Advertisement
If you have a new account but are having problems posting or verifying your account, please email us on hello@boards.ie for help. Thanks :)
Hello all! Please ensure that you are posting a new thread or question in the appropriate forum. The Feedback forum is overwhelmed with questions that are having to be moved elsewhere. If you need help to verify your account contact hello@boards.ie
Help Keep Boards Alive. Support us by going ad free today. See here: https://subscriptions.boards.ie/

Covid 19 Part XXXV-956,720 ROI (5,952 deaths) 452,946 NI (3,002 deaths) (08/01) Read OP

14384394414434441580

Comments

  • Registered Users, Registered Users 2 Posts: 68,173 ✭✭✭✭seamus


    Don't have the figures to hand, but we have actually increased ICU and bed capacity quite a bit since April 2020.

    There are significant set up costs for ICU, not least because they require specialised staff, but your typical bed isn't just one you throw in the corner either. There's always talk about "open beds", which is to say that you have enough medical staff to accommodate the number of beds you have available. Many hospitals have a bed capacity that they can't use because they don't have enough staff. So adding beds in general requires you to add staff in general. We have quite a bit of difficulty adding staff anyway, hence our reliance on foreign staff. But as you'd expect they're much much harder to come by in the middle of a pandemic.

    In a warzone or natural disaster, you just bring people in and throw everyone on any bed you can find and treat them regardless of how much staff you have. But outside of that there is a balancing point where if you have too few staff for the number of patients you have on beds, you will actually kill more people. The guy with severe angina will die because the nearest nurse was treating the guy with a bad 'flu. Whereas if you send the latter guy home to rest because you have no spare beds, they'll both survive.



  • Registered Users, Registered Users 2 Posts: 16,268 ✭✭✭✭iamwhoiam


    We haven’t increased our ICU capacity significantly at all . Our bed capacity is not fit for purpose . We have 5 million now and it is by no means enough for the population .

    Where else in Europe would you have elderly patients on trollies on cold corridors and a three year waiting list for hip replacement or cataract surgery

    Its an absolute scandal that this is not addressed and an attempt to put it right while pouring money at it with very little increase at all



  • Registered Users, Registered Users 2 Posts: 8,506 ✭✭✭Deeper Blue


    Gerry will probably wake up some morning and all the villagers will be gone off in a big boat



  • Registered Users, Registered Users 2 Posts: 3,569 ✭✭✭techdiver


    Does anyone have/know of any up to date figures of the prevalence of variants in Ireland per case load?

    I would assume Delta is fairly dominant at this point?



  • Registered Users, Registered Users 2 Posts: 32,132 ✭✭✭✭is_that_so


    When it comes to the HSE and the health system there are enough pet peeves for everyone in the audience. Eyes will now be on the very well-paid Paul Reid and what he does about it as we emerge from this.



  • Advertisement
  • Registered Users, Registered Users 2 Posts: 7,759 ✭✭✭Former Former Former


    It was up to 97% by end of July so presume it's 100% by now



  • Registered Users, Registered Users 2 Posts: 16,268 ✭✭✭✭iamwhoiam


    Maybe we need an emergency committee to deal with the looming crisis of our lack of beds and ICU capacity . It needs forward planing years ahead , training and recruiting nurses , increasing care home capacity , training and retaining doctors and building hospitals and care facilities . This has got to be addressed now and quickly



  • Registered Users, Registered Users 2 Posts: 8,765 ✭✭✭FintanMcluskey


    Never waste a good crisis

    I wonder will Tony allow normal opening hours for bars in future



  • Registered Users, Registered Users 2 Posts: 32,132 ✭✭✭✭is_that_so


    Much of the scoffing was the cumulative totals, increasingly irrelevant IMO and many of them were wrong. Even these now projected daily totals seem off-kilter. There was an issue on how they chose to present that data, especially as your eyes would immediately be drawn to the panic-inducing pessimistic version, hence the sobering numbers from government. I'm of the view they either should have dropped it or at least withheld it. As I've said elsewhere I do question the use of these cumulative totals, fine for HPSC types, but of no great use to anything otherwise.



  • Registered Users, Registered Users 2 Posts: 8,765 ✭✭✭FintanMcluskey


    Us Irish ain’t the brightest bunch in Europe


    its going to take decades to instil the confidence for many to return to normal



  • Advertisement
  • Posts: 543 ✭✭✭ [Deleted User]


    Currently Delta and it's sub-lineages make up over 95% of samples.

    Untitled Image




  • Registered Users, Registered Users 2 Posts: 3,378 ✭✭✭gipi


    Page 3 of the report gives a breakdown by variant from Dec 30th 2020 to August 7th 2021.

