Here's a link to a zip by zip map of NYC with corona virus cases that are known graphed out by number range and color:
https://newyork.cbslocal.com/wp-content/uploads/sites/14578484/2020/04/covid-19-cases-by-zip.pdf.
The zip in which we reside is in the mid-high range. The zips in which our parishioners live are all in the ultra high range. The poorer parts of town have the perfect storm of higher density, populations at risk with underlying conditions, and populations that are less able to socially distance (must use public transportation, must be out and about because they're in no delivery zones, have multiple families in one residence, etc.). And the testing is simply either not available or not being used due to overload in the health care system. A parishioner had to go the hospital after being symptomatic in multiple ways. She was sent home without testing and with a one day supply of tylenol because she wasn't sick unto death, would be more exposed by staying at the hospital, and they didn't have time to do the test. So - yes, you have the virus; no, we're not keeping you; no, we don't need to test you - you have it; hang in there at home. This is not abnormal behavior by the hospitals because they're being overrun, and the ambulance/ems workers are watching dying people get ready to die in real time on the way to the hospital.
And pastoral care has to be done by distance - text, phone, and something live-streaming. A learning for me is that not real time stuff, like email, is less helpful. People don't pick it up the way they do What's App or text messaging, no matter what their age.
My advice to those in less affected areas is to get your communications networks set up to go into overdrive. My entire ministry was face to face high touch loving community in person. The only thing left is loving community. All the rest is yesterday's news.
At the same time, spiritual need is an exploding phenomenon. Our deaconess started a Spiritual Check-Up segment yesterday for a weekly look-in on Facebook or Zoom. Immediate response. Reading the Word in an interactive format is proving productive not only for insiders, but for those seeking solace and strength in a new way they haven't previously explored, or have discarded somewhere along the way.
Dave Benke