Rural Jerauld County in South Dakota didn’t see a single case of thefor more than two months stretching from June to August. But over the last two weeks, its rate of new cases per person soared to one of the highest in the nation.
“All of a sudden it hit, and as it does, it just exploded,” said Dr. Tom Dean, one of just three doctors who work in the county.
As the brunt of the virus has blown into the Upper Midwest and northern Plains, the severity of outbreaks in rural communities has come into focus. Doctors and health officials in small towns worry that infections may overwhelm communities with limited medical resources. And many say they are still running up against attitudes on wearing masks that have hardened along political lines and a false notion that rural areas are immune to widespread infections.
Dean took to writing a column in the local weekly newspaper, the True Dakotan, to offer his guidance. In recent weeks, he’s watched as one in roughly every 37 people in his county has tested positive for the virus.
It ripped through the nursing home in Wessington Springs where both his parents lived, killing his father. The community’s six deaths may appear minimal compared with thousands who have died in cities, but they have propelled the county of about 2,000 people to a death rate roughly four times higher than the nationwide rate.
Rural counties across Wisconsin, North Dakota, South Dakota and Montana sit among the top in the nation for new cases per capita over the last two weeks, according to Johns Hopkins University researchers. Overall, the nation topped 8 million confirmed coronavirus cases in the university’s count on Friday; the true number of infections is believed to be much higher because many people have not been tested.
In counties with just a few thousand people, the number of cases per capita can soar with even a small outbreak – and the toll hits close to home in tight-knit towns.
“One or two people with infections can really cause a large impact when you have one grocery store or gas station,” said Misty Rudebusch, the medical director at a network of rural health clinics in South Dakota called Horizon Health Care. “There is such a ripple effect.”
Wessington Springs is a hub for the generations of farmers and ranchers that work the surrounding land. Residents send their children to the same schoolhouse they attended and have preserved cultural offerings like a Shakespeare garden and opera house.
They trust Dean, who for 42 years has tended to everything from broken bones to high blood pressure. When a patient needs a higher level of care, the family physician usually depends on a transfer to a hospital 130 miles (209 kilometers) away.
As cases surge, hospitals in rural communities are having trouble finding beds. A
China has passed a new law to improve its handling of disease outbreaks — including protecting whistleblowers — following a cascade of criticism over its coronavirus response and accusations of an early cover-up.
The new biosecurity law, approved by lawmakers on Saturday, flags the right to report “acts that endanger biosecurity” and calls for risk prevention systems, ranging from active monitoring to emergency plans.
It takes effect from April 15 next year.
“Any work unit or individual has the right to report acts that endanger biosecurity,” the regulation said.
“When a report is required according to the law, no work unit or individual shall conceal (it)… or hinder others from making a report,” it added on infectious diseases and epidemics.
China’s approval of the law comes in the face of Western criticism on the coronavirus, over accusations that it covered up the initial outbreak and silenced early whistleblowers.
But China has been trying to reshape this narrative, with authorities seeking instead to model the country as a vanguard in the pandemic fight.
Although doctor Li Wenliang who alerted colleagues to the new coronavirus in late December was at first reprimanded, a national outpouring of grief and anger over his death prompted Beijing to redirect criticism to local officials and subsequently paint him as a hero.
President Xi Jinping in February raised the need to speed up establishing the biosecurity law, urging for reforms of mechanisms to prevent major outbreaks.
Under the new law, those who conceal information, omit making reports or prevent others from reporting infectious diseases could be given warnings or suspended.
The new law also calls for systems including to regularly monitor biosafety risks, and to trace the origins of incidents.
Disease prevention agencies are also to help predict the occurrence and prevalence of emerging diseases.
Based on these predictions, authorities should announce warnings and adopt prevention measures.
Although Beijing established an information system after the 2002-2003 SARS outbreak that allowed for real-time reports of outbreaks, provincial authorities came under fire during the coronavirus outbreak for perceived incompetence, including delays in announcing the public health emergency.
The new biosecurity law also takes aim at the management of research facilities, flagging the need for emergency plans for biosafety incidents.
WESSINGTON SPRINGS, S.D. (AP) — Rural Jerauld County in South Dakota didn’t see a single case of the coronavirus for more than two months stretching from June to August. But over the last two weeks, its rate of new cases per person soared to one of the highest in the nation.
“All of a sudden it hit, and as it does, it just exploded,” said Dr. Tom Dean, one of just three doctors who work in the county.…