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FORT LAUDERDALE, Florida (AP) - Florida hospitals filled with COVID-19 patients are suspending elective surgeries and putting beds in conference rooms, auditoriums and cafeterias.
In Georgia, medical centres are turning people away for lack of space. And in Louisiana, the sick are left waiting and waiting some more in the emergency room before being airlifted elsewhere.
"We are seeing a surge like we've not seen before in terms of the patients coming," Dr Marc Napp, chief medical officer for Memorial Healthcare System in Hollywood, Florida, said Wednesday.
"It's the sheer number coming in at the same time. There are only so many beds, so many doctors, only so many nurses."
Coronavirus hospitalisations are surging again as the more contagious Delta variant rages across the country, forcing medical centres to return to a crisis footing just weeks after many closed their COVID-19 wards and field hospitals and dropped other emergency measures.
The number of people now in the hospital in the United States with the virus has more than tripled over the past month, from an average of roughly 12,000 to almost 43,000, according to the Centers for Disease Control and Prevention (CDC).
That is still nowhere close to the nearly 124,000 in hospitals at the very peak of the winter surge in January. But health experts say this wave is perhaps more worrying because it has risen more swiftly than prior ones. Also, a disturbingly large share of patients this time are young adults.
And to the frustration of public health experts and front line health-care workers, the vast majority of those now hospitalised are unvaccinated.
Florida, Georgia and Louisiana alone account for nearly 40 per cent of all hospitalisations in the country. Louisiana and Georgia have some of the lowest vaccination rates in the nation, with around 38 per cent of their populations fully inoculated. Florida is closer to the national rate, at 49 per cent. By way of comparison, most New England states are well over 60 per cent.
The variant has sent new US cases surging to 94,000 a day on average, a level not seen since mid-February. Deaths per day have soared 75 per cent in the past two weeks, climbing from an average of 244 to 426. The overall US death toll stands at more than 614,000.
Across Florida, more than 12,000 patients were hospitalised with COVID-19 on Wednesday, and nearly 2,500 of them were in intensive care unit beds. The state is averaging nearly 18,000 new cases a day, up from fewer than 2,000 during the first week of July. In all, Florida has seen more than 39,100 coronavirus deaths.
Republican Governor Ron DeSantis has stood firm against mask rules and other compulsory measures, saying it is important to keep Florida's economy moving.
"Florida is a free state, and we will empower our people. We will not allow Joe Biden and his bureaucratic flunkies to come in and commandeer the rights and freedoms of Floridians," DeSantis, who has been exploring a possible for president in 2024, said in a fund-raising e-mail Wednesday.
The reversal in fortune for some hospitals has been stark.
In central Florida, AdventHealth hospitals had 1,350 patients hospitalised with COVID-19 as of Thursday, the most ever. The health care system has postponed non-emergency surgery and limited visitors to concentrate on treating coronavirus patients.
Less than two months ago, Miami's Baptist Hospital had fewer than 20 COVID-19 patients and was closing down coronavirus units. By Monday, hospital officials were reopening some of those units to handle an influx of more than 200 new virus patients.
"As fast as we are opening up units, they're being filled with COVID patients," said Dr Sergio Segarra, the hospital's chief medical officer.
In Georgia, more than two dozen hospitals said this week that they have had to turn away patients as the number of hospitalisations for COVID-19 has risen to 2,600 state-wide.
And in Louisiana, smaller hospitals are struggling to find larger, better-equipped ones to take in their more seriously ill patients.
Lee Chastant, CEO of West Feliciana Hospital in the state's rural southeast, said a COVID-19 patient was in the emergency room about two days until the staff could finally transfer the person to New Orleans.
The swift turn of events has been disheartening for health care workers who just weeks ago thought the battle was in its final stages. The crisis is also making it harder for hospitals to provide other crucial types of medical care.
"If you don't get vaccinated, you are taking resources from people who have diseases or injuries or illnesses," said Dr Vincent Shaw, a family physician in Baton Rouge, Louisiana.
"COVID doesn't call people who have had strokes, who have had heart attacks, who have had other horrific or traumatic things happen and say, 'Y'all take the week off. I am going to take over the ER and the ICU'," quipped Shaw.