Coronavirus: How did Covid-19 spread in hospitals? – BBC Newsnight

published on July 9, 2020

My name is Florence Nightingale I wasborn in the year 1820 this BBC educationvideo tells how in the Crimean War ahundred and fifty years ago FlorenceNightingale revolutionized the way wecontrol infection whatever we hadimagined this was worse the first thing

To hit she was the slangshe found conditions in the armyhospitals were appalling patients weredying of cross infection she learnedfrom its separating patients accordingto their illness spacing their beds and

Enforcing strict hygiene in just sixmonths she managed to reduce the deathrate significantly it might seem strangetalking about the Crimea war in thecontext of kovat particularly with thefocus being on PPE and testing but the

Truth is even with protective equipmentand an increase in testing coronavirusis still spreading around hospitals dataconfirmed to news night by phe suggestsup to 20% of people have caught thevirus while in hospital by definition

People who were kept in hospital duringthe pandemic for non covert illnesseswere likely to be very sick sovulnerable and becoming seriously andwell from covert so how am i covert ofwreak havoc and what should have been

Non covert wards Newsnight has been senddata that drilled down into how covertspread widely across one West Midlandshospital ward treating Neurologypatients in March it's important tostress that a great deal has been

Learned sincethe ward had 22 beds and three more inindividual rooms it was a neurology wardwhere many patients were alreadyseriously unwell and were many wereundergoing medical procedures likely to

Lead to the patient coughing andpotentially increased risk of covertspreading this animation tracks from the12th of March to the 25th of April 21patients who were test positive for Covaat some point in their admission a

Yellow circle means the patient has beentested for Kove at 19 and red meansthey've tested positive it becomesapparent that with bed occupancy highpatients are being moved from one bed toanother very frequently patient II had

Been in another ward elsewhere in thehospital on the 29th of March patient IIwho's displaying symptoms of Co vyd wasmoved into a side room and tested thenext day patient II was moved back intotheir previous ward the following day

They were transferred first to bedWarren on Bay 1 and then to bed 1 on Bay4 then on 1st of April were transferredto a side room and later that day theirtest comes back it's positive in thespace of 4 days someone suspected to

Have had Kovac occupied five differenthospital beds coming into close contactwith so many other patients if we hadmore single rooms if we'd not strippedout the numbers of beds compared withother developed countries if we had more

Rehabilitation and facilities sopatients who don't need to be inhospital could be relocated safelysomewhere else the need to move patientswould be greatly reduced and we arereally in a number of aspects of our

Response to deco bid reaping theproblems that we've created forourselves by building hospitals whichwere too smallthey had insufficient beds insufficientspace and insufficient areas for staff

To safely work in and that's going totake quite a lot of putting right ofcourse there were many times itnever be possible for staff working in ahospital to socially distance from eachother but there are times when it could

Be possible particularly if hospitaldesign allowed it there's an increasingrealization that many infections arepassing between staff last month theHealth Service Journal reported NHSEngland's national director for acute

Care keith Willett is saying theinfection risks from staff to patientsor patients to staff seems very low butthe risks to staff of kovat 19 infectionwithin hospitals is much much muchhigher between staff and staff and NHS

England national Clinical Director fortrauma dr Chris Moran said we know whendirectly managing patients the socialdistancing is impossible that's what PPEis for to protect both sides of theequation but I think in the staff only

Areas we could do quite a lot better insome of the places that I've visitedtransmission between members of staffwhen they're actually relaxing when theygo to areas where you would think thereare lower risks of transmission in

Two-pass hospital where which arenon-coatedincreasingly being recognized as beingan area which we need to focus on giventhat hospital buildings are hard tochange easily going into winter people

Warn that it will mean the way we usethe NHS may have to change the NHSnormally has around 100,000 generalacute beds which are used to treat treathospital patients effectively that'sgoing to be read a big chunk of that is

Going to be taken out by the kind ofmeasures that have to be taken tocontrol spread of the virus whetherthat's in terms of people working moreslowly because they have to put on andoff extensive protective equipment

Between patients or whether that'sbecause odds have to be reconfigured tosplit occurring virus patients from noncoronavirus patients this was how I'dimagined itplease and hygienic and everything in

Its placethe challenge for the NHS today is hugehygiene and cleanliness alone are nolonger enough experts are keen to stressthat the risk of not going to hospitalfor some people who are acutely unwell

Weighs the risk of being infected withthe corona virus but for people with allconditions were likely to see bigchanges ahead

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