LOCAL & STATE THURSDAY, MAY 28, 2020 BUDGET Continued from Page 1A Rather than having to make 17% cuts, that amount was reduced to 8%. Witty said the Legislature is expected to meet on June 15 to begin considering how to deal with the expected decline in state revenue as a result of the coronavirus pandemic. “We won’t know for a while exactly what the revenue pack- age is going to be,” he told the Board. Witty reminded the group that lawmakers do have access to $1.7 billion through the Education Stability Fund and the Rainy Day Fund to help backfi ll some of the lost revenue. He recalled, however, that during the recession about a decade ago, lawmakers were quick to use the money in the fi rst year of the biennium and came to regret that decision during the second year. For that reason, Witty said he expects the legislators to take a more cautious approach this time. He again pointed to the solid fi nancial ground the Baker School District is standing on thanks to entrepreneurial endeavors the school board and administrators began about a decade ago, such as development of the Baker Web Academy, Baker Technical Institute, contracting services to others districts and aggres- sively seeking grants. The budget approved Tues- day night totals $68,073,037, with a general fund budget of $53,446,122. Budget Board members posed several questions to District administrators and school board members during the session. Wes Price asked which items were most highly requested by staff and parents in planning sessions before the budget was fi nalized. Witty said funding for mental health services and parental involvement were top priorities. “That requires staffi ng,” he said. “If the Student Invest- ment Account had been fully funded, staff would have been hired.” But adding positions might require reducing them later on if the economy doesn’t recover as quickly as hoped, Witty said. Capital improvements, on the other hand, are one-time expenses. “Once you make a personnel expenditure ... and you have to (reduce the workforce) it’s not particularly good on morale,” Witty said. TESTING Continued from Page 3A And if somebody isn’t sick, they won’t have viral RNA in their nose, so there won’t be any genes to am- plify. That means false positives are extremely rare. But false negatives are a different story. In a health care setting, a lot can increase the chances of a false negative: how the person is tested, how the sample is stored, how it’s shipped, how long it takes for the sample to be processed, and even when a person is tested during the course of their illness. “These tests should be done by labs with expertise,” Akkari said. Akkari’s hospital system, like many others, has avoided tests run by major corporations like LabCorps and Quest. Instead many larger hospitals and health systems have created RT-PCR tests they con- trol from start to fi nish. But some potential errors can’t be avoided. And they start the second a swab is stuck several inches up a person’s nose. How are we gathering samples? RT-PCR tests have one big prob- lem, Jeanne said: “You can have the virus, but if you don’t get enough of it in the sample, it won’t show up on the tests.” The way samples are taken can have a big impact on that. Think back to a time you jumped into a pool and got water up your nose. Now imagine a swab reaching up into that same, painful place. You might fl inch or draw back before there’s enough sample of your mu- cus on the swab. And then there are health care workers, who might be hesitant to stick a swab far enough up some- one’s nose to get a proper result. “It’s not just about the lab run- ning the test, it’s about the person who’s performing it, how long they swab for, what techniques they have. Are they swabbing both sides of the nose?” Jeanne said. For most of March and April, testing swabs were in short supply. Some hospitals reported using a na- sal wash for the sample, increasing the chance of a false negative. Research shows that samples collected with a certain type of deep- reaching swabs, called “nasopharyn- geal swabs,” give the most accurate test results. Specimens collected with combined front-of-the-nose and throat swabs or nasal washes are considered less effective. OHA was not able to collect data on how samples for tests were The District does still plan to add one full-time behavioral specialist to help address the issues of concern at the lower grade levels, he added. Price next asked which items were funded that were not seen as high priority needs by parents and community members. Michelle Glover, the District’s business manager, pointed to the unexpected need to upgrade sanitation practices and to provide personal protec- tive equipment throughout the district, which is estimated to cost $270,000. That expense includes the addition of one full-time janitor, who will divide time between Baker Middle School and South Baker Intermediate School, with some time also dedicated to the North Baker building, Witty said. Between 20% and 25% of the District’s staff falls into the category of those with health concerns that could put them at risk of COVID-19 complications, he said. The Oregon Health Author- ity, the District’s liability insur- ance provider and the worker’s compensation insurance program all expect the District to provide a safe environment for the staff and students, Witty said. BAKER CITY HERALD — 5A Included in the sanitation costs are increased use of the Vitol Oxide product the District has used for the past three years to disinfect buildings and buses. The maintenance staff will keep an eye on minimizing the labor involved, Witty said. The District also plans to install automated faucets and soap and towel dispensers in the restrooms. Equipment to routinely test temperatures of staff and students daily also will be purchased for use in classrooms and on buses. Parents will be informed