Posts

Huntsville Hospital to Receive Coronavirus Vaccine; Cases Continue to Rise

As the initial doses of the coronavirus vaccine are being delivered around the country, the song remains the same regarding – wear face masks, sanitize hands and practice social distancing.

“It’s a record that just keeps spinning,’’ Madison Mayor Paul Finley said at the weekly coronavirus update.

And with the holiday season here and virus cases rising, Crestwood Medical Center CEO Dr. Pam Hudson urges one more thing.

“Avoid gatherings’’ of more than five to 10 people, she said.

Meanwhile, Huntsville Hospital will receive doses of the new vaccine since it has the refrigeration system capable of storing the sensitive treatment.

“Huntsville Hospital will help take a leadership role in trying to get this out and this is not community-wide vaccination,’’ Hudson said. “It’s prioritized for frontline health care workers.”

The general public might not have vaccines available until the summer.

While the number of positive cases continue to rise around the nation, state and Madison County, Hudson couldn’t pinpoint Thanksgiving gatherings as a reason for the ongoing rise in numbers.

Instead, she said, the uptick in hospitalizations for COVID-19 can be attributed to, not only Thanksgiving but, the increase in people attending such things as sporting events as the country has opened up.

“Since fall break in October, there’s been a gradual increase,’’ Hudson said.

In North Alabama hospitals, 30 to 50 percent of people hospitalized are due to COVID-19. At the peak of positive cases in the summer, there were about 1,500 people hospitalized because of the virus. The current number is more than 2,000.

As of Dec. 9, there were 234 county in-patients with 37 in ICUs and 29 on ventilators.

As of Dec. 12, the county has confirmed 17,030 cases of the virus with 162 deaths. Statewide, those numbers are 295,631 and 4,102.

Hudson said the growing number of virus patients is straining personnel resources. At least 200 health care workers in the area are out with coronavirus or seasonal flu-related issues.

“Hospitals are responding to all-time highs,’’ she said. “It’s safe to say across the entire state we are struggling with hospitalizations due to COVID.’’

Elective surgeries have been reduced or stopped at many facilities because of staff shortages.

Also, Gov. Kay Ivey extended a mask-wearing mandate until Jan. 22, but has indicated she won’t place further restrictions on businesses or the community.

In the meantime, Finley joined Hudson in advising people to avoid large holiday parties.

“The less opportunity we have of all getting together,’’ he said, “the better off we’ll be.’’

 

Mayor: Good News on Horizon in COVID-19 Fight but Vigilance Still Urged

While Madison County and the nation are seeing a surge in positive coronavirus cases, the news wasn’t all negative at the weekly COVID-19 briefing at the Huntsville City Council chambers.

The Alabama Department of Public Health announced earlier it received the antibody drug Bamlanivimad to treat virus patients. The Food and Drug Administration gave emergency approval for the drug.

Also, pharmaceutical companies Pfizer and Moderna both said they hoped to ask for emergency authorization for vaccines that were 90 percent effective against the virus in clinical trials.

“The good news is there’s something on the horizon,’’ Huntsville Mayor Tommy Battle said. “But along with that good news we’ve got to stay vigilant, stay ready and continue to do the basics like we have for the last eight months.’’

Those basics are practicing social distance, sanitizing, wearing a mask and avoiding potential unsafe situations.

Crestwood Medical Center CEO Dr. Pam Hudson also urged people to stay safe.

“No matter what anybody says, wear a mask,’’ she said. “And wear it properly.’’

There are 108 hospitalized COVID-19 patients in Crestwood and the Huntsville Hospital system. Of that number 31 are in ICU and 17 are on ventilators.

According to Jeff Birdwell, director of the Huntsville-Madison County Emergency Management Agency, the county had 1,558 confirmed COVID-19 cases in October. About a third of the way through November, there were already more than 700 confirmed cases.

“We are seeing what I would say are significant increases in the first part of the month,’’ he said. “There’s considerable concern there.’’

According to the FDA, Bamlanivimab has been shown in clinical trials to reduce coronavirus-related hospitalizations. The drug is designed for those who have contracted the virus and are at a higher risk for developing more severe symptoms.

The Alabama Department of Public Health is developing a plan to distribute Bamlanivimab to those who may need it.

