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Austin moves to stricter Stage 4 guidelines after surge in COVID-19 cases
Austin leaders announced Monday afternoon that Austin/Travis County is moving to Stage 4 (out of 5) risk-based guidelines for COVID-19. In addition, Austin's "Stay Home" order was extended to August 15. The changes are based on a surge in the number of new coronavirus cases and hospitalizations.
“This is not about shocking people. We don't want people to live in fear. We want them to be smart,” said Dr. Mark Escott, Interim Health Authority with Austin Public Health.
Dr. Escott says it's critical that the public wear masks and keep their distance whenever and wherever they go out.
“Last week we had 799 new cases diagnosed in the Sunday to Saturday period. This represents a 90-percent increase as compared to the week prior,” said Dr. Escott.
Another key indicator of a surge in COVID-19 is how long it takes for the number of new coronavirus cases to double. In Travis County that doubling time has dropped from 44 days to 25.
Austin also saw a record number of hospital admissions on Sunday, moving the seven-day rolling average to above 20 admissions. For weeks, Austin Public Health (APH) has been calculating a seven-day rolling average of new COVID-19 hospitalizations. APH established 20 as the trigger that would prompt a change from Stage 3 to the stricter Stage 4. Travis County hit a 20.6 average on Sunday.
Dr. Escott says hospital capacity is at around 70 percent right now with a small percentage of those patients diagnosed with COVID-19. The move to stricter guidelines (Stage 4) is to prevent an overload in the upcoming weeks at Austin area hospitals.
According to Dr. Escott, if the number of COVID patients in hospitals exceeds 1100, there would be a need to implement the area’s surge plan. However, that gets more difficult if neighboring cities like Dallas, Houston and San Antonio are experiencing surges at the exact same time.
Stage 4 Risk-Based Guidelines recommend those with a lower risk for contracting coronavirus avoid social gatherings with more than 10 people and non-essential travel, shopping and dining.
High-risk individuals, which includes people over 65 and those with underlying health conditions, should limit social gatherings to no more than two people.
“It is no longer really safe for people over 65 to be going out,” said Mayor Adler. ""On our current path more people are going to get sick and die than what would happen if we maintain social distancing and wear masks."
Austin Public Health says it's critical that we act to keep the strain on hospitals from forcing recently reopened businesses to shut down.
“We don't have to choose one or the other, we have to choose both. Those simple things, the masking, the social distancing, the personal hygiene is how we achieve both. So, I really do not understand as a public health official, as a physician, why we can’t all get behind those simple things,” said Dr. Escott.
Mayor Adler and Austin Public Health say data shows COVID-19 is disproportionately impacting communities of color in Austin. Adler says the virus is coming at us "more quickly than we ever imagined." He says our actions over the next few weeks are critical to protecting seniors and people of color who have been hit hardest by the coronavirus.
Former Travis County Judge Sarah Eckhardt said Governor Greg Abbott has stripped the power of cities to enforce "stay at home" orders and require people to wear masks.
“The Governor has shown every intention of getting back to business as usual irrespective of the facts you've just heard from Dr. Escott,” said Sarah Eckhardt, former Travis County Judge. “The Governor would not provide local authority to enforce face masking, although he did agree it was a good adaptation. So, that was disheartening,” said Eckhardt. When asked where new cases are coming from, Dr. Escott said, "the truth is it's everywhere."
The city is encouraging people to get checkups and other procedures now while hospitals have space.
Governor Greg Abbott is expected to give an update to state hospital capacity numbers on Tuesday.