Tag Archives: ICU

As pandemic worsens, Portugal reports nearly half of all its COVID-19 deaths in January

By Catarina Demony and Victoria Waldersee

LISBON (Reuters) – Portugal reported close to half of all its COVID-19 deaths in January, highlighting the severe worsening of the pandemic in a country whose plight has caused several European nations to offer help.

Hospitals across the nation of just over 10 million appear on the verge of collapse, with ambulances queuing sometimes for hours for lack of beds and some health units struggling to find enough refrigerated space to preserve the bodies of the deceased.

Austria is willing to take in intensive-care patients and is waiting for Portuguese authorities to propose how many patients they want to transfer, the Austrian embassy in Lisbon said.

Germany will send medical staff and equipment.

Hard-hit neighbor Spain has offered help too, but Portugal is yet to accept, a Spanish foreign ministry source told Reuters, while Foreign Minister Arancha Gonzalez Laya told LaSexta TV both countries were in “direct contact every day, at all levels”.

In January, 5,576 people died from COVID-19, representing 44.7% of all 12,482 fatalities since the start of the pandemic in Portugal, health authority DGS said.

Portuguese officials have blamed the huge increase in the infection and death rates on the more contagious variant of the disease first detected in Britain, while acknowledging that a relaxation of restrictions on social movement over the Christmas holidays played a role.

The association representing funeral homes warned that public hospitals were running out of refrigerated space to preserve the bodies of COVID-19 victims, and some, including Portugal’s largest hospital Santa Maria, have installed extra cold containers to ease pressure on their morgues.

Over 711,000 infections have been reported since March 2020, with 43% of those infections in January, according to DGS, whose tally increased by 275 deaths and 5,805 cases on Monday.

Portugal has the world’s highest seven-day rolling average of new daily cases per million inhabitants, according to data tracker ourworldindata.org.

With 865 coronavirus patients in intensive care and 6,869 in hospital wards, hospitals are running out of beds and there is a shortage of doctors and nurses.

Portugal has 850 ICU beds allocated to COVID-19 cases in its mainland public health system and another 420 for those with other ailments, according to the latest data.

For most, vaccination against the virus is the light at the end of the tunnel. But only roughly 70,000 people have been fully vaccinated with the two required doses so far. Those over 80 start getting their shots on Monday.

(Reporting by Sergio Goncalves, Catarina Demony and Victoria Waldersee; Additional reporting by Belen Carreno and Emma Pinedo Gonzalez in Madrid and Seythal, Thomas Seythal in Berlin; Editing by Ingrid Melander, Mark Heinrich and Bernadette Baum)

France’s new COVID-19 hospitalizations and ICU treatments rise sharply

PARIS (Reuters) – The number of people hospitalized in France for COVID-19 rose by more than a 1,000 over the last two days, a trend unseen since Nov 16, and the number of patients in intensive care units for the disease exceeded 3,000 for the first time since Dec 9.

A growing number of medical experts have called for a third lockdown in France but French media report that President Emmanuel Macron is trying to avoid such a measure.

Macron hopes a 6 p.m. curfew put in place 10 days ago will be enough to rein in the surge in new infections prompted by the emergence of more contagious variants of the virus.

Getting the number of patients treated in ICUs for COVID-19 below the 3,000 limit was the main justification for replacing the second lockdown with the national curfew on Dec 15.

At 3,041, the ICU total is less than half its all time high of 7,148 on April 4, but has grown almost every day since Jan 7.

French Finance Minister Bruno Le Maire said on Bloomberg Television that a new lockdown would make it very difficult for the country to reach its 2021 target of 6% economic growth.

The government had also aimed to bring the average new daily cases below 5,000 before lifting the second lockdown. After a 54,440 high on Nov 7, the seven-day moving average of daily new infections, which averages out reporting irregularities, fell to 10,348 on Dec 4 but is now at a two-month high of 20,447.

The daily tally of new COVID infections was 4,240 on Monday, down from Sunday’s 18,346 but higher than last Monday’s 3,736. France’s cumulative total of cases now stands at 3,057,857, the sixth-highest in the world.

The country’s COVID-19 death toll was up by 445, at 73,494, the world’s seventh highest, versus a rise of 172 on Sunday. The seven-day moving average of new fatalities increased to 401, the highest since Dec. 9.

(Reporting by Benoit Van Overstraeten; Editing by Hugh Lawson and Philippa Fletcher)

California to lift stay-at-home orders on Monday: report

(Reuters) – California is expected to lift its regional stay-at-home orders across the state on Monday, moving counties back into the tier-based reopening framework, local media reported.

