A tale of two New Yorks: COVID-19 hospitalization rate surging upstate

A tale of two New Yorks: COVID-19 hospitalization rate surging upstate




COVID-19-related hospitalizations have been on an upward trend in New York state since last month, but there appears to be a drastic divide between the Big Apple and some of the state’s more rural areas, health data shows.

In New York City, the seven-day average of new COVID-19 hospitalizations per 100,000 people rose from 0.5 on Nov. 10 to 1.1 on Dec. 7, the New York State Department of Health said.

The story is different in several counties hundreds of miles north, where new COVID-19 hospitalizations are rising at a higher rate. In the Finger Lakes vicinity, officials in several counties declared a state of emergency after the seven-day average of new COVID-19 hospitalizations per 100,000 people went from 2.9 on Nov. 10 to 4.9 on Dec. 7.

PHOTO: An ambulance is seen outside the Erie County Medical Center (ECMC) Hospital in Buffalo, New York, Sept. 28, 2021.

An ambulance is seen outside the Erie County Medical Center (ECMC) Hospital in Buffalo, New York, Sept. 28, 2021.

David Larsen, an associate professor of public health at Syracuse University, told ABC News that there are several factors behind this divide, but the most important one is the lower vaccination rates in certain counties upstate.

“At the end of the day, you’re more likely to get harsh COVID-19 symptoms and go to the hospital if you’re not vaccinated,” Larsen said.

Health experts and state officials predict the situation upstate is only going to get worse during the holidays and colder months, but the tide can be turned if more people get their shots and notice health warnings.

As of Dec. 8, 74.9% of all New York state residents have at the minimum one COVID-19 vaccine measure, but those numbers vary by vicinity, according to state health data.

PHOTO: Illustration

Vaccination rates in New York State

New York City and Long Island had over 78% of their populations with at the minimum one shot, the state data showed. Further north, the rates for at the minimum one measure in the Mohawk Valley, the Finger Lakes and North Country sections were 60.6%, 68.5%, and 63% respectively.

There is already more division within the regions when it comes to vaccination, the data shows; for example, counties that are along the Interstate 87 corridor, such as Hamilton, Schenectady and Saratoga, all have rate of at the minimum one measure above 75% of their populations.

Counties directly west of those locations, Schoharie, Fulton and Montgomery, have one-measure vaccination rates under 65%, the state data showed.

New York Gov. Kathy Hochul has repeatedly highlighted that the unvaccinated are the ones experiencing and being hospitalized.

“It is a conscious decision not to be vaccinated. And the direct consequence is a higher rate of individuals in those regions upstate in addition as it has a direct correlation to the number of hospitalizations,” she said during a Dec. 2 news conference.

PHOTO: Gov. Kathy Hochul of New York speaks at a news conference in Manhattan, Nov. 10, 2021.

Gov. Kathy Hochul of New York speaks at a news conference in Manhattan, Nov. 10, 2021. Upstate New York hospitals are overwhelmed as COVID-19 situations surge, and health care officials say a “perfect storm” of new situations, staff shortages and filled nursing homes has produced a crisis.

Dr. Isaac Weisfuse, an adjunct professor of public health at Cornell University, told ABC News that there are fewer options for upstate residents to turn to for medical help and fewer hospitals in the area are handling patients from more locations.

Weisfuse, a former deputy health commissioner for New York City’s Health Department, noted that New York City residents have much closer access to amenities like free testing sites and medical clinics than their upstate counterparts.

“If you live in a rural county in New York state and it takes a while to get to a doctor, you may put it off. So when you do ultimately go get care, you may be sicker versus someone who lives closer and gets a quicker diagnosis,” he said.

Larsen additional that there has been pandemic fatigue across the country, and many Americans have scaled back on mitigation measures, especially disguise-wearing indoors.

While New York City requires proof of vaccination for indoor activities, such as movie theaters and restaurants, there are no such rules in many upstate counties. As a consequence, some upstate residents have less of an motive to get their shots, and are less careful in indoor group settings, according to Larsen.

PHOTO: A sign asks for proof of COVID-19 vaccination in Manhattan at the entrance to a museum on Nov. 29, 2021, in New York City.

A sign asks for proof of COVID-19 vaccination in Manhattan at the entrance to a museum on Nov. 29, 2021, in New York City.

“We’re doing less disguise wearing. What that does is it increases transmission, which is fine for the vaccinated people but it does go to the unvaccinated people and they are higher risk,” he said.

Weisfuse said the hospitalizations are likely to grow upstate and have ripple effects for those regions. The governor has ordered elective surgeries to be postponed at 32 hospitals upstate that have seen their obtainable beds decline.

PHOTO: Tse Cowan, 8, winces as he is administered the Pfizer COVID-19 vaccine at a pop-up vaccine site at P.S. 19 on Nov. 08, 2021 in the Lower East Side of New York City.

Tse Cowan, 8, winces as he is administered the Pfizer COVID-19 vaccine at a pop-up vaccine site at P.S. 19 on Nov. 08, 2021 in the Lower East Side of New York City.

State officials said they are beefing up their marketing efforts to encourage eligible New Yorkers to get their shots.

Weisfuse said this outreach needs to be done meticulously if upstate officials want to avoid more overcrowded emergency rooms this winter.

“The state needs to take a good look at the pockets of non-vaccination,” he said. “They need to make some targeted intervention in those neighborhoods.”

Anyone who needs help scheduling a free vaccine appointment can log onto vaccines.gov.

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