Tag Archives: capacity

JPMorgan Chase, Wells Fargo and BofA Hit With Negative Ratings Outlook As Moody’s Says US Government Has Weaker Capacity To Support Big Banks – The Daily Hodl

  1. JPMorgan Chase, Wells Fargo and BofA Hit With Negative Ratings Outlook As Moody’s Says US Government Has Weaker Capacity To Support Big Banks The Daily Hodl
  2. ‘The American economy is fundamentally strong’: Janet Yellen disagrees with Moody’s ‘negative’ US outlook — says Treasuries are still the world’s main ‘safe and liquid’ asset. Who’s right? Yahoo Finance
  3. ‘The American economy is fundamentally strong’: Janet Yellen disagrees with Moody’s ‘negative’ US outlook — says Treasuries are still the world’s main ‘safe and liquid’ asset. Who’s right? Yahoo Finance
  4. View Full Coverage on Google News

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EPCOT park reservations at capacity for opening day of Annual Passholder previews for Journey of Water Inspired by Moana – wdwmagic.com

  1. EPCOT park reservations at capacity for opening day of Annual Passholder previews for Journey of Water Inspired by Moana wdwmagic.com
  2. BREAKING: Journey of Water, Inspired by Moana Opening at EPCOT October 16 WDW News Today
  3. Disney World Moves Forward With New ‘Moana’ Attraction – Inside the Magic Inside the Magic
  4. Disney announces opening date for Journey of Water Inspired by Moana at Walt Disney World wdwmagic.com
  5. “The Best Part of EPCOT’s Reimagining” – Tom’s Honest Review of Journey of Water Inspired by ‘Moana’ at EPCOT WDW News Today
  6. View Full Coverage on Google News

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Chicago migrants: Mayor Lori Lightfoot warns Texas Governor Greg Abbott city at capacity with more migrants expected Monday – WLS-TV

  1. Chicago migrants: Mayor Lori Lightfoot warns Texas Governor Greg Abbott city at capacity with more migrants expected Monday WLS-TV
  2. Chicago Mayor calling for Texas Governor Abbott to stop bussing migrants to her city KENS 5: Your San Antonio News Source
  3. Lori Lightfoot pleads with Gov. Abbott to stop sending migrants to Chicago: ‘Dangerous and inhumane’ Fox News
  4. Texas Will Start Bussing Migrants To Chicago Again Monday, Creating ‘Humanitarian Crisis,’ Lightfoot Says Block Club Chicago
  5. Another wave of migrants expected in Chicago from Texas CBS Chicago
  6. View Full Coverage on Google News

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Moderna misses on earnings as costs rise from surplus production capacity, lower Covid shot demand – CNBC

  1. Moderna misses on earnings as costs rise from surplus production capacity, lower Covid shot demand CNBC
  2. Sliding vaccine sales, new costs, shrink Moderna 4Q profit Yahoo Finance
  3. Moderna co-founder talks COVID-19 vaccines, mRNA growth, agriculture portfolio Yahoo Finance
  4. Moderna earnings fall short of estimates amid steep decline in COVID vaccine sales, expects to file for approval of RSV vaccine in first half MarketWatch
  5. Moderna stock dips as Q4 earnings fall; reaffirms COVID vaccine sales outlook of $5B Seeking Alpha
  6. View Full Coverage on Google News

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CVS, Walmart to Cut Pharmacy Hours as Staffing Squeeze Continues

CVS, the largest U.S. drugstore chain by revenue, plans in March to cut or shift hours at about two-thirds of its roughly 9,000 U.S. locations. Walmart plans to reduce pharmacy hours by closing at 7 p.m. instead of 9 p.m. at most of its roughly 4,600 stores by March.

Walgreens Boots Alliance Inc.

previously said it was operating thousands of stores on reduced hours because of staffing shortages. Combined, the three chains operate some 24,000 retail pharmacies across the U.S. 

Walmart last year raised pay for pharmacy technicians.



Photo:

Ryan David Brown for The Wall Street Journal

Earlier in the pandemic, CVS and Walgreens struggled to meet demand for Covid shots and vaccines. The chains cut hours and, in some cases, closed pharmacies for entire weekends. Walmart, which sells a wider variety of goods, cut overall store hours, in part, to cope with Covid-related labor shortages and make time to restock empty shelves as demand for basics such as toilet paper surged.  

CVS, in a recent notice to field leaders, said most of its reduced hours will be during times when there is low patient demand or when a store has only one pharmacist on site, which the company said is a “top pain point,” for its pharmacists. 

