UPDATE: For a more recent look at UAB’s hospitalization numbers, look at this page.
UPDATE: The Birmingham City Council on Tuesday afternoon passed Mayor Woodfin’s shelter-in-place order. You can read the ordinance at the bottom of this story. Birmingham is the first city in the state to issue such an order to curb the spread of COVID-19.
Birmingham Mayor Randall Woodfin, speaking at a press conference Tuesday afternoon, said he would seek a shelter-in-place order for the city of Birmingham as the number of cases in the city and Jefferson County continues to rise.
The mayor said at least 45 people are currently hospitalized at UAB Medical Center in Birmingham. Dozens more are under observation, and at least 18 are on ventilators. UAB is the state’s largest and most advanced hospital.
It is likely caring for patients from outside Jefferson County, but the hospital said it could not confirm where the patients are from.
By Tuesday morning, more than 200 cases were confirmed in the state of Alabama. Ninety of them are in Jefferson County. It’s unclear if Jefferson County is more affected by the virus or if residents in the county have had access to more testing.
Dr. Sarah Nafziger, the co-chair of UAB’s emergency management committee, confirmed the cases at UAB and said the hospital has experienced an “exponential increase” in patients seeking care in the last week.
“Evidence is overwhelming that Jefferson County, and beyond, is, and has been, experiencing rapid community spread of COVID-19,” Nafziger said. “This is a dangerous situation that our community needs to take seriously. Everyone has an important responsibility right now to save lives.”
Nafziger said the situation is “unprecedented.” Her tone at the press conference was markedly solemn.
“It is known to us, as leaders of UAB Medicine, that we will have to make some very difficult decisions in the coming days and weeks,” she said. “We ask for your cooperation, and we ask for your prayers for our health care workers as we face this unprecedented event.”
“This is very different from 11 or 12 days ago,” Woodfin said. “I think it’s very important, at this time, for our city and community to take this seriously. The last few weeks have been unprecedented obstacles that we’ve faced.”
Woodfin presented to the Birmingham City Council a shelter-in-place ordinance Tuesday morning. The council is expected to vote on the ordinance Tuesday afternoon.
“The city must take every reasonable effort to slow the spread of this virus,” Woodfin said.
The ordinance would require city residents to stay at home when at all possible except when they must go out to get essentials like groceries, gas, medicine, health care or food. Residents will still be allowed to leave their homes for solitary outdoor activity.
“A shelter-in-place simply means stay at home,” Woodfin said.
Services and deliveries will still be made.
“For those of us on the front lines of the pandemic, we urgently need the public’s cooperation today,” Nafziger. “If you can stay at home, stay at home.”
The shelter-in-place, Woodfin said, does not conflict with the Jefferson County Department of Health’s ordinance. It will allow Birmingham police to enforce the county’s recommendation. So far, Jefferson County, and now Birmingham, have put in place the most expansive restrictions on their residents to try to curb the spread of the novel coronavirus.
“Today, we’re simply asking you to remain apart, so that we can come back stronger than ever,” Woodfin said. “I want to reassure you that we will be on the right side of history by making this decision.”
The full order and its exceptions can be found below. More information is available here.
Governor awards nearly $19.4 million in block grants for Alabama communities
The CDBG funds will be used to repair dangerous roads, provide safe water, build community and senior centers, improve sewer systems and more.
More than 60 Alabama cities and counties will soon see improvements in their communities thanks to almost $19.4 million in Community Development Block Grants awarded by Gov. Kay Ivey.
The CDBG funds will be used to repair dangerous roads, provide safe water, build community and senior centers, improve sewer systems and more.
“Community Development Block Grants help raise the living standards for thousands of Alabamians who may have struggled with dangerous roads, sewage backed up in their homes or find it difficult to wash clothes because of inadequate water pressure,” Ivey said. “I am pleased to award these grants and I must commend those local elected officials who recognized those struggles and responded to address needs in their communities.”
Grants are awarded on competitive basis in several categories including small city, large city, county, community enhancement, Black Belt and planning. Some cities received planning grants in addition to other competitive grants.
In most instances, awarded governments are required to allocate some local funds to projects as a match for the grants.
The Alabama Department of Economic and Community Affairs is administering the grants from funds made available by the U.S. Department of Housing and Urban Development.
