As quickly as one Covid patient is discharged, another waits for a bed in northeast Florida, the hot zone of the state’s latest surge. But the patients at Baptist Health’s five hospitals across Jacksonville are younger and getting sick from the virus faster than people did last summer.

Baptist has over 500 Covid patients, more than twice the number they had at the peak of Florida’s July 2020 surge, and the onslaught isn’t letting up. Hospital officials are anxiously monitoring 10 forecast models, converting empty spaces, adding over 100 beds, and “bracing for the worst,” said Dr. Timothy Groover, the hospitals’ interim chief medical officer.

“Jacksonville is kind of the epicenter of this. They had one of the lowest vaccination rates going into July and that has probably really come back to bite them,” said Justin Senior, CEO of the Florida Safety Net Hospital Alliance, which represents some of the largest hospitals in the state.

Duval County, which consists almost entirely of Jacksonville, is a racially diverse Democratic bastion, won by Joe Biden. The overwhelmingly white rural counties that surround it went firmly for Donald Trump.

But all had lower than average vaccination rates before the highly contagious delta variant swept through this corner of Florida, driving caseloads in a state that now accounts for one in five COVID patients hospitalized nationwide.

Nearly one-third of Jacksonville’s population is African American, and racial tensions here date back to the Civil Rights era when 40 young Black people sat down at a whites-only department store lunch counter and were attacked with axes and baseball bats by 150 white men. That 1960 conflict was a turning point for equal rights in the city, but mistrust of government officials still lingers.

The city is just a five-hour drive from the home of the infamous “Tuskegee syphilis study,” in which the government used unsuspecting Black men as guinea pigs in a study of a sexually transmitted disease. Groover, who is Black, understands why people are wary, even though his hospital system promises the highest quality of care to its community, using the most advanced technologies.

The system is working overtime to get a pro-vaccine message out, but it’s competing against rumors that filter through social media feeds to local BBQs and church congregations. Black leaders in the community told The Associated Press they’ve heard everything, including that the government is using the vaccine to implant tracking devices.