The Columbus Dispatch

Deaths from COVID-19 eclipse 700,000 in US

Macabre milestone frustratin­g to doctors, health officials

- Tammy Webber and Heather Hollingswo­rth

It’s a milestone that by all accounts didn’t have to happen this soon.

The U.S. death toll from COVID-19 eclipsed 700,000 late Friday – a number greater than the population of Boston. The last 100,000 deaths occurred during a time when vaccines – which overwhelmi­ngly prevent deaths, hospitaliz­ations and serious illness – were available to any American over the age of 12.

The milestone is deeply frustratin­g to doctors, public health officials and the American public, who watched a pandemic that had been easing earlier in the summer take a dark turn. Tens of millions of Americans have refused to get vaccinated, allowing the highly contagious delta variant to tear through the country and send the death toll from 600,000 to 700,000 in 31⁄2 months.

Florida suffered by far the most death of any state during that period, with the virus killing about 17,000 residents since the middle of June. Texas was second with 13,000 deaths. The two states account for 15% of the country’s population, but more than 30% of the nation’s deaths since the nation crossed the 600,000 threshold.

Dr. David Dowdy, an infectious disease epidemiolo­gist at Johns Hopkins Bloomberg School of Public Health who has analyzed publicly reported state data, said it’s safe to say at least 70,000 of the last 100,000 deaths were unvaccinat­ed people. And of those vaccinated people who died with breakthrou­gh infections, most caught the virus from an unvaccinat­ed person, he said.

“If we had been more effective in our vaccinatio­n, then I think it’s fair to say, we could have prevented 90% of those deaths,” since mid-june, Dowdy said.

“It’s not just a number on a screen,” Dowdy said. “It’s tens of thousands of these tragic stories of people whose families have lost someone who means the world to them.”

When deaths surpassed 600,000 in mid-june, vaccinatio­ns already were driving down caseloads, restrictio­ns were being lifted and people looked forward to life returning to normal over the summer. Deaths per day in the U.S. had plummeted to an average of around 340, from a high of over 3,000 in mid-january. Soon afterward, health officials declared it a pandemic of the unvaccinat­ed.

But as the delta variant swept the country, caseloads and deaths soared – especially among the unvaccinat­ed and younger people, with hospitals around the country reporting dramatic increases in admissions and deaths among people under 65.

They also reported breakthrou­gh infections and deaths, though at far lower rates, prompting efforts to provide booster shots to vulnerable Americans.

Now, daily deaths are averaging about 1,900 a day. Cases have started to fall from their highs in September but there is fear that the situation could worsen in the winter months when colder weather drives people inside.

In a statement Saturday, President Joe Biden lamented what he called the “painful milestone” of 700,000 COVID-19 deaths and said that “we must not become numb to the sorrow.”

He renewed his pitch for people to get vaccinated, saying the country has “made extraordin­ary progress” against the coronaviru­s over the past eight months thanks to the vaccines.

“It can save your life and the lives of those you love,” Biden said. “It will help us beat COVID-19 and move forward, together, as one nation.”

Almost 65% of Americans have had at least one dose of vaccine, while about 56% are fully vaccinated, according to the Centers for Disease Control and Prevention.

But millions are either refusing or still on the fence because of fear, misinforma­tion and political beliefs.

Health care workers report being threatened by patients and community members who don’t believe

“If we had been more effective in our vaccinatio­n, then I think it’s fair to say, we could have prevented 90% of those deaths ...”

Dr. David Dowdy

Infectious disease epidemiolo­gist at Johns Hopkins Bloomberg School of Public Health

COVID-19 is real.

The first known deaths from the virus in the U.S. were in early February 2020. It took four months to reach the first 100,000 deaths. During the most lethal phase of the disaster, in the winter of 2020-21, it took just over a month to go from 300,000 to 400,000 deaths.

The U.S. reached 500,000 deaths in mid-february, when the country was still in the midst of the winter surge and vaccines were only available to a limited number of people. The death toll stood about 570,000 in April when every adult American became eligible for shots.

Danny Baker, a 28-year-old seed hauler from Riley, Kansas, contracted COVID-19 over the summer, spent more than a month in the hospital and died Sept. 14. He left behind a wife and a 7-month-old baby girl.

“This thing has taken a grown man, 28-year-old young man, 6-2, 300pound man, and took him down like it was nothing,” said his father, 56-yearold J.D. Baker, of Milford, Kansas. “And so if young people think that they’re still ... protected because of their youth and their strength, it’s not there anymore.”

In the early days of the pandemic, Danny Baker, who was a championsh­ip trap shooter in high school and loved hunting and fishing, insisted he would be first in line for a vaccine, recalled his mother.

But just as vaccinatio­ns opened up to his age group, the U.S. recommende­d a pause in use of the Johnson & Johnson vaccine to investigat­e reports of rare but potentiall­y dangerous blood clots. The news frightened him, as did informatio­n swirling online that the vaccine could harm fertility, though medical experts say there’s no biological reason the shots would affect fertility.

His wife also was breastfeed­ing, so they decided to wait. Health experts now say breastfeed­ing mothers should get the vaccine for their own protection and that it may even provide some protection for their babies through antibodies passed along in breastmilk.

“There’s just a lot of miscommuni­cation about the vaccine,” said his wife, 27-year-old Aubrea Baker, a labor and delivery nurse, adding that her husband’s death inspired a Facebook page and at least 100 people to get vaccinated. “It’s not that we weren’t going to get it. We just hadn’t gotten it yet.”

“I remember when we broke that 100,000-death mark, people just shook their heads and said ‘Oh, my god,’ ” said Dr. Georges Benjamin, executive director of the American Public Health Associatio­n. “Then we said, ‘Are we going to get to 200,000?’ Then we kept looking at 100,000-death marks,” and finally surpassed the estimated 675,000 American deaths from the 1918-19 flu pandemic.

“And we’re not done yet,” Benjamin said.

The deaths during the delta surge have been unrelentin­g in hotspots in the South. Almost 79 people out of every 100,000 people in Florida have died of COVID-19 since mid-june, the highest rate in the nation.

Amanda Alexander, a COVID-19 ICU nurse at Georgia’s Augusta University Medical Center, said Thursday that she’d had a patient die on each of her previous three shifts.

“I’ve watched a 20-year-old die. I’ve watched 30-year-olds, 40-year-olds,” with no pre-existing conditions that would have put them at greater risk, she said. “Ninety-nine percent of our patients are unvaccinat­ed. And it’s just so frustratin­g because the facts just don’t lie and we’re seeing it every day.”

 ?? CHARLIE EHLERT/UNIVERSITY OF UTAH HEALTH VIA AP ?? Doctors have watched a pandemic that had been easing in the summer take a dark turn as the delta variant surges.
CHARLIE EHLERT/UNIVERSITY OF UTAH HEALTH VIA AP Doctors have watched a pandemic that had been easing in the summer take a dark turn as the delta variant surges.

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