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Health

New team member

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Dr. Francis Mercado

Access Health Care Physicians LLC has welcomed Dr. Francis Mercado to its medical team, at the practice of Dr. Jennifer Laman in Hudson.

Mercado came to Access Health Care after completing a post-graduate internship in Hospital Auxillio Mutuo in San Juan, Puerto Rico, where he actively worked on the front lines during the COVID-19 pandemic.

Mercado received his medical degree with distinction from Universidad Ibero Americana in Santo Domingo, Dominican Republic, in 2011.

He also has extensive experience in assisting physicians, including serving as a case manager with the Federal Bureau of Investigation in Washington, D.C., and as a surgical department volunteer at the Veteran’s Affairs Medical Center in Washington.

Speakers address mental health needs

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Suicide prevention and partnerships between law enforcement and mental health providers were the focus of talks delivered in a Zoom Session, on May 11, hosted by Saint Leo University’s East Pasco Education Center.

Sarah Shirina, licensed supervisor of behavioral health with BayCare Behavioral Health, shared her expertise on the topic of suicide prevention, while also discussing local services that are available to help people struggling with mental illness.

Sarah Shirina addressed suicide prevention during a speaker series hosted by Saint Leo University. (Courtesy of University of Saint Leo)

Shirina is the supervisor over BayCare Behavioral Health’s mobile response team in Hernando County.

She’s also an adjunct professor for Saint Leo University, with a bachelor’s and master’s degree in social work from the university.

She began by sharing national suicide data from the Centers for Disease Control and Prevention.

“Suicide, unfortunately, is one of the leading causes of death in the United States. It is the 10th leading cause of death in the United States, claiming over 48,000 lives.

“Suicide was the second-leading cause of death in individuals, between the ages of 10 and 34, and the fourth leading cause of death, among individuals between the ages of 35 and 54,” she said.

“There were actually 2½ times as many suicides in the United States as there were homicides, in 2018.

“So, what does that look like for our state? In 2019, Florida had a total of 3,427 deaths by suicide.

“In Florida, suicide is the eighth-leading cause of death,” Shirina said, adding the age group of 55 to 64 is most affected.

Shirina shared information derived from a research project by BayCare Behavioral Health and the University of South Florida, focusing on suicide in the Tampa Bay region.

Hot spots have been identified in all five counties in the Tampa Bay area, Shirina said.

“Hernando, Pasco and Pinellas, unfortunately, are all ahead and have higher averages of suicide deaths than the state of Florida.

“You’ll see that all of Florida had a total of 15 deaths per 100,000. And Hernando, Pasco and Pinellas are all in the 20s (per 100,000),” she said.

“Suicide affects men at a much greater percentage than it does women.

The study found that from 2010 to 2016, the suicide rate for men was twice as great as it was for women, she said.

“As our age groups increase, our military population is at a greater risk to be affected by suicide,” she added.

One of the big conclusions of the research was that Pasco, Hernando and Pinellas bear a disproportionate burden of death by suicide, in comparison to the state and surrounding counties, Shirina said.

Another conclusion: These are the same counties that bear the burden of the opioid addiction crisis.

She also noted that “80% of people who died by suicide had never had an involuntary examination, also known as the Baker Act.

“This, to me, was an alarming statistic,” Shirina said.

Among those who had undergone a Baker Act examination, 60% of those who died by suicide did so one or more years after their involuntary examination.

The study also found that middle- and older-aged white men had the highest rates of suicide, and among those who died by suicide, many had military backgrounds.

The research showed that guns were the most common method of suicide by men in all five counties.

By comparison, in Hillsborough, Pasco and Polk counties, more women died by overdose than did by guns, Shirina said.

“So, what can we do to help those who may be struggling?” Shirina asked.

Safety planning can help.

“When we’re safety planning with someone, we’re identifying their warning signs, their triggers and their stressful events that could lead to a crisis. We’re discussing with that person what they can do, what coping skills they can use to feel better.

“We’re discussing their support network. Who can they call when they need help? Who can they lean on?

“If possible, we often use that support network, when we’re creating these safety plans,” she said.

