Unvaccinated patients flood Florida hospitals
Doctors in the United States (US) are expressing their frustration as they battle to keep COVID-19 patients alive in Florida hospitals who chose not to be vaccinated or take the necessary precautions.
“The biggest tragedy we see is the preventable loss of life,” says ex-South African, Dr Ari Sareli, who is chief of critical-care medicine and oversees all of Memorial Healthcare System’s intensive-care units (ICUs).
Sareli, a King David High School Linksfield alumnus who grew up in Glenhazel, lives in Boca Raton. He told the SA Jewish Report, “It’s when people pay the ultimate price, and as healthcare workers, we understand the tragedy is that loss of life could have been prevented with vaccination.”
Certain states like Florida are buckling under a crippling summer surge in COVID-19 cases led by the contagious Delta variant.
In Florida, where thousands of Jewish ex-South Africans have settled, hospitals are groaning with severely ill patients – the majority of whom are unvaccinated. Mask wearing isn’t mandated, and restaurants, beaches, bars, and businesses remain open.
Florida is one of the worst hit US states in terms of new COVID-19 cases and death attributed to the disease. A few days ago, the state which comprises a little more than 6% of the US population, accounted for about one in five of the country’s new cases, according to the Centers for Disease Control and Prevention.
The state’s Republican governor, Ron DeSantis, has urged people to vaccinate, but hasn’t instituted a mask mandate and intends to keep the tourist state open in spite of the Delta spike. He is opposed to imposing lockdowns and new restrictions. Some are saying these factors have contributed to the surge in the sunshine state, and it’s not expected to reach a peak anytime soon.
Sareli said healthcare workers “get to see the suffering, we get to see the broken lives, and we see patients dying in what could have been a preventable tragedy”.
“It’s absolutely true that, with vaccination, a very small minority of people may get critically ill and may even die, but that proportion is so small and the overwhelming majority of people could be saved. They could be at a point in their lives where they aren’t devastated, where the lives of their families aren’t shattered,” he said.
Governor DeSantis has reportedly tried to block local communities and schools from mandating the use of face masks, as well as opposing attempts by private businesses to require vaccination as a condition of providing services, drawing criticism from many local leaders.
As Florida continues to set records for new cases and hospitalisations, the mayor of Miami Beach, Dan Gelber, called DeSantis the “Pied Piper of COVID-19, leading everybody off a cliff”.
While many residents have been fully vaccinated, there are many who refuse to get the life-saving jab.
Hospital beds in the state are filling up rapidly with people who have serious cases of COVID-19. Some hospitals have reportedly reached capacity in their ICUs.
This week, Palm Beach County is to declare a state of emergency to deal with the pandemic. With more than 1 000 new COVID-19 cases per day, the community spread is high and the numbers are expected to rise, experts said.
The vaccination rate among the elderly is quite high, but lower among younger people, and healthcare workers are witnessing more hospitalisations in that population.
Sareli said that his hospital group had 133 ICU beds. At the time of going to print, there were 145 ICU patients, with the overwhelming majority of them ill with COVID-19, mostly on ventilators.
“The ICUs are operating above capacity. Cafeterias and conference rooms have been converted to provide additional patient spaces,” he said.
“There are problems with oxygen delivery, and the entire healthcare system in the state is under huge pressure.”
Justine Goldberg, originally from Johannesburg who lives in Miami, is a medical physician at Memorial Healthcare System, in Hollywood, Florida. She posted on Facebook on 15 August, “This war isn’t even halfway over.
“We are already running out of steam, and can’t afford to give up the fight now. Today is my 12th day in a row working. For most healthcare workers, exhaustion is an understatement. The hardest part is to keep going, saving lives when people aren’t vaccinated and are presenting more critically ill than ever. The majority of patients affected right now are unvaccinated!”
She explained how after trying everything possible to help a 50-year-old unvaccinated female patient, she was forced to intubate her.
“Eventually I had to call it and intubate her. This doesn’t seem so bad while you’re reading this, but when you’re seeing someone fight for their life to take that breath and survive, it’s heartbreaking.”
An ex-South African mom in Boca Raton who preferred to remain anonymous, told the SA Jewish Report that though she and her family had taken every precaution to remain healthy, many did what they liked.
“We wear masks anywhere in public, but not everyone thinks like this. People are selfish, stupid, and ignorant,” she said.
