{"id":351331,"date":"2021-09-08T06:02:07","date_gmt":"2021-09-07T20:02:07","guid":{"rendered":"https:\/\/www.saipantribune.com\/?p=351331"},"modified":"2021-09-08T06:02:07","modified_gmt":"2021-09-07T20:02:07","slug":"hawaii-health-care-workers-decry-lack-of-covid-mandates","status":"publish","type":"post","link":"https:\/\/www.saipantribune.com\/index.php\/hawaii-health-care-workers-decry-lack-of-covid-mandates\/","title":{"rendered":"Hawaii health care workers decry lack of COVID mandates"},"content":{"rendered":"

HONOLULU <\/strong>(AP)\u2014Health care workers in Hawaii say a lack of government action is worsening an already crippling surge of coronavirus cases in the islands, and without effective policy changes the state\u2019s limited hospitals could face a grim crisis. <\/p>\n

\u201cSoon we\u2019re going to be in a situation where we\u2019re going to ration health care,\u201d said Dr. Jonathan Dworkin, an infectious diseases specialist in Hawaii. <\/p>\n

Dworkin said that while mandates may be unpopular, rationing Hawaii\u2019s limited health care resources is \u201cgoing to be far more ugly.\u201d <\/p>\n

\u201cIt involves making decisions about who lives and dies,\u201d he said. \u201cI hate the idea of having to make a decision about who\u2019s going to get oxygen.\u201d<\/p>\n

Another stay-at-home order may be needed, Dworkin said. <\/p>\n

\u201cI don\u2019t like the idea of doing that, but we\u2019re in a situation where the hospitals are very strained, where care for non-COVID patients is becoming very difficult, where we\u2019re in danger of running out of oxygen.\u201d <\/p>\n

Doctors across the state have made recommendations that they say could help Hawaii curb the spread of the delta variant. <\/p>\n

They say the state has failed to implement a variety of measures officials agreed to last year, including ramping up rapid testing, installing better air filtration systems in schools and businesses and improving contact tracing. <\/p>\n

Some believe a more robust screening process for travelers, including two tests, one before travel and another after arrival, could also help slow the spread of COVID-19. <\/p>\n

\"Hawaii<\/p>\n

\u201cFor an island state not to take border control seriously is, in my mind, an epidemiological crime,\u201d Dworkin added. However, \u201cthe best impact for strict border control would have been a few months ago.\u201d<\/p>\n

Before July, Hawaii reported a seven-day average of 46 daily cases. On Friday, that number stood at 881. And even as hospitals fill up and morgues bring in portable containers for bodies, leaders have made virtually no major changes in policy. <\/p>\n

The state recently announced that groups larger than 10 people indoors and 25 outdoors could not gather, but a party of more than 300 people that was broken up by police on a beach last weekend went without any citations for COVID-19 violations.<\/p>\n

A vaccine pass for restaurants, bars and other businesses was announced for Oahu, but that program won\u2019t begin for several weeks, and gains from incentivizing vaccines could be months away. <\/p>\n

The governor recently suggested that people stop traveling to Hawaii until the end of October, but he didn\u2019t change any official travel rules. <\/p>\n

Despite calls from the state\u2019s top health officials for more restrictive measures, Gov. David Ige said Friday that a stay-at-home order and other mandates would hurt business. <\/p>\n

\u201cThere is significant concern about the economic impact that a stay-at-home order would have,\u201d Ige said. \u201cWe are in the process of rehiring many in our community as business activity has increased. A stay-at-home order, shutting all non-essential businesses would be devastating.\u201d<\/p>\n

But the governor is calling the surge a crisis. <\/p>\n

\u201cThe state of Hawaii is struggling with an unprecedented and disastrous surge in COVID-19 cases,\u201d Ige said in an online plea to residents to be careful over the holiday weekend. \u201cOur hospitals are being pushed to the limit.\u201d<\/p>\n

Ige asked travelers to voluntarily test after arriving in the islands and for people to set their own nightly curfews. <\/p>\n

The governor also quietly signed an order this week that releases health care workers and hospitals from liability during the surge.
\nHospitals and health workers \u201cshall be immune from civil liability for any death or injury … alleged to have been caused by any act or omission by the health care facility\u201d the order said, with legal caveats including misconduct and negligence. <\/p>\n

Officials say only a small fraction of cases have been directly tied to tourists. <\/p>\n

But hundreds of thousands of visitors and residents began traveling in July when travel rules eased. Hotels and beaches were full, local families got together for birthday parties and reunions, and tourists packed into luaus and restaurants.<\/p>\n

\u201cTravel started increasing and we started seeing our cases rising,\u201d said Dr. Kapono Chong-Hanssen, medical director of the Kauai Community Health Center. \u201cAnd from there, you know, you\u2019ve really just seen this skyrocketing surge in cases.\u201d<\/p>\n

State Department of Health Director Dr. Libby Char said they are likely missing cases among visitors who may not get tested while on vacation.<\/p>\n

\u201cAre we undercounting travelers that are arriving or that subsequently become sick? Yeah, probably we are,\u201d Char said. \u201cIf they\u2019re not testing, then it makes it really difficult to identify those people.\u201d<\/p>\n

And now the delta variant has been ripping through Hawaii\u2019s unvaccinated residents. Even though the state has among the highest vaccination rates in the nation, the surge has repeatedly set records for the highest case and death counts since the start of the pandemic. About 75% of Hawaii residents eligible for the vaccine are fully vaccinated, according to the state dashboard. Children 11 and younger can\u2019t sign up yet. <\/p>\n

Hawaii had enjoyed among the lowest infection, death and hospitalization rates in the nation before the delta outbreak. <\/p>\n

On the island of Kauai, where officials enacted strict rules including a two test screening process, the virus was virtually nonexistent before travel resumed. <\/p>\n

The state\u2019s Department of Health officer for Kauai, Dr. Janet Berreman, said that contact tracing on the island has proved that travel seeds local outbreaks, and that\u2019s true for both visitors and residents alike.<\/p>\n

\u201cWhen residents travel and come home, they often live in multigenerational households. They go to work, they go to school, they see their friends. So lots and lots and lots of transmission from one or two people in the household,\u201d Berreman said.<\/p>\n

Another problem for hospitals is that now that hotels are full with tourists, the state has ended a program where rooms were being made available for patients needing quarantine.<\/p>\n

\u201cWe were able to help coordinate discharge to hotel rooms where they could safely quarantine until their quarantine period was out so that the risk of transmission, the risk of infection and illness in their family members would be greatly reduced,\u201d said Jennifer Tucker, a nurse practitioner at one of the state\u2019s largest hospitals. \u201cWe don\u2019t have that option anymore. We are sending people home.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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