Coronavirus Update: 1.791M Infections, 27,892 Related Deaths; Pediatric Deaths, LTC Outbreaks Concern Officials as Omicron Wanes


New infections may have peaked, NJ Health Commissioner Judy Persichilli says, but four children have died of COVID-19-related complications since Christmas, and LTC sites battle new outbreaks.

By Matt Skoufalos | January 24, 2022

COVID-19 Dashboard – 1-24-22. Credit: NJDOH.

Another 4,338 New Jersey residents have tested positive for novel coronavirus (COVID-19), bringing the statewide total to 1.791 million cases confirmed via polymerase chain reaction (PCR) testing, Governor Phil Murphy reported Monday.

New Jersey is also reporting 617 new COVID-probable cases based on antigen tests, bringing the statewide total to 280,872 positive antigen tests.

Antigen tests have a faster turnaround time than PCR tests—sometime within 15 to 30 minutes—but are less reliable at detecting active viral infection, and are more capable of reporting false positives.

New infections at the end of 2021 and into the first month of 2022 have been driven by a surge in COVID-19 variant B.1.1.529, “Omicron.” Although cases have fallen by two-thirds from levels seen two weeks ago, totals still exceed the peaks of surges from both the summer of 2021 and winter of 2020.

“The Omicron tsunami which had washed across the state is continuing to pull back,” Murphy said. “We are on the backside of Omicron, but we are not free of it.”

Sadly, 24 more residents have perished from complications related to the virus, bringing the statewide, confirmed death toll to 27,892 lives lost during the pandemic.

In addition to those lab-confirmed fatalities, the state has acknowledged another 2,907 probable COVID-19-related deaths—31 more than previously reported.

Since March 2020, 1,222 of every 100,000 New Jersey residents (more than one out of every 100) have been hospitalized with COVID-19, and 317 of every 100,000 have died from COVID-19-related complications.

More than 17.121 million polymerase chain reaction (PCR) tests for COVID-19 have been performed statewide, with a 20.33-percent positivity rate per 100,000 residents.

Rate of transmission (Rt) at 0.64, spot positivity highest in South Jersey

The statewide average of COVID-19 spot positivity testing based on PCR test results stood at 15.37 percent January 10; in South Jersey, it was highest, at 17.66 percent.

Rt, the variable that describes the seven-day, rolling-average, statewide rate of transmission of new COVID-19 cases, fell to 0.64 on January 24.

An Rt figure of less than 1.0 means that each new COVID-19 patient is infecting less than one other person, on average, and the spread of the virus is decreasing.

Since its mid-April-2020 pandemic-high spike, the highest reported RT in New Jersey was 1.77, recorded January 3, 2022. Prior to artificially low, adjusted reports of 0.34 in the first week of May 2021, the lowest in the pandemic was 0.62, recorded June 9, 2020. On May 21, 2021, it reached a new low, of 0.59.

Simulated COVID-19 patient in a hospital bed. Photo by Mufid Majnun on Unsplash

COVID hospitalizations beginning to fall

Throughout New Jersey, 4,101 people currently are hospitalized with a suspected (73) or confirmed (4,028) case of COVID-19, Murphy said

Among those hospitalized patients, 711 are in intensive or critical care, and 465 of the ICU and critical-care patients (65 percent) are on ventilators.

New Jersey Health Commissioner Judy Persichilli said that it’s likely cases and hospitalizations may have peaked in the past two weeks.

Nonetheless, the number of those people in hospital remains higher than it’s been during the prior surges, Murphy said.

In New Jersey’s 71 critical care hospitals, 384 patients were hospitalized with COVID-19 yesterday, while 475 others were discharged.

LTC update: outbreaks climb amid un-boosted caregivers

Across the state, long-term care (LTC) centers have reported 2,350 cumulative outbreaks of COVID-19, and 561 are dealing with an active outbreak.

LTCs account for 80,917 infected patients and staff in New Jersey, or 4.5 percent of total cases.

That includes 44,797 residents and 36,120 staffers sickened by the virus, as well as 8,936 lab-confirmed resident and staff deaths (32 percent of the statewide confirmed total), with facilities self-reporting 165 staff deaths.

“The high transmissibility of omicron has become problematic for healthcare workers who have fallen ill, and it has fueled new outbreaks in our nursing homes,” Persichilli said.

She cited the 560 active LTC outbreaks reported in the past week, which account for 10,500 resident cases and 12,800 staff cases.

The commissioner also noted that, although nearly 81 percent of LTC residents have received vaccine boosters, only 44 percent of LTC staffers have done so. Statewide, booster rates are “at an unacceptably low 49 percent,” Persichilli said.

Of 621 veterans residing in three state-run homes, 456 residents have tested positive for COVID-19, and 166 have died from complications related to the virus—three more than previously reported. Forty-one currently are COVID-19-positive.

The facilities at Menlo Park, Paramus, and Vineland are staffed by 1,365 workers, 76 of whom are presently COVID-19-positive. The facilities have sustained two staff deaths related to the virus.

At state-run psychiatric hospitals, 378 of 1,141 patients and 1,136 staff members have tested positive for COVID-19. At least 14 patients and eight staffers have died from complications related to the virus; 114 patients and 206 staffers are currently positive.

