Tag: hospital admissions

  • Ohio gov thinks a law is making kids sick and says it’s unconstitutional. He won’t challenge it

    Ohio gov thinks a law is making kids sick and says it’s unconstitutional. He won’t challenge it

    DeWine spokesman says risks are too high

    BY: MARTY SCHLADEN and Ohio Capital Journal

    Some are questioning Gov. Mike DeWine’s sincerity when he says he’s doing all he can to fight the spread of coronavirus among children.

    DeWine and the leaders of children’s hospitals are in a panic over the lack of masking in Ohio schools. Hospital admissions of children with covid are up 536% since July and the hospitals report that they’re being overwhelmed by the surging delta variant and an unusual jump in other respiratory illnesses.

    [Watch video] Ohio Children’s Hospital leaders briefing for school administrators –…

    DeWine and the hospitals are pleading with local school officials to enact their own mask mandates because DeWine says his hands are tied by Senate Bill 22 — a law the GOP-controlled legislature passed in March over his veto. 

    It circumscribes the governor’s ability to issue health orders such as his 2020 statewide mask mandate by limiting them to 30 days. After that, the legislature would have to sign off in order to continue them.

    Asked on Tuesday why he wouldn’t impose a mask mandate as a temporary measure, DeWine said he didn’t want to muddy the issue.

    “All that will do is cause a great deal of confusion and then I think people would say, ‘Well there’s no mandate on, there’s no requirement on, we can go back, there’s really no reason to keep masks on,” the governor said. “I’m afraid what would happen is we would slide backwards, we would go the wrong way.”

    However, some noted that when SB 22 was passed, the governor, who is a lawyer, didn’t believe it would stand up in court.

    “Lots of talk out there excusing @GovMikeDeWine‘s refusal to issue a school mask mandate,” Katie Paris, founder of the group Red Wine and Blue, tweeted. “His hands are NOT tied. He could issue a mandate today and if the legislature fights it, he could take them to court.”

    She followed up with a thread that included the statement DeWine issued when he vetoed SB 22.

    “We believe that significant portions of SB 22 are unconstitutional,” the statement says. “Parts of the bill violate the separation of powers doctrine embedded in our Ohio Constitution; other parts violate Article II, Section 15 of the Ohio Constitution, proscribing how laws must be made; and even other parts of the bill likely violate Article IV, Section 5 of the Ohio Constitution, by exercising power reserved to the judiciary.” 

    Loveland School Superintendant Mike Broadwater

    Loveland School Superintendant Mike Broadwater told Loveland Magazine on Thursday, “It is unfortunate that Governor DeWine no longer has the power to issue health orders that would put every school district across the state in the same situation if that’s what he feels is best. But by leaving it to local control, he’s allowing each district to make the decision that fits best for their community.”

    The current policy of the Loveland City School District is that students in grades PreK-6 are required to wear a mask indoors. Students in grades 7-12 do not have to wear face coverings. All others, while in the buildings must wear masks.

    The Legislative Service Commission also questioned the legality of a draft of the bill, writing that it “might be vulnerable to a constitutional challenge on the grounds that the legislature cannot take such an action by resolution.” But for some reason, it was dropped from the final version of the bill, which was otherwise unchanged.

    Asked why DeWine doesn’t just impose a mask order and fight it out in court, Press Secretary Dan Tierney on Wednesday said it was too risky.

    “Somebody who’s advocating for that is hoping that a judge puts on an immediate restraining order that would allow (the mask mandate) to continue, but you also have to weigh the chance that a judge could rule the other way: that the legislative recision is perfectly valid,” Tierney said.

    He added that DeWine’s current approach — persuading local officials to put on their own mask mandates — is making rapid progress. The portion of students in schools with mask mandates has jumped from 35% on Sept. 1 to 54% on Tuesday, Tierney said.

    “We went from a little over a third to a little over a half of students being in a school where everybody wears a mask in less than two weeks,” he said.

    But while DeWine is blaming the GOP supermajority in the legislature for sapping his ability to fight his coronavirus, on Wednesday he signed off on legislative maps that would preserve that supermajority. Even as DeWine helped to approve the maps, he questioned whether they would survive a court challenge, Gannett journalist Haley BeMiller reported.

    The move by DeWine — who has also criticized President Joe Biden’s vaccination-or-test mandate — prompted a blast from John Hagner, campaign manager for Dayton Mayor Nan Whaley, who is seeking the 2022 Democratic gubernatorial nomination.

    https://twitter.com/JHagner/status/1438485210811748356

    “Mike DeWine on Tuesday: the gerrymandered Republican supermajority is keeping me from protecting kids and keeping them in school,” Hagner tweeted. “Mike DeWine on Wednesday: ok, let’s have four more years of an even more gerrymandered Republican supermajority.”

