March 31, 2020

SPAIN: Spanish Army Found Abandoned Elderly People In Retirement Homes. Some Found Dead In Their Beds. Coronavirus Outbreak Is Exposing Spain’s Universal Health Care System Shortcomings.

BBC News, UK
written by Staff
Tuesday March 24, 2020

Spanish soldiers helping to fight the coronavirus pandemic have found elderly patients in retirement homes abandoned and, in some cases, dead in their beds, the defence ministry has said.

Spanish prosecutors said an investigation had been launched.

The military has been brought in to help disinfect care homes in Spain, one of Europe's worst hit countries.

Meanwhile, an ice rink in Madrid is to be used as a temporary mortuary for Covid-19 victims, officials said.

The virus is spreading very fast in Spain - the second worst-hit European country after Italy.

On Tuesday, the health ministry announced that the number of deaths had risen by 514 in the past 24 hours - a daily record.

A total of 2,696 people have now died and there are 39,637 confirmed cases.

Spanish Defence Minister Margarita Robles told the private TV channel Telecinco that the government was "going to be strict and inflexible when dealing with the way older people are treated" in retirement homes.

"The army, during certain visits, found some older people completely abandoned, sometimes even dead in their beds," she said.

The defence ministry said that staff at some care homes had left after the coronavirus was detected.

Health officials have said that in normal circumstances the bodies of deceased residents are put in cold storage until they are collected by the funeral services.

But when the cause of death is suspected to be linked to coronavirus they are left in their beds until they can be retrieved by properly equipped funeral staff. In the capital Madrid, which has seen the highest number of cases and deaths, that could take up to 24 hours, officials said.

Spanish Health Minister Salvador Illa told a news conference that retirement homes were "an absolute priority for the government".

"We will exercise the most intensive monitoring of these centres," she added.

As the crisis in Madrid worsened, the city's municipal funeral home said it would stop the collection of Covid-19 victims from Tuesday because of a lack of protective equipment.

The city is to use a major ice rink, the Palacio de Hielo (Ice Palace), as a temporary mortuary where bodies will be stored until funeral homes can collect them, officials told Spanish media.

The Palacio de Hielo complex, which also includes shops, restaurants, a bowling alley and cinemas, is not far from the Ifema congress centre where a field hospital has been set up for coronavirus patients.

Spain is the second worst affected country in Europe after Italy, which now has the highest number of coronavirus-related deaths in the world.

Italian authorities said on Monday that 602 people with Covid-19 had died in the past 24 hours, bringing the total to 6,077.

But the daily increase was the smallest since Thursday, raising hope that stringent restrictions imposed by the government were starting to have an effect.
Reuters News
written by Elena Rodriguez
Sunday March 8, 2020

MADRID - Thousands of women across Spain marched on Sunday against gender inequality to mark International Women’s Day, despite concerns the gatherings could help the spread of coronavirus.

Bearing flags and banners denouncing gender violence, a crowd of purple-clad women paraded down one of Madrid’s main avenues toward the city center, chanting over booming drums.

One protester held a sign that read: “Machismo kills more than coronavirus.”

“We must be strong and fight for the rights of all of us, to be equal, to be paid as much as men,” One of the drummers, Marina Martin, told Reuters.

Spain’s women’s rights movement has emerged as a formidable political force since five men were jailed in 2016 for sexual abuse after gang-raping a young woman at the Pamplona bull-running festival.

Responding to discontent with Spain’s sexual violence laws, the leftwing government has approved a bill to qualify all non-consensual sex as rape. Previously a perpetrator had to have used physical violence or intimidation for an assault to be classified as rape.

But the issue remains divisive, with far-right Vox - Spain’s third-largest party - resisting the new legislation, which it says discriminates against men.

A number of events have been called off or postponed in Spain to minimize the possibility of the coronavirus spreading but health emergency coordinator Fernando Simon said on Saturday the Health Ministry did not consider the marches a risk.

Health Minister Salvador Illa appealed on Sunday to those with symptoms not to attend the demonstrations.

“I want to emphasize that people with symptoms should not go to the march ... people with symptoms should stay home and self-isolate,” he said.

According to the latest official figures Spain has 589 confirmed cases of the virus, 202 of them in Madrid.
ABC News
written by Joseph Wilson and Aritz Parra, Associated Press
Wednesday March 25, 2020

MADRID -- By the time Patricia Nรบรฑez’s cough started, she was already familiar with the dreaded dry hacking sound tormenting patients who had for weeks been filling the Madrid emergency ward where she works.

“We were fed up of hearing it at the hospital, so it was just a matter of time before I would contract it,” said Nรบรฑez, a 32-year-old nurse who tested positive for the new coronavirus about a week ago.

Speaking via video call from her home, Nรบรฑez said she is eager to recover, so she can relieve overworked colleagues dealing with a rising wave of patients and dwindling numbers of healthy nurses and doctors.

