The Columbus Dispatch

Evacuation­s out of Kabul surge

Biden open to extending past Aug. 31, but Taliban says date is a ‘red line’

- Robert Burns and Darlene Superville

WASHINGTON – The U.S. military reported its biggest day of evacuation flights out of Afghanista­n by far on Monday, but deadly violence that has blocked many desperate evacuees from entering Kabul’s airport persisted, and the Taliban signaled they might soon seek to shut down the evacuation.

Twenty-eight U.S. military flights ferried about 10,400 people to safety out of Taliban-held Afghanista­n over the 24 hours that ended early Monday morning, a White House official said. The chief Pentagon spokesman, John Kirby, said the faster pace of evacuation was due in part to coordinati­on with Taliban commanders on getting evacuees into the airport.

“Thus far, and going forward, it does require constant coordinati­on and deconfliction with the Taliban,” Kirby said. “What we’ve seen is, this deconfliction has worked well in terms of allowing access and flow as well as reducing the overall size of the crowds just outside the airport.”

President Joe Biden’s national security adviser, Jake Sullivan, said later at the White House that talks with the Taliban are continuing.

“We are in talks with the Taliban on a daily basis through both political and security channels,” he said, adding that ultimately it will be Biden’s decision alone whether to continue military-led evacuation operations beyond Aug. 31.

After more than a week of evacuation­s plagued by major obstacles, including Taliban forces and crushing crowds that are making approachin­g the airport difficult and dangerous, the number of people flown out met and exceeded U.S.

What doctors are seeing is an unexpected summer surge of respirator­y illnesses ranging from RSV and COVID-19 to parainfluenza and rhinovirus, which leads to the common cold. The combinatio­n of these viruses has stretched the resources of some Ohio hospitals.

RSV is a common respirator­y virus that usually causes mild, cold-like symptoms, according to the U.S. Centers for Disease Control and Prevention. Most people recover in a week or two, but RSV can be serious, especially for infants and older adults.

RSV and flu cases dropped dramatical­ly in 2020 when the nation was wearing masks and taking precaution­s to prevent disease. Fewer people were exposed to RSV and thus did not develop background immunity to it.

But a return to normal has led to a spike in RSV cases nationwide. The peak of RSV cases typically comes during the winter but it has surged during this summer.

“It’s very, very unusual, but we are dealing with it,” said Dr. Michael Forbes, a pediatric intensive care specialist at Akron Children’s Hospital.

The increase in common respirator­y viruses is hitting all Ohio children’s hospitals, Ohio Department of Health Director Dr. Bruce Vanderhoff said. “On top of that, they are seeing some increase in the number of COVID-19 cases. When you put it together, it really creates

almost a perfect storm of activity.”

Manning-courtney said COVID-19 cases remain the minority of beds at Cincinnati Children’s Hospital Medical Center, but the number is on the rise.

Nationwide Children’s Hospital in Columbus is currently treating 12 children for COVID-19, an increase from three or four a few weeks ago, said Dr. Rustin Morse, chief medical officer at Nationwide Children’s. Of those 12, three were being treated in the hospital’s intensive care unit and one was on a ventilator.

In recent weeks, Morse said the hospital has also seen around 250 children test positive for the virus at outpatient centers out of about 3,500 tests administer­ed. That amounts to a positivity rate of 7.1% at Nationwide Children’s outpatient centers.

If respirator­y illnesses continue to rise, Ohio’s hospitals will face concerns about capacity and possibly delaying elective surgeries, Manning-courtney said. The number of available inpatient beds varied dramatical­ly among Ohio’s children’s hospitals from 56.5% full in

Cleveland to 81.4% full in Cincinnati, according to U.S. Department of Health and Human Services data.

The tips for fighting off respirator­y illnesses are the same: wear a mask, wash your hands, maintain distance and if possible, get a vaccine. There is no vaccine for RSV, but the Pfizer COVID-19 is approved for children 12 and older. Nearly 60% of Ohioans have received their first dose of a COVID-19 vaccine.

‘Added layer of confidence’

On Monday, the Pfizer-biontech COVID-19 vaccine received full U.S. Food and Drug Administra­tion approval. It had previously been approved under emergency use authorizat­ion.

Vanderhoff hopes the change will ease concerns from some Ohioans who were on the fence about getting the COVID-19 vaccine.

“Full approval of this safe, effective COVID-19 vaccine can give Ohioans an added layer of confidence when choosing to be vaccinated,” he said.

“We worry that we have to delay care because the volume of children who need us is so great that we have to make some hard decisions about what we can and cannot do, and we just don’t want to be there.”

Columbus Dispatch reporter Max Filby contribute­d to this article.

Jessie Balmert is a reporter for the USA TODAY Network Ohio Bureau, which serves the Akron Beacon Journal, Cincinnati Enquirer, Columbus Dispatch and 18 other affiliated news organizati­ons across Ohio.

 ?? STEPHEN WEBSTE/OHIOHEALTH ?? Dr. Bruce Vanderhoff and doctors from Ohio’s children’s hospitals warn about a surge in summer respirator­y illnesses.
STEPHEN WEBSTE/OHIOHEALTH Dr. Bruce Vanderhoff and doctors from Ohio’s children’s hospitals warn about a surge in summer respirator­y illnesses.

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