With covid rates spiking, Justice aims to curtail some elective procedures and might target specific counties

With coronavirus cases continuing to spike, Gov. Jim Justice announced efforts to curtail some elective surgeries to free up hospital space and also hinted strongly at targeted mitigation measures in some West Virginia counties.

Although Justice began his regular briefing today by announcing 40 additional deaths since the last briefing on Wednesday, he said he does not want to order another statewide lockdown.

“This is coming at us in waves,” the governor said. “I am trying with all in me to not shut stuff down. I am trying to keep people alive.”

But he also acknowledged that his options are fewer and fewer. Although he used to describe “running to the fire,” the situation he described today is now beyond that.

“We can make adjustments that will help a little. But we can’t make the adjustments that will help the most without a massive shutdown, without you wearing your mask, without the vaccine,” Justice said.

Justice’s tone was affected not only because of rising covid-19 numbers but also because a crowd he described as 30 or 40 people was protesting his mask order outside the Capitol when it was time for the briefing. He said protesters were not wearing masks and had to be moved back by security.

“What can we do? What we can do is what everybody continues to plead over and over with what we can do. What we can do is wear a mask. But we still have a good many people who are hellbent against that because supposedly it’s their liberty,” Justice said.

“Their liberty does not include taking someone else’s life. Now if they want to walk off a cliff, they can do so. But their liberty does not include taking somebody else with them.”

West Virginia’s covid-related hospitalizations have continued to increase rapidly, 597 today. On Oct. 31, the number was 240. On Sept. 30, it was 173.

There have been similar spikes for cases requiring the intensive care unit, now at 162, and ventilators, now at 76.

“I’m telling you this situation is really critical,” Justice said.

“We’ve got 162 in the ICU units. How many of them are going to die?”

Wheeling Hospital reported today that 70 employees are off the job with covid or quarantined because of potential exposure. Hospital officials are asking patients to reconsider routine appointments or screenings.

Charleston Area Medical Center released a statement saying the hospital network had reduced elective procedures by 50 percent because of the recent surge of patients.

“CAMC continues to see an increase in higher acuity patients, not necessarily COVID, requiring ICU-level care. Throughout the pandemic CAMC has occasionally reduced some procedures as the need for beds necessitated,” the hospital stated.

Justice described a focus on curtailing some — but not all — elective procedures statewide. He said that initiative followed a phone call with Albert Wright, chief executive of WVU Hospitals, and more weekend conversations with Clay Marsh, the state’s coronavirus response coordinator.

Dr. Clay Marsh

“One of the biggest risks for us as a state is to see a surge happen, a rapid increase in the number of people who are going to hospitals, hospital emergency rooms and hospital beds and ICUs because after a while that consumes a lot of the resources of these hospitals — and particularly our most sophisticated hospitals in the state,” Marsh said.

“Then people who need to come into those hospitals for cancer care or heart care or strokes or infections start to have problems finding beds.”

He said once smaller hospitals become saturated with covid patients, that increases the number of transfers to larger hospitals. “Then we see the bigger, more sophisticated hospitals in our state start to get into trouble because they lose the capacity.”

State leaders, including Marsh, described the change as affecting only some elective procedures right now. They described the change as limiting elective surgeries to ones that don’t require overnight stays in the hospital.

Marsh also described efforts to “not do the kinds of surgeries that can be put off.” He said that would not include urgent surgeries necessary to stabilize medical care.

The specifics of how that would be defined weren’t immediately clear. Hospital systems are expected to provide plans to the West Virginia Hospital Association for review.

Justice also strongly hinted at an announcement Wednesday that could target specific counties with higher virus rates. Today’s map of covid spread depicted eight counties as red and 15 as orange, representing the highest levels.

Justice described possible changes as aligning closure times for bars and restaurants to those in surrounding states so people won’t just cross the border for service. He suggested there could be other tightened restrictions on bars and restaurants in particular counties.

Justice repeated that he could close the entire state, but there would be repercussions to that too. He said he’s trying to balance the state’s response.

“If we just wanted to look at this this way, you’d make my job a whole lot simpler by saying you’re going to have to just close West Virginia. Well, who wants to do that?” he said.

“This is not a simple equation.”

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