California Governor Gavin Newsom’s office has decided to lift the orders as ICU availability in the regions that remained under the stay-at-home order, including the Bay area and Southern California are projected to rise above the 15% threshold that triggered the lockdown measures, according to the San Francisco Chronicle.

According to the report, counties will move back to the tiered system, with most regions across the state expected to move into the purple tier, meaning personal care services like hair salons can re-open with modifications and restaurants can open for outdoor service.

California, the United States’ most populous state, emerged as a leading U.S. epicenter of the pandemic despite re-imposing some of the most stringent restrictions on social gatherings and business activity.

Total cases in the United States crossed 25 million on Sunday, even as states accelerate their vaccine distribution. California has reported over 3.1 million cases and 36,745 deaths so far, a Reuters tally showed.

But the number of new infections appear to be slowing after a surge following the Holiday season.

The state’ top health official said earlier this month that the number of hospitalized coronavirus patients statewide had steadily declined, showing signs of the virus leveling off.

Strict stay-at-home orders were renewed for much of California in December to avert a crisis in hospitals.

(Reporting by Bhargav Acharya with additional reporting by Anurag Maan in Bengaluru; Editing by Toby Chopra)

For Los Angeles-area ambulance crews, the COVID-19 calls never stop

By Norma Galeana and Alan Devall

SANTA FE SPRINGS, Calif. (Reuters) – For Southern California ambulance crews, the shifts feel never-ending and the calls to pick up COVID-19 patients seem endless.

“In 30 years, I’ve never seen a call volume like this,” said Eileen Cegarra, 56, an ambulance dispatch center supervisor for Care Ambulance Service, one of the largest ambulance companies in the Los Angeles area, which has become the epicenter of the U.S. coronavirus pandemic.

California hospitals have grown so full of COVID-19 patients that state officials ordered hospitals to delay non-life-threatening surgeries, preserving space for serious cancer removal and necessary heart operations.

Outside many Southern California hospitals, ambulances loaded with COVID-19 patients wait for hours until space becomes available in the intensive care unit (ICU) or emergency room (ER).

Beside affecting the patients, the backlog has taken its toll on the ambulance crews who respond to calls for the sick.

“The calls don’t stop just because the crews are in the ER,” Cegarra said.

Jennifer Mueller, 30, works 24-hour shifts as a Care emergency medical technician, saying the pandemic has taken a physical and emotional toll on those in her profession.

“Everyone’s exhausted. Everyone’s tired. We run the calls; we want to help people. But there’s only so much that we can do,” Mueller told Reuters during a spare moment.

Patients are left sitting on hard gurneys in the cold. About all Mueller said she can do is offer a blanket.

“They’re in pain,” she said. “It’s just, it’s heartbreaking.”

California, the most populous state with nearly 40 million people, has accounted for much of the U.S. surge since November.

State officials reported 33,751 newly recorded confirmed cases Tuesday, pushing the total to 2.8 million since the pandemic began a year ago.

In Los Angeles County, with a population of about 10 million, COVID-19 kills someone every eight minutes, health officials say.

Every minute, 10 people test positive in L.A. County, and more than 1 percent of those who test positive end up dead, according to the Los Angeles County Department of Public Health.

Dispatcher Jaime Hopper, 29, has seen the tragedy first hand.

“The other day I had I think at one time nine calls sitting. So, that’s nine people that are in distress,” Hopper said. “So, it’s a little bit, it’s unnerving, but you kind of just got to do what you can.”

(Reporting by Norma Galeana and Alan Devall; Writing by Daniel Trotta; Editing by Aurora Ellis)

COVID-19 surge pushes U.S. hospitals to brink as 2nd vaccine nears approval

By Susan Heavey and Sharon Bernstein

WASHINGTON (Reuters) – An unrelenting U.S. coronavirus surge pushed besieged hospitals further to the brink as the United States pressed on with its immunization rollout on Thursday and prepared to ship nearly 6 million doses of a new vaccine on the cusp of winning regulatory approval.

COVID-19 hospitalizations rose to record heights for a 19th straight day, with nearly 113,000 coronavirus patients counted in U.S. medical facilities nationwide on Wednesday, while 3,580 more perished, the most yet in a single day.

The virus has claimed over 311,000 lives in the United States to date, and health experts have warned of a deepening crisis this winter as intensive care units (ICUs) fill up and hospital beds spill over into hallways.

