A vaccine shot (via Arlington County/YouTube)

Chances are you know someone who’s sick right now — if you’re not sick yourself.

We’re in the thick of cold and flu season, and each is on the rise alongside Covid and RSV, though the latter might be peaking. In at least one local drug store, meanwhile, ARLnow noted that Kleenex and Pedialyte seemed to be in short supply.

This morning, in light of the rising levels of illness, we’re wondering about vaccinations. Are you up-to-date on the vaxes for this year’s cold, flu and Covid season? Or are you just letting things play out and hoping for the best?


APS Elementary Math Supervisor Shannan Ellis speaks during the School Board meeting on Thursday, Oct. 12, 2023 (via Arlington Public Schools)

Arlington Public Schools says it is closing a math achievement gap worsened by Covid.

But a School Board watchdog group says the school system’s new progress report is missing pre-Covid data and paints a misleading picture of how far APS still has to go.

Overall, every student subgroup Arlington tracks — based on race or ethnicity or economic status, for instance — saw gains since in-person school resumed, according to the APS math office, which presented new data to the Arlington School Board during its Oct. 12 meeting. The new results were part of a discussion of the work of the office and math teachers to help students recover Covid-era drops in performance on state math tests called the Standards of Learning, or SOL.

The office highlighted the growth among students who scored the lowest on math SOL tests and received support from Arlington’s 10 new math interventionists. They are stationed at three middle schools in South Arlington and all but one of Arlington’s 10 Title 1 elementary schools, which have the highest concentration of low-income students. The office noted students with access to interventionists progressed more than their peers without that support.

The distinction was played as part of a pitch for more math interventionists in the upcoming budget. Elementary Math Supervisor Shannan Ellis said teachers report students with access to interventionists demonstrate more confidence in math, think more flexibly and persist when faced with challenges.

“This is for the children in Arlington County to get what they need,” Ellis said. “These are people who are working with our students [who] have the greatest need… [where] it is either highly improbable or impossible for teachers to grow them in one or more years.”

While the presentation focused on three-year trends, a “deeper dive” into more historical math data is forthcoming, Chief Academic Officer Gerald Mann told the School Board.

For Arlington Parents for Education, which formed during the pandemic to advocate for school reopenings and a focus on Covid-era learning loss, not including pre-Covid data downplays the width and persistence of achievement gaps in Arlington.

“APS should not obscure the large remaining challenges to the School Board or the public — it still has a long way to go in terms of recovering from the learning losses caused by prolonged school closures, which have dramatically increased the gap in performance between at-risk students and other students,” it says in a recent letter. “And the rate of recovery on both dimensions is too slow. ”

Virginia Dept. of Education data show the achievement gap in Arlington among Black and Hispanic and white students, for instance, was wider than the state-level gap pre-Covid. The pandemic exacerbated these gaps.

There are similar trends in the achievement gaps for students who are economically disadvantaged or learning English.

Among its issues with the presentation, APE disputed how the presentation celebrated that, for economically disadvantaged students, “APS is closing the gap faster than the state.”

“This overlooks the point above that we are ‘closing the gap’ faster primarily because there is a bigger gap to close (in comparison to the state),” it said, noting APS ranks 65th out of 130 districts in Virginia for math SOL rates for economically disadvantaged students, which is down 10 places from its ranking in 2016-17.

“In other words, not only is APS failing to improve the performance of at-risk students at the same pace as the state, in comparison to the year 2016-17, our performance relative to other districts has declined,” the group said.

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As flu season ramps up, the director of Centers for Disease Control and Prevention (CDC) stopped by the Arlington Free Clinic today to rally the healthcare troops.

Dr. Mandy Cohen stopped in Arlington on Tuesday as part of a nationwide tour aimed at boosting vaccinations for Covid and other illnesses, including the flu and respiratory syncytial virus (RSV), while reminding healthcare workers why it is crucial to urge patients to get their vaccinations.

“We know that folks are tired of all things Covid and vaccines and the whole thing,” she told a room full of nurses and staff Tuesday. “So, you need to bring the extra energy this season to make sure that folks know how important it is to still get vaccines, to still get protected. We don’t want fatigue to be the reason that folks aren’t protected.”

The visit also coincided with a clinic vaccination event in which 75 of the clinic’s more than 1,300 patients — all of whom are uninsured — rolled up their sleeves for Covid, RSV and flu shots.

Many live in the 22204 zip code, which is where the clinic is located and which has “one of the largest populations of uninsured people in the county,” Arlington Free Clinic Director of Clinical Services Surekha Cohen told ARLnow.

