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Gov. Mike Parson's top adviser on COVID-19 is lashing out at vaccine falsehoods on social media, adding to the chorus of health officials around the state working to distribute shots as the delta variant continues to surge.

Robert Knodell, Parson's deputy chief of staff and acting director of the Department of Health and Senior Services, has generally stayed in the background as he helped coordinate the state's pandemic response.

He's taken a more public role since he took over the health department in April. On Thursday, he put his criticism of vaccine falsehoods on his personal Twitter account.

"I'm not one to vent on Twitter, but enough is enough," Knodell wrote. "All this rhetoric against COVID vaccines is a bunch of baloney."

He urged Missourians to consult their doctors and pharmacists and get a shot to protect family, friends, "neighbors, or strangers who have vulnerabilities putting them at grave risk you may not even know about."

Knodell's comments echo those of Parson in urging Missourians to trust local voices for vaccine information.

State and local officials have ramped up the push for vaccinations as infection rates and hospitalizations in some parts of the state are surpassing the highest rates seen in the fall. On Friday, the state health department reported 2,865 additional COVID-19 cases, the ninth day this month cases have exceeded 2,000.

From Feb. 5 to July 9, there were no days with 2,000 or more cases. There were only three days with more than 1,000 cases from the end of February to July 1.

The seven-day average of reported cases, 2,286 per day, is up 27 percent in a week and 232 percent from the rate of 687 per day on June 23. Missouri has reported about 6.3 percent of all cases reported nationwide so far this month and, with Texas and Florida, 40 percent of the cases in the past week.

Parson unveiled a vaccine incentive program this week with prizes of $10,000 for adults and scholarships for young people. The delta variant summer surge had already prompted a small increase in vaccination rates, with the highest seven-day average of the month so far, 11,348 shots per day, coming Wednesday, the same day Parson announced the incentives.

That rate is up about one-third from July 1 but about 2,000 a day below the peak rate in June.

Despite some skepticism on social media toward the incentive program, it had 100,000 people enter within its first 24 hours, Lisa Cox, a spokeswoman for the Department of Health and Senior Services, said during a media briefing Thursday.

She said the program's webpage had more than half a million people visit it the day it launched — the most web traffic the site has seen since February when vaccine demand was high.

"Our whole goal here is to get Missourians to take another look at vaccination and to give it some strong consideration," Knodell said during Thursday's briefing, later adding: "500,000 people looking at a website that's packed with factual information about vaccination in the state of Missouri is a win already."

Missouri has the 13th lowest number of doses administered per capita in the U.S., according to the Centers for Disease Control and Prevention.

The younger a person is in Missouri, the less likely they are to be vaccinated. While 57.7 percent of people older than 18 have had at least one shot, all eligible groups younger than 54 are below that average. Only 25 percent of children ages 12-14 have initiated vaccination, and only 51.3 percent of adults 35-44 have had a shot.

Rapid rise

On Thursday, Parson's office announced the state was sending "ambulance strike teams" with 10 advanced life support ambulances, 20 medical personnel, two strike team leaders, and one logistics specialist to support transport of COVID-19 patients in Springfield.

To help treat the growing number of severe cases, the state is also sending Missouri Disaster Medical Assistance Team equipment and personnel to support a Monoclonal Antibody Centralized Infusion Center expected to open immediately, Parson announced in a news release.

The Springfield-Greene County Health Department's request for a temporary hospital for patients recovering from severe illness has been sent to the Federal Emergency Management Agency for approval, the release stated.

As the county waits, the hospitals of southwest Missouri are seeing more patients than at any other time in the pandemic. On Wednesday, the Springfield health department reported there were 265 inpatients, an all-time high.

Mercy Hospitals in Joplin and Carthage on Thursday reached the highest number since the pandemic started last year, the Joplin Globe reported.

"We are really being challenged with space and resources," said Jeremy Drinkwitz, president of the hospitals. "All the patients obviously that are here are necessary. The vast majority of them are needing some sort of oxygen in multiple forms. That's a big part of why they're here."

And in Kansas City, hospitals are turning away patients and hospital leaders will ask for a new mask mandate for the metro area as infections surge because of the delta variant.

"We are past the tipping point. We are in trouble," Steve Stites, chief medical officer at the University of Kansas Health System, told the Kansas City Star.

Hospitalizations statewide — 1,632 as of Tuesday and rising on average 39 per day — are at the same level they were in October when administrators begged Parson for a statewide mask mandate. He refused.

There are 27 local health departments — 24 in a southwest Missouri region from Jefferson City to Joplin — that have reported infection rates of 1,000 or more per 100,000 residents this month, compared to nine for all of June. The highest is in Taney County, home to the tourist mecca of Branson, where the month-to-date infection rate is 2,025 per 100,000 residents.

The statewide peak infection rate for a full month was 2,049 per 100,000 in November, when 126,121 COVID-19 cases were reported.

The state health department has reported 39,867 cases so far this month, double the total for June. That is an infection rate of 648 per 100,000.

The latest data on wastewater monitoring shows the delta variant was the dominant strain in 38 communities in samples collected the week of July 5, up from 32 the previous week.

Marc Johnson, the University of Missouri professor who coordinates the wastewater project, predicted in late June that cases would double or triple statewide in July.

"It appears cases will continue to increase for the next two or three weeks before plateauing," Johnson said Friday.

He's basing that analysis on peak infection rates seen in other places where the delta variant has led to higher case numbers, he said.

The highly transmissible delta variant spreads two to three times faster than the original coronavirus and grows more rapidly inside people's respiratory tracts, NPR reported Thursday, citing a new study.

That helps it infect people faster, and those who contract the mutant contagion can infect others in four days, compared to six for the original strain.

Message management

Knodell's tweet, he told the Missouri Independent, was prompted by some of the more than 1,600 comments on Facebook as Parson announced the incentive plan.

"If this experimental shot was actually good, you wouldn't need an incentive," one commented. "Shame on you, you need (to be) thrown out of office and put in prison."

On a post promoting the plan, another person wrote: "$10,000.00? Just about the right amount of money for my family to give me a proper burial after I die from getting vaccinated."

The incentive plan also drew a rebuke from state Sen. Mike Moon, R-Ash Grove. Moon lives in Lawrence County, which has the 13th highest infection rate this month. Fewer than one-third of the counties residents have started vaccination.

Moon compared the vaccine to a free item that few people wanted.

"Could it be that something might be wrong with the free item?" Moon wrote on Facebook.

In a message to the Independent, Knodell said what "really stirred me up was really the prevalence or volume of anti-COVID vax rhetoric I saw in social media reactions to our incentive program.

"Just a lot of debunked or discredited myths," he said. "And my concern is if good, well-intentioned people on the fence about getting vaccinated who may be vulnerable to the virus are swayed by untrue information."

Local health officials are joining the effort to confront falsehoods head-on. The Springfield-Greene County Health Department used its Twitter account to challenge beliefs that vaccines make people magnetic or include tracking devices.

"None of the vaccines for COVID-19 contain metals or microchips," the department said.

The Missouri Independent is a nonprofit, nonpartisan news organization covering state government and its impact on Missourians.

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