“As an initial idea, the Nightingale made a great deal of sense. The rationale for that is receding quite rapidly. We are having to think about what to do next,” an anonymous source close to the NHS Nightingale Hospital London told the Independent. “There are still patients and staff are still caring for patients but there have been no admissions in the past week. The numbers are going down.” It’s unclear at this point what the ultimate fate of the NHS Nightingale London will be, although ExCel London certainly won’t be back in conventioneer-hosting action at any point soon. The Independent noted the NHS field hospitals would likely either be used as “step-down” facilities for patients in the midst of recovering from the deadly virus or temporarily closed altogether until a potential second wave of infections hits, which is certainly a possibility. To date, 28,446 lives have been lost to coronavirus in the U.K. “We are still well above intensive care capacity in London overall,” the source explained to the Independent. “We don’t have a fully functioning NHS in London that is coping with strokes, cancer, heart disease, and coronavirus. If we mothball the Nightingale and need it again, standing it back up becomes that bit harder.” While operations at the facility reportedly wind down, a spokesperson for the NHS makes clear that the “NHS Nightingale London will remain available to treat Covid-19 patients for as long as it is needed.” In New York City, the Federal Emergency Management Agency (FEMA) has halted treatment operations at a temporary field hospital located within the Jacob K. Javits Convention Center on the West Side of Manhattan. A few dozen remaining patients were discharged from the 2,500-bed facility, which treated over 1,000 New Yorkers over the span of a month. The temporary critical care facility at the Javits Center—along with three other military-run field hospitals in the greater New York area—will close but won’t be disassembled completely in the event of a second wave of infections per ABC News 7 NY. Although horrific stories and images continue to come out of New York City on a near-daily basis, the city is believed to have inched past the peak of coronavirus infections as hospitalization rates continue to decline. The five boroughs remain the hardest hit area in the United States with 174,331 confirmed coronavirus cases and 18,925 deaths resulting from the virus as of writing. “We are encouraged by the data which suggest the curve is flattening in New York and we are working with the city and state to begin the strategic drawdown of resources,” a spokesperson for FEMA told Gothamist in late April ahead+ of the field hospital’s closure. Another military-run emergency treatment facility based in Manhattan, the Navy hospital ship USNS Comfort, has also since departed the city. Hundreds of military medical personnel assigned to the Javits Center have since been redeployed to local hospitals or sent elsewhere. In Seattle, an early domestic hotspot for the coronavirus, a 250-bed military field hospital built-out at a convention center was deemed redundant and closed before admitting any patients. The hospital was dissembled and its equipment was returned to FEMA for deployment to harder hit areas. Plans for pop-up critical care facilities in other cities were also ultimately scrapped due to the fact that local hospitals got close to, but never surpassed, capacity.
Education and learning is a key focus at Nightingale London; making sure to not only enhance how we support patients and staff, but also to better prepare for the future. Here are some of our colleagues undergoing training before their first shift #Covid19 #NHSheroes pic.twitter.com/2n381ln0a9— NHS Nightingale London (@NightingaleLDN) May 2, 2020
Posts tagged with "Javits Center":
Back at the Javits Center, the transformation of the 1.8-million-square foot building’s cavernous exhibition halls into a Federal Emergency Management Agency-operated medical facility has been met with a positive response. And for those skeptical that the United States was capable of speedy, China-style turnaround in creating makeshift hospitals, the swift transformation of the Javits Center has proven that the Army Corps, when called upon, can get things done and get them done in an expeditious manner. (New York’s urgent need for ventilators and other supplies, however, is a whole other story.) All things considered, the temporary hospital at the Javits Center appears clean and comfortable. Individual beds contained within semi-enclosed “rooms” are shielded by three temporary walls and a curtained entrance made from seemingly the same materials formerly used to host booths in the space, while floor lamps, folding chairs, medical supplies, and side tables topped with (faux) potted plants complement the spaces. While the transformation doesn't appear to allow for individual treatment areas to include private plumbed fixtures, some online commentators have pointed out that a deficit of toilets at the Javits Center shouldn’t be a problem. “The Javits Center is an amazing facility,” ABC News reported Gen. Todd Semonite, head of the Army Corps of Engineers, as telling reporters at a press conference held last week. “Every 10 feet there's a great big steel door in the floor, you open it up in there is all the electrical; there's cold water, there's hot water and there's a place for sewers, so you can actually do things like sinks, right in the middle of a convention center to be able to make that happen.”