“COVID-19 has gone crazy in Florida. While some of us are extra cautious, there are many refusing to wear masks or get the vaccination, and they are the ones getting gravely ill. It makes no sense to defy the evidence and the science – vaccination and masks work.”
She’s disappointed because like many of her friends, she wants life to return to a new normal as soon as possible. “My child hasn’t been to school for more than a year and a half. Our family hasn’t eaten at a restaurant since this pandemic started. Thankfully, when my son goes back to school later this month, masks will have been mandated at his private Jewish school, but other schools are different.
“Every conversation is about COVID-19. Everyone has their own thoughts and ideas. While our hospitals are full, people are going away on holiday, eating in restaurants, and travelling. The schools should do full COVID-19 testing on every staff member and kid before they go back to school. Kids have all been away on various summer camps, and bring the virus home with them. It’s going to get interesting.”
Annette Polovin, who also lives in Boca Raton, has been extra careful since the start of the pandemic to the point of insisting that her grandchildren are tested before visiting on weekends. In spite of this, three out of four family members contracted COVID-19 about a month ago.
“Fortunately, we were all fully vaccinated, so we had it mildly, but my sister in Durban got it and landed up in hospital. She hadn’t received the vaccination yet,” Polovin said.
“Let my people in” – chief rabbi takes on travel ban
South Africa’s chief rabbi, Dr Warren Goldstein, has taken on the Israeli government over its sudden blanket travel ban in light of the new variant discovered by South African scientists.
He has been interviewed in Hebrew across multiple national radio stations, TV stations, print media, and online media in Israel.
In a plea to Israeli leaders, he said that shutting the door on world Jewry was a mistake for a number of reasons.
Many South African Jews were turned back in transit between 25 and 26 November, and others are desperately trying to get there because of important family commitments. But the chief rabbi emphasises that “Israel is home to all Jews, especially in times of crisis, and a total closure signals a separation between Israeli and diaspora Jews. The new variant doesn’t distinguish between Jews who have Israeli citizenship and other Jews.”
To him, there are two issues at stake. “The first is the relationship between Israel and the South African Jewish community. Our relationship with Israel is very much part of our value system, and we are a very Zionist community. This is expressed in many different ways, for example, our aliyah numbers, which proportionately are really strong. It’s also expressed in the high percentage of our community who have visited Israel, the fact that so many of our youth study in Israel, and especially in how so many of us have family in Israel. The connection goes very deep.”
To be blocked from entering Israel is therefore “a real blow to the South African Jewish community – spiritually and emotionally”. This latest blanket ban comes after almost two years of very intermittent access to Israel, and the new extreme levels of restriction were a tipping point for him.
“I felt I needed to make my voice heard in Israeli society. This is why I went to the Hebrew media, so that this plea would be heard by society and decision makers. I wanted to send a message on behalf of our whole community.”
He says he has seen the pain of these restrictions reflected in many ways. For example, specific incidents, like a father not being able to attend his son’s Barmitzvah, and a general sense of loss and distance.
The other reason he has spoken out is “for the sake of Israel itself, and for all Jews. Is Israel an ordinary state, or a Jewish state?” he asks rhetorically. “This is a direct plea to the Israeli government and goes to the heart of Israel’s identity. Israel is the only Jewish state, and we are deeply connected to it. In light of that unbreakable bond, if the state says some Jews can’t enter, it’s drawing a divide between the state of Israel and communities across the diaspora. That partnership between diaspora Jewry and the state of Israel is crucial, and if you break that bond, it will hurt Israel and world Jewry.”
He isn’t asking Israel to jeopardise the health of its citizens. Rather, he’s asking that the same criteria be applied to Israeli citizens returning to Israel and Jews needing to visit. Israeli citizens who want to return are allowed to do so if they are fully vaccinated, do a PCR test, and go into quarantine.
“If you combine these three strict requirements, the Israeli authorities have deemed that the risk becomes negligible. If they are good enough for Israeli citizens, any Jew in the world should be allowed to enter on the same basis.”
Goldstein is speaking up now in particular because “vaccines have completely transformed the risk profile. We can see this in the current wave in South Africa.” He has written about it before, but not as extensively as now. “I’ve learnt that one needs to use multiple platforms and address Israeli society directly.”
He says the message has found “tremendous resonance with journalists. I haven’t spoken to one Israeli interviewer who wasn’t sympathetic. They have challenged me, and I have clarified that I’m not asking for more than what’s granted to Israeli citizens. There has been a lot of support and interest.”