CVS said in a statement it periodically reviews pharmacy operating hours as part of the normal course of business to ensure stores are open during high-demand times. “By adjusting hours in select stores this spring, we ensure our pharmacy teams are available to serve patients when they’re most needed,” the company said, adding that customers who encounter a closed pharmacy can seek help at a nearby location. 

At Walmart, the shorter hours offer pharmacy workers a better work-life balance and best serve customers in the hours they are most likely to visit the pharmacy, said a company spokeswoman. “This change is a direct result of feedback from our pharmacy associates and listening to our customers,” she said. Some Walmart pharmacies already close before 9 p.m., which will become standard across the country after the change.

An online community message board for Holliston, Mass., a small town about 30 miles outside Boston, was populated with messages last month from locals venting about the unpredictable hours of the CVS in town, said resident Audra Friend, who does digital communications for a nonprofit. Ms. Friend said she struggled for a week in November to refill a prescription for a rescue inhaler at the store because the pharmacy was sporadically closed.

“I would go in, and there was a note on the door saying, ‘Sorry, pharmacy closed,’” said Ms. Friend, who switched her prescriptions to a 24-hour CVS about 5 miles away. She said it would be better to have consistently shorter hours if that meant fewer unexpected closures. “At least that way we’re not just showing up at CVS to find out the pharmacist isn’t there,” she said.

A CVS spokeswoman said that in recent weeks the Holliston store has had no unexpected closures.

The drugstore chains have been working to stop an exodus of pharmacy staff by offering such perks as bonuses, higher pay and guaranteed lunch breaks. Pharmacists were already in short supply before the pandemic, and consumer demand for Covid-19 shots and tests put additional strains on pharmacy operations. Walgreens recently said staffing problems persist and remain a drag on revenue. 

Retail pharmacies, which benefited from a bump in sales and profits during the pandemic, are now reworking their business models as demand for Covid tests and vaccines decline and generic-drug sales generate smaller profits.

CVS and Walgreens are closing hundreds of U.S. stores and launching new healthcare offerings as they try to transform themselves into providers of a range of medical services, from diagnostic testing to primary care.  

This past summer, Walgreens was offering bonuses up to $75,000 to attract pharmacists, while CVS is working to develop a system in which pharmacists could perform more tasks remotely. The median annual pay for pharmacists was nearly $129,000 in 2021, according to Labor Department data, which also projected slower-than-average employment growth in the profession through 2031. 

In the past year, the chains have poured hundreds of millions of dollars into recruiting more pharmacists and technicians but staffing up has proven difficult. Pharmacists remain overworked, pharmacy-chain executives have acknowledged, and fewer people are attending pharmacy schools. The number of pharmacy-school applicants has dropped by more than one-third from its peak a decade ago, according to the Pharmacy College Application Service, a centralized pharmacy-school application service.

Meanwhile, many pharmacists who aren’t quitting the field are leaving drugstores to work in hospitals or with other employers. 

Walmart raised wages for U.S. pharmacy technicians in the past year, bringing average pay to more than $20 an hour. Walmart said it planned to raise the minimum wage for all U.S. hourly workers in its stores and warehouses to $14 next month, from $12.

CVS and Walgreens last year raised their minimum wages to $15 an hour.

Write to Sharon Terlep at sharon.terlep@wsj.com and Sarah Nassauer at Sarah.Nassauer@wsj.com

Copyright ©2022 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8

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St. Louis area hospitals at capacity with flu cases continuing steep rise

ST. LOUIS — Flu cases continue to spike across the St. Louis region, placing major stress on hospitals that are already at or near capacity.

“It’s posing significant challenges to ensure we can care for everyone in the community,” warned a report Wednesday by a task force of St. Louis-area hospitals.

While cases of respiratory syncytial virus that overwhelmed local hospitals in October have been dropping, they’re being replaced by a flu season that is coming fast and furious.

At Barnes-Jewish Hospital in St. Louis, about 20 to 40 patients a day are coming to the emergency department with flu-like symptoms, and 10 to 20 are having to be admitted with flu, said Dr. Robert Poirier, a Washington University physician who serves as the emergency department’s clinical director.

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“We are seeing twice as many patients this week than we saw the week previous, and last week it was also double” the previous week, Poirier said Wednesday. “We are starting this year with a bang.”

The challenge is, Poirier said, is that the hospital is full along with the emergency department, which drives up waiting times as well as limits the ability to transfer patients to higher levels of care.

