Archive for ‘healthcare workers’

04/04/2020

Coronavirus: India doctors ‘spat at and attacked’

File photo showing two Indian doctors checking a thermometerImage copyright MAJORITY WORLD
Image caption Indian doctors have been working extra hours to halt the spread of the coronavirus

Several healthcare workers in India have been attacked as they battle to stop the spread of the coronavirus.

Reports say doctors have been spat at and chased away from homes, and that in one case patients directed abusive and vulgar language towards female nurses.

Some physicians and their families have also been ostracised by their neighbours because of their exposure to patients infected with Covid-19.

India has reported more than 2,300 cases and at least 50 people have died.

One video, which has gone viral, showed a mob throwing stones at two female doctors wearing personal protective equipment in the central city of Indore.

The doctors had gone to a densely-populated area to check on a woman suspected of having Covid-19 when they came under attack.

Presentational white spaceDespite being injured, one of the doctors seen in the video, Zakiya Sayed, said the incident “won’t deter me from doing my duty”.

“We were on our usual round to screen suspected cases,” she told the BBC. “We never thought that we would be attacked.”

“I had never seen scenes like that. It was frightening. We somehow fled from the mob. I am injured but not scared at all.”

Dr Sayed added: “We had no reason to suspect that people would be agitated against medical teams.”

“We are working to keep people safe. We had information about a person coming in contact with a Covid-19 patient. We were talking to the person when residents got agitated and attacked us.”

File photo showing two Indian doctorsImage copyright HINDUSTAN TIMES
Image caption Doctors have been abused and attacked in different parts of India

Seven people have been arrested in connection with the incident.

Dr Anand Rai, who is also a part of the Covid-19 taskforce in Indore, told the BBC: “Nothing can justify the attack against medical team. But it happened in a Muslim-dominated area where there is general distrust against the government.”

He said the area had recently witnessed protests against a controversial new citizenship law.

“So that anger spilled over and took the form of this attack. But whatever maybe the reason, nothing can justify violence, especially against doctors during a national health emergency,” he added.

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Meanwhile, a hospital in the northern city of Ghaziabad also witnessed unruly scenes on Thursday.

The hospital put at least 21 people in quarantine after they attended a religious event that has been linked to hundreds of positive cases across the country.

Thousands who attended the gathering in Delhi, organised by Islamic preaching group Tablighi Jamaat, have been put in quarantine, and authorities are still tracing others. It is believed that the infections were caused by preachers who attended the event from Indonesia.

At the Ghaziabad hospital, some of the quarantined attendees allegedly used abusive and vulgar language against members of staff.

Men wearing protective facemasks walk to board a special service bus taking them to a quarantine facility amid concerns about the spread of the COVID-19 coronavirus in Nizamuddin area of New Delhi on March 31, 2020.Image copyright GETTY IMAGES
Image caption Almost 400 cases of Covid-19 have been traced to a Tablighi Jamaat event in Delhi

“Some were walking naked in the hospital ward and harassing women doctors and nurses,” a doctor who works at the hospital told the BBC. “They kept asking for cigarettes and tobacco.”

A senior police officer in the city told the BBC that cases had been registered against some people after doctors filed a complaint.

“Registering cases was the last resort. Police are still trying to make them understand the severity of the situation,” he said.

A man speaks to healthcare workers in IndiaImage copyright SOPA IMAGES
Image caption Doctors and nurses have asked people to follow their advice and not panic

Similar incidents have been reported in neighbouring Delhi.

Some attendees of the Tablighi Jamaat event who are being held in a quarantine facility run by the railways are said to have spat at doctors and misbehaved.

Deepak Kumar, spokesman for Northern Railways, said the situation there was now under control.

“The attendees have been counselled and they are now co-operating with the staff,” he said.

Delhi’s state government has reportedly written to the police, requesting more security for medical staff.

Reports of attacks on doctors and nurses have also come from the southern city of Hyderabad and the western city of Surat.

A doctor who was treating coronavirus patients is Hyderabad’s Gandhi Hospital was attacked on Wednesday.

Police have promised the doctor that “strict action will be taken against the culprits”.

File photo showing Indian doctorImage copyright NARINDER NANU
Image caption Prime Minister Narendra Modi has said that doctors are “front-line soldiers”

But it is not just a work where medical workers are facing discrimination. It has followed them home.

One doctor, who did not wish to be identified, said she felt “extremely disheartened when I learnt that even my neighbours think that me and my family shouldn’t be allowed to live in the building”.

“We want our families to be safe. But we are being discriminated for doing our job.”

“A number of doctors have tested positive across India and that shows how tough our job is at the moment. And that is why we need everybody’s support to win this war against coronavirus.”

She added: “We are following all safety protocols. We are not meeting even our families and that is stressful.”

“But seeing this open discrimination just breaks my heart. But we will go on because there is really no other option.”