“We expect to have more dead bodies than we have spaces for them,” Los Angeles Mayor Eric Garcetti said at a briefing on Thursday, adding that the country’s second-largest city had fully exhausted its ICU capacity.

The number of U.S. cases rose by at least 239,018 on Thursday, according to a Reuters tally, the highest one-day increase since the pandemic began, driving the number of known infections nationally to more than 17 million.

The tolls mounted as U.S. regulators weighed whether to grant emergency use authorization for a vaccine developed by Moderna Inc, just a week after an earlier vaccine from Pfizer Inc and German partner BioNTech SE won consent for mass distribution.

A panel of outside advisers to the U.S. Food and Drug Administration overwhelmingly endorsed Moderna’s vaccine candidate for emergency use after a daylong meeting on Thursday. FDA authorization could come as soon as Friday.

Both vaccines require two doses, given three or four weeks apart, for each person inoculated.

The initial 2.9 million doses of the Pfizer/BioNTech vaccine began shipping on Sunday and were still making their way to hospitals across the country and into the arms of doctors, nurses, and other frontline medical professionals.

Some of the first shots were also going to residents and staff of long-term care facilities. Other essential workers, senior citizens and people with chronic health conditions will be next on the list.

BEDS IN CORRIDORS

It will take several months before vaccines are widely available to the public on demand, and opinion polls have found many Americans are hesitant about getting inoculated.

Some are distrustful of immunizations in general, and some are wary of the unprecedented speed with which the first vaccines were developed and rolled out – 11 months from the first documented U.S. cases of COVID-19.

Health authorities have sought to reassure Americans that large-scale clinical trials and rigorous scientific review found the vaccines to be safe as well as highly effective at preventing illness.

Those messages have been combined with urgent pleas for Americans to remain diligent about social distancing and mask-wearing until immunizations become widely available.

Data shows infections continuing to spread virtually unabated across much of the country, apparently fueled by increased transmissions of the virus as many Americans disregarded warnings to avoid social gatherings and unnecessary travel over the Thanksgiving holiday last month.

California has been hit particularly hard in recent weeks, with many of its hospitals reporting ICUs at or near capacity, a dire situation that triggered a renewal of sweeping stay-at-home orders across much of the state.

“Hospitals and healthcare workers continue to be stretched to the limit, as we continue to surge beyond even what we anticipated. And we’re not even through the holidays yet,” said Adam Blackstone, a spokesman for the Hospital Association of Southern California.

In San Bernardino County, where available ICU space was down to zero, newly admitted patients at Arrowhead Regional Medical Center were lined up in beds in corridors waiting for care, spokeswoman Justine Rodriguez told Reuters.

With the strain taking a growing toll on medical staff, the race to expand vaccinations is seen as critical to preventing a collapse of healthcare systems.

Health and Human Services Secretary Alex Azar told CNBC on Thursday that 5.9 million Moderna vaccine doses had been allotted for state governments to receive and were ready to distribute nationwide starting at the weekend.

The Moderna vaccine has less onerous cold storage requirements than the Pfizer/BioNTech shot, making it a better option for remote and rural areas.

Nevertheless, ambivalence over the vaccine has emerged even among pockets of healthcare workers designated as first in line for inoculation.

“Some are on the fence. Some feel that we need to get it done. It’s split down the middle,” Diego Montes Lopez, 28, a phlebotomist at Martin Luther King Jr. Community Hospital in South Los Angeles, said of co-workers after getting injected himself.

But Dr. Simon Mates, an ICU co-medical director at Dignity Health California Hospital Medical Center in downtown Los Angeles, said the physicians and nurses he knows view the vaccine as having arrived at a crucial moment.

“Our biggest concern was: ‘What if one of us gets sick?’ But now with the vaccine, that concern seems to be ebbing,” said Mates, who learned Wednesday that he had already received the vaccine, rather than a placebo, as a participant in the Pfizer trials. “It’s one less thing to worry about.”

(Reporting by Susan Heavey, Sharon Bernstein, Dan Whitcomb, Manas Mishra, Peter Szekely, Richard Cowan, Susan Cornwell, Lucy Nicholson and Anurag Maan; Writing by Daniel Trotta and Steve Gorman; Editing by Steve Orlofsky, Bill Berkrot, Grant McCool and Richard Pullin)

Wisconsin faces COVID-19 crisis, positive test rates rise in New York hot spots

By Jonathan Allen and Lisa Shumaker

NEW YORK (Reuters) – COVID-19 trends are all moving in the wrong direction in Wisconsin, where U.S. President Donald Trump will hold rallies over the weekend, while the pandemic’s early U.S. epicenter of New York state reported an uptick of positive coronavirus tests in 20 “hot spots” on Thursday.