During her remarks, the CDC director cautioned that the effectiveness of previous vaccines can wane as the virus evolves, though nearly 97% of the U.S. population currently has some level of immunity to Covid — either from past infections or vaccinations.

“I think everyone is wishing Covid would be gone but it is still here with us. Unfortunately, the virus has changed and your protection from past vaccines has decreased over time. So, it’s really important to get your updated Covid vaccine and your flu shot,” Dr. Mandy Cohen told ARLnow.

As of Tuesday, about 30% of Arlington’s resident population is up to date on its Covid vaccinations, according to the Virginia Dept. of Health (VDH).

Cohen says the U.S. is already starting to see a steady uptick in both cases and deaths.

“We went through a summer wave where we had 30,000 to 40,000 people in the hospital per week in the United States,” she said, adding that Virginia saw 295 Covid-related deaths in just the last three months.

Arlington experienced a brief spike in Covid cases last month, but the numbers have started to trend down from the summer high, per VDH data. As of today, the state health department is reporting a seven-day average of a little more than seven daily cases in the county.

This past week there were 71 Covid-related hospital admissions across Arlington, according to CDC data.

Covid cases in Arlington over the past three months, as of Oct. 24, 2023 (via Virginia Dept. of Health)

Although the numbers have dipped, Cohen noted the use of at-home rapid tests may mask Virginia’s actual number of cases.

That is because Covid cases are not being reported to health departments as consistently as earlier in the pandemic, in part due to the availability of at-home tests.

She argued it is essential for older adults and children to stay on their guard in case Covid and other types of respiratory diseases, including RSV, start to surge again this winter.

“There were a lot of babies who were in the hospital last year with RSV, so we definitely want to protect our babies with the tools that we have,” Cohen told the room full of Arlington Free Clinic staff.

“But it starts with you all protecting yourselves right and your families,” she continued. “So, make sure that you’re getting vaccinated so you can be your your best and healthiest selves as you work hard for the community.”


Covid cases in Arlington over the past three months, as of 9/12/23 (via Virginia Dept. of Health)

Don’t look now but Covid cases are on the rise in Arlington.

As of today, the Virginia Dept. of Health is reporting a seven-day average of just over 21 daily cases in the county. That’s the highest point since this past February.

Of course, there are some caveats. First, Covid cases are not getting reported to health departments as consistently as earlier in the pandemic, thanks in part to the availability of at-home tests. On the other end of the equation, cases are still much lower compared to this time last year, then there were more than 50 average daily cases in Arlington reported to VDH.

And then there’s the matter of Covid being a respiratory virus with seasonal spikes — like the flu — so an increase in September is not unexpected.

Covid cases in Arlington over the past year, as of 9/12/23 (via Virginia Dept. of Health)

Nonetheless, there are anecdotal indications that Covid is making the rounds locally. Several D.C. area employees of ARLnow’s parent company, which is a primarily remote workplace, recently were diagnosed. And some schools in the region have been reporting outbreaks.

That’s not to mention what has been characterized as a “late summer surge” nationally.

Arlington Public Schools no longer reports cases via an online dashboard, as in previous years, but an APS spokesman told the Washington Post that the school system is monitoring for outbreaks.

In nearby Arlington County, spokesman Frank Bellavia said the school district, which has been in class for only five days, is not tracking cases this year, but it will be monitoring for an influx of cases and will provide notice of an outbreak as it would for other communicable diseases.

Meanwhile, the FDA just approved updated Covid vaccines. From CNN:

The US Food and Drug Administration gave the green light Monday to updated Covid-19 vaccines from Moderna and Pfizer/BioNTech amid rising cases and hospitalizations.

Both vaccine manufacturers have said testing shows that their vaccines are effective against EG.5, the currently dominant strain in the United States.

Two Covid-related deaths have been reported so far this year in Arlington, according to VDH.


(Updated 08/25/23) This week will be the audience’s last chance to see former local pandemic response volunteer and Broadway actor Joey Collins star in “To Kill a Mockingbird” at the Kennedy Center.

After 18 months on the road and nearly 600 performances, Collins said he plans to leave the production following the tour’s last performance in D.C. at the Kennedy Center on Sunday.

While the rest of the cast continues on the tour, he will cross the river into Arlington to be reunited with his family and the community he formed doing voter and Covid vaccine outreach.

“I just have to pull the plug,” he told ARLnow. “And it’s not because of the people. I love my cast, crew, and team. I’m going to miss them tremendously. But, obviously, I miss my family too.”

