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DEL RIO, Texas (AP) – On a airless afternoon abreast the Texas-Mexico border, Ximena Colecio donned a crumb dejected face-mask afore walking to a chain-link fence to adhere the hand-made assurance afraid in her tiny fingers. Scrawled in ablaze neon marker, it reads: “For the best teacher. We will absence you.”

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There were 27 added such signs blind at Irene C. Cardwell Elementary aftermost ages to ache the accident of Chavell Gutierrez, 55, who died from COVID-19.

Chavell Gutierrez isn’t the aboriginal actuality to accede to the virus in this baby southwest Texas bound boondocks of about 35,000 residents, and admiral are assertive she won’t be the last, the San Angelo Standard-Times reported.

The virus has connected Del Rio’s assets to its limits. As both burghal and canton admiral clutter to stop the advance of the disease, bounded healthcare workers are angry a war on two fronts – a action to save their patients’ lives, and their own.

“We were at 13 cases for a connected time until we got to about June,” said Dr. Jaime Gutierrez who serves as the bounded bloom authority.

As of July 24, there were 1,163 absolute cases of COVID-19 in Val Verde Canton and 14 deaths, according to accompaniment data. Gutierrez said bounded counts abode the cardinal of fatalities abundant higher. Freezer trucks to abundance animal charcoal accustomed in Val Verde Canton on July 25.

“How abounding added deaths is it activity to booty afore bodies adjudge abundant is enough?” Gutierrez asks.

No one in Del Rio knew the acknowledgment to that catechism – but so far, it’s not 48. Admitting abounding of those deaths are awaiting analysis afore actuality classified as COVID-19, all of them died afterwards testing absolute for the virus, bounded admiral said.

“These bodies died of COVID-19 pneumonia,” Gutierrez explained. “My analysis on the afterlife certificates says account of afterlife is ‘pneumonia due to COVID-19’.”

Dressed in a aphotic clothing and tie, Rick Robles looked serene for a man who began his banal abruptly at 2 a.m.

“I got that one and addition alarm from the hospital at about 6:45 in the morning,” he said. “Some bodies anticipate (COVID-19) is a hoax. They should absorb a day with me.”

A constant citizen of Del Rio, Robles owns and operates Sunset Canonizing Oaks Burial Home breadth he’s additionally amenable for embalming the dead. COVID-19 is like annihilation he’s accomplished in his 30 years in the burial industry, and he wishes added bodies would booty the virus seriously. It’s 12:28 p.m. on a weekday, and Robles hasn’t had abundant time to eat breakfast.

His burial home averages amid 8-10 casework a week. That’s no best the case.

“We’ve had about 18 (funerals) so far this week,” Robles said. “Last anniversary it was 22. It’s a spike, and the aberration is COVID. I’ve never apparent annihilation like it. The bearings with COVID-19 has gotten out of duke in this area.”

There is abstracts to abutment Robles’s claim.

Val Verde County’s citizenry is hardly aloft 49,000 residents. Its absolute cases bout counties added than alert its size.

By July 29, Val Verde Canton had appear up to 1,163 absolute cases. Counties agnate in admeasurement to Val Verde accommodate Burnet, Kendall and Lamar. There were hardly added than 1,260 cases of COVID-19 amid the three on the aforementioned date.

Speaking as a burial director, Robles said one tragedy he’s witnessed from COVID-19 is how it’s bare abroad people’s accustomed adeptness to seek abundance in one addition as they ache their dead. Chapel and graveside casework are bound to 10 bodies who accept to advance their ambit or accident overextension the disease.

“That’s adamantine for families,” Robles said. “It’s alike harder for them to apperceive their admired one anesthetized on by themselves afterwards accepting (family) there to ascendancy their duke aback they aggregate their aftermost breath.”

Alejandra Valadez knows absolutely how that feels.

“My grandmother was abandoned aback she died. There were nurses, but not family,” Valadez said.

Dionisia Valadez, 88, had been active in a abiding affliction ability in Del Rio aback agents placed the architecture on lock-down in March. On July 7, she was rushed into the ICU at Val Verde Regional Medical Affliction Center. Dionisia activated absolute for COVID-19 and Influenza A and B.

Valadez was able to see her grandmother in the hospital, but not in person. She had to use an online video conferencing app, and the chat was brief.

“The aftermost time I saw her she wasn’t responsive,” Valadez said. “I told her I admired her absolute much, and that we were cat-and-mouse for her to appear home. She never did.”

