We ensure quality care through
Interim Management, Skilled Monitoring, and Reinvention
|
|
Greetings!
- The country is averaging more than 150,000 new cases a day. Though the Delta wave seems to be easing in some states, outbreaks continue to grow in much of the Mid-Atlantic and Mountain West.
- State and national data is skewed somewhat by Labor Day. Many health departments did not report data on the holiday, and some testing sites were closed.
- About 1,500 deaths are being reported each day, more than at any point since March.
- Roughly 100,000 coronavirus patients are hospitalized nationwide, a figure that has remained mostly flat over the last two weeks. Hospitalization rates remain at or near record levels in some Southern states.
-
Florida, which had one of the country’s worst Delta outbreaks, is reporting more deaths per day than at any other point in the pandemic. Reports of new cases have fallen sharply in recent days, and hospitalizations are also declining.
-
Tennessee and South Carolina lead the country in recent cases per capita. About 2,400 Covid patients are hospitalized in South Carolina, more than during past peaks.
-
Vaccines provide protection against the worst outcomes of Covid-19. Though the pace of vaccination has increased in recent weeks, about 47 percent of Americans are not fully vaccinated.
On Sept. 8, 2021 in the U.S., the seven-day daily average number of new cases was 152,393; the 14-day change in cases was an increase of one percent with a total of 40,382,181 total cases. On Sept. 8, the seven-day daily average number of new deaths was 1,499, the 14-day change in new deaths was an increase of 34 percent, and the U.S. death total has reached 650,998. We once again ask you to use the link to The New York Times Covid Map for an in depth review of the data.
Our shortened comparison effort provides comparative data on France (73 percent one shot), Spain (78 percent one shot) and for comparison as of Sept. 8 data only 62 percent of the U.S. had one shot. As an introduction let us quote from an Aug. 24, 2021, Fortune article: “This week marks the beginning of France’s so-called rentrée, when the French slouch home after their sacred (and long) summer break, and when street protests and political infighting typically hit a high point. But this year, there is a twist to the usual pattern: The biggest complaint against President Emmanuel Macron—his hard-line Covid-19 vaccine mandates—is falling flat, as most French seem to have concluded that the tough approach is a stunning success.
Across Europe, a series of sticks of varying severity has led to a pronounced rise in vaccine uptick, pushing the European Union further ahead of the U.S. in a process Washington once led. Today [Aug. 24,202], 63.6 percent of the EU population has had at least one shot, compared with 60.4 percent in the U.S., and that gap is growing.”
In France, on September 8, the seven-day daily average number of new cases was 14,885; the 14-day change in cases was a decrease of 32 percent with a total of 6,938,866 cases. On September 8 in France, the seven-day average of new deaths was 108, the 14-day change in new deaths was a decrease of 13 percent, and the French death total has reached 115,680.
In Spain on Sept. 8, the seven-day daily average number of new cases was 5,368; the 14-day change in cases was a decrease of 47 percent with a total of 4,892,640 cases. The seven-day average of new deaths was 104; the 14-day change in new deaths was a decrease of eight percent percent, and the Spanish death total has reached 85,066.
With the Rosh Hashanah and travel to the hills above Berkeley-Oakland for a family reunion, your publisher has a shortened week; our editor has returned to the real or perhaps special world of the Culver City schools in a Spanish immersion school as an art teacher. So therefore today’s and next week’s issue are shorter but, as always, well curated.
As Jerry walked the dogs up and down the Montclair community hills early Wednesday morning he listened to the just posted New York Times' The Daily podcast "The Summer of Delta." The Daily reports, “The surge driven by Delta — which has seen rises in cases, hospitalizations and deaths across the United States — has underlined that we are far from being done with the pandemic.” You can listen or read via transcript this brilliant under 30-minute great explainer of what the last month brought and what steps need to be taken to stop the slide.
What is needed is more vaccines and fewer deniers, The Washington Post reports on the latest of the death and disease bringing twisting of data in "Coronavirus vaccines work. But this statistical illusion makes people think they don’t." Please read this great article and take the time to hit the link to the University of Pennsylvania biostatistician Jeffrey Morris’s especially thorough and widely shared blog post.
