Nurses – COOPER GENERAL NEWS

A prisoner at the Bolivar County Correctional Facility receives a Covid-19 vaccination administered by medical workers with Delta Health Center on April 28, 2021 in Cleveland, Mississippi.

Spencer Platt | Getty Images

Mississippi Gov. Tate Reeves pleaded Friday with residents to get vaccinated as the state scrambles to hire hundreds of temporary doctors, nurses and EMTs.

He’s also requested ventilators from the Strategic National Stockpile as the spread of the delta variant fills hospitals in the state with mostly unvaccinated patients. The state even asked federal officials to send a medical U.S. Navy ship but was turned down, he said.

“When you look across the country, to a certain extent, this current wave is the pandemic of the unvaccinated,” Reeves said at a press conference, adding that the state was headed toward a new peak of the Covid-19 pandemic. “We continue to see more and more data, and the data is becoming more and more clear. Those who received the vaccine are significantly less likely to contract the virus.”

For the few breakthrough cases in fully vaccinated people the state has seen so far, “they’re much less likely to spread the virus and it is highly unlikely that if you have the vaccine that you end up in the hospital or that you end up in an ICU bed,” he said.

Mississippi extended a state-of-emergency order on Thursday that was set to expire this week after the state hit a record of more than 5,000 new Covid cases in one day, said Reeves, a Republican. The spike in cases will likely be followed by an increase in hospitalizations and deaths.

The state requested 65 physicians, 920 nurses, 41 nursing aides, 59 advanced practice nurses, 34 physician assistants, 239 respiratory technicians and 20 EMTs, according to Reeves. The extra help would open up 771 medical surgery beds and 235 ICU beds, he said.

About 97% of people currently hospitalized for Covid in the state are unvaccinated, a trend seen throughout the country. This week, Mississippi’s daily hospitalization rate reached numbers higher than any the state has seen throughout the pandemic.

In the last four days, “we’ve lost four healthy people in their 20s, two of whom were pregnant, zero vaccinated,” Mississippi state health officer Dr. Thomas Dobbs said during the briefing. “In the past four days, we’ve lost 10 people in their 30s, and these aren’t people who are chronically ill cancer patients.” None in their 30s who died were vaccinated.

In other age groups, the number of deaths in unvaccinated people continued to overwhelmingly eclipse the number of deaths in vaccinated people.

“I mean, there’s a pattern here … by and large the vaccines have been incredibly protective and helpful and especially for people who are under 50,” Dobbs said.

The state has one of the lowest vaccination rates per capita in the United States, but daily vaccination rates have tripled over the past month amid the spread of the dominant delta variant, according to state health officials.

The governor said he has no intention of mandating masks or vaccines for state employees “or for anyone else” and emphasized that he believes those things are personal choices.

“I have no intention based upon the data that I have seen of issuing a statewide mask mandate,” Reeves said in a press briefing on Friday.

Reeves said he does not plan to impose mask mandates on schools either, saying that school districts “have every right” to encourage mask use if they deem it necessary.

More than 5,000 children are currently quarantining after positive cases were detected in just the first couple of weeks of schools reopening, some without mask mandates.

In total, Mississippi has recorded 381,147 Covid cases and 7,761 deaths since the beginning of the pandemic, according to the Mississippi State Department of Health.

MALÉ, Maldives – The largest Covid-19 treatment facility in the Maldives has almost 300 beds and a constant supply of oxygen. But when the country reported some of the highest per capita cases in the world last month, Covid stations ran out of another vital resource: staff.

“In the worst case, we had a nurse who cared for 20 patients on the general wards,” said Mariya Saeed, director of the Hulhumalé medical facility in the capital, Malé. “We needed staff to adequately care for the many bedridden elderly people, but the nurses were exhausted.”

The pandemic has created a shortage of health workers around the world, forcing governments to make an effort. Spain, for example, launched an emergency plan last year to recruit medical students and retired doctors for the Covid service. And in India, Prime Minister Narendra Modi last month asked local officials to start recruiting medical students last year.

But the Maldives, an archipelago with around 1,200 islands in the Indian Ocean, are facing unique challenges. It can’t just be crowds of. call Students because there is only one university with one medical school. And she can’t just rely on her citizens, because her health system is heavily dependent on foreign workers. Many of these doctors and nurses are from India, a country facing its own gigantic outbreak.

One result is that the Maldives, which otherwise approached the pandemic with great attention to detail, are not sure how to man their hospitals for the next crisis.