“The worst thing is that you need to stay at home, worried about infecting relatives, while knowing that you are dearly needed at work,” she told The Associated Press.

The coronavirus is waging a war of attrition against health care workers throughout the world, but nowhere is it winning more battles at the moment than in Italy and in Spain, where protective equipment and tests have been in severely short supply for weeks.

Spain’s universal health care system is a source of national pride and often hailed as a reason for its citizens’ legendary longevity, but the outbreak is exposing its shortcomings, some of which are the result of years of budget cuts.

The country’s hospitals are groaning under the weight of the pandemic: Video and photos from two hospitals in the Spanish capital showed patients, many hooked up to oxygen tanks, crowding corridors and emergency rooms. At the 12 de Octubre University Hospital, patients could be seen on the floor as they waited for a bed in recent days. The hospital says the patients have since been accommodated elsewhere.

On Wednesday, the number of medical personnel infected was nearly 6,500 nationally, health authorities said, representing 13.6% of the country's 47,600 total cases and about 1% of the health system's workforce. At least three health care workers have died.

“We are collapsing. We need more workers,” said Lidia Perera, a nurse who works with Nรบรฑez at Madrid’s Hospital de la Paz, which has 1,000 beds.

This week, 11 of the hospital’s 14 floors are devoted to caring for those suffering from COVID-19, and there is still not enough room: The patients with less serious cases of the disease are being put in the hospital’s gym or in a large tent outside.

“If you had told me three months ago that I would be working in these conditions in Spain, I wouldn’t have believed you,” Perera said, adding that staff at La Paz are only being tested for the virus if they have symptoms. “If they did (regular testing), they might end up without any workers.”

Widespread infections among health workers reflect the universal difficulty of stemming the spread of the pandemic. But sick health workers do double damage: They add to the toll while also hampering the ability to respond to the crisis. On top of that, they raise the specter of hospitals becoming breeding grounds of infection.

Spain's experience has been reflected elsewhere.

The World Health Organization's director-general this week called reports of large number of infections among health workers “alarming.”

"Even if we do everything else right, if we don’t prioritize protecting health workers, many people will die because the health worker who could have saved their lives is sick,” Tedros Adhanom Ghebreyesus told journalists.

In Italy, where nearly one-tenth of more than 74,000 infections are among medical workers, doctors and nurses have been begging the government daily to provide more masks, gloves and goggles.

“Please don't leave us alone: Help us help you," Dr. Francesca De Gennaro wrote in an open letter, asking for gear. De Gennaro heads a small private medical clinic in hard-hit Bergamo — where some 90 of 460 workers have tested positive.

In addition, 33 doctors have died, according to the Italian federation of doctors, although it was not clear if all were in service at the time.

There was no immediately available data on infections among health care workers in the United States. Neither Iran nor France is disclosing those figures.

But in China, where the outbreak started and where more than 80,000 people became infected in three months, over 3,000 medical workers were believed to have fallen ill by the end of February, according to Dr. Liang Wannian, the leader of a team of Chinese experts working with WHO to study the outbreak.

For most people, the new coronavirus causes mild or moderate symptoms that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.

Spanish authorities have repeatedly said that protecting medical staff is central their efforts to do what's known as “flattening the curve”: spreading out the time period of over which infections occur, in order to reduce the burden on intensive care units. But health workers say that even simple things such as gowns and masks are still in short supply, as are tests.

“All over the country, you see examples of workers inventing homemade suits using plastics,” said Dr. Olga Mediano, a lung specialist in Guadalajara, some 65 kilometers (40 miles) east of Madrid.

Unions blame budget cuts during the decade that followed the last global economic crisis for leaving Spanish hospitals ill-prepared.

In response to the criticism, authorities have promised to distribute hundreds of thousands of masks and COVID-19 fast tests this week. On Wednesday, Health Minister Salvador Illa announced a 432-million-euro purchase of Chinese medical material, including 500 million masks, 5.5 million test kits and 950 ventilators.

Authorities have also called up over 50,000 additional workers, including recent graduates and retired doctors and nurses.

Asked about supply shortages, the head of Spain’s health emergency coordination center acknowledged that the country has struggled to secure the necessary equipment.

“There is an international fight now to acquire the needed supplies,” Fernando Simรณn said Wednesday.

For many health professionals, the virus itself is only one part of the equation: The overwork, the constraints on physical contact with patients, and the stress of knowing they are putting their own loved ones at risk also have an emotional toll.

Perera said watching patients die alone is “killing all of us inside.”

“Physically this is extremely complicated, but psychologically it is appalling,” said Nรบรฑez, the recovering nurse. “But we need to deal with the outbreak first, and then we'll think later how to deal with the knock-on effects that it leaves in each of us.”

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