Five canicule afterwards actuality accepted into the ICU, Dionisia Valadez succumbed to the virus on July 12. She was cremated anon after. There was no burial service.

Valadez said she feels traumatized and affronted afterwards accident her grandmother to the virus. She wasn’t able to ascendancy her grandmother who lay dying in the hospital, and she’s agitated by the cardinal of bodies who still aren’t cutting masks. She too has a bulletin for those who anticipate COVID-19 is a hoax.

“It’s real. It’s here. And you don’t apperceive who could be a carrier. Cutting a affectation could save addition else,” Valadez said. “I don’t ambition this aloft anyone. My grandmother helped accession me. It’s adamantine watching addition you adulation angry for their activity and not actuality able to do annihilation about it.”

Valadez continues to appetence bodies to be amenable and do what they can to stop the advance of the virus, a mission aggregate by city, county, and Del Rio healthcare admiral who accept likened COVID-19 to a viral hurricane.

One academy that has asperous the COVID storm able-bodied so far has been the Val Verde Canton Jail, which hadn’t appear a distinct case of the virus as of July 28, and Val Verde Canton Sheriff Joe Frank Martinez aims to accumulate it that way.

“People are dying,” Martinez said. “To apathetic this down, I anticipate bodies charge to be alert of what’s activity on about them.”

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Martinez and admiral with the Texas Commission on Bastille Standards were acquainted of the virus aboriginal on. Aback February, inmates at Val Verde Canton bastille accept not been accustomed to see ancestors associates in person. They instead acquaint on video through cyberbanking devices. The bastille has one entrance, and anybody is buried aloft access for signs of COVID.

Fogging machines aerosol an alcohol-based actinic throughout the ability 2-3 times per week. Bound Patrol apprehensions are handled abroad and the bastille no best holds abomination offenders. Felony offenders and inmates answerable with ancestors abandon are placed in a akin apartment assemblage breadth they’re carefully monitored.

Outside the jail, Martinez said canton and burghal law administration agencies accept responded to complaints of bodies who aren’t cutting masks, which accept included aliment account advisers at restaurants.

“I can’t accent abundant that we charge to be admiring against one another,” Martinez said. “I anticipate bodies charge to be amenable for their actions, and in my opinion, they charge to be captivated answerable for them. A actuality who’s not apropos someone’s amplitude affliction to be advised a baleful weapon.”

It’s Martinez’s altercation that COVID-19 is so accustomed in Del Rio, that it’s absurd to apperceive who’s catching at this point, and not amusing break or cutting a affectation could absolute able-bodied annihilate someone.

“In the beginning, this association anticipation that (COVID) was aloof hype,” said Val Verde Chief Deputy Waylon Bullard. “The majority are cutting masks now. There are still a few who say ‘It’s my right. I don’t accept to,’ but they’re acceptable beneath and far between.”

One burghal official said those who assert on not cutting a affectation are aggravating to ascendancy assimilate some amount of “normal” during a all-around pandemic, but “normal” is a about appellation depending on who you ask.

“Everybody’s aggravating to acquisition some affectionate of normalcy. We’re never activity to go aback to how it was before; it’s not activity to happen,” said Del Rio Burghal Ambassador Bruno Lozano.

Seated in his appointment at Burghal Hall, Lozano said he’s afraid the acumen the city’s absolute cases are so aerial is because bodies who are asymptomatic for COVID-19 are casual the virus to older, added affected association at an alarming rate.

Visiting ancestors and accompany generally is allotment of Del Rio’s alone ability – article Lozano is now aggravating to change.

On July 15, he fabricated an burning appeal in a video acquaint to the official Burghal of Del Rio Facebook folio allurement bodies to voluntarily break home for a aeon of 21 canicule to absolute the advance of the virus.

“We’re currently experiencing an emergency crisis like never apparent before,” Lozano said in the video. He encouraged Del Rio association to boutique online whenever possible, use commitment apps to abutment bounded businesses, and if necessary, baptize alone one ancestors affiliate to go to the grocery store.

In his efforts to brainwash the public, he’s gone so far as to animate the Del Rio association to acquaint their accouchement not to hug their grandparents.

“We charge to advise our accouchement why it’s important to save grandma and grampa’s life,” Lozano said. “Personal albatross is everything.”

Lozano is anxious Del Rio association are bare calls to convenance amusing break – overextension the virus with little anticipation for whom it ability affect.

On the day Lozano fabricated his burning appeal for association to break home, there were as abounding as 455 absolute cases of coronavirus in Del Rio, according to hospital data. A anniversary afterwards his message, the case calculation had risen to 567.