Many patients also can’t be moved out of the hospital, because of workforce challenges facing nursing homes, rehabilitation facilities and home health services.

“It backs up the whole system,” he said.

The flu season so far appears to be the worst since 2010 and 2011. Flu cases typically begin a steep climb in December and January, but this season is seeing an unusual jump in October and November.

During the week of Nov. 19, the latest data available, Missouri reported nearly 4,900 laboratory-confirmed cases of flu — almost double the number from two weeks prior and already surpassing last year’s peak that came in late December.

So far this season through Nov. 19, Missouri has reported nearly 13,700 cases and three flu-related deaths, according to state health department data. The highest rates of flu cases and hospital visits have been among children younger than 4 years old.

Dr. Rachel Orscheln, a Washington University pediatric infectious disease specialist at St. Louis Children’s Hospital, said doctors are already seeing high numbers of children hospitalized for flu.

“We are way above the peak of prior years for cases; and for hospitalizations, we are a little above the peak of prior years already,” Orscheln said.

With no signs of cases leveling off, she said, “I imagine the level of hospitalizations is going to continue to climb.”

The rising numbers of flu cases have pushed Missouri into the “high” level of spread category on the U.S. Centers for Disease Control and Prevention flu map.

Nationwide, there have been at least 6.2 million illnesses, 53,000 hospitalizations and 2,900 deaths from flu, according the CDC.

Hospital and public health leaders say they do not know how high the numbers will climb. And while COVID-19 cases and hospitalizations have remained steady over the past few months, that could also change and stress hospital capacity.

During the week leading up to Nov. 27, an average of 770 people a day were hospitalized with COVID-19 across Missouri, state data shows. Over the past two months, about 20 to 50 Missourians have died each week from COVID-19.

“Because of holiday gatherings and other indoor activity, we anticipate more cases of RSV, COVID-19 and other respiratory infections,” the St. Louis County Department of Public Health said in a warning issued Wednesday. “It is important that we do all we can to prevent the spread of disease.”

Doctors urged anyone over 6 months of age to get the flu vaccine, which is a good match against the strains that are circulating, and get an updated COVID-19 booster.

COVID-19 vaccinations are offered weekdays at the John C. Murphy Health Center in Berkeley, the South County Health Center in Sunset Hills and the North Central Community Health Center in Jennings from 8:30 a.m. to 4:30 p.m. Flu shots are available at the three health centers from 8:30 a.m. to 10:30 a.m. and 1 p.m. to 3 p.m.

Also, avoid trips to emergency departments, health officials said.

Those with mild to moderate cold-like symptoms can call their primary care doctor, use telehealth services offered by insurance or visit an urgent care.

Trips to the emergency room should be reserved for those with difficulty breathing, sudden dizziness, severe vomiting, dehydration, high fever or fever higher than 100.4 for infants younger than 8 weeks.

“We are overloaded,” Poirier said, “and if you have mild symptoms you’re going to wait a long time to be seen because we are busy treating those who are sicker.”

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Twitter Exodus Hits Teams Tasked With Regulatory, Content Issues Globally

Elon Musk’s

move to purge Twitter Inc. employees who don’t embrace his vision has led to a wave of departures among policy and safety-issue staffers around the globe, sparking questions from regulators in key jurisdictions about the site’s continued compliance efforts.

Scrutiny has been particularly close in Europe, where officials have in recent years assumed a greater role in regulating big tech companies.

Staff departures in recent days include dozens of people spread across units such as government policy, legal affairs and Twitter’s “trust and safety” division, which is responsible for functions like drafting content-moderation rules, according to current and former employees, postings on social media and emails sent to work addresses of people who had worked at Twitter that recently bounced back. They have left from hubs including Dublin, Singapore and San Francisco.

Many of the departures follow Mr. Musk’s ultimatum late last week that staffers pledge to work long hours and be “extremely hardcore” or take a buyout. Hundreds or more employees declined to commit to what Mr. Musk has called Twitter 2.0 and were locked out of company systems. That comes after layoffs in early November that cut roughly half of the company’s staff.

Twitter conducted another round of job cuts affecting engineers late Wednesday, before the Thanksgiving holiday in the U.S., people familiar with the matter said. The exact scope couldn’t be immediately learned, though some of the people estimated dozens of employees were let go.

Twitter sent fired engineers an email saying their code wasn’t satisfactory and offering four weeks of severance, some of the people said. Some other engineers received an email warning them to improve their performance to keep their jobs, the people said.