that if their students come to school with an elevated temperature they will be re- quired to take them home. “That will protect the staff and provide a quality, healthy environment for them and for other kids,” Witty said. The superintendent took the Board through a list of items included in a 5-year facility plan and pointed out projects that have been put off until later because of the adjusted revenue forecast. Grant funding will help accomplish some of those projects, however. Witty announced Tuesday that since the last Budget Board meeting, the District had been awarded a $2.3 million seismic rehabilitation grant to make repairs to the Baker likely to get false negatives. That’s because of a weird fl uke in how the new coronavirus behaves. As COVID-19 progresses, the coronavirus takes up residence in different places in your body, Akkari explained. And as the virus moves through your body, it’s less likely to be detected by a standard nasopha- ryngeal swab, because it’s just not there anymore. According to a scientifi c literature review, an RT-PCR test for CO- VID-19 is at its most accurate about three days after symptoms appear, Oregon Health & Science University Photo/Kristyna Wentz-Graff with a false negative rate of about Medical assistant Jillian Zalunardo works with a patient being tested 22%.The false negative rate climbs for COVID-19 at the OHSU drive-thru testing site in Hillsboro. slowly as the disease progresses. By the time patients are feeling very ill, 16 days after symptoms start, as taken, Jeanne said, so it’s unclear ally happened. That information many as 66% of swabs come back how widespread sampling prob- hasn’t been passed on to public lems were, or how that could have health departments like his. Health with false negatives. The Oregon Health Authority impacted our overall test count. care workers across the country have voiced concerns about how test is continually updating its testing Was the sample handled guidelines. Patients with mild symp- samples are shipped. But lacking properly? toms can now get tested. Jeanne hard data, it’s just one more thing Once a sample is taken, more said that’s caused the number of that could go wrong. potential problems arise. Until mid- tests conducted to climb rapidly. Once the samples arrive at the April, many Oregonians reported But most people with a sniffl e, lab, they need to be stored — again, waiting over a week to learn the cough or headache wait it out and see at temperatures well below freez- results of their COVID-19 tests. It if they get better — they don’t want ing. At one point, Quest reported a was an early sign that those results backlog of 160,000 tests, received to seem like hypochondriacs and rush might not be accurate. straight to their doctor’s offi ce. But and waiting to be tested. Most of the delayed tests were the sooner people get tested, the more “If Quest and LabCorps [had] shipped to far-away laboratories or a big backlog — and they did — I accurate their test results will be. were conducted by commercial labs would wonder if they were freezing Rapid tests: fairly new, dropped like Quest Diagnostics, which has samples or how,” Jeanne said. by some clinics been processing tests from around And then there’s the process of There’s one way to avoid false neg- the country. extracting the RNA from the virus atives produced by poorly handled A long delay shouldn’t necessarily and purifying it. Once RNA is impact the accuracy of a test, but purifi ed it’s much more stable. But samples: Collect the sample and do the test right away on-site. That’s that all depends on how the sample the chemicals to extract RNA are is handled, Akkari said. in short supply, contributing to the why most hospitals with laboratories “I don’t know what most com- testing shortages, said Ben Dalziel, run their RT-PCR tests in-house. But many hospitals and doctor’s of- mercial labs are doing, but here at an epidemiologist at Oregon State fi ces don’t have in-house laboratories. Legacy, we recommend that a test University. He is involved in a sur- be run, at most, 72 hours after it vey that aims to track the spread of And that’s led to an increased call for rapid tests, which don’t require was collected,” Akkari said. And it COVID-19 in Corvallis. needs to be kept at near-freezing If a lab doesn’t have the supplies a lab and can be completed before a checkup is even fi nished. The federal temperatures until then. That’s to extract RNA, the samples could government only just sent Oregon because viral RNA is extremely have been slowly degrading. fragile. In recent weeks, commercial labs the supplies needed to run these tests. “More than fragile, actually, and seem to have caught up with the The Trump administration touted much more fragile than DNA,” she fl ood of COVID-19 tests coming in. the coronavirus rapid tests manufac- said. “The whole world is full of Jeanne said turnarounds are back tured by Abbott. Its machines and these RNases” — special molecules to what he considers a reasonable kits were sent to health departments that break up RNA, sort of like a amount of time: about four days. around the country. In Oregon, those cleaning service in your cells. tests are being deployed to rural Jeanne said that if a viral sample Who is getting tested, and areas without labs close by or are is going to take more than 72 hours when? Until recently, testing capacity being used in emerging COVID-19 to be tested, it should be frozen for COVID-19 was very limited hotspots. Deploying rapid tests at 70 degrees below zero Celsius. where they’re needed is a key part of That’s colder than the average tem- in Oregon. Even as that capacity increased, strict criteria kept the Oregon’s plan to reopen. perature during sunless Antarctic number of people who qualifi ed for COVID-19 rapid tests are fairly winters. tests low. new, and they haven’t been held up But given