Collins portrays the main villain, Bob Ewell, in Aaron Sorkin’s adaptation of “To Kill a Mockingbird.” The play animates the book, which follows Scout Finch as she grows up in Alabama, observing her father, Atticus, defend a Black man who Ewell falsely accused of raping his daughter.

Collins described performing in the play as an “amazing” experience and a “privilege.” Still, he found it difficult to be away from his wife, two high school children, and their Maltese-Shih Tzu mix, Shakespeare — all of whom moved to Arlington from New York in 2019.

“I feel like I’ve missed so much by being on the road,” he said. “And so I really would love to, at least for the next four years, really strive to find work here. So, it’s more about the time and my family than it is about any other aspects of my acting career.”

Collins says he does not have any work lined up. If he returns to live, local theater, partial credit would go toward the type of vaccine outreach he did — which helped regional theaters reopen their doors during the pandemic.

Shortly after moving to Arlington, Collins said he felt a loss of “purpose.” He joined a volunteer effort to register people to vote ahead of the 2020 elections, an experience he noted that “filled my cup.”

“I didn’t really have a community here, and I love helping people,” he said. “I’ve loved volunteering my whole life, but this particular [experience] gave me something that I really needed because we were all isolated.”

Then, a colleague from the voter registration effort told him the county was looking for volunteers to help distribute vaccines in Arlington. He jumped at the chance, seeing it as a way to get theaters up and running again.

“Then I thought, ‘Okay, this is going to be the beginning of getting performative arts back to the public because once enough people are vaccinated, maybe they’ll open up the theatres,’” Collins said.

And open up, they did. Collins got word that the show he initially auditioned for in November 2019 was finally ready to hit the road.

When the tour came to the Kennedy Center last summer, Collins said several fellow vaccine workers came to one of his performances. On another occasion, a vaccine worker approached him after a show during his tour in the Midwest.

“It was a surreal experience, but it was also like a reminder of the impact one might be able to have on the world simply by donating some time,” he said.

While Collins said he is sad to be leaving the tour, he added he believes he will be ending on a fitting note. The actor has now completed a “trifecta” by performing on the Kennedy Center’s three most prominent stages: the Concert Hall, Opera House and Eisenhower Theater.

“I feel very lucky to have checked those boxes, and I hope I can go back through all of them at some point in my career,” he said.


Northside Social in Clarendon (staff photo by Jay Westcott)

The makeshift outdoor dining areas that sprung up in the early days of Covid, and gradually took on a more permanent feel, could be here to stay.

On Tuesday, the Arlington County Board voted to hold hearings next month mulling zoning changes that would give most restaurants a way to add outdoor seating areas without special Board approval.

Restaurants were able to do this during the pandemic — adapting to social distancing and indoor gathering regulations — via a special county program that is ending on Aug. 15.

Under the proposed ordinances, temporary outdoor seating areas (TOSAs) that are on private property and on public sidewalks within rights-of-way would be approved administratively. Those on privately owned public spaces, like the patio outside the seafood spot Seamore’s in Clarendon, would require a County Board use permit.

How outdoor seating areas could be approved (via Arlington County)

Restaurants could go to the Board to have parking spots converted to outdoor dining space.

The proposed ordinance changes, which will be discussed in a Board meeting on July 15, have been under development for the last year. The county says the code changes support local businesses, about 100 of which have TOSAs, and account for livability concerns some residents raised.

“This is a huge body of work. A huge thanks to staff, who’ve been working on this comprehensively for a while,” Board Chair Christian Dorsey said. “I know it seems like a simple issue to some, but as you peel layers of the onion, you continue to find more complexity.”

The Board initially approved TOSAs early in the pandemic to help restaurants circumvent the typically lengthy process for getting an outdoor dining permit. These spaces were popular for offsetting revenue lost to closures and social distancing and for creating a safer dining experience.

As the pandemic wore on, the Board allowed TOSAs in common areas, such as plazas, and for restaurants to continue operating them at full capacity once the indoor capacity restrictions lifted.

“It was a life saver for our family and employees and continues to be a large part of our business,” Lebanese Taverna Executive Vice President Grace Shea said during a forum hosted by the Arlington Committee of 100 on Wednesday night.

Now, she says, it brings more people to the restaurant.

“Outdoor seating enhances the streetscape of where the restaurant is. It attracts people by creating a welcoming atmosphere,” she said. “It’s also additional revenue that we do not have to pay rent for.”

