“I remember seeing articles in the news about hospitals in California with empty Covid units and I longed for that experience,” Segarra, the chief medical officer with Baptist Health’s Baptist Hospital, said. “It’s an experience we were working our way towards that unfortunately has taken a rather sad turn.”
In the weeks since, the hospital’s Covid-19 patient numbers have more than tripled, and staff are now treating more than 70 people, an “exponential growth,” he said, that they were not expecting. To accommodate the climbing patient numbers, the hospital recently reopened two units that were previously shut down.
The overwhelming majority of those coming in sick with Covid are unvaccinated, Segarra said. Many are young — people in their 20s and 30s who are getting “extremely, extremely sick” and some of whom are dying.
“It’s very sad to see as a health care professional, to see that this is generally an avoidable and preventable disease and to see so many people dying from a preventable illness,” he said. “It’s heartbreaking.”
Younger, healthier patients are getting treated
In Texas County Memorial Hospital in Houston, Missouri, hospital leaders say half the number of Covid-19 deaths they’ve seen since the start of this year — eight in total — occurred over the past week.
A little more than 23% of the county’s population has received at least one Covid-19 vaccine dose, according to hospital spokesperson Helania Wulff. And the county, now labeled as “very high” risk, saw its positivity test rate jump from 9.5% last week to more than 30% this week, Wulff said.
Lauren Toman, the hospital’s director of respiratory care, said that while during previous surges patients tended to be older and have preexisting conditions, patients now are younger and healthier — but are coming in sicker and getting worse more quickly.
“They rapidly decline, very fast, and then even after intubation we’ll see them rapidly decline and unfortunately we are seeing people passing quicker than before,” Toman told CNN.
All the patients she has worked with in recent weeks have been unvaccinated, Toman said.
The hospital went from 26 Covid-19 patients June 1 to more than 130 on Saturday — higher than ever before, including their winter surge.
“Last year, it took us from September 1 to our peak, on December 28, to go from 24 to 113 (patients),” Frederick said. “We eclipsed that this year in 39 days.”
Patients there have also trended younger. Roughly 91% of patients in the intensive care unit are on ventilators, and these include young patients, in their 20s, 30s and 40s, he said.
While Missouri is quickly emerging as a new Covid hot spot, health leaders in other parts of the United States are reporting similar patterns. Dr. Jeffrey Chapman, the chief medical officer at Wyoming’s Cheyenne Regional Medical Center, say the hospital’s increase in Covid-19 patients includes a younger demographic that is overwhelmingly unvaccinated and “deteriorating” faster.”
Virtually of all the cases in the state involved the Delta variant, Mississippi State Health Officer Dr. Thomas Dobbs said on Twitter, adding the “vast majority” of cases, hospitalizations and deaths were among unvaccinated Americans.
An increased risk for vaccinated Americans too
In Kansas, the University of Kansas Health System recorded several days with just two or three Covid-19 patients back in late May. Now, it’s treating more than three dozen patients, according to Dr. Steven Stites, the chief medical officer.
More than 80% of new patients are unvaccinated, though others have been vaccinated, he said.
“When you dig into those patients, what you see is that they’re all severely chronically ill patients,” he said. “Vaccination is not an entirely ‘Get out of Jail Free’ card. It makes things a lot better, but it doesn’t make it go away.”
“I’m a little nervous about the open society and people thinking everything is normal when it’s not and especially when you’re more chronically ill you still need to keep your mask on,” Stites said.
In Mississippi, Dobbs said on Twitter that 7% of the state’s Covid-19 deaths were in vaccinated people, calling that number “worrisome.”
‘Only way we’re going to stop this monster’
Hospital leaders say the latest surge in patients comes as staff are already exhausted and traumatized from a battle with the virus that has now lasted more than a year.
In Texas County, Toman said she worries they’re going to see a continued surge, fueled by July 4 festivities and the ongoing summer gatherings, that will “overwhelm every hospital in Missouri.”
“What I fear is, can we survive this again? Can we stay positive, can we all keep our morale up?” she said. “We’re trying hard to be there for each other but we’re tired and we’re scared.”
She said that while she understands the hesitations some community members may have about the vaccine, getting the state’s vaccination numbers higher will be “the only way we’re going to stop this monster.”
Segarra, in Miami, said he agrees.
“We haven’t made the progress that we wish in terms of treating Covid, we don’t have that magic bullet in terms of treating Covid, but boy, we’ve come pretty close to having that magic bullet to avoid it — and to see it not being used is very frustrating,” he said.
“We’re dealing with a public health situation that’s beyond our personal needs, so we need to be a little bit more selfless as opposed to selfish,” Segarra said.
“So if you’re on the fence on whether you get vaccinated or not … think of the good that you’ll bring to your society, that you’ll bring to your community, because not only does the vaccine prevent you from getting sick, it prevents you from transmitting it to others.”