Intensive care bed, ventilator use relatively stable from a week ago
Pritzker said increased capacity, stay-at-home order helping alleviate pressure on health system
Last updated 4/15/2020 at 6:26pm
SPRINGFIELD — The percentage of intensive care beds and ventilators in use in Illinois remained relatively flat since last week as state officials on Tuesday announced another encouraging sign that Illinois is “flattening the curve” in dealing with the novel coronavirus disease, or COVID-19.
However, that and the fact the number of virus-related deaths are doubling every 5.5 days now — as opposed to every 2.5 days at the beginning of April — does not mean there are immediate plans to lift a stay-at-home order that’s been in place since March 21.
“Of course you need to continue to stay home,” Illinois Department of Public Health Director Dr. Ngozi Ezike said. “We keep talking about flattening the curve. The reason that the doubling time is prolonging is because of these measures that have been dictated and that have been followed.”
Gov. JB Pritzker’s stay-at-home order is scheduled to continue through at least April 30. On March 22, COVID-19 cases were doubling every two days, as opposed to approximately eight days as of April 12, according to the governor’s office.
“To be clear, there is nothing good about twice as many people having this virus — or worse, dying from it — no matter how long it takes,” Pritzker said. “But we won’t get to zero cases overnight. The fact that our doubling rate continues to increase in every metric is a clear demonstration that there is a deceleration of virus transmission.”
On Tuesday, the state announced 1,222 new confirmed cases of the disease over the previous 24 hours, including 74 additional deaths. That brings the total number of cases recorded in Illinois to 23,247, including 868 fatalities. The recent deaths came in 11 counties from northern to southern Illinois, and the virus is now confirmed in 88 of Illinois’ 102 counties.
There were 1,189 intensive care beds in use by COVID-19 patients Monday, an increase of 23 from last week. That means COVID-19 patients are now occupying 40 percent of ICU beds, down from 43 percent last week, as the state added 278 beds in that span. As of Monday, 33 percent of ICU beds were available as opposed to 35 percent a week ago.
As of Monday, 55 percent of ventilators were available, down from 57 percent last week. COVID-19 patients are using 796 ventilators as compared to 821 last week, while 602 non-COVID patients are using ventilators, up from 377 last week. The state now has 1,742 ventilators open, as it increased its available ventilators by about 350 since last week.
“These numbers are indicators of our growing ability to manage capacity within the health care systems across Illinois,” Pritzker said. “We need to stay the course for our efforts to remain effective.”
IDPH is now tracking hospital bed data daily at http://www.dph.illinois.gov/covid19.
Still, the governor said, “this curve may not flatten, and it may go up again, if we don’t adhere to the stay-at-home order.”
Pritzker echoed his comments from several briefings prior in saying the reopening of the state’s economy will be reexamined each day when more information is available. He also noted that he has talked with neighboring governors about presenting a united front when they eventually, gradually reopen sectors of the economy.
“Our goal, of course, for this is to start to think about, you know, what are the preconditions for beginning to allow certain kinds of businesses to open their doors again, to expand the definition of those who can work or those businesses that can have their doors open,” he said.
The preconditions, the governor said, are widespread testing, tracing those who have contacted people with confirmed cases and being able to treat the virus. It remained unclear Tuesday how long it will take for states or the federal government to largely address those issues, as Illinois has tested 110,616 people for the virus, an increase of just 4,848 from Monday.
That’s far short of the state’s goal of testing 10,000 daily, which would allow adequate tracking of the virus, according to experts.
On the tracing front, Pritzker said the state is looking at what Massachusetts is doing in establishing a “case tracing collaborative” using “good old-fashioned shoe leather to make sure and call every single person that may have come in contact with somebody who has COVID-19.”
As there’s currently no treatment for the virus and a vaccine is likely at least one year away, officials said the treatment aspect is up in the air as well.
“So there are multiple different treatments that people are trying off label — off label means that there is a medicine that’s approved for a different cause but is now being tried for COVID-19 patients,” Ezike said, adding that there would have to be random, large-scale trials to test certain drugs before they can gain U.S. Food and Drug Administration approval.
“In terms of what recommendations are officially put out are usually based not on anecdotes, but more so on trials and the results of trials,” she said. “And so we’re looking forward to getting some of those results of some trials that might be going on.”
Pritzker said it will also be important to have widely available personal protective equipment for those who have public contact upon reopening of the economy.
• While Pritzker said it is looking increasingly like things “may not be back to normal” by November as the world awaits a COVID-19 vaccine, “democracy must go on,” and he urged the Illinois General Assembly to pass a plan to expand mail-in balloting when they are able to reconvene.
• In a news release Tuesday, Senate Republican leader Bill Brady of Bloomington called on the governor to convene a meeting with the four legislative leaders “to share what planning is under way as it relates to the reopening of our state.”
Pritzker said he speaks with the leaders “all the time” individually and would be open to a digital meeting with the four leaders.
• Ezike also noted that a survey sent to positive COVID-19 patients indicates 44 percent recovered after seven days, 50 percent after 14 days, 61 percent at 21 days and 69 percent at 28 days. Those numbers could be higher, as some do not respond to the surveys, she said.
• Pritzker also signed another executive order Tuesday preventing the garnishment of wages except in certain circumstances such as for child support payments or spousal maintenance obligations through the remainder of the disaster declaration.
— by Jerry Nowicki