New cases of COVID-19 rose in 27 out of 50 U.S. states in September compared with August, with an increase of 111% in Wisconsin, according to a Reuters analysis.

Wisconsin is also dealing with a troubling rise in serious COVID-19 cases that threaten to overwhelm hospitals.

“Our emergency department has had several instances in the past week where it was past capacity and needed to place patients in beds in the hallways,” Bellin Health, which runs a hospital in Green Bay, said in a statement. “Our ICU (intensive care unit) beds have also been full, or nearly full, during the past week.”

Health officials in the state said public gatherings have become even more dangerous than earlier in the pandemic, and Governor Tony Evers issued an emergency order easing licensing rules to increase the number of healthcare workers able to deal with the mounting crisis.

“We are seeing alarming trends here in Wisconsin, with today seeing our highest number of new cases in a single day, and yesterday seeing our highest death count,” Evers said in a statement.

Dr. Ryan Westergaard, chief medical officer at the Wisconsin department of Health Services, said the state’s outbreak started in younger people and has now spread throughout the community.

“Public gatherings of any kind are dangerous right now, more so than they have been at any time during this epidemic,” he told CNN on Thursday.

In New York, which grappled with the world’s most rampant outbreak earlier this the year, officials said they were worried about clusters of cases in 20 ZIP code areas across the state, where the average rate of positive tests rose to 6.5% from 5.5% the day before.

New York Governor Andrew Cuomo and New Jersey Governor Phil Murphy encouraged residents to download onto their smartphones a new voluntary contact-tracing app, COVID Alert, they launched on Thursday. The app uses Bluetooth technology to alert users if they have recently been near someone who later tested positive for the novel coronavirus.

Many of New York’s 20 hot spots – half of which are in New York City – include Orthodox Jewish communities. Cuomo said he talked to community leaders about enforcing social distancing measures.

“A cluster today can become community spread tomorrow,” Cuomo said on a briefing call with reporters. “These ZIP codes are not hermetically sealed.”

He implored local authorities to increase enforcement measures. “If they’re not wearing masks, they should be fined,” Cuomo said.

Wisconsin health officials are urging residents to stay home and avoid large gatherings ahead of Trump’s weekend rallies in La Crosse and Green Bay in the run up to the Nov. 3 election.

An indoor Trump rally in Tulsa, Oklahoma, in July likely contributed to a subsequent rise in cases there, city health officials said.

“This spike we’re seeing in Brown County, Wisconsin should be a wakeup call to anyone who lives here that our community is facing a crisis,” Dr. Paul Casey, medical director of the emergency department at Bellin Hospital, told CNN.

Cases, hospitalizations, positive test rates and deaths are all climbing in Wisconsin, according to a Reuters analysis.

Over the past week, 21% of coronavirus tests on average came back positive and have steadily risen for five weeks in a row from 8% in late August.

The number of hospitalized COVID-19 patients has doubled in the last two weeks hitting a record of 646 on Wednesday, the same day Wisconsin reported its biggest one-day increase in deaths since the pandemic started with 27 lives lost.

Beyond the Midwest, western states were also facing spikes in coronavirus cases. Montana on Friday reported a record increase in cases for the second day in a row and had a record number of hospitalized COVID-19 patients.

(Reporting by Jonathan Allen and Maria Caspani in New York and Lisa Shumaker in Chicago; Editing by Bill Berkrot)

U.S. lawmaker wounded in shooting has surgery for infection: hospital

FILE PHOTO - Representative Steve Scalise (R-LA) is pictured sitting at the controls in the drilling shack on BP's Thunder Horse Oil Platform in the Gulf of Mexico, 150 miles from the Louisiana coast, May 11, 2017. REUTERS/Jessica Resnick-Ault

WASHINGTON (Reuters) – U.S. Representative Steve Scalise, who was shot and wounded during a baseball practice last month, has undergone surgery to treat an infection and remains in serious condition, the hospital said on Thursday.

Scalise, the No. 3 Republican leader in the U.S. House of Representatives, had been readmitted to MedStar Washington Hospital Center’s intensive care unit because of concerns about the infection, the hospital said on Wednesday night.