“We talk about what they look forward to in the future. What is important to them and what is worth living for? This is a great reminder, when someone is having these deep thoughts, that there are things in their future that they look forward to, and really, what is worth living for?

“We give a copy of this plan to them and to their support system, if possible, and we encourage them to keep it somewhere safe, so they can use it when they’re feeling upset,” Shirina said.

Dawn Wever addressed efforts being made to help mentally ill people get the help they need, instead of being locked up in jail.

Dawn Wever, the second speaker during the session, is a practicing mental health counselor.

She’s been an instructor in Crisis Intervention Team training for a number of law enforcement agencies. She’s also been a presenter on the topic at state conferences, is a former board member for National Alliance on Mental Illness (NAMI) Hernando and has done considerable research on collaborations between law enforcement and mental health professionals.

One in five Americans are affected by mental illness in any given year, according to statistics from NAMI, Wever said. That equates to approximately 57.7 million Americans living with mental illness. Of those, just 41% will receive treatment in any given year.

Research also shows that the average length of time from initial diagnosis to the onset of treatment is 10 years, she said.

She shared the story of the Memphis Police Department Crisis Intervention Team, which in later years came to be known as the Memphis Model.

The model stemmed from a 1987 incident in which police officers were called to an area of public housing in Memphis, where a young man was threatening with a knife, she said. Police officers ordered him to put down the knife. He refused. Eventually, police opened fire and the man was killed, she said.

“The mayor of Memphis turned to local advocates from NAMI and enlisted police, community mental health professionals, university leaders, hospital administrators, church officials to find a new approach to working with persons with mental illness, who are in crisis,” she said.

The approach involves a 40-hour, weeklong training for officers, deputies, detention personnel and dispatch, as well, regarding the recognition and understanding of signs and symptoms of mental illness, and focuses on verbal, de-escalation techniques, said Wever, who holds a master of arts/psychology from Saint Leo University.

Encounters between police and the mentally ill began increasing after the deinstitutionalization of psychiatric facilities began happening in the 1980s and 1990s, she said.

The expectation was that community-based mental health care facilities would provide treatment to those individuals released from psychiatric hospitals. Instead, county jails have become the largest mental health facilities in the country, added Wever, who has been in private practice since 2012.

The Rand Corporation estimated in 2020 that 15% of the men and 31% of the women incarcerated across the country have a serious and persistent mental illness, Wever said.

According to NAMI estimates, at least 400,000 currently behind bars in the United States suffer from some type of mental illness, Wever added. The organization also estimates that 25% to 40% of all mentally ill Americans will be incarcerated at some point in their lives.

She told Zoom listeners about a mental health unit operated by the San Antonio (Texas) Police Department .

“That’s regarded as one of the best law enforcement-based mental health units in the country,” she said.

“It was established in 2008 and to date, they have maintained zero use of force in a mental health call for service,” Wever said.

Shirina and Wever gave the final two presentations during a Social Services Speaker Series, which began on April 13.

Besides being informative, the series was intended to give participants exposure to a wide range of career opportunities in the helping professions.

To find out more about Saint Leo University’s East Pasco Education Center, email Derek Saunier, center director, at  or call 352-588-7451.

Warning signs of suicide

  • Increased alcohol and drug use
  • Aggressive behavior
  • Withdrawal from friends, family and community
  • Dramatic mood swings
  • Impulsive or reckless behavior
  • Collecting and saving pills or buying a weapon
  • Giving away possessions
  • Tying up loose ends, like organizing personal papers or paying off debts
  • Saying goodbye to friends and family

Suicidal behaviors are a psychiatric emergency. If you or a loved one exhibits these behaviors, seek immediate help from a health care provider or call 911.

If you are unsure, a licensed mental health professional can help assess.

Source: National Alliance on Mental Illness

Suicide Myths
Sarah Shirina, licensed supervisor of behavioral health with BayCare Behavioral Health, discussed some myths about suicide during a recent Zoom presentation hosted by the University of Saint Leo.

