Originally posted by Kaiser Health News.
Kaiser Health News is a nonprofit news service covering health issues. It is
an editorially independent program of the Kaiser Family Foundation, which is
not affiliated with Kaiser Permanente.

Maryland County Pledges Investigation of Health Worker's Coronavirus Death
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Laura Ungar


   Officials in Maryland's Prince George's County say they "will spare no
   time or expense" investigating the circumstances surrounding the death
   of a veteran public health worker who died of COVID-19 after relatives
   and co-workers believe she contracted the coronavirus on the job.

   The probe follows [1]a story by KHN and the Associated Press two weeks
   ago focusing on the worker, Chantee Mack, a 44-year-old disease
   intervention specialist at the Prince George's County Health Department
   who union officials said was among at least 20 department employees
   infected by [2]the coronavirus. The outbreak underscores the stark
   dangers facing the nation's front-line [3]public health army, the
   subject of an ongoing series by KHN and the AP,[4] "Underfunded and
   Under Threat."

   Mack's co-worker Rhonda Wallace, leader of a local branch of the
   American Federation of State, County and Municipal Employees, said she
   and others from the union met with two county council members shortly
   after the stories ran, then was told about the investigation after a
   separate meeting among county council members and officials.

   "Your article started everything," Wallace said in an interview this
   week.

   County Executive Angela Alsobrooks and Health Officer Dr. Ernest Carter
   discussed the need for a probe at a coronavirus news conference on July
   30.

   "Ms. Mack's death hurt all of us. It is the worst-case scenario that we
   would lose one of our employees who was there courageously working to
   save lives. ... We believe that it deserves an investigation,"
   Alsobrooks said. "I want to know what happened."

   She said the county would "spare no time or expense" finding out what
   led to Mack's illness and death and "if there are things we should
   adjust, we absolutely will do it."

   Mack, who worked in the sexually transmitted diseases program, faced
   health challenges and was twice denied permission to work from home in
   March, [5]when the coronavirus was first appearing in Maryland. She was
   among 100 staffers deemed essential during the pandemic out of the more
   than 500 employees at the health department.

   An internal union document obtained by KHN detailed a conference call
   by department managers in which Diane Young, an associate director,
   said all family health services workers were essential. Only those 65
   or older, those with an "altered" immune system or with small children
   would be eligible to work from home, and decisions would be made case
   by case.

   Mack's supervisors supported her requests to work from home, but the
   department's upper management rejected them, according to union
   documents.

   Some employees told KHN that the department also didn't provide face
   masks and other protective gear to employees who worked in the office
   and with the public in the early days of the pandemic. They even held a
   staff meeting at which people sat close together.

   Mack was exposed to a pregnant employee who later became the first in
   the program to be diagnosed with COVID-19. Mack was tested for the
   coronavirus in early April, was hospitalized mid-month and stayed on a
   ventilator for four weeks. She died May 11.

   Mack's younger brother, Roland Mack, wrote an email to Alsobrooks'
   office with the subject line "The health department killed my sister,"
   saying there are "better preventative measures that could have been
   taken."

   Another employee spent time on a ventilator, suffered strokes and is
   learning to walk again.

   "They failed us -- the employees," Wallace said.

   At the recent news conference, Alsobrooks said the nation has gained a
   greater understanding of the virus since those early days.

   "What we knew in March is very different than what we know today," she
   said. "The way that we were working in March is different than today
   because the pandemic occurred and we had never seen it before. So many
   of the rules that we have implemented, the policies that we have
   implemented, they have evolved since March."

   Even as Carter said an investigation was underway, he defended the
   department's actions, saying they followed guidelines at the time from
   the federal Centers for Disease Control and Prevention. The CDC had
   been encouraging [6]social distancing by mid-March, but the White House
   Coronavirus Task Force and the CDC began [7]recommending face coverings
   in public on April 3.

   "What we did was follow principles of public health," Carter said at
   the news conference. "We did everything -- everything we were supposed
   to do during that period."

   Wallace, the union leader, said most rank-and-file employees now are
   allowed to telework, and another union leader said work conditions have
   improved.

   All the while, the health department is dealing with [8]Maryland's
   largest COVID-19 caseload, with more than 22,800 cases and 720 deaths.
   COVID-19 has also stricken public health workers fighting the pandemic
   in states such as Ohio, Georgia, Oregon and California -- killing a
   worker at a local mosquito-control district in California.

   Mack's brother said he hopes his late sister's colleagues, and other
   front-line workers, heed an important lesson: "Ain't no job worth your
   life."

   This story is a collaboration between KHN and the Associated Press.

References

   1. https://khn.org/news/essential-and-in-danger-coronavirus-sickens-even-kills-public-health-workers/
   2. https://apnews.com/VirusOutbreak
   3. https://khn.org/news/us-public-health-system-underfunded-under-threat-faces-more-cuts-amid-covid-pandemic/
   4. https://khn.org/news/tag/underfunded-and-under-threat/
   5. https://apnews.com/fcbf9d5db48c028d957df514926c824a
   6. https://apnews.com/fa1fda126fe191425abc20ab461dfbe7/wsj/news/local/health-med-fit/how-social-distancing-works-and-what-it-means-for-you/article_2ac08830-ea22-567f-9b57-62974a709ca4.html
   7. https://apnews.com/a7857eb0250093ab796daf6122c71047
   8. https://coronavirus.jhu.edu/us-map