Biodun Iginla, BBC News

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

Sunday, January 19, 2020

BREAKING: Virginia's top House Republican warns "white supremacist garbage" to stay away from gun rally

January 19, 2020  13H04  GMT/ZULU
Virginia’s House Republican leader said on Saturday that white supremacists and any other groups trying to spread “hate, violence, or civil unrest” were not welcome at a pro-gun rally in the state’s capital on Monday, which is expected to draw thousands.
The House Republican leader’s statement came a day after the state’s top court upheld a ban by the governor on weapons in the area around the Capitol in Richmond where the rally is set to take place by demonstrators protesting against Democrats’ push to stiffen the state’s gun laws.
“Any group that comes to Richmond to spread white supremacist garbage, or any other form of hate, violence, or civil unrest isn’t welcome here,” House Republican leader Todd Gilbert said in a statement. “While we and our Democratic colleagues may have differences, we are all Virginians and we will stand united in opposition to any threats of violence or civil unrest from any quarter.”
Militias, neo-Nazis and other groups have vowed to attend the rally. Authorities say they are expecting several thousand people and are trying to keep the event from becoming violent.
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Virginia Governor Ralph Northam on Wednesday temporarily banned all weapons from the area around the Capitol ahead of the demonstration to avoid a repeat of violence that erupted at a 2017 white supremacist rally in Charlottesville, when a march by white nationalists led to the death of a counter-protester.
In a statement late Friday, the Virginia Citizens Defense League, a pro-gun rights group organizing the rally, urged 10,000 people to go to the Capitol grounds unarmed on Monday in accordance with the governor’s ban.
The emailed statement also called on tens of thousands more to stand with their weapons immediately outside the designated rally grounds to show support for Americans’ right to bear arms under the U.S. Constitution.
“For every one gun owner on the Capitol grounds, we need another two to five people outside,” the organizers wrote. “Those doing so can be legally armed.”
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President Donald Trump backed the rally organizers in a Twitter post on Friday in which he said the U.S. Constitution was under attack by recent gun control measures in Virginia, a state that Hillary Clinton won in 2016 and where Democrats took full control of the state legislature for the first time in a generation in November.
“Your 2nd Amendment is under very serious attack in the Great Commonwealth of Virginia,” Trump wrote in the post, referring to the amendment in the Bill of Rights that gives Americans the right to keep and bear firearms. “That’s what happens when you vote for Democrats, they will take your guns away.”
The Virginia Senate late on Thursday passed bills to require background checks on all firearms sales, limit handgun purchases to one a month, and restore local governments’ right to ban weapons from public buildings and other venues.
Both Virginia legislative houses are also expected to pass “red flag” laws that would allow courts and local law enforcement to remove guns from people deemed a risk to communities, among other measures.
Gun-control activists have reported a growing number of online death threats as lawmakers have passed gun control legislation ahead of the rally.
Slideshow (4 Images)
Supporters of more restrictive gun laws say they would help decrease the number of people killed by firearms in the United States each year. Gun-rights activists assert that the constitution guarantees their right to possess any firearm.
On Thursday, the FBI arrested three members of a small neo-Nazi group who authorities said hoped to ignite a race war through violence at the Richmond rally, reminiscent of a 2017 white supremacist rally in nearby Charlottesville.
That rally proved a critical moment in the rise of the “alt-right,” a loose alignment of fringe groups centered on white nationalism and emboldened by Trump’s 2016 election. Trump was criticized from the left and right for initially saying there were “fine people on both sides” of the dispute between neo-Nazis and their opponents at the rally.