The revelation about the teen on a ventilator in Huntsville indicates COVID-19 is not restricted to attacking the older population even as the average age of a COVID hospital patient is in the mid-50s, Spillers said.
“Young people are not immune,” Spillers said. “This is the first teenager we’ve had in ICU, the youngest patient we’ve had on a ventilator. Young people are not immune. It’s rare but it happens.”
Related: AL.com’s coverage of the coronavirus
Throughout 2020, Huntsville had seen relatively few infections and deaths compared to other large Alabama cities. But that seems to be changing. Madison County has reported 680 new cases in June, meaning 68 percent of all cases in Madison County happened since June 1.
“We don’t have this pandemic under control,” Madison County Commission Chair Dale Strong said. “Not in Madison County, not throughout the state of Alabama nor throughout the United States.”
The recent surge is evident in the number of those requiring hospital care as well. Spillers said on June 1, there were 28 COVID inpatients across the Huntsville Hospital system. On Monday, that number had more than quadrupled to 115. In Madison County, there were 44 inpatients with six at Madison Hospital and two at Crestwood Hospital in addition to Huntsville Hospital’s 38.
Marshall County, which emerged as an early coronavirus hot spot in Alabama and has seen a resurgence of cases, has 30 patients at its two smaller hospitals – 21 in the Boaz hospital and nine in the Guntersville hospital.
Decatur-Morgan has seen a slight dip with 20 inpatients while Athens-Limestone is at its high mark, Spillers said, with nine inpatients. Helen Keller Hospital in Sheffield has 12.
Spillers said that those who are hospitalized typically have preexisting conditions that make fighting the virus more difficult.
Testing has increased in Madison County, Spillers said, but so has the rate of positive tests. About 2,000 tests were administered at Huntsville Hospital last week, Spillers said, with a positive rate of about 7 percent. That’s up from about 3 percent a few weeks ago, though still below the statewide positive test rate of 10 percent.
The increase in hospitalizations has led to discussion about a strain on resources but Spillers said his biggest worry at this point is not having enough beds for patients but rather enough healthcare workers to attend to those patients. After all, Spillers said, healthcare workers are in the community, too, and potentially exposed to the virus.
“The concern just continues to grow,” he said. “We will create beds. I worry less about finding a bed than running out of caregivers.”
He described the situation on bed space in north Alabama hospitals as “very manageable” but also warned of another surge in the aftermath of the upcoming July Fourth holiday weekend. Health officials have repeatedly pointed to the Memorial Day weekend in May that coincided with the state’s reopening as the origin for the statewide increase in cases.
“But because this virus is so infectious, it doesn’t take much for that to get out of hand,” Spillers said. “We can’t let our guard down coming into the Fourth of July. We’ve got to be very careful what do over the next few weeks make sure it doesn’t continue to go up.”
Spillers repeated his advocacy for wearing masks, saying he doesn’t understand why it has become a political issue over a healthcare issue.
“You have no idea when you’re out in the community if the person next to you has it or doesn’t have it and could be transmitting it,” he said. “It’s a good reason to wear a face covering and keep your distance because there are many more people out there with it.
“The second takeaway is there are a certain percentage of people who when they get COVID are going to end up in the hospital. And there is a percentage of that group that’s going to end up in the ICUs on vents. And that’s a really bad time if you’re going to spend time on a vent.”
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