The Arizona Republic

Flu limits visitors to Ariz.’s largest health system

- Stephanie Innes

The number of flu cases in Arizona is nearly 16 times higher than it was at this time last year, and some hospitals are taking action with earlier-than-usual visitor restrictio­ns.

Phoenix-based Banner Health, Arizona’s largest health care system, announced this week that because of increased flu and other respirator­y viruses in circulatio­n, it would be implementi­ng visitor restrictio­ns at all its hospitals effective Monday.

Scottsdale-based HonorHealt­h implemente­d visitor restrictio­ns on Monday, and officials with Phoenix-based Valleywise Health are weighing taking similar action.

“We’re evaluating that currently, but we continue to ask visitors to wear a mask in the hospital,” Valleywise’s chief medical officer Dr. Michael White said. “I do anticipate we will accelerate our implementa­tion of visitor restrictio­ns, just given what we’re seeing in the community.”

Like Valleywise, Phoenix-based Abrazo Health has maintained masking requiremen­ts and its hospitals are now limiting visitation to only people 13 and older, chief medical officer Dr. William Ellert said in a written statement. The Abrazo visitor restrictio­ns have been in place since Nov. 1.

In its latest report for the week end

ing Nov. 12, the Arizona Department of Health Services data shows that influenza in Arizona is “increasing rapidly” with 1,969 cases reported so far this season compared with 125 reported at this time last year.

The number of reported cases represents a small proportion of the true number of cases of influenza, state officials say, because not everyone with influenza-like symptoms is tested for the flu.

RSV cases are up significan­tly, too: more than twice as high as they were at this point last season, and are more than 11 times higher than a typical RSV season in Arizona, state data shows.

Officials with Phoenix Children’s Hospital say the emergency department is “very busy” and that many of the cases are RSV and other related respirator­y viruses.

“Clinical teams at Phoenix Children’s have experience with a high patient census, and we have organizati­onal plans in place to address the growing number of patients who require hospitaliz­ation,” Dr. Michael Ritchey, chief medical officer at Phoenix Children’s, said in a written statement.

Ritchey added that for situations that are not life-threatenin­g, Phoenix Children’s has four urgent care locations in the Valley that are open late on weeknights, weekends and holidays when typical primary care offices are closed.

“These sites are also experienci­ng an increase in visits due to respirator­y illnesses,” he said.

Phoenix Children’s has maintained the same visitor restrictio­ns that were put in place during the COVID-19 pandemic. Those restrictio­ns include mandatory masks for visitors while on the hospital campus except when eating, sleeping or in a room alone with a patient. Only two visitors may be in the hospital building and at a child’s bedside at a time and no siblings or additional visitors are allowed, the rules say.

Banner Health: Face masks required for anyone over the age of 2

The emergency department at Valleywise Health Medical Center in Phoenix is busier than usual primarily because of people with symptoms of respirator­y illness, White said. The hospital is also continuing to see COVID-19 patients, including four in the ICU as of

Tuesday.

Banner Health’s hospital visitor restrictio­ns include mandated face masks for anyone age 2 and older and restrictio­ns on visitors under the age of 13. Anyone who has a fever, cough, vomiting or diarrhea is prohibited from going into Banner hospitals unless it’s to seek medical care.

Banner Health imposes visitor restrictio­ns annually, but not typically until December or January, when flu season usually hits Arizona hardest. But this year is an early flu season.

RSV — respirator­y syncytial virus — is also circulatin­g at high levels in Arizona earlier than usual and is contributi­ng to higher patient levels in hospitals, including in emergency rooms.

“We are experienci­ng an early and aggressive increase in respirator­y virus cases related to RSV and influenza,” HonorHealt­h officials said in a written statement. “We continue to monitor the local activity as well as national and internatio­nal respirator­y virus trends.”

HonorHealt­h officials say that even though RSV and influenza are common viruses, they can cause a significan­t strain on the health care system.

“RSV significan­tly impacts children and older adults with weakened immunity and comorbidit­ies,” the statement says. “We must all work together to reduce preventabl­e infections by staying up-to-date on vaccinatio­ns and boosters, wearing a mask when appropriat­e, staying home when ill and frequently washing our hands.”

‘This could be a particular­ly heavy season for respirator­y viruses’

Banner Health officials are encouragin­g everyone over the age of six months to receive the flu vaccine to protect themselves and others from influenza. It takes about two weeks after vaccinatio­n for protection to set in.

“This could be a particular­ly heavy season for respirator­y viruses. Certainly if you haven’t been vaccinated for the flu or most recently for COVID, consider getting those,” White said. “And stay home if you are sick and talk to your health care provider.”

Arizona often gets hit with waves of viruses later than other parts of the country, as it did during the COVID-19 pandemic. As of Nov. 10 flu activity in Arizona was lower than it was in California, Texas, Colorado and New Mexico, per the CDC.

The Arizona Department of Health Services has a tool for finding vaccines here: azdhs.gov/covid19/vaccines/index.php#find-vaccines

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