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Title : 37 reported dead today from covid-19, the state's deadliest day yet; Beshear notes White House report commends his actions
link : 37 reported dead today from covid-19, the state's deadliest day yet; Beshear notes White House report commends his actions

37 reported dead today from covid-19, the state's deadliest day yet; Beshear notes White House report commends his actions

Kentucky Health News graph; for a larger version, click on it.

By Melissa Patrick

Kentucky Health News

This week's White House pandemic report commended Gov. Andy Beshear's latest orders to thwart the coronavirus, and said they will work "if compliance is high." If there was ever a time for that, it would be now, Beshear said after reporting the state's deadliest day from covid-19 and a rapidly rising positive-test rate.  

"The time we really need to be coming together and doing the right things is right now because the ramifications if we don't are the most severe of any time in the virus," Beshear said. adding later, "Now is the time where action is necessary; inaction is deadly."

At his Wednesday briefing, Beshear announced a record 37 additional deaths related to covid-19, bringing the state's death toll to 1,980. The previous high was 35, reported Tuesday. Six of the deaths were people under 60, he said. 

The share of Kentuckians testing positive for the virus in the past seven days is going up at an alarming rate. On Wednesday it hit 9.62%, the highest it's been since May when the state started testing more broadly. 

That shows "it's not more testing" that is driving case numbers, Beshear said. "It's more people who are getting the virus and more people who are spreading the virus."

He announced 3,601 new cases of the virus Wednesday, the state's sixth highest single day for cases. He said 1,768 people were in the hospital with covid-19; 427 of them in intensive care and 234 of those on ventilators. 

This week's White House Coronavirus Task Force report came with dire warnings, but it also came with praise for Beshear's Nov. 18 orders to slow the latest surge of cases, hospitalizations and deaths. 

"New orders put in place by the governor should result in rapid decrease in transmission if compliance is high," the report said. 

The orders include a ban on in-person schooling and indoor service in bars and restaurants, and tighter numerical limits on certain gatherings. All are controversial and several have been challenged in court.

The Democratic governor and his health commissioner both stressed that the Republican-led White House approves their rules. Beshear said the nation's foremost experts say Kentucky has "a winning game plan." 

"Sometimes we feel like this virus is being politicized and the steps that we take are being politicized," said Beshear. "Well, this is Donald Trump's White House, so if there are those in the state and different parties that disagree with me, they're disagreeing with Donald Trump's White House. 

"And if Donald Trump's White House agrees that . . . the plans that were put into place will work, that means that the public-health experts all know that this thing will work, if again, we all do our part."  

Health Commissioner Steven Stack, a physician, said he and Beshear review a "whole swath of information" in order to make the "best informed decisions we can, based on experts and good judgment." 

Stack said they and the Trump administration are "not agreeing on every single point, but agreeing on the vast majority of points. And so you're getting fairly similar guidance on most of the big topics from two very different administrations."

White House warnings: Stack added that this White House report used some of the "darkest language" it has used since it started issuing them.

"The covid risk to all Americans is at a historic high," the report said. "We are in a very dangerous place due to the current, extremely high covid baseline and limited hospital capacity; a further post-Thanksgiving surge will compromise covid patient care, as well as medical care overall."

The report called on public-health officials to alert the public to the danger:  "It must be made clear that if you are over 65 or have significant health conditions, you should not enter any indoor public spaces where anyone is unmasked due to the immediate risk to your health; you should have groceries and medications delivered."

Further, "If you are under 40, you need to assume you became infected during the Thanksgiving period if you gathered beyond your immediate household. Most likely, you will not have symptoms; however, you are dangerous to others and you must isolate away from anyone at increased risk for severe disease and get tested immediately.

"If you are over 65 or have significant medical conditions and you gathered outside of your immediate household, you are at a significant risk for serious covid infection; if you develop any symptoms, you must be tested immediately as the majority of therapeutics work best early in infection. . . . All states and all counties must flatten the curve now in order to sustain the health system for both covid and non-covid emergencies." 

Many of the Kentucky's hospitals are already being stretched thin, said Beshear, including King's Daughters Medical Center in Ashland, which is using one of its lobbies as an overflow area for the emergency department due to "near record patient volume," a hospital spokesman told WYMT.   

The White House report again has Kentucky in the most dangerous zone for number of cases and the share of people who tested positive Nov. 21-27, ranking 23rd highest for cases and 16th highest for positive-test rate.

It says 68% of the state's 120 counties have high levels of community transmission and 68% have moderate levels. The number of counties in the White House red zone decreased by three from the previous week, to 81; the orange zone rose by six, to 19; and the yellow zone increased by one, to 15. 

The report says Kentucky had 437 new cases per 100,000 people, about the same as the last report, when that number was 433 per 100,000. The national average is 349 per 100,000.

Health experts have cautioned that reports that cover the Thanksgiving holiday could understate the status of the pandemic because there was less testing,

Stack noted research predicting that good compliance restrictions could prevent hundreds of covid-19 hospitalizations. The University of Louisville research, done first in the Louisville region, has been extended to the Bowling Green and Owensboro regions.

Beshear honored the life of Michael Rodriguez, who was a nurse at Norton Audubon Hospital in Louisville for 26 years. Rodriguez died at 67 from covid-19 on Nov. 20. He is survived by a brother, sister, a fiancé, and three nephews. 

