RSV, Flu And COVID-19: How 3 Viruses Are Affecting FL

FLORIDA — As Florida families gather for the holidays, they may come home with more than warm memories as Americans are being sickened by three viruses — seasonal flu, respiratory syncytial virus, or RSV, and COVID-19.

RSV detections declined nationally during the week ending Saturday, after sharp rises since mid-October, according to the Centers for Disease Control and Prevention. At the same time, seasonal influenza cases are ticking up in all but a handful of states, and COVID-19 cases, hospitalizations and deaths are all trending upward as well.

In Florida, flu activity was high in Florida as of the week ending with Nov. 26, CDC data shows. And the Florida Department of Health said the flu positivity rate increased the week of Nov. 13-19 — the most recent data the agency has available — though flu emergency room visits declined.

COVID-19 cases have remained fairly steady in the Sunshine State in recent weeks. Just shy of 13,000 cases were reported the week of Nov. 30, according to the CDC. The statewide new case positivity rate was 11.4 percent from Nov. 25 to Dec. 1, FDOH data shows.

And RSV is on the decline in Florida in recent weeks, according to the CDC. While the state saw a detection rate of 11.3 during the week of Nov. 19, that number dropped to 8 percent during the week of Nov. 26.

Dr. Ladan Pourmasiha, a family medicine physician and medical director for Baptist Health South Florida’s Urgent Care Centers in Broward County, told the Miami Herald that more people — both kids and adults — are likely getting sick this year because they saw less exposure to other viruses, including the flu, during the COVID-19 pandemic.

“As we start to build our immunity that we didn’t get for the past two years — because so many of these viruses were nearly non-existent because of social distancing and masking — we’re gonna start seeing dual infections and triple infection so we’re just going to have to wait this course out,” she said.

Children’s hospitals across the country are seeing a surge of sick kids.

In Florida, pediatric bed occupancy was running at about 64 percent as of Thursday, according to an NBC News analysis of Department of Health and Human Services data. The tracker is updated daily at 1 p.m. EST, according to NBC.

Nationally, the most overwhelmed states are Idaho at 104 percent, Arizona at 98 percent, Utah at 97 percent, Nevada at 96 percent, Rhode Island at 93 percent and Kentucky at 91 percent.

Overall, U.S. hospitals beds are at about 83 percent capacity, with 7.5 percent used by COVID-19 patients, according to HHS data.

In nearly 77 percent of inpatient beds are in use as of Tuesday morning. About 3 percent of those beds are in use by COVID-19 patients.

No Health Emergency Yet

Last month, pediatricians asked the Biden administration to declare a public health emergency that would give hospitals and providers more flexibility to care for children.

In their joint letter to President Joe Biden and Health and Human Services Secretary Xavier Becerra, the Children's Hospital Association and American Academy of Pediatrics said “significant capacity issues in pediatric hospitals and communities require flexibilities that can only be provided through a formal emergency declaration.

The flexibilities were provided to care providers at the height of the coronavirus pandemic, and “children’s providers require the same capacity support as they strive to keep up with increasing needs of infants, children and adolescents.”

As of Thursday, the Department of Health and Human Services had not declared the health emergency. It would allow for the waiver of certain Medicare, Medicaid or Children’s Health Insurance Program requirements that would allow hospitals, physicians, and other health care providers to share resources and access emergency funding to keep up with the growing demands, specifically related to workforce support.

The reason for the so-called “tripledemic” threat? Months of hunkering down and avoiding contact with others during the COVID-19 pandemic weakened Americans’ immune systems, according to health experts.

“Public health officials have been bracing for this possibility since early in the pandemic,” Dr. Michael Mina, chief science officer at eMed and one of the nation’s leading epidemiologists, said in a statement to CBS MoneyWatch.

“The recent surges are fully expected ramifications of a new virus that caused massive swings in human behavior,” Mina said. “We know that immunity is working exactly as it was supposed to, and in this case, it means that we drained population-level immunity by not having exposures.”

Most children get an RSV infection by the time they’re 2, but people can be infected at any age and more than once in a lifetime, according to the CDC. The symptoms are typically similar to the common cold. But for the extremely young whose lungs aren’t fully developed, the very old and people whose immune systems are compromised, RSV can lead to breathing difficulties.

“Right now, the problem really is just the volume of sick children, Dr. Thomas Murray, a pediatric infectious diseases physician at Yale Medicine, said in a news release, “but we know how to help them.”