Austin hospitals are better prepared, see lower COVID-19 mortality rates despite increased admissions
Despite an exponential increase in confirmed COVID-19 cases and related hospitalizations in the Austin region, local health care workers feel better armed to respond to a surge than they did in March—and the results are good for patients.
"I feel like we're much more prepared now than we were when this was all starting," said Dr. Doug Jeffrey, a local ER doctor and board member of the Texas College of Emergency Physicians. "We were all extremely worried when we were looking at New York and what was happening there."
New procedures and protocols
In the past few months, Austin's major hospital networks—Ascension Seton, Baylor Scott & White Health and St. David's HealthCare—have had time to stock up on personal protective equipment, implement protocols that reduce risk of exposure and finesse treatment.
Emergency departments have implemented universal masking, visitor restrictions, mandatory temperature checks and more regular cleaning, Dr. Jeffrey said. "We've had a lot of time to think about these protocols and put them in practice," he added.
At St. David's South Austin Medical Center, staff have spaced out the chairs in its waiting rooms, transitioned to a wireless keyboard for patient check-in, switched to disposable blood pressure cuffs and cohorted patients suspected to have COVID-19 away from those who are seeking care for other reasons.
"We feel very, very comfortable that we're prepared to care for patients as they present," Chief Medical Officer Dr. DeVry Anderson said. "And really care not just for COVID patients but for all patients that are presenting with both routine and emergent conditions."
Lower mortality for patients
Another positive development is that treatment for COVID-19 patients is improving, as evidenced by a lower mortality rate—now down to 1.7%, from 3.6% in early June—despite increasing hospitalizations.
(Austin Public Health)
Dr. Anderson attributed this shift to a number of factors, including convalescent plasma therapy, access to the antiviral drug remdesivir and more familiarity with how the disease progresses."Having physicians and staff that have gotten, not comfortable, but now understand how to treat and care for these patients, I think it's seamless in the way we transition those [patients] to higher levels of care," he said.
Ventilator management is also better, with patients who may have been put on a ventilator before now being treated with high-flow oxygen and simple position changes—laying on their side instead of their back—to positive effect. "This is where it's nice to not be the first group going through [this]," Dr. Jeffrey said.
Higher exposure for health care workers
But challenges remain, including the continued rationing of PPE, making sure patients don't avoid the ER for fear of the coronavirus and staffing concerns should area hospitals reach capacity.
"I think that's where we would see a situation like we did in New York and in Michigan, where we're going to be getting nurses from other states to come in and help us out," said Serena Bumpus, director of practice for the Texas Nurses Association.
There is also the question of whether doctors and nurses will get COVID-19 themselves—especially considering their increased exposure to sick patients—and further strain staffing levels.
But Bumpus said the danger may not be where people expect: "Our health care workers, with the amount of PPE that they do have access to and that they're wearing inside the hospital, they actually might be more protected than they are out in the general community because the community is not masking fully and maintaining social distancing and washing their hands."
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It may not come as a surprise that dating app use surged during the pandemic when many had to swap the benefits of in-person dating for on-screen connections. Bumble revenue swelled to $337.2 million in 2020 compared to $275.5 million, Hinge revenue tripled in the same period and Tinder users broke two records from January to March of 2021.
What may be more intriguing, however, is that many apps anticipate more growth into 2022. Hinge expects to double its revenue by the end of 2021, while Tinder has announced several new features to meet new demands in time for what some are calling a "third surge" of COVID-19.
Vaccinated Austinites who had been eager for "Shot Girl Summer"—a season of in-person dating, going out and making up for time lost—may have to get back on the apps, at least partially, as cases rise higher than they've been since February and mask recommendations reenter the picture.
Austin-area resident Chloe Mohr, a 22-year-old recent college graduate, had sometimes used Tinder before the pandemic. While the app wasn't a supplemental replacement for deeper connections during stay-at-home orders, it did help her stay in the dating game and continue meeting new people.
"Using dating apps during the pandemic was easy when wanting something casual or entertaining," Mohr, who now works in marketing, said.
Chloe Mohr turned to Tinder more during the pandemic to stay connected to people. (Chloe Mohr)
Sixty percent of members came to Tinder because they felt lonely and wanted to connect with people, a Tinder study revealed, and chats were 32% longer during the pandemic.
But dating during a pandemic is no walk in the park when there's fear about contracting COVID, Mohr said. She had fears at the beginning
Tinder, Bumble, Hinge and OkCupid have responded to the new dating criteria, adding vaccination badges to profiles in partnership with U.S. and British governments.
In order to meet the demand for a stricter screening process and the superficial nature of swiping, Tinder has also introduced new features that allow users to add videos to their profiles and chat with others before they've even matched.