Source: The BBC

27/03/2020

U.S. has most coronavirus cases in world, next wave aimed at Louisiana

NEW YORK (Reuters) – The number of U.S. coronavirus infections climbed above 82,000 on Thursday, surpassing the national tallies of China and Italy, as New York, New Orleans and other hot spots faced a surge in hospitalizations and looming shortages of supplies, staff and sick beds.

With medical facilities running low on ventilators and protective masks and hampered by limited diagnostic testing capacity, the U.S. death toll from COVID-19, the respiratory disease caused by the virus, rose beyond 1,200.

“Any scenario that is realistic will overwhelm the capacity of the healthcare system,” New York Governor Andrew Cuomo told a news conference. He described the state’s projected shortfall in ventilators – machines that support the respiration of people have cannot breathe on their own – as “astronomical.”

“It’s not like they have them sitting in the warehouse,” Cuomo added. “There is no stockpile available.”

At least one New York City hospital, New York-Presbyterian/Columbia University Medical Center in Manhattan, has begun a trial of sharing single ventilators between two patients.

While New York was the coronavirus epicenter in the United States this week, the next big wave of infections appeared headed for Louisiana, where demand for ventilators has already doubled. In New Orleans, the state’s biggest city, Mardi Gras celebrations late last month are believed to have fueled the outbreak.

Louisiana Governor John Bel Edwards said New Orleans would be out of ventilators by April 2 and potentially out of bed space by April 7 “if we don’t flatten the infection curve soon.”

“It’s not conjecture, it’s not some flimsy theory,” Edwards told a press conference. “This is what is going to happen.”

About 80% of Louisiana’s intensive care patients are now on breathing machines, up from the normal rate of 30-40%, said Warner Thomas, chief executive of Ochsner Health System, the state’s hospital group.

Scarcities of protective masks, gloves, gowns and eyewear for doctors and nurses – reports abound of healthcare workers recycling old face masks, making their own or even using trash bags to shield themselves – have emerged as a national problem.

“Our nurses across the country do not have the personal protective equipment that is necessary to care for COVID patients, or any of their patients,” Bonnie Castillo, head of the largest U.S. nurses union, National Nurses United, told MSNBC.

In an ominous milestone for the United States as a whole, at least 82,153 people nationwide were infected as of Thursday, according to a Reuters tally from state and local public health agencies. China, where the global pandemic emerged late last year, had the second highest number of cases, 81,285, followed by Italy with 80,539.

At least 1,204 Americans have died from COVID-19, which has proven especially dangerous to the elderly and people with underlying chronic health conditions, Reuters’ tally showed.

MORE BEDS NEEDED

For New York state, Cuomo said a key goal was rapidly to expand the number of available hospital beds from 53,000 to 140,000.

New York hospitals were racing to comply with Cuomo’s directive to increase capacity by at least 50%. At Mount Sinai Hospital’s Upper East Side location, rooms were being constructed within an atrium to open up more space for beds.

At Elmhurst Hospital in New York’s borough of Queens, about a hundred people, many wearing masks with their hoods pulled up, lined up behind barriers outside the emergency room entrance, waiting to enter a tent to be screened for the coronavirus.

The city coroner’s office has posted refrigerated trucks outside Elmhurst and Bellevue Hospital to temporarily store bodies of the deceased.

Deborah White, vice chair of emergency medicine at Jack D. Weiler Hospital in the city’s Bronx borough, said 80% of its emergency room visits were patients with coronavirus-like symptoms.

A ventilator shortfall and surge in hospitalizations has already raised the prospect of rationing healthcare.

Asked about guidelines being drafted on how to allocate ventilators to patients in case of a shortage, New Jersey Governor Phil Murphy told reporters such bioethical discussions “haunted him” but were unavoidable.

Outside New York and New Orleans, other hot spots appeared to be emerging around the country, including Detroit.

Brandon Allen, 48, was buying groceries in Detroit for his 72-year-old mother, who has tested positive and was self-quarantining at home.

“It’s surreal,” Allen said. “People around me I know are dying. I know of a couple people who have died. I know a couple of people who are fighting for their lives. Everyday you hear of another person who has it.”

RECORD UNEMPLOYMENT CLAIMS

Desperate to slow virus transmissions by limiting physical contact among people, state and local governments have issued stay-at-home orders covering about half the U.S. population. A major side effect has been the strangulation of the economy, and a wave of layoffs.

The U.S. Labor Department reported Thursday the number of Americans filing claims for unemployment benefits last week soared to a record of nearly 3.28 million – almost five times the previous weekly peak of 695,000 during the 1982 recession.

Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases, said warmer weather may help tamp down the U.S. outbreak as summer approaches, though the virus could re-emerge in the winter.

“We hope we get a respite as we get into April, May and June,” Fauci said on WNYC public radio.

Washington state Governor Jay Inslee said he may extend a stay-at-home order tentatively set to expire April 6, encouraged by what he called a “very modest improvement” in the Seattle area.

