Albuquerque Journal

NM hospitals struggle amid push to vaccinate youths

Doctor calls it ‘a crisis of the unvaccinat­ed’

- BY MORGAN LEE

SANTA FE — Hospitals in northweste­rn New Mexico were grappling Wednesday with a surge in coronaviru­s cases that has left only a handful of intensive care beds available and led to a rationing of care.

State health officials said New Mexico’s health care system overall remains heavily burdened with high rates of COVID-19 hospitaliz­ations. Hospitals across the state had just eight intensive care beds available Wednesday, making it more difficult to attend to such health emergencie­s as heart attacks, said David Scrase, the state’s top health official.

But the situation is particular­ly concerning in the state’s far northwest, where hospital administra­tors recently invoked crisis standards of care to focus resources on critical patients. Federal and state authoritie­s have dispatched medical and support personnel to shore up services at

San Juan Regional Medical Center in Farmington.

Coronaviru­s patients accounted for 90 of 169 patients at the hospital Wednesday afternoon, with 15 patients sustained by breathing machines.

On Wednesday evening, hospital staff and local government officials held an online town hall meeting, imploring unvaccinat­ed residents to reconsider.

“Our crisis right now is a crisis of the unvaccinat­ed,” said emergency medical physician Brad Greenberg, noting that vaccinated patients in the area are 10 times less likely to die if infected.

San Juan County Sheriff Shane Ferrari lamented that personal decisions about the vaccine have become politicize­d. The county is a conservati­ve stronghold where registered Republican­s outnumber Democrats.

“As of right now, it’s still a personal choice,” he said of vaccinatio­n. “You need to have that conversati­on with your doctor, decide if that’s the right avenue for you. If you choose not to do that, care for your neighbor. … Wear your mask, wash your hands, don’t get out.”

State epidemiolo­gist Christine Ross visited the hospital in Farmington last week and said she encountere­d dedicated health workers who have worked to exhaustion.

“They are amazing and they are really, really tired,” Ross said during an online news conference.

Hospital facilities are adequate, but staff have been struggling to keep up with the demands of coronaviru­s patients, she said.

“The surge staffing that the state was able to send out there, along with the federal team, is making a real difference,” Ross said.

State health officials say the resurgence of the virus correspond­s with waning immunity from early rounds of vaccinatio­ns as residents approach or pass the time they need booster shots.

“New Mexico vaccinated faster than most states, so we’re seeing breakthrou­gh cases earlier than others,” Scrase said.

Just over 60% of New Mexico residents, including children, are fully vaccinated. About 4% of eligible chil

dren aged 5-11 statewide made vaccine appointmen­ts during the first week of eligibilit­y. Scrase said that response is similar to participat­ion when a vaccine was first made available to children aged 12-16.

Local elected leaders, including Farmington Mayor Nate Duckett and San Juan County Commission­er John Beckstead, said there are no plans to extend vaccine mandates to more public employees in their region. New Mexico requires health care employees, teachers and other “high-risk” workers to be immunized, with few exceptions.

Sheriff Ferrari and Farmington’s police chief said their agencies don’t ticket people for violations of the statewide indoor mask mandate, but encourage compliance by example.

Complicati­ng matters in the hard-hit northwest is in an ongoing labor dispute at a county hospital.

In Gallup, a city on the edge of the Navajo Nation, a union representi­ng medical staff at a county-owned hospital has filed a complaint alleging unfair labor practices and retaliatio­n against unionizati­on efforts by doctors and nurses with the National Labor Relations Board, the agency confirmed Wednesday.

Rehoboth McKinley Christian Hospital was overwhelme­d with coronaviru­s patients in the early stages of the pandemic in 2020, when Gallup was briefly closed to outside visitors and encircled by police barricades.

This year, medical staff voted to unionize as they expressed concern about the hospital’s financial standing and whether it can sustain a high standard of care for patients amid recent layoffs. The hospital’s labor and birthing unit reopened in late October after a weekslong shutdown.

Hospital administra­tors had no immediate response to the complaint filed by the Union of American Physicians and Dentists, and have not filed an answer with federal regulators.

 ?? MORGAN LEE/ASSOCIATED PRESS ?? The Rehoboth McKinley Christian Hospital in Gallup was overwhelme­d with coronaviru­s patients in the early stages of the pandemic. Hospitals in northweste­rn New Mexico are now grappling with a surge in coronaviru­s infections, as well as financial stress and a labor dispute.
MORGAN LEE/ASSOCIATED PRESS The Rehoboth McKinley Christian Hospital in Gallup was overwhelme­d with coronaviru­s patients in the early stages of the pandemic. Hospitals in northweste­rn New Mexico are now grappling with a surge in coronaviru­s infections, as well as financial stress and a labor dispute.

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