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The average number of new cases in the United States is 19,455 over the past seven days, a 47% increase from the previous week, according to data from Johns Hopkins University. A third of those come from five hot spots: Florida, Louisiana, Arkansas, Missouri and Nevada, CNN medical analyst Dr. Jonathan Rayner said.
“In places like Missouri where intensive care units are full, you’re going to see a surprising number of deaths,” Rainer said Sunday.
At Mercy Hospital in Springfield, Missouri, 91% of ICU patients are on ventilators and many are in their 20s, 30s and 40s, chief administrator Eric Frederick told CNN Saturday. This is particularly worrying, he said, because at the peak of last year only 40 to 50 percent of ICU patients were on ventilators.
Reiner said increases in Covid-19 death rates usually come three to four weeks after a spike in cases. It takes a week for patients to become sick enough to require hospitalization, and then often takes another two weeks for the infection to become fatal.
“We’re going to start to see an increase in the death rate in this country,” Reiner said.
Particularly frustrating for many experts, Rayner said, is that the deaths are “completely avoidable” now that vaccines are available.
But about a third of those 12 or older in the United States have not yet received the vaccine, according to CDC data.
“The vaccines we have are working really well against this alternative,” Reiner said. “It doesn’t have to be that way.”
Experts weigh whether vaccinations should be required
Much of the increased cases are attributed to the now prevalent delta variant, which is thought to be more transmissible. The alternative has sparked discussions about local vaccination mandates.
Across the United States, 48% of the population is fully vaccinated, but in some states that number is much lower, according to data from the Centers for Disease Control and Prevention (CDC). Alabama, Arkansas, Louisiana, Wyoming, and Mississippi all have fully vaccinated about 35% or less of their population.
Experts say vaccines are key to managing the spread of the disease. With information changing rapidly, it’s important to be smart about how vaccinations are enforced, said George Washington University School of Medicine professor of medicine Dr. Gigi Al-Bayoumi.
“In states where there are high vaccination rates, like 75 or higher, it makes sense to loosen restrictions. In places where there are not, like some southern states, it makes sense” to impose vaccinations, El Bayoumi said Sunday.
Dr. Anthony Fauci, director of the National Institutes of Allergy and Infectious Diseases, told CNN he thinks it’s a good idea for states at the local level.
“We’re talking about a life-and-death situation,” Fauci said. “We’ve already lost 600,000 Americans and are still losing more people. There have been 4 million deaths worldwide.” “This is serious business.”
He added that he expects the frequency of vaccine authorization to be raised when vaccines are fully approved.
For now, available Covid-19 vaccines are being given under emergency use permits, which Fauci said has made some people question its safety and efficacy. But he said the amount of data supporting the importance and safety of vaccines is more than anything experts have seen for the EUA.
“These vaccines are as good as they are officially approved with all I and T points crossed,” Fauci said.
Pfizer to inform the United States of the boosters
Another concern for many experts as variables spread is whether the population will need boosters for their vaccines.
Pfizer will brief US government officials Monday evening about the potential need for booster shots for a Covid-19 vaccine, a company spokesperson and two management officials confirmed to CNN.
A senior health official said the meeting is being viewed as a compliment, and federal guidance on boosters is not expected to change immediately after the meeting.
Last week, Pfizer/BioNTech reiterated its prediction that people may need boosters for their vaccines within six months to a year, citing diminishing immunity they see among people who have received their vaccine. The company also said it will seek emergency use authorization for the booster from the US Food and Drug Administration in August.
But some experts have argued that the data shows that boosters are not yet necessary.
“Fully vaccinated Americans do not need a booster dose at this time,” the US Centers for Disease Control and Prevention and the US Food and Drug Administration said. “The FDA, CDC, and NIH (National Institutes of Health) are participating in a rigorous science-based process to consider whether or not a booster is necessary.”
Fauci also opposed the need at this time in “State of the Union” on CNN.
“Given the data and information we have, we don’t need to give people a third dose, a boost, superimposed on the two doses you get of the mRNA vaccine (Pfizer/BioNTech and Moderna) and the single dose you get (Johnson & Johnson),” he told CNN. Jake Tapper
Fauci said there are ongoing studies evaluating whether and when the United States will recommend booster doses.
CNN’s Ben Tinker, Caitlan Collins, Veronica Straquallorsi, and Amanda Seely contributed to this report.
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