Missouri’s COVID-19 data reports send ‘dangerous message to the community,’ say health systems

Marion County reports six additional COVID-19 cases | KHQA

A group of health system leaders in Missouri challenged state-reported hospital bed data, saying it could lead to a misunderstanding about hospital capacity, according to a Nov. 19 report in the St. Louis Business Journal.

A consortium of health systems, including St. Louis-based BJC HealthCare, Mercy, SSM Health and St. Luke’s Hospital, released urgent reports warning that hospital and ICU beds are nearing capacity while state data reports show a much different story.

The state reports, based on data from TeleTracking and the CDC-managed National Healthcare Safety Network, show inpatient hospital bed capacity at 35 percent and remaining ICU bed capacity at 29 percent on Nov. 19. However, the consortium reported hospitals are fuller, at 84 percent capacity as of Nov. 18, and ICUs at 90 percent capacity based on staffed bed availability. The consortium says it is using staffed bed data while the state’s numbers are based on licensed bed counts; the state contends it does take staffing into account, according to the report.

Stephanie Zoller Mueller, a spokesperson for the consortium, said the discrepancy between the state’s data and consortium’s data could create a “gross misunderstanding on the part of some and can be a dangerous message to the community.”

Sanford Health CEO: I’ve had COVID-19, won’t wear a mask as ‘symbolic gesture’

Sanford Health CEO to be inducted into SD Hall of Fame

Sioux Falls, S.D.-based Sanford Health President and CEO Kelby Krabbenhoft shared his thoughts about having COVID-19 and why he won’t be wearing a mask in an email to health system staff, according to the Grand Forks Herald

In the 1,000-word email sent Nov. 18, Mr. Krabbenhoft said he had COVID-19, but he’s now back in his office working without a mask. He said he won’t be wearing a mask because doing so would only be a “symbolic gesture.” He considers himself immune from the virus.

“The information, science, truth, advice and growing evidence is that I am immune for at least seven months and perhaps for years to come, similar to that of chicken pox, measles, etc. For me to wear a mask defies the efficacy and purpose of a mask and sends an untruthful message that I am susceptible to infection or could transmit it,” Mr. Krabbenhoft wrote. “I have no interest in using masks as a symbolic gesture when I consider that my actions in support of our family leave zero doubt to my support of all 50,000 of you. My team and I have a duty to express the truth and facts and reality and not feed the opposite.” 

The CDC says those who have had COVID-19 should take steps to reduce the risk of spreading the virus, including wearing a mask in public places and staying at least 6 feet away from other people. 

In his email, Mr. Krabbenhoft argues the “on-again, off-again” use of masks is absurd. “Masks have been a symbolic issue that frankly frustrates me,” he wrote. 

“On the other hand, for people who have not contracted the virus and may acquire it and then spread it … it is important for them to know that masks are just plain smart to use and in their best interest,” Mr. Krabbenhoft wrote. 

The health system CEO concluded his letter by sharing his optimism for the future, noting that some Sanford Health workers would be among the first to get a COVID-19 vaccine once it is available. 

Sanford Health didn’t respond to Becker’s Hospital Review‘s request for comment by deadline. 

Read the Grand Forks Herald article here, which includes full text of the email Mr. Krabbenhoft sent to employees.

250,000 lives lost: How the pandemic compares to other deadly events in U.S. history

At least 250,000 people in the United States have died of covid-19, the disease caused by the coronavirus, since February, and many public health officials warn the pandemic is just entering its deadliest phase. Yet, as the country confronts this horrifying death toll, there is little understanding of what a loss of this size represents.

Here is some historical perspective about losing a quarter of a million people, looking at major events in our past that have cost American lives.

More than 58,000 Americans were killed during the decade-plus of involvement in the Vietnam War. So the pandemic’s fatalities represent four Vietnam Wars since February.

During the Korean War, nearly 37,000 Americans were lost; covid-19 has claimed nearly seven times more.

During World War II, the country mourned 405,000 members of the “Greatest Generation.” The pandemic has taken nearly two-thirds as many people, a lot of them old enough to remember the fight against the Nazis and the Japanese.

And World War I? 116,000 U.S. dead in two years of fighting. The pandemic has more than doubled that number in a fraction of the time.

What about our deadliest conflict, the Civil War? Death toll estimates range from 600,000 to 850,000. Even at the high end of that range, the pandemic has permanently taken nearly 30 percent as many family members from Thanksgiving tables.

On Sept. 11, 2001, almost 3,000 people were killed in terrorist attacks in New York, Washington and Shanksville, Pa.

The deadliest day of the pandemic so far — Sept. 18 — surpassed that, at 3,660 deaths. Wednesday, as the virus surged across the country, the daily death toll had risen again to 1,894. Public health officials fear that by the end of this month, the United States could lose more people per day from the pandemic than the 2,403 Americans killed in the Japanese attack on Pearl Harbor on Dec. 7, 1941.

And how does this pandemic compare to others in U.S. history?

The Centers for Disease Control and Prevention keeps records on four of them. The 2009 H1N1 pandemic killed 12,469 Americans. The 1968 Influenza A pandemic killed about 100,000 people. And the 1957-1958 Influenza A pandemic took 116,000 U.S. lives.

The deadliest event in U.S. history was the 1918 flu pandemic, which is estimated to have killed 675,000 Americans.

One of the more conservative disease models currently projects the United States could reach 438,000 deaths, more than during World War II, by March 1, 2021.

The Covid Tracking Project

Data Sources - C3.ai

https://covidtracking.com/data/charts/us-all-key-metrics

https://covidtracking.com/data/charts/us-currently-hospitalized

https://covidtracking.com/data/charts/us-daily-deaths

https://covidtracking.com/data/charts/us-daily-positive

https://covidtracking.com/data/charts/cases-per-million-by-state

https://covidtracking.com/data/charts/hospitalized-per-million-by-state