“The therapeutic is approved for certain patients who have medical criteria that put them at high risk for progressing to severe COVID-19 and/or hospitalization,” said the ADPH in a statement. “This group includes persons who are 65 years of age or older, or who have certain chronic medical conditions. Bamlanivimab is an IV drug treatment and certain requirements must be met in order to use this agent. The department is working with providers to develop a strategic plan for distribution and use of Bamlanivimab.”

Hudson said other therapeutics such as Remdisvir have already helped some COVID-19 patients from requiring hospitalization.

She also said when a vaccine is ready it will be rolled out in three phases. Frontline health care workers will be first to receive the vaccine, followed by high-risk people and then the general public. The hope among health officials is a drug will be ready in late December or January for Phase One, the spring for Phase Two and summer for the final phase.

“It’s not a sprint, it’s a marathon,’’ Hudson said. “This morning a different metaphor came to mind — it’s not a battle, it’s a war.’’

COVID Cases and Hospitalization Increasing; State Sees Biggest Single-Day Rise

As fall nears the midseason point and with flu season fast approaching the novel coronavirus cases statewide and nationally continue to rise.

According to the COVID Tracking Project, the number of confirmed positive tests for the virus reached a single-day record 103,000  across the country by Wednesday night with a death total of 1,116. Also Wednesday, Alabama saw its biggest single-day rise in confirmed cases with 1,848.

The number of hospitalizations has increased in North Alabama and Madison County as well.

Huntsville Hospital CEO David Spillers said there are currently 161 patients around the region with 78 in Huntsville Hospital and 10 in Crestwood Medical Center; 16 patients are in ICU and eight are on ventilators.

“We had an additional 18 patients in the Huntsville facility in the last two weeks,” Spillers said Wednesday during the weekly COVID-19 press briefing. “In the region the numbers are at about what they were two weeks ago, so most of the increase you’re seeing across North Alabama right now is in Madison County,”

Statewide, as of Wednesday night, the total number of confirmed cases was 197,777 with 3,006 deaths. The numbers in Madison County were 9,959 cases and 102 deaths.

Spillers reminded everyone the virus remains highly dangerous.

“Ten percent of the patients who are hospitalized tend to die from this disease,’’ he said. “It is still a very deadly disease for those who are admitted to the hospital. That has changed very little since it started.’’

Spillers said models suggest a spike of the recent surge will arrive in late November or early December.

But, he said, “I have no idea what those numbers will be.’’

The spike could arrive along with a surge in flu cases.

“I want to encourage everyone to get a flu shot, we’re seeing not a lot of flu, but we’re seeing enough flu that it’s creating a problem,’’ Spillers said. “We assume they have COVID until we determine that they don’t have COVID.”

With Thanksgiving and the holidays on the way, Madison County Commission Chairman Dale Strong urged people to continue practicing safeguards.

“It is vital that we all remain focused on protecting ourselves and our families from contracting this virus,’’ he said.

According to data compiled by Johns Hopkins University and reported by the Associated Press, daily new confirmed COVID-19 cases in the U.S. have surged 45 percent over the past two weeks to a record seven-day average of 86,352. Deaths are also on the rise, up 15 percent to an average of 846 every day.

The total U.S. death toll is more than 232,000, and total confirmed U.S. cases have surpassed 9 million. Those are the highest totals in the world, and new infections are increasing in nearly every state.

Face-Coverings Said Helping in Local Battle Against COVID-19; Number of New Cases Declines

     The numbers are in and they tell one story: face coverings are winning the battle against the novel coronavirus COVID-19.

     Since the Madison County Health Department began requiring everyone to wear face coverings in all businesses and gatherings in groups, the number of positive test results for the virus has gone down after the county experienced a surge.

     Dr. Karen Landers of the Alabama Department of Public Health issued the mandate July 7 on behalf of the county. About two weeks later, the number of positive test results began to drop.

     “Since July 22, every day the number of new cases has declined,’’ Crestwood Medical Center CEO Dr. Pam Hudson said during Wednesday’s COVID-19 press briefing at the Huntsville City Council chambers. “Right before that, we were announcing 175 new cases per day. (Wednesday) the announcement is 56.’’

     Madison County had a low number of positive cases compared to many others in the state until after Memorial Day. Cases began to spike and Madison County now has the highest total of positives in North Alabama.

