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A nurse enters a Covid-19 patient's room inside the ICU (intensive care unit) at Adventist Health in Sonora, California on August 27, 2021. Nic Coury/AFP via Getty Images hide caption

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Nic Coury/AFP via Getty Images

A nurse enters a Covid-19 patient's room inside the ICU (intensive care unit) at Adventist Health in Sonora, California on August 27, 2021.

Nic Coury/AFP via Getty Images

Some states in the south are have more people in the hospital than at any point during the pandemic — fueled by the highly transmissible delta variant and low vaccination rates.

Dr. David Kimberlin, co-division director of Pediatric Infectious Diseases at the University of Alabama at Birmingham, tells NPR the hospital system is Alabama is on the verge of collapse. He spoke to reporter Pien Huang.

So what happens — for patients and the people who treat them — when hospitals are full? NPR put that question to two people in charge of hospitals: Dr. Aharon Sareli, Chief of Critical Medicine with the Memorial Healthcare System near Miami; and Dr. Adriano Goffi, a medical director at Altus Lumberton Hospital east of Houston.

In participating regions, you'll also hear a local news segment that will help you make sense of what's going on in your community.

Email us at This email address is being protected from spambots. You need JavaScript enabled to view it..

This episode was produced by Connor Donovan, Pien Huang, and Brent Baughman. It was edited Joe Neel, Brianna Scott, and Fatma Tanis. Our executive producer is Cara Tallo.

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