Press Room

As New York continues to mitigate the spread of COVID-19, Public Advocate Jumaane D. Williams is calling for the city and state to shift from single-use Personal Protective Equipment (PPE) in medical facilities to reusable, cost effective PPE that would save money and serve as a safeguard against any potential PPE shortages.

In a letter to the Mayor and Governor co-signed by medical professionals in a number of roles, the Public Advocate argues, "The lack of a clear end to this pandemic requires hospitals to create a long-term plan to deal with shortages of PPE. Utilizing reusable respirators such as Elastomeric Filtering Facepiece Respirators (EFFRs) and Powered Air Purifying Respirators (PAPRs) will save healthcare institutions from expensive emergency purchases of disposable respirators such as the N-95 while providing superior protection for healthcare workers during the duration of COVID-19 and subsequent pandemics."

They continue, "The constant replacement of N-95s to adequate levels in the current climate and post-pandemic environments will prove unsustainable. The order for every healthcare facility to have its own 90-day supply of PPE poses extreme challenges...We urge you to include and promote the partial replacement of N-95s with durable and sustainable reusable PPE for our frontline health care workers in city and state-level procurement initiatives."

Public Advocate Williams joined a coalition of doctors, nurses, and other hospital personnel Wednesday morning to discuss the need for this strategy. Video is available here.

The full letter is available below and can be downloaded here.

Dear Governor Cuomo and Mayor de Blasio:  The COVID-19 pandemic has affected nearly every aspect of our lives and has placed a tremendous demand on personal protective equipment for our health care workers. The lack of a clear end to this pandemic requires hospitals to create a long-term plan to deal with shortages of PPE. Utilizing reusable respirators such as Elastomeric Filtering Facepiece Respirators (EFFRs) and Powered Air Purifying Respirators (PAPRs) will save healthcare institutions from expensive emergency purchases of disposable respirators such as the N-95 while providing superior protection for healthcare workers during the duration of COVID-19 and subsequent pandemics.  This crisis has highlighted the importance of having a reliable supply of PPE for our healthcare workers. Shortages of the N-95 have led the Centers for Disease Control and Prevention (CDC) to create protocols for extending the use of N-95 beyond common recommendation. In the absence of aggressive plans via the Defense Production Act and other national and international means, shortages are unavoidable at these times, especially in smaller hospitals and clinics that do not have the budgets or supply chains to ensure provision of high volumes of masks for extended periods of time. Reliance solely on N-95 respirators puts healthcare workers at risk, in addition to creating an increased risk in patient population and community.  The need for PPE for our frontline health care workers will be an ongoing effort for months to come as we continue to battle this pandemic. The constant replacement of N-95s to adequate levels in the current climate and post-pandemic environments will prove unsustainable. The order for every healthcare facility to have its own 90-day supply of PPE poses extreme challenges. Hospitals will stock according to rationing protocols that allow for limited distribution of PPE among healthcare workers and extended use of N-95, rather than stocking to levels that would provide adequate coverage and safety for all healthcare workers.

We urge you to include and promote the partial replacement of N-95s with durable and sustainable reusable PPE for our frontline health care workers in city and state-level procurement initiatives.  In pandemic conditions, if following standard safety protocols, an ICU or ER nurse could use between 30-40 single-use N-95 respirators each day. The use of one re-usable elastomeric respirator, therefore, can save hundreds of N-95s per provider per week. At current market rates, an N95 costs between $3 and $7. An elastomeric respirator and replacement filters cost approximately $30-$40 for a lifetime of use. Additionally, as the increased shortage and rationing of N-95s has led to an abandonment of standard infection control precautions, access to reusable respirators will significantly reduce the misuse of N-95s, which continues to put staff and patients in danger. Implementing reusable respirators will also reduce the pressure on waste management systems at state and city levels, which are currently tasked with processing an unprecedented volume of medical waste safely.  As we continue the fight against this pandemic while phases of reopening begin in New York, we must be proactive in our preparation for a potential second wave. Shifting to the use of reusable respirators such as Elastomeric Filtering Facepiece Respirators (EFFRs) and Powered Air Purifying Respirators (PAPRs) will prove to be a rational choice economically and environmentally, building the self-reliance and resilience of healthcare facilities as we endure long-term engagement with COVID-19. We look forward to receiving your response. For further discussion, please contact First Deputy Public Advocate Nick E. Smith at nsmith@advocate.nyc.gov. Thank you for your time and consideration.  Sincerely,  Jumaane D. Williams  Public Advocate for the City of New York Natasha Anushri Anandaraja M.D., MPH  Founder, COVID Courage  Judy Sheridan-Gonzalez President, New York State Nurses Association (NYSNA) Steven Miller Delegate, Committee for Interns and Residents Housestaff President The Brooklyn Hospital Center Frank Proscia M.D President, Doctors Council

Public Advocate Jumaane D. Williams issued the following statement after Dr. Oxiris Barbot resigned from her role as New York City Health Commissioner on Tuesday morning.

