The Atlanta Journal-Constitution
Florida’s curve no longer flat amid new surge of virus cases
Hospitals in June, July see COVID-19 patients triple.
Fighting a surge in coronavirus cases in the spring, Florida appeared to be “flattening the curve” as theme parks shuttered, sugar sand beaches closed and residents heeded orders to stay home. Now it’s almost as if that never happened.
Bars, restaurants and gyms began reopening in May — critics said it was too soon — and weeks later, the Sunshine State became one of the country’s virus hot spots, experiencing an alarming surge in cases. On Thursday, officials reported 120 deaths in one day, the highest number since the previous record of 113 in early May.
“We thought maybe we could keep this thing under wraps. And that worked for a little bit of time,” Dr. Jason Wilson, an emergency room physician at Tampa General Hospital, said during a conversation with Tampa Mayor Jane Castor that was livestreamed Wednesday on Facebook. “But eventually ... it caught up to us.”
From Miami to Jacksonville and Tampa, hospitals in June and July have seen their numbers of coronavirus patients triple, with new patients outpacing those being discharged. A record 435 newly hospitalized patients were reported Friday to have tested positive for the virus, though they include people seeking hospital care for other reasons and are not all symptomatic.
More than 45% of intensive care units in Florida hospitals were at capacity or had fewer than 10% of their beds available as of Friday, the state Agency for Health Care Administration reported on its website.
Hospital networks are scrambling to hire more health care workers to expand their COVID-19 units. Last week, hospitals in several cities announced they would again halt or reduce nonemergency procedures to free up space.
Wilson and other health experts believe the spike was sparked in large part by young people who weren’t experiencing symptoms and were more likely to take fewer precautions while gathering at reopened bars and crowded beaches.
“We saw the floodgates open really for young people having what we call asymptomatic or presymptomatic spread,“he said. “Three weeks later, we are starting to see everyone else starting to get the virus as well.”
The state’s predicament echoes that of other current hot spots. Texas, which is marking its deadliest week of the pandemic, on Thursday reported a record daily death toll of more than 100, a new high for hospitalizations for the 10th consecutive day, and a nearly 16% positive test rate, its highest yet. In Arizona, hospitals were at nearly 90% capacity, with a record 3,437 patients hospitalized as of Wednesday, and a record number of those, 575, on ventilators, health officials said. Earlier in the week, a record high number of 871 patients filled ICU beds.
In Miami-Dade, Florida’s worst-hit county, a few of the smaller hospitals have run out of ICU beds completely, though countywide there were still about 14% available as of Friday, the state health agency reported. Even hospitals with some of the biggest ICUs in the state are stretched: Tampa General currently has 70 patients who are infected, half of whom are in ICU beds, Wilson said.
Chad Neilsen, the infection prevention director for UF Health Jacksonville hospital, anticipates the hospital will run out of rapid test kits in about two weeks or maybe sooner because manufacturers can’t keep up with demand. He said the hospital instead will have to rely on commercial labs, which can take several days to issue results. Quest, a company that operates many such labs, said this week that it is potentially facing an even longer turnaround because of high demand.
Slower test results have a domino effect because a hospital has to assume that every patient with flulike symptoms has COVID-19, meaning it will burn through its protective equipment and other gear much more quickly.
“For a hospital, that’s a big problem,” Neilsen said. “We have patients that need surgery that we want to test. We have mothers about to give birth that we want to test.”
The rise in hospitalizations comes as physicians and nurses have been working around the clock for months, and during the summer, when facilities are typically low staffed. Gov. Ron DeSantis just deployed 200 nurses to fill staffing shortages in Miami and Tampa, and has pledged to send hundreds more.
“We’re just overwhelmed with patients . ... Right now, it’s like all hands on deck,” said Esther Segura, a nurse at Miami’s Jackson South Medical Center, who said she and her colleagues are weary after four months working in the pandemic. “Now we’re just spiking all the way. Every day the numbers keep surging.”
‘We’re just overwhelmed with patients . ... Right now, it’s like all hands on deck. Now we’re just spiking all the way. Every day the numbers keep surging.’ Esther Segura, nurse at Miami’s Jackson South Medical Center