Biodun Iginla, BBC News

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

Tuesday, November 20, 2012

Detroit council rejects condition for cash infusion


City of Detroit activists hold up protest signs to encourage the Detroit City Council members to vote no on a contract to hire a firm to help carry out an overhaul of the city's finances, during a full council meeting in Detroit, Michigan November 20, 2012. REUTERS/Rebecca Cook
DETROIT | Tue Nov 20, 2012 7:49pm EST

Detroit will not get a much-needed $10 million after the city council rejected on Tuesday a contract to hire a law firm that was part of a deal to keep the city on track to overhaul its finances.
The state of Michigan and its biggest city, Detroit, announced a deal last week that includes several milestones the city must achieve in the next month to receive the $10 million by Tuesday and another $20 million by December 14.
The setback leaves the city at risk of running out of cash by the end of December if it does not meet those goals.
In a voice vote, the city council rejected a contract for the law firm of Miller, Canfield, Paddock & Stone to provide legal advice and to handle litigation related to implementing a financial stability agreement designed to fix city finances.
The rejection "means the city will not receive the first $10 million scheduled for release today," said Mayor Dave Bing in a statement issued right after the vote.
Mayor Bing said the rejection of the contract will make it more difficult for Detroit to maintain positive cash flow.
"It will be more difficult for the city to maintain its liquidity until the receipt of property tax revenues beginning in January. Today's vote is one more example of how city council has stalled our efforts to bring financial stability to the city of Detroit," the mayor said in the statement.
Detroit has struggled with its finances for many years as the city's population has dwindled and the automotive industry that once drove economic activity in the Motor City has diminished.
The city of 700,000 has been criticized by state officials for slow progress on financial reforms. It needs the money to avoid running out of cash by the end of the year. The Michigan Finance Authority raised $137 million for Detroit earlier this year through a debt sale. While Detroit received some of that money, Michigan Treasury officials tied another $30 million to Detroit's progress on reforms.
"If the milestones are not completed, the funds will not be released from escrow," Caleb Buhs, spokesman for the Michigan Treasury Department, told Reuters.
"The actions Detroit must take for the treasurer to release the funds from escrow were clearly established in the Memorandum of Understanding, sent to the mayor and city council last week," Buhs said.
City Council President Charles Pugh blamed Bing for the setback. "Why is Mayor Bing putting the city's finances at risk by marrying himself to one law firm?" he told reporters, adding he wants to meet with the mayor this week to choose a law firm that the council can accept.
Council members raised several objections about Miller Canfield, including potential conflicts of interest in the work it performs for the city and the state and the scope of the contract. Some questioned whether the contract was legal under the city's charter because it was neither prepared nor approved by the city's chief on-staff lawyer.
Projections presented by city officials to Detroit's oversight board earlier this month showed the city's weekly cash flow at just $4.1 million in mid-December before dropping to a negative $4.8 million at the end of the year.
Detroit's financial advisory board was created under an agreement that allowed Detroit to avoid the appointment of an emergency manager to run the city while giving the state some oversight and allowing the mayor to disregard collective bargaining agreements with unions.
The city council did approve on Tuesday a contract with Ernst & Young to provide cash-flow analysis for 2013. This was another condition set in the deal with the state.
Pugh said the council had previously approved a contract with consulting and actuarial firm Milliman for pension services, which was also a condition of the deal. While the council is officially scheduled to be in recess until early next year, Pugh said it could come back in a special session at any time.
Also on Tuesday, the council rejected a nearly $48 million contract with St. Paul-based EMA Inc to run some of the city's water and sewer department.
Detroit faced a cash crisis this summer that led to warning it could default on some bonds. The cash crunch and default were averted by the bond sale.