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The post Overwhelmed California hospitals sending COVID-19 patients to SF appeared first on Virus Reports.
]]>By Amy Graff, SFGATE
Published
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UCSF Hellen Diller Medical Center Hospital in San Francisco, Calif. on March 20, 2020. The Bay Area is under a shelter-in-place order due to the the COVID-19 coronavirus.
UCSF Hellen Diller Medical Center Hospital in San Francisco, Calif. on March 20, 2020. The Bay Area is under a shelter-in-place order due to the the COVID-19 coronavirus.
Photo: Douglas Zimmerman/SFGate
Photo: Douglas Zimmerman/SFGate
UCSF Hellen Diller Medical Center Hospital in San Francisco, Calif. on March 20, 2020. The Bay Area is under a shelter-in-place order due to the the COVID-19 coronavirus.
UCSF Hellen Diller Medical Center Hospital in San Francisco, Calif. on March 20, 2020. The Bay Area is under a shelter-in-place order due to the the COVID-19 coronavirus.
Photo: Douglas Zimmerman/SFGate
As coronavirus cases in California continue to climb, hospitals in a handful of counties are filling up with COVID-19 patients, and San Francisco is taking on some of the overflow.
As of Monday afternoon, the University of California, San Francisco (UCSF), said it had three patients from Imperial County and five from San Quentin.
At San Francisco General, 69 people were hospitalized with confirmed COVID-19 as of Monday afternoon and 16 are transfers. Of those, six are in acute care and ten in the ICU.
Last week, the city said in a release that the number of hospitalizations has increased more than 50% over seven days, “rising from 43 on June 22 to 67 on June 29, including 18 patients transferred from San Quentin State Prison, and Fresno and Imperial counties.”
Stanford Hospital just south of San Francisco has also taken in some patients from outside the Bay Area.
UCSF professor Peter Chin-Hong said it’s not unusual for hospitals to care for patients outside their counties in emergency situations.
“It’s part of the response that we have set up in hospitals in California,” said Chin-Hong. “If there’s a wildfire or any other disaster, hospitals share resources. It’s typical in disaster situations.”
Chin-Hong said the first COVID-19 patients in the Bay Area at the start of the pandemic were transferred to UCSF as the hospital specializes in unusual cases.
“If there’s something strange, you send it to the university hospital that has more resources,” he said.
California Gov. Gavin Newsom delivered a similar message at his Monday briefing, saying that transporting patients from a county with a surge to one with more capacity in hospitals is part of the pandemic plan.
“It’s about collaboration, it’s about sharing, it’s about a detailed plan and procedure that we mapped out at the beginning of the pandemic,” he said.
COVID-19 hospitalizations are up 50% in California over the past two weeks, with the number of hospital beds occupied by COVID-19 patients going from 3,868 to 5,790 people, according to data from the state.
“I think it’s about the highest we’ve been since March-April,” said Chin-Hong. “The scary thing is that this isn’t the peak yet, and we’re expecting to get more and more especially after 4th of July. At the end of the day, it’s going to be higher than we were in the beginning. The fear is we could reach full capacity.”
While the number of occupied beds is rising, only 8% of the state’s hospital beds are in use. But Newsom noted this number is misleading and utilization is significantly higher in certain parts of the state.
In Imperial County, for example, hospitals have been at near-capacity for weeks. The county transferred some 500 Coronavirus patients to hospitals outside the region, including some to the San Francisco Bay Area. The mostly rural county on the Mexico border with a population of about 180,000 has had a positive rate hovering around 20%. Health experts largely agree that cross-border traffic with Mexicali is at least partly to blame for a surge since the middle of May.
San Quentin Prison has also experienced a major outbreak due to a mismanaged transfer of inmates from the California Institution for Men in Chino. As of Monday evening, 1,355 prisoners at the Marin County facility had tested positive.
The Associated Press contributed to this story.
Amy Graff is the news editor for SFGATE. Email her: agraff@sfgate.com.
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]]>The post Long Beach overwhelmed by people cleaning up after looting appeared first on Virus Reports.
]]>People wearing masks flocked to Long Beach’s Harvey Milk Promenade Park on Monday with brooms, buckets and dustpans in hand, to clean up after looting in dowtown Long Beach during an otherwise peaceful protest against the police killing of George Floyd in Minneapolis.