"I want to extend my gratitude to Dr. Barbot for her service to New York City in an unparalleled time of public health crisis. Her resignation is a great loss for a city in need. Even in moments when we did not agree, I have always recognized, respected, and been deeply appreciative of her commitment to the health and well-being of New Yorkers.  

"The circumstances of her departure during the city's health crisis are troubling. Dr. Barbot has for months faced immense pressures internally and externally as she led efforts to combat this pandemic and save lives, often seemingly without necessary support, with what appeared to be inordinate resistance, and while being held to impossible double standards. Recent outside attacks on Dr. Barbot as a woman of more color have been far out of line, misogynist, and demonstrated a toxic attitude by many toward her and her leadership, one where she has been forced to apologize even as those who attacked her have not. Many are still struggling to understand the re-assigning of contact tracing to another agency without articulable reasoning. "This is not a time to be without strong, medically guided leadership on public health matters, especially as concerns grow about reopening schools. To that end I am encouraged that Dr. Dave A. Chokshi will immediately fill the role. As Dr. Barbot knew, this is an area where we need an independent thinker who can meet these immense challenges, guided by science and public good and supported by the agencies most responsible for public health and safety."

Public Advocate Jumaane D. Williams issued the following statement after newly reported data showed a deep racial disparity in NYPD enforcement of s̶t̶o̶p̶,̶ ̶q̶u̶e̶s̶t̶i̶o̶n̶,̶ ̶a̶n̶d̶ ̶f̶r̶i̶s̶k̶ m̶a̶r̶i̶j̶u̶a̶n̶a̶ ̶o̶f̶f̶e̶n̶s̶e̶s̶ c̶y̶c̶l̶i̶n̶g̶ ̶o̶n̶ ̶t̶h̶e̶ ̶s̶i̶d̶e̶w̶a̶l̶k̶ s̶o̶c̶i̶a̶l̶ ̶d̶i̶s̶t̶a̶n̶c̶i̶n̶g̶ ̶v̶i̶o̶l̶a̶t̶i̶o̶n̶s̶ alcohol summonses.

"At the same time that the city is rightly prohibiting people from consuming alcohol inside, it is penalizing them for doing so outside - primarily in communities of more color. Even as the total number of enforcement actions have fallen, the disproportionate targeting of people of more color continues. Again and again, from marijuana offenses, to social distancing, to stop, question, and frisk, we see that these disparities have continued to afflict Black and brown New Yorkers through overpolicing.

"The department continues to assert, in the face of overwhelming evidence, that it always enforces laws fairly and equally. In far too many instances, this is not the case, and these disingenuous denials do further damage. If leadership fails to even acknowledge these systemic inequities, how can we collectively confront and change them? This city deserves to see the same standards and methods applied, whether in the West Village or in East New York."

Public Advocate Jumaane D. Williams introduced in the City Council Tuesday two bills that would reform correctional facilities operations by providing a higher, consistent presence of social workers in correctional facilities, and by making videoconferencing more accessible to incarcerated individuals.

The first piece of legislation, Intro 2008, would require the Department of Corrections to maintain a ratio of one social worker for every ten incarcerated persons at each city correctional facility. The Department would also have to issue quarterly reports regarding the number of full-time licensed master of social work and clinical social workers, as well as the number of incarcerated persons, within all city facilities. Right now, there are significantly more correction officers than incarcerated individuals in city facilities.

The second bill, Intro 2009, would require the Department of Corrections to provide video conferencing services to individuals in their custody at no cost to such individuals or to the receiver. Under the legislation, persons in custody would be authorized to receive a minimum of five video conferencing calls per week for a minimum duration of one hour per call. This would not affect a person's ability or rights for in-person visits.

"In addition to broad criminal justice changes to lower the number of incarcerated individuals, it's critical that we drastically change the way our correctional facilities treat people on the inside, and how we think about the practices and purposes of incarceration," said Public Advocate Williams of the bills. "Adding more social workers is vital to helping incarcerated individuals and preparing them to come home while lowering the probability of recidivism. Expanding and improving videoconference access, especially in the midst of this pandemic, is another key way to support the mental and emotional well-being of incarcerated people, as well as support their right to fair legal proceedings."

The bills come as in-person visits and court appearances are severely limited amid the COVID-19 pandemic, which has had a devastating impact on incarcerated individuals and correctional facility staff. Earlier this year, the Council heard legislation from Council Members Keith Powers and Brad Lander as well as the Public Advocate which would limit commissary transfer fees, which were previously drastically higher for remote transfers than the now-prohibited in-person visits.

Public Advocate Jumaane D. Williams introduced legislation today in the New York City Council to expand access to menstrual hygiene products among students on all City University of New York campuses.

The bill, Intro 2015, would require the Department of Health and Mental Hygiene to provide menstrual hygiene products for CUNY to make available on campus, at no cost to the university or students. The city would need to provide a sufficient supply of tampons, sanitary napkins, and other related items to meet the needs of CUNY students.

The Public Advocate's legislation is co-sponsored by Council Member Helen Rosenthal, Chair of the Committee on Women and Gender Equity, and Council Member Mark Treyger, Chair of the Committee on Education. All three legislators were sponsors of a 2016 law that mandated the Department of Education provide menstrual hygiene products to students within their facilities, a mandate this new legislation would expand to include college-aged students.

