'It's gone haywire': When COVID-19 arrived in rural America

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'It's gone haywire': When COVID-19 arrived in rural America
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COVID-19 arrived in poor counties in rural Georgia already suffering from extraordinary inequality that left them sicker and more vulnerable to the virus. “It’s like our worst nightmare coming true,” an epidemiologist said.

“It’s just gone haywire, I mean haywire,” thought Eddie Keith, a 65-year-old funeral home attendant standing in the back who was familiar with all the faces on the funeral programs piling up. “People dying left and right.”

These counties circle the city of Albany, which is where authorities believe the outbreak began at a pair of funerals in February. Albany is also home to the main hospital in the region, Phoebe Putney Memorial, which serves an area of 800,000 people spanning more than 50 miles in every direction, many of them with little other access to care.

By nearly every measure, coronavirus patients are faring worse in rural Georgia than almost anywhere else in America, according to researchers at Emory University in Atlanta. Although New York City had thousands more deaths, the per capita death rate in these Georgia counties is just as high. Georgia has lost seven rural hospitals in the last decade. Nine counties in rural Georgia don’t even have a doctor, according to the Georgia Alliance of Community Hospitals; 18 have no family practitioner, 60 have no pediatrician, 77 without a psychiatrist.

His son, Desmond, took him to the hospital in Albany. By then it was full, and he was sent to another hospital an hour south. Benjamin’s wife, Nellie Mae, who everyone called Pollye Ann, got sick the next day. She was routed from the Albany hospital to another an hour north. Shortly after the Tolberts got sick, Peters called her daughter and said she too had an incessant cough and was struggling to breathe. Latasha was working hours away, so she called her cousin, Desmond, and asked him to check on her.

Desmond was on the phone with a nurse as his mother took her last breath. Two days later, the call came from his father’s caregivers. Benjamin never knew that his wife got sick. She didn’t know her husband was on his death bed. They were apart, far from home, without their son at their sides. He thought of his pastor’s favorite spiritual. “Good news, good news,” the pastor would sing and walk from behind the pulpit, a little strut in his step. “I’m going to lay down my burden, store up my cross. And I’m going home to live with Jesus, ain’t that good news.”By time the Tolberts’ funeral arrived, so many had been lost to COVID-19 that Rev. Willard Weston had gotten used to delivering his eulogies through a mask. Gloves. Hand sanitizer.

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