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Increased COVID-19 Hospitalizations Are Straining Medical Resources in the U.S.

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  • COVID-19 hospitalizations reached almost 43,000 on Monday, their highest point since August 19. A total of 36 states have seen at least a 5% increase in hospitalizations compared to last week.
  • In Utah, ICU occupancy hit nearly 70% and hospitals are prepared to start rationing ICU space this week or next. In El Paso, Texas, occupancy hit 100% and medical workers are taking patients to field or mobile units for care.
  • On top of this, some hospitals, including ones in Utah, are understaffed right now. Many hospital staffers are battling physical and emotional exhaustiong from dealing with the pandemic for seven months with no end in sight.

Hospitalizations Go Up

As coronavirus cases inch upwards across the country, hospitalizations are following, setting a trend that worries health experts heading into the winter. 

Over the past week, the United States has set its record for the highest single day of cases reported and the highest seven-day average of new cases. Nearly 43,000 hospitalizations were reported on Monday, the highest number since August 19. It is a staggering jump upward from the start of the month when hospitalizations were at 30,700.

CNBC reported that in 36 states, hospitalizations have risen by at least 5% compared to where they were just last week. The caseload is straining hospitals across the country, which are bracing for these spikes to get even worse. 

According to the Philadelphia Inquirer, there has been a 157% increase in hospitalizations in Pennsylvania compared to this time last month. New Jersey has seen a 125% jump while Delaware saw 69% growth.

Hospitals and Local Governments Respond to Increases

In Utah, according to the Salt Lake Tribune, 771 people have been hospitalized for the virus in the past two weeks, the highest number of any 14 day period since the start of the pandemic. There, the ICU occupancy hit 68.9% on Monday and state officials and hospital administrators are prepared to ration ICU space this week or next week. This means some ICU patients whose condition is worsening might be forced out of the unit. Older patients, who are more likely to die, will likely be forced out before younger ones. One doctor said capacity is being assessed “on a minute to minute basis, almost.”

The Texas Tribune reported that there has been a 300% increase in hospitalizations in El Paso over the last three weeks. ICU beds have reached 100% capacity and patients are now being taken to mobile and field units to be cared for. The city has put in place a 10:00 p.m. curfew to curb the spread. City officials are also encouraging citizens to stay home as much as possible over the next two weeks. 

Impact on Hospitals and Staff

Experts have long predicted that the virus would pick up in the colder months of the year. With such a steep case increase before winter has even arrived, health officials are worried about this trend. But with all these numbers trending upwards at alarming rates, there are a lot of health officials concerned. 

“This is a harbinger of a very tough winter that’s coming. I think hospitals are going to be very, very stressed this fall and winter,”  Dr. Bill Schaffner, an epidemiologist at Vanderbilt University told CNBC.

On top of this, hospital staffers are suffering from COVID fatigue. Doctors and nurses have been dealing with the pandemic for the majority of the year with no end in sight. This has led to physical and emotional exhaustion. Some hospitals are also understaffed. 

“We’re down 20% to 30%,” Greg Bell, the president of the Utah Hospital Association told the Tribune. “Hundreds and hundreds of nurses are not able to work as they were [before] because of their own disease or infection in the family, or they’re moms and dads with school issues. Some are worn out, some are on leave because they’ve been doing this for seven months.”

See what others are saying: (CNBC) (Salt Lake Tribune) (Vox)

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Inmates Sue Jail for Giving Them Ivermectin to Treat COVID-19 Without Consent

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Four detainees who filed the suit allege that the jail’s doctor gave them “incredibly high doses” of the anti-parasite in a “cocktail of drugs” that he said were “‘vitamins’, ‘antibiotics,’ and/or ‘steroids.’”


Washington County Detention Center Lawsuit

Four inmates at an Arkansas jail have filed a federal lawsuit claiming that they were unknowingly given the anti-parasite drug ivermectin without their consent by the detention center’s doctor after contracting COVID-19.

The Food and Drug Administration, the Centers for Disease Control and Prevention, and countless other medical experts have said that ivermectin — commonly used for livestock — can be dangerous and should not be used to treat the coronavirus.

According to the lawsuit, after testing positive for COVID in August, the four men at the Washington County Detention Center (WCDC) were given a “cocktail of drugs” twice a day by the facility’s doctor, Robert Karas.

The inmates claim that Dr. Karas did not tell them that he was giving them ivermectin, but instead said the drugs consisted of “‘vitamins’, ‘antibiotics,’ and/or ‘steroids.’”

The complaint also alleges that the detainees were given “incredibly high doses” of the drug, causing some to experience “vision issues, diarrhea, bloody stools, and/or stomach cramps.”

Use on Other Inmates

The four plaintiffs were far from the only people to whom Karas gave ivermectin.

According to the lawsuit, the doctor began using the drug to treat COVID starting in November of 2020. In August, the Washington County sheriff confirmed at a local finance and budget committee meeting that the doctor had been prescribing the drug to inmates, prompting the Arkansas Medical Board to launch an investigation.

In response, Karas informed a Medical Board investigator in a letter from his attorney that 254 inmates at the facility had been treated with ivermectin.

