say reduce environmental protection for lakes and rivers. The most recent budget act also makes it easier to lease lands on the reserves where many natives live, a change some natives had requested to spur development but which others regard with suspicion.


Ottawa spends around C$ 11 billion ($ 11.1 billion) a year on its aboriginal population, but living conditions for many are poor, and some reserves have high rates of poverty, addiction, joblessness and suicide.


Harper agreed to the meeting with chiefs after pressure from Ontario chief Theresa Spence, who has been surviving on water and fish broth for the last month as part of a campaign to draw attention to the community’s problems. Spence, citing Johnston’s absence, said she would not attend.


“We shared the land all these years and we never got anything from it. All the benefits are going to Canadian citizens, except for us,” Spence told reporters. “This government has been abusing us, raping the land.”


In Nova Scotia, a group of about 10 protesters blockaded a Canadian National Railway Co line near the town of Truro on Friday afternoon, CN spokesman Jim Feeny said.


A truck had been partially moved onto the tracks and was cutting off the movement of container traffic on CN’s main line between the Port of Halifax and Eastern Canada, he said. Passenger services by Via Rail had also been disrupted.


The incident was the latest in a series of rail blockades staged by protestors in recent weeks to press the demands.


($ 1=$ 0.98 Canadian)


(Additional reporting by Louise Egan in Ottawa and Nicole Mordant in Vancouver; Editing by Vicki Allen and Dan Grebler)


Internet News Headlines – Yahoo! News





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TV anchorman Gregory won’t face charges over gun clip






WASHINGTON (Reuters) – The District of Columbia has declined to prosecute NBC News anchor David Gregory for displaying an illegal high-capacity gun clip on a broadcast, a prosecutor said on Friday.


District of Columbia Attorney General Irvin Nathan said his office would not seek to charge Gregory for showing the 30-round magazine on the December 23 broadcast of “Meet the Press” in part because it was an element of the renewed debate about firearms.






His office “has determined to exercise its prosecutorial discretion to decline to bring criminal charges against Mr. Gregory, who has no criminal record, or any other NBC employee based on the events associated with the December 23, 2012, broadcast,” Nathan said in a letter to NBC’s lawyers.


He called the decision “very close.”


Gregory held up the magazine while hosting an interview with National Rifle Association Chief Executive Wayne LaPierre at NBC’s studios in the District. Law in the U.S. capital bars possession of high-capacity magazines whether or not they are attached to a weapon or loaded.


The “Meet the Press” show on firearms was part of a galvanized public debate on guns after the December 14 massacre of 20 schoolchildren and six adults in Newtown, Connecticut.


Nathan said the clip was returned to its owner outside the District after the show. It then was turned over to District police with NBC’s help.


He added that Gregory had displayed the magazine even though city police had told NBC that possession was illegal.


“We note that NBC has now acknowledged that its interpretation of the information it received was incorrect,” Nathan said.


(Reporting by Ian Simpson; Editing by Eric Walsh)


TV News Headlines – Yahoo! News





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The New Old Age Blog: As Flu Rages, Caregiving Suffers

The flu started in the personal care center at Masonic Village in Elizabethtown, Pa., then moved to the nursing home. Within a few days, seven older adults had taken ill.

Administrators moved quickly: they shut down two floors of the buildings and told all visitors to stay away. All social activities stopped, and residents were asked to stay in their rooms.

The phones began to ring. “How is my wife doing?” an older spouse would ask. “What’s Mom eating?” a concerned daughter would inquire.

As the flu sweeps across the country, all kinds of issues are arising as institutions serving the elderly cope with outbreaks and nurses, home health aides and family members fall ill and can’t attend to the older people under their care.

One of the residents of Masonic Village was the mother-in-law of Joyce Heisey, director of nursing at this continuing care retirement community. She had come to the nursing home after a nasty fall and a subsequent hospitalization for rehabilitation.

“It was hard for her because she wasn’t accustomed to being in this kind of setting, and my father-in-law couldn’t visit,” said Ms. Heisey, who talked to her in-laws about their experiences. They declined to speak directly to a reporter.

Worried about isolation, the home sent recreation therapists into residents’ rooms for a few minutes each day and directed physical therapists to continue working with those undergoing rehabilitation, again in their rooms when possible.

