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Why Is Surgeon General Dr. Vivek Murthy Worried?

Surgeon General Vivek Murthy is worried that the pandemic is getting worse in the US.

At a White House briefing on July 15 to announce a new campaign against COVID-19 misinformation, he shared his concerns about an urgent public health crisis – the growing surge of new Covid infections in the US. “Millions of Americans are still not protected against COVID-19. We are seeing more infections among those who are unvaccinated.”

The CDC warns that a “pandemic of the unvaccinated” is on the rise.

Murthy’s view was echoed by experts at a July 16 EMS briefing on the current state of the COVID-19 epidemic and vaccine rollout.

The CDC’s José T. Montero said on July 15 alone, the CDC recorded 33 thousand new cases of COVID-19.

After a reprieve in early 2021, granted by effective vaccines, masking mandates, and lockdown measures, new COVID-19 infections are increasing, driven by lagging vaccination rates and the highly contagious Delta variant.

The country is witnessing an alarming escalation in the 7 day average of Covid infections added Montero –  from 26% to 211 % per day.

“It is quite clear that this pandemic is not over,” said Montero.

The upward trend is a warning.

Although 160 million people (48.3% of the total U.S. population) have been fully vaccinated, and 55% have received at least one dose, the rapid rise in infections makes it evident that the coronavirus and its lethal Delta variant has unvaccinated communities squarely in their sights.

“Our 7-day average is at 26,300 cases a day,” said Montero, the CDC Director for Center for State, Tribal, Local, and Territorial Support. That represents a 70% increase from the previous 7-day average. The CDC, which is tasked with monitoring the nation’s health reported a 7-day average of hospitalization admissions (around 2790 per day), an increase of 36 % from the previous 7-day period.

Montero emphasized that people who are unvaccinated account for a majority of the new infections, hospitalizations, and deaths. Unsurprisingly, communities that are fully vaccinated are faring way better. Outbreaks of cases are erupting in different parts of the country “especially those with low vaccination coverage”.

The CDC’s Covid data tracker reported a corresponding ten percent increase in counties at high risk and a 7 percent increase in counties at substantial risk in the past week.

As of July 14, a total of 605,905 COVID-19 deaths have been reported. Almost 99.5 percent of the Covid deaths were among the unvaccinated, confirmed Dr.Fauci in an interview on PBS.

Surgeon General Murthy called the needless loss of life  from the virus “painful” and pointed out that “nearly every death we are seeing now from COVID-19 could have been prevented.”

So why is a surge in infections occurring despite the wide availability of vaccines available nationwide?

To a large extent, social determinants of health – “ where people live, work, learn and play”  – affect health risks and outcomes. Long-standing systemic health and social inequities in rural areas, for example, put some communities at greater risk of getting Covid.  But the uptick in cases correlates with low levels of vaccination and not in areas where a high percentage of the population is vaccinated.

Statistics shared by experts at the briefing confirm the virus is surging in pockets of the country with low vaccination rates. Cases are spiking in Yuba and Sutter Counties (California), which rate high on the CDC’s Social Vulnerability Index.  Only 33% of Yuba County is vaccinated, compared to Placer County which has vaccinated more than half its residents.

“We are going to continue to see preventable cases, hospitalizations, and sadly, deaths among the unvaccinated, ”said Dr. Murthy.

He blamed the rapid spread of misinformation on the Internet for exacerbating the Covid public health crisis. His office has issued an advisory on how to counter misleading health information which “poses an immediate and insidious threat to our nation’s health.” Inaccurate content is poisoning the health environment and leading vulnerable people in high-risk settings to resist wearing masks, turn down proven treatments and choose not to get vaccinated.

“Simply put, health misinformation has cost us lives,” said Dr.Murthy, and is “taking away our right to make informed decisions about our health and the health of our loved ones.”

Current vaccines offer a measure of protection against COVID-19 and its mutations.

But the greatest danger ahead comes from the Delta variant which is quickly becoming the dominant coronavirus strain across the country. The Delta variant is highly transmissible and spreading rapidly. CDC experts confirmed that it is the most prevalent variant in the US, representing more than 57% of the samples being sequenced across the country. Less than a month ago in the middle of June, infection rates which were at 26% have gone up to 57%.

Dr. Lauri Hicks and Dr. Jose T. Montero, CDC

Lauri Hicks, DO |Chief Medical Officer of CDC’s Medical Task Force, warned that people who are unvaccinated or partially vaccinated were at high risk of COVID-19 and its mutations. She urged people to get vaccinated ‘on time’ and take advantage of the increase in nationwide vaccine availability of FDA-approved vaccines that offer protection against Delta and other known variants.

Hicks, who works with an independent advisory committee that makes vaccine recommendations, reiterated the importance of getting fully vaccinated. Pfizer and Moderna each exceed “90 percent effectiveness against illness including severe disease,” she said.

Hicks emphasized that completing the series of two doses for both vaccines offer effective protection two weeks after the second dose. She confirmed that there was no need to restart the series if the second vaccine dose was taken later than recommended – after three or four weeks.

“Not completing the series puts those who are partially vaccinated at risk of Covid, including the highly contagious Delta variant,” said Hicks, adding, “COVID-19 vaccination is our most effective strategy without a doubt to prevent infection and control the pandemic!”

At the White House briefing, the Surgeon General shared that he lost 10 family members to Covid, highlighting that the pandemic affects everyone.  As the concerned father of two young children who are not yet eligible for the vaccine, Dr. Murthy urged people to get their shots because our kids rely on us to shield them from the virus. Younger, unvaccinated people are more at risk, says a CDC study which reported that people under age 30 accounted for more than 20% of US COVID-19 cases. 

“We’ve come a long way” he said, “but we are still not out of the woods yet.”

As the Delta variant rips through unvaccinated communities across the US, how painful will it have to get before states reconsider their rescinded mask mandates?


Meera Kymal is the Contributing Editor at India Currents