“Many local governments, particularly this year with the COVID-19 pandemic, often struggle for funds to provide basic services for residents,” ADECA Director Kenneth Boswell said. “ADECA is pleased to join Gov. Ivey in awarding these funds from the CDBG program, which enables governments to accomplish worthwhile projects to make their communities better places to live.”
Grants awarded and projects (grouped by geographical region) include:
- Ardmore– $350,000 to replace sewer lines and ensure safe disposal of sewage.
- Colbert County – $182,876 to raise the roadbed and improve drainage to eliminate pavement flooding on Gnat Pond Road, Cassie Davis Street and Marthaler Lane.
- Courtland– $350,000 to replace aging water lines and provide safe drinking water to residents.
- Fort Payne– $450,000 to demolish and clear the abandoned Fort Payne General Hospital complex.
- Glencoe– $450,000 to replace sewer lines on East Air Depot Road, Taylor Road and Lonesome Bend Road.
- Haleyville– $450,000 to upgrade sewer, water and streets in several areas of the city.
- Holly Pond– $250,000 to construct a new senior citizen center to help meet the needs of the growing program.
- Limestone County – $301,000 to provide pavement and drainage improvements on Chapman Hollow Road south of the town of Lester. The project is designed to alleviate flooding.
- Morgan County– $250,000 to upgrade and add an addition to the Falk Senior Center.
- North Courtland– $347,300 to improve drainage along Davis Street and other parts of the town.
- Red Bay– $445,000 to improve sewer lines in the southeast part of the city.
- Sheffield– $210,000 to demolish and clear multiple dilapidated residential and commercial structures throughout the city.
- Tuscumbia– $365,000 to raze and clear 23 dilapidated structures located throughout the city.
- Vina – $348,650 to install a new boost pump at a water storage tank to improve water flow and pressure.
- Winfield– $450,000 to improve drainage and upgrade streets to alleviate flooding along Regal Street.
North Central Alabama
- Blountsville– $250,000 to repair and resurface parts of College Street, Chestnut Street, Church Street and Ratliff Street.
- Chilton County– $350,000 to pave more than four miles of county roads including County Roads 127, 128 and 201
- Cleburne County – $350,000 to extend public water services to 32 households along portions of County Roads 49, 689, 114 and 447.
- Columbiana– $450,000 to improve the city’s main sewer line to prevent sewage backup and related problems.
- Detroit– $350,000 to install new water lines and add fire hydrants to benefit more than 100 residents.
- Talladega (city)- $250,000 to demolish and clear dilapidated structures at several locations throughout the city.
- Woodland– $350,000 to replace water lines at several locations throughout the town to improve water quality and flow.
South Central Alabama
- Boligee – $350,000 to improve the town’s sewer lines and manhole covers to ensure no infiltration into the lines from rain and other sources.
- Brantley– $350,000 to rehabilitate or replace sewer lines and other components of its sewer system.
- Brantley– $32,000 for a planning grant to help develop a land-use plan, subdivision regulations and zoning ordinances.
- Demopolis– $450,000 to resurface portions of nine streets to include South Glover Street, McGee Street, Hilltop Circle, East Capitol Street, East Lyon Street, North Chestnut Avenue, North Cherry Avenue, North Ash Street, and North Front Avenue.
- Franklin– $32,000 for a planning grant designed to help the town develop future plans.
- Greene County -$350,000 to improve 4.5 miles of roads including Basketball Lane, Sandy Way, Smoke Lane, Brush Creek Circle, Curve Lane, Country Road Lane, Plum Lane, Star Lane and Jasmine Lane.
- Linden– $350,000 to resurface and improve drainage on Easley Street, Adams Drive, Ford Street, Brandon Avenue, Barkley Street, Lucas Street, Gardner Street and Louisville Avenue/Pool Street.
- Livingston– $450,000 to replace sewer lines in the north-central part of the city.
- Pine Hill– $350,000 to rehabilitate two sewer system lift stations.
- Phenix City– $250,000 to fund a city-wide cleanup of multiple dilapidated structures.
- Selma– $450,000 to improve drainage along LL Anderson Avenue, Arsenal Place, Alabama Avenue and Mechanic Street, and Highland Avenue.
- Selma– $40,000 for a planning grant to help the city develop a strategy to deal with dilapidated structures, housing and economic development.
- Sumter County– $250,000 to renovate the Sumter County E911 Call Center to streamline emergency operations.
