During the COVID-19 pandemic, the spread of the virus and its variants has caused significant illness, hospitalizations, and deaths. While the pandemic is technically over, it is too soon to dismiss COVID-19 as just another respiratory disease. In Hawaii, specifically on the Big Island, cases have been increasing since May. As a result, healthcare facilities are reintroducing the use of masks to protect patients and the public.

At Hilo Benioff Medical Center, employees in clinical roles who have close and prolonged contact with patients are required to wear masks. Non-employees are highly encouraged to do so but not mandated, except for vendors in direct patient contact. Most patients and visitors willingly wear masks, and supplies are available at the hospital. Since May 1, the hospital has recorded 281 emergency room visits and 75 hospitalizations related to COVID-19.

Similarly, Queen's North Hawai'i Community Hospital in Waimea has reinstated mask-wearing for staff in clinical areas, with visitor encouragement but not requirement. Masks are readily available throughout the hospital. On the other hand, Kona Community Hospital has no plans for new mask requirements, even though it has observed an increase in cases.

In response to the rising cases, Kaiser Permanente Hawai'i has implemented a mandatory mask policy for physicians, providers, and staff in clinical facilities. Masks must be worn in specific areas, including intensive care, oncology, pediatrics, and more. For other staff and vendors, mask-wearing is recommended but not mandatory. Starting June 24, Kaiser will strongly encourage members and visitors to wear masks, providing masks upon request.

Although there are no plans for further precautionary measures, such as shortened visiting hours or proof of vaccination, the Big Island's major healthcare providers remain vigilant as COVID-19 cases continue to rise. The Hawai'i Department of Health has reported 83 new cases on the Big Island, contributing to a statewide total of 1,180 new COVID-19 cases. The state has seen an average of 175 new cases per day, and the test positivity rate stands at 16.7%.

Experts suggest that, despite the increase in summer cases, it aligns with previous trends of rising COVID-19 cases during winter and summer months. However, Hawai'i stands out due to its unpredictable respiratory illness patterns, with flu season typically occurring in fall and winter but being less predictable in the islands.

While vaccination remains essential for protection against severe illness, studies suggest that vaccine efficacy lasts approximately 6 months. This recent spike in cases may be attributed to the waning efficacy of vaccines and individuals not keeping up with their inoculations. Only about 13% of Big Island residents are up to date on their COVID vaccines.

To prevent the spread of COVID-19 and other respiratory illnesses, the Hawai'i Department of Health advises staying home when feeling sick and returning to normal activities only after being fever-free for 24 hours without the use of fever-reducing medication. COVID-19 testing is recommended for symptomatic individuals to ensure appropriate treatment. Additional strategies for reducing disease transmission can be found online.

As COVID-19 cases continue to rise in Hawaii, it is crucial for the public to stay informed, take necessary precautions, and remain vigilant to protect themselves and others from this ongoing health concern.