Ireland’s Data Protection Commission said this week it was asking Twitter whether it still had sufficient staff to assure compliance with the European Union’s privacy law, the General Data Protection Regulation, or GDPR. The company last week told the Irish data regulator that it did, but is still reviewing the impact of the staff departures, a spokesman for the Irish regulator said.

He said Twitter has appointed an interim chief data protection officer, an obligation under the GDPR, after the departure of Damien Kieran, who had served in the role but left shortly after the first round of layoffs.

In France, meanwhile, the country’s communications regulator said it sent a letter last Friday asking that Twitter explain by this week whether it has sufficient personnel on staff to moderate hate speech deemed illegal under French law—under which Twitter could face legal orders and fines.

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The staff departures come as Twitter holds talks with the EU about the bloc’s new social-media law, dubbed the Digital Services Act, which will apply tougher rules on bigger platforms like Twitter by the middle of next year.

Didier Reynders,

the EU’s justice commissioner, is slated to attend a previously scheduled meeting with Twitter executives in Ireland on Thursday. He plans to ask about the company’s ability to comply with the law and to meet its commitments on data protection and tackling online hate speech, according to an EU official familiar with the trip.

Věra Jourová, a vice president of the EU’s executive arm, said she was concerned about reports of the firing of vast amounts of Twitter staff in Europe. “European laws continue to apply to Twitter, regardless of who is the owner,” she said.

Mr. Musk has said that he would follow the laws of the countries where Twitter operates and that it “cannot become a free-for-all hellscape.”

Twitter didn’t respond to a request for comment.

Late Wednesday, Mr. Musk tweeted that the number of views of tweets he described as “hate speech” had fallen below levels seen before a spike in such views in late October.
“Congrats to the Twitter team!” Mr. Musk wrote. 

Some of the people who either departed or declined to sign on to Twitter 2.0 appear to include Sinead McSweeney, the company’s Ireland-based vice president of global policy and philanthropy, who led government relations and compliance initiatives with regulations worldwide, as well as the two remaining staffers in Twitter’s Brussels office.

Ms. McSweeney and the two Brussels employees declined to comment, but emails to their work addresses started bouncing back undeliverable in recent days according to checks by The Wall Street Journal. Four other Brussels-based employees were earlier this month told they were being laid off, according to social-media posts and people familiar with the matter.

Twenty Air Street, London, the home of Twitter’s U.K. office.



Photo:

Dan Kitwood/Getty Images

Damien Viel, Twitter’s country manager for France, was also among a wave of staffers who posted publicly this week that they had left the company. He declined to comment when reached by the Journal.

At least some of the departures occurred in teams that reported to

Yoel Roth,

Twitter’s former head of trust and safety, who resigned earlier this month. In an op-ed for the New York Times, Mr. Roth said he resigned because Mr. Musk made it clear that he alone would make decisions on policy and the platform’s rules and that he had little use for those at the company who were advising him on those issues.

The team included Ilana Rosenzweig, who worked as Twitter’s senior director and head of international trust and safety. She has left the company, according to her LinkedIn profile. Based in Singapore, Ms. Rosenzweig led Twitter’s trust and safety teams across Europe, the Middle East and Africa, along with Japan and other Asia-Pacific countries, according to her profile.

“I decided not to agree to Twitter 2.0,” Keith Yet, a Twitter trust and safety worker based in Singapore, wrote on LinkedIn on Monday. Mr. Yet worked on child sexual exploitation issues and handling legal escalations from Japan and other countries, according to his LinkedIn profile. Attempts to reach Ms. Rosenzweig and Mr. Yet were unsuccessful.

The departures come amid a wave of new tech regulation, particularly in Europe. The Digital Services Act, which will by the middle of next year require tech companies like Twitter with more than 45 million users in the EU to maintain robust systems for removing content that European national governments deem to be illegal. 

The layoff announcements just keep coming. As interest rates continue to climb and earnings slump, WSJ’s Dion Rabouin explains why we can expect to see a bigger wave of layoffs in the near future. Illustration: Elizabeth Smelov

The act also requires these companies to reduce risks associated with content that regulators consider harmful or hateful. It mandates regular outside audits of the companies’ processes and threatens noncompliance fines of up to 6% of a company’s annual revenue.

Political leaders had warned that Mr. Musk’s Twitter would have to comply with EU rules. “In Europe, the bird will fly by our rules,” tweeted the EU’s commissioner for the internal market,

Thierry Breton,

hours after Mr. Musk completed his Twitter deal in late October tweeting, “the bird is free.”

