Tag: positivity rate

  • Ohio and Loveland Area coronavirus picture darkens rapidly

    Ohio and Loveland Area coronavirus picture darkens rapidly

    Medical staff tend to a COVID-19 patient. Courtesy of University Hospitals

    By Marty Schladen and the Ohio Capital Journal

    By many measures, the Ohio coronavirus pandemic is quickly worsening — and that’s before any of the effects of holiday travel and visiting are factored in.

    Thursday saw almost 9,000 new cases in the state, with almost 400 new hospitalizations due to COVID-19 and 82 more dead, bringing the toll throughout the pandemic to 6,753.

    Also, with 33 new admissions to Ohio intensive-care units, the state now has more than 1,200 coronavirus patients in those beds, many for long stretches.

    “That’s been one of the biggest concerns around the state right now,” said Andrew Thomas, chief clinical officer at Ohio State’s Wexner Medical Center. “The hardest area for hospitals to increase their capacity or increase the number of beds is in their intensive care unit.”

    “In those intensive care units, right now one out of every three patients has covid,” Thomas said. “If that number continues to grow, that is going to crowd out the ability of non-covid patients to get the care they need in the intensive care unit. Hospitals do not have the capacity to in unending ways grow the number of ICU beds that they have.”

    Even worse, perhaps, is that as the number of Ohioans who are tested for coronavirus rises, the percentage of positive results is also rising — to alarming levels. That means the spread of the disease is snowballing instead of levelling off.

    On Tuesday, 16.1% of the 53,000 tested came back positive for the virus, the highest positivity rate since mid-April. Back then, fewer than 5,000 tests a day were available, so they were more likely to be used for people displaying obvious symptoms of the disease.

    That and other data combine to show the inexorable march of the disease across Ohio.

    The increasing positivity rate prompted Gov. Mike DeWine to add Ohio to the list of states that he warned people not to travel to.

    “We warn people about going to any state with above 15% positivity,” DeWine said. “Now we’re one of those states.”

    In a press conference hosted by the governor, Thomas and other health officials warned that hospitals across the state already are canceling non-emergency procedures such as knee replacements and diagnostics to keep strained capacity and overworked staff from being overwhelmed by the pandemic. 

    And the expected surge from Thanksgiving isn’t even showing itself yet.

    Thomas explained that from the time of exposure to the onset of symptoms is usually three to 10 days, while the time from exposure to hospitalization is typically seven to 14 day. So that window only began to crack open on Thursday.

    “The surge that you’re seeing is not about Thanksgiving,” Thomas said.

    When Thanksgiving-related cases begin showing up at hospitals, their numbers are likely to be large. Federal officials reported that record numbers of Americans traveled for the holiday despite admonitions to stay home.

    Top U.S. health officials also are forecasting a dire few months ahead — even though vaccines are expected to start flowing in a few weeks, including an initial 98,000 doses to Ohio.

    On Wednesday, Centers for Disease Control and Prevention Director Richard Redfield said the United States might see more than half as many covid deaths over the next two months as we’ve seen over the previous nine.

    “The mortality concerns are real,” Redfield said. “And I do think unfortunately, before we see February, we could be close to 450,000 Americans (who) have died from this virus.”

    Redfield, DeWine and other officials have repeatedly implored Americans to protect themselves and others against the disease, but they’re up against fatigue and a powerful strain of coronavirus denial. 

    Despite Redfield’s warnings, the Trump White House and State Department both are planning large, indoor holiday gatherings. They’ll be replete with food and drink that will require attendees to remove masks — if they’re even wearing them. In previous White House superspreaders, masks were notoriously absent.

    In Ohio, DeWine on Thursday vetoed a bill passed by his fellow Republicans in the state legislature that would gut the governor’s ability to issue health orders in a pandemic

    The GOP-led Ohio House had already shot down a requirement that its members mask up while in the state Capitol.

    “Having essential strategies to protect the public against the spread of infectious, contagious disease is not only important in our efforts to eradicate COVID-19, but it is also necessary to help stop the spread of all infectious diseases and prevent future health crises in Ohio,” DeWine said in his veto message.

