Coronavirus cases remain on a high plateau, especially among kids; 70 more deaths listed Fri.; memorial service Sun. at Capitol

Kentucky Health News graph, based on initial state reports

By Melissa Patrick
Kentucky Health News

As coronavirus cases in Kentucky remain on a high plateau, Kentucky reported 111 more Covid-19 deaths over the last two days, with 70 of them on Friday, the second highest number of deaths reported in one day.

Deaths are a lagging indicator of cases, and state health officials have warned that Covid-related deaths will likely remain high through the end of the year. 

The 111 deaths raise the pandemic death toll to 10,214. In the last 14 days, the state has reported an average of 32.1 deaths per day; the seven-day average is 39.4, the highest it's been since Oct. 5. 

On Sunday, Nov. 14, Gov. Andy Beshear  and Lt. Gov. Jacqueline Coleman will host a memorial service to honor the Kentuckians who have died from Covid-19. During the service on the Capitol grounds, Beshear will announce the artist who has been selected to create the permanent Covid-19 memorial.  

Kentucky reported 1,670 new coronavirus cases Thursday and 1,296 Friday, raising the seven-day average to 1,316 Thursday and lowering it to 1,299 Friday, but that average was still higher than Wednesday's 1,278. 

A daily report was not issued Thursday in observance of Veterans Day. Those numbers were released today. 

Of Friday's new cases, 32% are in people 18 and under. Nationwide, the weekly American Academy of Pediatrics state-level data report warns that "Covid cases among children remain extremely high." In Kentucky, 20.4% of all cases have been in people under 20, says the report. 

Among Kentucky youth, 1% of 5-to-11-year-olds, 43% of  12-to-15-year-olds and 47% of 16- and 17-year-olds have received at least one dose of the Pfizer Covid-19 vaccine. 

Children under the age of 11 should only get a Pfizer vaccine that comes from an orange-topped vial.  The purple-capped vials are only for people 12 and older. They are not interchangeable. The wrong Covid-19 vaccine dose was given to over 100 children between the ages of 5-11 at a Virginia pharmacy, resulting "in these children receiving a lower dose than recommended," the Lexington Herald-Leader reports. 

The share of Kentuckians testing positive for the virus in the past seven days is 5.53%, where it has hovered for about a week. 

On Friday, Kentucky hospitals reported 703 Covid-19 patients, eight more than Thursday; 193 in intensive care units, up 10; and 102 of them on mechanical ventilation, unchanged.

Eight of the state's 10 hospital regions are using at least 80% of their intensive-care beds, with four of them over 90%. 

The seven-day infection rate is 24.85 daily cases per 100,000 residents.  Counties with double that rate are Powell, 83.2; Breckinridge, 73.3; Harrison, 68.1; and Robertson, 67.8. The New York Times ranks Kentucky's rate 26th among the states. 

On Thursday, the rate almost hit 25 cases per 100,000 (24.95), considered to be a high level of transmission. Kentucky has 51 counties in red on the state Department for Public Health map, for counties with more than 25 daily cases per 100,000 in the last seven days. 

So far, 2.6 million Kentuckians have received at least one dose of a Covid-19 vaccine, or 58% of the total population. 

The University of Kentucky said it has taken disciplinary action against 146 students and 24 employees who are not vaccinated and failed to be tested. The employees are on administrative leave without pay, and the students will receive an interim suspension Jan. 9, the first day of the spring semester, UK spokesman Jay Blanton told the Lexington Herald-Leader. About 90% of the university community has been vaccinated, Monica Kast reports.

Beshear asks Kentuckians not to unmask just because case numbers are dropping, warning that they are still way too high

State Dept. for Public Health graph, adapted by Ky. Health News; click on it to enlarge.

By Melissa Patrick
Kentucky Health News

New-case numbers and the percentage of Kentuckians testing positive for the coronavirus declined last week, which Gov. Andy Beshear called a "good sign" while stressing cases are "way too high" and need to start decreasing faster. He also urged Kentuckians to not let down their guard. 

"We've got to wear masks. Don't starting taking it off because you see cases starting to trail," Beshear said, noting that he can only encourage since the legislature took away his ability to impose a statewide mask mandate. 

Kentucky reported 6,463 coronavirus cases in the last three days. The seven-day average is 3,187, which is 302 lower than Friday and the lowest since Aug. 20.

The state reported 87 more Covid-19 deaths since Saturday, with 19 of them reported on Monday. The death toll is now 8,579. Over the last week, the state has averaged 34 Covid-19 deaths per day. 

After listing at least eight fatalities in their 30s and 40s over the weekend, Beshear said,  "If you’re in your 30s or in your 40s or in your 20s or below, you do need to get vaccinated as quickly as possible." 

