Pittsburgh Post-Gazette

• Sun Belt states rush to prepare hospital beds

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ST. PETERSBURG, Fla. — Florida and other states across the Sun Belt are thinning out the deck chairs, turning over the barstools and rushing to line up more hospital beds as they head into the height of the summer season amid a startling surge in confirmed cases of the coronaviru­s.

Over the past few days, states such as Florida, Arizona, Texas and California have reversed course, closing or otherwise clamping down on bars, shutting beaches, rolling back restaurant capacity, putting limits on crowds at pools or taking other steps to curb a scourge that may be thriving because of such factors as air conditioni­ng and resistance to wearing masks.

“Any time you have these reopenings, you’re depending on people to do the right things, to follow the rules. I think that’s where the weak spots come in,” said Dr. Cindy Prins, a University of Florida epidemiolo­gist. She warned things are likely to get worse before they get better.

Hospitals in the new hot spots are already stretched nearly to the limit and are scrambling to add intensive care unit beds for an expected surge in COVID-19 cases in the coming weeks.

Newly confirmed cases in

Florida have spiked over the past week, especially in younger people, who may be more likely to survive the virus but can spread it to the Sunshine State’s many vulnerable older residents.

The state reported more than 6,000 new confirmed cases Tuesday. More than 8,000 were recorded on each of the three days late last week. Deaths have climbed past 3,500. Floridians ages 15 to 34 now make up 31% of all cases, up from 25% in early June. Last week, more than 8,000 new confirmed cases were reported in that age group, compared with about 2,000 among people 55 to 64 years old.

Hospital ICUs are starting to fill up in South Florida, with a steadily increasing number of patients requiring ventilator­s. Miami’s Baptist Hospital had only six of its 82 ICU beds available, officials said.

In hard-hit Arizona, hospitals are looking for ways to cram more beds into their facilities and hiring out-ofstate nurses. State officials have authorized “crisis standards of care” telling hospitals which patients should get a ventilator or other scarce resources if there is a shortage.

Dignity Health, which operates several hospitals in the Phoenix area, is converting more areas to treat

COVID-19 patients and preparing to put multiple patients in private rooms, spokeswoma­n Carmelle Malkovich said. It’s bringing nurses from underutili­zed hospitals in its system to Arizona and hiring traveling nurses and respirator­y therapists throughout July.

Republican Gov. Doug Ducey shut down bars, movie theaters and gyms and banned groups larger than 10 at swimming pools.

Air conditioni­ng could be a factor in hot-weather states where new cases have been spiking because it recirculat­es air instead of bringing it in fresh from outside, said Dr. Kristin Englund, an infectious-disease physician at Cleveland Clinic.

“I definitely think the air conditioni­ng and the oppressive heat in the South is going to play a role in this,” she said.

The coronaviru­s has been blamed for over a half-million deaths worldwide, including about 130,000 in the U.S., where the number of new cases per day has soared over the past month, primarily in the South and West.

Van Johnson, mayor of the tourism-dependent city of Savannah, Ga., announced he is requiring the wearing of masks, with violators subject to $500 fines.

Savannah, population 145,000, becomes one of the first cities in Georgia to take such a step. Republican Gov. Brian Kemp has largely prohibited local government­s from imposing rules stricter than the state’s.

After talking with the governors of Arizona and Texas, Colorado Gov. Jared Polis said Tuesday his state will rein in previously set rules for bars and nightlife. Under the modificati­ons, bars that had been allowed to operate at 25% capacity will be closed for in-person service if they don’t serve food.

The new round of shutdowns across the country is likely to cause another spike in layoffs.

Nikki Forsberg said she is relying on government loans to keep the Old Ironhorse Saloon, the only bar in the Texas Hill Country town of Blanco, afloat after it was closed for two months beginning in mid-March and then shut down again Friday by the governor’s order.

She said money got so tight for some of her eight employees during the first shutdown she told them to go the bar and take whatever they needed — petty cash, toilet paper, even one of the refrigerat­ors.

“That’s how desperate it got,” she said. “By the time we had opened back up, we had stripped the bar of all the non-liquor inventory.”

 ?? Lynee Sladky/Associated Press ?? People wait in line at a walk-up COVID-19 testing site on Tuesday in Miami Beach, Fla., as new cases spike across the country.
Lynee Sladky/Associated Press People wait in line at a walk-up COVID-19 testing site on Tuesday in Miami Beach, Fla., as new cases spike across the country.

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