More than a hundred volunteers gathered beneath a Milk mural with the quote, “Rights are won only by those who make their voices heard. Hope will never be silent.”
“Everybody feel good? Let’s get out there!” said Broc Coward, COO of Downtown Long Beach Alliance. Volunteers cheered and dispersed to nearby parking garages, storefronts and sidewalks. Downtown Long Beach Alliance, a group representing property owners and businesses downtown, manned a table surrounded by cases of water and paint cans.
Long Beach public works crews handed out brooms, rakes, gloves, buckets and masks. Two workers blasted a graffitied wall. Kraig Kojian, president and CEO of Downtown Long Beach Alliance, said he didn’t sleep last night. After leaving downtown at about 2 a.m., he stayed up messaging business owners and “helping people commiserate.”
He returned at 5:30 a.m., to join at least 20 people who had already gathered to clean up. “This is what Long Beach is all about. This is really the spirit and the heart of our community,” Kojian said. “While it was tough to see and tough to understand the destruction, this is our first step into recovery and I think it’s doing a good thing for a lot of people. It is heartening. It’s also therapeutic for a lot of people.”
Joaquin and Jennifer Perez brought their two children to participate in the downtown Long Beach protest Sunday because they wanted to show the children that they can have a voice in the face of injustice, Jennifer Perez said. Her family returned Monday morning to help with the clean-up efforts.
“I want them to know that the flip side is they have to come out and help when the bad happens too,” Jennifer Perez said. “Community’s important.”
But by noon, most stores there had already been cleaned up, too.
“We’ve had an overwhelming number of volunteers,” said one organizer.
Many Long Beach businesses had just removed wooden boards, weathered from weeks of coronavirus quarantine, to reopen. On Monday morning, new wood was erected in its place, with some some boards containing graffiti such as, “Black lives matter” or “ACAB,” for “all cops are bastards.”
Others were plastered with signs from the business owners. “Minority family owned” read a sign on door of The Social List, a bar and restaurant. “We stand with you! No justice, no peace!” read another sign posted above a haphazardly nailed wooden board on the front door of Lil Devils children’s clothing store.
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As locals at a retirement home in Kirkland, Washington, started dying in late February from a coronavirus break out that would ultimately take 43 lives, there was little sign of trouble at the Cobble Hill University Hospital, a 360- bed facility in an upscale area of Brooklyn.
Its Facebook page published a pleasant story motivating relatives to quiz their aging loved ones about their lives, and pictures of smiling third-graders at a neighboring school making flower plans for citizens.
That rapidly altered. By the middle of March, the CEO began sending significantly alarmed e-mails about banning visitors, screening personnel, restricting locals, cleaning down all surface areas, and having all-hands-on-deck meetings to prepare everyone for the coming coronavirus “freight train.”
SHAKE SHACK MAKES BIG DONATION TO ASSIST FEED New York City CORONAVIRUS HEALTH WORKERS
A client is filled into the back of an ambulance by emergency medical workers outside Cobble Hill Health Center, April 17, in the Brooklyn district of New York. (AP Photo/John Minchillo).
Now listed with 55 deaths it can just assume were triggered by COVID-19, among the many of any such center in the nation, Cobble Hill Health Center has actually ended up being yet another glaring example of the country’s battle to manage the fast spread of the coronavirus in nursing houses that care for the most frail and susceptible.
Cobble Hill’s grim toll surpasses not just Kirkland’s however the 49 deaths at a home outside of Richmond, Virginia, 48 dead at a veteran’s home in Holyoke, Mass., and 5 other homes in external districts of New York City that have at least 40 deaths each.
CORONAVIRUS BREAK OUT SEES SURGE IN RECKLESS DRIVING ON AMERICA’S EMPTY HIGHWAYS
Tuchman informed the AP on Sunday that he believes lots of other houses have more deaths than Cobble Hill however his has actually been singled out for its sincerity.
NYPD officers, FDNY firefighters, and emergency employees start to discard and disrobe from their protective devices after an emergency call at Cobble Hill University Hospital Friday in the Brooklyn borough of New york city. (AP Photo/John Minchillo).
