Biodun Iginla, BBC News

Biodun Iginla, BBC News
Showing posts with label USNS Comfort. Show all posts
Showing posts with label USNS Comfort. 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."

Monday, March 30, 2020

ANALYSIS: New York gets hospital ship as emergency rooms fill with coronavirus patients


The USNS Comfort passes the Statue of Liberty as it enters New York Harbor during the outbreak of the coronavirus disease (COVID-19) in New York City, U.S., March 30, 2020.
The USNS Comfort passes the Statue of Liberty as it enters New York Harbor during the outbreak of the coronavirus disease (COVID-19) in New York City, U.S., March 30, 2020. © REUTERS/Mike Segar
A military hospital ship arrived in New York Monday as America's coronavirus epicenter gears up for the peak of the pandemic, with emergency restrictions extended as the national death toll passed 3,000.
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The navy's 1,000-bed USNS Comfort docked at a Manhattan pier as more US states enforced stay-at-home orders after President Donald Trump abandoned his Easter target for life returning to normal in the United States.
The 894 foot-long vessel -- which also has space for a dozen operating rooms -- was greeted by cheering crowds after departing Norfolk, Virginia on Saturday.
Its arrival came as Virginia, Maryland and the capital Washington became the latest areas to restrict citizens' movements, meaning almost three-quarters of Americans are now living, or about to live, under various phases of lockdown.
On Sunday, Trump cancelled his plans to re-open much of the United States by Easter -- April 12 -- and extended social distancing guidelines until the end of April after his top scientists confronted him with data on the rising coronavirus deaths.
He said America's death rate was likely to increase for two weeks, describing as "horrible" a prediction by senior scientist Anthony Fauci that COVID-19 could claim up to 200,000 lives.
Worst-affected New York is ramping up hospital capacity and taking delivery of desperately needed medical supplies as it races against time.
'Apex' 
"We have been playing catch up from day one," Governor Andrew Cuomo told reporters.
"Don't fight today's fight. Plan for two weeks, three weeks, four weeks from now when you're going to have the apex, and make sure that we're in a position to win the battle," he added.
The Comfort will care for New Yorkers requiring intensive care unrelated to the coronavirus, easing the burden on a hospital network overwhelmed by an influx of COVID-19 patients.
The US now has the highest number of confirmed cases in the world -- more than 163,000 according to a running tally by Johns Hopkins University.
The virus has claimed more than 3,000 lives in the country, including more than 1,200 in New York state.
Some 790 deaths have occurred in New York City, the country's financial capital and the most populous US city.
It is spreading to other areas, notably New Jersey, Louisiana, Illinois and Florida, where Governor Ron DeSantis said Monday he did not want passengers from the cruise ship Zaandam suspected of having the virus "dumped" in his state.
New York opened a temporary emergency hospital in the Javits convention centre with 2,900 beds on Monday. A field hospital in Central Park is due to open Tuesday.
Four other sites have also been approved to house patients discharged from hospitals to make way for residents suffering from the novel coronavirus.
'D-Day' for New York 
Flights run by the Federal Emergency Management Agency (FEMA) began arriving at New York's JFK Airport as Mayor Bill de Blasio said the city needed 400 more ventilators by the end of the week, describing next Sunday as "D-Day."
The flights, part of 50 planned under "Project Airbridge," are delivering millions of masks, gowns and thermometers for hospitals.
"We are all trying to reuse what we can because you never know when it's going to run out," 38-year-old doctor Peter Liang told us at France24, referring to supplies at the Manhattan hospital he works in.
Ford, GE to produce ventilators 
Ford Motor Co said on Monday it will produce 50,000 ventilators over the next 100 days at a plant in Michigan in cooperation with General Electric's healthcare unit, and can then build 30,000 per month as needed to treat patients afflicted with the coronavirus.
Ford said the simplified ventilator design, which is licensed by GE Healthcare from Florida-based Airon Corp and has been cleared by the Food and Drug Administration, can meet the needs of most COVID-19 patients and relies on air pressure without the need for electricity.
'Between 100,000 and 200,000 Americans could die'
Fauci, who leads research into infectious diseases at the National Institutes of Health, said Sunday that between 100,000 and 200,000 Americans could die from "millions of cases."
Trump told Fox News on Monday he expected a spike in cases around Easter, before numbers begin to fall. 
"That would be a day of celebration. And we just want to do it right," said Trump, who earlier said he expected the country to "be well on our way to recovery" by June 1.
Fauci said he had no trouble convincing Trump to extend the confinement guidelines. 
"It was a pretty clear picture," Fauci told CNN on Monday.
Trump, who initially downplayed COVID-19 pandemic, has oscillated between stressing the seriousness of the outbreak to talking of the need to get people back to work quickly.
A staggering 3.3 million Americans filed for unemployment benefits in the third week of March, by far the highest ever recorded.