In the letter, he confirmed that whether or not detainees were given information about ivermectin was dependent on who administered it, but paramedics were not required to discuss the drug with them.

He also admitted that after the practice got media coverage, he “adopted a more robust informed consent form to assuage any concern that any detainees were being misled or coerced into taking the medications, even though they weren’t.”

The American Civil Liberties Union of Arkansas, which filed the suit on behalf of the inmates, also claimed in a statement that after questions were raised about the practice, the jail attempted to make detainees sign forms saying that they retroactively agreed to the treatments. 

The WCDC has not issued a public response to the lawsuits, but Dr. Karas appeared to address the situation in a Facebook post where he defended his actions.

“Guess we made the news again this week; still with best record in the world at the jail with the same protocols,” he wrote. “Inmates aren’t dumb and I suspect in the future other inmates around the country will be suiing their facilities requesting same treatment we’re using at WCDC-including the Ivermectin.”

See what others are saying: (The New York Times) (CBS News) (NBC News)

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Medical Workers Sign Letter Urging Spotify to Combat Misinformation, Citing Joe Rogan

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The letter accused Spotify of “enabling its hosted media to damage public trust in scientific research.”


Doctors and Medical Professionals Sign Letter to Spotify

A group of 270 doctors, scientists, and other medical workers signed an open letter to Spotify this week urging the audio platform to implement a misinformation policy, specifically citing false claims made on the “Joe Rogan Experience” podcast. 

Rogan has faced no shortage of backlash over the last year for promoting vaccine misinformation on his show, which airs exclusively on Spotify. Most recently, he invited Dr. Robert Malone on a Dec. 31 episode that has since been widely criticized by health experts. 

Dr. Malone was banned from Twitter for promoting COVID-19 misinformation. According to the medical experts who signed the letter, he “used the JRE platform to further promote numerous baseless claims, including several falsehoods about COVID-19 vaccines and an unfounded theory that societal leaders have ‘hypnotized’ the public.”

“Notably, Dr. Malone is one of two recent JRE guests who has compared pandemic policies to the Holocaust,” the letter continued. “These actions are not only objectionable and offensive, but also medically and culturally dangerous.”

Joe Rogan’s History of COVID-19 Misinformation

Rogan sparked swift criticism himself in the spring of 2021 when he discouraged young people from taking the COVID-19 vaccine. He also falsely equated mRNA vaccines to “gene therapy” and incorrectly stated that vaccines cause super mutations of the virus. He took ivermectin after testing positive for the virus in September, despite the fact that the drug is not approved as a treatment for COVID.

“By allowing the propagation of false and societally harmful assertions, Spotify is enabling its hosted media to damage public trust in scientific research and sow doubt in the credibility of data-driven guidance offered by medical professionals,” the doctors and medical workers wrote. 

“We are calling on Spotify to take action against the mass-misinformation events which continue to occur on its platform,” they continued. “With an estimated 11 million listeners per episode, JRE is the world’s largest podcast and has tremendous influence. Though Spotify has a responsibility to mitigate the spread of misinformation on its platform, the company presently has no misinformation policy.”

Rolling Stone was the first outlet to report on the letter from the medical professionals. Dr. Katrine Wallace, an epidemiologist at the University of Illinois Chicago, was among the signees. She told the magazine that Rogan is “a menace to public health.”

“These are fringe ideas not backed in science, and having it on a huge platform makes it seem there are two sides to this issue,” she said. “And there are really not.”

Spotify had not responded to the letter as of Thursday.

See what others are saying: (Rolling Stone) (Deadline) (Insider)

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Data Shows Omicron May be Peaking in the U.S.

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In some cities that were first hit by the surge, new cases are starting to flatten and decline.


New Cases Flattening

After weeks of recording-breaking cases driven by the highly infectious omicron variant, public health officials say that new COVID infections seem to be slowing in the parts of the country that were hit the hardest earlier on.

Following a more than twentyfold rise in December, cases in New York City have flattened out in recent days. 

New infections have even begun to fall slightly in some states, like Maryland and New Jersey. In Boston, the levels of COVID in wastewater — which has been a top indicator of case trends in the past — have dropped by nearly 40% since the first of the year.

Overall, federal data has shown a steep decline in COVID-related emergency room visits in the Northeast, and the rest of the country appears to be following a similar track.

Data from other countries signals the potential for a steep decline in cases following the swift and unprecedented surge.

According to figures from South Africa, where the variant was first detected, cases rose at an incredibly shocking rate for about a month but peaked quickly in mid-December. Since then, new infections have plummeted by around 70%.

In the U.K., which has typically been a map for how U.S. cases will trend, infections are also beginning to fall after peaking around New Year’s and then flattening for about a week.

Concerns Remain 

Despite these recent trends, experts say it is still too early to say if cases in the U.S. will decline as rapidly as they did in South Africa and the parts of the U.K. that were first hit. 

While new infections may seem to be peaking in the cities that saw the first surges, caseloads continue to climb in most parts of the country. 

Meanwhile, hospitals are overwhelmed and health resources are still strained because of the high volume of cases hitting all at once.

See what others are saying: (The New York Times) (The Washington Post) (The Wall Street Journal)

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