A spokesman for the European Commission, the EU’s executive arm, said this week that it had active contacts with the company regarding the regulation and tackling disinformation and illegal hate speech, but declined to comment on the substance of Twitter’s compliance plans.

Activists and researchers are also concerned that the departures could undermine Twitter’s ability to block state-backed information operations aimed at spreading propaganda and harassing adversaries. The wave of departures “raises questions about how Twitter will moderate tweets and comments in a professional and neutral manner,” said Patrick Poon, an activist turned scholar at Japan’s Meiji University, who analyzes free speech.

—Liza Lin, Alexa Corse and Sarah E. Needleman contributed to this article.

Write to Sam Schechner at Sam.Schechner@wsj.com, Kim Mackrael at kim.mackrael@wsj.com and Newley Purnell at newley.purnell@wsj.com

Copyright ©2022 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8

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Ukrainians brace for bleak winter as Russian strikes cripple power capacity

  • Ukrainians brace for winter with little or no heating
  • Temperatures in several areas already below freezing
  • Kherson residents can express interest in moving elsewhere
  • Ukraine security service raids famous Kyiv monastery

KYIV, Nov 22 (Reuters) – President Volodymyr Zelenskiy appealed to Ukrainians to conserve energy amid relentless Russian strikes that have already halved the country’s power capacity, as the United Nations’ health body warned of a humanitarian disaster in Ukraine this winter.

Authorities said millions of Ukrainians, including in the capital Kyiv, could face power cuts at least until the end of March due to the strikes. Citizens in the recently liberated southern city of Kherson may apply to be relocated to areas where heating and security problems are less acute, they said.

Temperatures have been unseasonably mild this autumn, but are starting to dip below zero and are expected to drop to -20 Celsius (-4 Fahrenheit) or even lower in some areas during the winter months.

Russia has been targeting Ukrainian power facilities with rocket strikes after a series of battlefield setbacks that have included withdrawing its forces from Kherson city to the east bank of the mighty Dnipro River that bisects the country.

“The systematic damage to our energy system from strikes by the Russian terrorists is so considerable that all our people and businesses should be mindful and redistribute their consumption throughout the day,” Zelenskiy said in his nightly video address.

“Try to limit your personal consumption of electricity.”

The World Health Organization (WHO) said hundreds of hospitals and healthcare facilities lacked fuel, water and electricity to meet people’s basic needs.

“Ukraine’s health system is facing its darkest days in the war so far. Having endured more than 700 attacks, it is now also a victim of the energy crisis,” Hans Kluge, WHO’s regional director for Europe, said in a statement after visiting Ukraine.

BLANKETS

Workers were racing to repair damaged power infrastructure, Sergey Kovalenko, the head of YASNO, which provides energy for Kyiv, said on Monday.

“Stock up on warm clothes, blankets, think about options that will help you get through a long outage,” Kovalenko said. “It’s better to do it now than to be miserable.”

In a Telegram message for Kherson residents – especially the elderly, women with children and those who are ill or disabled – Deputy Prime Minister Iryna Vereshchuk posted a number of ways residents can express interest in leaving.

“You can be evacuated for the winter period to safer regions of the country,” she wrote, citing both security and infrastructure problems.

Kremlin spokesman Dmitry Peskov said the blackouts and Russia’s strikes on energy infrastructure were the consequences of Kyiv being unwilling to negotiate, the state TASS news agency reported late last week.

Ukrainian presidential adviser Mykhailo Podolyak said Russia was bombarding Kherson from across the Dnipro River, now that its troops had fled.

“There is no military logic: they just want to take revenge on the locals,” he tweeted late on Monday.

Ukraine’s Suspilne news agency reported fresh explosions in Kherson city on Tuesday morning.

Moscow denies intentionally targeting civilians in what it calls a “special military operation” to rid Ukraine of nationalists and protect Russian-speaking communities.

Kyiv and the West describe Russia’s actions as an unprovoked war of aggression.

The nine-month war has killed tens of thousands, uprooted millions and pummelled the global economy, driving up food and energy prices. The Organisation for Economic Cooperation and Development (OECD) said on Tuesday the world’s worst energy crisis since the 1970s would trigger a sharp slowdown, with Europe hit hardest.

RAID ON MONASTERY

Ukraine’s SBU security service and police raided a 1,000-year-old Orthodox Christian monastery in Kyiv early on Tuesday as part of operations to counter suspected “subversive activities by Russian special services”, the SBU said.

