The latest on the Covid-19 pandemic in the US

The number of people in Los Angeles hospitalized with Covid-19 has doubled over the past two weeks, L.A. County's Department of Public Health announced Monday, urging the importance of vaccinations amid a surge in new cases countywide.

There are 1,437 people in L.A. County currently hospitalized with the virus, health officials said in a news release – nearly double the 745 people hospitalized on July 26. The number has continued to rise since June 15, when the state fully reopened its economy and 218 people were hospitalized.

The latest wave of positive cases is mostly affecting unvaccinated people, the department said. From May to July 2021, 92% of those hospitalized were not fully vaccinated.

On Wednesday, the Los Angeles City Council will consider a motion that would require proof of vaccination to enter indoor public spaces like retails stores, gyms and restaurants, expanding on a similar order in New York City.

According to latest local health data, L.A. County's test positivity rate currently stands at 4.4% – a decrease from last week's rate of 6%.

There were 2,919 new Covid-19 cases reported in L.A. County on Monday, bringing the total number of cases to date to 1,329,262, the department said.

Austin Mayor Steve Adler said he believes both students and teachers should be required to wear masks in school despite Texas Gov. Greg Abbott's ban on mask mandates statewide. 

"Kids need to be wearing masks in school, so do teachers," Adler told CNN as the Austin Independent School District considers taking on the governor's executive order by requiring students and teachers to wear masks on school property. 

Adler suggested that Abbot and other Republican leaders in Texas are looking to please donors with bans on masks and vaccination requirements, rather than following the latest research and data to protect Texans. 

"At this point, rather than being governed by the data, I think we're being governed by Republican donors," Adler said. "We're going to have to do what it is necessary to keep the kids safe."

Leon County Schools will start the school year with a temporary mask requirement for pre-K-8 students, unless otherwise noted by a physician or psychologist, the district's superintendent, Rocky Hanna, said Monday.

The superintendent emphasized that the requirement is temporary, saying he hopes to revisit the issue before Labor Day. 

Hanna said he took the advice of Dr. Thomas Truman, a specialist in Pediatric Critical Care with Tallahassee Memorial Healthcare. “Dr. Truman, who put it very bluntly, said ‘Rocky, I think the prudent thing to do, especially for children who are most vulnerable, and those are the ones who do not yet have an opportunity to become vaccinated, would be to start the school year off with a mask requirement,’” Hanna said Monday.

Earlier Monday Gov. Ron DeSantis announced that Florida’s State Board of Education could move to withhold the salaries of superintendents and school board members who “led to the violation of law” prohibiting mask mandates for school districts.

Hanna acknowledged the governor's announcement. According to reporting by the Tallahassee Democrat, Hanna told school officials at a meeting Monday afternoon, "you can't put a price tag on someone's life, including my salary."

“We want to make sure that children also have access to a high quality education but they can’t if they’re sick and in the hospital,” he added, according to the paper.

A CNN analysis from Aug. 5 has found that at least seven states – Arkansas, Arizona, Iowa, Oklahoma, South Carolina, Texas, and Utah – prohibit districts from requiring masks in schools 

On Aug. 6, an Arkansas judge temporarily blocked the enforcement of the state's law banning mask mandates in schools, in response to two lawsuits – one from a school district, and one from parents – who want schools to be able to require masks if they so choose.

The temporary restraining order is in Arkansas is in effect, but the state law banning mandates is also in place. With the injunction in place, school districts can now enforce mask requirements, while the suits continue.

The state laws prohibiting mask mandates in schools conflict with guidance from the American Academy of Pediatrics, which recommends universal masking in school of everyone over the age of two, regardless of vaccination status – a stricter position than that taken earlier this month by the US Centers for Disease Control and Prevention. The CDC recently updated its Covid-19 school guidance to advise that fully vaccinated students, teachers and staff do not need to wear masks in school.

There are some states, including Connecticut, Hawaii, New Mexico, New York and Washington, that follow the AAP guidance to require masks among K-12 students regardless of their vaccination status. 