In 2021, Arlington County signaled plans to study early a dozen separate policies governing outdoor cafés to figure out how to make TOSAs permanent. That started in the fall of 2022, after a local Covid emergency order ended.

County staff say it heard both support and concerns from the community. One strong supporter is the Arlington Chamber of Commerce.

“The Chamber and the county both agree that we want to make this transition smooth for restaurant owners who want this outdoor dining,” said John Musso, the government affairs manager for the Chamber, at Wednesday’s forum. “We’re looking forward to continuing this conversation.”

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A vaccine shot (via Arlington County/YouTube)

Arlington County is lifting its vaccine mandate for anyone who works or volunteers for county government.

The change today (Thursday) coincides with the Centers for Disease Control and Prevention ending the national public health emergency.

“Effective May 11, 2023, consistent with the end of the National Public Health Emergency, employees (including contractors and volunteers) are no longer required to provide proof of vaccination status for employment,” Arlington County spokesman Ryan Hudson told ARLnow in a statement.

“Employees are still urged to engage in mitigation measures as appropriate and to stay up to date on vaccinations,” he continued.

Arlington County mandated vaccines for all government employees in August 2021, requiring those who were unvaccinated to submit to weekly testing. Unvaccinated employees were told to get the jab or an exemption before Feb. 1, 2022 or face job loss.

A group of people who decided not to get the vaccine, largely first responders, petitioned the county for “more reciprocal ideas,” such as continuing testing. The mandate seemed to work somewhat, with the number of unvaccinated workers dropping from 278 to 174 in about a month.

By March 1, 2022, some 125 people obtained exemptions. The county said everyone complied with county policy and no one was fired.

The CDC’s emergency declaration at the start of the pandemic empowered the federal government to track Covid cases and deaths with greater granularity, among other measures. Now, it says it is time to integrate its emergency response into programs it already has.

“As a nation, we now find ourselves at a different point in the pandemic — with more tools and resources than ever before to better protect ourselves and our communities,” it said in a statement, adding that these changes will make its Covid response more sustainable in the long term.

The CDC says vaccines, treatments and testing will remain available but the data it publishes and the sources it uses will be different.

“Case data has become increasingly unreliable as some states and jurisdictions may no longer collect case data, testing results are sometimes not reported, or some individuals skip testing all together,” the CDC notes.

Some of these factors, plus vaccines and three years of exposure, may explain lowering case rates in Arlington. The county is seeing about five cases per day, down from about 60 cases a day this past winter, per Virginia Dept. of Health data.

Covid cases in Arlington County reported to the Virginia Dept. of Health over the last 13 weeks (via VDH)

U.S. Sen. Mark Warner (D-Va.) said in a statement this morning that the ending of the public health emergency declaration should be followed by the implementation of laws and policies that will strengthen the health system, prepare us for the next such crisis, and address the end of the asylum policy known as Title 42.

When COVID-19 hit, Congress acted with force and urgency to save lives and livelihoods, taking actions that were made possible by the Public Health Emergency declaration, which opened the door to a wealth of additional tools and flexibilities. More than three years later, I’m proud to know that our nation has reached a point where we can move beyond the emergency stage of COVID-19 and the corresponding PHE declaration. Now, it’s up to Congress to adopt more permanent policies that reflect the valuable lessons we learned during this crisis, and that allow us to move forward rather than backwards. We must continue to strengthen our public health response capabilities, ensure that health care is affordable and easy to access through robust telehealth options, and improve the security of our southwest border while creating a better functioning asylum process and a reasonable path towards legal status for those who are undocumented. I look forward to working with my colleagues in Congress on these issues.


Three years after opening its doors in Ballston in the middle of a global pandemic, VIDA Fitness is holding a grand opening this Saturday.

“It sounds odd, off the cuff, close to three years after the grand opening to do a party, but this was the first time in the timeline to do it,” VIDA Fitness Director of Operations Aaron Moore tells ARLnow.

The D.C.-native fitness club was waiting for nice weather and a strong enough membership base to throw a party people would attend at 4040 Wilson Blvd. The event is scheduled for May 6 from 3-6 p.m.

Moore credits its fastest-growing program, nutritional counseling, for growing its roster of members. Launched in 2019, it aims to address the health issues Americans are facing — and represents another claim staked on a booming wellness industry some project will be worth $7 billion in 2025.

“The biggest trending term is ‘wellness,’ and that’s a function of being cooped up during the pandemic and leading a sedentary lifestyle,” Moore said. “The average life expectancy has gone down for the first time in decades.”

