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Louisiana Could Run Out of Ventilators Next Week As Covid-19 Deaths Spike – Gizmodo

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Revelers make fun of the coronavirus pandemic during Mardi Gras in New Orleans, Louisiana on February 25, 2020.

The Governor of Louisiana, John Bel Edwards, warned on Wednesday that the state could run out of life-saving ventilators by next week after the number of covid-19 cases spiked dramatically in the past few days. Louisiana has currently identified at least 1,785 cases and 65 deaths from the new coronavirus, making it one of the worst-hit states in the country.

“In the New Orleans region, we’re on a course that, by April the 2nd or 3rd, we’re going to have great difficulty in getting everybody a respirator who will need one,” Governor Edwards told PBS NewsHour. “And then, every day after that, it becomes increasingly more difficult, unless, of course, we start to bend that curve.”

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Edwards went on to say that the state distributed 100 ventilators on Wednesday but that Louisiana needs “at least 1,000.”

States are currently competing against each other to buy ventilators from all over the world, a crisis that would normally be avoided with cooperation at the federal level through an agency like FEMA. But President Donald Trump’s failure of management has created a situation where every state is more or less fighting on its own, desperately trying to procure medical supplies and equipment.

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“We would really like some help, because, otherwise, you’re left to just beg, borrow, and steal from wherever you can get these things,” Governor Edwards said. “And, again, you’re in competition with other states. You’re in competition with your own health care providers to some degree. And the federal government will come in and make a purchase, and you find out that your purchase just got canceled.”

State officials believe that Mardi Gras celebrations in New Orleans on February 25 contributed to the spike in cases, as thousands took to the streets to celebrate. Louisiana Senator John Kennedy even blamed China for not giving the world a heads up about the virus before Mardi Gras, but the deadliness of the outbreak on February 25 was already well established. Disney theme parks in Hong Kong and Shanghai had been closed at the end of January, as just one example.

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Nevertheless, people still gathered in large groups in New Orleans, some dressed as Corona beer-nurses with fake syringes, poking fun at the outbreaks in other parts of the world.

The state of Louisiana has conducted fewer than 12,000 covid-19 tests, another concern for public health officials who need an accurate picture of the contagion’s spread to form an effective gameplan to defeat it. At least 9,414 of those tests have been conducted at commercial labs, while 2,037 have been conducted at Louisiana’s state lab, according to the Louisiana Department of Health.

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Governor Edwards issued a stay-at-home order on Monday, precisely because Louisiana has experienced one of the most troubling spikes in cases in the entire world. University of Louisiana-Lafayette Professor Gary Wagner has warned the state’s trajectory is worse than any region both inside and outside of the U.S. right now.

“If you look at the trajectory that we are on, and you go back and look at where Italy and Spain were at the same point in time that we are, we’re on a higher trajectory,” Wagner told the Daily Advertiser. “You look at where we are compared to where New York state was when they were at the same point in time, we’re on a higher trajectory than New York state.”

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And that trajectory should be troubling to anyone who’s paying attention to the crisis in New York. There aren’t enough ventilators in New York City, the largest outbreak in the country, and people are already dying in the ER while waiting for ICU beds, waiting to get treated.

From the New York Times:

Elmhurst, a 545-bed public hospital in Queens, has begun transferring patients not suffering from coronavirus to other hospitals as it moves toward becoming dedicated entirely to the outbreak. Doctors and nurses have struggled to make do with a few dozen ventilators. Calls over a loudspeaker of “Team 700,” the code for when a patient is on the verge of death, come several times a shift. Some have died inside the emergency room while waiting for a bed.

A refrigerated truck has been stationed outside to hold the bodies of the dead. Over the past 24 hours, New York City’s public hospital system said in a statement, 13 people at Elmhurst had died.

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Health care workers are also getting infected and dying. Kious Kelly, an assistant nursing manager in his 40s at Mount Sinai West in New York, died on Tuesday. New York’s morgues are already at capacity, according to Politico.

Meanwhile, conservative media organizations like Fox News continue to advocate for a loosening of travel restrictions inside the U.S., sometimes explicitly saying that it’s better for Americans to die than for the economy to suffer. Dinesh D’Souza, a felon who was pardoned by Donald Trump, declared on Laura Ingraham’s show last night that the spread of coronavirus is mostly in liberal states.

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President Trump has even insisted that people should begin traveling again by Easter, just two weeks away. Public health officials warn that such an idea would be disastrous, of course.

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It’s going to get so much worse before it gets better. And while it’s important to treat the sick, and focus on the enormous task at hand, it’s also crucial to remember what leaders like President Trump were doing during this time. There needs to be justice when we reach the other side of this crisis. And Trump’s failures to protect his own people must never be forgotten.

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Tam warns of possible surge in COVID-19 cases – Canada News – Castanet.net

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Only a small fraction of the 40,000 new ventilators Canada ordered for hospitals last spring have already been delivered but several companies involved say their production lines will start delivering the products faster in the next few weeks.