Eva Buchmuller, a New York City artist whose finest friend has actually lived in Cobble Hill with Alzheimer’s for 3 years, stated she wasn’t that shocked the infection spread in the nursing house’s confined quarters, with little rooms securely loaded along narrow corridors and homeowners not permitted to open windows.
NEW JERSEY AUTHORITIES FIND 17 BODIES INSIDE NURSING HOUSE AFTER GETTING SUGGESTION CLAIMING ONE WAS IN A SHED
Developed in a majestic brick structure that when was a 19 th-century healthcare facility, Cobble Hill was most just recently ranked three out of 5 stars by the federal government for overall quality and the center has a complaint rate that’s half that of the statewide average for nursing homes.
Its beds are in high demand– it has 98 percent occupancy, according to the state– in a city that has seen closures in nursing homes that designers have considered for homes.
National Guard members get to Cobble Hill University Hospital April 17, in the Brooklyn borough of New york city. (AP Photo/John Minchillo).
Over the years, it’s revealed signs of development.
Earlier this month, Daniel Arbeeny and his family decided to move his senior father– who was not believed to have COVID-19– from the Cobble Hill center to the family’s home on a neighboring block.
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” To me, it’s simply a bad circumstance,” he stated.
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]]>Americans are suffering in the greatest numbers of the pandemic. Nothing compares to New York City and its suburbs, which have more recognized infections than any other country.
CBS News.
To the icons of New York, a sign of the pandemic has been included. More than 180 unmarked trailers, cooled inside listed below 40 degrees, are holding a lot of the city’s more than 13,000 lost souls. The trailers anticipate the dead exterior 58 hospitals, consisting of Brooklyn Medical facility Center where Bob Aulicino is chief operating officer.
” We had our very first trailer provided and we were informed it would fit 45 bodies,” Aulicino told reporter Scott Pelley. “The 2nd trailer was provided. We were informed that we had to employ a carpenter to develop shelving because trailer to accommodate three times that quantity which we did.”
” There is an image of a forklift lifting bodies into one of your trailers,” Pelley stated.
” Getting the bodies into the trailer was something we needed to fight with. And for this reason the use of the forklift,” Aulicino said. “We have actually because constructed ramps. We’re able to manage that procedure in a far more respectful manner. It’s not a lovely photo.”
Today, 90%of Brooklyn Hospital Center’s patients suffer from COVID-19
” We’re described as a safeguard hospital,” Aulicino stated. “Safety net healthcare facilities, by definition, means that 50%of your client population is on Medicaid. We serve an extremely bad community.”
Aulicino informed Pelley, every day in his hospital, about 35 virus clients recover and around a lots pass away.
” And now we’re being asked to segregate the claimed from the unclaimed bodies,” Aulicino stated.
Bodies claimed by families will eventually go to overwhelmed funeral homes. Unclaimed bodies are taken by the city medical examiner.
” I think they’re getting ready for the reality that they might require to prepare for mass burials of unclaimed bodies,” Aulicino said.
Burials in common graves are underway on Hart Island in Long Island Sound. It’s New York’s potter’s field where more than a million have been interred considering that the 19 th century. In the pandemic, about 100 people are buried here a week, numerous times more than typical. These are the easy pine coffins of individuals who were unclaimed or launched by families that could not manage a funeral service.
” It’s really challenging, very tough. In the exact same way we did 9/11, everyone– it’s all hands on deck,” Dr. Barbara Sampson said.
Sampson leads an 800- person staff as the city’s primary medical inspector.
” We’re having to handle things on a scale that we have never ever prior to expected although we have prepared in the past for pandemics,” Sampson informed Pelley.
” You prepared for pandemics and trained for pandemics,” Pelley stated, “however not one this big?”
” The scale and the rapidity is something that nobody might’ve envisioned,” Sampson said. “Not just is there an overwhelming of the health care system, there’s a frustrating of the funeral directors and every important service in this city and throughout the nation.”
” Have you contacted reinforcements?” Pelley asked.
” Definitely,” Sampson said. “There is no chance we might do this on our own, even with such a big firm. So, our primary source of supports has actually been the armed force.”
Lieutenant Shawn Lavin leads a casualty search and healing team for the New York Air National Guard. They carry the dead for the medical inspector.