While the program predates Covid, interest in nutritional counseling jumped after the lockdowns and as people began thinking about health less in silos like “working out” and “eating right” and started viewing these as components of overall wellness. The in-person and virtual 12-week workshop, with group and individual sessions, also demonstrates how better nutrition improves exercise results, work productivity and sleep habits.

“It’s pretty comprehensive and we’ve seen some amazing health outcomes,” he said, even for an area “where people are more in tune with their bodies and taking care of themselves.”

And the benefit sweetening the deal? It is free through many types of health insurance as preventative care, he says. VIDA offers the program directly to individuals and to businesses that want to purchase the benefit for their employees.

Initially, the fitness center focused on generating buzz about the gym’s Covid-era health and safety protocols. Moore said that helped coax customers who were already the 10-15% of people who habitually go to the gym, despite Covid, along with others who were more safety-conscious and planned to return when the pandemic was “over, over.”

“That’s where the communication plan was helpful and productive to talk about our cleaning protocols, our air changeover rate, our check-in and contact tracing system, all that good stuff,” he said.

VIDA Fitness cultivated “the credibility of doing what we said we were going to do” while, at the same time, people got more comfortable living with Covid, Moore continued. Membership rates turned a corner in 2022 because people liked the variety of amenities, services and distinct workout environments provided there.

“That’s when it really started to take off,” Moore said. “We’re thriving now.”

Buoyed by “a great first quarter” and more members, the Ballston location completed a large-scale renovation that included the addition of more strength and squat racks and three Peloton bikes.

“We are now a fixture in the Ballston neighborhood and the Arlington community,” Moore said. “We’ve got a great relationship with the Ballston Business Improvement District, which is an amazing resource, and the Chamber of Commerce is a great partner to us.”

Saturday’s celebration will include tours, opportunities to mingle with trainers and neighbors and free giveaways, per an event page. Food and drinks will be provided by Rosslyn taqueria Taco Rock, Ballston-based True Food Kitchen, Clarendon restaurant Buena Vida, D.C.-area chain Nando’s and Northern Virginia winery Fabbioli Cellars.

Meanwhile, the gym is already building its seventh location, in Reston, which is set to open in the summer of 2024. A would-be Rosslyn location was scrapped last year, the Washington Business Journal reported.


Coronavirus (photo via CDC/Unsplash)

More than 150 weeks have passed since Dr. Mike Silverman, the emergency department chair at VHC Health, started his Friday night posts about the Covid pandemic.

The public Facebook posts have helped provide medical context and clarity, but in layman’s terms, to those seeking a better understanding of the disease and the response to it. ARLnow has regularly quoted Silverman’s posts in our coronavirus coverage.

Now, three years after Silverman’s first pandemic post from the ER, he’s wrapping up the weekly series. While not ruling out occasional updates, Silverman says now seems like a good time to conclude his Friday writing routine. By Silverman’s count, he has produced more than 195,000 words of updates on the local prevalence of Covid, as seen at the hospital, and the latest medical research on the virus and its treatments.

“Stopping on the second Friday in March three years later seems like a good run,” he wrote last month when announcing the decision.

When Silverman published his first Facebook update on March 13, 2020, only five Arlington cases had been confirmed, local grocery stores were being picked clean and Arlington Public Schools had just announced the closure of schools through spring break in April. The first confirmed case in the county had been announced just four days earlier.

Today, with vaccines and three years of exposure to the virus, it is still deadly and debilitating for some, but not nearly to the extent of earlier, when it was still a novel outbreak. As of last week, cases in Arlington were down to an average of just 11 per day, the lowest point since mid-2021, according to Virginia Dept. of Health data.

Covid cases in Arlington as of 3/13/23 (via Virginia Dept. of Health)

The last confirmed Covid-related death in Arlington was reported during the final week of 2022.

“Coronavirus is not quite done with us yet though we’ve learned to live with it,” Silverman wrote on Friday.

That last weekly post is reprinted below with his permission.

It’s been another good week when it comes to the number of COVID cases we’re diagnosing in the ER. Our symptomatic positives are way down, with only a handful of positive cases and a 3% positivity rate this past week (6 week running average 10.3%). This is the second week in a row that is notably less than the previous weeks. Our general screening population (in theory asymptomatic patients or those we think COVID is unlikely) is also below 4% for the second week in a row (6 week average about 6%). The numbers for all comers this week show a 3.7% positivity rate and the last two weeks each had about half the number of cases we saw in the weeks beforehand. These numbers are consistent with other periods of time after surges. The number of hospitalized patients with COVID also dropped about 20% since last week. Hospitalizations climb in the weeks following a surge and are a lagging indicator of when the surge is over. I suspect we’ll continue to see a drop in the number of patients hospitalized with COVID over the next few weeks as well. However, I do anticipate that taking care of COVID patients in the ER and in the hospital will be part of our world for a long time to come.

