First look inside the Cape Town’s ICC as it gets converted into 850-bed field hospital
The Cape Town International Convention Centre (CTICC) is being converted into a new emergency field hospital. On Cape Town's Heerengracht Street on Monday, 25 May 2020, long strings of new hospital beds were seen being wheeled into the CTICC. The cavernous centre's exhibition halls have been transformed into vast hospital wards, where the beds were being wheeled into place. Between the wards, stations for doctors and nurses have been built. Once complete, the CTICC field hospital will hold around 850 beds, representing roughly the same size as other major hospitals. The exhibition halls have been divided up into different sections, with dry walling. Electricity is supplied to each hospital bed, as is oxygen to many beds. Other parts of the ICC have been converted into toilet and shower areas, as well as other support functions. Outside the centre, large marquees have been erected. On Monday, a range of contractors could be seen hard at work continuing to prepare the site. Western Cape Premier Alan Winde said the CTICC is South Africa's largest space conversion during the COVID-19 crisis. Winde said, “This is one of the bigger projects in enabling our health system to cope, the creation of an extra 850-bed intermediate care hospital, and that is the conversion of the CTICC into this hospital.”
Winde said the conversion began in May and would probably be completed within a fortnight. The first ward was already complete. The CTICC's 850 beds would contribute to a total of 1 400 extra beds across the province. The CTICC was part of “a much bigger intervention”, including another massive field hospital in Khayelitsha, another in a warehouse along the R300 and the conversion of an existing health facility in the Cape Winelands into a dedicated COVID-19 hospital.
Winde added that these new hospitals were in addition to new “temporary testing and triage centres”, 18 of which had been established across the province. “We have also procured thousands of beds for our 'quarantine and isolation, our Q&I',” Winde explained. These were both in the City of Cape Town and further afield in the province.
The Western Cape is starting to see increased pressure on its hospital systems ahead of the coronavirus peak but it has not yet reached peak capacity, the Premier's office said on Friday, 22 May 2020. It warned however that, while it was ready to meet current critical care needs, at the peak, “even in the best-case scenario, we will still fall short of ICU beds”.
“The public sector has an existing capacity of 2 162 acute beds, and an 1 428 additional care beds will be provided by temporary field hospitals in the Western Cape, including the 850 additional beds at the Cape Town International Convention Centre, 330 beds at a temporary hospital facility in Brackengate, 68 at the Khayelitsha Thusong Centre, 150 at the Cape Winelands Sonstraal Hospital, and 30 additional beds at Tygerberg Hospital,” said Premier Alan Winde's spokesperson Bianca Capazorio.
She said the 850-beds planned for the CTICC remained on schedule to be completed by the first week of June and that work was “progressing well”. The temporary hospital at the convention centre will cater for patients presenting with milder clinical signs, and who are in need of hospitalisation and treatment, including administration of oxygen but not to those with severe clinical signs requiring intensive care treatment.
The CTICC agreed to waive the hiring costs of the venue, welcoming the opportunity “to be part of the solution”. Winde previously said that the building of a temporary infrastructure, as well as the operating and catering costs for the initial hiring period, would cost approximately R47 million. This excludes the costs that the Department of Health will incur in providing clinical equipment, oxygen, medication and temporary staff for the temporary hospital.
Capazorio said the provincial government was looking to make 550 critical care beds available at the peak, 150 that already exist in public health facilities, 100 additional beds to be added in the public sector (but additional resources are needed for these), and the purchasing of 300 beds from the private sector for patients from the public sector. “There are still an additional 300 ICU beds in the private sector available when this is considered. This means that we have a potential total of 850 ICU beds available in the Western Cape,” she said. “The Western Cape's health planning response has taken into account all of the existing private and public sector ICU or high-care beds in an integrated single healthcare system response. We have sufficient capacity at this time to meet our current critical care needs but even in the best-case scenario, we will still fall short of ICU beds.”
For this reason, it was important to focus on protecting the most vulnerable, she continued. “About 90 percent of people who contract COVID-19 will not require hospitalisation but we have seen from our data that those who are most at risk of becoming seriously ill or dying are the elderly, and those with underlying health conditions. This is why we will be streamlining our testing and contact tracing to focus on high risk groups such as health workers and vulnerable people. We will also be re-purposing our community screening and testing programme to focus on high risk groups.”
The intensive care unit at the province’s biggest hospital, Tygerberg Hospital, had already reached its capacity, as 25 beds set aside for COVID-19 patients were fully occupied as of Tuesday, 19 May 2020. As of Thursday, 21 May 2020, 23 of the beds were occupied.
The Western Cape health department said the hospital should not be seen in isolation from the provincial plan in managing the pandemic, as it formed part of an “integrated plan, leveraging all available resources”. The province had 2 162 general care beds and 150 ICU beds that exist in central and regional hospitals, it said in a statement.
By Thursday, there were 143 patients admitted to ICU in both public and private hospitals, including the 23 at Tygerberg Hospital.
On Thursday it was reported that the number of COVID-19 patients at Groote Schuur Hospital is doubling every five days, currently running seven wards with over 120 COVID-19 patients and four intensive care units with 19 COVID-19 patients.
Mitchells Plain District Hospital was also taking strain as local infection numbers increased. The hospital's spokesperson, Monique Johnstone, said that every person was screened and tested before being allowed into the hospital to prevent and control the spread of the virus in the hospital.
Source: News 24