He says the incident in which South African Jews were forced away from Israel on Friday 26 November and made to fly on Shabbat was “an absolute disgrace and totally unacceptable for any state, but for a Jewish state, was unthinkable and beyond the pale. This is especially considering the circumstances of two of these Jews going to comfort the Kay family, whose son gave his life for the state of Israel. At the very least, the Israeli government must apologise for this conduct and promise its citizens and Jews around the world that such a thing will never happen again.”
Finally, he says “vaccination is everything. It’s a blessing. Thank G-d for it. Take it with both hands: it is a big mitzvah to protect yourself and others.”
Community urged to be cautious as wave gathers speed
The Omicron variant is hitting the Johannesburg and Cape Town Jewish communities, with numbers rising rapidly but very few hospitalisations. Those hospitalised – at this point – are mainly unvaccinated.
However, many organisations have taken precautions to stem the tide to avoid a repeat – or worse – of what happened before. The machanot and Rage festival were this week cancelled, among many other private simchas.
The number of new infections in the community have increased rapidly over the past two weeks, says Darren Kahn, the executive general manager of Hatzolah Medical Rescue. There have been 272 new cases recorded this week, with 387 active cases in the community.
“To date, thankfully, there has only been one hospitalisation and we have two long-term patients on oxygen from the third wave,” he says.
“The current numbers are fast approaching our original planned numbers, and the wave is just beginning. The Hatzolah team is working around the clock to ensure the community is well cared for.”
Though Kahn said responders were fearful of a return to the COVID-19-positive numbers experienced only a few months ago, many experts believe this variant will be far milder than any we have had before if you have been vaccinated.
“We all enjoyed a couple of COVID-19-free months, but it’s unfortunately time to start being more careful again. We urge the community to go back to the basics: get vaccinated, wear a mask, keep a social distance, and sanitise. Let’s do this and get through the next wave together.”
To date, Hatzolah has vaccinated more than 30 000 people at its vaccination site.
In Cape Town, the South African Jewish Board of Deputies and Community Security Organisation (CSO) sent out an alert to the community on the morning of Wednesday, 1 December, with the subject line: “COVID-19 warning: fourth wave is on our doorstep!”
“CSO Cape Town has seen active cases on its COVID-19 Wellness Monitoring Programme surge from 0 on Friday, 26 November, to 28 cases on Tuesday, 30 November. While little is known about this new variant, we do know that its reproductive rate is at the same level as it was at the peak of the previous waves.”
After meeting medical advisors, Chief Rabbi Dr Warren Goldstein says shuls’ safety protocols haven’t changed. “This is rather just a call to reinforce what we have done so well since the beginning of the pandemic,” he said. “The message we need to communicate to our community is that there’s no need to panic and that, working together, our shuls will be safe places for them to attend, even at this time.”
Meanwhile, the Ballito Matric Rage festival was cancelled after one day, when 32 attendees and four staff members tested positive for COVID-19.
But Ronen Klugman, the founder and director of Plett Rage, says that the festival will go ahead from 3 to 7 December, with about 900 people attending. “We’re not cancelling because we’re the last line of defence against this disaster of the new variant. Kids are already arriving – I can see them on the beach – and if we cancel, it will make the situation much worse. They will scatter, and spread all over this town, and there will be no control,” he told the SA Jewish Report.
But with the festival in place, “The only way they can get into events is if they go through our testing centre. We have the responsibility to stick to our robust plan. Everyone is vaccinated, so that’s our first buffer. They have to take a PCR test before they leave. They present their vaccine certificate and PCR test on arrival. Then they go for a rapid antigen test. They get an AR band with a chip that only works for one day. Then they get tested again. If anyone tests positive, we implement contact tracing and take any contacts out of the festival.”
Local virology expert Professor Barry Schoub told Sky News, “All the cases [of the new Omicron variant] so far have been mild to moderate cases, and that’s a good sign.”
Dr Efraim Kramer, a leading international expert in emergency medicine with a specialty in mass gatherings, told the SA Jewish Report, “At the moment, we’re still groping [for information about the new variant] because tests are being done in a laboratory. We’ll find out in the next one to two weeks exactly what its transmissibility is and what kind of clinical profile it has.”
Dr Carron Zinman, a pulmonologist at Netcare Linksfield Hospital, told the SA Jewish Report that there had been differences in the symptoms of people who had presented with the new variant.