The promise of new arrivals comes as Canada’s chief public health officer, Dr. Theresa Tam, warned Friday that a fall surge of COVID-19 cases could overwhelm the health-care system, including its supply of critical care beds and ventilators.

“What we know based on what we learned from other countries and cities that had a devastating impact in that initial wave, if you exceeded that capacity the mortality goes up really, really high,” she said.

Flu season and other respiratory infections common in the fall could put added pressure on the system if COVID-19 flares up in a big way.

Tam said there were many lessons learned from the spring, when the government was ill-prepared and without enough protective equipment for health-care workers, and feared a massive surge of COVID-19 would overwhelm the health-care system.

“We are much better prepared than we were before,” she said.

In March, Canadians watched in horror as northern Italy’s COVID-19 outbreak overran its health-care system, leaving doctors to choose which patients got a ventilator and which were left without one. That experience, coupled with warnings it could happen here too, compelled federal and provincial governments to order thousands of new ventilators.

But much like surgical face masks and N95 respirators, Canada didn’t already produce many ventilators domestically, and getting them from international sources is tough when global need for new ventilators is in the hundreds of thousands. So Canada asked firms here if they could step up, and out of that four new consortiums to build ventilators were formed.

A fifth contract was signed with Thornhill Medical, a Toronto firm that at that point was making about 50 of its portable breathing machines a month.

In all, Canada ordered 40,328 ventilators, for an estimated $1.1 billion, and as of Friday, it had just 606 in hand.

Paul-Emile Cloutier, the president of national health-care advocate HealthCareCAN, said there is concern about the status of the government’s orders for personal protective equipment and ventilators ahead of the possibility COVID-19 will surge again in Canada this fall.

“Details are crucial as we prepare for the expected next wave of COVID-19,” he said.

Procurement Minister Anita Anand said Friday the government is pushing on to get the entirety of the orders in place. A statement from her department said “Canada currently has sufficient ventilators to meet current demands” and that the ones on order are to bolster existing Public Health Agency of Canada stockpiles, as well as the units already in hospitals and provincial warehouses across the country.

But Health Canada won’t say how many ventilators the country now has in total. It will also not disclose any modelling for how many could be needed in a worst-case scenario situation. In March there were about 5,000 ventilators nationally, and another 500 in the national emergency stockpile.

Canada’s ability to plank the COVID-19 curve in the spring meant warnings about running out of ventilators never came to fruition.

John Walmsley, the executive vice president at Starfish Medical in Victoria, said that took the pressure off his new coalition, Canadian Emergency Ventilators, Inc.

“We have a little bit more elbow room to do things in a bit of a controlled manner but I would say we’re looking to get it done this year,” he said.

“We’re all concerned about a second wave and being ready for that and so we’re on board to deliver for that.”

Canadian Emergency Ventilators is still waiting for Health Canada approval before it can start shipping its promised 7,500 machines. It submitted the documents in June and it is taking a bit longer than expected to get the green light.

Once that happens, the Public Health Agency of Canada would have to test the product, and then the units that have already been built could be shipped, said Walmsley. He is still hopeful to fill the order by the end of the year.

Thornhill Medical CEO Lesley Gouldie said her company’s partnership with Linamar, a manufacturer based in Guelph, Ont., has been a great success. Thornhill is to provide 1,020 machines to Canada, and has shipped 27 so far.

Gouldie said Linamar can make as many as 100 of the units a week, but getting the supplies for the 1,500 parts that make up their portable device proved to be difficult in a pandemic.

“The limiting factor is the supply chains,” Gouldie said.

She said the kinks are mostly worked out now, and she expects to ship enough machines each week to fulfil their contract by early December.

Rick Jamieson, the CEO of FTI Professional Grade, said they expect to fulfil their entire contract for 10,000 ventilators by Dec. 12. FTI is one of several companies in a consortium called Ventilators for Canadians, which has already delivered 132 ventilators. Another 120 are on track for delivery next week and 240 in the last week of August.

“We have activated a fourth shift to increase production knowing that a second wave is likely this fall and winter,” said Jamieson.

Montreal’s CAE received Health Canada approval for its new ventilator on June 17, and said that day it expected to begin shipping “hundreds each week.” It has a contract to deliver 10,000.

The final company, Vexos, was the last to sign a contract, and had to submit its product to Health Canada as well, and began shipping in late July.

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Ventilator supply starts to increase as Tam warns of possible surge of COVID-19 – Toronto Sun

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OTTAWA — Less than two per cent of the 40,000 new ventilators Canada ordered for hospitals last spring have already been delivered.

Chief public health officer Dr. Theresa Tam says Canada is better prepared for a fall wave of COVID-19 than it was in the spring, but also says that wave could be big enough to overwhelm Canada’s health-care system, including its supply of ventilators.

Health Canada won’t say how many ventilators hospitals could need to respond to such a surge, but insists it has enough for now, with the new ones ordered meant to augment existing stockpiles.

