New: Preliminary findings related to the severity and impact of the surge of #COVID19 cases associated with the introduction of the #omicron variant to NYC: on.nyc.gov/3zTIDYk
Some key findings 🧵⬇
Omicron quickly became the most prevalent variant and led to a dramatic increase in reported cases. Whereas the delta variant became the dominant variant (from 0% prevalence to more than 90% prevalence) over a period of 20 weeks, omicron became the dominant variant in five weeks.
When the omicron variant emerged in NYC, it led to a steep rise in the number of people who visited emergency departments with COVID-like illness. Shortly afterward, the daily number of hospitalizations increased too.
Overall, a smaller proportion of patients diagnosed with COVID-19 since the omicron variant emerged in NYC have been hospitalized, but the total number of hospitalizations increased because of the very large number of reported cases.
A similar pattern was also seen in Gauteng, South Africa, where approximately 5% of COVID-19 cases were hospitalized during the most recent wave associated with omicron, compared to 19% and 47% during the prior two waves in the region.
Rates of hospitalization have been dramatically higher among the unvaccinated. At the time of this report, over 73% of all New York City residents were fully vaccinated.
The proportion of hospitalizations have been higher among older adults and Black/African American New Yorkers.
Emergency department visits for COVID-like illness have gotten less severe compared to previous waves. The emergency severity index is a rating with scale from 1 (most urgent) to 5 (least urgent).
The number of hospitalized patients increased dramatically due to omicron’s prevalence. As of Dec. 30, 2021, hospitalizations exceeded last winter’s surge and the number of patients in the ICU is approaching what was seen last winter.
About half of all patients in NYC hospitals have COVID-19. Despite stable total numbers of hospitalized patients, staffing shortages have been felt widely during the omicron wave across the health care sector in NYC. Nearly all hospitals report some impact on operations.
The number of COVID-19 patients in the ICU in NYC hospitals increased steadily as the number of cases rose. However, the proportion of patients in the ICU remains lower than in previous waves. Percentage-wise, fewer New Yorkers are in the ICU or require ventilator support.
Total pediatric hospital census was stable to slightly lower during the omicron wave, though pediatric hospitalizations due to or with COVID-19 increased significantly. And unvaccinated kids 5-17 years old were over 4 times more likely to be hospitalized compared with all kids.
Remember, there are things all New Yorkers can do to beat back omicron:
✅ Get vaccinated and get boosted
✅ Wear a high-quality mask
✅ Get tested
✅ Meet outdoors
✅ Avoid optional activities if at risk for severe illness
I’m so excited to open this Support and Connection center here in the Bronx along with @nycmayor today. The Bronx SCC will serve as a place where New Yorkers find the kind of connection, community and support that they need to begin the process of healing and recovery.🧵
Just like it’s counterpart in East Harlem, the Bronx SCC will serve to break the seemingly endless cycle of housing instability, contact with law enforcement & legal systems, and ER visits that is the reality for far too many New Yorkers with mental health & substance use issues.
The SCC will serve as an alternative and an opportunity to interrupt that cycle. First responders will guide these New Yorkers to the center, where they can receive immediate short-term support & have basic needs met while working with staff to have a longer-term plan in place.
Over the past two years, we’ve asked a lot of New Yorkers’ patience. And today we’re asking for a bit more patience and grace. Cases are definitively rising and it’s gotten our attention. 🧵
They will continue to rise over the next few weeks, and it is likely that over these weeks, we will move into a different level of overall risk for the City.
Masking, along with getting vaccinated, boosted, tested and treated are the best tools we have to take on this virus, whatever it throws at us. And you should integrate those tools into your lives as we adapt the next phase of the pandemic.
Alarming findings from this report about rising stress and burnout among our public health workforce: bit.ly/3qSB40G
This is a brewing mental health crisis and a major priority for me as Health Commissioner. 🧵
Over the past two years, public health workers have endured trauma and abuse. More than half report at least one symptom of PTSD and many report bullying, threats & harassment. Though you may disagree with public health officials on policy, it is not OK to harass and abuse them.
My team at @nycHealthy are heroes. They have saved countless lives, but do not receive the praise of health care or other essential workers. Despite the challenges they faced over the last two years, they remain dedicated to their work. They deserve our gratitude and respect.
#COVID19 update for NYC: Community spread remains LOW right now based on NYC Alert levels. Hospitalizations and deaths are stable or decreasing. To assess levels of risk we look at several indicators – not just cases, consistent with CDC recommendations.
We are keeping a close eye on the numbers and will continue to let you know what they tell us. At the same time, we know that the increase in cases in other parts of the world can be very worrisome.
While the losses of the past two years have been profound, we’ve also developed tools in that period that are saving lives – including testing, prevention, and new treatments like antiviral pills.
40,000 New Yorkers have died due to COVID-19. This tragic milestone is certainly not just a number; it represents human beings who are no longer with us.
It is difficult to comprehend their loss without also reflecting on what those individuals meant to their friends, families, loved ones and to our city as a whole. And we must address the toll of these losses on our collective mental health.
Yet despite this grief, we also feel determination and readiness to respond with vaccination, boosters, testing and rapid treatment options to prevent any further needless suffering and loss.
For my final 🧵 as @nychealthcommr, I’d like to invoke a saying that I love: “It’s better to light a single candle than to curse the darkness.”
We have lived through a time filled with so many dark days, and so much suffering.
But public health, and the healing professions broadly, offered light during COVID. This wasn’t just about tests, medicines or vaccines, but speaking to New Yorkers’ fears, anxieties and uncertainties—and offering a roadmap for navigating them, even when solutions were imperfect.