Here’s an excerpt from what she shared:

Myth: Talking about suicide or asking someone if they feel suicidal will encourage suicide attempts.

Fact: Talking about suicide provides the opportunity for communication. Fears that are shared are more likely to diminish.

Myth: People who talk about suicide never attempt or die by suicide.

Fact: Talking about suicide can be a plea for help, and it can be a late sign in the progression toward a suicide attempt. Those who are most at risk will show other signs, apart from talking about suicide.

Myth: If a person attempts suicide and survives, they will never make a further attempt.

Fact: A suicide attempt is regarded as an indicator of further attempts. It is likely that the level of danger will increase with each further suicide attempt. Just because someone has attempted suicide previously does not mean they are no longer at risk of attempting in the future.

Myth: Once a person has suicidal intent, there is no way of stopping them.

Fact: This is so far from the truth because suicides can be prevented. People can be helped. Suicidal crises can be relatively short-lived. Immediate practical help, such as staying with the person, encouraging them to talk and helping them build plans for the future can avert an intention to attempt or die by suicide. Such immediate help is valuable at the time of a crisis, but appropriate counseling also will be needed.

Need help?
Call the National Suicide Prevention Lifeline: 800-273-8255.
Call 2-1-1 for additional resources.

Want to help?
BayCare offers free Mental Health First Aid Training. To find out more, call 800-878-5470.

Published June 09, 2021

Health News 06/09/2021

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St. Joseph’s Hospital-North nurse manager Ellen Normandin alongside Robert Sakoff. (Courtesy of St. Joseph’s Hospital-North)

Patient gifts painting to hospital
St. Joseph’s Hospital-North in Lutz prominently displays a painting of a spring nature scene with trees, flowers and a small footbridge over a brook, in a team member common area.

There is a small gold plate attached beneath the painting inscribed with these words: “A Bridge to Recovery. To staff on 4 West for saving my life.”

The painting was done by COVID survivor Robert Sakoff, as a gift to the unit, according to a news release.

Sakoff spent 16 days in St. Joseph’s Hospital-North earlier this year as a COVID patient.

“I feel 120%,” said Sakoff, age 74, in the release.

Sakoff is originally from New York, but now resides in Tampa’s Northdale section.

Robert Sakoff’s painting titled, ‘A Bridge to Recovery.’

He described his battle with COVID during his early days in the hospital as being serious and “on the brink.”

As he began to recover and to feel better, Sakoff started the painting.

His wife, Mary, brought painting supplies to the hospital entrance and team members would take the supplies to Sakoff’s room.

“It was kind of boring being by yourself,” said Sakoff. “It was lonely, you couldn’t have family or visitors, so I started the project of this painting….It took hours in the day and it also helped my recovery because mentally it helped me focus also.”

Sakoff said he was pleased with the way the paint-by-numbers painting turned out.

“The care that I received there (St. Joseph’s Hospital-North) was amazing. The people were amazing, they’re friendly, they’re efficient. In my gratitude, I finished the painting and wanted them to have it. The painting was a park scene with a bridge, so I titled it ‘A Bridge to Recovery’” he said.

Board certifications
Advanced Cancer Treatment Centers has announce that its radiation oncologists, Dr. Peter James Zavitsanos and Dr. Clayton Elliott Alonso, have been granted certification on radiation oncology and now can use the designation of Diplomate, American Board of Radiology.

Having completed the appropriate training for “Authorized User Eligibility,” Zavitsanos and Alonso also will receive the AU-eligible designation on their certificates.

The doctors’ names and demographic information will now be included in a directory published by the American Board of Medical Specialties.

Mosquito warning

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The Florida Department of Health in Pasco County (DOH-Pasco) advises residents that there has been an increase in mosquito-borne disease activity in areas of Pasco County, according to a news release.

The Florida Department of Health in Pasco County has issued a warning about an increase in mosquito-borne disease activity. (File)

Several sentinel chickens have tested positive for the Eastern equine encephalitis virus infection. As a result, the risk of transmission to humans has increased.

The Pasco County Mosquito Control District and DOH-Pasco continue surveillance and prevention efforts.