Scalise, 51, tolerated the latest surgery well and remained in serious condition, the hospital said in a statement on Thursday.

A gunman opened fire on Scalise and other Republican lawmakers as they practiced on June 14 in a Washington suburb for a charity baseball game. Scalise, from Louisiana, was shot in the hip.

Scalise had been improving in recent weeks following surgeries to repair internal organs and broken bones.

Gunman James Hodgkinson, 66, had a history of posting angry messages against Republican President Donald Trump. He died after being wounded by police at the Alexandria, Virginia, ballpark.

(Reporting by Eric Beech; Editing by Peter Cooney)

Republican lawmaker Steve Scalise’s condition worsens after June shooting

FILE PHOTO: House Majority Whip Steve Scalise (R-LA) speaks to reporters at the U.S. Capitol, hours before an expected vote to repeal Obamacare in Washington, D.C., U.S., May 4, 2017. REUTERS/Kevin Lamarque

WASHINGTON (Reuters) – U.S. Representative Steve Scalise, shot and wounded during a baseball practice last month, developed an infection and was readmitted to an intensive care unit, MedStar Washington Hospital Center said on Wednesday.

Scalise, the No. 3 Republican leader in the U.S. House of Representatives, had been improving in recent weeks following surgeries to repair internal organs and broken bones.

The hospital, which downgraded his condition to “serious” from “fair,” said it would provide another update on Thursday.

A gunman opened fire on Scalise and other Republican lawmakers as they practiced on June 14 in a Washington, D.C., suburb for a charity baseball game. Scalise, from Louisiana, was shot in the hip.

Gunman James Hodgkinson, 66, had a history of posting angry messages against Republican President Donald Trump. He died after being wounded by police at the Alexandria, Virginia, ballpark.

(Reporting by Richard Cowan; Editing by Howard Goller)

Representative Scalise, wounded in Virginia shooting, is out of ICU

FILE PHOTO: House Majority Whip Steve Scalise (R-LA) speaks at a news conference on "Taxpayers Protection Alliance on Trade Promotion Authority" on Capitol Hill in Washington, June 10, 2015. REUTERS/Yuri Gripas/File Photo

WASHINGTON (Reuters) – Steve Scalise, the Louisiana lawmaker shot last week at a U.S. congressional baseball team practice, is no longer in the intensive care unit of the hospital where he is being treated and remains in fair condition, the hospital said on Friday.

Scalise was shot in the hip on June 14 when a lone gunman opened fire on Republican lawmakers practicing for an annual charity game against the Democrats. He entered the hospital in critical condition and has undergone several surgeries.

“Congressman Steve Scalise’s continued good progress allowed him to be transferred out of the Intensive Care Unit (ICU) on Thursday,” said MedStar Washington Hospital Center.

“He remains in fair condition as he continues an extended period of healing and rehabilitation,” the hospital said in a statement posted on its web site.

Matt Mika, a lobbyist wounded in the same shooting at an Alexandria, Virginia ball field, has been released from George Washington University Hospital, his family said in a statement on Friday.

Local media reported that Mika, a Tyson Foods lobbyist, was visited before leaving in his hospital room by Jayson Werth, a Washington Nationals star player.

Scalise, 51, is the No. 3 Republican in the House. He, Mika and others were shot or otherwise injured in a mass shooting carried out by James Hodgkinson, 66, of Belleville, Illinois, who later died in the hospital of gunshot wounds.

The FBI, which investigated the incident, said on Wednesday that Hodgkinson did not post online any threats against or references to members of Congress before the attack.

The agent said authorities found a laptop computer, a cell phone and a digital camera in Hodgkinson’s car after the incident, and 200 rounds of ammunition in a storage locker Hodgkinson had rented in April in Alexandria.

The shooting occurred as 25 to 30 Republican members of the House and Senate had gathered for an early morning practice a day before the annual charity game, which was played on June 15.

With many players on both teams wearing hats to honor Scalise, the game was won by the Democrats, 11-2, but they loaned the trophy to the Republicans until Scalise is better.

As the game was about to begin, Senate Majority Leader Mitch McConnell, Senate Minority Leader Chuck Schumer, House Speaker Paul Ryan and House Minority Leader Nancy Pelosi stood side by side at Washington’s Nationals Park to shout: “Let’s play ball!”

(Reporting by Rick Cowan; Additional reportng by Jon Herskovitz; Writing by Tim Ahmann; Editing by Kevin Drawbaugh and Simon Cameron-Moore)