January 30, 2023

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In Alaska, the epicenter of the American epidemic, doctors have to choose who will live or die

Anchorage, Alaska-Pan-American Health Organization warns that if the Govt-19 epidemic in the US fades, the situation in Alaska, the epicenter of the current US health crisis, is worrying. The situation in the state is so complex that it is up to the doctors to choose who to treat.

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Nearly two years after the epidemic began, the situation in the U.S. Ecclesiastes is similar to the scenes seen in the first months of last year: a shortage of equipment, patients being treated in corridors and having an emergency ration. Faced with the heavy burden, Republican Gov. Mike Dunlevy called on doctors in other parts of the country for help.

At the Providence Medical Center in Anchorage, the state’s largest hospital, doctors have to choose who to treat according to their best chance of survival. In one case, two patients required continuous hemodialysis, but only one machine was available. The doctors put one of them on the instrument and then transferred it to another. Did not oppose the first Govt.

For most of the epidemic, the state’s natural isolation helped contain the health crisis. There were strict test criteria for coming from abroad and many villages were isolated to control the exchange. At the beginning of the vaccination, they mobilized planes and boats so that the sizes could reach the most remote areas.

Last week, however, Alaska recorded 125 new cases per 100,000 population, a higher rate in the U.S. states and four times higher than the national average. Mortality does not rise at the same rate: there were 0.37 deaths per 100,000 people below the national average of 0.54.

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Vaccine resistance

However, as in other states, there is great resistance to the vaccine. Today, 58% of the state’s population has taken at least one dose, and 51% have completed the vaccination course, according to data from the U.S. Centers for Disease Control and Prevention.

In parallel, Governor Dunlevi opposed drastic measures to curb broadcasting, which is unpopular with the majority of major Republicans in Alaska, where President Donald Trump received nearly 53 percent of the vote last year. New cases in the United States have dropped by 24% in the last fortnight, while they have increased by 7% in the state.

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After 19 months of infection, the overload of the hospital system is not new, but the distance from the remote state to other parts of the U.S. prevents the flexibility to move patients to neighboring cities or states. The main aid is 2,400 km from Seattle, and its hospitals are struggling to cope with the health crisis.

“When hospitals are full, you can’t put patients in ambulances and take them to other cities,” Senator Lisa Murkowski said on the Senate floor last week, describing her own trip to the emergency room at Fairbanks to pick up a relative. Need help.

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Resistance to masks

Doctors and nurses have asked people to take the health crisis very seriously, but they often face hostility. For example, at the end of last month, when the English legislature debated the mandatory use of masks, experts were provoked by people seeking treatment with the ineffective drug Ivermectin, which was proven against Govt-19, promoted by President Jair Bolsanaro.

At another meeting the next day, an armed man was arrested for causing a disturbance. At the session, several residents wore a yellow star to David, comparing the forced use of masks to the Holocaust. Several doctors, according to the New York Times, discussed whether to attend the meeting.

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Meanwhile, in hospitals, specialists face ethical issues about the screening they have to do. According to Michael Bernstein of the hospital in Anchorage, the tripartite panel had to make decisions in about 10 cases. In them, for example, respirators were assigned to those with fewer complications and one man with Govit-19 and advanced cancer did not survive.

The hospital was forced to delay taking care of it in other ways, Bernstein said. For example, as of last week, 29 heart surgeries had been postponed and 21 transplant requests had been rejected.