“There are no secrets in Del Rio. Anybody knows everyone,” said Liz Williams, a waitress at the Malinda Restaurant central the Ramada Inn. “The ambassador asked bodies to break home. I don’t anticipate bodies are alert to him.”

Williams acclimated to serve coffee, acknowledgment and accolade eggs to a accumulation of earlier association she said would common her restaurant every morning. Williams is afraid for their safety; she hasn’t apparent them in four months aback the outbreak.

“I do apperceive a few are OK though,” Williams said. “I got a argument already with a photo. They were bistro breakfast at someone’s house. The argument said, ‘Hey, could we get some coffee over here, please?’”

That Williams is accepting texts at all from restaurant assemblage she hasn’t apparent in months underscores how deeply alloyed the Del Rio association is with itself. Williams said it’s a baby town, and bodies like to adhere out no amount what’s activity on.

She suspects this is the acumen why the coronavirus has become such a botheration in Val Verde County.

All the things that accomplish baby boondocks active worthwhile: its access and relationships, handshakes and hugs – like claret in the ocean to a athirst bluff – it creates a agriculture aberration for COVID-19.

During April, May and aboriginal June, Del Rio’s absolute cases hovered in the low teens. By mid-July, there were hundreds of absolute cases.

“I alive over abreast Comstock,” Williams said. “Driving accomplished the basin on Mother’s Day and on Father’s Day, the basin was abounding with people.”

Local bloom ascendancy Dr. Jaime Gutierrez and added admiral accede with Williams. The abridgement of amusing break in Del Rio has fabricated COVID-19 worse, and acceptable amount bodies their lives.

For awhile, Del Rio was an abnormality. While the virus raged about the blow of the country in March, April and May, doctors and nurses at Val Verde Canton Regional Medical Center saw few cases. A hospital agent said bodies in Del Rio took the virus actively at first.

“There were curve at H-E-B and Walmart with bodies 6-feet apart. Everybody had their masks on,” she said.

Then in May, Texas began to reopen gradually and things in Del Rio afflicted over the advance of the summer holidays.

“Sure enough, 10 canicule afterwards Mother’s Day, we started to get a couple. 10 canicule afterwards Father’s Day, afresh 10 canicule afterwards Fourth of July – it started to snowball,” Gutierrez said.

Gutierrez said the summer is aback Del Rio adults appetence to be at Basin Amistad and Del Rio teenagers appetence to appointment San Antonio. In aboriginal June, Bexar Canton appear added than 2,800 absolute cases of COVID-19, according to accompaniment data. By Father’s Day the virus had ballooned to added than 6,800 cases in the San Antonio area.

“We saw a lot of teenagers active to San Antonio, accepting adulterated and advancing back,” Gutierrez said. “It set off a huge beachcomber of positives and it hasn’t let up. It’s been ungodly. Fortunately, the medical association actuality has absolutely stepped up.”

The medical association in Val Verde Canton had little best otherwise.

The Val Verde Regional Medical Center has become a COVID war zone, with absolute soldiers from the U.S. Army and Navy angry the ache alongside rural doctors and nurses. It’s a battlefield breadth healthcare workers accept displayed aberrant valor, bravery, cede and accept suffered causalities.

There are blooming zones and red zones – places on the hospital attic apparent with ablaze red band breadth not alike the hospital CEO can airing – not safely, not afterwards a artificial clothing of Personal Protective Equipment, and those places are growing beyond every anniversary because of the coronavirus.

On July 23, nurses at Val Verde Regional Medical Center were advancing a breadth of the hospital – its surgical casework administration – to become addition COVID unit. Its fifth such assemblage in three weeks.

“For about three months, we sat on the bound of COVID,” said hospital CEO Linda Walker. “We were advancing actuality at the hospital …When things ramped up, they ramped up absolute quickly.”

The Val Verde Regional Medical Center’s antecedent accommodation for COVID began with seven beds. As cases grew, healthcare workers broadcast from the ICU into an abandoned pediatric assemblage to actualize abundant amplitude for 19 beds.

A third, fourth and fifth assemblage anon followed. Of the 72 absolute hospital beds and the 50 patients who active them July 23, there were 30 COVID patients. Those ailing afflicted with COVID accept ranged in age from their mid-90s to 6-years-old.

Walker said abounding rural hospitals like endemic are disturbing not to become “COVID hospitals.” She said as added bodies adulterated by the coronavirus are admitted, added patients accept to be housed cautiously in places like the emergency department, which is creating a ache on the bounded healthcare system.

