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BY SHANNON NAJMABADI
As schools and universities across Texas begin reopening, families, students and educators are adjusting to remote instruction; schools are preparing to file weekly reports on COVID-19 cases; and universities are providing free on-campus coronavirus testing.
The Texas Tribune spoke to epidemiologists and health experts about what the state can expect with schools and universities resuming online or in-person instruction.
Question: As hospitalizations decline, schools and universities are reopening — and already seeing outbreaks — and Labor Day is coming up. What do you think the state can expect in the weeks ahead?
Dr. Ron Cook, professor at Texas Tech University Health Sciences Center and the city of Lubbock's public health authority: I think we're all holding our breath on … what opening schools and opening colleges and universities is going to do. ... So I think we're going to see a surge, I think we'll see a surge of positive cases in the next 10 days to two weeks. That [student] population more than likely will do pretty well. But another 10 days after that we may see those that they come in contact with ... may not do so well.
Catherine Troisi, infectious disease epidemiologist at UTHealth School of Public Health in Houston: It is great news of course the hospitalizations have been declining, probably due to better treatment … we've learned a lot about the infection, and the fact that it's younger people being infected and they are less likely to have more severe outcomes and need to be hospitalized. ...
However, there is concern that the fact that hospitalizations are going down will be taken as a sign that, 'Oh we can go back to normal,' because we're all tired of this. We were tired of it four months ago and now we're really tired of it ...
We've got a holiday weekend coming up [Labor Day weekend], and we saw what happened … Memorial Day. The fact that schools are opening is a big experiment, particularly the elementary schools and the role of children in the spread of this virus, and there's a lot we don't know. … Colleges — it's less of an experiment because I think we know what's going to happen. Eighteen-year-olds, first of all, think they're invincible. They're not going to die of anything. They're social animals. They haven't seen their friends since March. It is understandable that they are not going to keep up masking and, particularly, physical distancing. ...
The short answer to your question is, yes, we are concerned. … We've got these three things happening and I would predict that we're going to see an increase in cases.
Dr. James McDeavitt, dean of clinical affairs at Baylor College of Medicine: I've got a forecast and I've got a fear. My forecast is hopeful, but my fear is that history could repeat itself. We had what we thought was a surge in April that turned out not to really be a surge, but sort of an appetizer. And then we hit all the events of the summer. ... We skated right up to the point that we were risking overrunning our hospital system capacity, though thankfully we never did.
Well, now we've come to the backside of that surge, and my fear is that we'll lose our focus. We still have a relatively immunologically naive population out there that is susceptible to the virus. ... With upcoming holidays, school reopenings, a looming flu season, there are a lot of dynamics at play that could reignite the spread of the virus.
I don't think we can adopt an attitude that the calvary is going to ride in to rescue us — I don't think a vaccine will emerge and suddenly the virus vanishes. … My guess is by December we will probably see one of the vaccines in current phase three clinical trials demonstrate adequate safety and effectiveness and will start to be distributed. But to get to the point that adequate numbers of people – or high risk subpopulations of people – are actually vaccinated to the point we develop a degree of herd immunity, I think we're looking at springtime. And that's if everything goes like clockwork, which it won't...
So the reality is if we are going to be able to resume some semblance of life as we knew it before COVID-19, we need to adopt good masking, distancing and hygiene practices for a good long while — for months to come. We will have a vaccine, we'll get there, and this will end. But it's not going to be tomorrow — so I think that's important for people to get their heads around that. We're in this — all of us together — for the long haul.
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17 years and three medals later, Osterman's last ride with USA softball is over. What's next for Cat?
Nearly two decades after her debut with the University of Texas and 17 years after her first Olympic gold, softball icon Cat Osterman stepped off the Olympic pitcher's mound for the last time with a silver medal to take back home.
Osterman, a three-time Olympian who has been called the "Michael Jordan of softball," will officially retire from the international realm at 38 after a decorated career that included Olympic golds, years of retirement and plenty of adversity—from a worldwide pandemic to dashed gold-medal dreams.
Osterman and her crew left Tokyo on a bittersweet note on Tuesday with a silver medal in hand.
Osterman with Team USA in 2008. (Antoni Majewski/Twitter)
Osterman in the final in 2021. (Antoni Majewski/Twitter)
After a year of sparse in-person training and over a decadelong hiatus, Team USA and Osterman flew to the finals. In five games, the team beat Italy (2-0), Canada (1-0), Mexico (2-0), Australia (2-1), and Japan (2-1).
Deja vu struck in the final match. On one side, Osterman and fellow 2008 Olympic teammate Monica Abbott took the mound; on the other was the 39-year-old Yukiko Ueno, a familiar foe who helped the team beat Team USA last go-round.
"Just like 13 years ago," Ueno said in a press conference, "we were facing each other in the final."
Ueno, who had lost hopes at gold to Osterman in '04, outpitched her longtime opponent with six scoreless innings as Team USA was held to just three hits. The same team that squandered their gold-medal hopes 13 years before had done it once again.