    However, Senate President Larry Obhof said he has the votes to override DeWine’s veto.

    Altogether, it would appear that we’re in for a long, painful winter.

    “This is not the beginning of the end,” Thomas said. “This is not even the end of the beginning. We are really in a difficult spot here.”

  • Ohio coronavirus spike continues to alarm

    Ohio coronavirus spike continues to alarm

    Heading into Election Day, Ohio appears to be in the midst of a sharp, broadly based spike in coronavirus cases with no end in sight, Gov. Mike DeWine said Tuesday.

    Marty Schladen

    Marty Schladen has been a reporter for decades, working in Indiana, Texas and other places before returning to his native Ohio to work at The Columbus Dispatch in 2017. He’s won state and national journalism awards for investigations into utility regulation, public corruption, the environment, prescription drug spending and other matters.

    Continuing a trend, the 2,509 new cases reported from the previous 24 hours were a 27% increase over the 21-day average and the 198 new hospitalizations represented a 69% increase over the three-week average for that metric.

    And as it is elsewhere in the United States, the virus is spreading into rural corners of Ohio that previously had been spared.

    “Right now, 92.8% of Ohioans are living in a county that is high incidence and/or has very high exposure and spread,” DeWine’s office said in a tweet

    Adding to the alarm, the “positivity rate,” or the percentage of tests turning out to be positive for coronavirus, is nearing 6%. That’s about double what it was in late September. 

    Given the fact that Ohio continues to increase the number of tests that are administered, the higher rate indicates that people are spreading the disease to one another at a pace that is snowballing.

    “We have no indication that we’ve plateaued out at all,” DeWine said during his Tuesday coronavirus press conference.

    He said he found the situation so alarming that he was calling on medical, government, education and other leaders in each of the state’s 88 counties to work together on strategies to arrest the spread of the disease as cold, wet weather drives Ohioans indoors.

    DeWine also had an appeal relating to Halloween and football parties and Thanksgiving gatherings.

    “Please reconsider hosting gatherings of any size,” he said.

    The dire statements brought the kinds of questions the governor has often faced since he started holding coronavirus briefings back in March. 

    One was whether he would reimpose orders closing businesses not deemed to be essential. Lt. Gov. Jon Husted said one reason such a move might be unnecessary is that much of the spread happening now in Ohio doesn’t seem to be occurring inside businesses.

    DeWine also started to rule out the possibility of another shutdown but then seemed to think better of being too definite.

    “We just can’t shut down twice, or we certainly don’t want to do it twice,” he said. 

    Then, after describing what could happen if the spread of the disease is unchecked, DeWine said things could get so bad that “we will one way or the other be shut down.”

    DeWine also faced more questions about statements and actions concerning the pandemic by President Donald Trump and his staff.

    One was a proposal to allow uncontrolled spread among populations without other health risks in an attempt to achieve “herd immunity.” If successful, it would mean that such a large chunk of the population would be immune to the virus that it would have a hard time spreading.

    The idea has been endorsed by Scott Atlas, a doctor who doesn’t specialize in infectious diseases, but was placed on the White House coronavirus team after Trump saw him on Fox News.

    The argument has been widely discredited, with renowned epidemiologist Michael Osterholm calling Atlas’s arguments “the most amazing combination of pixie dust and pseudoscience I’ve ever seen.”

    DeWine echoed that on Tuesday, saying, “There’s no reputable scientist I’m aware of anywhere in the world” who thinks herd immunity can be achieved without a vaccine anytime soon.

    DeWine was also asked why he greeted Trump at the airport Saturday. Trump was on his way to Circleville for a rally where people crowded together and at which Trump said the coronavirus is being overhyped by the media.

    DeWine at first seemed to distance himself from Trump, saying he was merely respecting the dignity of Trump’s office. But then…

    “Please understand exactly what it was. It was the governor of Ohio greeting the president of the United States,” DeWine said. “Again, I’ve also endorsed him and I continue to endorse him.”