Hospitalizations signal rising COVID-19 risk for US seniors

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Hospitalizations signal rising COVID-19 risk for US seniors
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Coronavirus-related hospital admissions are climbing again in the United States and older adults are making up a growing share of U.S. deaths.

These alarming signs portend a difficult winter for seniors, which worries 81-year-old nursing home resident Bartley O'Hara, who said he is "vaccinated up to the eyeballs" and tracks coronavirus hospital trends as they "zoom up" for older adults, but remain flat for younger folks.

As nursing home leaders redouble efforts to get staff and residents boosted with the new vaccine version, now recommended for those 6 months and older, they face complacency, misinformation and COVID-19 fatigue. They are calling on the White House for help with an "all hands on deck" approach. Problems include unwarranted hesitance to prescribe the antiviral pill Paxlovid quickly in the elderly, which prompted five major medical societies to hold a web-based educational session for doctors, "Vax & Pax: How to Keep Your Patients Safe This Winter."Easing restrictions, broader immunity in the general population and mixed messages about whether the pandemic is over have softened the sense of threat felt by younger adults.

Staff and visitors are potential entry points to nursing homes for the virus. The best facilities use a multi-layered approach, protecting residents with masks, screening questions, temperature checks and enhanced infection control. Dr. Wesley Long, a pathologist at Houston Methodist in Texas, said his hospital has also seen an increase in COVID-19 admissions over the last couple of weeks — and many of the patients are seniors with other health problems. Some are admitted for different illnesses and test positive for COVID-19 in the hospital. The good news? "We haven’t seen an increase in ICU admissions," he said.

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