The new add-ons could be beneficial for the app as interest continues to swell—Google searches for "dating" have hit a five-year high, according to NPR.
But the future of dating could be vastly different—and stay different—even well into the next decade.
According to a Ypulse study, 43% of dating app users said the apps made them feel less lonely in the pandemic. Even post-pandemic, 40% of Tinder users say they plan on video-chatting with their matches before they meet, and being honest, authentic and respecting boundaries have become big talk on the app in the past year.
While it's unclear how the pandemic will shape dating for good, signs show that Austin residents and those nationwide may lean on dating apps once again if social distancing returns to the norm.
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With more research done on the COVID-19 Delta variant, Austin Public Health is upping its goal of 70% vaccinated to at least 80% due to the extreme virality of the strain.
As more Delta cases are identified—up to 29 cases are confirmed in Travis County—health officials are urging the unvaccinated to get their shots to contain the spread and relieve hospitals from reaching full capacity.
Austin-Travis County surpassed the Stage 5 threshold on Friday and has reached a seven-day average of 61 hospital admissions. However, Austin health leaders have yet to make an official shift as the Delta variant calls for new guidance, APH Health Authority Dr. Desmar Walkes said at a joint Travis County Commissioners Court meeting on Tuesday morning.
The new guidance has yet to be released, but Walkes said it will take into account the viral load of Delta on both unvaccinated and vaccinated people.
Last week, the Centers for Disease Control and Prevention revealed the Delta variant was as contagious as chickenpox, which has a herd immunity threshold of at least 90% vaccinated.
Although 63.42% of those eligible in Travis County are fully vaccinated, breakthrough cases—where vaccinated people are contracting COVID-19—are being identified. APH has identified 1,496 breakthrough cases of the roughly 800,000 vaccinated. Most breakthrough cases are showing less severe symptoms or are asymptomatic, according to APH.
Health officials are still asking residents to wear masks, although the city cannot mandate any masking orders due to an executive order by Texas Gov. Greg Abbott.
"Our challenge is going to be whether we're going to stand as a community and everyone who can get vaccinated, get vaccinated, and everyone wear a mask—that's what it's going to take," Walkes said.
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Save Austin Now police petition will reach November ballot after county clerk certifies 25,000 signatures
Save Austin Now is now 2-0 over Austin City Council after its petition to add more staffed police officers to the Austin Police Department was certified, garnering over the 20,000 votes needed to make it on an election ballot.
The petition calls for more police staffing per city resident, quicker response times and more training for city police officers in the wake of increasing violent crime rates nationwide and a year of limited APD staffing. The City Council will now decide whether to implement the ordinance outright or add it to the November election ballot; it will likely do the latter.
Over 25,000 of the 27,778 signatures racked up by the public safety petition were certified as valid, well over the 20,000-vote threshold required to be certified with the City Clerk. City Clerk Jannette Goodall placed the city's seal of approval on the petition on Tuesday morning.
The petition, by the same political group that got the camping ban reinstated through a petition in May, seeks to:
- Require minimum staffing of two officers per 1,000 residents
- Require a minimum standard of 35% community response time
- Add 40 hours of training
- Require city council members, Mayor Steve Adler and other city staff to enroll in the Citizens Police Academy
- Facilitate minority officer hiring through foreign language proficiency metrics
Austin's 160 patrol vacancies have dropped its staffing rate to 1.2 officers per 1,000 residents, according to the department. APD's response time has increased by about one minute and 50 seconds in a year.
The petition comes nearly a year after APD's budgets were slashed by city council following the summer's Black Lives Matter protests, which saw several demonstrators severely injured as millions called for justice in the police-related deaths of George Floyd and locally Mike Ramos, an unarmed Black man killed by APD officer Christopher Taylor, in April 2020.
Austin and the U.S. have experienced a widespread uptick in violent crime rates in 2021. The city has reached 49 homicides in 2021, higher than the total number of murders in all of 2020 and the 38 homicides in the city in 2019. Austin police officers have seen response times rise as the department suffers increased vacancies and fewer newcomers while cadet classes are being readjusted.
Opponents argue the ordinance would ramp up a policing budget while taking away from other departments including Fire, EMS, violence prevention, and mental health care. City Council Member Greg Casar, the Travis County Democratic Party and the Austin Justice Coalition have spoken out against the organization's latest public safety move, calling out the campaign as a "right-wing petition" that misleads those who sign.
🔥 PANTS ON FIRE: Republican-front group Save Austin Now is lying about their petition!
They say their measure is about police reform, when it's really about devastating our city budget - all for the benefit of the police union. Watch the video here ⬇️ #ATX pic.twitter.com/Z6QQSfhHfH
— Gregorio Casar (@GregCasar) August 2, 2021
The latest battle between city council and Save Austin Now will be decided by Austin residents in the Nov. 2 election.
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