“They are saying it’s presenting atypically. In general, people are complaining of loss of taste or loss of smell. The GPs are seeing a lot of extreme fatigue with nothing else. In terms of my patients in hospital, one came in with something unrelated, not knowing she had it. So, it’s behaving differently, and the bloods are looking different as well.”
Zinman believes the Omicron variant is the reason for most of the positive tests at the moment, and thinks the new variant is more contagious.
Kramer agrees with President Cyril Ramaphosa, who said on Sunday that South Africans need to learn to live with the virus. “The days of trying to run away from it, trying to evade it, being in lockdown, and those kinds of things are gone,” Kramer says. “It’s here almost to stay, and every time we think it’s gone away, another cousin arrives.
“I don’t think there’s anything mysterious anymore about COVID-19. The president said we were staying at level 1. His statement was exceptionally positive in what he said, and exceptionally positive in what he didn’t say, if you read between the lines. In the meantime, we’ve kept the country on level 1, so we carry on.”
Kramer encourages people to go to shul. “There hasn’t been a single COVID-19 case in 20 months in people going to shul. Probably 99% of the people coming to shul are vaccinated,” he says.
If people want to go on holiday, they can as long as they take COVID-19 into consideration in everything they do, Kramer says. “The only mandatory aspect of that lifestyle is that people must get vaccinated so that if you do get it, you don’t get it severely. Our community is highly compliant in terms of COVID-19 vaccination. That’s fantastic as it means that life can almost carry on for them.
“If they want to go on holiday, they must go on holiday. If they want to get married, they must get married. We can’t knock people around anymore. We’re going to have a generation of dysfunctional kids if we carry on this way. People must do what they want to, they must just be careful.”
Kramer has criticised the “political panic” around Omicron, saying, “They believe that by closing doors, they’re going to keep it out. What they don’t know is that it’s there already. They just don’t know who’s got it, how many have got it, and how quickly it’s going to spread.”
“Closing borders doesn’t make scientific sense,” Schoub told Bloomberg TV. “What we have to recognise is this measure is politically motivated, which is highly damaging to countries like South Africa that depend on the tourist industry.”
Kramer says unvaccinated people shouldn’t be named and shamed. “We don’t know why people haven’t been vaccinated. It could be because they choose not to, because they’re scared to have it. It could be that they’re allergic to the preservative in the vaccination and they’re not allowed to have it because they’ve been anaphylactic before.” But he warns, “The people that are landing up in intensive care are the ones that aren’t vaccinated.”
Asked if the vaccines we have protect us from the new variant, Zinman says, “All of that needs to be worked out. I think that you have to accept that there’s got to be some protection from the vaccine, because the vaccines to date have shown efficacy against all the variants.”
SA Jewish leadership confront Israeli PM over travellers’ ordeal
Orthodox spiritual leaders in South Africa have expressed their shock and dismay over the treatment of South African travellers turned away from Ben Gurion Airport last Friday night.
Chief Rabbi Dr Warren Goldstein, South African Rabbinical Association Chairperson Rabbi Yossi Chaikin, and the dayanim of the Beth Din of South Africa wrote to Israeli Prime Minister Naftali Bennett on 30 November expressing their unhappiness.
The group of five travellers from South Africa included two who were going to Israel to comfort the Kay family after the murder of their son and brother, Eli Kay, in a terrorist attack on 21 November.
They were in the air when Israeli authorities decided to ban South African travellers in light of a new COVID-19 variant discovered by South African scientists. On landing in Israel, they were forced onto a flight back to South Africa via Dubai on Shabbat.
“We were shocked and dismayed to hear that a group of Jewish travellers from South Africa, who arrived at Ben Gurion Airport this past Friday, were denied entry into Israel and forcibly returned to their country of origin, and as a result were compelled to desecrate Shabbat,” wrote our religious leaders.
“That this took place in the Jewish state is simply unconscionable,” they wrote. “To further compound the trauma, two of the passengers were making their way to Israel to spend Shabbat with the Kay family, who are mourning the loss of their beloved Eli in last week’s terror attack in Jerusalem. From the reports we received, no attempt was made to accommodate the passengers by allowing them to remain in quarantine over Shabbat.
“To force fellow Jews to desecrate Shabbat is a violation of the Jewish identity and Jewish values of the state,” they wrote. “The manner in which the religious rights of these individuals have been infringed isn’t something one would expect of any country, and certainly not the Jewish state. On behalf of South Africa’s rabbis and the communities we represent, we wish to record our strongest objection to the forced desecration of Shabbat.”
