Omicron Explosion Spurs Nationwide Breakdown of Services

Ambulances in Kansas speed toward hospitals then suddenly change direction because hospitals are full. Employee shortages in New York City cause delays in trash and subway services and diminish the ranks of firefighters and emergency workers. Airport officials shut down security checkpoints at the biggest terminal in Phoenix and schools across the nation struggle to find teachers for their classrooms.

The current explosion of omicron-fueled coronavirus infections in the U.S. is causing a breakdown in basic functions and services — the latest illustration of how COVID-19 keeps upending life more than two years into the pandemic.

First responders, hospitals, schools and government agencies have employed an all-hands-on-deck approach to keep the public safe, but they are worried how much longer they can keep it up.

In Kansas’ Johnson County, paramedics are working 80 hours a week. Ambulances have frequently been forced to alter their course when the hospitals they’re heading to tell them they’re too overwhelmed to help, confusing the patients’ already anxious family members driving behind them. When the ambulances arrive at hospitals, some of their emergency patients end up in waiting rooms because there are no beds.

Dr. Steve Stites, chief medical officer for the University of Kansas Hospital, said when the leader of a rural hospital had no place to send its dialysis patients this week, the hospital’s staff consulted a textbook and “tried to put in some catheters and figure out how to do it.”

Medical facilities have been hit by a “double whammy,” he said. The number of COVID-19 patients at the University of Kansas Hospital rose from 40 on Dec. 1 to 139 on Friday. At the same time, more than 900 employees have been sickened with COVID-19 or are awaiting test results — 7% of the hospital’s 13,500-person workforce.

“What my hope is and what we’re going to cross our fingers around is that as it peaks … maybe it’ll have the same rapid fall we saw in South Africa,” Stites said, referring to the swiftness with which the number of cases fell in that country. “We don’t know that. That’s just hope.”

The omicron variant spreads even more easily than other coronavirus strains, and has already become dominant in many countries. It also more readily infects those who have been vaccinated or had previously been infected by prior versions of the virus. However, early studies show omicron is less likely to cause severe illness than the previous delta variant, and vaccination and a booster still offer strong protection from serious illness, hospitalization and death.

Still, its easy transmissibility has led to skyrocketing cases in the U.S., which is affecting businesses, government offices and public services alike.

In New York City, officials have had to delay or scale back trash and subway services because of a virus-fueled staffing hemorrhage. The Metropolitan Transportation Authority said about one-fifth of subway operators and conductors — 1,300 people — have been absent in recent days. Almost one-fourth of the city sanitation department’s workers were out sick Thursday, Sanitation Commissioner Edward Grayson said.

“Everybody’s working ’round the clock, 12-hour shifts,” Grayson said.

The city’s fire department also has adjusted for higher absences. Officials said Thursday that 28% of EMS workers were out sick, compared with about 8% to 10% on a normal day. Twice as many firefighters as usual were also absent.

In contrast, the police department saw its sick rate fall over the past week, officials said.

At Phoenix Sky Harbor International Airport, two checkpoints at the airport’s busiest terminal were shut down because not enough Transportation Security Administration agents showed up for work, according to statements from airport and TSA officials.