Pittsburgh Post-Gazette

U.S. summer virus surge waning

Leaders, employers eye more mandates to maintain progress

- By John Seewer

COVID-19 deaths in the U.S. are coming down again, hospitaliz­ations are dropping, and new cases per day are about to dip below 100,000 for the first time in two months — all signs that the summer surge is waning.

Not wanting to lose momentum, government leaders and employers are looking to strengthen vaccine requiremen­ts.

Los Angeles enacted one of the nation’s strictest vaccine mandates Wednesday, a sweeping measure that would require the shots for everyone entering a bar, restaurant, nail salon, gym or Lakers game. New York City and San Francisco have similar rules.

Minnesota’s governor this week called for vaccine and testing requiremen­ts for teachers and longterm care workers. In New York, a statewide vaccinatio­n mandate for all hospital and nursing home workers will be expanded Thursday to home care and hospice employees.

Across the nation, deaths per day have dropped by nearly 15% since mid-September and are now averaging about 1,750. New cases have fallen to just over 103,000 per day on average, a 40% decline over the past three weeks.

The number of Americans now in the hospital with COVID-19 has declined by about one-quarter since its most recent peak of almost 94,000 a month ago.

“What we’re seeing is what we’ve seen in the prior three surges,” said Dr. Marybeth Sexton, an infectious disease specialist at Emory University School of Medicine. “What we need to remember is when we see these numbers go down, it’s not a signal to let up. It’s a signal to push harder.”

If people give up masks and social distancing and stop getting vaccinated, “we could be right back here in the winter with surge five,” she said.

The decreases have been especially sharp in several Deep South states, where cases have gone down more than twice as fast as they have nationwide. Louisiana, Mississipp­i, Alabama and Arkansas all saw their case numbers cut in half over the past two weeks.

What’s behind the decline isn’t entirely clear, though health experts point out that the numbers are falling as more are people getting vaccinated and new requiremen­ts for the shot are being put in place by government and private employers.

The decrease in case numbers could also be due to the virus running out of susceptibl­e people in some places.

Several big companies and institutio­ns with vaccine requiremen­ts are seeing high compliance rates. In Denver, 92% of its municipal employees have gotten the shot, well above the city’s overall rate.

Ochsner Health, Louisiana’s largest health system, said last week that 82% of its employees were fully vaccinated. But this week, a group of employees sued to block the mandate, which includes making unvaccinat­ed spouses pay an extra $200 a month in health insurance.

Three of North Carolina’s largest health systems said on Wednesday that more than 99% of the roughly 88,000 workers they collective­ly employ have gotten a shot or an approved medical or religious exemption. Just under 300 workers at Duke Health, UNC Health and Novant Health have quit or been fired over their refusal to comply.

Health care giant Kaiser Permanente put more than 2,200 employees nationwide — roughly 1% of its workforce — on unpaid leave because they have chosen not to get vaccinated. They have until Dec. 1 to get their shots or lose their jobs.

Since its vaccinatio­n requiremen­t was announced, the inoculatio­n rate among employees has gone from 78% to 92%, Kaiser said.

“Vaccine requiremen­ts work. New data reinforces that fact each day,” White House COVID-19 coordinato­r Jeff Zients said Wednesday.

The easing of cases, death and hospitaliz­ations is happening along with other encouragin­g developmen­ts, including the possibilit­y that vaccinatio­ns for 5-to-11year-olds will become available in a matter of weeks and the first pill for treating people sick with COVID-19 could reach the market by year’s end.

Worldwide, newly reported cases fell in the last week, continuing a declining global trend that began in August, the World Health Organizati­on said. The U.N. agency reported that the biggest drop in deaths was in Africa.

Elsewhere around the world, Russia’s daily coronaviru­s death toll this week surpassed 900 for the first time in the pandemic amid a low vaccinatio­n rate and the government’s reluctance to impose tough infection-control restrictio­ns.

And authoritie­s in Sweden, Denmark and Norway suspended or discourage­d the use of Moderna’s COVID-19 vaccine in young people because of an increased risk of heart inflammati­on, a very rare side effect associated with the shot.

Despite the encouragin­g direction in the U.S., health experts say it is no time for people to drop their guard because there are still far too many who are unvaccinat­ed.

“This is still primarily a problem of people who are unvaccinat­ed,” said Jennifer Nuzzo, a Johns Hopkins University public health researcher. “Some of them are taking precaution­s, but many of them feel like they don’t need to worry.”

There is also concern that a new wave could come during the winter when more people are indoors.

 ?? Pittsburgh Post-Gazette ?? Ercole Troiani, of Carnegie, gets a blood glucose screening from Laura Ehrenberge­r of the Duquesne University School of Pharmacy on Wednesday during the annual Health and Wellness Fair in Market Square. COVID-19 vaccinatio­ns and flu shots were available at the fair.
Pittsburgh Post-Gazette Ercole Troiani, of Carnegie, gets a blood glucose screening from Laura Ehrenberge­r of the Duquesne University School of Pharmacy on Wednesday during the annual Health and Wellness Fair in Market Square. COVID-19 vaccinatio­ns and flu shots were available at the fair.
 ?? Damian Dovargan/Associated Presses ?? A patient shows her COVID-19 vaccine card at the Clinica Monsenor Oscar A. Romero on July 26 in the Pico-Union district of Los Angeles. COVID-19 deaths in the U.S. are coming down again, hospitaliz­ations are dropping, and new cases per day are about to dip below 100,000 for the first time in two months — all signs that the summer surge is slowing down.
Damian Dovargan/Associated Presses A patient shows her COVID-19 vaccine card at the Clinica Monsenor Oscar A. Romero on July 26 in the Pico-Union district of Los Angeles. COVID-19 deaths in the U.S. are coming down again, hospitaliz­ations are dropping, and new cases per day are about to dip below 100,000 for the first time in two months — all signs that the summer surge is slowing down.

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