{"id":7174,"date":"2022-05-26T17:00:43","date_gmt":"2022-05-26T21:00:43","guid":{"rendered":"http:\/\/www.khpi.org\/blog\/?p=7174"},"modified":"2022-07-26T16:00:30","modified_gmt":"2022-07-26T20:00:30","slug":"sars-cov-2-may-also-have-been-a-winner-at-the-derby","status":"publish","type":"post","link":"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/","title":{"rendered":"SARS-CoV-2 May Also Have Been a Winner at the Derby!"},"content":{"rendered":"\n<h5><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-dark-red-color\">New cases Covid-19 up sharply in May.  Hospital utilization and deaths not so much \u2013at this time.<\/mark><\/h5>\n\n\n\n<p>Following the first Saturday in May, reported weekly new cases of Covid-19 are taking giant steps upwards. Jefferson County leads the state by far in new cases. Jefferson County\u2019s current incidence rate reported on 5\/24\/22 was 52.1 per 100K population compared to 23.4 for the state as a whole. Although the test positivity ratio had been creeping up for several weeks before, it is impossible to ignore the likelihood that Kentucky Derby activities fueled a smoldering fire.<\/p>\n\n\n\n<p><strong>Current hospital and ICU utilization, or deaths<\/strong> have not yet followed in the same direction.  Hopefully because of our at least partial degree of vaccine protection and personal choices made by many, these adverse outcomes will not rise as much.  In my view, the CDC&#8217;s &#8220;Community Levels by County&#8221; graphic of 5\/20\/22 that accompanied Monday\u2019s state report is two weeks out of date and 1000 miles distant in the rear view mirror.  It does not inform me personally in any meaningful way and seems to understate what is happening locally where meaningful response can be focused.  Covid-19 is blossoming worldwide and in the United States in large measure from spread of the Omicron Jr. variants and spotty use of public health precautions. Why would it not get worse here as well?<\/p>\n\n\n\n<!--more-->\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22.jpg\"><img loading=\"lazy\" width=\"575\" height=\"631\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-575x631.jpg\" alt=\"\" class=\"wp-image-7176\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-575x631.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-273x300.jpg 273w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-137x150.jpg 137w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-768x843.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-1399x1536.jpg 1399w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22-1200x1317.jpg 1200w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/New-Cases-5-23-22.jpg 1558w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22.jpg\"><img loading=\"lazy\" width=\"575\" height=\"622\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-575x622.jpg\" alt=\"\" class=\"wp-image-7177\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-575x622.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-277x300.jpg 277w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-139x150.jpg 139w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-768x831.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-1419x1536.jpg 1419w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22-1200x1299.jpg 1200w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/tpr-5-23-22.jpg 1580w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22.jpg\"><img loading=\"lazy\" width=\"575\" height=\"631\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-575x631.jpg\" alt=\"\" class=\"wp-image-7179\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-575x631.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-273x300.jpg 273w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-137x150.jpg 137w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-768x843.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-1399x1536.jpg 1399w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22-1200x1317.jpg 1200w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/Current-hospital-5-23-22.jpg 1558w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22.jpg\"><img loading=\"lazy\" width=\"575\" height=\"637\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-575x637.jpg\" alt=\"\" class=\"wp-image-7178\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-575x637.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-271x300.jpg 271w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-135x150.jpg 135w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-768x851.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-1387x1536.jpg 1387w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22-1200x1329.jpg 1200w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-rate-5-23-22.jpg 1544w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-scaled.jpg\"><img loading=\"lazy\" width=\"575\" height=\"349\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-575x349.jpg\" alt=\"\" class=\"wp-image-7182\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-575x349.jpg 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-300x182.jpg 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-150x91.jpg 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-768x466.jpg 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-1536x932.jpg 1536w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-2048x1243.jpg 2048w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/incidence-map-5-23-22-red-1200x728.jpg 1200w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22.png\"><img loading=\"lazy\" width=\"575\" height=\"431\" src=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22-575x431.png\" alt=\"\" class=\"wp-image-7183\" srcset=\"http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22-575x431.png 575w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22-300x225.png 300w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22-150x112.png 150w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22-768x576.png 768w, http:\/\/www.khpi.org\/blog\/wp-content\/uploads\/2022\/05\/CommunityLevelMap-5-20-22.png 1023w\" sizes=\"(max-width: 575px) 85vw, 575px\" \/><\/a><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>I was out of the country the first weeks of this month. That is a story as yet untold.  