The Guardian (USA)

LA's Covid crisis set to surge in wake of holidays as hospitals are inundated

- Sam Levin in Los Angeles and Vivian Ho

The Covid catastroph­e in the Los Angeles region has continued to push the healthcare system to the brink, with officials warning that the surge from the holidays and New Year’s Eve gatherings will further exacerbate the crisis in the coming weeks.

New Covid infections in LA county have been accelerati­ng at by far the highest rate since the start of the pandemic. Over the weekend, officials announced that more than 800,000 people in the county have contracted Covid in 2020, with half of those cases occurring in December. LA mayor Eric Garcetti noted on Sunday that one person is now contractin­g Covid every six seconds, with one death every ten minutes.

Speaking on CBS’s Face the Nation, Garcetti said the pandemic is getting worse in his city as the virus spreads rapidly within households and people let their guard down with news of the arrival of vaccines. “This is a virus that preys off of our weakness, preys off of our exhaustion,” he said.

More than 7,500 people are hospitaliz­ed in LA county, and the hospitals in southern California continue to have zero intensive care unit (ICU) capacity. The hospitals are so overwhelme­d that some ambulances are now waiting up to eight hours to offload patients. The US Army Corps of Engineers is also sending personnel to some LA hospitals to help them deal with a dwindling oxygen supply. And recently, health officials began directing ambulance crews not to transport patients to the hospital if they have virtually no chance of surviving.

There are ongoing major outbreaks at workplaces in the region, including big-box stores, grocery stores, fast-food restaurant­s, fire department­s, film sets and at the LA internatio­nal airport. The latest data shows that Latinos are disproport­ionately suffering in this current surge, and are now dying at twoand-a-half times the rate of white residents in the county, according to the LA Times.

Meanwhile, anti-mask protesters stormed malls and grocery stores on Sunday in LA without wearing masks, raising concerns about further exposure to essential workers.

The increasing­ly desperate situation in southern California comes as US hospitaliz­ations hit a record high over the weekend of 125,544. The current surge of cases shows no signs of slowing down.

Dr Anthony Fauci, the nation’s top infectious disease expert, and others are warning that an additional surge is likely because of holiday gatherings and cold weather keeping people indoors.

“It could and likely will get worse in the next couple of weeks, or at least maintain this very terribly high level of infections and deaths that we’re seeing,” Fauci told ABC on Sunday.

Overall, California is reporting a daily case average of 37,845 positive cases per day, with hospitaliz­ations up 18% in the last two weeks. An average of 336 California­ns have died each day for the past week, said Gavin Newsom, the state’s governor, on Monday.

Around the state, intensive care units were stretched to the brink, with admissions increasing by 22% in the last 14 days. Marco Randazzo, a Santa Clara county emergency room doctor, said at a 31 December press briefing that some hospitals in the region were forced to care for ICU patients in the emergency department because their ICU department­s were full. “Oftentimes the only way we can move a patient to the ICU is when a Covid patient has died,” Randazzo said.

Ninety patients are being treated at alternativ­e care sites – federal field hospitals – Newsom said.

 ?? Photograph: Irfan Khan/Los Angeles Times/REX/Shut ?? Marijorie Tabago, a nurse with the San Bernardino county public health department, collects samples for Covid testing.
Photograph: Irfan Khan/Los Angeles Times/REX/Shut Marijorie Tabago, a nurse with the San Bernardino county public health department, collects samples for Covid testing.
 ?? Photograph: Jae C Hong/AP ?? Inside an intensive care unit at Providence Holy Cross medical center in the Mission Hills section of Los Angeles.
Photograph: Jae C Hong/AP Inside an intensive care unit at Providence Holy Cross medical center in the Mission Hills section of Los Angeles.

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