the myriad ways RT- Very few people with mild or mod- to the same standard of performance PCR specimens are shipped to com- mercial labs (ideally, by courier, but erate symptoms were getting tested. that tests for other diseases have. And many people were told to stay Abbott claims that the false negative occasionally by mail), Jeanne said it’s entirely possible samples aren’t home and ask for a test again if they rate for their ID NOW rapid test is as low as .02%. being frozen before they’re shipped, got sicker. Most tests were going to the sickest patients, and that’s a But the Cleveland Clinic conducted or they thaw in-transit. a study that found that the tests But he doesn’t know if that actu- problem, because they’re the most One solution for oxygen at home, away, and for travel Introducing the INOGEN ONE – It’s oxygen therapy on your terms No more tanks to refi ll. No more deliveries. No more hassles with travel. The INOGEN ONE portable oxygen concentrator is designed to provide unparalleled freedom for oxygen therapy users. It’s small, lightweight, clinically proven for stationary and portable use, during the day and at night, and can go virtually anywhere — even on most airlines. 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Mike Rudi, a member of the Budget Board who also serves on the Sports Complex Board, had high praise for Buell Gonzales Jr., who had worked to bring a district all-star tournament to Baker City this summer among other projects. “We would have had a signifi- cant increase in revenue that we would have turned around and put back into the budget, not only for the Sports Complex, but for other things,” Rudi said. “The potential is there,” he said. “It’s sad we had to get the coronavirus in the first year.” Witty said that because the future of school sports is unknown at this time, Gonzales will spend “a good chunk of his time” as dean of students at Brooklyn Primary School, shar- ing the role with Angela Lattin in the coming year. Budget hearing The public will have one more chance to comment on the budget before it is adopted by the Board. A budget hear- ing is scheduled at 5:45 p.m. Thursday, June 18, just prior to the monthly Board meeting. More information and a copy of the budget is available online at www.5j.org or by calling the District Offi ce at 541-524-2260. could miss up to 48% of infections. It also found issues with the ac- curacy of other COVID-19 rapid tests. Although Abbott says the false negatives were due to user error, the Cleveland Clinic and others have stopped using their tests. The high false negative rates with rapid tests for other, more established diseases, has further fueled skepti- cism. The Food and Drug Administra- tion has offi cially cautioned the public about the accuracy of Abbott’s tests for COVID-19 and is investigating further. The bottom line Combined, all these factors can lead to a high number of false nega- tives that undermine the accuracy of COVID-19 testing. But as companies, clinicians and hospitals enter the pandemic’s third month, some ac- curacy issues have resolved. The rise of in-house and close-to-home tests is an example. “The in-state testing from clinical hospital labs tends to be very fast,” Jeanne said. “They’re turning around within a day.” Because turnaround times can’t be guaranteed by commercial labs, which process tests from across the country, OHA isn’t including them in their testing goals: Good contact tracing relies on fast test results. It’s the number of tests that can be processed in-state that really mat- ters. Before Oregon could reopen, the Oregon Health Authority wanted to be able to process at least 15,000 tests in-state per week. That goal has been reached. As Oregon continues to reopen, models will depend on the accuracy and availability of tests going for- ward. Those models are supposed to warn us before an outbreak becomes uncontrollable. But those models also depend on the accuracy of Oregon’s past tests. As the coronavirus pandemic progressed in Oregon, OHA deployed a common strategy: retroactively updating Oregon’s models to make future projections more accurate. In a few more months, once all the death certifi cates have been processed, the OHA’s Center for Health Statistics may start to review the deaths in Oregon from the fi rst quarter of this year. If they do, they’ll look for patients who died with symptoms similar to those caused by COVID-19. Maybe some questions will be answered. “That would be a good project for our team to take on,” said Jennifer Woodward, the center’s state regis- trar. “But not right now.” Like so many other things during this pandemic, the data just isn’t there yet. Prepare for unexpected power outages with a Generac home standby generator There are many ways we can tackle IRS or State tax relief together: Call us now for your FREE tax consultation & evaluation: 1-855-839-0752 Middle School building begin- ning in the summer of 2021-22. Window replacements, roof work and concrete repair are some of the items that have been delayed. Witty said the District has also heard concerns about the District’s upkeep of its buildings and grounds. “I do believe that in the last 2fi to 3 years we have done a good job,” Witty said. “There is a ton of deferred maintenance here.” Some roofs and heating systems in the District’s older school buildings will need to be replaced at some point, for example, he said. The District also hears com- plaints about the number of ad- ministrators on the payroll, an issue Witty says he has heard complaints about throughout his career. The superintendent noted that there is a need for more administrators in the modern school environment because of the changes in education over the years. “The regulations and over- sight have changed dramatical- ly since I first started in 1986,” he said. 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