US Coronavirus: Some states have fewer than 10% of ICU beds left as well being care staffing shortages complicate care

The other states are: Arizona, Delaware, Georgia, Massachusetts, Mississippi, Missouri, Nevada, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, Rhode Island, Texas, and Vermont, according to HHS.

“This is part of the winter surge, part of the long haul, which is why we put so many of the containment strategies and measures in place early on to give hospitals and health systems some flexibility,” New Hampshire Governor Chris Sununu said Wednesday.

Early research suggests that the Omicron variant has a lower likelihood of hospitalization than previous Covid-19 variants. However, the increased transmissibility of Omicron means that more people at a higher risk of developing serious illnesses, such as those who have not been vaccinated or who are immunocompromised, will become infected. U.S. officials are rolling out emergency procedures to help hospitals fight record-high Covid-19 numbers

“Omicron continues to burn through the Commonwealth, growing at levels we’ve never seen before. Omicron is much more contagious than even the Delta variant, ”Kentucky Governor Andy Beshear said on Monday. “If it spreads at the rate we are seeing, it will surely fill our hospitals.”

While conditions aren’t as bad as they were when the pandemic started almost two years ago due to the availability of vaccines and other treatment options, hospital staff shortages are a real problem during this recent surge, said Dr. Craig Spencer, director of Global Health in Emergency Medicine at New York-Presbyterian / Columbia University Medical Center.

“The problem is that we currently have hospitals where there aren’t enough nurses to take care of the patients who come in, the Covid patients and the non-Covid patients,” Spencer told Laura Coates on Wednesday from CNN.

“That is exactly why we have to do everything we can to limit the number of people infected, not just elderly, unvaccinated or not vaccinated, but everyone. Because every infection has the potential to infect more people. We must now do everything we can to slow this spread and ease the pressure on our hospitals, “said Spencer.

For those coming to the emergency room for non-Covid reasons but testing positive, hospitals are still required to use quarantine protocols for these patients, which puts a strain on operations, he said. And that can affect all patients.

“Right now we are still seeing sick people in need of oxygen, the vast majority of whom are unvaccinated. But many of the patients we’re seeing have underlying chronic diseases that are getting worse, ”said Spencer.

As for these patients, he said, “someone who has Covid, is dehydrated and has to stay in the hospital, or someone who is on Covid and is too weak and unable to go home because they are at risk of falling. In some ways not as bad as the classic Covid patients we’ve seen before. But every single patient who has to stay in the hospital takes a bed. And beds and staff are currently in short supply. “

A nurse wears protective clothing before entering a patient's room in the Covid-19 intensive care unit at Dartmouth-Hitchcock Medical Center in Lebanon, New Hampshire, on Jan. 3.

The proportion of hospital admissions for breakthrough infections is increasing, but the risks for the unvaccinated are higher

Fully vaccinated people make up a growing proportion of people hospitalized with Covid-19 – but hospitalizations for people who have received a booster are still rare, and the risk gap by vaccination status has been large.

According to the study, people vaccinated against Covid-19 are less likely to die from any causes

Between April and July 2021, before the advent of the Omicron variant, more than 90% of Covid-19 hospital admissions were among people who were either unvaccinated or partially vaccinated, according to a study published by the CDC.

However, a sample of the data collected by CNN suggests that the number has dropped to between 60 and 75% in the past few days and months:

• In Pennsylvania, between September and early December 2021, about 75% of Covid-19 hospital admissions were in people who were not fully vaccinated, according to the state Department of Health.

• In New York, about 61% of Covid-19 hospital admissions for the week ended January 2, 2022, involved people who were not fully vaccinated, according to the state Department of Health.

• Beaumont Health, Michigan’s largest healthcare system, reported last week that 62% of Covid-19 patients in its eight hospitals were unvaccinated.

While fully vaccinated individuals account for a larger proportion of Covid-19 hospital admissions, multiple accounts suggest that those who are fully vaccinated and boostered account for a small proportion.

The highly contagious Omicron variant is "find almost everyone"  Fauci says, but people who have been vaccinated will still be better off In the University of Maryland’s medical system, fewer than 5% of hospitalized patients have been fully vaccinated and boosted, an official said last week. Beaumont Health reported last week that only 8% of Covid-19 patients were fully vaccinated and boosted.

The CDC did not respond to multiple requests from CNN for data on the proportion of Covid-19 hospital admissions by vaccination status.

The agency publishes data on the relative risk by vaccination status on its website. The cumulative risk of hospitalization for unvaccinated people is eight times higher than for completely vaccinated people. But in the last week of November, CDC data showed that hospitalization rates for unvaccinated people were about 17 times higher than for fully vaccinated people.

CDC to update the mask instructions

Health experts reiterate the need to wear quality masks as unprecedented numbers of positive Covid-19 cases hit the country.

The U.S. averaged more than 771,580 new Covid-19 cases per day for the past week, according to data from Johns Hopkins University, more than three times the peak average last winter (251,987 on the 11th of the delta-driven spike (166,347 on September 1).

It might be time to update your mask

The U.S. Centers for Disease Control and Prevention are planning to update information on how to wear masks, including the different levels of protection offered by different masks – such as cloth, surgical, or N95 – against the spread of Covid-19, CDC -Director Dr. Rochelle Walensky said that during a virtual briefing at the White House on Wednesday.

Overall, it’s important that people wear every face mask they have access to, “but Omicron changed things a bit because it’s so transferable that we know masks are even more important,” said Lori Tremmel Freeman, CEO of The National Association of County and City Health Officials told CNN on Wednesday.

“And if you get the chance, if you have the option, if you have access to a better mask then the recommendation would be to wear it,” she said, adding that N95 and KN95 masks need to be properly fitted to get the best possible protection.

Vaccines effective in adolescents, study shows

The US death rate has remained lower than it did during last year’s winter spike, which is often attributed to about two-thirds of Americans eligible for full vaccination, according to the CDC.

The country has recorded an average of 1,817 Covid-19 deaths per day over the past week, JHU data shows. The daily high was 3,402 a year ago on January 13, 2021.

However, the latest CDC Ensemble forecast predicts a potential 62,000 new Covid-19 deaths in the next four weeks, meaning preventive vaccinations are still needed.

Twin Cities are joining other major U.S. tourist destinations and turning to indoor vaccines or trial mandates

The least vaccinated age group of Americans remains under 18, and a new study of real-life hospital data between July and late October suggests the effectiveness of vaccinations even for those who are generally younger at lower risk.

The results, published Wednesday in the New England Journal of Medicine, show that the Pfizer / BioNTech coronavirus vaccine appears 94% effective against Covid-19 hospitalization in adolescents aged 12-18 in the United States.

“The vaccination averted almost all life-threatening Covid-19 diseases in this age group,” write the researchers from the CDC and a collection of hospitals and universities for other reasons.

Of the adolescents admitted to hospital with Covid-19, 4% were fully vaccinated, less than 1% partially vaccinated, and 96% unvaccinated. In comparison, of those who did not have Covid-19, 36% were fully vaccinated, 7% partially vaccinated and 57% unvaccinated.

Contributors to this report are Jacqueline Howard, Deidre McPhillips, Naomi Thomas, Virginia Langmaid, Jason Hanna, Christina Maxouris, Claudia Dominguez and Andy Rose of CNN.

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