In Collinsville, Ill., a city of about 42,000 that is 23 miles east of St. Louis, 20 percent of the staff at Home Instead Senior Care have called in sick, either struck by the flu themselves or at home taking care of a sick child.

“We’ve never seen it as bad as it is this year,” said Skip Brown, the agency’s owner. In previous years, about 5 percent of the staff have taken ill during flu season.

“It’s really hard for our clients, most of whom are elderly,” Mr. Brown said. “All of a sudden you have another person coming in to your home that you’re not familiar with. That’s really hard for seniors, and we have to make sure they’re comfortable.”

One client, a 92-year-old woman with diabetes, was insistent that a stranger not come to help when her usual caregiver became sick and stayed home.

“The problem that we’re always concerned with is, what if an older person doesn’t eat and what if they don’t take their medication?” Mr. Brown said. Concerned, he called his client’s out-of-town daughter, who called an elderly neighbor, who agreed to accompany someone from the agency to make sure the older woman was all right.

As it turned out, she hadn’t taken insulin for a full day and was at risk of a diabetic crisis, which was averted when the agency worker intervened.

Things got bad so fast that after the second week of December, Mr. Brown required all staff members to get flu shots – and still they became ill. This year, the flu shot is effective about 62 percent of the time, the Centers for Disease Control and Prevention said on Friday.

Nationally, about 60 percent of health care workers get flu vaccines, which are voluntary in most hospitals, nursing homes and assisted-living facilities, according to Dr. Gregory Poland, director of the Mayo Clinic Vaccine Research Group. And when workers are struck by the flu, infections among residents can follow.

“The disruptions, the costs, the complications from this virus, no one should confuse it with a minor illness,” said Dr. Poland, who has advocated for mandatory immunizations for health care workers.

According to New York’s statewide influenza report for the week ended Jan. 5, 179 outbreaks have hit nursing homes this flu season — 57 of them during the week covered by the report alone. The state health department defines an outbreak as one confirmed case or two suspected cases of flu that are contracted in a nursing home.

Allison Chisholm, a nurse with Partners in Care, a home care agency operated by the Visiting Nurse Service of New York, had a flu shot on Dec. 27 and a week later took to bed with a fever and chills.

“It was so bad, my toenails were hurting. I had no appetite. I couldn’t move, I was so sore,” she said. “I knew it was the flu because I’m not a sickly person. I’ve never felt like that for 30 years.”

Ms. Chisholm had been seeing a woman in her 70s every day since October to treat a bone infection with intravenous antibiotics. “When I called her she could hear immediately that something was wrong,” Ms. Chisholm said. “She was concerned and said, ‘If you’re sick like that, don’t come – I don’t want to get what you have.’ ” A week later, the nurse said she got a phone call from the older woman checking in to see if she was better.

In this case, the client was due to end treatment the day after Ms. Chisholm fell ill, and she agreed to have a worker from the company that supplied her intravenous supplies administer her last IV therapy.

At the Martha Stewart Living Center, an outpatient center for older patients at Mount Sinai Medical Center, Dr. Audrey Chun, medical director, has been telling caregivers and other people who have any kind of upper respiratory problems — a cough, constant sniffles – to stay away from older people’s homes because of the risk of passing on an infection.

But do be sure to call in regularly to ask how your older relative or friend is feeling and whether they have unusual lethargy, breathing problems or disabling fatigue, said Jennifer Leeflang, senior director of private care services for Partners in Care. The agency has been getting about 10 requests a week for flu shots for homebound elderly ($100 for the visit and the shot). Other hospitals, like Montefiore Medical Center in the Bronx, are providing a similar service for home care agency patients.

New data released Friday by the federal Centers for Disease Control and Prevention underscores how vulnerable older adults are to flu and how many are being affected by the current outbreak. In the week ended Jan. 5, the rate of flu-related hospitalizations for people 65 and older was 53.4 per 100,000, more than twice that of another vulnerable group, newborns and children up to 4 years old. Hospitalizations are an indicator of the most serious flu cases.

That’s a big jump from the week before, when the rate of flu-related hospitalizations for people 65 and older stood at 29.3 per 100,000.

How has flu season affected your ability to provide — or get care — for your elderly relative? Share your experiences and advice here.

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