1 00:00:00,000 --> 00:00:05,000 JUDY WOODRUFF: Let's take an in-depth look now at the human effects of the latest surge in COVID. 2 00:00:05,520 --> 00:00:09,360 Louisiana has the nation's highest per capita infections, 3 00:00:09,360 --> 00:00:14,360 driven in large part by the extremely contagious Delta variant. At the same 4 00:00:14,480 --> 00:00:18,800 time, Louisiana also has one of the country's lowest vaccination rates. 5 00:00:18,800 --> 00:00:23,800 This week, Governor John Bel Edwards reimposed a statewide mask mandate for all indoor settings. 6 00:00:26,240 --> 00:00:31,240 William Brangham and our team were given special access to one hospital, Baton 7 00:00:31,280 --> 00:00:36,280 Rouge General, as staff there try to save lives and to convince more people to get vaccinated. 8 00:00:37,840 --> 00:00:39,840 DR. STEPHEN BRIERRE, Baton Rouge General Hospital: So, we have got 9 00:00:39,840 --> 00:00:44,840 59-ish, fixing to be 60 ICU patients. Of those, 47 are COVID-positive. 10 00:00:47,040 --> 00:00:51,120 WILLIAM BRANGHAM: Each morning at Baton Rouge General Hospital begins like this. 11 00:00:51,120 --> 00:00:56,120 DR. STEPHEN BRIERRE: Yesterday was incredibly busy. We went from 39 to 47 COVID ICU patients. 12 00:00:58,080 --> 00:01:01,040 WILLIAM BRANGHAM: Dr. Stephen Brierre, the chief of critical care, 13 00:01:01,040 --> 00:01:04,480 briefs the hospital's division chiefs on the latest COVID numbers. 14 00:01:04,480 --> 00:01:09,480 DR. STEPHEN BRIERRE: 1-R saying that -- and this is ugly. I hate to talk about it. 15 00:01:10,320 --> 00:01:12,000 We need to expand the morgue. 16 00:01:12,000 --> 00:01:13,920 You seem to be having some trouble with that. 17 00:01:13,920 --> 00:01:17,360 WILLIAM BRANGHAM: Right after, Dr. Brierre is back upstairs in the ICU. 18 00:01:18,160 --> 00:01:22,160 Just over a month ago, there were 10 COVID patients in the hospital. 19 00:01:22,160 --> 00:01:27,160 The day we visited, there were 129. It's a surge that's caught Dr. Brierre somewhat by surprise. 20 00:01:29,120 --> 00:01:32,960 DR. STEPHEN BRIERRE: I thought we were close to done. I knew Delta was going to be a little 21 00:01:32,960 --> 00:01:37,960 bit of a surge, especially in Louisiana, given our low vaccination rates. But I 22 00:01:38,080 --> 00:01:43,080 had no idea that the impact would be almost as severe as the first surge that we saw. 23 00:01:43,840 --> 00:01:48,560 WILLIAM BRANGHAM: More than 60 percent of people in Louisiana are not fully vaccinated, 24 00:01:48,560 --> 00:01:52,560 and that's overwhelmingly who's ending up in this hospital with COVID. 25 00:01:53,120 --> 00:01:58,120 Of those 129 hospitalized COVID patients, nearly 90 percent are unvaccinated. 26 00:01:59,760 --> 00:02:04,080 And doctors here believe, in part because of the Delta variant, 27 00:02:04,080 --> 00:02:06,880 patients may be getting sicker faster. 28 00:02:06,880 --> 00:02:10,800 DR. STEPHEN BRIERRE: We're certainly seeing a group of people, not all of them, but a group 29 00:02:10,800 --> 00:02:15,800 of them in the ICU who rapidly deteriorate. So, people that we would have thought we would have 30 00:02:17,120 --> 00:02:22,120 been able to support without a ventilator for a week or two to get them through it, 31 00:02:22,880 --> 00:02:27,680 we're running to the bedside to intubate them 24, 48 hours into the hospital... 32 00:02:27,680 --> 00:02:28,414 (CROSSTALK) WILLIAM BRANGHAM: That fast? 33 00:02:28,414 --> 00:02:29,280 DR. STEPHEN BRIERRE: Yes, sir. 34 00:02:29,280 --> 00:02:33,840 WILLIAM BRANGHAM: Seeing this large number of unvaccinated people coming through your doors, 35 00:02:33,840 --> 00:02:36,960 is that frustrating to you? And is it just -- you just think, 36 00:02:36,960 --> 00:02:40,560 that's just the way our society is? Like, how do you square that? 37 00:02:40,560 --> 00:02:45,120 DR. STEPHEN BRIERRE: I try not to dwell on it too much. 38 00:02:45,120 --> 00:02:46,320 WILLIAM BRANGHAM: Why not? 39 00:02:46,320 --> 00:02:48,720 DR. STEPHEN BRIERRE: Because it does frustrate. 