Your Tokyo 2020 Olympic Silver Medalists 🇺🇸#TokyoOlympics | @TeamUSA pic.twitter.com/MOMNOedHUd
— USA Softball Women's National Team 🇺🇸 (@USASoftballWNT) July 27, 2021
"There's a little bit of disappointment in not bringing home the gold since that's the eye on the prize when you go over there and you know you have a shot at it," Osterman told Austonia. "But more than anything, I'm very proud of the way our team handled everything that was part of this journey and not just the six games."
It's that very loss at the 2008 Olympics that partially motivated Osterman to get back on the mound. She officially put down the glove in 2015 after six seasons with the USSSA Pride, took time with family and began coaching at Texas State University.
Osterman helped ace Randi Rupp to greatness while a coach at Texas State University. (Active Voice Health/Twitter)
She thought her Olympic endeavors were well over—until talks of reinstating softball into the Games reentered the conversation.
"It wasn't until 2016 or 2017, that it ever crossed my mind to possibly put the USA uniform on again," Osterman said. "After the World Championships in 2010, I walked away, and I thought that my career on the international stage was done. So this was a pleasant kind of new opportunity."
Three years after facing any competition, Osterman was on the field once more with world-class athletes. Some, like Osterman and Abbott, had been playing together long enough to form a formidable "Fire and Ice" duo on the mound. Others had just graduated college.
Osterman said playing with a younger generation of athletes was one of the most rewarding aspects of this year's Games.
"It can be very different when you have 24- and 38-year-olds on the same field," Osterman said. "The adversity put us in some challenging positions and we came through with flying colors. And this group will forever be special just because what we had to go through is so different."
While on the mound, Osterman's job was to give the team a calm start. Off of the field, she felt her role had much of the same effect: she knew that new Olympic feeling, and she served as a deep breath to her first-time teammates.
"There's no words to explain how nervous and excited you get knowing that the whole world can be watching," Osterman. "I think using those emotions and figuring out how to get all our butterflies lined up and going in the right direction, so that way we were all moving together, was kind of my role outside of pitching."
We've heard her retire once before, but this time Osterman said she's gone for good—even from coaching. After her final time with Team USA on Sept. 27, she plans on returning to Austin, where she'll look to work for a nonprofit.
A gold and two silvers will have to do for one of the most decorated athletes in U.S. softball history.
"To be able to say you're a three-time Olympic medalist is a pretty special deal, right?" Osterman. "I played for a long time. But those are the pinnacle, in my mind, and kind of what elicits the dream to keep playing."
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Hospitals are facing a "significant" increase in admissions of pregnant women due to COVID-19 complications, Austin-Travis County health officials say, revealing what could be a long-term side effect of the virus.
Austin-Travis County Health Authority Dr. Desmar Walkes met with three maternal medicine specialists on Monday morning to warn of yet another COVID-19 Delta variant concern: severe cases of the disease affecting unvaccinated mothers-to-be.
The doctors said unvaccinated pregnant women face an increased risk of preterm births, long-term effects, preeclampsia, ICU stays, stillbirths, being put on life support and even death if they are unvaccinated.
"We are really concerned that we are not getting that population of folks to hear this message of the safety of vaccines, so today we're assembled, one and all to say, wear a mask and please get vaccinated," Walkes said. "Vaccinations are the way to prevent severe disease and hospitalizations and death."
Medical Director of Maternal Fetal Medicine at St. David's Women's Center of Texas Dr. Kimberly DeStefano said 95% of pregnant women admitted with COVID-19 are unvaccinated, stressing that all pregnant and lactating women should get the vaccine not only to protect themselves but to protect their babies from infection, which can be passed through breastmilk or birth.
"We know that the earlier in pregnancy you are vaccinated, the more antibodies are present at the time of birth for the infant," DeStefano said. "This is something that's very important, both during the pregnancy and postpartum."
Catching COVID-19 while pregnant can cause adverse effects on the baby, particularly because it increases the risk of preterm births. Baylor Scott & White Maternal Obstetrics Chief of Maternal Medicine Dr. Jessica Ehrig, said that preterm births are one of the "biggest impacts" on childhood development.
"We know that (preterm births) can have long-term effects depending on how early a baby's born," Ehrig said. "It increases the risk for long term respiratory issues, for blindness sometimes (and) for neurologic development delays."
Since mid-July, COVID-19 hospitalizations have been on a steep rise that sent the city back to recommending Stage 4 guidelines. As the seven-day rolling average of hospitalizations surpassed 50 admissions, Stage 5 guidelines could be on the horizon. The city reported 54 new admissions and 546 total new cases on Friday.
Delta is more contagious than chickenpox, Walkes said, and even vaccinated individuals can catch and spread the virus without symptoms. The group of doctors asked everyone, especially pregnant women, to mask while in public as local hospitals pass the Stage 5 threshold.
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