Judy Persichilli – NJ COVID-19 Briefing – 1-24-22. Credit: NJ Pen.

MISC, school cases up amid new pediatric COVID-19 deaths

To date, 166 New Jersey children aged 1 to 18 have been diagnosed with pediatric multisystem inflammatory syndrome (MISC)—10 more than previously reported.

“On Friday, we received six reports of new cases of MISC in children, the most in a single day,” Persichilli said.

“All are currently hospitalized.”

Five MISC cases have been reported in Camden County, which is tied with Cumberland and Monmouth Counties for fourth-fewest in the state.

All those pediatric patients have tested positive for an active COVID-19 infection or the presence of COVID-19 antibodies, indicating exposure to the virus.

New Jersey has sustained four COVID-associated child deaths, including those of three infants, since Christmas, Persichilli said. None of those children had significant underlying conditions that could have compromised their immune response to the virus, she added.

“The fact that we’ve had significant deaths in zero-to-four-year-olds is beyond me,” she said.

Overall, the state has lost 12 children of COVID-related causes throughout the pandemic: eight of them have been younger than four, and four others were aged five to 17. One additional child has died from MISC-related complications.

Persichilli called it “a reminder that COVID-19 isn’t always a benign illness in children,” and called for residents aged 5 and older to “get vaccinated to protect those who are too young” to receive a shot.

“Make sure those around your infants are up-to-date on COVID-19 vaccines, and avoid crowded gatherings,” she said.

From August 1, 2020 through the end of the 2020-2021 school year, 293 COVID-19 outbreaks encompassing 1,385 individual cases were traced to in-school activities in all 21 New Jersey counties. In Camden County, 18 outbreaks were linked to 78 in-school cases, sixth-most in the state.

Since the start of the 2021-2022 school year, 406 reported outbreaks—three or more students or staff who contracted the virus within the school—have been logged, affecting 2,365 people, a mix of students and staff.

In Camden County, 43 COVID-19 outbreaks have accounted for the in-school infections of 325 people, which is the largest case count and second-largest outbreak count of any county in the state, and more than the county had sustained in the entire prior school year.

COVID-19 vaccine bottle mock-up. Photo by Daniel Schludi on Unsplash

Vaccination update: NJ clears 6.3M fully vaccinated in-state

More than 13.905 million primary-series COVID-19 doses have been administered in New Jersey, with 6.342 million people having been fully vaccinated in-state, having received either a one-shot formulation from Johnson and Johnson or both doses of the two-shot Pfizer or Moderna vaccines.

Some 75 percent of the state population that is eligible for vaccination has completed its full vaccination series; however, booster rates remain low, Persichilli said.

The commissioner also noted that hospitalization of vaccinated individuals who’ve had a COVID-19 booster is three times lower than those who’ve only gotten a primary vaccine series.

In Camden County, 709,007 doses have been administered, seventh-most in the state; 341,461 people have been fully vaccinated.

An estimated 545,862 vaccine doses have been administered to New Jersey residents outside of the state, of which 219,071 residents are estimated to have been fully vaccinated.

Vaccination sites in New Jersey have also administered 1.438 million Pfizer third/booster doses, 1.197 million additional Moderna doses, and 56,877 additional Johnson and Johnson doses.

The unvaccinated remain at the greatest risk of serious illness or death from COVID-19, Persichilli said, urging all residents to receive their shots and boosters; so far, only 46 percent of those eligible have received a booster.

The health commissioner said she is especially concerned for the 520,000 New Jersey children who are too young—under the age of five—to be vaccinated.

The first vaccines in the state were administered December 15, 2020; by February 8—55 days later—New Jersey had immunized its millionth resident. Twenty days thereafter, that count hit 2 million, and 3 million within two more weeks.

On March 29, New Jersey crossed the 4-million-dose threshold, and the state cleared 5 million doses over the weekend of April 10, 2021. Eight days after that, New Jersey hit the 6-million-dose mark. By May 3, 2021, the state had cleared 7 million doses administered, and two weeks later, it had surpassed 8 million doses.

Gov Phil Murphy – NJ COVID Briefing 1-24-22. Credit: NJPEN.

As of June 2, 2021, the state had cleared 9 million administered doses and 4 million fully vaccinated New Jerseyans, and on June 18, hit 4.7 million vaccinated individuals, its target goal for 70 percent of the adult population of the state.

By mid-July, that number had increased to 5.019 million people fully vaccinated at New Jersey vaccination sites.

At the end of August 2021, the state had exceeded 11 million doses administered and had begun approaching 6 million fully vaccinated residents.

It took until mid-October 2021 to clear the 12-millionth vaccine dose administered, at a time when some residents began receiving booster doses or third doses. By late October, New Jersey finally reached an estimated 6 million fully immunized residents, nearly three months after having crossed the 5-million-resident threshold. Since then, primary series vaccination rates have stalled.

Murphy urged all residents who are eligible for the COVID vaccine to receive it, likening being unvaccinated to drunk driving.

“You’re not only putting yourself at risk, you’re putting others at risk,” he said.

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