Downtown Sparta is mostly quiet on Wednesday. Sparta is the county seat of Hancock County, which now has the fourth highest number of COVID-19 cases per capita in Georgia. (PHOTO by Curtis Compton ccompton@ajc.com)
Photo: The Atlanta Journal-Constitution
Photo: The Atlanta Journal-Constitution

COVID-19 swamps another rural Georgia county

Georgia has a new COVID-19 hot spot: Hancock County, 100 miles or more from the outbreaks at Albany and Gainesville.

With just 8,500 people, Hancock has 170 reported cases of COVID-19, the fourth highest number per capita in the state, higher than any county outside the Albany region. On Tuesday a Hancock nursing home reported 14 new deaths to the state Department of Public Health, making the county’s total of coronavirus-related deaths at least 19.

Hancock is a microcosm of where the disease hunts: The county is lower-income and overwhelmingly African-American; it contains two nursing homes with poor ratings, and one prison. Health officials have confirmed the virus also has a solid foothold in the community outside those facilities, with a third of the cases and at least three deaths.

» COMPLETE COVERAGE: Coronavirus in Georgia

“It’s a matter of life and death is what it is,” said Robert Ingram, a Hancock County retiree who knows several of the 14 people who died in the Sparta Health and Rehabilitation nursing home. His own aunt, 95, caught COVID-19 there but survived, he said. Those who died were “regular, decent good people,” including a neighbor who lived next door to his parents.

That nursing home has reported 52 infections of patients and 20 of employees. The other nursing home in the county, Providence of Sparta Health and Rehabilitation, reported 38 infected patients, 11 infected staff, and one death. Both homes have troubled inspection histories. The Providence home has a federal rating of one star, or much below average. Sparta Health is rated two stars, or below average.

A healthcare worker on Wednesday looks out the main doors at Providence of Sparta Health and Rehabilitation, where at least 38 patients and 11 staff members have been infected with coronavirus. The nursing home has reported one coronavirus death. Hancock County, halfway between Augusta and Macon, has become a new coronavirus hot spot in Georgia. Two-thirds of the Hancock cases are in the county’s two nursing homes. (PHOTO by Curtis Compton ccompton@ajc.com)
Photo: The Atlanta Journal-Constitution

Ingram pointed to the closure of the Hancock County Hospital in 2001 and residents’ patchy access to doctors ever since as other signs of the county’s vulnerability in a pandemic.

“I think it’s more than serious at this point,” he said. “We’re dealing with something that even the country’s not prepared to handle. And if the country’s not prepared to handle it, then how are we going to handle it in Hancock County?”

A spokesman for the state Department of Public Health, which is leading Georgia’s response to the pandemic, acknowledged that Hancock County faces risk factors associated with harsher COVID-19 outcomes: It’s a rural area, over 70% African American, and with an average household income well below the state average.

Ingram and health officials also complain that many residents are not taking social distancing seriously, holding parties and spurning masks.

Vietnam veteran Robert Ingram, 74, on West Broad Street in downtown Sparta, is alarmed by the coronavirus cases in Hancock County. “I think it’s more than serious,” he said. “It’s a matter of life and death is what it is,” Ingram’s aunt survived coronavirus at the Sparta Health and Rehabilitation nursing home where multiple residents have died. (PHOTO by Curtis Compton ccompton@ajc.com)
Photo: The Atlanta Journal-Constitution

“It’s obviously a — not exactly ideal situation out there,” said Michael Hokanson, with DPH’s North Central District, which covers 13 counties including Hancock. “This illness is still something that’s severely impacting our community.”

What’s more, some health care facilities with a legal duty to report cases to DPH aren’t returning the department’s calls. The district’s two epidemiologists tracking disease, planning response, fielding community inquiries and supervising contact tracing over 13 counties are instead left to learn of some cases on the news. The district hired two part-time epidemiologists to help. They started Monday.

» RELATED: Infection control lapses, short staffing put senior care homes at risk

» MORE: State actions seen as too little, too late to spare senior care residents

Sparta Health at first did not report its 14 deaths to DPH as required, but did report them as required to another state agency, the Department of Community Health, which holds its license. District DPH officials said they don’t have access to the other state agency’s database and learned of the 14 deaths by watching local TV news on Monday night.

“That was a surprise, to say the least,” Hokanson said. “It’s something that we’ve struggled with, getting the most accurate information from facilities.”

Hancock State Prison is also fighting coronavirus infections. The Georgia Department of Corrections website shows that two people at the prison have become infected. However, the warden told state health officials that there are seven cases at the prison. (PHOTO by Curtis Compton ccompton@ajc.com)
Photo: The Atlanta Journal-Constitution

Following a call from a reporter Tuesday afternoon about the deaths, Sparta Health sent an e-mail to DPH confirming the deaths.

DPH also has a data discrepancy with the Georgia Department of Corrections, Hokanson said. Corrections reported a total of two infections at the Hancock prison on its website. But the prison’s warden told Hokanson’s office there were seven.

“So it’s one of those things where we don’t know where the error is, because we spoke with the warden,” he said.

There are discrepancies in general community results, too. A profusion of organizations have stepped up to help offer testing, and if they are small or temporary, they don’t always get the laboratories that they partner with to report positive results to DPH after reporting them to the patients, he said.

“That should be the case. But that’s not always the case,” he said.

A NEW HOT SPOT

As areas west of Hancock County started to confirm COVID-19 cases in mid-March and early April, Hancock reported no cases until one on April 7. It now has 170 reported cases, the state's fourth-largest per capita number, according to state data. These are the latest reports of new cases for Hancock County. People often don't report results on weekends.

Tuesday, May 12: 10 cases

Wednesday, May 13: 2 cases

Thursday, May 14: 2 cases

Friday, May 15: 7 cases

Saturday, May 16: 0 cases

Sunday, May 17: 10 cases

Monday, May 18: 2 cases

Tuesday, May 19: 9 cases

Source: Georgia Department of Public Health

HARD HIT GEORGIA COUNTIES

The hardest hit counties in Georgia per capita are in the area of the Albany outbreak in the southwest of the state. The next hardest hit is Hancock County, between Macon and Augusta, which has recently become a hot spot. These are the Georgia counties with the highest rates of reported cases. The number shown is the number of confirmed infections the county would have if the county had 100,000 residents.

Randolph: 2,502

Terrell: 2,350

Early: 2,306

Hancock: 2,075

Calhoun: 1,931

Dougherty: 1,855

Source: Georgia Department of Public Health

 

DPH is glad to have more testing available, he said, but sometimes the agency doesn’t even know a church or community organization has offered testing until after it’s over and they see it on the news.

A spokeswoman for the nonprofit organization that runs Sparta Health, Ethica, confirmed the 14 dead and said in an email to the AJC that it was following CDC guidance for infection control. The Providence Health and Rehabilitation administrator, Peterson Mirville, said in an email that the facility was "in very close communication with local and state health officials to report testing results and to ensure we are taking the appropriate steps at this time."

Ingram said when he visited his aunt at Sparta Health, it looked well kept. The staff always looked busy, he said.

The facility is currently seeking to hire 11 workers, including someone to coordinate the care of residents, an assistant director of nursing, a nurse supervisor, a charge nurse, a social services coordinator, and someone to coordinate admissions.

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