Beshear said, “The director of Norton Audubon Hospital, Randy Hamilton, said he’d never seen anything like the hospital after Michael’s passing – he had made such a positive impact on everyone. From those who cleaned the hospital, to the nurses, doctors and patients – everyone was devastated by this loss. Today we mask up in honor of Michael, his family, and his incredible team members at Norton Audubon who are mourning this devastating loss, but still showing up each day to care for our people.”

In other covid-19 news Wednesday: 

• Today's deaths were a 61-year-old man from Allen County; an 80-year-old woman and two men, ages 49 and 94, from Boone County; an 82-year-old man from Campbell County; a 90-year-old woman and four men, ages 48, 61, 62 and 93, from Daviess County; an 86-year-old woman and two men, ages 74 and 86, from Fayette County; a 62-year-old woman from Floyd County; two women, ages 71 and 90, from Franklin County; an 84-year-old man from Graves County; a 70-year-old woman from Grayson County; a 58-year-old man from Hardin County; a 46-year-old woman from Henderson County; an 88-year-old man from Hopkins County; two women, ages 83 and 96, and an 87-year-old man from Jefferson County; three men, ages 67, 74 and 90, from Jessamine County; two women, ages 81 and 82, and an 85-year-old man from Kenton County; two women, both 61, from McLean County; a 95-year-old woman from Monroe County; a 59-year-old woman from Montgomery County; an 85-year-old man from Ohio County; an 82-year-old man from Trigg County; and a 46-year-old man from Warren County.
• Beshear said 379 of today's cases were in children 18 and under. 
• J. Michael Brown, secretary of the executive cabinet, said there have been 2,706 inmates and 425 corrections staff with the coronavirus since the beginning of the pandemic, and that 310 inmates and 82 staff are still active. He said 19 inmates have died from covid-19, including two deaths that were reported today and two staff members. 
• The Centers for Disease Control and Prevention now says a two-week coronavirus quarantine can be shortened to 10 days, or even seven, Katie Camero reports for the Lexington Herald-Leader. While the CDC continues to recommend a 14-day quarantine for people who have been exposed to the virus, it is now offering two other "acceptable alternatives" as a way to increase compliance, especially among the working public. 
• The first option would end the quarantine period 10 days after exposure for those who are not experiencing any symptoms and have not been tested. "CDC officials said research shows there’s anywhere between a 1% to 12% “residual risk” that someone remains infected after a 10-day quarantine period has ended — “an acceptable risk for many people," Camero reports.
• The second option would end the quarantine period after seven days, but only if that person tested negative for covid-19 and was experiencing no symptoms. "This alternative, which requires a negative test, carries a 5% to 10% risk that the person is still positive after a 7-day quarantine period," she writes. Beshear said they are reviewing the data and that he hopes to have a decision by tomorrow on whether the state will change its quarantine guidance. 
• The CDC also issued new holiday travel guidance that urges Americans to stay home, and to get tested one to three days before their trip -- and to not travel if the result is positive --  and again three to five days after if they do travel. In addition, they recommend reducing non-essential activities for a full week after travel or for 10 days if not tested. The guidance cautions that "testing does not eliminate all risk, but it can help make travel safer." And for 14 days after travel, social distance, wear a mask, practice good hand hygiene, avoid being around people who are at increased risk of severe illness and monitor for any symptoms of the virus. 
• Brewed, a coffee shop in Lexington, that has defied Beshear's executive order to shut down indoor dining at restaurants and bars, was ordered to close by a Fayette circuit judge Tuesday, an order that does not take effect until the health department pays a $5,000 bond, Jeremy Chisenhall reports for the Herald-Leader.. Brewed, which opened on Wednesday, is not in violation of the order until the bond is paid. Beshear said the coffee shop has since ceased operations. 
• Billy Kobin with the Louisville Courier Journal explores several different perspectives around whether Kentucky should re-open its schools to in-person learning, reporting that this issue is far from settled. For now, Beshear's executive order has shut down elementary schools to in-person learning until Dec. 7, and then only if they are in a county with lower community spread, and the upper-grades are closed to in-person learning until Jan. 4. 
• The Kentucky Blood Center is searching for people who have recovered from covid-19 to donate plasma, WDRB reports.  
• WKYT offers a report that shows where coronavirus cases increased the most in November, noting that the number of cases more than doubled in 25 of the state's 120 counties in November. 
• Health care workers and people in nursing homes should be the first to get a coronavirus vaccine, according to the CDC Advisory Committee on Immunization Practice on Tuesday, MedicineNet reports. States are required to submit their vaccine distribution plan to the federal government by Friday. Click here for more information from the advisory committee on the phased allocation of the vaccine. 
• A coronavirus vaccine may still be months away for children, NPR reports. 
• USA Today answers questions about the coronavirus vaccine, and offers an online form for you to ask anything they haven't addressed. 
• The World Health Organization has tightened its mask guidelines, telling people who live in areas with high community spread to wear their mask at all times in stores, workplaces and schools with low ventilation -- and when you can't physically distance by at least three feet in enclosed areas, even at home. It adds that health care workers should wear N95 masks when caring for covid-19 patients, The Hill reports. 
• Ben Chandler, president and CEO of the Foundation for a Healthy Kentucky, told ABC News that Kentucky not only faces logistical challenges to distribute the coronavirus vaccine, but also challenges around trust, which makes it even more important to make sure trusted sources are chosen to be the messengers for the vaccine.

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