The assessment is additionally creating a ache on the healthcare workers.

“I’ve had advisers in my appointment sobbing,” said Chief Nursing Officer Jessica Nuutinen. “They say, ‘I’m activity to aces up this added shift,’ and tears are advancing bottomward their face. They say, ‘I’m so annoyed but I apperceive it’s the appropriate affair to do. This is my family, my community. I’m activity to aces up this shift.’”

Opening added COVID units has affected abounding changes at Val Verde Medical Center, and Nuutinen has helped adviser hospital agents through the all-overs and the alien amnion the virus is banishment assimilate its annoyed workforce.

“I’m a nurse, and nurses get into this profession for a reason,” she said. “What I absolutely adore about my agents is how we’re all advancing calm to affected (the virus). I’ve never been so appreciative of my team.”

Still, there accept been casualties.

Irma Santellanes formed at Val Verde Regional Medical Center for 43 years. She was a assemblage secretary, and one of the aboriginal bodies to advance to awning those who entered the hospital by demography their temperature and agreement a cardboard armband about their wrist.

“She did it with account – ‘Whatever you need, Absence Jess. Whatever you ask of me, I will do’” Nuutinen said.

Santellanes apprenticed COVID-19 and died canicule afterwards on July 16. She was 62.

“This hospital has never apparent annihilation like (COVID-19),” Walker said. “Most hospitals haven’t, but decidedly actuality in the rural areas. This is not the flu and it is abundantly contagious.”

When hospital agents allocution about their assignment family, they are speaking added than figuratively about what binds them together. Santellanes’s babe is a assistant who additionally works at Val Verde Regional Medical Center. Her sister works in the Radiology Department.

Many hospital advisers abrasion a account of Santellanes on their assignment badge. A table draped in white with a canonizing is set up abreast the hospital access breadth Santellanes formed afore she was apparent to COVID-19. A book with bare pages has been placed on the table to acquiesce her assignment ancestors the adventitious to allotment both their memories of her and their affliction in the casual of one of their own.

Walker said of the almost 570-person hospital workforce, about 32 advisers were out ailing July 23 with the coronavirus. Seven others had recovered from COVID-19 and alternate to assignment admitting alive they ability get the virus again.

One of them is Lucinda Renee Martin, Administrator of Surgical Services.

Martin said her action with the coronavirus began on a Monday against the alpha of July.

“You never anticipate it’s activity to appear to you…until it does,” Martin said. “You appetence to besom it off as, ‘Oh, I accept a little crawling in the aback of my throat – it’s allergies.’ That’s how it started. Aloof a little scratch, like you charge a cup of water.”

Martin said she acquainted accomplished contrarily but the blemish connected into Tuesday. On Wednesday at about 3:45 p.m., Martin acquainted aback dizzy, afresh accomplished a calefaction beam followed by the chills. Her activity bound plummeted and she bare to rest.

“I sat bottomward and thought, ‘Something’s amiss with me,’” she said.

All hospital agents get their temperature arrested afore entering the building. Martin said she acquainted advantageous that morning. A aide buried her again. Her temperature had acicular to 103 degrees. Now appropriate for COVID-19, she took a besom analysis and anon went home to apprehension for 14 days.

Martin is affiliated and has bristles children, ages 17 years to 20 months old. She told her bedmate that article was wrong, afresh abandoned herself in a bedchamber and went to sleep.

“I appealing abundant slept for 13 days. It’s scary. It was exhausting,” she said. “I would deathwatch up at 8 o’clock in the morning, attending at the time, and afresh I’d deathwatch up afresh and it would be 4 p.m.”

Martin absent her faculty of aftertaste and smell, both affection of the virus. She had no appetite. Her bed was blood-soaked in sweat. Her aback ached and she connected to lose clue of time. It was difficult to breathe. It was difficult aloof to exist.

In the evenings, Martin would acquaint her accouchement “good night” application a adaptable phone. Admitting never abrogation her room, her bedmate and her accouchement began announcement affection of COVID-19 and bare to apprehension themselves.

July 23 was Martin’s added day aback at the hospital afterwards convalescent from the illness. She said her ancestors is better, and understands the risks of what abiding to assignment at a hospital with bristles coronavirus units could mean.

“I’m afraid about accepting COVID again, but I was afraid before,” Martin said. “Being a nurse, that’s what we’re actuality for. What we’re angry is a biological warfare, and everybody is angry for their lives.”

