Coronavirus

Hospital bed, ICU availability remain low as southwest IL positivity rate drops again

The metro-east’s positivity rate saw a slight drop Wednesday, while the region’s hospital bed availability stayed the same.

The 7-day positivity rate for COVID-19 tests in southwestern Illinois has decreased five days in a row.

The rolling average was 14.1% on Wednesday, down from 14.2% on Tuesday. The new rate is based on tests recorded as of Nov. 21. A region’s positivity rate is its percentage of positive COVID-19 tests versus the number of tests taken over a 7-day period.

Meanwhile, 81.2% of staffed, intensive care unit beds in the metro-east are in use, the Illinois Department of Public Health reported Wednesday, the same as Tuesday. Additionally, 16.5% of the metro-east’s staffed hospital beds were available for patient use, the same as Tuesday.

Under rules set by the Restore Illinois plan, if a region reaches or falls below the 20% threshold, the state may impose tighter restrictions to avoid the possibility of the region running out of hospital and ICU beds.

Tier 3 restrictions went into place statewide on Friday, Nov. 20. The third tier tightens restrictions on indoor dining, bars and social gatherings while adding restrictions to casinos, retailers, video gaming and museums.

Over the past weeks, officials have warned about the possibility of the region running low on hospital and ICU beds, prompting some area hospitals to temporarily cease elective surgeries.

The state classifies the metro-east as Region 4, which covers seven counties: St. Clair, Madison, Monroe, Bond, Washington, Clinton and Randolph. County-by-county data is available on the state health department’s website.

Additionally, the region reported a daily positivity rate of 14.6% on Wednesday, up from 12.2% on Tuesday.

State of Illinois announces new cases, deaths

Meanwhile, the state of Illinois announced 11,378 new COVID-19 cases Wednesday, bringing the total to 685,467. The state health department also announced 155 additional deaths, bringing the total to 11,832 since the pandemic began.

Also, within the past 24 hours, laboratories have reported 114,233 new tests for a total of 10,104,537.

As of Tuesday night, 6,133 people in Illinois were reported to be in the hospital with COVID-19. Of those, 1,208 patients were in the ICU and 679 patients with COVID-19 were on ventilators.

The preliminary 7-day statewide positivity for cases as a percent of total tests from Nov. 18-24 is 10.6%.

St. Louis Coronavirus Task Force say some ICUs are ‘completely full’

Some intensive care units at St. Louis-area hospitals have set up tents outside emergency departments to keep low-acuity patients away from COVID-19 patients, said Dr. Alex Garza, commander of the metro region’s coronavirus task force.

As much as 85% of emergency room patients are coming in with some type of coronavirus-related issue, Garza said, and some intensive care units continue to be completely full.

The St. Louis Metropolitan Pandemic Task Force was formed in April to coordinate the efforts of four health systems: BJC HealthCare, Mercy, SSM Health and St. Luke’s Hospital. The group’s statistics include results from BJC HealthCare’s metro-east hospitals: Alton Memorial Hospital, Memorial Hospital in Belleville and Memorial Hospital East in Shiloh.

The task force reported a new record of hospitalizations based on the seven-day moving average. It increased from 861 Tuesday to 869 Wednesday.

Health care workers are also spending valuable time trying to find intensive care unit beds for patients anywhere between St. Louis and Chicago, including Hannibal, Missouri, and Quincy, Illinois, hours away.

“The St. Louis metropolitan area does not have an intensive care unit bed for a patient here in St. Louis and we have to fly them to Hannibal, Missouri, to get an intensive care unit bed,” Garza said. “That is how bad it is.”

Every day, nurses take inventory of how many ICU beds might be available by identifying patients they believe will be able to leave, and those who are likely to die.

“That is how bad it has become,” Garza said.

After the effects of Thanksgiving gatherings start to show in cases, hospitalizations and deaths in the weeks to come, St. Louis hospital workers expect the situation to worsen.

“We believe the Thanksgiving gatherings will become superspreader events. The only question is how bad.”

Illinois reports new cases, deaths Wednesday

This information is provided by the Illinois Department of Public Health.

New cases: 11,378 (+1,909)

New deaths: 155 (+30)

New tests: 114,233(+16,910)

Total cases: 685,467

Total deaths: 11,832

Total tests: 10,104,537

Hospitalizations: 6,133 (-1)

People in ICU: 1,208 (+5)

People on ventilators: 679 (+11)

Statewide positivity rate (from Nov. 18-Nov. 24): 10.5% (+0.1%)

Wednesday’s COVID-19 breakdown for Region 4

New cases: 659

New deaths: 8 (Madison County reported six deaths and St. Clair County reported two deaths)

Daily positivity rate (as of Nov. 22): 14.6% (+2.4%)

Seven-day rolling average (as of Nov. 22): 14.1% (-0.1%)

Regional hospitalizations: 244 (-1)

Regional patients on ventilators: 29 (+6)

Hospital bed availability: 16.5% (no change from Monday)

ICU bed availability: 18.8% (-2.0%)

New cases from nearby counties outside Region 4: 90 (-135)

New deaths from nearby counties outside Region 4: 0 (-3)

ST. CLAIR COUNTY

Wednesday’s new data: 226 new positives, 2,016 new tests administered, two new deaths

Total overall: 13,858 positives, 247 deaths, 150,496 tests administered, 11,327 recoveries, 97 patients hospitalized with 12 on ventilators

Positivity rates (as of Nov. 22): Daily — 13.3% (+2.2%); 7-day average — 13.1% (no change from Tuesday)

Additional data: New positives include both males and females from below the age of 1 up into their 90s. Of the 226 new positives, 120 were individuals under the age of 40.

