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On NYC's front lines, health workers worry they will be next

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AP New York

A nurse died from coronavirus after working nonstop for weeks at a hospital where staffers frustrated with dwindling supplies posed in gowns made of trash bags.

An emergency room doctor fears he had the virus long before getting too sick to work. Another nurse worries the lone mask she's issued each day won't be enough to protect her from an unending tide of hacking, feverish patients.

At New York City-area hospitals on the front lines of the biggest coronavirus outbreak in the nation, workers are increasingly concerned about the ravages of the illness in their own ranks, and that the lack of testing and protective gear is making it not a matter of if they get it, but when.

 

"Our emergency room was like a petri dish, said Benny Mathew, a nurse at Montefiore Medical Center who got word Thursday that he had COVID-19 and is now worried he may infect his wife and two daughters.

I'm angry. We could have secured enough personal protective equipment months ago. It was happening in China since December, he said. "But we thought it was never going to happen here.

Some hospitals have had so many dying patients that the city brought in refrigerated truck trailers for bodies as a precaution. At Elmhurst Hospital in Queens, 13 people succumbed to the virus in one day.

City ambulances have seen a surge in calls, responding to nearly 5,800 on Thursday alone. Several doctors, nurses and paramedics told The Associated Press of deteriorating working conditions in emergency rooms and ICUs that make caretakers even more vulnerable.

Sick patients are placed in beds packed end-to-end. Limited supplies of face masks, gowns and shields have them wearing the same protective equipment all day.

A lack of available ventilators could soon put doctors and nurses in the agonizing position of prioritizing who gets them and who does not. And perhaps most troubling, changes in official guidance that allow health care workers exposed to coronavirus to continue working, as long as they themselves are not showing symptoms.

Some health care workers say they're being told they can keep working even if they've tested positive for the disease, known as COVID-19, as long as they're asymptomatic.

We just have to hope we don't get infected, said William da Silva, a nurse at St. Vincent's Hospital in suburban Westchester. People are going back to work with COVID-19, and they're going to infect the patients and each other.

Da Silva is certain he's been infected, but he said he's been getting the run around from officials all week as he seeks to get tested. Self-quarantined with his pregnant wife and toddler, he's so disillusioned by how he's been treated that he may not go back.

"I've put them all at risk, Da Silva said of his family. "I don't think I want to go back to that environment after this because apparently we don't matter. I can't continue working in hospitals after this.

While the city has meticulously tracked the toll of its outbreak reporting 21,873 infections, 281 deaths and at least 3,900 hospitalized as of Thursday officials say they do not have numbers on how many health care workers are sick or dying.

Hospital operator Northwell Health said 155 of its 72,000 employees have tested positive for coronavirus. The New York State Nurses Association said at least 67 nurses had been infected.

The union for the city's EMS workers said more than 50 had tested positive and more than 400 are showing symptoms. One of them, paramedic Christell Cadet, is in critical condition in a Brooklyn ICU.

It's been a common theme as the virus has spread around the world.

In China, where the outbreak started, over 3,000 medical workers are believed to have been among the more than 80,000 people infected.

Health care workers account for about one-tenth of the more than 74,000 infections in Italy, and roughly one-eighth of the 47,600 cases in Spain.

In New York City, at least one health care worker has been killed by coronavirus. Mount Sinai West emergency room nurse Kious Kelly, 36, died Tuesday after a 10-day bout with the disease. He worked at the same hospital where three nurses, frustrated at the scarcity of supplies, posted pictures of themselves on social media wearing makeshift garbage bag protective gowns, an image splashed on Thursday's New York Post cover with the headline: TREATED LIKE TRASH.

A nurse who worked with Kelly for eight years fell ill at the same time. Emailing the AP from her sick bed, she said Kelly had worked as a supervisor for weeks without a break since the coronavirus started taking hold in New York. She shared her thoughts on condition of anonymity because she said hospital policy threatens employees with termination for speaking to the media.

In a statement Thursday, Mount Sinai Health System denied that the nurses depicted in trash bags were actually using them as protective gear since the real gear could be seen beneath the bags.

This crisis is straining the resources of all New York area hospitals and while we do and have had enough protective equipment for our staff, we will all need more in the weeks ahead, it said.

New York Gov. Andrew Cuomo acknowledges the ranks of health care workers are thinning while also claiming no hospital, no nurse, no doctor can say legitimately, 'I don't have protective equipment.' Medical specialists from other areas have been redeployed to emergency rooms and ICUs, and a volunteer force of 40,000 retired doctors, nurses, therapists and technicians will soon answer the call for reinforcements.

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First Published: Mar 27 2020 | 2:06 PM IST

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