Health inspections were idled
Surge in cases raises alarm Increases in South, West stir fears of comeback Records: No nursing home visits by regulators for weeks
ST. PETERSBURG, Fla. — Alarming surges in coronavirus cases across the South and West raised fears Monday that the outbreak is spiraling out of control and that hard-won progress against the scourge is slipping away because of resistance among many Americans to wearing masks and keeping their distance from others.
Confirming predictions that the easing of state lockdowns over the past month and a half would lead to a comeback by the virus, cases surpassed 100,000 in Florida, hospitalizations are rising dramatically in Houston and Georgia, and a startling 1 in 5 of those tested in Arizona are proving to be infected.
Over the weekend, the virus seemed to be everywhere at once: Several campaign staff members who helped set up President Donald Trump’s rally in Tulsa, Oklahoma — including two more cases reported Monday — tested positive, as did 23 Clemson University football
As the coronavirus tore through Maryland nursing homes in March and April, state health regulators did not conduct any in-person nursing home inspections for more than a month because there wasn’t personal protective equipment available for the investigators to wear.
Interviews with state health officials and documents provided to The Baltimore Sun through a public records request reveal instead that, at a time when loved ones could not visit nursing home residents, regulators were kept on the sidelines, too.
That’s not to say nursing homes haven’t received significant hands-on oversight, guidance and support from state and federal authorities as individual outbreaks have flared. State health officials provided emergency support, and from a distance, the regulators worked to ensure nursing homes had adequate emergency plans in place and guided them in self-evaluations of infection control practices.
But the lack of on-site inspection has raised concerns that regulatory action — intended to ensure residents are safe and, if they aren’t, that consequences are imposed — may have lagged at a time when families and patient advocates say accountability was much needed. With more than 1,800 resident and staff deaths to date, nursing homes have accounted for
players in South Carolina. At least 30 members of the Louisiana State University football team were isolated after becoming infected or coming into contact with someone who was. Meatpacking plants were also hit with outbreaks.
“It is snowballing. We will most certainly see more people die as a result of this spike,” said Dr. Marc Boom, CEO and president of Houston Methodist Hospital, noting that the number of COVID-19 hospital admissions has tripled since Memorial Day to more than 1,400 across eight hospital systems in the Houston metropolitan area.
He warned that hospitals could be overwhelmed in three weeks, and he pleaded with people to cover their faces and practice social distancing.
“It is possible to open up at a judicious pace and coexist with the virus, but it requires millions and millions of people to do the right thing,” Boom said.
Texas is among a number of states — including Arizona, Alabama, Florida and South Carolina — whose governors have resisted statewide mask requirements, leaving the matter to local authorities.
The number of new coronavirus cases across the country per day has reached more than 26,000, up from about 21,000 two weeks ago, according to an Associated Press analysis of data compiled by Johns Hopkins University. Over 120,000 deaths in the U.S. have been blamed on the virus, the highest toll in the world.
In Georgia, the number of people hospitalized because of COVID-19 rose to 1,000, erasing a month’s worth of progress.
Infections are at their highest level since the outbreak began, nearly two months after Georgia began lifting restrictions on businesses.
In Orlando, 152 coronavirus cases were linked to one bar near the University of Central Florida campus, said Dr. Raul Pino, a state health officer in the tourism city.
“A lot of transmission happened there,” Pino said. “People are very close. People are not wearing masks. People are drinking, shouting, dancing, sweating, kissing and hugging, all the things that happen in bars. And all those things that happen are not good for COVID-19.”
Although he asked health officials to renew calls for people to wear masks and keep their distance, Gov. Ron DeSantis has not signaled he will retreat from reopening the state after three months of shutdowns.
Countries such as Brazil, India and Pakistan are also seeing surging cases.
Dr. Michael Ryan, the World Health Organization’s emergencies chief, said the outbreak is “definitely accelerating” in the U.S. and a number of other countries, dismissing the notion that the recordbreaking daily levels of new cases simply reflect more testing. He noted that numerous countries have seen marked increases in hospital admissions and deaths.
“The epidemic is now peaking or moving towards a peak in a number of large countries,” he warned.
In the U.S., Arizona, in particular, is seeing disturbing trends in several benchmarks, including the percentage of tests that prove positive for the virus. Arizona’s is the highest in the nation.
The state’s positive test rate is at a seven-day average of over 20%, well above the national average of 8.4% and the 10% level that public health officials say is a problem. When the positive test rate rises, it means that an outbreak is worsening — not just that more people are getting tested.
At Maryland’s Fort Washington Medical Center on the outskirts of the nation’s capital, workers described a scramble to find new beds, heartbreaking encounters with family members of critically ill patients and frustration with Americans who do not believe the coronavirus threat is real.
“Everybody is out lounging on the beaches. Just thinking that it’s over. And it’s not,” respiratory therapist Kevin Cole said. “It’s far from being over. And unfortunately, it’s those people that will keep this pandemic going.”
Meanwhile, New York City, once the most lethal hot spot in the U.S., lifted more of its restrictions, moving a big step closer to normal. Restaurants can serve diners outdoors, customers can browse through stores and get a haircut, and playgrounds reopened.