” They do the documentation, we do the lifting,” Lavin stated.
Lavin informed Pelley his group is collecting between 30 to 40 bodies usually everyday.
” That’s with my group of 25 people,” Lavin stated. “We began with 13 members three weeks ago. I think there’ll be close to 400 people doing what we’re doing by the end of this week.”
One reason for the boost is the number passing away at home or outside healthcare facilities, about four times the normal.
” Our initial details from my commander was, we would be collecting just from medical facilities,” Lavin said. “But after arriving here, we moved quickly, from medical facilities into residences and long-term care centers.”
It was a long-lasting care center 60 Minutes went to with Lavin’s team and the medical examiner’s van.
” We deal with every collection as it’s a possible COVID,” Lavin stated.
” Tell me what the process is like,” Pelley said.
” So on a call, all of my members are putting on correct PPE before they go on, so some sort of Tyvek suit, gloves, masks, eye pro,” Lavin said. “We enter into a home. Typically there’s a mourning family there. We offer our condolences. We make the necessary changes with other furnishings or anything in the space. And then we assist in kind of collecting that individual who passed away.”
” Holding up fairly well,” Aulicino said.
” As of right now, five,” Aulicino stated.
” We’re confident,” Aulicino stated.
Dr. David Reich is president of New york city’s Mount Sinai Medical facility, part of a nationwide convalescent plasma program being led by the popular Mayo Clinic in Minnesota.
” In theory, if you give a large adequate dosage and early enough in the disease procedure, the antibodies in the convalescent plasma will neutralize the viral particles in the blood stream of that individual,” Reich said. “Which might cause a more mild course of disease. And it might cause fewer complications.”
” What is the history of this type of plasma treatment?” Pelley asked Reich.
” It has actually been revealed to be reliable in particular epidemics and less efficient in others,” Reich stated. “For instance, there was some proof that it was an advantage for the SARS epidemic in the early part of the 2000 s. And there may have been some advantage likewise for the Swine Flu, also known as H1N1. However it did not seem to be reliable in treatment of Ebola illness.”
Recuperated client Meredith Berkman contributed plasma after managing her COVID-19 symptoms in your home.
” At its worst, I would state, was the tightness in the chest, however manageable,” Berkman said. “Horrible, dreadful headache. And simply total exhaustion.”
David Berdoff likewise recuperated and contributed.
” My signs were intestinal. I was throwing up a fair bit,” Berdoff stated.
” Did you have respiratory symptoms?” Pelley asked.
” So I had a cough. I had a bit of shortness of breath,” Berdoff stated.
When tests show a patient got rid of the virus, and has a high level of antibodies, they can offer to contribute.
” I figure, ‘Okay, I had this illness that everybody on the planet is at risk for. I appear to have actually kicked it. My blood might be useful for whatever science experiments that they may be doing, whatever treatments they may be try out,'” Berdoff said.
The contribution is similar to providing blood, however just plasma is taken.
” So as you’re sitting there, you enjoy the bag filling with what I can only describe as liquid gold,” Berkman stated. “I mean, actually and figuratively. The plasma is liquid gold.”
The donors do not know who gets their plasma.
” I felt if you believe you can help somebody else, you would,” Berkman said. “Particularly in a scenario like this.”
Dr. David Reich at Mount Sinai described how his healthcare facility selects which clients receive the plasma.
” What we’re searching for are individuals within the first 4 days of hospitalization so it’s early enough that we would expect it would work. And for people who are revealing that they’re deviating for the even worse,” Reich stated.
It will take weeks to know whether plasma reveals promise. So far, nationwide, about 500 sick patients have actually received plasma, a small start with unknown benefits.
” We’ve been training for a decade since 2009 about how we collect deaths in this kind of incident,” Lavin said.
” It’s demanding, however I believe they’re increasing to the obstacle, and it’s some of the– like, greatest individuals I would ever want to work with to kind of stop your daily civilian life, put on the uniform, know full well what you’re strolling into, and then not grumbling when you miss Easter or Passover,” Lavin stated.
CBS News.
” I’m a New York native,” Sampson stated.
” One by one,” Sampson said.
Produced by Maria Gavrilovic.
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