    Reporter Jake Zuckerman of the Ohio Capital Journal and David Miller, Editor of Loveland Magazine contributed to this rstory.

  • High risk conditions for COVID-19 span far and wide in Ohio

    High risk conditions for COVID-19 span far and wide in Ohio

    Along with diseases known to increase risk, the CDC lists 12 other conditions that “might” increase the risk of people who have them. These include other massively common conditions like hypertension, liver disease, pregnancy, smoking and others.

    By Jake Zuckerman and Ohio Capital Journal Edited by Loveland Magazine

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    The underlying health conditions that lay a path for severe COVID-19 complications are widespread in Ohio, potentially affecting as much as half the population, according to experts, state data and government research.  

    Take obesity: Ohio Department of Health 2017 survey data estimates that 34% of Ohioans are obese. Similarly, more than 74,000 Ohioans were diagnosed with cancer that same year.

    Dr. Peter Pronovost (Photo by University Hospitals)

    “The statistics are about 60% of the public has one or more chronic diseases,” said Dr. Peter Pronovost, a University Hospitals physician. “Four in 10 have two or more diseases.”

    The ubiquity of chronic disease in Ohio complicates any policy response when there’s no easy-to-draw line between people at low-risk for COVID-19 and those at higher risk levels.

    It also illuminates the reality of a “herd immunity” strategy, as reportedly offered by an influential adviser to President Donald Trump. This would entail allowing the virus to run its course through the population unimpeded, purportedly allowing healthier people to develop antibodies at a large enough volume to break down chains of transmission.

    The CDC lists eight diseases known to increase risk of severe illness from COVID-19. The list, coupled with data from the Ohio Annual Cancer Report, Behavioral Risk Factor Surveillance System annual report from 2018, and other state and federal sources, shows how deep chronic disease runs in the Buckeye state.

    • Cancer: 74,000 cases diagnosed in 2017
    • Chronic kidney disease: About 15% of U.S. adults have chronic kidney disease, per the CDC
    • COPD (chronic obstructive pulmonary disease): 8.3% of Ohio adults have COPD
    • Immunocompromised state from solid organ transplant: 1,916 Ohioans received organ transplants in 2019
    • Obesity: 34% of Ohio adults are obese. An additional 34% are overweight
    • Serious heart conditions: Heart disease is the leading cause of death in Ohio
    • Sickle cell disease: Not tracked population wide, but 181 newborns in 2019 tested for the disease, and another 3,444 newborns are carriers
    • Type 2 diabetes: 11.3% of Ohio adults are diabetic — about 1 million people

    According to recent CDC research analyzing survey data from more than 3,000 U.S. counties, nearly half the population had at least one condition placing them at high risk for COVID-19 complications.

    In rural counties, it’s even higher.  

    Dr. Nirav Vakharia (Photo by the Cleveland Clinic)

    “When we go beyond age as a risk factor … if we’re just thinking about these chronic diseases, they’re so prevalent, it’s hard to isolate a young, healthy cohort,” said Dr. Nirav Vakharia, a physician from the Cleveland Clinic.

    Health care groups in Ohio are undertaking different efforts to help residents with some of these conditions to stay at home.

    LifeCare Alliance, an in-home health care agency, has seen a spike in the number of meals it has delivered to the homes of its diabetic patients since the pandemic began.

    “If you have diabetes, the chances of you having a mild case of the coronavirus is much less — you’re gonna have a harder case, because your immune system just can’t fight it off,” said CEO Charles Gehring. “Patients have been scared to death by coronavirus.”

    Similarly, Pronovost, the chief clinical transformation officer with University Hospitals, said the health care network recently accelerated its efforts to provide proactive care for people with chronic diseases.

    He said staff is reaching out to patients to ensure they’re properly managing and controlling their diseases, like keeping insulin or blood pressure at healthy levels.

    “The idea is we want to make sure chronic disease people are doing all they can to avoid being hospitalized and avoid needing to go to the [emergency room],” he said.

    Early data shows the network reduced hospital admissions of certain chronic disease patients by 28%, and emergency visits by 79%, he said. 

    “The idea is we want to make sure chronic disease people are doing all they can to avoid being hospitalized and avoid needing to go to the [emergency room],” he said.

    Along with diseases known to increase risk, the CDC lists 12 conditions that “might” increase the risk of people who have them. These include other massively common conditions like hypertension, liver disease, pregnancy, smoking and others.

    As of Wednesday, COVID-19 has killed 4,176 Ohioans. The virus has infected nearly 120,000 state residents and put more than 13,500 in the hospital.

    Jake ZuckermanJake Zuckerman is a statehouse reporter. He spent three years chronicling the West Virginia Legislature for The Charleston Gazette-Mail after covering cops and courts for The Northern Virginia Daily.