DOH-Pasco reminds residents and visitors to avoid being bitten by mosquitoes and to take basic precautions to help limit exposure.

To protect yourself from the insects, remember to drain standing water to stop mosquitoes from multiplying.

Drain water from garbage cans, house gutters, buckets, pool covers, coolers, toys, flowerpots and other containers. Empty plastic swimming pools and boat tarps that accumulate water, too.

Discard old tires, drums, bottles, cans, pots and pans, broken appliances and other items that aren’t being used. Empty and clean birdbaths and pet water bowls at least once or twice a week.

Residents should cover their skin with clothing or repellent.

Wear shoes, socks, long pants and long-sleeves.

Apply mosquito repellent to bare skin and clothing. Always use repellents according to the label.

Use mosquito netting to protect children younger than 2 months old.

For more information, visit Pasco.floridahealth.gov.

Social worker addresses rising youth mental illness

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As efforts continue to lessen stigma and discrimination regarding mental illness — the challenges have become even greater during the COVID-19 pandemic.

Even so, there are ways to strengthen awareness and improve access to treatment and counseling for troubled youth and adults, according to Sativa Fisher, a social worker for the Hernando County School District.

Fisher was a featured guest speaker during an April 27 virtual social services event hosted by Saint Leo University’s East Pasco Education Center.

Hernando County School District social worker Sativa Fisher (Courtesy of Mary McCoy, Saint Leo University)

Her talk was part of a speaker series for students and prospective students interested in “helping careers.”

Topics for the free online series were selected with the goal of having broad appeal to those interested in social work, education, criminal justice, psychology, and human services.

Fisher’s presentation focused on her work, the prevalence of youth mental health issues and the function of social workers in the public school setting.

The social worker emphasized just how “widely underestimated” mental illness is in the United States, particularly among teens and high school students.

She cited these statistics and figures from the Centers for Disease Control and Prevention (CDC)’s 2019 Youth Risk Behavior Survey:

  • 19% of students nationwide considered suicide
  • 16% of students nationwide made a suicide plan
  • 9% of students nationwide attempted suicide
  • Notable risk factors for suicide ideation include being a non-Hispanic, Black female who identifies as lesbian, gay or bisexual.

Fisher also shared various findings from Mental Health America, the nation’s leading community-based nonprofit to address the needs of those living with mental illness and promoting overall mental health of all:

  • 9.2% of United States youth ages 12 to 17 cope with severe major depression
  • The state prevalence of youthwith severemajor depressive episodes ranges from 6% in Mississippi to 13.2% in Nevada (Florida stands at 10%).
  • The number of youth experiencing major depressive episodes increased by 121,000 from 2018 to 2019.

The social worker pointed to an “alarming” finding in her research cited from Mental Health America — youth experiencing major depressive episodes continue to go untreated.

Even among states with greatest access for youth, almost 50% of youth still do not receive the mental health services they need, according to the organization’s reports, Fisher said.

“It’s interesting how much of an issue mental health is, and how undertreated it is, even within our society today,” said Fisher, who obtained her bachelor of social work from Saint Leo University and her master of social work from University of South Florida.

Fisher also shared her thoughts about potential contributing factors regarding why suicide ideations and major depression have become so prevalent among American youth in recent years.

“We have many kids who have access to social media and are learning a lot more than they used to, and that’s become evident between both in elementary and middle school, and the things that they’re exposed to, they don’t know, developmentally, how to deal with it,” she said.

The pandemic hasn’t helped, either.

Fisher referenced data showing about 40% of U.S. adults reported struggling with mental health this past year, up from about 25%, pre-COVID.

Parents and caregivers are struggling “with everything that comes with being in this pandemic that we all have experienced,” she said.

The rising levels of stress, loneliness, depression, anxiety has all but “rubbed off” on children, Fisher said.

“I’ve heard more stories of families having friction, more arguments,” Fisher said. “(Students) just feel more anxious…and that shows up in their schoolwork, that shows up in their peer relationships, with their adult relationships.”

Social work delivers rewarding responsibilities
Fisher is one of 13 social workers in the Hernando County School District.