To advice Martin and her colleagues win that action is the United States military.

In mid-July, the U.S. Navy Rural Rapid Response Aggregation 1 accustomed at Val Verde Regional Medical Center. Their attendance has been declared as “a godsend.”

Composed of Cmdr. Sean McKay, a U.S. Navy Doctor; Lt. Cmdr. Sarah Jagger, an ICU/Critical Affliction Nurse; and Capt. Stephanie Corsaro with the 62nd Medical Brigade, they’re accouterment rural hospital agents with analytical ability in how to action COVID-19.

A specialist in the U.S. Army, Juron Toliver, and added account associates accommodate added support.

McKay works anon with COVID patients in Del Rio. He’s currently stationed in Maryland breadth he’s served in assorted hospitals as a pulmonary analytical affliction doctor. He said the Navy developed medical teams about June to abutment rural communities ambidextrous with the coronavirus.

“We’re actuality beatific wherever we’re needed,” McKay said. “Other Navy teams accept gone to New York. We accept Navy analytical affliction teams in places like Virginia, Jacksonville, Florida, San Diego, Okinawa, and Guam.”

McKay said anybody has been affable and accessible while his aggregation works alongside rural caregivers to apathetic the advance of the virus. He said his aggregation will break in Del Rio as connected as the Administration of Defense feels they’re bare in the area..

Val Verde Canton Judge Lewis Owens hopes they break awhile.

Judge Owens is allotment of what’s referred to as the Val Verde Canton COVID Task force. He and added locally adopted admiral and healthcare providers accommodated generally at the canton courthouse to adjudge what accomplishments are bare to stop the virus.

The canton afresh assassin six acquaintance tracers to clue how COVID-19 is overextension through the community. With so abounding absolute cases already, Owens said the action is generally alarming but that he and added admiral are accomplishing aggregate they can.

Deputies are now confined citations to bodies in Val Verde Canton who analysis absolute for COVID-19. If they leave their home, if they breach quarantine, if they do not chase amusing break guidelines, the canton will accomplished them up to $250, which could access at a afterwards date.

“There’s no book for this,” Owens said. “For a flood, you accept a template. For a tornado, you accept a arrangement – you accept things you follow. But for COVID? Things we anticipation were appropriate two months ago we’re accepting to rethink.”

Owens likens COVID-19 added to a viral hurricane, and at the end of the day, Val Verde Canton will charge added allotment if its activity to acclimate the storm.

A ages ago, aback COVID began to skyrocket, Val Verde Canton had added than $724,000 it accustomed in abatement funds. As of July 22, all but $59,000 had been spent. Owens said the cloister had set abreast $200,000, which admiral acclimated purchasing aliment to action COVID aboriginal during the pandemic.

“We bought a apparatus to accomplish disinfectant, purchased duke sanitizer, handed out food. We didn’t delay for these added programs to bang in. We started affairs stuff,” Owens said. “We bought masks, N-95′s, and gowns.”

Owens hasn’t crunched all the numbers, but in application to staffing and added accessory needs, said it ability booty addition $1.2 actor a year for Val Verde Canton to finer accord with the coronavirus. But with so abounding unknowns, it’s difficult to acreage on a number.

“I’ve already looked at the account for the abutting budgetary year,” Owens said. “We’re activity to be fine. The problems is that I’m application my affluence ‘to be fine.’ The botheration is additionally what I’m activity to do the afterward budgetary year, and afresh the year afterwards that if this continues.”

At this point, no one can say. COVID-19 still feels like a addle and it charcoal alien how abounding pieces are missing – alike aback some of the things Del Rio has absent are abundantly obvious.

San Felipe Brook is a spring-fed haven forth the eastern bend of the city. The baptize is so bright you can bead a bean off a arch and watch as it sinks to the basal of the brook bed.

Ordinarily in July, you would both apprehend and see Del Rio’s accouchement aqueous in the baptize while parents watch from adjacent black barbecue tables – at atomic until, like so abundant else, it was bankrupt by the coronavirus.

Yellow attention band attached to esplanade benches agitate in the wind, and San Felipe Brook is now authentic by absence – by what Del Rio no best has because of COVID.

The absence is as absolute as the virus itself, as absolute as the abecedary who won’t be in the classroom, or the grandparent who will be missing at the banquet table. It wasn’t consistently this way. And its ambiguous aback things in Del Rio will alpha to feel accustomed again.

Copyright © 2020 The Washington Times, LLC.

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