Congregate living facilities: Aperium Care Center reported one new case, Caseyville Nursing and Rehab reporting 14 new cases, Cedarridge of Lebanon reported five new cases, Integrity Healthcare of Belleville reported four new cases and St. Paul’s Home in Belleville reported four new cases.

MADISON COUNTY

Wednesday’s new data: 220 confirmed positives, 53 probable positives, 1,777 new tests administered, six new deaths

Total overall: 13,160 positives, 241 deaths, 139,422 tests administered, 6,185 recoveries, 113 hospitalizations with 17 patients on ventilators

Additional data: New positives include both males and females from below the age of 10 up into their 90s. Of the 227 new positives, 168 were individuals under the age of 40.

Positivity rates (as of Nov. 22): Daily — 13.9% (+0.1%); 7-day average — 14.4% (-0.1%)

CLINTON COUNTY

Wednesday’s new data: 74 new positives, three new deaths

Total overall: 3,109 positives, 55 deaths, 2,390 recoveries, 13 patients hospitalized

Positivity rates (as of Nov. 22): Daily — 19.8% (+10.7%); 7-day average — 17.4% (-0.1%)

RANDOLPH COUNTY

Wednesday’s new data: 54 new positives,

Total overall: 2,162 positives, 27 deaths, 21,848 tests performed, 1,872 recoveries, 6 patients hospitalized

Positivity rates (as of Nov. 22): Daily — 17.0% (+8.1%); 7-day average — 12.9% (-0.9%)

MONROE COUNTY

Wednesday’s new data: 34 new positives

Total overall: 1,969 positives, 42 deaths, 12 patients hospitalized

Positivity rates as (of Nov. 22): Daily — 21.7% (+10.9%); 7-day average — 16.2% (+1.4%)

BOND COUNTY

Wednesday’s new data: 36 new positives

Total overall (as of Friday): 952 positives, 11 deaths, 30,585 tests administered, 2 patients hospitalized

Positivity rates (as of Nov. 22): Daily — 4.9% (-0.7%); 7-day average — 9.7% (-0.3%)

WASHINGTON COUNTY

Wednesday’s new data (Nov. 24-25): 33 new positives

Total overall: 629 positives, two deaths, 539 recoveries, 6 hospitalizations

Positivity rates (as of Nov. 22): Daily — 32.0% (+2.0%) 8.1% (-5.2%); 7-day average — 20.4% (+0.2%)

MACOUPIN COUNTY

Wednesday’s new data: No new data as of 4 p.m.

Total overall: 2,070 positives, 23 deaths, 701 recoveries

Positivity rates (as of Nov. 22): Daily — 13.4% (-4.0%); 7-day average — 12.7% (-0.2%)

JERSEY COUNTY

Wednesday’s new data: No new data as of 4 p.m.

Total overall: 1,118 positives, 22 deaths, 900 recoveries, 11,784 tests administered

Positivity rates (as of Nov. 22): Daily — 16.1% (-0.4%); 7-day average — 14.9% (-0.8%)

PERRY COUNTY

Wednesday’s new data: No new data as of 4 p.m.

Total overall: 1,014 positives, 20 deaths, 719 recoveries

Positivity rates (as of Nov. 22): Daily — 28.6 (+12.8%); 7-day average — 17.1% (+2.8%)

CALHOUN COUNTY

Wednesday’s new data: No new data as of 4 p.m.

Total overall: 240 positives, 1 death, 184 recoveries

Positivity rates (as of Nov. 22): Daily — 2.3% (-3.4%); 7-day average — 13.8% (-3.9%)

Editor’s Note: The number of new COVID-19 cases for ZIP codes in each county are reported on Mondays. Information comes from county sources and the IDPH website.

State, nation, world COVID-19 statistics

Here are the latest available statistics from the Illinois Department of Public Health and Johns Hopkins University’s coronavirus map as of Wednesday afternoon:

  • Illinois: 686,467 cases, 11,823 deaths, 10,104,537 tests

  • U.S.: 12,786,174 cases, 263,899 deaths, 7,553,556 recoveries
  • World: 59,734,991 cases, 1,405,827 deaths, 41,326,117 recoveries

This story was originally published November 25, 2020 at 12:58 PM.

Kavahn Mansouri
Belleville News-Democrat
Kavahn Mansouri is an Investigate Reporter for the NPR Midwest Newsroom based in St. Louis, Missouri, a journalism partner with the Belleville News-Democrat. Support my work with a digital subscription
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