The New York TimesAugust 04, 2021 13:11:21 IST
Recently, a 28-year-old patient died of COVID-19 at CoxHealth Medical Center in Springfield, Missouri. Last week, a 21-year-old college student underwent intensive care.
Most of the new patients entering the hospital are not only vaccinated with COVID-19 – they are under 50 years of age, far from weak, and older patients have seen the outbreak for the first time.
In Baton Rouge, Louisiana, there are no common risk factors for serious illnesses – such as obesity or diabetes – and they are seriously ill and entering ERs. It is not clear why you are sick.
Doctors working at COVID hot spots across the country say patients in their hospitals are not as sick as they were last year. Vaccination is not always available, newcomers become younger, many in their 20s or 30s. And it looks like they were sicker last year than the declining patients.
Doctors have created a new phrase to describe them – “young, sick, fast”. Many physicians suspect that the coronavirus delta, which carries more than 80% of new infections nationwide, is now playing a role.
Studies in a few other countries indicate that the mutation can cause more serious illness, but there is no definitive evidence that the new mutation is worse for young adults.
Some experts strongly believe that the low dose of vaccine in this group is the result of a patient’s demographic change.
According to the Centers for Disease Control and Prevention, more than 80% of Americans between the ages of 65 and 74 have been fully vaccinated by Sunday.
Vaccines are effective against serious illness and death after exposure to any viral infection, including delta. Nationally, the vast majority of hospital patients – approximately 97% – do not get vaccinated.
“I don’t think there is any good evidence that he has developed a more serious disease,” says Dr. Adam Ratner, associate professor of pediatrics and microbiology at Grosman Medical School at New York University.
“This could be a feature – we’re opening things up, and in some places there are wide and no masks, which is different from a year or 15 months ago,” he added. .
But recently the Delta variant has presented a series of unpleasant surprises to scientists, and questions about the variability of the variables and the potential for more serious disease are becoming increasingly urgent.
An internal CDC report released last week by the New York Times described the delta difference as “contagious like chicken pox.”
By the end of January, people aged 65 and over represent about half of the hospital’s patients, and adults under the age of 50 represent 22%, the CDC said. Currently, the elderly make up more than a quarter of hospital patients, but only 41% of those aged 18 to 49.
“Something in this virus is different in this age group,” said Dr. Catherine O’Neill, chief medical officer at Our Lady’s Lake Regional Medical Center in Baton Rouge. “We just said, ‘Why did this happen to them? ‘We see some of the people we said. But that was rare. We are seeing it a lot now. ”
“I think it’s a new COVID,” he added.
Dr. Cam Patterson, Chancellor of the University of Arkansas University of Medical Sciences, was 60 years old when he entered the UAMS Medical Center during the winter. It is now 40.
“We feel that young, healthy people are more vulnerable to the delta than ever before,” says Patterson.
The first Delta mutation was detected at the University Hospital on May 1, and by June 17, all infections had been identified variable. “The transition we have seen in young patients and patients is closely related to the Delta in Arkansas,” Patterson said. This is a completely different disease for us.
Donald McAwayway, 33, who runs a gym in Jacksonville, Florida, did not bother to get the covi vaccine because the virus appeared to only affect older people with health problems.
But by the end of June he had a runny nose, which he thought was a cold or an allergy. Her girlfriend insisted that she get tested for coronavirus. He was positive, and he was sent home with a small device called a pulse oximeter to control blood oxygen levels.
Within a few days, the situation worsened, and he fell to the floor. Blood oxygen level was lower than stone 56. Normal reading is 95 or higher.
He was rushed to the intensive care unit on the beaches of the Baptist Medical Center, where he described his 11-day ordeal as “the worst thing that had ever happened to me.” The doctor told McAvoy that he had an Alzheimer’s disease.
Stuck with an oxygen tank, it was released on July 8. He lost 25 pounds and was warned to take four to six weeks of rest and respite treatment before returning to work. He fears that it may be too long.
“This is a much more equal opportunity virus,” said Dr. Angie Honsberg, director of intensive care at the University Medical Center in Las Vegas.
Outbreaks appear to be exacerbated during the first week or so after the patient has had symptoms at home for a week or two. They were usually treated on a regular basis for a period of time before going inside or requiring intensive care.
Like McAvoy, your young patient is much more ill, says Honsburg. “My suspicion is that the Delta variant will probably work in a different way,” she said.
Cox Health’s director of intensive care at the 500-bed Cox Health Hospital in Springfield said COVID-19 patients in the hospital were smaller and sicker than before.
“In the first round, young patients and children were treated and they didn’t even know they had it, or they thought they had a mild illness,” Colter said. In the Delta variant, this is not the case. It is undoubtedly much more difficult than the original alternative. ”
Many hospitalized patients report basic health problems, such as diabetes, obesity, or high blood pressure. But some young patients do not have any of these risk factors.
“This is what really scared me,” he said. It is about hitting healthy young people who do not think they will have such a bad reaction. They often have a long recovery, colitis, and some have permanent lung damage.
In the United States, the Delta variant is a relatively newcomer, and evidence of how it works in a different way and how it is still being stored. It is more contagious, experts agree. Few studies have shown that infected people can carry a large amount of the virus in their airways.
Some researchers suggest that the difference could lead to more serious illness. A study published in Lancet, Scotland, explored COVID cases during the spring, when the Delta was a major source of tension in that country.
Compared with previous cases of Alpha, the risk of hospitalization was about twice as high. The patients were also teenagers, probably because they were in the last line of vaccination, the authors said.
In the first online and un peer-reviewed study, Canadian researchers found that patients with delta variables were four times more likely to have access to intensive care than those with other variables. Patients with delta differences were twice as likely to be hospitalized or die.
A study published in Lancet, Singapore, concluded that delta patients are more likely to seek oxygen, need more care, or die. And an online and un peer-reviewed study in India found that patients, especially those under the age of 45, were at risk of dying during the second wave of infection.
But some experts say that the more corrupt Delta variant could be the result of more transmission. Although many people are infected, although the virus itself does not cause more serious illnesses than previous versions of the virus, the number of serious illnesses increases.
“I have not seen any evidence that Delta has targeted children and adolescents and adults,” said Dr. Peter Hotez, dean of the National School of Tropical Medicine at Bayerler Medical College. “My opinion is that the virus is so contagious that anyone who has not been vaccinated is involved, including young people.
Macau is relieved to see his 2-year-old daughter again. However, due to lack of income for more than a month, rent and utility bills have fallen, and medical expenses not covered by his insurance are accumulating. Friends have created a GoFundMe page for him.
Vaccination champion Macaway urged his friends and family to wear masks and get vaccinated. “The virus does not discriminate,” he said.
Ronnie Karin Rabin In 2021 New York Times Company