She started working this past school year, amid the pandemic.

Besides her educational background, Fisher joined the district equipped with real-world experience — having worked in internships in a hospital pediatric unit and residential program for adolescent girls.

Saint Leo University’s East Pasco Education Center has an ongoing virtual social services speaker series focusing on social work, education, criminal justice, psychology, and human services. An April 27 seminar focused on substance abuse and mental health issues among youth in public schools. (File)

In her role, Fisher assists kids, families and the community at large. She strives to “make a difference in someone’s life.”

She also described the duties of a school social worker, which includes making referrals, doing evaluations and completing behavior assessments. It also involves problem-solving through multi-tiered system of supports, counseling, teen parenting education, substance abuse education and more.

“It’s so much,” quipped Fisher, who also has started completing the supervision requirements to become a Licensed Clinical Social Worker.

She detailed how school social work has evolved from focusing on attendance and truancy issues to being more involved with students who have mental health and behavioral issues.

Today’s school social worker reaches out to parents of students who are undergoing major behavioral issues, gathers information on their home life, and offers potential solutions and sources of help.

Fisher put it like this: “Sometimes, parents don’t even know the resources available to them, so if they have a student who’s having major behavior issues and they don’t understand why, maybe we’ll talk a little bit about that. Some kids require a little bit more structure than other kids. Some kids require to be spoken to a little bit differently. Every child is different…”

School systems play an important role in helping bridge the mental health gap, she said.

“Many people will say, ‘Oh, it’s on the parents,’” Fisher said.

But, parents don’t always know about services and because school attendance is mandatory until age 16, school districts are in a good position to observe students who have mental health needs and can help direct families to resources, she said.

One of the satisfactions of her job is seeing a student make positive changes during the course of a school year, Fisher said.

“It’s not anything that I necessarily do, it’s the choices that they make. I just give them the information and the platform to express and explore,” the social worker said. “I have a couple of kids right now that I’ve been working with for several months, and they’ve turned their grades around, they’ve turned their peer relationships around, and that, I think, is the most rewarding.”

Published May 26, 2021

New resource launched for mental health

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Hillsborough County understands the mental challenges, as well as the stress, tension and anxiety that the coronavirus pandemic presents and is offering simple resources through a new Mindful Mondays program, to help promote the different ways to make mental health a priority, according to a news release.

To participate, residents can visit HCFLGov.net/MindfulMondays, to learn about unique programs and initiatives, and to read helpful articles.
Through Mindful Mondays, residents will have access to a variety of free resources to help them find balance in their day-to-day lives.
Mindful Mondays offers virtual health classes focused on mental health and exercises to reduce stress. There will be short videos to find “Moments of Zen,” and relaxing nature tours.

Content also will include mental health tips from community partners, along with ways county programs and initiatives can help residents manage stress.
Mindful Mondays kicked off for Mental Health Awareness Month, but will continue to offer resources and content throughout the year to support residents in making mental health a priority. Content will be updated on a monthly basis.

Published May 26, 2021

Health News 05/26/2021

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(Courtesy of Patricia Serio)

Lions Club receives eyewear donation
Members of the GFWC Lutz-Land O’ Lakes Woman’s Club continue to outdo themselves during this difficult pandemic year with their donations to myriad local organizations. Elaine Pittman recently delivered 91 pairs of eyewear to the Lutz-Land O’Lakes Lions Club for its mission in Third World countries. From left: Lions Club President Jackie Cameron, Elaine Pittman and Lions Club member Claudette Henry. For membership and community service information about the woman’s club, visit LutzLandOLakesWomansClub.org, or its Facebook page.

Gulfside needs volunteers
The Gulfside Hospice Thrift Shoppe Team is looking for volunteers ages 15 and older for its Dade City, Lutz and Zephyrhills stores.

Volunteer duties include greeting and assisting customers, sorting and pricing items, and accepting donated items.

The proceeds from each of the Gulfside shops directly support its patient care costs and the operation of the Gulfside Centers for Hospice Care.