     But, the statistics are looking more favorable.

     “Madison County has had a sustained decline in three-day, seven-day and 14-day average increase in cases,” Hudson said.

     Madison Mayor Paul Finley credits the face-covering mandate — and the willingness of residents to follow those orders.

     “People are doing what they’re being asked to do,’’ he said. “We can see in the numbers that it’s starting to make a difference.’’

     As of Wednesday, Madison County had 4,501 confirmed virus cases and 25 deaths while statewide those numbers were 81,572 and 1,489. Gov. Kay Ivey ordered mandatory face coverings statewide nine days after Madison County’s order.

     “The state and the surrounding counties, their decline has not been as dramatic,’’ Hudson said. “Why? Because they didn’t start the serious masking until about a week or so after Madison County.”

     Also Wednesday, Ivey extended the state’s “safer-at-home’’ order until Aug. 31. She also ordered mask requirements for state students and teachers in classrooms from second grade through college.

    Huntsville City, Madison City and Madison County school districts will hold virtual-only classes for the first nine weeks when they resume. The Alabama High School Athletic Association announced its fall sports seasons would start on time though two south Alabama counties — Sumter and Greene — canceled athletics for the first nine weeks and one — Barbour — shelved all sports for 2020-21.

     Meanwhile, Hudson said that hospitals in the county are still feeling the results of the surge even as cases decrease. Currently, she said, there are between 120 and 130 COVID-19 inpatients in the county.

     And while recent news has been positive, officials continue to emphasize the importance of wearing coverings over the mouth and nose, social-distancing and hand-sanitizing.

     “Let’s not get complacent,’’ Finley said.

HudsonAlpha and Crestwood Medical Center Join to Help Treat ALS

In a collaborative effort with Crestwood Medical Center, HudsonAlpha Institute for Biotechnology recently launched the Impacting ALS project.

Last month, the ALS Association awarded HudsonAlpha a $20,000 grant, which will be used toward increasing the number of patients to participate in the Crestwood ALS Care Clinic, as part of Impacting ALS.

Directed by Drs. David White and Aruna Arora, the Crestwood ALS Care Clinic is the only National ALS Association Treatment Center of Excellence in Alabama. The clinic is also a Northeast ALS Consortium site with its mission to translate scientific advances into clinical research and new treatments for people with ALS.

“Crestwood is proud to have strong relationships with the ALS Chapter and our patients who are battling ALS,” said Dr. Pam Hudson, Crestwood Medical Center Chief Executive Officer. “We are excited to collaborate with HudsonAlpha on this project to better understand and treat this disease which will allow us to help improve the quality of life for ALS patients.”

ALS (amyotrophic lateral sclerosis) is a progressive neurodegenerative disease that affects the nerve cells in the brain and spinal cord, causing the loss of voluntary muscle control. Commonly referred to as Lou Gehrig’s disease, it is estimated that as many as 20,000 Americans live with ALS; 15 new cases are diagnosed daily.

The life expectancy of a person with ALS is roughly two to five years from the time of diagnosis, although more than half of those with ALS live more than three years after diagnosis.

The goal of researchers is to untangle ALS and to gain a better understanding of the underlying causes. To that end, scientists are employing leading-edge technology, such as genomic sequencing to analyze genetic variants.

“Hopefully, in understanding some of the biology behind ALS, we’ll be able to understand different avenues of how this disease happens, what causes it, and eventually, be able to find targets that can be useful for therapeutics and different treatments,” said Dr. Richard M. Myers, HudsonAlpha President and Science Director. “We are grateful to work with Crestwood and ALS patients right here in Huntsville for this project.”

Visit, hudsonalpha.org/foundation/als-project/

Officials Stress Masks, Social Distancing, Sanitizing as COVID-19 Numbers Rise

The message might resemble a broken record, but it will continue to be repeated until the rise of novel coronavirus cases in Madison County is itself broken.

While confirmed cases of COVID-19 continue to spike in the county as well statewide health officials continue to stress the importance of following safety guidelines.

The oft-repeated message is simple: wear face coverings, practice social distancing and sanitize hands.

