Biodun Iginla, BBC News

Biodun Iginla, BBC News
Showing posts with label Chicago. Show all posts
Showing posts with label Chicago. Show all posts

Friday, April 3, 2020

ANALYSIS: As coronavirus surge looms, field hospitals emerge across US


A thousand beds are being installed for sick COVID-19 patients at the TCF Center in Detroit
A thousand beds are being installed for sick COVID-19 patients at the TCF Center in Detroit JEFF KOWALSKY AFP/File
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Washington 
Convention centers, sports arenas, and parking lots from Los Angeles to Miami are being urgently converted into makeshift hospitals as authorities brace for a surge in coronavirus patients.
But another problem is already looming: a dire lack of medical staff to work in them.
For the time being, these beds are often lying empty because the peak in the number of infections is still believed to be several weeks away for many regions, excluding the likes of New York and Louisiana.
The rows and rows of beds in immense rooms invoke a sense of wartime, and a health catastrophe to come.
In New York, the convention center where Hillary Clinton held her election night party in 2016 is opening its doors to COVID-19 patients.
A Navy hospital ship, the USNS Comfort, has a thousand beds but as of Friday just 20 were occupied because the military doesn't want to treat any coronavirus patients but instead handle the overflow of other patients.
In Detroit engineers have been busy since Tuesday erecting partitions in the TCF Center, a convention hall where Bernie Sanders held a political rally in early March.
They're putting in oxygen tubes, cabling for electricity and computers, and have modified the air conditioning to ensure air doesn't escape outside.
"I've been working 15 hour days since this started," said Nick Zager, of the Army Corps of Engineers which is more often called in to help cities devastated by hurricanes or floods.
"I've never felt part of a more important mission in my life."
By the weekend they're hoping to have in place 1,000 rooms measuring ten by ten feet (three by three meters), separated by partitions, over two floors, awaiting future virus patients.
There will be 600 beds on the upper floor equipped with oxygen, and 400 on the lower floor without breathing support for patients further along in their recovery.
Plus 66 sinks, 49 showers and 23 toilets.
The facility is being financed by the federal government following a request made by the state of Michigan on Sunday.
Medical staff and equipment are the responsiblity of the local health authority.
Army engineers are already pre-planning 20 other sites in Detroit, Grand Rapids and other parts of Michigan, in case they are needed.
"I like to hope for the best and plan for the worst as an engineer," said Zager, a quote often repeated in his corps.
- Calm before the storm -
The military is building eight field hospitals in and around New York, Chicago and two other Illinois cities.
More sites in Texas and Louisiana are also planned.
In California, the state's National Guard has set up a temporary hospital in the desert environs of Indio, with 125 beds.
An RV camp hospital has been set up near the beach in Los Angeles to isolate coronavirus patients.
And hospitals are themselves expanding their capacity without waiting for public assistance.
In Virginia, just south of the capital Washington, there is a sense of a calm before the storm.
The peak of the outbreak in the state isn't set to occur until mid-May, according to modeling by the Institute for Health Metrics and Evaluation at the University of Washington.
The Mary Washington Hospital in Virginia's Fredericksburg has just set up an emergency room in its parking lot to double its capacity.
When France24 went there on Thursday, there was still no one there.
"I hope we never have to use it but there's no indication with a lot of the models that that's going to be the case, unfortunately," Christopher Newman, the hospital's chief medical officer told us at France24.  
The hospital has doubled its number of Intensive Care Unit beds from 38 to 76, and presently has 71 ventilators.
What if the surge means capacity is exceeded by a factor of three or four? It would mean transferring patients to other hospitals, said Newman.
"My biggest concern with this is staffing," he said.
He has made arrangements with doctors from other specialties and primary care physicians to plug the gap. But, he warned, "if all the health systems are at capacity or actually double capacity in Virginia, it's going to be very difficult to have additional staff to man the field hospitals."
New York illustrates the worst case scenario for what the rest of the country may face in April or May.
"I asked the president and the military over a week ago for 1,000 nurses, 150 doctors, 300 respiratory therapists," Mayor Bill de Blasio told CNN on Friday.
"I don't have anything yet."

