Los Angeles, United States, Jan 13 – Deep within a South Los Angeles hospital, a row of elderly Hispanic men lay hooked up to ventilators — their bodies resting in induced comas — while nurses clad in spacesuit-style respirators checked their patients’ bleeping monitors in the otherwise eerie silence.The intensive care unit in one of the city’s poorest districts is well-accustomed to death, but with Los Angeles now at the heart of the United States’s Covid-19 pandemic, medics say they have never seen anything on this scale.

“It’s hard. We’re human, and we’re trying our best,” said nurse Vanessa Arias. “But we’ve seen so much death during the past few weeks.”

Barely moments earlier, she had informed another tearful family that their mother had just passed.

“We’re in the midst of the eye of the storm,” she said.

The Martin Luther King Jr. (MLK) Community Hospital, which continues to treat a surge of Covid-19 patients, stands on January 6, 2021 in the Willowbrook neighborhood of Los Angeles © AFP / Patrick T. FALLON

Martin Luther King Jr Community Hospital, sandwiched between the neighborhoods of Watts and Compton, is stretched far beyond capacity by an unrelenting influx of coronavirus patients.

When AFP visited this week, it had converted a chapel and former gift shop into overflow and examination rooms, created new makeshift ICU beds in the post-surgery ward, and built field hospital tents outside its front entrance.

The 131-bed hospital had 215 patients, the majority with Covid. National Guard medics had just arrived to ease the strain on overwhelmed doctors and nurses.

“If Los Angeles is the epicenter of the world, this community is the epicenter of Covid in Los Angeles,” said hospital CEO Elaine Batchlor.

Surrounding neighborhoods are overwhelmingly Hispanic and Black — two demographics hit hardest by the virus.

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The US has had more coronavirus cases and deaths than any other country in the world. On Thursday, it set a new record of nearly 4,000 Covid deaths in one day, bringing the country’s overall total to more than 364,000.

The country’s confirmed number of infections was 21.5 million.

At the MLK hospital, many of the patients are essential workers, highly exposed at jobs in grocery stores and public transport, and living in crowded homes where isolating is near-impossible.

Even before Covid, the community suffered from epidemic levels of preventable and chronic disease, including diabetes, obesity, heart disease and sepsis.

A nurse examines a patient not suspected to have Covid-19 in a former gift shop space converted into a patient examination area at Martin Luther King Jr. Community Hospital on January 6, 2021 in Los Angeles © AFP / Patrick T. FALLON

“We’re seeing whole families, groups of them, getting sick at the same time,” said Arias, who like many MLK staff is herself Hispanic and grew up locally.

“I could have been one of these people… It’s very unfortunate to see people that look like you die.”

– ‘Worst I’ve been to’ –

The infection numbers affecting Los Angeles since November have been staggering, even after 10 long months of pandemic in the nation’s second largest city.

A record 8,000 county residents are currently hospitalized with Covid. Around one in 12 have already been infected, and one in five of those tested recently are positive. More than 11,000 have died.

“I was also in New York when it was really bad. But this has probably been the worst I’ve been to,” said Taylor Reed, a 24-year-old traveling nurse, who also worked in Washington, DC and Minnesota last year.

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A nurse wearing personal protective equipment (PPE) including a personal air purifying respirator closes a door to a patients room in a Covid-19 intensive care unit at Martin Luther King Jr. Community Hospital on January 6, 2021 in Los Angeles © AFP / Patrick T. FALLON

California was initially praised for its handling of the pandemic in the spring, but skyrocketing cases have sent most of the state back under “stay-at-home” orders.

Ambulance workers have been told to stop transporting some patients with extremely low survival chances.

California hospitals were this week ordered to postpone non-urgent surgeries and to accept Covid-19 patients from elsewhere in the hard-hit state if they have space.

Still reeling from a spike caused by Thanksgiving gatherings that spread infections, state public health chiefs expect the Christmas coronavirus “surge upon a surge” to peak in the next two weeks.

– ‘Under this pressure’ –

According to Batchlor, MLK’s disadvantaged location gives it one key strength.

Dr. Elaine Batchlor, chief executive officer of Martin Luther King Jr. Community Hospital speaks outside the hospital’s emergency department about the impact of the Covid-19 pandemic on January 6, 2021 in Los Angeles © AFP / Patrick T. FALLON

Accustomed to operating a “very, very busy emergency department” in normal times, the gleaming new facility’s staff are extremely well-practiced at rapidly processing patients.

Most have now received at least one dose of the new Pfizer vaccine.

But Batchlor still fears for her dedicated employees, who are stretched thinner than ever as more patients continue to arrive.

“When I talk to our doctors and nurses working in our intensive care unit, they continue to assure me that they’re on top of it,” she said.

“But I’m worried about how long they’ve been in this situation and under this pressure.”

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For Arias, keeping each patient’s family members “in the loop” despite near-daily deaths helps to “makes me always feel fulfilled.”

A field hospital tent for suspected Covid-19 patient triage stands outside the emergency department of Martin Luther King Jr Community Hospital on January 6, 2021 in the Willowbrook neighborhood of Los Angeles, California © AFP / Patrick T. FALLON

But shortly before AFP’s visit, she called the relatives of an elderly Hispanic lady who was rapidly deteriorating.

“As soon as I thought she was going to expire, I called them to rush over here,” said Arias, hopeful they might arrive in time to say goodbye.

“Unfortunately, they didn’t.”

Emci-Hub Technologies Ltd

By Prof. Joel Barasa

The Catholic University of Eastern Africa (CUEA) Faculty of Computer and Informatics, School of Science P. O. Box 62157-00200 Nairobi -Lang’ata Main Campus Email: joel@emcihubtechltd.co.ke Phone: +254705451853/+254769257365 LinkedIn: https://www.linkedin.com/in/joel-barasa-4a3a9a128/ GitHub: https://github.com/Barojoel Websites: https://emcihubtechltd.co.ke and https://estore.emcihubtechltd.co.ke Mr. Barasa I. Joel is a Kenyan citizen by birth. He is currently an adjunct lecturer and an IT specialist in Curriculum studies in the Catholic University of Eastern Africa (CUEA). Mr. Joel holds Post Graduate Program (EPGP) in Data Science, Business Analytics & Big Data in association with IBM which is India's first and the best Masters in Data Science from mUniversity, Aegis School of Business, Data Science, Cyber Security & Telecommunication. He also holds a Degree in BSc. Information Technology from the University of Kabianga, a Professional Certification CCNA and Data Analysis from the University of Kabianga. Joel is senior Software Developer with over 5 years worked on many projects like Kenbright Insurance, Rongo University eLearning portal, participated in integration of DHIS2 health IT systems at Kericho District Referral Hospital and served as H.O.D ICT department Okame college. Joel is an assessor and verifier in TVET CDACC curriculum implementation.

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