"In 2016, when the Council passed legislation to provide menstrual hygiene products to students in Department of Education buildings, it was a major step forward for menstrual equity," said Public Advocate Jumaane D. Williams. "This new legislation would build on that progress and other recent developments, such as repealing the pink tax, to lift discriminatory burdens to health and economic equity."

A 2017 YouGov poll found that 65% of Americans believe menstrual hygiene products should be available free of charge in all school restrooms, compared to just 25% who disagree. 72% of 18-34 year olds believe the same. Half of all women surveyed in the same poll believe that menstrual hygiene products should be available and free in all public bathrooms, similar to other hygiene products like toilet paper and soap.

"Menstrual items are absolutely essential for hygiene. Making these products available to all in public restrooms, regardless of socioeconomic status, is just another part of making public spaces more accessible. And I am especially proud that persons in city jails, shelters, and on CUNY campuses will also have access to free menstrual hygiene items. I thank Public Advocate Williams and Council Member Treyger for their leadership on this issue, along with the CUNY students who worked so hard to make these bills a reality," said Council Member Helen Rosenthal, Chair of the Committee on Women and Gender Equity.

"Every person who menstruates should have equal access to menstrual hygiene products. This is a sexual and reproductive health and rights issue and with the advancement of the Menstrual Equity Bill introduced today, thousands of CUNY students, staff and their families will have free access to a basic life necessity. I thank my legislative co-sponsors, Council Member Rosenthal and Public Advocate Williams, for partnering with me to ensure that the affordability of a health item does not pose a barrier to education," said Council Member Mark Treyger, Chair of the Committee on Education.

Public Advocate Jumaane D. Williams released his proposal for a path to a safe, equitable, just re-opening of New York City schools on Monday morning amid a city and nation-wide debate on education strategies in the midst of the COVID-19 pandemic. The plan, detailed in a new report, is rooted in medical science and public health recommendations, and would reintroduce in-person learning in phases, based on public health infrastructure standards being met by facility, susceptibility to contract or spread the virus, and need.

In order to allow for critical infrastructure to be put in place and contingencies created, the plan calls for no in-school instruction until October, while remote learning would continue. Once the infrastructure is in place, elementary-school children up to age ten - whom recent research has indicated are at significantly lower risk of transmitting the coronavirus or contracting COVID-19 than older students and adults- could return to the classroom first. These classes would utilize empty middle and high school spaces in order to allow for greater social distancing. Prior to resuming any in-school instruction, Regional Enrichment Centers would be opened and expanded upon to provide education resources to students in greatest need, using a "pod model" which keeps students in the same small groupings and the same rooms. Phased reopenings of in-person instruction would be conditional upon meeting key infrastructure measures necessary for re-opening. Older students would continue remote learning through at least the end of 2020, reassessing in December based on the effectiveness of COVID-19 prevention in New York City at that time. "As we work to give our students the best education possible amid the pandemic, our priority has to be on the safety of students and staff, educators and parents," said Public Advocate Jumaane D. Williams. "Re-opening strategies for schools, just as with any other element of reopening, need to be driven by medical science. We can never completely eliminate risk, but this proposal minimizes it to the greatest extent possible while still allowing for some students to resume in-person instruction. As the public health crisis evolves, so too can our response." For students to return in October, the report highlights, aggressive public health and safety measures must be adhered to, including temperature screenings, staggered schedules, robust testing within communities, contact tracing, and a strategy which keeps students in the same small groupings, the same rooms, and with the same teachers. This effort would both reduce the risk of spreading the virus and make contact tracing easier and more effective if needed. Schools would also have expanded facility cleaning procedures. The phased re-opening based on student ages builds on similar successes in other countries and on research and population-driven data suggesting a low transmission rate among very young students, including a recent large-scale study in South Korea which indicated that while youth age 10-19 transmit the virus as adults, younger children have a greatly diminished risk. "Just as New York City has wisely slowly reopened, measuring the impact at each phase and reassessing at each step of the way, so, too, should we approach reopening our schools. The city has done the hard work to get to this point, and rushed reopening would run counter to that progress." said Dr. Celine Gounder, Clinical Assistant Professor of Medicine and Infectious Diseases, NYU School of Medicine and Bellevue Hospital, and CNN Medical Analyst. "The Public Advocate's plan is the right approach. Based on laboratory, clinical, and population-level data, it seems that children under the age of 10 are at lower risk of being infected, lower risk for developing severe disease, and lower risk of transmitting coronavirus to others. We should begin by reopening in-person teaching for children under 10 and children with special needs, as long as community transmission remains suppressed in the city."

The report also emphasizes the need to improve remote learning for those students still using the method, which includes expanding access to remote learning technology and to reliable internet connections, as well as through targeted trainings for parents and teachers.

The Public Advocate's proposal, which can be downloaded in full here, comes as the Trump administration pushed for a full reopening of schools, rejecting initial CDC guidelines which cautioned against hasty re-opening. After pressure, the CDC released revised guidelines.