COVID-19 hospitalizations have skyrocketed at record rates to reach levels now that Oklahoma endured in fall 2020 as the virus spreads more efficiently than ever in the state.
In only a month, COVID hospitalizations have gone from lows similar to June 2020 after quarantine to then what took four months to hit October 2020 levels — when then-president Donald Trump’s coronavirus task force advised Gov. Kevin Stitt that “many preventable deaths” were happening in Oklahoma.
On Friday, there were 720 COVID inpatients reported statewide in hospitals, a three-day average that is up 521% from 116 on June 29. This past week alone, that average climbed 39% from 519 reported Monday.
“It’s a crisis,” said LaWanna Halstead, an Oklahoma Hospital Association vice president.
Gov. Kevin Stitt’s goal to “get our summer back” has collided with medical experts who want him to declare a state of emergency to give battered hospitals more flexibility to add capacity and avoid maxing out sooner than later.
Halstead said staffing is the largest concern because the hospital industry has lost medical professionals not just to COVID deaths but burnout, too.
She said hospitals in Grove, Miami and Tahlequah are full as the hospital community works to handle the rapid influx without the leeway offered by an emergency order from the governor.
“At the moment it’s being managed, and I don’t want to underplay that,” Halstead said. “I do not want to say that everything’s OK, but it’s being managed.”
Dr. Mary Clarke, president of the Oklahoma State Medical Association, called it “alarming” to have this much viral disease spread in the summer when the flu and other upper respiratory infections are much more prevalent in colder weather.
“It’s unfathomable that we are dealing with this disease again when we have a safe and effective vaccine to prevent it,” Clarke said, adding that medical and public health professionals are still fighting a groundswell of misinformation.
Clarke expressed sadness that hospital pediatric wards are filling up, resulting in children being taken 100 miles or 200 miles from home for treatment.
An emergency declaration from the governor would do more than allow hospitals to ramp up capacity.
Currently illegal under state law, an emergency order would provide individual school boards the option to decide whether mask mandates are appropriate to slow COVID-19’s spread this school season.
Children younger than 12 years old still can’t be vaccinated, and Clarke said students are large spreaders of upper respiratory viruses.
“That’s tying the hands of our local communities trying to mitigate the spread,” Clarke said. “If you can’t vaccinate your children, there’s only one way to do it: that is to socially distance, hand wash, wear a mask.
“Everyone has to wear a mask, not just one or two children. Everyone has to be in the same boat rowing in the same direction.”
The state reported 20 hospital admissions of children ages 11 and younger who were infected with COVID the past two weeks. Another 11 were ages 12 to 17, so there were 31 total hospital patients younger than 18 in two weeks.
Reached for comment late Friday afternoon, a spokesperson for the governor said Stitt still doesn’t have plans to declare a state of emergency.
More vaccine uptake could have prevented the latest COVID wave from inundating the state, but a University of Oklahoma epidemiologist says it isn’t too late to somewhat blunt the delta variant’s exponential growth if a three-week rise in new vaccinations continues.
Dr. Aaron Wendelboe’s model indicates the virus transmission rate is at its highest yet: each infected person spreads COVID on average to 3.2 other individuals.
His model projects the virus’ exponential growth to continue and peak in late September. A stronger vaccination rate still could soften the slope’s steepness and lower the peak’s height, he said.
“When we vaccinate people, we don’t just prevent three cases of disease,” Wendelboe said. “We prevent those three people from passing it to three people to passing it to three people.
“That’s why it makes such a big difference to get people vaccinated.”
The worsening wave is predominantly the unvaccinated population, with Oklahoma among the worst in the nation at only 49.1% of its residents fully vaccinated.
An Oklahoma State Department of Health spokesperson on Thursday said about 81% of COVID-19 hospitalizations the past month were individuals who hadn’t been vaccinated.
In comparison to the surge throughout fall and winter, the Tulsa County hospital burden is deeper into that timeline than the state as COVID patient loads reached mid-November levels Friday.
Hospitals in Tulsa County house about 40% of the COVID-19 patients across the state, as well as nearly 50% of those who require intensive care.
The three-day average of 286 hospitalizations in Tulsa County have soared 440% from the 53 reported June 29.
The statewide and Tulsa County averages of COVID patients in ICUs were at 215 and 101, respectively, up from 30 and 17 on June 29.
In what is perhaps a reaction to the delta threat, state data show first-dose vaccinations have gone up three consecutive weeks but still remain much lower than in the spring.
There were 4,360 daily prime doses given from July 20-26, a jump of 133% from an all-time low of 1,873 per day from June 29-July 5. There were about 13,000 a day in March and 7,000 a day in April.
“This is preventable,” said Wendelboe, the state’s former lead epidemiologist. “Whatever we can do to help people get access to (vaccine) information so that they can prevent (COVID-19) within their communities and their families, we want to be a part of that conversation if we can.”
When will vaccine boosters be available? COVID-19 information Oklahomans need to know
When can Oklahomans get a booster shot?
'Continued death rates high for some time to come' despite decreasing cases in Oklahoma
Where you can find COVID testing
OSU Medical Center doctor on Regeneron: 'The only effective therapy that we have for COVID-19 right now'
What do pregnant women need to know?
Can schools mandate masks?
Explainer on COVID testing in Oklahoma schools funded through early-detection grant
Isolation and quarantine guidance for classroom exposures
COVID consequences: What can unvaccinated people expect if they get infected?
Details on delta variant
Why aren't COVID-19 patients receiving the vaccine while hospitalized?
Health care worker worries
Where to find a vaccination
"Go get your shots." Unvaccinated COVID patient talks about his illness
Can unvaccinated people be immune due to a previous COVID infection?
COVID data expert: 'We're moving into a bit of an endemic situation'
What variants have been found here?
Costs of COVID-19 hospitalization
How long might Oklahoma have COVID-19 'population immunity'?
Need for specimens to sequence for variants
Primary care physician Brad Hardy discusses post-COVID syndrome
Post-COVID infection expectations
Most updated mask guidance from CDC, WHO
Last chance offer: $1 for six months
"When we vaccinate people, we don't just prevent three cases of disease. We prevent those three people from passing it to three people to passing it to three people."
-- Dr. Aaron Wendelboe, OU epidemiologist