For information, visit Gulfside.org/thrift-shoppes.

Stroke certification
St. Joseph’s Hospital-North has received Primary Stroke Certification from DNV GL Healthcare, an international accrediting body that emphasizes clinical best practices and a disciplined management system, according to a news release.

The certification signifies clinical excellence through diagnosis, stabilization and treatment by the hospital’s stroke team.

Prior to the certification, St. Joseph’s Hospital-North underwent a rigorous review process, as a team of DNV GL surveyors observed practices, interviewed teams and reviewed documentation.

The survey incorporates standards from the Guidelines of the Brain Attack Coalition and recommendations from the American Stroke Association.

The DNV GL certification is St. Joseph’s Hospital-North’s third significant award for the treatment of strokes and heart attacks in the last nine months.

Top hospital
AdventHealth Wesley Chapel has been named to the Fortune/IBM Watson Health 100 Top Hospitals list.

This is the fourth consecutive year the hospital has been recognized with this honor, as one of the top performing hospitals in the United States.

“We are honored to be receiving this recognition for the fourth year in a row,” said Erik Wangsness, president and CEO of AdventHealth Wesley Chapel.

“At the heart of an award-winning hospital is an award-winning staff. This award recognizes our physicians’ and teams’ daily commitment to providing compassionate, whole-person care to our community. It is gratifying to know that one of the best 100 hospitals in the United States is right here in Wesley Chapel,” said Wangsness.

In addition to this accolade, AdventHealth Wesley Chapel has again attained a CMS five-star ranking by the federal government.

The CMS ranking system assigns a star rating to hospitals based on performance across several quality categories.

Only 455 out of more than 3,300 CMS-ranked hospitals received a five-star rating.

AdventHealth Wesley Chapel was the only hospital in Tampa Bay to achieve a CMS five-star rating in 2020.

Those fully vaccinated rarely need masks, CDC says

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President Joe Biden announced last week that the Centers for Disease Control and Prevention had issued new guidance on the wearing of masks, amid the COVID-19 pandemic.

Biden said those who have been fully vaccinated, in most cases won’t need to wear masks — whether indoors or out, in large crowds or small.

Specifically, the CDC’s updated guidance says:

  • Fully vaccinated people no longer need to wear a mask or physically distance in any setting, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance.
  • Fully vaccinated people can refrain from testing following a known exposure unless they are residents or employees of a correctional or detention facility or a homeless shelter.

CDC prevention measures continue to apply to all travelers, including those who are vaccinated. All travelers are required to wear a mask on all planes, buses, trains and other forms of public transportation traveling into, within, or out of the United States, and in U.S. transportation hubs such as airports and stations, the CDC’s website says.

Those who are not fully vaccinated are encouraged to continue wearing masks, to avoid becoming infected by COVID-19, or spreading it to others, CDC officials add.

While there has been a downturn in the daily number of people getting vaccinated, use of the Pfizer vaccine has been granted emergency authorization for those ages 12 to 15.

The CDC’s latest guidance comes after Florida Gov. Ron DeSantis signed an executive order lifting restrictions imposed by local governments, with the exception of school districts.

The public schools districts in Pasco and Hillsborough counties both announced they would keep the mask mandate until the end of the school year.

Private businesses can decide whether to retain or drop their mask requirements, and so far, the response has been varied.

Also, while the pace of vaccinations for adults has declined, efforts continue to reach out to those who are hesitant about being vaccinated to answer their questions and address their concerns.

While fewer children have been infected by COVID-19, the CDC does recommend vaccination for everyone age 12 and older to help protect against COVID-19.

Published May 19, 2021

Mother’s Day treats

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(Courtesy of Patricia Serio)

Members of the GFWC Lutz-Land O’ Lakes Woman’s Club donated gift items as Mother’s Day treats for residents and staff of Angels Senior Living of North Tampa. Assembling the contents and hand-crafting gift bags was a joint club project with the woman’s club teen affiliate group, Little Women of Lutz. Club member Pam Blumenthal, left, delivered 63 gift bags to Abbey Bennett, an intern at Angel Senior Living. For information on the club, visit LutzLandOLakesWomansClub.org, or its Facebook page.