“If 80 percent of our community would mask, cover their faces, then we would reduce transmission by 90 percent,” Crestwood Medical Center CEO Dr. Pam Hudson said Wednesday at the first COVID-19 briefing in a week.

If more people within the community don’t start or continue to follow precautions, she said, “we’re going to continue to see more of this.’’

This is a surge that has alarmed local officials enough that a county-wide health order was issued this week that face coverings were mandatory in public businesses and gatherings. Local hospitals are nearing capacity on beds available, and further surges could place a burden on the healthcare system.

Last week, the state health department was monitoring roughly 500 COVID-19 cases in the county. This week, that number is up to 847. Through Wednesday, the Alabama Department of Health reported 46,424 confirmed cases among 467,754 tested and 1,032 deaths. In Madison County, there have been 1,620 confirmed cases and eight deaths.

Hudson said the reason is likely due to the lack of following precautionary steps. Masking and distancing, she said, can help reduce the speak and lessen the burden on hospital staff and resources.

“I’d like to suggest we think about this masking and distancing as a temporary vaccination,’’ she said. “We are waiting for the scientists and the pharmaceutical companies to come up with a vaccine that works. It’s months away.

“Meanwhile, we have to save ourselves for the day that we will have access to the vaccine.”

Madison Mayor Paul Finley assured residents police would not be looking to flag people for not wearing masks in public but instead will have masks for anyone who asks them for one. He said people need to make the wise choice even if they don’t agree with it.

“We have a choice with our attitude,” Finley said. “Not everybody is going to agree with everything that’s done, I think everybody can agree our goal is to get through this as quickly as we possibly can and get back to a normal life that allows us to focus on the things that make us happy.”

According to Hudson, health officials’ biggest concern right now is not space of supplies at the hospitals but the stress being placed on frontline caregivers.

“Our ambulances had the greatest number (Tuesday) of runs since this started,’’ she said. “They are finding that, what was quoted to us today, in about 20 percent of the runs they make they’re having to do the full PPE, which is an increase as well.” 

County Commission Chairman: ‘We Don’t Have This Pandemic Under Control’

Madison County Commission Chairman Dale Strong sounded a resounding alarm during Monday’s COVID-19 press briefing.

“We don’t have this pandemic under control, Strong said. “Not in Madison County, not throughout the state of Alabama and not in the United States.”

The comments came on the same day that Tedros Adhanom Ghebreyesus, chief of the World Health Organization, was quoted at a press briefing in Geneva saying the pandemic is speeding up globally and the “worst is yet to come.’’

“We all want this to be over,’’ he said. “We all want to get on with our lives. But the hard reality is that it’s not even close to being over.’’

Also Monday, Arizona joined Texas and Florida whose governors closed down such gathering spots as bars, gyms, and beaches to combat spikes of the novel coronavirus in those states.

Meanwhile, Huntsville Hospital CEO David Spillers reported a spike in Madison County and the region.

“As of (Monday), we have 115 COVID positive inpatients in our system,” Spillers said. “When I reported on June 1, we had 28. So that’s a substantial increase in the month of June.”

Spillers said local and area hospitals have enough beds to deal with virus surges that require hospitalization. What he fears right now is the exposure of health care workers.

Strong noted that 14 HEMSI workers were out Monday because they’ve been exposed to a COVID-19 patient or a family member has tested positive.

Spillers and Strong both continued to stress wearing face coverings as a way to combat the spread of the virus.

“I don’t know when wearing face coverings became a political statement, and I’m sorry that it has,” Spillers said. “It hasn’t got anything to do with that. It’s just an effective way to keep people from transmitting the disease.’’

Strong said he’s heard from people who don’t want to wear a mask.

“There are people that believe they want to preserve their freedoms,’’ Strong said. “If they don’t want to wear one, they don’t believe they should be made to wear one. There are different dynamics today than we had a week ago, nevertheless 14 weeks ago.’’

The rising positive cases of COVID-19 locally and statewide, Strong said, should sway doubters into wearing face coverings. Face coverings are required within county offices.

“You look at the mistakes of other states, we don’t want to make the same mistakes they’ve made,’’ he said. “The mask has proven to be beneficial to the people of Madison County.

“In the study, or what we’ve done at the Madison County Commission for about four or five days, people didn’t like it, but then you look back several weeks later and we’ve had no cases that we’ve tied to the Madison County Courthouse.’’

