The moment the wave of the coronavirus pandemic looms in New Jersey, while new latter-day diagnoses have reached the highest level since May, the height of this wave, and its degree of mortality, remains unkested.
Experts expect more cases with fewer deaths, as other young people are more guilty of infections and the remedy improves, but none of the existing drugs are a coup de grace, and others are still hospitalized and died of COVID-19. – 758 were added at the hospital on Sunday, 62 of them with fans; no vaccine has yet been approved.
The prospect of the existing trend accelerates as it did in the spring, with the exponential expansion of the community, is real. Finding contacts, masking, and social esttachment practices will help the outbreak. .
“While cooler weather attracts more inmates, we’ll have to stay incredibly attentive,” Gov. Phil Murphy said Monday. Most new instances are not attributable to schools or businesses, but to internal meetings in personal homes, he said.
Recognizing public fatigue with restrictions on their activities, Health Commissioner Judith Persichilli suggested to the public double their budget for the upcoming Thanksgiving holiday.
“Now is not the time to let your guard down, ” he said. “Our behavior will now be in shape the way our holidays will be celebrated. “
On Monday, New Jersey reported 1,192 new instances, 2,240 instances over the weekend and 823 on Friday. With the exception of a peak of 1301 new instances on 8 October, this point of new instances has not been observed in the state since COVID- The crisis of 19 March and April took place in May.
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Accumulation is part of a national trend, with 38 states recording increases of 5% or more and nine states setting single-day records Friday and Saturday. In addition, Westchester County, New York, has lately more than 1,000 active instances, a benchmark you haven’t noticed since June, and new instances in Connecticut increased by 50% last week.
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At Newark University Hospital, for the first time in several weeks, the rate of positive control effects reached 4% and one patient died of COVID-19 headaches, said Dr. Shereef Elnahal, CEO. “Please be attentive and far away, hide and meet, ” he said in a tweet. “Our wave of moments has begun. “
Hackensack Meridian Health’s 16 hospitals have noticed that the number of patients hospitalized with COVID-19 nearly triples, from about 50 to early September to 150 last week, said Dr. Daniel Varga, the system’s leading medical officer. 2000 observed on April peak days.
The mix of younger patients and better remedies improves the chances of survival.
Nearly three-quarters of those who tested positive in New Jersey since September are under the age of 50, compared to less than the part of the first wave of the pandemic. Other younger people tend to have milder cases and are less likely to require hospitalization. When hospitalized, their hospital remains are shorter and they are less likely to want ventilation.
The mortality rate since September 1 is only a fraction of what was in the first six months of the pandemic, it is too early to accurately say how fatal this wave will be at the moment. It would possibly take several weeks to know how many new cases will be fatal.
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The spread of the pandemic this time is different from the previous one, experts say. Instead of emanating from New York and infiltrating south through New Jersey from Bergen County, epidemics and hot spots have made the impression in several places.
“Now it’s over, up and down our state, ” said Murphy Monday.
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Five counties reported more than 100 new cases Monday: Ocean with 154, Essex with 132, Union with 109, Middlesex with 108 and Bergen with 103, in addition, Monmouth had 84 new cases, Hudson with 78 and Camden with 75.
“Daily case reports have doubled since last month,” Persichilli said. “Although we have noticed hot spots in Ocean County and our universities, we are generally seeing more widespread cases in the state due to network expansion and not a singles occasion or reopening stage. “
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Murphy said he didn’t forese a limited reopening cancellation that has so legal for indoor meals, gyms, entertainment and other meetings. None of the recent case teams were attributable to such measures, he said.
And scattered groups have been reported in K-12 schools, no primary adjustments have been recommended in district-by-district reopening plans.
On the contrary, Murphy said, it is personal meetings “that are beyond our ability or that can be enforced” that are to blame.
Universities, and off-campus housing, were among the most important hot spots on the wave at the time:
There are also active COVID-19 outbreaks at 156 long-term care services across the state, adding 21 in Monmouth County and thirteen in Bergen County. But with weekly antivirus testing for members and quick access to resident testing, fitness officials hope to involve those outbreaks quickly, without the spread of death and spring illness.
Other reasons for the modest hope that the pandemic will be so fatal this time:
“Small but significant advances in treatment” increased the chances of survival, said Dr. Adam Jarrett, medical director of Holy Name Medical Center.
More importantly, doctors wait longer to put patients into fans, depending on high oxygen flow and other methods for oxygen levels. Redesivir, an antiviral medicine, is widely used and has been shown to shorten hospital stays. Steroids, especially dexamethasone, have decreased mortality rates An experimental cocktail of monoclonal antibodies, used in President Donald Trump, is promising in the fight against the disease.
Contact search and more widespread tests mean that others notice earlier in the disease procedure that they are infected, they can be informed that they have been exposed and monitor their symptoms when they are quarantined at home. In general, there are fewer delays in the hospital, care when needed, since hospitals are not in a state of crisis.
The mix of “pre-presentation, younger population, and increased interventions” means patients spend less time in the hospital, Varga said of Hackensack Meridian Health, which has allowed hospitals to remain open for all their general services, unlike pre-hospital elective procedure closures. Year.
The average duration of a COVID patient at all 16 hospitals in Hackensack Meridian is 3 days, and the maximum is treated with supportive care, Varga said.
Lindy Washburn is a senior health care reporter for NorthJersey. com. To stay on top of changes in the medical world of your fitness and that of your family, subscribe or activate your virtual account today.
Email: washburn@northjersey. com
Twitter: @lindywa