Washington experienced the first major U.S. outbreak of COVID-19 and has been among the hardest-hit states. As of Thursday the state reported about 3,200 cases and 147 deaths.

In California’s Coachella Valley, a region rife with retirees who are especially vulnerable, 25 members of the state’s National Guard helped a non-profit distribute food to people stuck in their homes, as most of the regular volunteers are senior citizens.

More than 10,000 troops have been deployed in 50 states to provide humanitarian aid during the pandemic.

Source: Reuters

23/01/2020

Coronavirus: Wuhan shuts public transport over outbreak

Wuhan, a Chinese city of eleven million people, has temporarily shut down its public transport as it tries to halt the outbreak of a new strain of virus.

Those living in the city have been advised not to leave, in a week when millions of Chinese are travelling for the upcoming Lunar New Year holiday.

The respiratory illness has spread to other parts of China, with some cases in other countries including the US.

There are more than 500 confirmed cases and 17 people have died.

Known for now as 2019-nCoV, the virus is understood to be a new strain of coronavirus not previously identified in humans. The Sars (severe acute respiratory syndrome) virus that killed nearly 800 people globally in the early 2000s was also a coronavirus, as is the common cold.

All the fatalities so far have been in Hubei, the province around Wuhan.

Meanwhile, after a day of discussions in Geneva, the World Health Organization’s (WHO) emergency committee has announced it will not yet declare a “global emergency” over the new virus.

Director general Dr Tedros Ghebreyesus said more information was needed about the spread of the infection. The committee of health experts will meet again on Thursday.

A global emergency is the highest level of alarm the WHO can sound and has previously been used in response to swine flu, Zika virus and Ebola.

What measures have been announced?

From Thursday, all flights and passenger train services out of Wuhan have been stopped.

Bus, subway and ferry services all shut down from 10:00 local time (02:00 GMT).

A special command centre in Wuhan set up to contain the virus said the move was meant to “resolutely contain the momentum of the epidemic spreading”.

Map of Wuhan transportThose living in Wuhan had already been told to avoid crowds and minimise public gatherings.

State news agency Xinhua said tourist attractions and hotels in the city had been told to suspend large-scale activities while libraries, museums and theatres were cancelling exhibitions and performances.

A Lunar New Year prayer-giving ceremony at the city’s Guiyuan Temple, which attracted 700,000 people last year, has also been cancelled.

The hashtag “Wuhan is sealed off” was trending on Chinese social media website Weibo.

One user said worries about food and disinfectant made it feel like “the end of the world”, while another said they were on the “verge of tears” when Chinese officials announced the shut-down.

The WHO’s Dr Ghebreyesus described the latest measures as “very strong” and said they would “not only control the outbreak, they will minimise spread internationally”.

Chinese officials said the country was now at the “most critical stage” of prevention and control.

“Basically, do not go to Wuhan. And those in Wuhan please do not leave the city,” said National Health Commission vice-minister Li Bin in one of the first public briefings since the beginning of the outbreak.

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Like shutting down London before Christmas

By James Gallagher, BBC health and science correspondent

Wuhan is starting to look like a city in quarantine.

Officials had already warned residents not to leave the city and visitors not to come.

Now the reported public transport ban – which includes flights – slams many of the routes in and out of the city shut.

A man wears a mask on the subway on January 22, 2020 in Wuhan, Hubei province, ChinaImage copyright GETTY IMAGES
Image caption Subways in Wuhan will be temporarily shut

It is a significant attempt to stop the spread of this new virus, which we now know can spread from person to person.

Limiting transport will cut the chance of the virus reaching other cities in China and other countries around the world.

This all comes just as millions of people are travelling across China for the week-long holiday that is Lunar New Year.

If you’re struggling for context – imagine shutting down London in the week before Christmas.

The big question left is the roads – and whether any of Wuhan’s 11 million inhabitants will be able to simply drive away.

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What’s the picture globally?

Officials in Hong Kong reported the territory’s first two cases on Wednesday and one case was reported in the nearby city of Macau.

The patient in Macau is said to be a businesswoman who arrived from Wuhan over the weekend.

The first US case was confirmed on Tuesday. President Donald Trump said the situation was “totally under control” and that he trusted the information being provided by Chinese authorities.

Map: Confirmed cases in China and around the world
There have been three cases in Thailand, one in Korea, one in Japan and one in Taiwan.

Although only about 500 cases have been confirmed, calculations by scientists at the MRC Centre for Global Infectious Disease Analysis at Imperial College London suggest there are 4,000 people sick with the virus in Wuhan.

What do we know about the virus?

The virus originated in a seafood market in Wuhan that “conducted illegal transactions of wild animals”, authorities said. The market has since been shut down.

There is also evidence of human to human transmission with the new virus spreading to family members and healthcare workers.

But understanding how easily and how often the virus spread between people is one of the major outstanding questions in this outbreak.

The virus infects the lungs and symptoms start with a fever and cough. It can progress to shortness of breath and breathing difficulties.

Source: The BBC

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