The 115 inpatients Spillers alluded to include a 16-year old who is one of 11 coronavirus positive patients on a ventilator and among 16 total in ICUs. There are 44 inpatients in Madison County, including 38 at Huntsville main, six in Madison, and two in Crestwood Medical Center.

Other coronavirus numbers:

  • Decatur Morgan Hospital has 20 inpatients with coronavirus and Marshall County has 30.
  • There are 12 inpatients with coronavirus at Helen Keller Hospital and Athens Limestone Hospital has nine.
  • The average age of hospitalization for the coronavirus is the mid-50s with the majority of those having pre-existing conditions.
  • There are nearly 37,000 confirmed coronavirus cases and over 900 deaths statewide, while in Madison County the numbers are 996 and six.

Huntsville Hospital has the highest number of cases since its first positive patient was admitted. As businesses re-open and sports are coming back to life, Spillers cautioned that not going backward like Arizona, Texas and Florida is to practice safeguards.

“We can’t go back to normal without some protections in place,” he said. “That’s not going to work.”

 

Crestwood CEO: Masks Help Protect Wearer Against COVID-19; ‘The Life You Save May be Your Own’

Cloth face masks, recommended by the Centers for Disease Control to contain the spread of the coronavirus COVID-19, are now considered to be protection for the wearer against contracting the disease.

According to Crestwood Medical Center CEO Dr. Pam Hudson, cloth masks are proving to act as a barrier to the virus. It was previously thought only specialized masks such as N95 would protect the wearer.

“Evidence now is even the cloth masks can protect the wearer from 80 percent of the (airborne) particles,’’ she said during Monday’s COVID-19 update at the Huntsville City Council chambers. “Masks reduce the number of particles that get past that barrier and that means 80 percent can’t reach the nose and mouth, which is the way we catch this.

“Having a smaller viral attack rate means your body has a better chance of winning the battle and having a less severe illness. So wear your mask. The life you save may be your own.’’

Hudson’s comments come on the heels of an increase of confirmed COVID-19 cases in Madison County and statewide. There have been 22 states that have seen daily increases in cases in the past two weeks as the country reopens its economy. At least 12 of those states have reached their highest number of cases since the pandemic started.

As of Monday night, there were 25,892 reported confirmed virus cases with 769 deaths. Madison County has 566 confirmed cases with five deaths. The county has had an increase of 222 positive cases in the past 14 days with a majority in the 24-49 age group. Also, around 50 percent of the cases being confirmed are among blacks.

“Blacks are over-represented in testing positive,’’ Hudson said.

According to WHNT-TV, three Albertville High School football players have tested positive for the virus since students returned for voluntary workouts.

“We’ve had the largest three-day increase since the first case was announced,’’ Madison County Commission Chairman Dale Strong said Monday. “It’s vital to remain mindful of the need to take personal responsibility for your safety as well as those around us.’’

While Hudson and Strong both stressed the tenants of fighting the virus – wearing masks, hand sanitizing and social distancing – Hudson condemned a recent fad: COVID parties. The theory behind these gatherings is to “get it over with’’ and to develop a herd immunity.

This, she said, was popular in the 1950-60s era when parents exposed their children to chicken pox. COVID-19 is not chicken pox, she warned.

“Very few children had serious effects from chicken pox,’’ she said. “COVID is not chickenpox. COVID is a serious illness.’’

Hudson said one of 10 people affected with COVID-19 require hospitalization, 20 percent of those end up on a ventilator and the mortality rate is 30 percent.

“Get it over with is not a good idea,’’ she said.

 

Rime of COVID-19: Virus Hanging Like an Albatross Around Our Necks

While protests worldwide have taken over the headlines, there remains one albatross around America’s and the world’s collective necks.

The COVID-19 pandemic.

And as unrest surrounding many of the protests, including in Huntsville, against police brutality following the death of George Floyd, a black man, by a white Minneapolis police officer this country is facing another big question.

Will the hundreds and even thousands of people in close-in crowds hasten what is feared to be a second round of the virus?

“There’s more opportunity for people to get sick, there’s no doubt about it,’’ Huntsville Hospital CEO David Spillers said. “Whether or not that creates the spike we’re all looking for I don’t know. I don’t think we know enough about this virus to know if it’s contagious in the middle of the summer when it’s 90 degrees as it is or when it’s 35 degrees and we’re all together.