The sprawling Kyiv Pechersk Lavra complex – or Monastery of the Caves – is a Ukrainian cultural treasure and the headquarters of the Russian-backed wing of the Ukrainian Orthodox Church that falls under the Moscow Patriarchate.

Russia’s Orthodox Church condemned the raid as an “act of intimidation”.

Battles continued to rage in the east, where Russia has sent some of the forces it moved from around Kherson in the south, pressing an offensive of its own along a stretch of frontline west of the city of Donetsk held by its proxies since 2014.

“The enemy does not stop shelling the positions of our troops and settlements near the contact line (in the Donetsk region),” the General Staff of the Ukrainian Armed Forces said on Tuesday.

“Attacks continue to damage critical infrastructure and civilian homes.”

Four people were killed and four others wounded in Ukraine-controlled areas of Donetsk region over the past 24 hours, regional governor Pavlo Kyryleno said on Telegram messaging app.

Russian shelling also hit a humanitarian aid distribution centre in the town of Orihiv in southeastern Ukraine on Tuesday, killing a volunteer and wounding two women, the regional governor said.

Orihiv is about 110 km (70 miles) east of the Zaporizhizhia nuclear power station which has been shelled again in the past few days, with Russia and Ukraine trading blame for the blasts.

Experts of the International Atomic Energy Agency (IAEA) toured the site on Monday. The agency, which has repeatedly called for an immediate cessation of hostilities in the area to avoid a major disaster, said the experts found widespread damage but nothing that compromised the plant’s essential systems.

The Kremlin said on Tuesday that no substantive progress had been made towards creating a security zone around the nuclear plant, Europe’s largest.

Reporting by Oleksandr Kozhukhar and Maria Starkova in Kyiv, Lidia Kelly in Melbourne and Ronald Popeski in Winnipeg; Writing by Shri Navaratnam and Gareth Jones; Editing by Lincoln Feast and Alex Richardson

Our Standards: The Thomson Reuters Trust Principles.

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In Boston, RSV cases in kids creating a ‘capacity disaster’ for one major hospital

One of the nation’s top hospitals announced on Thursday, Nov. 10, that it is at capacity and is reducing elective surgeries due to an unusually high number of patients with respiratory syncytial virus (RSV).

Another nearby hospital is having similar issues.

Massachusetts General for Children, located in Boston, said that in the first 10 days of November there have been more than 1,000 reported cases of RSV. In the entire month of October, there were about 2,000 reported cases of RSV. 

EARLY, SURPRISING SURGE OF RSV IN KIDS HAS HOSPITALS, MEDICAL CENTERS CONCERNED

RSV is causing a “capacity disaster,” Brian Cummings, the medical director of the department of pediatrics at Massachusetts General for Children, said in a news conference on Thursday afternoon, as Boston 25 News reported.

Cummings said that this year’s RSV cases are about “20% to 60% higher” than those of a typical fall — and that winter, not fall, is usually the hardest-hit season for RSV. 

Typical symptoms of RSV include stuffy nose, congestion, cough and fever. 
(iStock)

The Centers for Disease Control and Prevention (CDC) notes that nearly every child has contracted RSV by the time they turn two years old, and most cases of it are mild. Typical symptoms of RSV include stuffy nose, congestion, cough and fever. 

Some children who contract RSV require hospitalization. 

“Even if just 10% need hospitalization, it creates a lot of stress on health care facilities,” said Cummings during the press conference on Thursday. “We’ve had over 250 hospitalizations for RSV alone on top of other circulating viruses.”

AMOXICILLIN PRESCRIBED FOR CHILDREN IS IN SHORT SUPPLY, FDA SAYS

Cummings said RSV is causing “very severe respiratory illness in young children,” which is creating breathing difficulties or exacerbating asthma. 

He added that there are no pediatric ICU beds currently available at the hospital and that there are “seven patients that are outside the ICU that would normally be transferred into the ICU.” 

A mom checks her sick daughter’s throat. RSV “can cause inflammation in the lungs. It can cause infection in the lungs like pneumonia.”
(iStock)

Dr. Janette Neshewiat, a Fox News medical contributor based in New York City, recently told Fox News Digital of RSV, “This is a virus that can cause inflammation in the lungs. It can cause infection in the lungs like pneumonia.”

“The younger you are when infected, the more likely you are to have a more acute presentation.”

