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Georgia hospitals warn of ripple effects from COVID surge

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January 12, 2022
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Georgia hospitals warn of ripple effects from COVID surge
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One factor that hasn’t modified since earlier this yr: most sufferers who’re hospitalized with COVID-19 are unvaccinated.

“We’re seeing numbers that we by no means thought we’d see earlier than, fairly truthfully,” stated Dr. Robert Jansen, Grady Memorial Hospital’s chief medical officer. On Monday morning, Grady reported 265 COVID-19 sufferers, essentially the most the downtown Atlanta hospital has reported in a single day because the begin of the pandemic.

“It truly is a matter of the variety of people who find themselves contaminated,” Jansen stated. “Omicron is as infectious as something we’ve ever seen… We have now report numbers of sufferers who’re COVID-positive who’re within the ICU.”

Across the nation, 142,388 individuals with the virus have been hospitalized on Sunday in line with the U.S. Division of Well being and Human Companies, topping the height of 142,315 reported on Jan. 14 of final yr. In Georgia, 5,210 individuals have been hospitalized for COVID-19 at 3:30 p.m. Tuesday, nonetheless barely beneath the state’s delta wave peak that topped 6,000 at its zenith.

Hospitals report almost as many in-patient beds in use statewide as through the delta wave as nicely. And within the Atlanta space, complete inpatient mattress use is at its high-point for all circumstances.

Hospitals report some sufferers on this fifth wave sought care for one more situation and examined constructive for COVID-19 by the way. However metro Atlanta hospital leaders say COVID-19 is placing very excessive numbers of sufferers within the hospital and in ICUs. The sickest typically have underlying circumstances, equivalent to coronary heart sickness and bronchial asthma, and are delivered to the brink by COVID.

Strained to start with

When sufferers contaminated over the vacations started to reach at hospitals originally of the wave in early December, the facilities were already strained.

Hospitals have been wanting employees, shedding their very own staff to an infection and quarantine, along with current vacancies created when workers left earlier within the pandemic. Federal information present that staffed ICU beds in Georgia dropped by about 130 since mid-September, the height of the delta wave. Meaning employees shortages make these beds unusable.

As well as, sufferers of all types had began to return to the hospital, not avoiding needed care due to worry of COVID.

As a 3rd blow, the summer time’s COVID delta wave by no means fell all the best way again all the way down to earlier lows; case numbers stalled at the next stage than anticipated, and sufferers continued to get sick.

So now, one after the other, hospitals from South Georgia to Atlanta to Gainesville are reporting, yet again, too many sufferers for the hospital to bodily maintain, too many emergency room sufferers for workers to deal with on time. Based on docs who’ve spoken to The Atlanta Journal-Structure, sufferers who have to be admitted to the hospital are ready typically in a single day in emergency rooms. Emergency room sufferers are getting handled in ready areas. Docs treating different circumstances like most cancers are seeing out there surgical procedure schedule slots slender, and a few say they worry one other shutdown in non-essential surgical procedures is coming.

The AJC realized final week that Piedmont Newton Hospital in Covington postponed some elective procedures to make sure the hospital had sufficient staffed beds to satisfy demand. The hospital system didn’t affirm it, however stated any “pauses” have been made at an area stage.

It’s not simply hospitals which are jammed. Pressing care facilities and testing facilities are jammed as nicely. Some reduction is predicted quickly from the Georgia Nationwide Guard call-out made by Gov. Brian Kemp.

“Well being programs, all the best way from the pre-hospital programs to care delivered in emergency departments to care within the hospital — it’s all congested now,” stated Dr. Alex Isakov, a doctor and Emory College professor drugs stated. “In the event you wait in an emergency division for 4, six or 10 or 12 hours, no one desires that.”

Vaccination ‘important’

At Northeast Georgia Well being system, 81% of ICU COVID sufferers have been unvaccinated this week. At College Hospital in Augusta, COVID-19 hospitalizations now quantity 117, and greater than a 3rd of these have been vaccinated. However up to now ten days, the hospital’s ICU COVID-19 inhabitants has doubled to 17. Among the many 11 COVID-19 sufferers so sick they wanted to be on a ventilator, just one was vaccinated.

With youngsters beneath 5 nonetheless not eligible for vaccination and vaccination charges for older youngsters lagging, they’re more and more needing hospital care. Youngsters’s Healthcare of Atlanta final week hit a pandemic report, with greater than 100 youngsters in beds without delay for COVID-19; solely 12% had been vaccinated towards the virus.

Vaccination could be very efficient at stopping hospitalization and demise. Research carried out because the variant arrived in October present two doses of the Pfizer and Moderna vaccines are usually not as efficient at stopping an infection from omicron as earlier strains, however boosters enhance efficiency towards extreme illness and transmission.

“One of the necessary takeaways is we’re nonetheless within the thick of this pandemic,” stated Dr. Gavin Harris, an assistant professor of medication at Emory College who research when well being programs come beneath pressure.

Vaccinating the general public and getting these already vaccinated their booster pictures is “important,” Harris stated, however these steps alone gained’t get the nation by this surge because it takes time for immunity from vaccination to take maintain.

Georgians have to masks indoors and in massive crowds. Widespread testing to shortly discover and isolate contaminated individuals is essential.

“It’s going to take every little thing to get by the following a number of weeks,” Harris stated.





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