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Opinion Hospitals are crushed once again. But there are glimmers of hope.

The emergency medicine entrance at the George Washington University Hospital in D.C. on Dec. 21. (Craig Hudson/For the Washington Post)

The case counts are sky-high, but omicron is causing less severe illness than before. Hospitals are close to being overwhelmed, yet hospitalization rates are lower than earlier in the pandemic, and fewer of those admitted to hospitals are in intensive care, or need lifesaving respiratory assistance. Can it be that a less severe variant is nonetheless leading to turmoil in the health-care system?

Yes, it can, thanks largely to the sheer size of the wave. The Centers for Disease Control and Prevention reported Jan. 2 that nationwide hospital admissions of patients with confirmed covid rose to 4.45 per 100,000 people, compared with 1.53 in early November, before omicron. Of 2,224 counties in the United States that have hospital beds, an estimated 644 are projected to be at capacity and an additional 619 are at high risk of reaching their limits in the next 10 days on present trends, according to the Covid-19 Hospital Capacity Circuit Breaker Dashboard, created by Jeremy Faust, Bill Hanage and Benjy Renton. Gov. Larry Hogan (R) declared a state of emergency in part to help Maryland hospitals cope with the surge. New Jersey, New York, Ohio and Maryland are among the states with the highest rates of covid-19 hospitalization per 100,000 residents. At 111 patients per 100,000 residents, D.C. has the highest rate in the country.

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The unvaccinated are driving the surge. New York state reported that in the last week of December, as omicron took hold, daily new hospital admissions of unvaccinated people soared to 58 per 100,000 residents, compared with only 4.6 for the fully vaccinated. Similar reports have come from around the country. In Louisiana, 80 percent of the hospital admissions were not fully vaccinated; in Connecticut, 71.2 percent. The stress on hospitals is not only for beds. Health-care workers are exhausted after two years of relentless pressure. They are quitting at an unprecedented rate; 1 in 5 U.S. hospitals are reporting critical staffing shortages. In many places, the hospital crisis may have knock-on effects, too, meaning that people with other health-care needs will be forced to wait, if they can.

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Not everyone is being admitted for covid alone — a large portion of these patients are being admitted for other maladies that have been aggravated by covid. Both situations count as covid cases. In the day-to-day unfolding of the crisis, hospitals are seeing a marked shift to less severe illness for patients in emergency departments. One hospital official told us that while last winter 80 percent or so of those testing positive in the ER were admitted, now only about 20 or 25 percent are, and of those, a smaller share than before are admitted for covid alone. The big difference is vaccination: In areas with higher uptake, disease is less severe. A study from the Houston Methodist health-care system found that omicron patients’ median length of stay was 2.8 days, compared with 5.4 for the delta variant.

Vaccines, masks, testing and improved ventilation will all help ease the pressure on hospitals. It is in everyone’s interest to take advantage of the tools at hand.

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Editorials represent the views of The Post as an institution, as determined through debate among members of the Editorial Board, based in the Opinions section and separate from the newsroom.

Members of the Editorial Board and areas of focus: Opinion Editor David Shipley; Deputy Opinion Editor Karen Tumulty; Associate Opinion Editor Stephen Stromberg (national politics and policy, legal affairs, energy, the environment, health care); Lee Hockstader (European affairs, based in Paris); David E. Hoffman (global public health); James Hohmann (domestic policy and electoral politics, including the White House, Congress and governors); Charles Lane (foreign affairs, national security, international economics); Heather Long (economics); Associate Editor Ruth Marcus; and Molly Roberts (technology and society).