She added, “And what we’re seeing now is it’s causing about 60,000 hospitalizations in children every year. For every three children [who] are hospitalized with COVID, we’re seeing up to 30 hospitalized with RSV.”

JUST 2 OMICRON SUBVARIANTS MAKE UP 44% OF ALL US COVID CASES

The number of children with respiratory illnesses has “ballooned through the entire month of October,” said Cummings — which has “created enormous stress on pediatric health care.” 

There are no pediatric ICU beds currently available at Massachusetts General Hospital for Children in Boston. 
(REUTERS/Brian Snyder)

As a result, some non-emergency surgeries are being delayed to free up doctors and hospital space for emergency treatment. 

Due to the coronavirus pandemic, many children who would have contracted RSV did not, as people were staying home and doing other mitigation efforts, said Cummings.

FLU SYMPTOMS AND PREVENTION: EVERYTHING YOU NEED TO KNOW ABOUT COMMON SIGNS, TREATMENT AND AVOIDING INFLUENZA

“What’s happened in the last two years with COVID is that a lot of the pandemic mitigations have disrupted the normal viral transmission,” he said. 

“A lot of RSV was not being spread in the previous two years.”

“If at any point it looks like your baby is not breathing well at all, just bring them right to an emergency room.”

“Now that it’s circulating a little more, typically there are many more people susceptible to infection. The younger you are when you get infected, the more likely you are to have a more acute presentation,” Cummings said on Thursday.

CDC WARNS DENTAL PATIENTS OF RARE BACTERIAL INFECTIONS VIA WATERLINES

He explained that “the youngest patients are at the highest risk of needing hospitalization,” particularly those under the age of one — and that these hospital stays are usually brief. 

Most RSV cases can be treated at home with fluids, rest and fever control, but some cases do need to be treated at a hospital. 
(iStock)

Boston Children’s Hospital is also experiencing similar capacity issues as Massachusetts General for Children. 

“Boston Children’s has been at or overcapacity on average for nearly six weeks due to RSV, seasonal illnesses and the ongoing behavioral health crisis,” the hospital said in a statement cited by Boston 25 News. 

GROUP HUG! BOY GETS ADORABLE ‘WELCOME BACK’ AT PRESCHOOL AFTER ILLNESS PUT HIS TWIN IN THE HOSPITAL 

“We anticipate the numbers will continue to climb as we shift into the winter months, so we are using alternative care spaces when necessary. These are spaces we have used many times before,” the hospital also said. 

Any serious breathing problems need immediate evaluation, doctors say.

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“If your child starts developing respiratory distress, breathing faster than usual, that belly going in and out with every breath, the skin between their ribs being sucked in with every breath — that’s when they need to be seen by a provider as soon as possible,” Dr. Laura Romano of Cook Children’s Medical Center in Fort Worth, Texas, told Fox News recently.

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“Take them to an urgent care. Take them to an emergency room,” she added. 

“If at any point it looks like your baby is not breathing well at all, just bring them right to an emergency room.”

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Hospitals postpone pediatric surgeries as capacity crunch escalates

By delaying some nonemergency pediatric surgeries, hospitals are trying to free inpatient beds to accommodate an unexpected rise in children suffering from common viruses, especially respiratory syncytial virus, or RSV.

“I think we’re in uncharted territory,” said Dr. Paul Biddinger, chief preparedness and continuity officer for Mass General Brigham, at a news briefing on Thursday.

Hospital executives said pediatric intensive care unit beds at Massachusetts General for Children were operating at 150 percent capacity, and there were few signs the surge was nearing an end.

In October, Mass General Brigham saw 2,000 cases of the virus. It has seen another 1,000 cases in just the first week of November. Of those, 250 have required some level of hospitalization, and 10 to 20 percent have required intensive care unit beds.

Each year, RSV lands 58,000 to 80,000 children younger than 5 in the hospital, according to the Centers for Disease Control and Prevention. But this year, the virus has struck earlier than usual, likely because masking and social distancing during the first two years of the pandemic prevented children from developing immunity to RSV and other common bugs. Mass General Brigham clinicians also said this year’s surge is higher than what is typically seen in the winter months.

Clinicians noted that the vast majority of children infected with RSV recover.

“Usually those hospitalizations are brief, but it can be very severe,” said Dr. Brian Cummings, medical director in the Department of Pediatrics at Mass General for Children. “And so some patients may need breathing support in the pediatric intensive care unit.”