40 00:02:50,000 --> 00:02:52,800 There is a little bit of we shot ourselves in our foot. 41 00:02:54,160 --> 00:02:59,160 I'm not mad at people who didn't vaccinate. And I understand a lot of it. I mean, 42 00:03:00,240 --> 00:03:05,240 there was so much misinformation out there. And the country is so polarized, 43 00:03:06,480 --> 00:03:11,440 ROBERT WILSON, COVID Patient: Until it affects you personally, you don't know. Now I know. 44 00:03:11,440 --> 00:03:16,240 WILLIAM BRANGHAM: In one of those in-demand hospital beds is Robert Wilson, 45 00:03:16,240 --> 00:03:20,880 a 49-year-old who contracted the virus last month. He wasn't vaccinated. 46 00:03:20,880 --> 00:03:25,880 ROBERT WILSON: It wasn't political. It just - - I didn't figure I was going to need it, 47 00:03:26,400 --> 00:03:31,197 because nobody really knows the long term of this vaccine, and people are scared of it. 48 00:03:31,197 --> 00:03:34,080 WILLIAM BRANGHAM: So, that was your concern? That you might take the shot, 49 00:03:34,080 --> 00:03:35,323 and it might harm you long-term? 50 00:03:35,323 --> 00:03:38,960 ROBERT WILSON: Down the road, we don't know. And that's most people's experience that I know. 51 00:03:39,760 --> 00:03:44,760 But if it combats this, I'm going to get it, this go-round. 52 00:03:44,800 --> 00:03:47,200 WILLIAM BRANGHAM: Because of his brush with the virus, 53 00:03:47,200 --> 00:03:50,400 Wilson says his family is planning to get vaccinated too. 54 00:03:51,600 --> 00:03:56,480 Thirty-two-year-old Jordan Miller is an ICU nurse. She's been here through the whole pandemic. 55 00:03:58,320 --> 00:04:03,320 And she says, for her, this is the worst yet. Staff are tired, burned out. They're 56 00:04:03,840 --> 00:04:08,800 working overtime. And she says too many people don't take the virus seriously. 57 00:04:08,800 --> 00:04:10,000 JORDAN MILLER, Nurse, Baton Rouge General Hospital: It's something 58 00:04:10,000 --> 00:04:13,440 that could have been prevented. And that's what's so hard. 59 00:04:13,440 --> 00:04:18,240 And because these people are younger and healthier, 60 00:04:19,680 --> 00:04:24,680 it hits even harder. You know, I had a 34-year-old patient that I was talking to, communicating with, 61 00:04:29,920 --> 00:04:34,920 having a discussion about his family, and then, within four hours, he coded and died, 62 00:04:37,600 --> 00:04:40,240 34 years old, no medical history. 63 00:04:40,240 --> 00:04:41,840 WILLIAM BRANGHAM: Unvaccinated? 64 00:04:44,720 --> 00:04:49,360 While the unvaccinated are the lion's share of hospitalizations and deaths 65 00:04:49,360 --> 00:04:52,320 here and nationwide, that's not true for all. 66 00:04:52,320 --> 00:04:57,320 RITA EAMES, COVID Patient: I had my vaccine in January and February, 67 00:04:58,160 --> 00:05:02,480 and I just started feeling bad a couple of weeks ago. 68 00:05:03,360 --> 00:05:07,280 WILLIAM BRANGHAM: Seventy-year-old Rita Eames says she did everything she was asked to do 69 00:05:07,280 --> 00:05:10,960 to avoid COVID, including getting her and her family vaccinated. 70 00:05:11,600 --> 00:05:16,000 Nevertheless, she developed a rare breakthrough case a couple of weeks ago. 71 00:05:16,000 --> 00:05:21,000 RITA EAMES: I think my odds are much better than me not having any vaccine. 72 00:05:24,800 --> 00:05:28,800 If I had to do it all over again, I would do it all over again. 73 00:05:28,800 --> 00:05:33,120 DR. STEPHEN BRIERRE: So what could we have done as a population 74 00:05:33,680 --> 00:05:38,680 to decrease her risk of being in an ICU for her fifth day now? And what we could have done is, 75 00:05:40,640 --> 00:05:45,520 the rest of us could have been vaccinated, because we know, if we're vaccinated, we 76 00:05:45,520 --> 00:05:50,520 decrease the probability of catching it ourselves and transmitting it to someone like Ms. Eames. 77 00:05:52,400 --> 00:05:56,720 WILLIAM BRANGHAM: Louisiana's low vaccination rate applies to medical staff as well. 78 00:05:57,280 --> 00:06:02,000 At Baton Rouge General, about half the hospital staff haven't taken the vaccine. 79 00:06:02,640 --> 00:06:06,320 One of them is surgical tech Ashley Lanoux. She spent much 80 00:06:06,320 --> 00:06:10,080 of last year recovering from breast cancer and undergoing chemotherapy. 