TANACROSS, Alaska (AP) — One Alaska Native village knew what to do to keep out COVID-19. They put up a gate on the only road into town and guarded it round the clock. It was the same idea used a century ago in some isolated Indigenous villages to protect people from outsiders during another deadly pandemic — the Spanish flu.
It largely worked. Only one person died of COVID-19 and 20 people got sick in Tanacross, an Athabascan village of 140 whose rustic wood cabins and other homes are nestled between the Alaska Highway and Tanana River.
But the battle against the coronavirus isn’t over. The highly contagious delta variant is spreading across Alaska, driving one of the nation’s sharpest upticks in infections and posing risks for remote outposts like Tanacross where the closest hospital is hours away.
The COVID-19 surge is worsened by Alaska’s limited health care system that largely relies on hospitals in Anchorage, the biggest city. It’s where the state’s largest hospital, Providence Alaska Medical Center, is overwhelmed with patients and was the first weeks ago to declare crisis-of-care protocols, meaning doctors are sometimes prioritizing care based on who has the best odds of survival.
Since then, 19 other health care facilities in Alaska, including Anchorage’s two other hospitals and Fairbanks Memorial, have also entered crisis care mode, something overtaxed facilities in other states have had to do, including Idaho and Wyoming.
“Even though we live here, we’re concerned about Anchorage and Fairbanks,” said Alfred Jonathan, a Tanacross elder. “If somebody gets sick around there, there’s no place to take them.”
While Alaska has contracted with nearly 500 medical professionals to help over the next few months, the ramifications are dire for those in rural Alaska if they need higher levels of care — for COVID-19 or otherwise — but no beds are available.
Sometimes those patients get lucky and get transferred to Fairbanks or Anchorage. Other times, health care staff are on the phones — in some cases, for hours — looking for a bed or facility that can provide specialty treatments like dialysis.
One patient who couldn’t get dialysis at Providence died, hospital spokesperson Mikal Canfield said. Dr. Kristen Solana Walkinshaw, the hospital’s chief of staff, said she knew a patient in an outlying community who needed cardiac catheterization and died waiting.
Options in Seattle and Portland, Oregon, also are being overloaded. One rural clinic finally found a spot for a patient from interior Alaska in Colorado. One in every 84 people in Alaska was diagnosed with COVID-19 from Sept. 22 to Sept. 29, the nation’s worst diagnosis rate in recent days.
Health officials blame the hospital crunch on limited staffing, rising COVID-19 infections and low vaccination rates in Alaska, where about 60% of eligible residents in the conservative state are fully vaccinated. According to data collected by Johns Hopkins University, one in every 84 people in Alaska was diagnosed with COVID-19 from Sept. 22 to Sept. 29, the nation’s worst diagnosis rate in recent days.
Officials say medical workers are exhausted and frustrated with what feels like a no-win effort to combat misinformation about COVID-19 being overblown and vaccines being unsafe. Some say it could have long-term effects — further shaking confidence in vaccines and treatments for other illnesses and making the longstanding pre-pandemic challenge of recruiting health care workers to the remote state more difficult.
Medical workers “describe the emotions of: ‘You hear a code is happening, someone is passing away,’” said Jared Kosin, president and CEO of the Alaska State Hospital and Nursing Home Association. “That is devastating. You never want to lose a patient. But in the back of your mind, you’re thinking, ‘OK, another bed is now available that is critically needed.’ And how do you balance those emotions? It’s gut-wrenching.”
In Tanacross, elders are encouraging people to get vaccinated, especially with facilities strained. The village is in a sprawling, sparsely populated region of eastern Alaska where the vaccination rate is under 50%.