Boston Children’s Hospital said it has been at or over capacity for nearly six weeks and expected its number of patients would continue to climb into the winter. The hospital was postponing surgical cases where a delay wouldn’t be detrimental to a patient.

“We reach out to patients and families as soon as we know their case is being postponed,” said Kristen Dattoli, a spokesperson for the hospital. “We recognize this is upsetting to everyone.”

Boston Medical Center said it, too, had postponed several scheduled surgeries and was working daily with hospitals in the area to manage inpatient capacity.

Baystate Children’s Hospital is also delaying what few scheduled surgeries it has. It is also trying to create capacity in other ways. The pediatric hospital has asked community hospitals affiliated with the system to keep 18-to-21-year-old patients instead of sending them to the children’s hospital as they normally would. Overflow pediatric beds are also being put in the adult medical intensive care unit.

Meanwhile, the hospital is warily eyeing the rise in flu infections in Connecticut and the southern part of the country.

“We don’t have the beds for kids now for RSV and other respiratory viruses,” said Dr. Charlotte Boney, pediatrician-in-chief at Baystate Children’s Hospital. “We’re really worried about flu.”

Last Monday, the Department of Public Health issued guidance to hospitals dealing with the capacity crunch. The guidance included a recommendation that all emergency departments be prepared to provide oxygen support to children through high-flow nasal cannula — a treatment that patients would typically receive on a hospital floor after being admitted.

“Hopefully that frees up [beds],” Boney said.

The guidance added that all hospitals with licensed pediatric beds must be staffing them, even if it requires the facility to use temporary or contract labor to do so.

The DPH also suggested that younger patients could be admitted to neonatal intensive care units and that patients 15 and older could be admitted to adult medical-surgical or ICU floors, provided that pediatric experts were available to consult on the children’s care.

Hospitals should also use beds available at community hospitals and transfer patients there as appropriate, the guidance says.

Transferring patients to more intensive beds, however, has become exceedingly tricky. According to a rundown of bed availability provided daily by Boston MedFlight to area hospitals and obtained by the Globe, Massachusetts General Hospital’s pediatric intensive care unit was full on Thursday, as were all of its 21 neonatal intensive care unit beds. Brigham and Women’s Hospital had three of 60 NICU beds available.

No beds were available at Boston Medical Center’s or Baystate Medical Center’s pediatric intensive care units, or PICUs. PICUs were also full at New Hampshire’s Dartmouth Hitchcock Medical Center, and Rhode Island’s Hasbro Children’s Hospital. Maine Medical Center had three available PICU beds.

According to Boston MedFlight, as of Thursday morning, there were only four available PICU beds in all of Massachusetts, New Hampshire, Southern Maine, and Rhode Island.

In addition to delaying pediatric surgeries, some hospitals are having to provide care that normally would be delivered in the ICU in lower intensity beds, such as for a child in respiratory distress. And while the use of certain therapies might automatically send a patient to the ICU in the past, now it is a question of whether there is a bed.

“If they need the ICU and a bed is available, we will transfer them there. But we want to make sure we can deliver the care they need if a bed is not available,” Biddinger said. “That’s why lots of systems, including ours, are providing more support from our intensive care physicians and nurses to clinicians on the floor or in the ER, and trying to roll out additional support from respiratory therapists, and increased education on these therapies for clinicians in the pediatric setting overall.”

National data is showing earlier and higher RSV-associated hospitalizations this season than in years past. In the last five years, RSV hospitalizations didn’t peak until December and January. But last month, hospitalizations had already reached or exceeded the peaks of several previous years.

Even hospitals that haven’t yet delayed scheduled surgeries remain concerned about their capacity. South Shore Health said it is not postponing pediatric surgeries, though 14 of its 18 pediatric beds were occupied as of Wednesday morning.

UMass Memorial Medical Center said it was experiencing high pediatric patient volume due to RSV, flu, and COVID, combined with the ongoing behavioral health crisis. On Tuesday, the hospital’s pediatric bed capacity was at 115 percent — meaning that children who have been admitted to the hospital are having to wait in the ER until beds open up.

“At this time, pediatric elective surgeries have not been canceled, however, we continue to monitor the situation and review our bed status and each case to determine whether an elective procedure can be safely deferred or whether we have capacity to proceed,” said Dr. Lawrence Rhein, chair of the hospital’s pediatrics department.

Kay Lazar of the Globe staff contributed to this report.


Jessica Bartlett can be reached at jessica.bartlett@globe.com. Follow her on Twitter @ByJessBartlett.



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