Oregon Public Radio reports on "PeaceHealth, Unions clashing after health system places hundreds of workers on unpaid leave." Peace owns and operates 10 hospitals in the Northwest U.S. and as per this article they: “placed roughly 800 unvaccinated workers on leave as part of a companywide vaccine mandate that went into effect Sept. 1. Statewide mandates for health care workers in Oregon and Washington won’t take effect until next month.”
And sadly we return to pediatric cases in a link to Becker Leadership and Infection Control. The newsletter summarizes the key findings of and we link to the CDC report that finds that “Child Covid-19 hospitalizations (are) 10 times higher for unvaccinated.”
A Medicaid managed care program called “Cal-Aim'' is the talk of town, that is the talk in the small town that is made up of California health and social welfare payers and providers. We link to the Los Angeles Times, "California prepares to spend billions on Medi-Cal services for homeless people and others," because today’s California health and social welfare reform programs will probably make there way to the other 49 states sooner or later The Los Angeles Times reports that “Over the next five years, California is plowing nearly $6 billion in state and federal money into the plan, which will target just a sliver of the 14 million low-income Californians enrolled in Medi-Cal: homeless people or those at risk of losing their homes; heavy users of hospital emergency rooms; children and seniors with complicated physical and mental health conditions; and people in — or at risk of landing in — expensive institutions including jails, nursing homes and mental health crisis centers.” We remind you that this population in any state or nation is the most costly to treat and often has the worst outcomes.
From all over the San Francisco East Bay communities, our real Culver City office, and reporting from Paris, Madrid, and all over the U.S. this is Revitalize for September 10, 2021:
|
|
Revitalize: The week in health-care news you need
|
|
This week marks the beginning of France’s so-called rentrée.
The Summer of Delta: This summer was supposed to be, in the words of President Biden, the “summer of freedom” from the coronavirus. What we saw instead was the summer of the Delta variant. The surge driven by Delta — which has seen rises in cases, hospitalizations and deaths across the United States — has underlined that we are far from being done with the pandemic.
Coronavirus vaccines work. But this statistical illusion makes people think they don’t. In Israel for a time, more vaccinated people were hospitalized for covid-19 than unvaccinated people. There’s no reason to worry. The University of Pennsylvania biostatistician Jeffrey Morris wrote an especially thorough and widely shared blog post making this point
PeaceHealth, unions clashing after health system places hundreds of workers on unpaid leave. Since PeaceHealth announced its own deadlines, unions representing a swath of workers have leveled at least seven labor complaints.
Amid a surge in new COVID cases, a Pacific Northwest hospital system is at odds with its employee unions over a decision to dismiss hundreds of unvaccinated workers.
PeaceHealth, based in Vancouver, Washington, placed roughly 800 unvaccinated workers on leave as part of a companywide vaccine mandate that went into effect Sept. 1. Statewide mandates for health care workers in Oregon and Washington won’t take effect until next month.
|
|
CDC: Child COVID-19 hospitalizations 10 times higher for unvaccinated, plus:
1. For the week ending June 26, the hospitalization rate per 100,000 children was 0.3. By Aug. 14, it rose to 1.4, marking a nearly five-fold increase.
2. The increase was highest among younger children, with the rate rising nearly 10 times for those ages 0-4 across the same six-week period.
3. The hospitalization rate among unvaccinated adolescents aged 12-17 was 10 times higher compared to those who were fully vaccinated.
4. The rise in child hospitalization rates coincided with a surge in cases of the highly contagious delta variant.
5. "The proportions of hospitalized children and adolescents with severe disease were similar before and during the period of delta predominance," the CDC said.
6. Children under the age of 12 should wear a mask in indoor public spaces.
California prepares to spend billions on Medi-Cal services for homeless people and others California Advancing and Innovating Medi-Cal” initiative into law in late July — “CalAIM” for short — he celebrated it as a “once-in-a-generation opportunity to completely transform the Medicaid system in California.” He declined an interview request.
|
|
Jerry Seelig, CEO
Fax: 310-841-2842
|
|
|
|
|
|
|
|