“I think any social event is an opportunity for people to get sick if somebody in that group is sick if they don’t practice distancing. And I know it’s probably hard to do when you’re in a crowd like that.’’

Spillers predicted there will likely be a spike in two weeks when any protestors contract the virus. He also local hospitals “have a plan if there is a spike.’’

The Alabama Department of Public Health’s website joined many throughout the nation in experiencing trouble updating its statistics last week when a backlog of lab results overwhelmed systems.

But during Friday’s pandemic briefing it was announced the figures posted at the ADPH site were back in order. Those results as of Saturday night showed there have been 359 confirmed cases of the virus with four deaths in Madison County.

Madison County Commission Chair Dale Strong reported that Huntsville Hospital has seven in-patients and Madison Hospital has two with none of those on ventilators.

Earlier, Spillers said, “I look at the numbers and while I’m not unhappy about it, I’d like the numbers to be less. But I’m an optimist and we’re holding our own and I think we’ll be OK.

“But all that could change quickly if we’re not very careful.’’

Centers for Disease Control Director Robert Redfield recommended that anyone who has attended a protest gets tested. But, Spillers said not many asymptomatic people Huntsville has tested have proved to be positive and that no system has “an unlimited supply.’’

Dr. Karen Landers of the ADPH said while anyone experiencing symptoms shouldn’t hesitate to seek testing, prudence should be in order.

“I get asked a lot of times about a large entity where perhaps a person has had a case,’’ she said. “We have to remember not everyone is not going to develop Covid-19 and not everyone has the same level of exposure.

“We’re really talking about people that are either household, intimate partner, or close contacts where there are less than six feet of space for greater than 15 minutes. It’s really all about the time and the exposure to the person.”

 

Madison Mayor Finley: Events to Fill Baseball Void at Toyota Field – When Allowed

It might not be Rocket City Trash Pandas baseball, but Toyota Field might soon be hosting events.

That’s according to Madison Mayor Paul Finley, who at Wednesday’s COVID-19 press briefing said, as soon as it’s allowed, plans are to open the new stadium to an array of events.

The Trash Pandas were scheduled to open their first season in Double-A on April 15 before the novel coronavirus intervened. There has been no decision regarding the start or cancelation of the Minor or Major League Baseball seasons.

“Regardless of whether baseball happens, or doesn’t happen, we’re getting ready to start doing a lot of really positive things,’’ Finley said. “A lot of people will be able to come to that venue and use it whether its camps for kids for baseball, whether it’s a wine and cheese festival, whether it’s movies in the park — we’re going to start having events there and doing it in a way that makes good sense when it comes to distancing and sanitation and so forth.’’

Finley also pointed out this is National EMS Week and said for those on the frontlines “we’re very appreciative of what they do.’’

On another note, he said masks would be available for anyone without one who attends graduation ceremonies for James Clemens and Bob Jones at Madison City Stadium on Tuesday and Wednesday.

Huntsville plans to hold graduations June 25-26 at the Von Braun Center’s Propst Arena. Madison County schools have set graduations for July 15-16.

Masks will be required at all ceremonies and distancing will be in practice.

As of late Wednesday, there were 13,052 confirmed cases of COVID-19 in the state and 285 in Madison County. There were 522 deaths in Alabama related to the disease and four in the county.

Crestwood Medical Center CEO Dr. Pam Hudson said there were less than 10 patients in local hospitals being treated for the virus.

“We are remaining vigilant,’’ she said. “We’re watching the numbers as the community reopens.’’

Hudson continued to stress social distancing, hand washing, and cleaning heavily used surfaces.

She also said that while stay-at-home orders were in place most people were around 1 to 5 people in a household. Now that people are returning to work, that core group is more like 20 people. That 20, she pointed out, would average around three people in the household so now each worker is exposed to a possible 60 contacts.

“The more we open it the more germs can come our way,’’ she said, “which is why we focus on six feet apart.’’

Hudson also emphasized that all health care facilities are open and urged anyone who is not well to visit the emergency room.

“Don’t stay home if you’re sick,’’ she said. “Don’t delay essential care.’’