One of these travellers, Ilana Smith, says the incident led to more stress and trauma for the Kay family, who tried to help the travellers in spite of being in mourning. “I was going to Israel only to be there for the Kay family. I was staying nearby, and was going nowhere else. And now the Kay family had this extra stress on their hands – the last thing they needed! Kasriel Kay was phoning the rabbi in Dubai, trying to help us. My family back home went into Shabbos not knowing if I would be stuck in Dubai. There are post-traumatic repercussions from this ordeal.”
Melissa Genende was travelling to Israel from South Africa to see her grandchildren on the same flight as Smith. “We had no knowledge of the flight ban, and weren’t stopped until we arrived in Israel on Friday afternoon. Our passports were taken from us. We were marched underground and came up at the departure gate for the flight going back to Dubai.
“We were threatened that if we didn’t board the plane, the police would be called,” she said. “This in fact did happen while we explained that we didn’t want to fly on Shabbat. At this point, we had no choice but to get on the plane. I’m not fully shomer Shabbos, but I would never travel on a plane on Shabbat. I have travelled many times in my life, and always make a plan that I don’t travel on Shabbat, often with a lot of extra cost.”
She’s angry that all the other people on the plane entered Israel with no problem. “We came from South Africa on the same plane, so why were we not giving any other option? We could have gone into bidud [quarantine] for a few days. We had all been tested, and I had already prepaid for PCR tests at the airport. I understand the panic. What I don’t understand is how they make a decision for five people and let everyone else in the country.”
The group had no opportunity to get food or water while waiting in the airport. “Kosher food was also unavailable to us for the entire two flights. When we landed in Dubai, it was already Shabbos. We had nowhere to wait all night until our flight at 05:00. We managed to find a lounge that would allow us to pay $32 [R513] for four hours. There was no kosher food there. We arrived back in South Africa at 12:00 on Saturday. Our luggage didn’t arrive, and we still have no idea where it is or when will get it back.”
Genende has since been ill from dehydration and travel sickness. “I’m taking this as far as can. I’m hoping that the Israeli government will do something about the staff at the airport. At the very least, I want a new ticket to Israel. I will fight until I get answers and compensation.” Emirates, she says, won’t reimburse her as she has “used” the return flight.
Even though she was able to get home, she says she would have preferred to be stuck in Israel than to have experienced this. She says she and the other South Africans have since been asked to go to the Israeli Embassy in Pretoria to meet the ambassador. She’s waiting “with bated breath” to hear what’s said. She’s had no other communication from anyone in Israel.
Former MK and olim advocate, Dov Lipman, has worked tirelessly with his organisation, Yad L’Olim, to assist olim and their families to deal with travel restrictions throughout the pandemic. In the past few days, he has barely slept as Israel went from one extreme to the other in a matter of hours.
“It’s been a really difficult time for South African Jewry,” he says. “I hear their pain, I hear their cries. The incident last Friday was nothing short of tragic, and I use that word deliberately. It’s a tragedy when someone arrives in Israel legally and is turned away.”
He says the incident has been covered extensively by the Israeli media, “with strong criticism of the government for the way it was handled from all segments of Israel’s population. At the very least, this kind of thing won’t happen again because of the degree of criticism.”
He was involved in trying to assist the South Africans. “I had a hard time enjoying my Shabbat knowing that people were in transit to who knows where. It was very painful. I’m now even more motivated to help olim and their families around the world. I believe all of our efforts will lead to a better situation.”
In response to queries from the SA Jewish Report, the Israeli Embassy in Pretoria released an official statement. “We deeply regret the unfortunate incident that occurred at Ben Gurion Airport on 26 November when a group of South African citizens were deported and had to violate their religious beliefs. The incident took place immediately after the imposition of new strict COVID-19 regulations. The incident is being investigated, and necessary conclusions will be drawn. Needless to say, if the embassy had been informed of these events in time of the occurrence, this unfortunate chain of events could have been prevented.”
Banner1 week ago
World mourns Eli Kay, son of SA Jewry
News1 week ago
Racist TikTok rant raises community ire
News1 week ago
#TefillinAgainstTerror campaign turns on the light
Featured Item1 week ago
Miss SA encouraged to stand her ground
Featured Item1 week ago
Altruistic donation ‘an unbelievable mitzvah’ says kidney recipient
Community1 week ago
Reconnecting with rescuers on that dark, stormy night
Community1 week ago
Kallenbach honoured at apex of Linksfield Ridge
Community1 week ago
Pretoria honours community heroes