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After spending much of the past year caring for elderly patients, doctors have seen a clear demographic shift: Young and middle-aged adults share a growing share of COVID-19 wards in Hospital
It is both a sign of the nation’s success in protecting the elderly through vaccination, and an urgent reminder that the younger generation will have to pay high if an outbreak is released in many communities across the country. country
“Now we see people in their 30s, 40s and 50s really sick young people,” said Dr. Wissanu Chundi, an infectious disease physician and chair of the Chicago Medical Association’s COVID-19 working group. I can’t do it … I just lost 32 years old with 2 children, so it’s heartbreaking. ”
In the country today, adults under 50 have the highest number of COVID-19 hospitalizations in the country – about 35% of all hospital stays.People aged 50 to 64 have the number of hospitalizations. In hospital, it was the second most, or about 31%. Meanwhile, hospitalizations for adults over 65 years of age dropped significantly.
Currently, more than 30% of the population of the United States is fully vaccinated. But most were people over 65, a priority group at the start of the vaccine’s launch.
While new infections are declining across the country. But some regions have argued for the viral comeback in recent months, which some have called it the “natural” virus. The “fourth wave” driven by the B.1.1.7 variable, first identified in the UK, is “fourth wave”. Expect to have between 40% and 70% more correspondence.
As many states have abandoned anti-epidemic measures, the more severe strains still have room to spread among younger populations, which are still susceptible to a broader spectrum of disease.
The emergence of more dangerous strains of the virus in the United States – B.1.1.7, as well as other strains first discovered in South Africa and Brazil, have made vaccination efforts even more urgent.
“We are in a completely different football game,” said Judith Malmgren, an epidemiologist at the University of Washington.
Increased infection among young people causes “The reservoir of disease”, which eventually It is “spread to the rest of society” where herd immunity is still inaccessible and is likely to occur more broadly in this case.
Fortunately, the chance of dying from COVID-19 is still very small for people under 50, but this age group may become seriously ill or have long-term symptoms after the first infection. People with medical conditions such as obesity and heart disease are also more likely to become seriously ill.
“B.1.1.7 is not based on age, and when it comes to young people, our message about it is too weak,” Malmgren said.
The hospital is full of people who are young and sick.
Across the country, the influx of young patients infected with COVID-19 shocked doctors, describing hospital beds full of patients, many of whom appeared to be more sick than they had seen during the previous outbreak.
“Many people need care from the ICU,” said Dr. Michelle Barron, head of infection prevention and control at UCHealth, one of Colorado’s large hospital systems, as opposed to earlier outbreaks.
The average age of COVID-19 patients at UCHealth hospitals has declined over a decade in the past few weeks, from 59 to about 48, Barron said.
“I think we’ll continue to see that, especially if these groups don’t have a lot of vaccinations,” she said.
While most hospitals are far from the onset of winter illness, the Michigan patient explosion underscores the potential impact of restriction loosening when many adults have not yet been treated. Vaccine
There is strong evidence that all three vaccines used in the United States provide good protection against UK strains.
One recent study suggested that the B.1.1.7 variable did not lead to the more severe illnesses previously thought. However, patients infected with this strain are more likely to have the virus in their bodies than previously dominant strains, which may help explain why it is more spread easily.
“We think this may lead to more hospitalizations in younger people,” said Dr. Rachel Lee of the University of Alabama-Birmingham Hospital.
Lee Hospital also noted an increase in younger patients. Like other southern states, Alabama has a low vaccine absorption rate.
But even in Washington state, where most people choose to get vaccinated. But hospitalizations have been on the rise since the beginning of March, especially among young people.
In the Seattle area today, more people in their 20s are hospitalized for COVID-19 than in the 70s, according to Seattle King Chief Health Officer Dr. Jeff Duchin. County
“We do not yet have younger adults vaccinated enough to cope with the increased convenience of this strain spread,” Duchin said in a recent press release.
Nationally, approximately 32% of people in their 40s are fully vaccinated, compared with 27% of those in their 30s.That share has dropped to about 18% for 18 to 29 year olds.
“I hope the death curve doesn’t add up as quickly. But it puts stress on the health system.,“ Dr. Nathaniel Schlicher, emergency physician and president of the Washington State Medical Association.
Schlicher in his late 30s recounts the horrors of two of his latest patients, who were close to age and previously healthy, who were admitted to new COVID-induced heart failure. 19
“I’ve seen that up close and that’s what scares me,” he said.
“I understand young people who feel invincible. But what I will tell them is – don’t be afraid of death, fear of heart failure, lung damage, and not being able to do what you love to do. “
Will younger adults be vaccinated?
Doctors and public health experts hope the heavy increase in hospital admissions among the younger population will be temporary, with vaccines coming down soon.
As of April 19, all adults were eligible for the COVID-19 vaccine, although it was available in some states much earlier.
But there are national opinion polls that many teens and adults in their 20s and 30s need no plans to get vaccinated.
“We have to make it easier – it’s not an inconvenience,” said Washington epidemiologist Malmgren. “We have to pay attention to it and think a little differently.”
She recommends reaching more through social media platforms or even at bars and other places where younger people hang out. Two New Orleans bars tried out the strategy earlier this month, one that is still free to vaccinated customers.
When Chicago physician Visnu Shundi spoke with the family of his COVID-19 patient, he generally did not hear that there was as much resistance to the vaccine as he was satisfied to get it done quickly.
“You have to be motivated to go to these places, you have to get two vaccines, now it’s a process,” he said. Vaccination “