The Mercury News

Falling short on masks — again

Shortages in protective gear for workers lead to call for coordinate­d national strategy

- By Geoff Mulvihill and Camille Fassett

The personal protective gear that was in dangerousl­y short supply during the early weeks of the coronaviru­s crisis in the U.S. is running low again as the virus resumes its rapid spread and the number of hospitaliz­ed patients climbs.

A national nursing union is concerned that gear has to be reused. A doctors associatio­n warns that physicians’ offices are closed because they cannot get masks and other supplies. And Democratic members of Congress are pushing the Trump administra­tion to devise a national strategy to acquire and distribute gear in anticipati­on of the crisis worsening into the fall.

“We’re five months into this and there are still shortages of gowns, hair covers, shoe covers, masks,

N95 masks,” said Deborah Burger, president of National Nurses United, who cited results from a survey of the union’s members. “They’re being doled out, and we’re still being told to reuse them.”

When the crisis first exploded in March and April in hot spots such as New York City, the situation was so desperate that nurses turned plastic garbage bags into protective gowns. The lack of equipment forced states and hospitals to compete against each other, the federal government and other countries in desperate, expensive bidding wars.

In general, supplies of protective gear are more robust now, and many states and major hospital chains say they are in better shape. But medical profession­als and some lawmakers have cast doubt on those improvemen­ts as shortages begin to reappear.

In other virus-related developmen­ts Tuesday:

Brazil’s president, Jair Bolsonaro, said he has tested positive for COVID-19 after months of downplayin­g the virus’s severity. The 65-year-old populist confirmed the test results while wearing a mask and speaking to reporters in the capital of Brasilia. Bolsonaro has often appeared in public to shake hands with supporters and mingle with crowds, at times without a mask.

U.S. Education Secretary Betsy DeVos said the nation’s schools must reopen this fall and be “fully operationa­l” even as cases of COVID-19 continue to surge around the country. She says anything short of a full reopening would fail students and taxpayers. DeVos made the comments during a call with governors as the Trump administra­tion launched an allout effort to get schools and colleges to reopen. Audio of the call was obtained by The Associated Press.

Speaking about protective equipment on the call, U.S. Health and Human Services Secretary Alex Azar said Tuesday that it’s important for gear to be reused and repurposed as a way to stretch the stocks and avoid shortages.

Dr. Aisha Terry said that she has good access to PPE

Registered nurse Mohamed Ahmed adjusts his face mask before entering a patient’s room at Regional Medical Center in San Jose on May 28.

as an associate professor of emergency medicine at George Washington University in Washington, D.C., but some non-academic and rural health facilities have much less.

“I think overall, production, distributi­on and access has improved,” Terry

said. “But the fear is that we will become complacent” and allow supplies to dwindle in some places.

The American Medical Associatio­n wrote to the Federal Emergency Management Agency, Vice President Mike Pence and members of Congress calling

for a coordinate­d national strategy to buy and allocate gear.

Rear Adm. John Polowczyk, who is in charge of coronaviru­s-related supplies for the White House, told Congress last week that more than than one-fourth of the states have less than

a 30-day supply.

“It would seem like in less than 30 days, we’re going to have a real crisis,” said Rep. Bill Foster, an Illinois Democrat.

FEMA, one of the main federal agencies in charge of the coronaviru­s response, would not break down which states have enough gear to last beyond 30 days and which do not. It referred those questions to individual states. In June, the government started replenishi­ng its once-depleted stockpile with the goal of building up a two-month supply.

AsofJune10,FEMAhad distribute­d or directed private companies to distribute more than 74 million N95 masks and 66 million pairs of gloves, along with other gear. The agency said it changed its distributi­on method to send more equipment to hot spots.

Although all U.S. states and territorie­s have received some protective gear from FEMA, an Associated Press analysis of the agency’s own data found that the amounts varied widely when measured by population and the number of confirmed COVID-19 cases.

The AP analysis found that low-population, mostly rural states received the largest FEMA allocation­s per confirmed case. As of mid-June, for example, Montana had received 1,125 items of protective gear per case, compared with 32 items per case in Massachuse­tts, an early hot spot. States including California, Iowa and Nebraska, all of which have seen a surge in confirmed infections, received among the lowest amounts of protective gear from FEMA per case, according to the AP analysis.

 ?? RANDY VAZQUEZ — STAFF ARCHIVES ??
RANDY VAZQUEZ — STAFF ARCHIVES

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