Tag: underlying health conditions

  • How an Ohio state senator and 33 family members caught COVID-19

    How an Ohio state senator and 33 family members caught COVID-19

    Senator Tina Maharath (Ohio Senate photo)

    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.

    It started with a funeral.

    Tina Maharath, a Democratic state senator from Canal Winchester, attended a wake Aug. 9 after her brother-in-law’s funeral, who died of non-COVID-19 illness.

    Two of his family members, who Maharath said tested positive for COVID-19, came to the wake. Maharath described them as skeptical of the gravity of the COVID-19 pandemic.

    “Slowly, one by one, we started getting the phone calls from each one of our family members,” she said in an interview.

    Maharath comes from a big family — common, she said, among Laotians. Her husband has 19 siblings, she has 16. The new coronavirus, which causes COVID-19, left from the wake to invade 11 different family households, infecting 33 family members including a 9-month-old baby.

    As of Thursday, two have died: Maharath’s 44-year-old sister-in-law, who had been battling brain cancer for a year, and her sister-in-law’s father-in-law.

    Five family members were hospitalized, including one who Maharath said is likely to die soon from COVID-19. The five people hospitalized are between 34- and 76-years old. They were hospitalized anywhere from two to six weeks. Mahrath’s sister-in-law was ventilated for three weeks.

    All five had underlying health conditions like asthma, high blood pressure and diabetes, all common conditions in Ohio.

    The familial outbreak, Maharath said, is hopefully over. But uncertainty over longevity of symptoms or long term damage is frightening.

    “We’re concerned because of the five people who were hospitalized, they still have lingering symptoms too, and another sister-in-law who was pregnant, she has lingering symptoms too,” Maharath said. “I don’t have underlying conditions, I’m not pregnant. So why do I have symptoms?”

    Patient groups, calling themselves “long haulers,” have insisted they’ve been experiencing COVID-19 symptoms for month. The CDC has found COVID-19 can result in prolonged illness, even among younger and healthier adults.

    Six weeks out from the positive test result, Maharath said she still feels COVID-19’s symptoms. She said she feels dehydrated, experiences coughing spells, and headaches.

    Her lungs, she said, take most the heat.

    “I just feel weak,” she said. “My lungs feel like something is just punching them. Randomly, it feels like something is just stabbing my lungs.”

    Nearly 148,000 Ohioans have contracted COVID-19 according to state data, which officials believe to be an undercount. At least 4,715 have died.

    Maharath’s diagnosis drew headlines in August. On Wednesday, however, Maharath shared the story of the outbreak through her family in a floor speech opposing Senate Bill 311.

    The legislation, which Senate Republicans passed, would forbid the Ohio Department of Health from issuing anything like the stay-at-home order it issued in March, which closed “non-essential” businesses in an effort to slow the spread of the recently-detected coronavirus.

    It would also allow lawmakers — who have repeatedly expressed skepticism about the virus, ODH’s data tracking the virus, and non-pharmaceutical interventions to control the virus like masks and social distancing — to rescind ODH orders.

    However, a COVID-19 diagnosis did not prove to be a proxy vote against the legislation.

    Sen. Bob Peterson, R-Washington C.H., who contracted the disease earlier this month, voted in favor.

    Sen. Frank Hoagland, R-Adena, did as well. He contracted a mild case of the disease in August. According to a Herald Star report, Hoagland’s wife was hospitalized with the disease as well. Both his wife’s parents reportedly died from COVID-19.

    With what they hope to be the worst of the outbreak behind them, Maharath said her family is planning funerals for the deceased. They plan stricter social distancing and mask requirements.

    Maharath said she’s not planning to attend.

  • 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

    cccccc

    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.