81 00:06:10,080 --> 00:06:11,680 ASHLEY LANOUX, Surgical Technologist, Baton Rouge General Hospital: I was very 82 00:06:11,680 --> 00:06:16,160 unsure about it just because it was thrown out so quick. 83 00:06:16,800 --> 00:06:18,960 WILLIAM BRANGHAM: You mean they developed the vaccine so quickly. 84 00:06:18,960 --> 00:06:19,339 ASHLEY LANOUX: Yes. 85 00:06:19,339 --> 00:06:20,640 WILLIAM BRANGHAM: And that made you nervous. 86 00:06:22,080 --> 00:06:27,080 ASHLEY LANOUX: Mm-hmm. Yes. I mean, it was - - it felt very rushed. Like, why -- why did 87 00:06:28,320 --> 00:06:33,320 you all of a sudden come up with a vaccine so quickly for something that just came around? 88 00:06:34,800 --> 00:06:39,440 WILLIAM BRANGHAM: Well, they would say it's because over 600,000 Americans died, 89 00:06:39,440 --> 00:06:41,120 and we have got to stop those deaths. 90 00:06:44,880 --> 00:06:45,920 That doesn't persuade you? 91 00:06:45,920 --> 00:06:46,320 ASHLEY LANOUX: No. 92 00:06:46,320 --> 00:06:48,800 WILLIAM BRANGHAM: 93 00:06:48,800 --> 00:06:53,800 Then, two weeks ago, Lanoux got COVID, and ended up at urgent care, needing an infusion 94 00:06:54,080 --> 00:06:59,080 of monoclonal antibodies. That experience pushed her closer to getting the vaccine, but not fully. 95 00:07:00,560 --> 00:07:05,560 ASHLEY LANOUX: I'm on the yes side, but I'm not 100 percent yet. I mean, there's a lot of people 96 00:07:08,640 --> 00:07:13,640 even around here that have questions about it and the uncertainty just with the employees. 97 00:07:14,240 --> 00:07:19,240 WILLIAM BRANGHAM: This week, another major hospital in Baton Rouge, Our Lady of the Lake, 98 00:07:19,600 --> 00:07:23,520 said it would now require its employees to get vaccinated. 99 00:07:24,240 --> 00:07:27,280 Baton Rouge General says it's not quite ready for that step. 100 00:07:27,280 --> 00:07:31,120 DR. DAWN MARCELLE, Baton Rouge Regional Medical Director: I do think that mandating vaccines 101 00:07:32,240 --> 00:07:37,240 would be helpful when it comes to increasing the vaccination rate. 102 00:07:37,760 --> 00:07:42,320 WILLIAM BRANGHAM: Pediatrician Dr. Dawn Marcelle is the public health 103 00:07:42,320 --> 00:07:46,720 director for the region that includes Baton Rouge. She works with hospitals, 104 00:07:46,720 --> 00:07:51,720 clinics, the National Guard and many others to increase COVID testing and vaccination. 105 00:07:52,560 --> 00:07:56,960 She says, in addition to more mandates, this surge in cases and deaths 106 00:07:56,960 --> 00:08:01,840 is already motivating some to change their minds about getting the shooting. The state 107 00:08:01,840 --> 00:08:06,840 saw a fourfold increase in first doses received in the six weeks from mid-June to late July. 108 00:08:08,000 --> 00:08:11,920 DR. DAWN MARCELLE: We have seen increased traffic at our parish health units across 109 00:08:11,920 --> 00:08:16,920 the state. People are calling now like they were at the very beginning of vaccine availability. So, 110 00:08:17,200 --> 00:08:22,200 we are seeing a definite uptick in interest in vaccines and people getting vaccinated. 111 00:08:23,280 --> 00:08:27,200 WILLIAM BRANGHAM: Back on the ICU floor, staff have already built 112 00:08:27,200 --> 00:08:29,840 two additional units and are planning on a third. 113 00:08:29,840 --> 00:08:32,480 DR. STEPHEN BRIERRE: You're already down to 80 percent 114 00:08:32,480 --> 00:08:34,880 oxygen, and I'm going to decrease it some more. 115 00:08:34,880 --> 00:08:39,280 WILLIAM BRANGHAM: Dr. Brierre, nurse Miller and the other staff are stressed out and 116 00:08:39,280 --> 00:08:44,280 stretched thin, just hoping more people will hear their pleas to get vaccinated. 117 00:08:45,040 --> 00:08:49,760 Do you think, if I come back here six months from now, we're going to still be having this debate? 118 00:08:49,760 --> 00:08:54,240 DR. STEPHEN BRIERRE: I didn't think we'd be here today six months ago, 119 00:08:54,240 --> 00:08:58,960 when we knew that a vaccine was fixing to be available to us. So I don't know. 120 00:08:58,960 --> 00:09:03,960 WILLIAM BRANGHAM: The COVID surge here isn't expected to peak until mid-September. 121 00:09:05,360 --> 00:09:10,360 For the "PBS NewsHour," I'm William Brangham in Baton Rouge, Louisiana.