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'Tripledemic' threatens Central Florida as COVID, Flu & RSV cases increase

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Florida Department of Health
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Florida Department of Health
Florida's Influenza report for the week of 11/13/22 to 11/19/22

Respiratory illness cases are rising in Central Florida with reports of COVID-19, Flu, and Respiratory Syncytial Virus, also known as RSV, increasing, worrying experts that the area is at risk for a 'tripledemic."

Florida’s COVID-19 numbers are quickly climbing, according to the state's COVID-19 dashboard. Orange County's case positivity rate jumped from 6.4% to 10.8% in November. Nearly 1,000 cases were reported during the last week of November. Similarly, Florida saw a jump in its positivity cases from 8% to 11.4%. The spike in COVID cases could be a result of the Thanksgiving holiday, keeping up with the pattern of increased cases following large social gathering events.

As for Flu cases, the upcoming winter was predicted to experience an aggressive Flu season and case reports are showing the forecast to be valid, so far. While emergency room visits for Flu were down last week, according to state statistics, experts continue to see higher-than-normal flu rates for this time of the year, compared to the last three years. Additionally, Nemours Children’s Hospital is continuing to see an increase in patients with RSV and is receiving child cases of Flu and COVID as well.

Why Central Florida is at risk

Elena Cyrus, a University of Central Florida epidemiologist, said Florida’s sprawling demographic of children and seniors puts it at risk of seeing dangerous increases of all three viruses.

“What do we have in Florida? We have Disneyland and a bunch of schools, and then we have a huge retiree population as well. So just by age alone, our demographic profile is set up for a certain level of vulnerability to have those three existing (diseases) occurring at the same time,” Cyrus said.

Compounding the problem is vaccine numbers for both Flu and COVID, which are not at an ideal level ahead of the peak of Flu season in January and February.

Florida's lax guidelines

Low vaccinations coupled with upcoming holiday gatherings could set the state's healthcare system up for a tough winter season. Exacerbating the situation further, Cyrus said, is the state's own lax COVID-19 guidelines.

In May of 2021, Gov. Ron DeSantis signed an executive order that suspended all local Covid-19 emergency orders and public health restrictions.

“The fact is, we are no longer in a state of emergency,” the governor had said. However, Florida's most challenging period for COVID would come in January of this year when cases spiked due to the Omnicron variant.

Currently, no state restrictions are in play and risk management falls on Floridians, which leaves Florida at risk, Cyrus said.

"I would say given that we've really sort of placed risk management at the individual level, rather at the state level, which is fair, that's what we want, as a community we want that opportunity to make that decision for ourselves. But it introduces a higher level of risk in terms of protection and how vulnerable we are as a community," Cyrus said.

Keeping preventative strategies at the individual not only increases the risk of COVID spreading faster, but it also makes it more difficult for the area to achieve "herd immunity," compared to a more prudent population, Cyrus explained.

 “I hope it doesn't happen. I hope that things are mitigated. But we definitely run a risk as any other urban center to have what they're referring to as a tripledemic of these three diseases, because of demography, and also because of our lax attitude in terms of risk management,” she said.

Originally from South Florida, Joe Mario came to Orlando to attend the University of Central Florida where he graduated with degrees in Radio & Television Production, Film, and Psychology. He worked several beats and covered multimedia at The Villages Daily Sun but returned to the City Beautiful as a reporter for the Orlando Sentinel where he covered crime, hurricanes, and viral news. Joe Mario has too many interests and not enough time but tries to focus on his love for strange stories in comic books and horror movies. When he's not writing he loves to run in his spare time.