Samaritan’s Purse field hospital going up in Central Park. This is surreal. pic.twitter.com/j7e6JiZXro— Emily Belz (@emlybelz) March 29, 2020
Outside of New York City, the Los Angeles Convention Center, which was due to host the AIA Conference on Architecture 2020 in May, is in the process of being converted by the National Guard into a U.S. Department of Health and Human Services-run field hospital as demand for hospital beds in the greater L.A. area begin to surge. Hard-hit Santa Clara County, in the San Francisco Bay area, is also turning a large convention center into a temporary treatment center for COVID-19 patients presenting on-life threatening symptoms. Similar efforts are also planned or already underway at convention centers in Detroit, New Orleans, Baltimore, Dallas, Chicago, Seattle, and elsewhere. To help with this unprecedented effort, the American Institute of Architects (AIA) has launched a special task force to inform and offer guidance to public officials, architects, and healthcare facility operators as they convert existing buildings into temporary medical hubs at a pace never experienced before. The task force, according to a press statement, will develop a COVID-19 Rapid Response Safety Space Assessment for AIA members that includes “considerations for the suitability of buildings, spaces, and other sites for patient care. The assessment will be developed by architects with a wide range of expertise, including healthcare facility design, urban design, public health and disaster assistance.” “On a daily basis, I am hearing from our architects who feel a deep sense of moral duty to support our healthcare providers on the frontlines of this pandemic,” said AIA 2020 president Jane Frederick, FAIA. “As our communities assess buildings to address growing surge capacity, we hope this task force will be a resource to ensure buildings are appropriately and safely adapted for our doctors and nurses.”
The seemingly miles of beds being set up at Javits. It is absolutely unreal to see what the National Guard & first responders have put together here in just days. pic.twitter.com/dD0AQg4PO4— Sarah Boxer (@Sarah_Boxer) March 27, 2020
Not far from the Javits Center, Madison Square Garden, a multipurpose arena clocking in at around 820,000 square feet, is also being considered as a potential emergency treatment center where COVID-19-stricken New Yorkers would be isolated and treated. The idea is one being floated by Council Speaker Corey Johnson and his colleague, Stephen Levin. In addition to converting Javits Center into a medical facility, Johnson and Levein “also argued that the city and state should transform Madison Square Garden, the home of the ailing Knicks, into a home for the ailing,” wrote Politico. Unlike the state-run Javits Center, Madison Square Garden is privately owned by sports and entertainment behemoth, the Madison Square Garden Company. In addition to gargantuan, glass-paneled convention centers and the home venue of an enfeebled NBA franchise, the soon-to-be-vacated dormitories of New York University are also being mulled as potential temporary treatment centers. As an email statement to NYU students reads: “There are significant indications that the State, as part of its contingency planning, is looking at university dormitories as settings for overflow beds from hospitals.” A small number of NYU students, including certain graduate students, law and medical students, and undergraduates who receive special exemptions are being allowed to stay put in their dorms. Otherwise, students must vacate all campus residence halls no later than March 22. As of March 15, two members of the NYU community, a student and an administrator, have tested positive for COVID-19. Noah Hopkins, a politics student at NYU, detailed the rather chaotic student housing situation in a March 18 op-ed published in The Guardian:
Reminder: In the midst of this unprecedented crisis, we’re not hosting any events for the sake of our employees, customers, and neighbors. In the meantime, we continue to work with event producers to reschedule their events. #COVID19 #ConventionCenter pic.twitter.com/f5r4UpD7ca— Javits Center (@javitscenter) March 17, 2020
“Over the past few days, the roughly 12,000 students living in the NYU housing system saw the situation escalate around us and heard nothing from administrators. On Monday afternoon we received an email saying the residence halls would be closing on 22 March. We were told all students must vacate their rooms by the 22nd, or within 48 hours if possible.” “Students who already left campus and did not prepare their rooms for checkout have been strongly encouraged to return to New York, collect their belongings then return home. Regarding those unable to return to New York before the closure date, the university has said only that their items will be packed and shipped to them. We have not been given a timeframe for when this might happen, nor have the obvious privacy concerns been addressed.”Per the Washington Square News, the city’s department of emergency management has not formally requested that NYU—or the City University of New York, for that matter—empty its dorms so that they can be used as treatment facilities. But the possibility that the dorms could, in the very near future, be repurposed into makeshift medical hubs is something that's very much on the table. As reported by Bloomberg, New York Governor Andrew Cuomo is pushing to increase, via executive order, the number of hospital beds within the state by 9,000 although thousands more beds might ultimately be needed as the spread of the coronavirus peaks in the coming weeks. Five thousand of the initial 9,000 beds would be in New York City. Already, around 1,300 additional beds have been set up or are due to be set up at a handful of municipal hospitals in the Bronx, a former nursing home in Brooklyn, and at a chronic care facility on Roosevelt Island. Hotels across the city could also be converted into isolation/treatment centers in the comings days in an effort to boost the number of available beds. On Wednesday, Cuomo announced that a 1,000-bed Navy hospital ship, the USNS Comfort, will be deployed to New York City. The vessel, however, is undergoing maintenance in Virginia and will likely arrive in New York Harbor in weeks, not days, as per Bloomberg.
Phase One Build gateway tunnels and a bus terminal in the basement of the Jacob Javits Convention Center. Phase Two Build Gateway East with through service at Penn South. Constructing Penn South with fewer, wider platforms and two new East River tunnels would increase throughput at Penn Station by 30% and greatly expand rail service for New Jersey Transit, Long Island Rail Road, and Metro North riders. New direct rail service into Penn Station for Bergen and Monmouth counties would reduce travel times and shift bus riders to rail in these under-served counties, relieving highway congestion and pressure on the bus terminals. Phase Three Build new tail tunnels to expand service and meet future capacity needsThe report in full can be found here.