Wednesday, April 3, 2019

Chicago makes history with election of first black female mayor


Scott Olson, Getty, AFP | Lori Lightfoot delivers a victory speech after winning the Chicago mayoral race on April 02, 2019.
Chicago on Tuesday became the biggest US city to elect a black woman its mayor, as voters put their faith in an openly-gay political novice to tackle difficult problems of economic inequality and gun violence.
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Lori Lightfoot, a 56-year-old former federal prosecutor and practicing lawyer who has never before held elected office, won the Midwestern city's mayoral race in a lopsided victory.
She beat out Toni Preckwinkle, a career politician who is also black, by a wide margin of 74 to 26 percent with most ballots counted.
"We were up against powerful interests," Lightfoot said in a victory speech, with her wife and young daughter by her side.
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"Today, you did more than make history, you created a movement for change," she told a cheering crowd.
Lightfoot will become Chicago's first openly gay mayor as well as the first African America woman to hold the post. Since 1837, Chicago voters have elected only one black mayor and one female mayor.
Her ascendancy to the top of Chicago government was a stunning development in a city where insider deals and entrenched party politics held sway for decades.
"It is a city-wide rejection of the Chicago political establishment at the mayoral level," Evan McKenzie, political science professor at the University of Illinois in Chicago, told us at France24. 
Preckwinkle, the chief executive of Cook County in which Chicago is located, has for decades held various local elected offices, which analysts said hurt her in an election in which voters were looking to shake up city hall.
Among the top issues were high levels of gun violence that claims more lives than in other major American cities, and years of political corruption in the Democratic stronghold.
The initial field in the mayoral race consisted of 14 contenders, but Lightfoot managed an upset -- sidelining moderates and establishment figures by promising to clean up city government and reduce economic inequality.
She and Preckwinkle were the final two left competing in Tuesday's run-off election.
'New ideas'
Voters left little doubt they wanted the next mayor to tackle the major issues vexing the city of 2.7 million people -- including economic disparities and gun violence.
"The message is that (voters) want new ideas and cleaner government," McKenzie said.
Community groups have for years complained about disparities in living conditions among the sprawling city's diverse communities.
Gun violence, fueled by gangs and the drug trade, plagues economically-depressed neighborhoods in the South and West, which are majority African American.
The downtown business district, and areas to the north and along the city's famed lake shore, have enjoyed an economic boom even as more than 550 people were murdered last year alone.
Reforming the police department, which has a sordid history of abusive tactics, and city hall, which is mired in a federal corruption probe of one of its members, were priorities for voters, McKenzie said.
Lightfoot headed a panel investigating the city's policing problems and held a number of appointed positions in city government.
She has promised to increase affordable housing, fight homelessness and crime, and boost oversight of the police department.
"We can and will finally put the interests of our people, all of our people, ahead of the interests of a powerful few," Lightfoot said Tuesday night.
Laquan McDonald
Lightfoot will replace outgoing mayor Rahm Emanuel -- once a rising star in the Democratic Party and former president Barack Obama's first White House chief of staff.
The powerful Emanuel sustained political damage for his handling of murder of black teenager Laquan McDonald and declined to run for a third term.
Lightfoot emphasized during her campaign that she was among the few early candidates to declare her candidacy before Emanuel decided not to run again.
McDonald was a 17-year-old boy shot dead by police in a 2014 encounter caught on police dash cam video.
The video -- showing officer Jason Van Dyke firing 16 bullets into the knife-wielding teen even after he fell to the ground -- was not released for more than a year.
Emanuel faced accusations of an attempted cover-up. He fired the police chief and brought in a reformer who instituted changes, worked to rebuild public trust, and reduced gun violence.
But as Van Dyke was about to go on trial for murder in September, Emanuel announced he would not run for re-election.
Van Dyke was convicted and sentenced to nearly seven years in prison.