Vaccines making Thanksgiving easier, but hot spots remain

The U.S. is facing its second Thanksgiving of the pandemic in better shape than the first time around, thanks to the vaccine, though some regions are seeing surges of COVID-19 cases that could get worse as families travel the country for gatherings that were impossible a year ago.

Nearly 200 million Americans are fully vaccinated. That leaves tens of millions who have yet to get a shot in the arm, some of them out of defiance. Hospitals in the cold Upper Midwest, especially Michigan and Minnesota, are filled with COVID-19 patients who are mostly unvaccinated.

Michigan hospitals reported about 3,800 coronavirus patients at the start of the week, with 20% in intensive care units, numbers that approach the bleakest days of the pandemic's 2020 start. The state had a seven-day new-case rate of 616 per 100,000 people Monday, highest in the nation.

In the West, New Mexico, Arizona, Colorado, Utah and Montana also ranked high. Some Colorado communities, including Denver, are turning to indoor mask orders to reduce risk, a policy that has also been adopted in the Buffalo, New York, area and Santa Cruz County, California.

The statistics in Michigan are "horrible,” said Dr. Matthew Trunsky, a respiratory specialist at Beaumont Health in suburban Detroit.

“We got cold and moved indoors and have huge pockets of unvaccinated people," he said. "You can't have pockets of unvaccinated people who don’t want to be masked and not expect to get outbreaks, not expect to lose parents, not expect to lose teachers.”

During a recent office visit, he encouraged a patient who uses oxygen to get vaccinated. The patient declined and now is in the hospital with COVID-19, desperately relying on even more oxygen, Trunsky said.

He said he continues to encounter patients and their family members espousing conspiracy theories about...