Only 606 of the 40,328 ventilators Ottawa ordered in April and May have arrived, but at least three of the companies involved say they expect to double or even triple the number they ship in the coming weeks.

Four of them needed Health Canada approval for their product, which is still outstanding in two cases, and another said supply chain issues delayed production.

While the contracts for the ventilators, worth more than $1.1 billion, run through March 2021, most of the companies expect to fulfil their entire order before the end of the year.

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Ventilator supply starts to increase as Tam warns of possible surge of COVID-19 – insauga.com

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Only a small fraction of the 40,000 new ventilators Canada ordered for hospitals last spring have already been delivered but several companies involved say their production lines will start delivering the products faster in the next few weeks.

The promise of new arrivals comes as Canada’s chief public health officer, Dr. Theresa Tam, warned Friday that a fall surge of COVID-19 cases could overwhelm the health-care system, including its supply of critical care beds and ventilators.

“What we know based on what we learned from other countries and cities that had a devastating impact in that initial wave, if you exceeded that capacity the mortality goes up really, really high,” she said.

Flu season and other respiratory infections common in the fall could put added pressure on the system if COVID-19 flares up in a big way.

Tam said there were many lessons learned from the spring, when the government was ill-prepared and without enough protective equipment for health-care workers, and feared a massive surge of COVID-19 would overwhelm the health-care system.

“We are much better prepared than we were before,” she said.

In March, Canadians watched in horror as northern Italy’s COVID-19 outbreak overran its health-care system, leaving doctors to choose which patients got a ventilator and which were left without one. That experience, coupled with warnings it could happen here too, compelled federal and provincial governments to order thousands of new ventilators.

But much like surgical face masks and N95 respirators, Canada didn’t already produce many ventilators domestically, and getting them from international sources is tough when global need for new ventilators is in the hundreds of thousands. So Canada asked firms here if they could step up, and out of that four new consortiums to build ventilators were formed.

A fifth contract was signed with Thornhill Medical, a Toronto firm that at that point was making about 50 of its portable breathing machines a month.

In all, Canada ordered 40,328 ventilators, for an estimated $1.1 billion, and as of Friday, it had just 606 in hand.

Paul-Emile Cloutier, the president of national health-care advocate HealthCareCAN, said there is concern about the status of the government’s orders for personal protective equipment and ventilators ahead of the possibility COVID-19 will surge again in Canada this fall.

“Details are crucial as we prepare for the expected next wave of COVID-19,” he said.

Procurement Minister Anita Anand said Friday the government is pushing on to get the entirety of the orders in place. A statement from her department said “Canada currently has sufficient ventilators to meet current demands” and that the ones on order are to bolster existing Public Health Agency of Canada stockpiles, as well as the units already in hospitals and provincial warehouses across the country. 

But Health Canada won’t say how many ventilators the country now has in total. It will also not disclose any modelling for how many could be needed in a worst-case scenario situation. In March there were about 5,000 ventilators nationally, and another 500 in the national emergency stockpile.

Canada’s ability to plank the COVID-19 curve in the spring meant warnings about running out of ventilators never came to fruition.

John Walmsley, the executive vice president at Starfish Medical in Victoria, said that took the pressure off his new coalition, Canadian Emergency Ventilators, Inc.

“We have a little bit more elbow room to do things in a bit of a controlled manner but I would say we’re looking to get it done this year,” he said.

“We’re all concerned about a second wave and being ready for that and so we’re on board to deliver for that.”

Canadian Emergency Ventilators is still waiting for Health Canada approval before it can start shipping its promised 7,500 machines. It submitted the documents in June and it is taking a bit longer than expected to get the green light.

Once that happens, the Public Health Agency of Canada would have to test the product, and then the units that have already been built could be shipped, said Walmsley. He is still hopeful to fill the order by the end of the year.

Thornhill Medical CEO Lesley Gouldie said her company’s partnership with Linamar, a manufacturer based in Guelph, Ont., has been a great success. Thornhill is to provide 1,020 machines to Canada, and has shipped 27 so far.

Gouldie said Linamar can make as many as 100 of the units a week, but getting the supplies for the 1,500 parts that make up their portable device proved to be difficult in a pandemic.

“The limiting factor is the supply chains,” Gouldie said.

She said the kinks are mostly worked out now, and she expects to ship enough machines each week to fulfil their contract by early December.

Rick Jamieson, the CEO of FTI Professional Grade, said they expect to fulfil their entire contract for 10,000 ventilators by Dec. 12. FTI is one of several companies in a consortium called Ventilators for Canadians, which has already delivered 132 ventilators. Another 120 are on track for delivery next week and 240 in the last week of August.

“We have activated a fourth shift to increase production knowing that a second wave is likely this fall and winter,” said Jamieson.

Montreal’s CAE received Health Canada approval for its new ventilator on June 17, and said that day it expected to begin shipping “hundreds each week.” It has a contract to deliver 10,000.

The final company, Vexos, was the last to sign a contract, and had to submit its product to Health Canada as well, and began shipping in late July.

Mia Rabson, The Canadian Press

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