Hospitals are reporting a decline in Covid-19 patients, although numbers in the intensive-care units aren't dropping as fast. Kentucky hospitals reported 2,045 Covid-19 patients on Monday, 617 in intensive care and 399 on mechanical ventilation. 

The hospital-cases number was 166 fewer than Friday. It went down 49 Saturday, fell by 117 Sunday, then stayed the same Monday. ICU numbers dropped to 608 Saturday, but rose to 609 Sunday and to 617 Monday. Patients on mechanical ventilation were 30 fewer on Monday than on Friday. 

Also, fewer hospital regions are reporting using more than 80% of their ICU beds, although two of them are reporting 100% capacity: Northern Kentucky and Lake Cumberland. 

Beshear said the state has 104 ICU beds available and 68 of the state's 96 acute-care hospitals are reporting critical staffing shortages. 

The share of Kentuckians testing positive for the virus in the past seven days dropped for the 19th straight day, to 10.55% 

Despite the declines, Kentucky's infection rate over the last seven days remains fifth among the states, The New York Times reports. The state reported an infection rate of 62.2 daily cases per 100,000 residents. Counties with rates more than double that rate are Magoffin, 168; Whitley, 165.5; Letcher, 155.1; McCreary, 142.6; Owsley, 132.7; and Harlan, 130.7. All are in Appalachia.

NYT graphs adapted by Ky. Health News shows Whitley County's new-case rate rose while the state's fell, and Magoffin County, which the state says has a slightly higher rate, has had an even worse trend.

Covid-19 vaccinations: From March 1 to Sept. 22, 86.7% of coronavirus cases, 92.1% of Covid-19 hospitalizations and 84.6% of Covid-19 deaths in Kentucky have been among the unvaccinated or partially vaccinated, according to a news release.

Sixty percent of the state's population has received at least one dose of a vaccine, as have 73% of those 18 and older and 71% of those 12 and older -- an increase of one percentage point. So far, 2.7 million Kentuckians have received at least one shot of a vaccine. 

Beshear cautioned that because the Delta variant is so much more contagious than earlier strains of the virus, we will need more than 70% of the population vaccinated to reach herd immunity.

At the Howard L. Bost Memorial Health Policy Forum last week, state Public Health Commissioner Steven Stack said the number of people needed to get vaccinated to reach "community immunity" is closer to 90%. 

Bottom line, Beshear said, a lot more people need to get vaccinated, especially those between the ages of 12-29 since at this time about half of this age group remains unvaccinated. 

The Washington Post reports that in the last week, an average of 14,577 doses per day of vaccine were given in Kentucky, a 37% increase over the week before that. That's the highest this number has been since June 20. 

Boosters: Beshear reviewed the federal guidance for those who are eligible for Pfizer-BioNTech booster shot six months after their second shot. They are individuals 65 and older; those living in long-term care facilities; people 19 to 64 with a medical condition that increases their risk of Covid-19 infection; and people 18 to 64 who are likely to get exposed at their place of work. 

"If you are eligible, go get them," he said. "There are plenty of vaccine doses out there." 

In addition, the governor said a third shot of the Pfizer or Moderna vaccine is available and recommended at least 28 days after the second shot for people who are immunocompromised.

At this time, there is no booster recommendations for those who have received the one-dose Johnson & Johnson vaccine. 

It is also important to know that you should not mix the vaccines, said Beshear. 

U.S. Senate Republican Leader Mitch McConnell has already received his Covid-19 booster, calling it an easy decision because he follows the best advice from experts and his own health care providers. 

“I am a survivor of childhood polio from before vaccines eradicated that disease here in our country and around the world. So I have been a lifelong champion of vaccinations," McConell said in a news release. “Mountains of evidence tell us these shots are safe, effective, and dramatically shrink the odds of severe disease or death from Covid. Like I’ve been saying for months: These safe and effective vaccines are the way to defend ourselves and our families from this terrible virus. They’re also how we stay on offense against Covid as a country. All Americans should speak with their doctors and get vaccinated.”

Treatment: Beshear announced that the federal government was sending five monoclonal antibody injection teams to help provide these treatments to Kentuckians with severe Covid-19.  

Today, a team arrived at Baptist Health Corbin; on Sept. 29, teams will arrive at Highlands ARH Regional Medical Center in Floyd County and Primary Care Centers of Eastern Kentucky; and on Oct 1, teams will arrive at Taylor Regional Hospital in Campbellsville and ARH Middlesboro. Each team will include two to four nurses and/or paramedics to assist with injections.

Beshear said the state will launch a webpage Thursday to show the 50-plus locations where treatments can be found, meeting the legislature's mandate that they be offered in each of the state's 15 area development districts. 

Beshear said the state is getting more of this treatment than was originally allocated, but it's important to know that "there is not going to be enough" for everyone who needs it.