Local health officials have seen a steady increase in COVID-19 hospitalizations over the last few weeks with a significant spike in new admitted patients over the weekend.
Cases throughout the Joplin region are at near peak levels experienced last winter.
“We’ve definitely seen an increase in our COVID patients over the last three weeks,” said Jeanee Kennedy, Freeman chief nursing officer. “We’re having admissions almost every single day to our COVID-19 units. We’ve got both of our COVID units open fully and full (capacity) at this time with patients.”
Missouri now leads the nation with the highest rate of new COVID-19 infections as vaccination rates remain low and the delta variant continues to spread more rapidly. One person in every 1,349 people in the state was diagnosed with COVID-19 from June 13 to Sunday, new data shows.
Donna Stokes, Mercy infection preventionist, said they also began noticing an increase in COVID-19 patients who are needing to be hospitalized and outpatients testing positive for the illness about two weeks ago. Mercy’s COVID-19 unit can house approximately 26 beds, which can overflow into other units as needed.
“We’re having to look at this several times a day just to be sure that we don’t exceed what we can manage,” Stokes said. “I don’t want to say that we’re there, but we’re certainly inching toward that. With the evaluation of our patients who are being discharged and requiring admissions, that’s going to be ongoing with these higher numbers of COVID-19 patients that we’re experiencing.”
On Friday, Mercy had about 20 hospitalized patients and 20 outpatients who tested positive for the illness. But it rose to approximately 33 inpatients and 45 outpatients within a couple of days, officials said.
“Over the weekend, we definitely had an increase in both our (hospital) admissions and outpatient positive tests, so there’s been a significant rise in the last 72 hours,” Stokes said. “At this point, we’re keeping up with being able to discharge patients at about the same rate as our admissions. The vast majority of patients are not vaccinated.”
On Monday, 80 people were currently admitted in Joplin hospital systems — Freeman, Mercy and Landmark — and included residents from outside of Joplin city limits, according to the city’s COVID-19 dashboard. At least 15 of the 80 patients are confirmed cases among Joplin residents.
Health officials at both Mercy and Freeman hospitals in Joplin told the Globe on Monday that they’re starting to see hospitalization rates inch closer to peak levels that haven’t occurred locally since late last year or early this year.
“We were seeing numbers around this caliber in November, December, January when we were at the peak of that surge, so this is about equivalent to that time frame,” Stokes said.
On Dec. 1, shortly after the city of Joplin had reinstated its mask mandate, 95 were people hospitalized locally. That number had topped 100 sometime in November, which was partly what prompted area hospitals to publicly call for the return of the mask mandate.
“Right now, we’re trending on par with where we were in January as far as rates are concerned,” Kennedy said. “I think we started to see the jump really after graduation season, when people were getting together, and then Memorial Day, it just kind of compounded there.”
Freeman’s second COVID-19 unit, which had closed in mid-March as virus numbers dropped, was reopened about two weeks ago due to the growing need, according to Kennedy. As of Monday at Freeman Hospital in Joplin, 48 COVID-19 patients being treated, up from 31 patients Friday, according to officials.
So what’s new?
Random testing of virus samples have determined that the delta variant, which is more infectious and potentially more deadly than other variants, has become dominant around Springfield and in much of Southwest Missouri, Kendra Findley, administrator of community health and epidemiology with Greene County, said last week.
More local patients in Joplin are exhibiting gastrointestinal-related symptoms like nausea, vomiting or diarrhea, which could be attributed to the delta variant, said Kennedy.
“The delta variant is more contagious, and it has the same kind of symptoms you would have with the stomach flu, but also blood clots and hearing loss have been associated with that variant,” she said. “We’re mostly seeing people who have not been vaccinated or have only had one of the shots in the series being hospitalized.”
While 53.3% of the population of Americans have initiated vaccination, according to the U.S. Centers for Disease Control and Prevention, most southern and northern Missouri counties are well short of 40%. In Jasper County, only 20.1% of the population have received their full vaccinations, according to the state’s COVID-19 dashboard.
“Those who have been vaccinated, at least up to this point, we’re seeing mild to no COVID symptoms, so there’s a push for anyone who has that hesitancy for receiving vaccinations, now is the time to really contemplate their concerns versus the positive effects that we’re seeing from the vaccine for those who have gotten it,” Stokes said.
Another large difference is the change in demographics among positive COVID-19 patients at local hospitals. Last year’s admitted patients were mainly 70 to 90 years old, but currently there are more patients in their 20s to 50s who are being hospitalized. Kennedy said they’ve seen a 75% decrease in the hospitalizations of those who are 70 to 80 years old.
“What they’re being hospitalized for has really stayed the same — they need fluids, oxygen support,” she said. “A lot of these things are very similar, and a lot of these patients look similar to what we saw before, but it’s just a different age bracket of individuals. I think we’ll be surprised to see how things unfold moving forward and what we don’t know every time we go through these surges is how many people, how long it’s going to last.”
With the July 4 holiday weekend approaching, Kennedy and Stokes encouraged people to continue wearing masks if not vaccinated, and practice social distancing and hand hygiene.
“But the most important thing we can do is get vaccinated,” Kennedy said. “We’ve seen the vaccines working against these strains of COVID-19, and we know that it helps us prevent spreading.”