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One-year view of Covid cases in Arlington (via Virginia Dept. of Health)

Covid cases in Arlington reported to health authorities have fallen to the lowest level in a nearly a year and a half.

The Virginia Dept. of Health is currently reporting a seven-day average of about 17 cases per day in Arlington, though VDH notes that it expects an elevated level of cases over the next two weeks “due to a delay in the transfer of case reports from laboratories to VDH.” Nonetheless, that’s the lowest case rate since the summer of 2021.

The county is also seeing a lower rate of Covid-related hospitalizations, with 5.2 per week per 100,000 in population, according to Centers for Disease Control and Prevention data. That’s half of the threshold from what the CDC considers a “low” Covid community level — which Arlington is currently in — to a “medium” level.

The decline in cases in Arlington since the start of January mirrors a similar fall from a seasonal peak in Covid cases statewide, down by nearly two thirds during the same timeframe.

While Covid has somewhat faded into the background of the general public consciousness, it is undoubtedly still spreading. In Arlington Public Schools, for instance, outbreaks continue happening with some regularity. Nearly 250 student cases have been reported in APS over the past 30 days, including 23 cases at Williamsburg Middle School and 14 cases at Abingdon Elementary.

Meanwhile, Virginia Hospital Center ER chair Dr. Mike Silverman, who has penned a weekly public Facebook post about Covid since shortly after the pandemic started, says he will be discontinuing the column next month.

“After much consideration, I want to let everyone know that I expect to have my last ‘weekly update’ on Friday, March 10,” Silverman wrote recently. “I wrote my first Friday Night Update on the second Friday in March 2020 and stopping on the second Friday in March three years later seems like a good run. I will write a proper goodbye and thank you with that update.”

Silverman’s Feb. 17 post also provided an update on long-term complications of Covid on the heart, lungs and other organs, also known as Long Covid.


CDC map of Covid levels as of Jan. 17, 2023 (via CDC)

Covid appears to be on the decline in Arlington, but hospitalization levels rose sufficiently last week to move the county to the CDC’s “medium” Covid level.

The level moved from “low” to “medium” as of last Thursday. The latest Virginia Dept. of Health stats, however, show cases falling to a seven-day moving average of 38 per day as of yesterday (Tuesday), from a seasonal peak of 65 cases per day just before Christmas.

The CDC level change was prompted by a rise in Covid-related hospital admissions above the 10 per 100,000 residents per week mark. That metric stood at 12 as of Thursday.

Among neighboring jurisdictions, D.C. and Fairfax County are both at the “medium” level, while Alexandria is now at the “high” community level due to a combination of infection and hospitalization rates.

Virginia Hospital Center emergency department chair Mike Silverman, in his weekly Facebook post Friday night, said the hospital is “full” but Covid cases are declining.

After a couple of weeks of very high emergency department volume, our hospital is full. My colleagues are seeing this all over the country as well. This makes it more challenging to care for the patients coming into the emergency department as we have more patients “boarding” (waiting on their inpatient bed to be available) than typical. Even though our ER volume has come down a little bit compared to recent weeks, it still feels just as chaotic because of all these extra patients waiting for a bed to be available.

Along with a slight drop in volume, we have also seen a decrease in the amount of COVID were diagnosing. Overall, we diagnosed about 20% less patients with COVID this week compared to the prior 2 weeks. Our overall percent positivity fell from about 16.5% to 12.4%. The biggest drop we saw was in our symptomatic patients. Although we had about 20% less patients classified as symptomatic, we had about a 40% drop in the number of positives. This correlates to a 31% positivity rate dropping to a 21% positivity rate. Our general screening percent positivity remained stable at about 11%. For these patients, either the clinician has a low suspicion that the patient has COVID, but COVID is included in the differential diagnosis, or they are asymptomatic and require testing for admission/surgery/etc.

Consistent with the reduction in new diagnoses, we also saw a reduction in the number of patients who required COVID isolation in the ER compared to the prior two weeks. And the hospital has about 20% less admitted COVID patients than we did last week.

Covid cases in Arlington as of Jan. 17, 2023 (via Virginia Dept. of Health)

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