PHOENIX — Officials from Arizona’s health department and the U.S. Army Corps of Engineers spent hours Wednesday scouring a shuttered Phoenix hospital to see how quickly it could be running if an expected surge of coronavirus cases hits.
The state is looking to reopen two closed Phoenix hospitals and convert a specialty hospital. The review of the closed St. Luke’s Medical Center is part of an effort to nearly double hospital capacity from the current 16,900 to the nearly 30,000 officials say might be needed by May.
In Cochise County, the Health & Social Services Department received confirmation of a positive test Wednesday morning. The first case was confirmed on March 20.
“The individual who tested positive is a female adult who has just returned from overseas travel,” according to the county press release. “She has followed all self-isolation guidance and is recovering at home. A contact investigation has been completed and no threat to the community has been found.”
“The county will not be releasing any further information about this individual to protect their privacy,” the release said.
The individual who tested positive last week is recovering at home and remains in self-isolation, the county said.
“It’s important to note that both confirmed cases are related to domestic and overseas travel, but neither case is connected,” said Health Director Carrie Langley. “We want to remind the public that they should adhere to current travel advice from the CDC. Anyone who has recently returned from a trip should self-quarantine for 14 days, self-monitor for symptoms and social distance.”
The quickest way to boost capacity is if existing hospitals convert other areas to patient care, something they’re already planning to do. Hospitals are planning to convert recovery rooms, unused surgical suites and other areas to boost capacity.
“Even if they can do that by 50%, that would be another 8,000 beds potentially and another 700 ICU beds,” Health Services Department Director Dr. Cara Christ said. The state currently has about 1,500 intensive care unit beds.
Christ said her projections for new beds range from 7,000 to 13,000.
The agency is also scouring the state’s outpatient surgical centers for bed space and equipment like ventilators that the most critically ill patients may need, and looking to anesthesia and CPAP machines used for sleep apnea that can be converted into ventilators.
A state request to the federal government to provide 5,000 ventilators has been approved, but is unlikely to be fully met, at least quickly. New York, now the nation’s hotspot for COVID-19 cases caused by the new virus, asked for 30,000 but is getting just 4,000.
Christ is also asking the Army Corps to look at large facilities that could be set up for patients no longer needing acute hospital care but still too ill to go home. Those might include the Coliseum at the state fairgrounds in Phoenix.
“We expect our surge of illness and infections to really increase by the mid- to end of April, with hospitalizations peaking in May, per our modeling,” Christ said.
The dire predictions come as the number of cases statewide reached 401, up from just 30 a week before. Mohave County saw its first case and implemented state-mandated business restrictions and closings Wednesday.
Just three small counties — Gila, Greenlee and La Paz — are not yet subject to the restrictions. State health officials confirmed late Tuesday a sixth virus-related death — a Coconino County man in his 50s with an underlying health condition.
Gov. Doug Ducey ordered closures of bars, theaters, indoor gyms and fitness clubs in affected counties last week.
The order also prohibits dining at restaurants but allows them to provide pick-up, delivery and drive-thru service. Schools statewide are also closed.
Corrections officials said Wednesday they stopped sending inmate work crews into communities, though about 140 female inmates will be temporarily housed at a chicken egg production facility that has hired prison labor for more than 20 years. The inmates will be guarded by corrections officers.
For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death.
At St. Luke’s in Phoenix, about two dozen staff from the Army Corps, health department and hospital engineering went through the nine-story building, checking air conditioning, electrical, plumbing and oxygen systems. The 240-bed facility closed last year and looks eerily empty, with surgical suites at the ready, an entire floor packed with beds and whiteboards at nurses stations still covered with names and room numbers.
Army Corps liaison officer Robert Klein said the hospital appeared to be in pretty good shape. Christ said staffing would be provided by a local management company.
The state has been using federal funding to help hospitals plan for “surge capacity” for two decades, including $18 million in the last two years, Christ said.
The Mayo Clinic in north Phoenix has been planning for the virus outbreak since shortly after it first appeared in China late last year and stopped elective surgeries to conserve resources like masks and gowns even before Ducey ordered them halted last week, CEO Dr. Dr. Richard Gray said Tuesday. The specialty hospital has about 300 beds but could nearly double capacity if needed and is retraining doctors and others who normally do elective surgeries to help with virus care.
Gray hopes the huge outbreaks in New York and other states help Arizona. He said the most important thing isn’t necessarily hospital capacity, but the public’s ability to slow the virus spread by using good hygiene and social distancing.
“Arizona is fortunate to be a little later in this process so that all of us can learn and plan on others’ experiences,” Gray said. “And the most important thing as to whether we’ll have enough staff, beds, ventilators, whatever the case may be, is how responsibly the public acts in being able to slow the spread of it.”