“We spoke to countries like Bangladesh and India about recruiting their doctors and nurses,” President Ibrahim Mohamed Solih told reporters last month. “But they cannot provide any help because of their own Covid situation.”

The Maldives, a predominantly Muslim country with around 540,000 inhabitants, has described itself as a model of the pandemic response for small countries. With aggressive contact tracing and reliance on the island’s scattered geography to slow down outbreaks, the government kept its Covid case numbers low enough to lift restrictions on domestic movement and lure international tourists back to their luxury resorts, a mainstay of the economy. In April, Ramadan festivals and nationwide council elections were held as usual.

“You never know what will happen tomorrow,” Thoyyib Mohamed, executive director of the country’s official public relations agency, told the New York Times in February. “But first I have to say: This is a really good case study for the whole world, especially for tropical destinations.”

Many people in Malé now have a deceased in their extended family, said Marjan Montazemi, the Unicef representative in the Maldives. “Because the numbers are not the same as in other countries, it doesn’t get as much attention,” she said. “But it was pretty difficult for the country.”

Officials in the Maldives have not confirmed how variants could have affected the recent outbreak, but local doctors say the Delta variant, which was first discovered in neighboring India, likely played a role.

As cases rose to more than 1,500 a day last month, hundreds of Covid-19 patients came to the Hulhumalé medical facility. Although the facility with 16 doctors and 89 nurses was built last year to treat Covid patients, it wasn’t finished.

“We were always prepared for a possible surge, but such a sudden and massive wave just came unexpectedly,” said Nazla Musthafa, government health advisor.

To make up for the shortage of doctors and nurses, the Maldives National University’s medical school, opened in 2019, with a total of 115 students, sent dozens of medical and nursing students to Malé’s Covid wards. The government also called in retired nurses and hired volunteers with no medical experience.

Ms. Saeed, the director of the Hulhumalé medical facility, said volunteers mainly helped patients go to the bathroom, turn over in bed, maneuver wheelchairs and oxygen bottles, and perform other basic functions. She said volunteers wore protective clothing but there was no time to screen them for Covid-19.

One volunteer, Rizna Zareer, 35, said she mainly provided moral support to patients who were not allowed to receive visitors.

“We were her family and I saw her that way,” she said.

The shortage of medical staff is so great that lab technicians involved in contact tracing have to work around the clock, a World Bank team of experts said in a statement.

The bottleneck underscores a reliance on foreign health workers that the government knew was a problem even before the pandemic broke out.

In 2018, all but a fifth of the roughly 900 doctors and more than half of the nearly 3,000 nurses in the Maldives were expatriates, resulting in high turnover that affected the quality of health care, a government report said.

Other countries, including Ireland, Israel, and New Zealand, also rely heavily on expatriates to work in healthcare. But unlike them, the Maldives are not rich. That means it can’t compete as aggressively to lure foreign doctors and nurses, especially during a pandemic that has left virtually all health workers outnumbered.

S. Irudaya Rajan, chairman of the International Institute for Migration and Development, a research organization based in South India, said he expected countries sending large numbers of health workers overseas, including India and the Philippines, to tweak policies in order to do so more to keep workers at home.

The Maldives needs a better strategy to ensure more stable supplies of foreign doctors and nurses, Rajan said. One way would be to sponsor Indian medical students in India and require them to work in the Maldives for a few years after they graduate, he said.

“A lesson every country should learn from Covid-19 is: Don’t exploit poor countries like India and the Philippines,” said Rajan. “Invest in them and their people and they can benefit you.”

A spokesman for President Solih of the Maldives did not respond to requests for comment.

The daily average of new cases in the Maldives is now about 260 or less than a quarter of last month’s high. However, as of Friday, the country still had around 21,000 active cases, and a 12-hour curfew introduced in Malé last month remained in place. The call to prayer still sounds five times a day from the city’s mosques, but the number of believers is limited.

The government recently announced a plan to build a new 270 bed facility in Malé to cope with future outbreaks and increase the country’s total bed capacity for Covid patients from 460 to 730 it.

Mr Solih told reporters last month that his Minister of Health, Ahmed Naseem, hoped to recruit 40 doctors and 100 nurses from India and Bangladesh by the end of June. But at the same press conference, Mr. Naseem tried to lower expectations.

“It is currently difficult to employ people from India, Bangladesh and Sri Lanka,” he said. “Sri Lanka in particular is almost impossible. I’ve tried for many days. “

Maahil Mohamed reported from Malé, the Maldives, and Mike Ives from Hong Kong.