- Union Springs – $450,000 to improve water, sewer and drainage along Bloomfield Street, April Street and Tye Avenue.
- Uniontown– $250,000 to demolish and clear several dilapidated buildings in the town.
- York– $350,000 to upgrade sewer lines and rehabilitate sewer mains in the Grant City community.
- Ariton – $250,000 to resurface and improve drainage along Dillard Street, Zumstein Avenue, Williams Street, Barnes Street and Claybank Street.
- Ariton– $30,000 for a planning grant to help the town develop long-range plans and goals.
- Crenshaw County– $350,000 to repave Helicon Cross Road and Rising Star Road north of Petrey.
- Cottonwood– $350,000 to replace old and damaged sewer lines and a failing lift station.
- Daleville – $292,500 to replace water lines along Culpepper Street, Wells Avenue, Ennis Street and Holman Street.
- Dozier– $250,000 to improve water pressure and improve fire protection capability in an area along Main Street.
- Eufaula– $450,000 to implement the fourth phase of its housing rehabilitation program. The program will be in the Edgewood subdivision area.
- Hartford– $350,000 to replace sewer lines and components in the vicinity of Third Avenue.
- Headland- $450,000 to rehabilitate up to 30 substandard houses in the central and north part of the city.
- Florala– $350,000 to continue to rehabilitate old and damaged sewer lines in a project that has been ongoing with CDBG funds since 2005.
- New Brockton– $314,000 to renovate and upgrade three sewer pump stations to improve sewage collection.
- Ozark– $250,000 to resurface at least a portion of nine streets including Brown Drive, Lowery Road, Julian Street, Wilson Avenue, Hall Drive, McDonald Avenue, Woodview Avenue, Brookview Drive and Parkview Drive.
- Pike County – $350,000 to resurface County Road 7749 (McLure Town Road), northeast of Troy and pave County Road 2256 south of Troy.
- Troy– $250,000 to renovate a portion of the historic Academy Street School and convert it to a community and cultural arts center.
- Beatrice– $350,000 to replace deteriorating water lines and add fire hydrants.
- Conecuh County – $350,000 to pave sections of 26 roads throughout the county.
- East Brewton– $337,000 to rehabilitate sewer lines and pumping station in the southeast part of the city.
- Elberta– $350,000 to improve drainage along Baldwin County Road 83 (Main Street) to alleviate flooding.
- Escambia County – $350,000 to replace and extend water lines and install fire hydrants in the Ridge Road community.
- Frisco City– $250,000 to resurface at least part of several streets including Harvestview Drive, Martin Luther King Jr. Street, School Street, Wiggins Avenue, and Wild Fork Road.
- Fulton– $350,000 to pave at least sections of Main Street, Eighth Street, First Street and Green Acres Road.
- Jackson– $208,000 to improve drainage on Cemetery Road including adding curbs and gutters.
- Lisman– $350,000 to resurface parts of Commerce Street, Thomas Drive, Kinnon Heights/Circle, Broad Street, Tower Street, Coleman Circle and West Second Avenue.
Sewell votes in favor of National Apprenticeship Act
The bill would invest more than $3.5 billion to create nearly one million new apprenticeship opportunities.
Congresswoman Terri Sewell, D-Alabama, last week voted in favor of the National Apprenticeship Act, legislation to reauthorize the National Apprenticeship Act for the first time since its enactment in 1937.
The new National Apprenticeship Act will create one million new apprenticeship opportunities over the next five years. Registered apprenticeships provide workers with paid, on-the-job training, and are the nation’s most successful federal workforce training program.
“As a long-time supporter of expanding registered apprenticeships, I am thrilled to support today’s legislation to provide 1 million new apprenticeship opportunities over five years,” Sewell said. “Our Nation is facing the worst economic downturn since the Great Depression and estimates show that more than 7 million of the pandemic’s job losses will be permanent. We need bold investments like those in the National Apprenticeship Act to accelerate the economy and help get the American people back to work in stable, good-paying jobs of the future.”
The bill invests more than $3.5 billion over the next five years.
The act establishes a $400 million grant program to support the expansion of apprenticeship opportunities, including pre-apprenticeships and youth apprenticeships, which will increase $100 million annually to reach $800 million by 2025.
