The Commercial Appeal

‘Exponentia­l’ rise in cases led to Safer at Home order

Health director: Access to hospital beds also a factor

- Katherine Burgess Memphis Commercial Appeal USA TODAY NETWORK – TENNESSEE

An “exponentia­l” increase in daily COVID-19 cases was a key factor that led the Shelby County Health Department to implement its Safer at Home order that went into effect Saturday, said Alisa Haushalter, director of the health department.

“The pandemic was in a phase of exponentia­l growth and that was critical,” she said Tuesday.

Haushalter said the health department looked at the average number of new cases per day.

On Oct. 24, Shelby County hit a 14day average of more than 200 cases for the first time since the summer. By Nov. 15, that average had risen to more than 300. Then on Nov. 21, it hit 401. On Dec. 12, that average hit 501. On Dec. 17, it hit 652. On Dec. 21, it hit 728.

Left unchecked, in a month “we would have thousands and thousands of more cases” of COVID-19 per day, Haushalter said.

Hospital access and the daily increase in cases are some of the data Haushalter pointed to after she faced criticism from the Town of Arlington Board of Mayor and Aldermen for the Safer at Home order.

As of 5 p.m. Monday, 89% of local acute care hospital beds and 93% of intensive care units were occupied. There were 580 COVID-19 patients in Memphis-area hospitals Monday evening. Another 67 patients were under investigat­ion in Memphis-area hospitals for COVID-LIKE symptoms.

The 580 COVID-19 hospitaliz­ations was the highest number during the course of the pandemic.

Tuesday, Haushalter stressed that hospitals have surge plans in place.

Wednesday, Arlington’s Board sent a letter to the Shelby County Health Department opposing the Safer at Home Order, writing that they “feel strongly that the Shelby County Health Department has acted prematurel­y in its actions, other measures should have been taken into considerat­ion such as better public relations, outreach and education on how individual­s can make a difference, leaving risk versus reward to the decisions of the individual­s.”

Haushalter said Tuesday that she was aware of the letter.

“Elected officials have a right to their own opinion,” she said. “I won’t comment on their opinion. What I will say is we are data driven locally.”

Who is getting vaccines?

Tuesday, health officials addressed current restrictio­ns in Shelby County as well as the state’s plan for distributi­ng COVID-19 vaccines across different population­s.

Although the plan is likely to be revised, it is currently available online.

The first group (1a1), which is currently being vaccinated in Tennessee, includes inpatient and other high-exposure healthcare workers, residents and staff of long-term care facilities and first responders, according to the document posted online.

“We ask the public, including those 65 and older, who do not fall within the 1a1 priority group to wait until their respective priority group is scheduled for vaccinatio­ns,” the health department said in a statement issued Tuesday afternoon. “It is critical that we focus on those workers who are at high risk of contractin­g the COVID-19 virus while serving the public. ... As more vaccine is available, the priority groups served will be expanded.”

The second group will include all other healthcare workers, according to the state’s plan.

The third group includes everyone with two or more high-risk co-morbiditie­s, while the fourth group will include critical infrastruc­ture workers, school and childcare staff, people with moderate risk co-morbiditie­s, those 65 or older, people in congregate care and those in correction­s. The fifth group is currently written to include young adults, children and industry workers, while the last group will include all others.

“We do believe by current restrictio­ns we can allay serious illness but also reduce the number of deaths in our community,” Haushalter said.

Katherine Burgess covers county government and religion. She can be reached at katherine.burgess@commercial­appeal.com, 901-529-2799 or followed on Twitter @kathsburge­ss.

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