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(Levan/Adobe)
Here's what you need to know to be caught up with the COVID-19 situation in Austin.
Hospitalizations
In the past several weeks, hospital admissions for COVID have been on a week-on-week decline for all age groups, Austin Health Authority Desmar Walkes said at a Tuesday special joint meeting between the Travis County Commissioners Court and Austin City Council.
Since the onset of the pandemic, the most hospitalized age group has been those in the 50-69 age group.
Pediatric cases continue to be a concern to health officials as there are 133 kids hospitalized with 15 admissions on just Monday. None of the hospitalized children were vaccinated, although only those 12 and older are eligible.
Deaths
Deaths peaked this month with a record 23 COVID-related fatalities on Sept. 8. Since the start of the year until Sept. 10, there has been a total of 447 deaths.
The rise in deaths is being attributed to those unvaccinated and the Delta variant, according to Walkes; 7.3% of vaccinated people have died of COVID between Jan. 1 to Sept. 10.
Of the deaths, 50% have been Hispanic and 58% have been male.
Mu vs. Delta
The Delta variant continues to be the predominant variant in the community at 99% of cases.
The Mu variant, discovered in Colombia back in January, has spread across the U.S. Research suggests it is more transmissible and vaccine-resistant than the Delta variant. However, it currently makes up .1% of lab-confirmed cases in Travis County.
Austin health officials continue to encourage the community to get vaccinated to have protection against variants. Research shared by Austin Public Health shows those vaccinated were 5 times less to contract the Delta variant, 10 times less likely to be hospitalized and more than 10 times less likely to die from it.
Breakthrough cases
Of the 750,000-plus that are fully-vaccinated in the county, 5,964 have had breakthrough cases. APH's disease surveillance team interviewed 1,378 of those with breakthrough cases and found only 59 were hospitalized, or 1%. Thirty two of those cases resulted in death from ages 17-98.
Those hospitiziiled as a breakthrough cases ranged from ages 19-96. Here's the breakdown of what vaccine they had:- 13 Johnson & Johnson
- 18 Moderna
- 28 Pfizer
Why some are vaccine hesitant
APH conducted a survey in Austin-Travis County among those unvaccinated and found that 68% of survey respondents were vaccine-hesitant.
Of that number, the top reason for hesitancy was not sure if safe (55%), followed by not sure if effective (49%).
APH is continuing with outreach efforts to reach the herd immunity threshold.
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Popular
Mourners laid flowers at the Children's Medical Group office in Central Austin after Dr. Lindley Dodson was killed in a hostage situation.
Increasing need
The University of Texas Police Department received 368 calls with a mental health element between Jan. 1 and Nov. 17, 2020, compared to 493 calls in the entirety of 2019. Although this represents a slight decrease year-over-year, about half of UT students had a fully online course load, suggesting that for students on campus such calls were more common. "From what we have seen, even in the pandemic, our call volume is high," Lt. Samantha Stanford told Austonia.
UTPD recently created a specialized team of officers—the University Crisis Intervention Team, or UCIT—to respond to 911 calls with a potential mental health element.
Colors of Austin Counseling, a local therapy practice, held 6,606 therapy sessions in 2020—a 60% year-over-year increase—and more than doubled in size, from seven clinicians to 15. "The evolution of our practice has been amazing on the business side of things, and it's devastating to see the need that people have," owner and licensed therapist Vanessa Flores told Austonia.
Despite the clear increase in the number of people seeking out mental health care, Flores and other local therapists said it has not necessarily been accompanied by an increase in the severity of cases.
Integral Care's 24/7 helpline has received more calls since the pandemic began, according to practice administrator and Central Texas Suicide Prevention Coalition co-chair Melody Palmer-Arizola. But most are from people looking for someone to talk to. "A lot of the calls are people who are just like, 'When is this going to be over?'" she said.
A universal concern
The Centers for Disease Control and Prevention found that 11% of U.S. adults reported seriously considering suicide and 40% reported struggling with mental health or substance use during a weeklong period in late June. Alarmed by the mental health repercussions, some people questioned public health officials about the safety of social distancing and other pandemic precautions.
(Centers for Disease Control and Prevention)
Last August, Austin-Travis County Interim Health Authority Dr. Mark Escott addressed this concern in one of his regular COVID-19 briefings. "There's no evidence to support that suicides during COVID-19 … are higher than they were in 2019," he said.
Since then, however, new studies have emerged that suggest suicide may be increasing. "Evidence from previous pandemics suggests a short-term decrease in suicide can occur initially—possibly linked to a 'honeymoon period' or 'pulling together' phenomenon," according to a November editorial in the British Medical Journal. Last month, Nature published a study that found an increase in suicide following an initial decline during the pandemic in Japan.
Real-time American statistics are not yet available and Austonia is awaiting a response from the Austin Police Department regarding the number of calls it has received regarding a mental health crisis. Last week, APD's 911 call operators began using an updated script when greeting callers: "Austin, 9-1-1, do you need police, fire, EMS or mental health services?"
Criminal justice reform advocates have lobbied for this change for years, hoping to limit interactions between police officers, who may not be trained to respond to mental health crises, and people experiencing them. Although it is too early to know the impact of this change, local therapists report that the demand for mental health support and services has increased significantly since the pandemic began.
Access problems
Many mental health care providers have successfully transitioned to teletherapy, offering appointments over video or the phone, but those seeking out mental health treatment may face other challenges posed by the pandemic.
"Affordability is a barrier to entry," said Dr. David Hill, an Austin-based licensed psychologist and member of the Texas Psychological Association, which recently launched a resource guide that includes a psychologist search tool. Many people are facing increased financial stress due to pandemic-related layoffs—and may also have lost their health care coverage. "It's a bit of a catch-22," he added.
Nonprofits that help to fill these gaps are also affected by the pandemic.
Pick With Austin, a local organization that donates guitars and other musical instruments to children and teenagers with depression, saw its outreach curbed by the pandemic because many of its partner organizations—children's hospitals, community therapy groups, juvenile detention centers—were closed to visitors.
"What's happened with the pandemic is we've suddenly been cut off from all of those places," PYA Founder Jeff Curley told Austonia. His son, teenage guitarist Alan Carter Villaruz-Curley, died by suicide in 2010 when he was 18.
In 2019, the nonprofit distributed around 200 guitars. Last year, it was only able to give out around a quarter of that, despite having a surplus amount of donations.
"The pandemic has kept (young people) from going to school, from socializing with friends … so they've actually increased their depression," Curley said.
'Silver lining'
Despite the very serious mental health concerns surfaced by the pandemic, therapists and other experts expressed hope that the current crisis might lead to better health care coverage, wider use of teletherapy and decreased stigma around seeking out support.
Dr. Elizabeth Portman Minne owns Vida Clinic, which provides mental health services to individual clients as well as to school districts, including Austin ISD. Over the course of the pandemic, she has seen children and teenage clients embrace teletherapy. "It's versatile," she told Austonia. "Regardless of whether people are in school or wherever they are, they're still able to stay connected with their therapist."
Texas Gov. Greg Abbott recently identified mental health care funding, statewide broadband access and making permanent some temporary telemedicine regulatory waivers as top priorities this legislative session.
Minne is optimistic that the pandemic, in laying bare so many of the mental health challenges people are facing, will normalize seeking out care.
"It's an odd silver lining of the pandemic," she said. "It kind of made us connect with our own fragility and become more open to reaching out for help."
You can reach the Texas COVID-19 Mental Health Support Line at 833-986-1919 an the National Suicide Prevention Lifeline at 800-273-8255.
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