re "not far from the Missouri border"
Delta Is Driving a Wedge Through Missouri
theatlantic.com
The summer wasn’t meant to be like this. By April, Greene County, in southwestern Missouri, seemed to be past the worst of the pandemic. Intensive-care units that once overflowed had emptied. Vaccinations were rising. Health-care workers who had been fighting the coronavirus for months felt relieved—perhaps even hopeful. Then, in late May, cases started ticking up again. By July, the surge was so pronounced that “it took the wind out of everyone,” Erik Frederick, the chief administrative officer of Mercy Hospital Springfield, told me. “How did we end up back here again?”
The hospital is now busier than at any previous point during the pandemic. In just five weeks, it took in as many COVID-19 patients as it did over five months last year. Ten minutes away, another big hospital, Cox Medical Center South, has been inundated just as quickly. “We only get beds available when someone dies, which happens several times a day,” Terrence Coulter, the critical-care medical director at CoxHealth, told me.
Last week, Katie Towns, the acting director of the Springfield–Greene County Health Department, was concerned that the county’s daily cases were topping 250. On Wednesday, the daily count hit 405. This dramatic surge is the work of the super-contagious Delta variant, which now accounts for 95 percent of Greene County’s new cases, according to Towns. It is spreading easily because people have ditched their masks, crowded into indoor spaces, resumed travel, and resisted vaccinations. Just 40 percent of people in Greene County are fully vaccinated. In some nearby counties, less than 20 percent of people are.
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Almost every COVID-19 patient in Springfield’s hospitals is unvaccinated, and the dozen or so exceptions are all either elderly or immunocompromised people. The vaccines are working as intended, but the number of people who have refused to get their shots is crushing morale. Vaccines were meant to be the end of the pandemic. If people don’t get them, the actual end will look more like Springfield’s present: a succession of COVID-19 waves that will break unevenly across the country until everyone has either been vaccinated or infected. “You hear post-pandemic a lot,” Frederick said. “We’re clearly not post-pandemic. New York threw a ticker-tape parade for its health-care heroes, and ours are knee-deep in COVID.”
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When Springfield’s hospitals saw the first pandemic wave hitting the coasts, they could steel themselves. This time, with Delta thrashing Missouri fast and first, they haven’t had time to summon sufficient reinforcements. Between them, Mercy and Cox South have recruited about 300 traveling nurses, respiratory therapists, and other specialists, which is still less than they need. The hospitals’ health-care workers have adequate PPE and most are vaccinated. But in the ICUs and in COVID-19 wards, respiratory therapists still must constantly adjust ventilators, entire teams must regularly flip patients onto their belly and back again, and nurses spend long shifts drenched in sweat as they repeatedly don and doff protective gear. In previous phases of the pandemic, both hospitals took in patients from other counties and states. “Now we’re blasting outward,” Coulter said. “We’re already saturating the surrounding hospitals.” |
