‘Surprised and disappointed.’ Doctors in Covid-19 hotspots last year are dealing with new record hospitalizations – CNN

In the Southeast, Georgia is now seeing its highest number of hospitalizations since the start of the pandemic, matching peaks experienced in January, according to US Health and Human Services Department (HHS) data.

Dr. James Black, director of emergency services at Phoebe Putney Memorial Hospital in Albany, Georgia, told CNN's Amara Walker Saturday that his hospital nearly doubled its ICU capacity yet is still faced with an overflow of patients.

"The emergency department is full and the hospital is full," Black said. "Anytime a patient is discharged, we have patients waiting on those beds."

"We were frustrated, a little bit bewildered, especially given what we've been through at the onset of the pandemic," Black said, also noting that Georgia trails the national average in vaccination rates.

"We were a little bit kind of surprised and disappointed at the lack of turnout. So, you know, we've had to redouble our efforts and pick each other up and certainly, we had hoped to not be having the same discussion 18 months into it. But here we are, seemingly in worse shape overall than we were initially."

"We are perilously close...of having, in certain areas of the country getting so close to having full occupancy, that you're going to be in a situation where you're going to be in a situation where you're going to have to make some very tough choice," Dr. Anthony Fauci told CNN's Jim Acosta on Sunday.

"What we really should be doing, and I hope we are doing, is to do everything we can to mitigate the number of people who are getting infected and requiring hospitalization and ICU beds," said Fauci, the director of the National Institute of Allergy and Infectious Diseases.

In Hawaii, the state's health department reported 13 new deaths from Covid-19 on Wednesday, its highest single-day death figure of the entire pandemic. A number of restrictions on public businesses were reinstated in August, and Gov. David Ige urged out-of-state visitors to not travel to the islands unless they had urgent business.

Kentucky Gov. Andy Beshear has called for a special session of the state general assembly to meet Tuesday regarding Covid-19, with the aim to extend the state's declared state of emergency to January 15 and to review executive, agency and cabinet orders.

"The Commonwealth is in a state of emergency. The Delta variant is spreading at a rate never seen before -- impacting businesses, shuttering schools and worse, causing severe illness and death," Beshear said Saturday.

Officials concerned about Labor Day weekend

Given the recent surge, public health officials are also worried about Labor Day weekend and whether it could exacerbate an already dire situation.

On Tuesday, CDC Director Dr. Rochelle Walensky asked unvaccinated Americans to not travel for the holiday weekend. Those who are fully vaccinated can travel with precautions, but the current transmission rates mean they, too, should take the risk of traveling into consideration.

"I know we're all looking forward to the long weekend," Mayor Derek Kawakami of Kauai County, Hawaii, said in a news conference Friday. But health care workers will not be able to celebrate, he noted, "because they're busy taking care of our sick people."

"Now what we choose to do over the next 72 to 96 hours is going to determine a lot of within the next two to three months, on whether we start to continue to burn our hospital systems, burn out our health care workers, keep our kids in school, keep our businesses running, and moving on with moving forward and coexisting with Covid-19."

"And while we want everybody to have a great time and I hope to see people surfing, enjoying time with their family ... we want to remind people, the steps to take are simple," he said. "Wear your mask indoors, avoid large gatherings, and if you do, do it outside."

Less-vaccinated parts of California face ICU capacity issues

California's San Joaquin Valley region has met the threshold to enter "surge protocols," with less than 10% of staffed ICU beds remaining for three consecutive days, the state Department of Public Health (CDPH) announced Friday.

All general acute care hospitals in the San Joaquin Valley region with ICU bed capacity must accept transfer patients when "clinically appropriate" and directed by state health officials or the California Emergency Medical Services Authority, in an effort to find open beds for patients in the area where available.

The protocol is set to be reevaluated Thursday, according to the department.

Less than 50% of eligible residents have been fully vaccinated against Covid-19 across much of the agriculture-rich San Joaquin Valley, CDC data shows, with fewer than one-third of all residents fully inoculated in Kings County.

"While the state works to further increase the number of eligible Californians vaccinated, we must take steps to protect the unvaccinated who are more at risk of severe illness, hospitalization and death from Covid-19," CDPH said in a statement. "This action will ensure the state's health care delivery system is prepared and can respond appropriately."

Vaccinations for those in schools are critical, some states say

"Washington schools have the structure, protocol and people to have successful in-person education," Shah said.

In Illinois, Gov. JB Pritzker is extending the deadline for teachers, college students and health care workers to receive a Covid-19 vaccination.

The state mandate for those individuals to have at least one vaccination dose, originally set to go into effect September 5, is being pushed back to September 19 at the request of representatives of the health care industry and education organizations.

"While hospitals and schools move forward in good faith, this extension ensures they are prepared to meet this requirement to better protect our most vulnerable residents and children who are not yet eligible to get vaccinated," Pritzker said in a written statement Friday.

Employees will only be required to have one shot by September 19 -- with a second shot within 30 days, if necessary -- but those who are not fully vaccinated must be tested for Covid-19 at least once a week. Workers must provide proof of the vaccination to their employers.

Exemptions are allowed for people with a medical or religious objection to the vaccine, but those employees also must get a weekly Covid-19 test.

CNN's Sarah Moon, Andy Rose, Hannah Sarisohn, Elizabeth Joseph and Jen Christensen contributed to this report.

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'Surprised and disappointed.' Doctors in Covid-19 hotspots last year are dealing with new record hospitalizations - CNN