Gov. Greg Abbott sent a letter to the Texas Hospital Association asking hospitals to voluntarily postpone elective medical procedures to increase hospital capacity for coronavirus patients, according to a news release from his office. 

Abbott is also directing the Texas Department of Emergency Management and Department of State Health Services to open additional antibody infusion centers across the Lone Star State.

The governor is also directing those agencies to increase vaccination availability across the state and encourages all Texans to get the Covid-19 vaccine.

Oregon's Multnomah County is issuing a mandate this week that everyone must wear a mask indoors regardless of vaccination status. If they don’t, they could be fined up to $1,000.

The executive order from County Chair Deborah Kafoury comes after Covid-19 cases have surged in the area causing strain on local health care systems, a news release said.

Enforcement will be based on complaints phoned or emailed into the county, and the punishment could range from a warning to a $1,000 fine, the release added.

The mandate starts Friday and applies to everyone five years and older. It’s expected to remain in place until January, although officials say that timeline could change depending on disease trends and immunization rates. 

Current Covid-19 hospitalization rates in some of the states hit hardest by the latest surge are more than double the national rate, according to data from the US Department of Health and Human Services.  

In the United States overall, there are currently about 21 people hospitalized with Covid-19 for every 100,000 people. That translates to about one in every 4,900 Americans. 

In Louisiana, Mississippi, Alabama and Arkansas, current hospitalization rates are more than double the national rate. 

And in Florida, the hospitalization rate is more than triple the national rate. There are more than 65 people hospitalized with Covid-19 for every 100,000 people in Florida, about one out of every 1,500 state residents. 

Overall, about one in five intensive care unit beds in the US are occupied by Covid-19 patients. But in these five states with the highest hospitalization rates, the share of ICU beds occupied by Covid-19 patients is even higher, ranging from 25% in Alabama to more than a third in Florida 

Also, each of these five states – Florida, Louisiana, Mississippi, Alabama and Arkansas – have fully vaccinated less than half of their residents, lagging behind the US overall, according to data from the US Centers for Disease Control and Prevention. 

In fact, every state with a higher-than-average hospitalization rate had a lower than average vaccination rate, according to a CNN analysis of data from the CDC and HHS. 

Washington Gov. Jay Inslee announced a major effort to increase vaccinations in the state by implementing a Covid-19 vaccine mandate for all state employees, private health workers and those working in long-term settings.

The mandate would cover 60,000 state employees and 400,00 health workers plus thousands of contractors. Under the mandate these workers are required to be vaccinated in places where the state is doing business. 

Those workers covered by the order will have to get fully vaccinated by Oct. 18

The governor’s measure does not apply to certain state employees, like employees of agencies that are controlled by separately elected statewide officials and does not include students in K-12 or universities.  

While there is a recommendation to use masks indoors, there is no mask mandate, Inslee added. 

Limited exemptions based on religious or medical issues will be considered, he said. The exceptions do not include philosophical or personal reasons. 

“We are in this pickle today because 30% of our eligible citizens so far have chosen not to get this life-saving vaccine, but we trust they’ll make the right choice,” Inslee said. “The overwhelming majority of recent hospitalizations is of people that have not been vaccinated.” 

At least 69% of the Washington state residents 12 and older have received at least one dose of a vaccine, according to the state's Department of Health Covid-19 dashboard. 

At least 4.5 million Washington state residents have received a vaccine, Health Secretary Dr. Umair Shah told reporters. 

Inslee said that the severe rise in the cases in the state was due to the Delta variant, and that cases among unvaccinated individuals were on the rise with cases doubling in just one week. 

Mississippi has 200 patients waiting in emergency rooms for beds statewide, according to the state's senior health officer.

The Mississippi State Department of Health reported 6,912 more cases of Covid-19, and 28 new Covid-19 deaths for the three-day period from Aug. 6 through Aug. 8.

The state's health officer, Dr. Thomas Dobbs, said in a tweet Monday that there are no intensive care unit beds available at Level 1, 2 and 3 hospitals.

According to Mississippi's Department of Health, there are also 153 ongoing Covid-19 outbreaks in long-term care facilities across the state.