Activity increasing, as COVID-19 restrictions relax

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Gov. Ron DeSantis has signed an executive order lifting all local COVID-19 restrictions and mandates on individuals and businesses.

As a result, Hillsborough County, Pasco County and the city of Tampa have dropped their mask requirements.

The order, however, does not apply to school districts — and both Pasco County Schools and Hillsborough County Schools will keep their mask orders and other safety protocols in place until the end of the school year.

Private businesses are not subject to the governor’s order, either, meaning they can keep their COVID-19 restrictions — and at this point, many continue to require masks, limit indoor seating and follow other safety measures.

Increased traffic on area roads and more cars in retail and restaurant parking lots, however, provide clear indications that more people are getting out and about.

Air travel is up — way up.

The Transportation Security Administration reported there were 1.7 million travelers at its checkpoints on May 9, compared to 200,815 on the same day last year. However, the number of air travelers is still substantially lower than it was in 2019, when there were 2.4 million air passengers on the same day.

Many travelers — now fully vaccinated — were flying to see family for the first time since the pandemic began. Televised news reports captured emotional reunions of moms and their kids, on Mother’s Day, all over the country.

Travel experts also are advising those wishing to take summer vacations to plan early to ensure accommodations and rental cars are available.

In another sign that things are changing, more graduation ceremonies are being held live — not virtually — this year.

In addition to some area college graduation celebrations, Pasco public schools will hold in-person events again this year, scaled back as they were last year. Hillsborough public school students also will be celebrating at live events, as well.

The Diocese of Saint Petersburg also has announced that the general obligation to attend Sunday Mass will resume on May 22.

Bishop Gregory Parkes, who leads the diocese, had granted a dispensation from the obligation as a precaution against the spread of COVID-19.

Although Catholic churches have been holding services, with mask requirements and social distancing protocols in place, many parishioners opted instead to watch services remotely.

Health experts continue to caution the public to be careful because at the same time COVID-19 restrictions are being relaxed or lifted, the demand for vaccinations has been dropping.

According to the Centers for Disease Control and Prevention, as of May 9, 152 million individuals had received at least one dose of vaccine, including 83.6% of those age 65 and older. Of those in that age group, 71.3% were fully vaccinated.

If you are fully vaccinated, the CDC says you can start doing many things that you had stopped doing because of the pandemic.

When choosing safer activities, consider how COVID-19 is spreading in your community, the number of people participating in the activity, and the location.

Keep in mind that outdoor visits and activities are safer than indoor activities, and fully vaccinated people can participate in some indoor events safely, without much risk.

The CDC also notes: “While more than eight in 10 people 65 years and older have received at least one dose of vaccine, only around 1 in 3 people ages 18 to 29 have. All age groups currently eligible for the vaccine can benefit from the protection it provides themselves and others, especially as more states are easing prevention measures.”

As the pace of vaccination slows, vaccination persuasion campaigns are on the rise.

Celebrities, politicians and faith leaders are among those urging others to get vaccinated. Some efforts, as reported nationally, involve people making door-to-door visits to encourage people to get a single shot of Johnson & Johnson, or two shots of the Moderna or Pfizer vaccines.

Sites run by Hillsborough County dispense only the Pfizer vaccine, which can be given to individuals 16 years of age and older. Those ages 16 and 17 must be accompanied by a parent or legal guardian, a county news release says.

Efforts by Pfizer could lower the eligible age for its vaccine to 12, if the Food and Drug Administration approves its request for authorization — which could occur as early as this week, according to national reports.

Those seeking vaccinations should know there is no out-of-pocket cost to be vaccinated and no prescription or doctor’s note is required, a Hillsborough County news release says.

With demand continuing to decline at the large public COVID-19 vaccination sites, Hillsborough County Emergency Management is reassessing distribution strategies and developing other options for residents to get vaccinated. Companies, community organizations, and faith-based organizations interested in an on-site targeted vaccine event are encouraged to call 888-513-6321, or email .

Published May 12, 2021