100,000 deaths from COVID-19 to come?
The U.S. is projected to see nearly 100,000 more COVID-19 deaths
between now and Dec. 1, according to the nation’s most closely watched forecasting model. But health experts say that toll could be cut in half if nearly everyone wore a mask in public spaces.
In other words, what the coronavirus has in store this fall depends on human behavior.
“Behavior is really going to determine if, when and how sustainably the current wave subsides,” said Lauren Ancel Meyers, director of the University of Texas COVID-19 Modeling Consortium. “We cannot stop delta in its tracks, but we can change our behavior overnight.”
That means doubling down again on masks, limiting social gatherings, staying home when sick and getting vaccinated. “Those things are within our control,” Meyers said.
Fourth wave: The U.S. is in the grip of a fourth wave of infection this summer, powered by the highly contagious delta variant, which has sent cases, hospitalizations and deaths soaring again, swamped medical centers, burned out nurses and erased months of progress against the virus.
Deaths are running at over 1,100 a day on average, turning the clock back to mid-March. One influential model, from the University of Washington, projects an additional 98,000 Americans will die by the start of December, for an overall death toll of nearly 730,000.
The projection says deaths will rise to nearly 1,400 a day by mid-September, then decline slowly.
But the model also says many of those deaths can be averted if Americans change their ways.
“We can save 50,000 lives simply by wearing masks. That’s how important behaviors are,” said Ali Mokdad, a professor of health metrics sciences at the University of Washington in Seattle who is involved in the making of the projections.
Signs of change: Already there are signs that Americans are taking the threat more seriously.
Amid the alarm over the delta variant in the past several weeks, the slump in demand for COVID-19 shots reversed course. The number of vaccinations dispensed per day has climbed around 80% over the past month to an average of about 900,000.
White House COVID-19 coordinator Jeff Zients said Tuesday that in Alabama, Arkansas, Louisiana and Mississippi, “more people got their first shots in the past month than in the prior two months combined.”
Also, millions of students are being required to wear masks. A growing number of employers are demanding their workers get the vaccine after the federal government gave Pfizer’s shot full approval earlier this week. And cities like New York and New Orleans are insisting people get vaccinated if they want to eat at a restaurant.
Half of American workers are in favor of vaccine requirements at their workplaces, according to a new poll from The Associated Press-NORC Center for Public Affairs Research.
Early signs suggest behavior changes may be flattening the curve in a few places where the virus raged this summer.
Cases slowing: An Associated Press analysis shows the rate of new cases is slowing in Mississippi, Florida, Louisiana and Arkansas, some of the same states where first shots are on the rise. In Florida, pleas from hospitals and a furor over masks in schools may have nudged some to take more precautions.
However, the troubling trends persist in Georgia, Kentucky, South Carolina, Tennessee, West Virginia and Wyoming, where new infections continue to rise.
Mokdad said he is frustrated that Americans “aren’t doing what it takes to control this virus.”
“I don’t get it,” he said. “We have a fire and nobody wants to deploy a firetruck.”
One explanation: The good news in the spring — vaccinations rising, cases declining — gave people a glimpse of the way things used to be, said Elizabeth Stuart of Johns Hopkins Bloomberg School of Public Health, and that made it tough for them to resume the precautions they thought they left behind.
“We don’t need to fully hunker down,” she said, “but we can make some choices that reduce risk.”
Even vaccinated people should stay vigilant, said Dr. Gaby Sauza, 30, of Seattle, who was inoculated over the winter but tested positive for COVID-19 along with other guests days after an Aug. 14 Vermont wedding, even though the festivities were mostly outdoors and those attending had to submit photos of their vaccination cards.
“In retrospect, absolutely, I do wish I had worn a mask,” she said.
Sauza, a resident in pediatrics, will miss two weeks of hospital work and has wrestled with guilt over burdening her colleagues. She credits the vaccine with keeping her infection manageable, though she suffered several days of body aches, fevers, night sweats, fatigue, coughing and chest pain.
“If we behave, we can contain this virus. If we don’t behave, this virus is waiting for us,” Mokdad said. “It’s going to find the weak among us.”
The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.
Surge takes increasing toll on children
Kentucky and Texas joined a growing list of states that are seeing record numbers of hospitalized COVID-19 patients in a surge that is overwhelming doctors and nurses and afflicting more children.
Intensive care units around the nation are packed with patients extremely ill with the coronavirus — even in places where hospitalizations have not yet reached earlier peaks.
The ICU units at Phoebe Putney Memorial Hospital in Georgia typically have room for 38 patients, and doctors and nurses may have only two or three people who are very sick, said Dr. Jyotir Mehta, medical director of the ICU. On Wednesday, the ICU had 50 COVID-19 patients alone, roughly half of them relying on ventilators to breathe.
“I don’t think we have experienced this much critical illness in folks, so many people sick at the same time,” Mehta said.
He said talking to family members is difficult. “They are grasping for every hope and you’re trying to tell them, ‘Look, it’s bad,’” he said. “You have to tell them that your loved one is not going to make it.”
In New Mexico, top health officials warned Wednesday that the state is about a week away from rationing health care. The number of coronavirus patients needing care at hospitals jumped more than 20% in a
“We’re going to have to choose who gets care and who doesn’t get care,” state Health and Human Services Secretary Dr. David Scrase warned. “And we don’t want to get to that point.”
In Idaho, state leaders called on residents to volunteer to help keep medical facilities operating.
Texas and Kentucky on Wednesday reported more COVID-19 patients in their hospitals than at any other time since the pandemic began, 14,255 and 2,074, respectively. The Texas record is based on U.S. Department of Health and Human Services data. At least six other states — Arkansas, Florida, Louisiana, Hawaii, Mississippi and Oregon — have already broken their hospitalization records.
— The Associated Press