As hospital numbers fall, fatigued staff in U.S. get relief at last

MISSION, Kan. — When COVID-19 patients inundated St. Louis hospitals, respiratory therapists arriving for yet another grueling shift with a dwindling supply of ventilators would often glance at their assignments and cry, heading into the locker room to collect themselves.

“They were like, ‘Man, another 12 hours of this slog of these on-the-verge-of-death patients who could go at any moment.’ And just knowing that they had to take care of them with that kind of stress in the back of their head,’” recalled Joe Kowalczyk, a respiratory therapist who sometimes works in a supervisory role.

Now the number of people hospitalized with COVID-19 in the U.S. has dropped by 80,000 in six weeks, and 17% of the nation’s adult population has gotten at least one dose of a vaccine, providing some relief to front-line workers like Kowalczyk. On his most recent shift at Mercy Hospital St. Louis, there were only about 20 coronavirus patients, down from as many as 100 at the peak of the winter surge.

“It is so weird to look back on it,” he said. “Everyone was hitting their wit’s end definitely toward the end just because we had been doing it for so long at the end of year.”

The U.S. has seen a dramatic turnaround since December and January, when hospitals were teeming with patients after holiday gatherings and pandemic fatigue caused a surge in cases and deaths. Health officials acknowledge the improvement but point out that hospitalizations are still at about the same level as earlier peaks in April and July and right before the crisis worsened in November. Deaths are still persistently high, though much lower than the peak in early January, when they sometimes exceeded 4,000 per day.

Hospitalizations in Missouri were hovering around 3,000 a day during a stretch from late November into January but have since fallen about 60%. As of Monday, 1,202 people were hospitalized, according to state data.

In Wisconsin, hospitalizations dropped dramatically over the last three and a half months, from a high of 2,277 patients on Nov. 17 to 355 on Wednesday, according to the Wisconsin Hospital Association. And the patients who are hospitalized are not as sick. The number of patients in intensive care has dropped 81% since Nov. 16.

State health officials on Feb. 15 removed all staff from a field hospital set up in October at the state fairgrounds in suburban Milwaukee. They have stopped short of dismantling the facility out of concern that the state could experience a surge in cases sparked by variants of the virus that causes COVID-19.

“It’s a balancing act. You don’t want to close it too soon until you really believe we’re on the other side of this pandemic, yet we don’t want to tie up (the fairgrounds) too long if we’re truly not going to need the facility,” state Department of Health Services Deputy Secretary Julie Willems Van Dijk said.

DUBAI, United Arab Emirates — A secretive Israeli nuclear facility at the center of the nation’s undeclared atomic weapons program is undergoing what appears to be its biggest construction project in decades, satellite photos analyzed by The Associated Press show.

A dig about the size of a soccer field and likely several stories deep now sits just yards from the aging reactor at the Shimon Peres Negev Nuclear Research Center near the city of Dimona. The facility is already home to decades-old underground laboratories that reprocess the reactor’s spent rods to obtain weapons-grade plutonium for Israel’s nuclear bomb program.

What the construction is for, however, remains unclear. The Israeli government did not respond to detailed questions from the AP about the work. Under its policy of nuclear ambiguity, Israel neither confirms nor denies having atomic weapons. It is among just four countries that have never joined the Non-Proliferation Treaty, a landmark international accord meant to stop the spread of nuclear arms.

The construction comes as Israel — under Prime Minister Benjamin Netanyahu — maintains its scathing criticism of Iran’s nuclear program, which remains under the watch of United Nations inspectors unlike its own. That has renewed calls among experts for Israel to publicly declare details of its program.

What “the Israeli government is doing at this secret nuclear weapons plant is something for the Israeli government to come clean about,” said Daryl G. Kimball, executive director of the Washington-based Arms Control Association.

With French assistance, Israel began secretly building the nuclear site in the late 1950s in empty desert near Dimona, a city some 55 miles south of Jerusalem. It hid the military purpose of the site for years from America, now Israel’s chief ally, even referring to it as a textile factory.

With plutonium from Dimona, Israel is widely believed to have become one of only nine nuclear-armed countries in the world. Given the secrecy surrounding its program, it remains unclear how many weapons it possesses. Analysts estimate Israel has material for at least 80 bombs. Those weapons likely could be delivered by land-based ballistic missiles, fighter jets or submarines.

For decades, the Dimona facility’s layout has remained the same. However, last week, the International Panel on Fissile Materials at Princeton University noted it had seen “significant new construction” at the site via commercially available satellite photos, though few details could be made out.

Satellite images captured Monday by Planet Labs Inc. after a request from the AP provide the clearest view yet of the activity. Just southwest of the reactor, workers have dug a hole some 165 yards long and 65 yards wide. Tailings from the dig can be seen next to the site. A trench some 360 yards runs near the dig.

Some 1.25 miles west of the reactor, boxes are stacked in two rectangular holes that appear to have concrete bases. Tailings from the dig can be seen nearby. Similar concrete pads are often used to entomb nuclear waste.

Other images from Planet Labs suggest the dig near the reactor began in early 2019 and has progressed slowly since then.

Analysts who spoke to the AP offered several suggestions about what could be happening there.

The center’s heavy-water reactor has been operational since the 1960s, far longer than most reactors of the same era. That raises both effectiveness and safety questions. In 2004, Israeli soldiers even began handing out iodine pills in Dimona in case of a radioactive leak from the facility. Iodine helps block the body from absorbing radiation.