Michigan became hotspot as variants rose and vigilance fell

Registered Nurse Monica Quintana dons protective gear before entering a room on Wednesday at the William Beaumont hospital in Royal Oak, Mich. (AP Photo/Carlos Osorio)
Subscribe Now Choose a package that suits your preferences.
Start Free Account Get access to 7 premium stories every month for FREE!
Already a Subscriber? Current print subscriber? Activate your complimentary Digital account.

ROYAL OAK, Mich. — Eric Gala passed up an opportunity to get a coronavirus vaccine when shots became available in Michigan, and he admits not taking the virus seriously enough.

Then he got sick with what he thought was the flu. He thought he would sweat it out and then feel back to normal.

Before long, the 63-year-old Detroit-area retiree was in a hospital hooked up to a machine to help him breathe. He had COVID-19.

“I was having more trouble breathing and they turned the oxygen up higher — that’s when I got scared and thought I wasn’t going to make it,” a visibly weary Gala told The Associated Press on Wednesday from his hospital bed at Beaumont Hospital in Royal Oak, north of Detroit. “I had so many people tell me this was a fake disease.”

Gala’s situation illustrates how Michigan has become the current national hotspot for COVID-19 infections and hospitalizations at a time when more than half the U.S. adult population has been vaccinated and other states have seen the virus diminish substantially.

Doctors, medical professionals and public health officials point to a number of factors that explain how the situation has gotten so bad in Michigan. More contagious variants, especially the mutation first discovered in Britain, have taken root here with greater prevalence than other states. Residents have emerged from harsh, lengthy state restrictions on dining and crowd sizes and abandoned mask wearing and social distancing, especially in rural, northern parts of the state that had largely avoided severe outbreaks. The state has also had average vaccine compliance.

Michigan has recorded a highest-in-the-nation 91,000 new COVID-19 cases over the last two weeks, despite improvements in the numbers in recent days. By comparison, that is more cases than California and Texas had combined in the same period.

Beaumont Health, a major hospital system in Michigan, recently warned that its hospitals and staff had hit critical capacity levels. COVID-19 patient numbers across the eight-hospital health system jumped from 128 on Feb. 28 to more than 800 patients.

“A year ago, the phrase was tsunami,” said Dr. Paul Bozyk, assistant chief of critical care and pulmonary medicine at Beaumont Royal Oak.

“It was chaotic. People were overwhelmed with what they were seeing: Death and dying. This year, it’s more of a slow, rising flood. No big surge of patients, but we keep getting more each day. We’re full.”

Detroit was an early epicenter a year ago when the virus first arrived in the U.S., prompting aggressive measures by Democratic Gov. Gretchen Whitmer to stop the spread. That made her a target of then-President Donald Trump and right-wing protesters who vilified her as the epitome of government overreach in a year when Michigan played a pivotal role in the presidential election.

Toni Schmittling, a nurse anesthetist who works at Sinai-Grace Hospital in Detroit, says that when Detroit was hard-hit and her hospital had to double-up ventilator patients in one room, the rest of Michigan was wondering why restrictions were needed.

“We’d say, ‘Are you kidding me, people are dying right and left here,’” Schmittling said.

Now, cases are more spread out and rural areas are getting hit hard. At Sinai-Grace, Beaumont Royal Oak and other hospitals across the U.S., patients are younger than before, in their 30s to 50s, but don’t seem to get quite as sick.