We need to maintain a healthy respect for the degree of personal, social, and economic disruption that this pandemic is capable of delivering. The massive movement of huge numbers of people around a troubled globe will surely affect us in our Commonhealth. Even as I write this, new infectious agents or presumed infectious agent syndromes are becoming apparent. Monkeypox, the polio-like syndrome of infantile flaccid paralysis, and acute severe hepatitis in children are examples of illnesses that an already busy public health system must investigate and confront. Old standard childhood and adult infections diseases are blossoming as well as vaccination programs and routine medical care have been disrupted.<\/p>\n\n\n\n<p>At times like these I can only dream of a coordinated national health system under whatever name or structure one wishes to give it.  Otherwise, we will continue to be dollar short and more than a day late.<\/p>\n\n\n\n<p>Peter Hasselbacher, MD<br>Emeritus Professor of Medicine, UofL<br>May 26, 2022<\/p>\n\n\n\n<p>[Addendum 5\/27\/22:  Reading in today&#8217;s Courier-Journal about the commercial impact of the two massive local concerts this holiday weekend, a further &#8220;booster&#8221; to new cases would not be unexpected!]<\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>Share<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-7174\" class=\"share-facebook sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\" ><span>Facebook<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-7174\" class=\"share-linkedin sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\" ><span>LinkedIn<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-7174\" class=\"share-twitter sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\" ><span>Twitter<\/span><\/a><\/li><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"mailto:?subject=%5BShared%20Post%5D%20SARS-CoV-2%20May%20Also%20Have%20Been%20a%20Winner%20at%20the%20Derby%21&body=http%3A%2F%2Fwww.khpi.org%2Fblog%2Fsars-cov-2-may-also-have-been-a-winner-at-the-derby%2F&share=email\" target=\"_blank\" title=\"Click to email a link to a friend\" data-email-share-error-title=\"Do you have email set up?\" data-email-share-error-text=\"If you&#039;re having problems sharing via email, you might not have email set up for your browser. You may need to create a new email yourself.\" data-email-share-nonce=\"68d527a51e\" data-email-share-track-url=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=email\"><span>Email<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>New cases Covid-19 up sharply in May. Hospital utilization and deaths not so much \u2013at this time. Following the first Saturday in May, reported weekly new cases of Covid-19 are taking giant steps upwards. Jefferson County leads the state by far in new cases. Jefferson County\u2019s current incidence rate reported on 5\/24\/22 was 52.1 per &hellip; <a href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;SARS-CoV-2 May Also Have Been a Winner at the Derby!&#8221;<\/span><\/a><\/p>\n<div class=\"sharedaddy sd-sharing-enabled\"><div class=\"robots-nocontent sd-block sd-social sd-social-icon-text sd-sharing\"><h3 class=\"sd-title\">Share this:<\/h3><div class=\"sd-content\"><ul><li><a href=\"#\" class=\"sharing-anchor sd-button share-more\"><span>Share<\/span><\/a><\/li><li class=\"share-end\"><\/li><\/ul><div class=\"sharing-hidden\"><div class=\"inner\" style=\"display: none;\"><ul><li class=\"share-facebook\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-facebook-7174\" class=\"share-facebook sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=facebook\" target=\"_blank\" title=\"Click to share on Facebook\" ><span>Facebook<\/span><\/a><\/li><li class=\"share-linkedin\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-linkedin-7174\" class=\"share-linkedin sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=linkedin\" target=\"_blank\" title=\"Click to share on LinkedIn\" ><span>LinkedIn<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-twitter\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"sharing-twitter-7174\" class=\"share-twitter sd-button share-icon\" href=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=twitter\" target=\"_blank\" title=\"Click to share on Twitter\" ><span>Twitter<\/span><\/a><\/li><li class=\"share-email\"><a rel=\"nofollow noopener noreferrer\" data-shared=\"\" class=\"share-email sd-button share-icon\" href=\"mailto:?subject=%5BShared%20Post%5D%20SARS-CoV-2%20May%20Also%20Have%20Been%20a%20Winner%20at%20the%20Derby%21&body=http%3A%2F%2Fwww.khpi.org%2Fblog%2Fsars-cov-2-may-also-have-been-a-winner-at-the-derby%2F&share=email\" target=\"_blank\" title=\"Click to email a link to a friend\" data-email-share-error-title=\"Do you have email set up?\" data-email-share-error-text=\"If you&#039;re having problems sharing via email, you might not have email set up for your browser. You may need to create a new email yourself.\" data-email-share-nonce=\"68d527a51e\" data-email-share-track-url=\"http:\/\/www.khpi.org\/blog\/sars-cov-2-may-also-have-been-a-winner-at-the-derby\/?share=email\"><span>Email<\/span><\/a><\/li><li class=\"share-end\"><\/li><li class=\"share-end\"><\/li><\/ul><\/div><\/div><\/div><\/div><\/div>","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"spay_email":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true},"categories":[84],"tags":[],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5mRQe-1RI","_links":{"self":[{"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/posts\/7174"}],"collection":[{"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/comments?post=7174"}],"version-history":[{"count":5,"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/posts\/7174\/revisions"}],"predecessor-version":[{"id":7281,"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/posts\/7174\/revisions\/7281"}],"wp:attachment":[{"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/media?parent=7174"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/categories?post=7174"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.khpi.org\/blog\/wp-json\/wp\/v2\/tags?post=7174"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}