Orlando Sentinel

Murthy warns of tough weeks ahead

US surgeon general says omicron peak still has not occurred

- By Sabrina Imbler

Dr. Vivek Murthy, the U.S. surgeon general, on Sunday warned that the omicron surge of coronaviru­s cases had not yet peaked nationally, saying that the next few weeks would be difficult in many parts of the country as hospitaliz­ations and deaths rise.

Murthy noted the “good news” of the plateaus and drops in known cases in the Northeast, especially in New York City and New Jersey.

But “the challenge is that the entire country is not moving at the same pace,” he said, adding that “we shouldn’t expect a national peak in the coming days.”

“The next few weeks will be tough,” he said on CNN’s “State of the Union.”

The highly contagious omicron variant has fueled an explosive surge of known cases.

Dr. Ashish Jha, dean of the Brown University School of Public Health, also expressed concerns that the next several weeks would overwhelm hospitals and staff.

“Right now, we’re at about 150,000 people in the hospital with COVID,” he said on “Fox News Sunday.” “That’s more than we’ve ever had. I expect those numbers to get substantia­lly higher.”

In addition, omicron has brought into sharp relief the long-standing lack of adequate testing supplies, with consumers now depleting pharmacies of costly rapid tests — a boxed set of two tests ranges from $14 to $24 — and creating long lines at testing sites.

The federal government has promised to distribute 1 billion rapid at-home coronaviru­s tests to Americans, limiting each household to request four free tests. And new federal rules require private insurers to cover up to eight at-home tests per member a month.

But Americans will probably not have tests in hand for weeks, which may be too late in some places where demand is high as infections spread.

“We’ve ordered too few testing kits, so our testing capacity has continued to lag behind each wave,” Tom Bossert, homeland security adviser to then-President Donald Trump, said on ABC’s “This Week.” “It’s too little and too late, but noteworthy for the next wave.”

Although many people infected with omicron have had no or mild symptoms, others — especially those who were not vaccinated and those with chronic conditions — suffered more serious illnesses that were already overwhelmi­ng hospitals in some states late last year.

Murthy disagreed with the U.S. Supreme Court’s decision last week that rejected President Joe Biden’s vaccine-or-testing mandate for large employers that would have applied to more than 80 million workers.

“It was a setback for public health,” he said. “Because what these requiremen­ts ultimately are helpful for is not just protecting the community at large, but making our workplaces safer for workers as well as for customers.”

The court, however, did uphold a vaccine mandate for most health care workers in the country.

Nearly 63% of the U.S. population is fully vaccinated, but only 38% of those have received a booster shot, which some have argued should be the new definition of full vaccinatio­n.

The Centers for Disease Control and Prevention has not changed the definition of full vaccinatio­n, but said recently it considers three doses of Pfizer-BioNTech or Moderna’s vaccines to be “up-to-date,” as well as Johnson & Johnson’s shots with a second dose, preferably of Moderna or Pfizer.

Last week, the CDC acknowledg­ed that cloth masks do not offer as much protection as a surgical mask or respirator.

“Please, please get vaccinated,” Murthy said on ABC, issuing a reminder that the shots still provide good protection against severe illness. “It’s still not too late.”

Meanwhile, nursing homes reported a near-record of about 32,000 COVID-19 cases among residents in the week ending Jan. 9, an almost sevenfold increase from a month earlier, according to the CDC.

A total of 645 COVID19-related deaths among residents were recorded during the same week, a 47% increase from the earlier period.

Despite the rising numbers, the situation is not as dire as it was in December 2020, when nursing home deaths per week topped out at about 6,200. Experts credit the high vaccinatio­n rates now among nursing home residents: About 87% are fully vaccinated, according to CDC data.

Nursing home officials say they are responding to the outbreak by limiting visitors to common areas instead of allowing them into residents’ rooms, and by reinstitut­ing social distancing.

Some states, like New York, have put their own measures in place, like requiring proof of a negative test for visitors and providing all with surgical masks.

Also, about 57,200 nursing home workers had the virus in the week ending Jan. 9, a more than tenfold increase from a month earlier, according to the CDC.

Making sure that nursing home facilities have supplies like tests is crucial too, said Lisa Sanders of LeadingAge, an associatio­n of nonprofit providers of aging services, including nursing homes.

“Older adults and the people they care for should be prioritize­d for support and supplies as they become available,” she said.

 ?? VICTOR J. BLUE/THE NEW YORK TIMES ?? COVID-19 patients lie side by side last week at Brooklyn Hospital Center in New York City.
VICTOR J. BLUE/THE NEW YORK TIMES COVID-19 patients lie side by side last week at Brooklyn Hospital Center in New York City.

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