The legislation also codifies and streamlines standards for registered apprenticeship, youth apprenticeship and pre-apprenticeship programs to make it easier for both apprentices and employers to participate in high-quality apprenticeships and codifies the Department of Labor’s Office of Apprenticeship.
It directs the office to convene industry leaders, labor organizations, educators and others to expand apprenticeships into new occupations and sectors.
Supporters say the bill could yield $10.6 billion in net benefits to U.S. taxpayers in the form of increased tax revenue and decreased spending on public-assistance programs and unemployment insurance, and that nothing is more effective at breaking the cycle of poverty than a well-paying full-time job.
Sewell is about to enter her sixth term representing Alabama’s 7th Congressional District.
Nearly 70 percent of Alabama’s pregnancy-related deaths in 2016 were preventable: report
Most pregnancy-related deaths are preventable, with women of color bearing the brunt of Alabama’s maternal mortality crisis.
A report this month by the Alabama Maternal Mortality Review Committee found that nearly 70 percent of pregnancy-associated and pregnancy-related deaths in Alabama recorded in 2016 were preventable.
Mental health and substance use disorders were identified as key contributors in nearly half pregnancy-associated and pregnancy-related deaths. Patient-, family-, system- and provider-related factors were among the most frequently identified factors involved in pregnancy-associated and pregnancy-related deaths, the report found.
The researchers found cardiovascular conditions were the leading underlying causes in pregnancy-related deaths.
“The Medical Association of the State of Alabama commends the Maternal Mortality Review Committee (MMRC) for its diligence in researching the factors that impact maternal deaths, in hopes to mitigate and prevent future maternal deaths,” said Dr. John Meigs, president of the Alabama Medical Association. “It is very concerning for physicians throughout the state that 70 percent of the deaths reviewed by the MMRC were preventable and that women of color are disproportionately affected. Alabama mothers deserve the best medical care that we can offer.”
According to the report, maternal death and pregnancy-related mortality ratios steadily trended upwards between 2012 and 2015 with the largest increase being in 2016.
Alabama ranks third in the nation for maternal mortality behind only Arkansas and Kentucky.
According to the report, expanding Medicaid could help reduce the state’s high number of maternal deaths and pregnancy-related and -associated deaths.
“Expansion of Medicaid was an underlying, yet significant factor which permeated throughout the case reviews,” according to the committee’s report. “Research has shown that in states where Medicaid expansion was adopted, there were reduced maternal mortality rates and positive maternal health outcomes. Based on the findings of the committee’s review, Medicaid program expansion will allow women to receive needed healthcare before, during, and after pregnancies.”
The MMRC recommends Medicaid expansion up to one year postpartum and improved reimbursement for providers, routine autopsies on maternal deaths, and increased mental health and substance use disorder treatments and services for women.
“Sadly, the Alabama Maternal Mortality Review Committee found that mental health and substance use disorders were identified as key contributors in almost half of pregnancy-associated and pregnancy-related deaths,” said Holly Caraway McCorkle, executive director of the Alabama Council for Behavioral Healthcare. “These deaths are preventable, and Medicaid expansion will offer women who suffer from mental health and substance use disorders life-saving coverage and access to critically needed resources and services before, during and after pregnancies.”
Longtime State Rep. Alvin Holmes has died
Montgomery Fire and Rescue responded to a call at Holmes’ residence on Saturday afternoon, and they found the 81-year-old unresponsive.
Alvin Holmes, a 44-year veteran of the Alabama Legislature and one of the state’s most outspoken proponents for racial inclusion, has died. Montgomery Fire and Rescue responded to a call at Holmes’ residence on Saturday afternoon, and they found the 81-year-old unresponsive.
Over a four-decade-plus career in the Alabama House of Representatives, Holmes was a lightning rod for criticism from his fellow white lawmakers and the white voters who elected them, as he repeatedly challenged the status quo and went headlong at biases and racism that prevented more Black Alabamians from serving in positions of power in the state.
Holmes was a foot soldier in the Civil Rights Movement in Montgomery and led the charge on getting the Confederate battle flag removed from Alabama’s Capitol building. Holmes fought many of his battles, especially the early ones, by himself, and while to his friends he would admit that standing alone wasn’t always pleasant, he never showed such hesitation outwardly, seeming to revel in the hateful words and personal attacks from other lawmakers and the public.
Many of the fights Holmes began were later finished in federal courtrooms, and they most often led to further advancements for Black Alabamians.