    73.4% of cases analysed in that time were Alpha variant, 19.3% were Delta.



  • Registered Users, Registered Users 2 Posts: 32,132 ✭✭✭✭is_that_so


    Michael Martin's latest on NPHET's future.


    Micheál Martin said that the role of NPHET and the vaccine taskforce will be transitioned into the normal functions of the Department of Health and the HSE.




  • Registered Users, Registered Users 2 Posts: 68,173 ✭✭✭✭seamus


    @iamwhoiam wrote:

    We haven’t increased our ICU capacity significantly at all 

    I thought the same, but it's just not true. Between April and December last year we increased our number of permanent ICU beds by 10%. Which is a pretty good number in itself, but especially good when you consider that it was completely unprepared for.

    Since then there was a commitment to increase capacity by a further 14%, but so far this year they've added 4%. As one would expect though, there's likely a long lead time on these projects, and hopefully the other 10% will be delivered before the end of the year.

    But overall since the start of pandemic our permanent ICU capacity has been increased by 14% (255 -> 291), which one cannot call "insignificant".

    Your point after that is correct - our capacity is still well below where it should be, and realistically we should be adding 30 beds every single year for the next decade to get to where we need to be.

    But then you get into the nuts and bolts of it. To bring our ICU capacity up to this level would require an additional €300m per year in the HSE budget as well as at least €1bn in capital costs over the next decade. That's assuming it's just a matter of adding new beds. As with everything, it's rarely as simple as "just add more beds". Much of our hospital infrastructure is not capable of taking more beds. So you need new hospitals. Look at the resistance there is in Ireland to spending money on health, the complaints about the cost of the childrens' hospital.

    Select 20 hospitals, add a new wing into each capable on average of taking 15 ICU beds + 200 normal beds. Cost of each wing, easily €1bn. That's €20bn capital expenditure. And the rest. It's what we need to do, but the epic meltdowns over it will always stand in the way.

    There's always a gap between the right thing to do, and the thing that people will let you do.



  • Registered Users, Registered Users 2, Paid Member Posts: 14,769 ✭✭✭✭ednwireland


    I dont think anyone has any problem with spending on health . it's the black hole we appear to pour money down with no apparent improvements.

    the children's hospital is a massive mess complete gold plating and fancy architects ends up as the most expensive hospital in the world I think criticism there is completely justified. unfortunately we have to keep pouring money into it until its finished now.

    My weather

    https://www.ecowitt.net/home/share?authorize=96CT1F



  • Registered Users, Registered Users 2 Posts: 8,765 ✭✭✭FintanMcluskey


    We pissed away billions upon billions of euros in covid mitigation compensations, so money really isn’t an object


    Money has literally been no issue since March 2020, no mitigation measures required justification


    I struggle to see where the resistance to spending money on health is



  • Registered Users, Registered Users 2 Posts: 1,389 ✭✭✭irishguy1983



    Ummmmm...Very interesting - didn’t know they had added ICU/hospital beds since April...Yeah I knew ICU set up was complex but thought hospital beds might be a bit easier....



  • Registered Users, Registered Users 2 Posts: 68,173 ✭✭✭✭seamus


    Strong decline on swabs continuing now, potentially even accelerating. 1,812 positive swabs. Last two Wednesdays 1,980 & 2,106. 7-day average dropping for the 5th day in a row.



  • Registered Users, Registered Users 2 Posts: 16,268 ✭✭✭✭iamwhoiam


    255 - 291 is 44 extra ICU beds with a population of 5 million

    when you start from a low base then even an increase of 10% is still totally inadequate . Thankfully we have private ICU beds added to it so at leasts some people are able to use them



  • Registered Users, Registered Users 2 Posts: 2,760 ✭✭✭thesultan




  • Advertisement
  • Registered Users, Registered Users 2 Posts: 68,173 ✭✭✭✭seamus


    Not a criticism against either of you two personally, but you've summed up the resistance to spending on health perfectly.

    "I've no problem with spending money on health, as long as they spend it the right way"

    The "right way" of course being something different to everyone.

    For every €10m spent adding ICU capacity, someone will complain that there's a paediatric unit in need of a scanner. Or a cancer screening programme with a long waiting list. Or that the project is costing 10% too much and should be put on hold until we get five new quotes.

    It nearly feels like the HSE should produce a gigantic costed menu of all of the things we need to bring our health service up to OECD standards; the yearly costs and the pessimistic capital costs. So that when people want to know why something isn't working, they can see exactly what isn't being spent. Fairly off-topic 😆 but I'd hope after all this when the HSE comes looking for a few billion for a new hospital and a few hundred million to pay the private system to tackle waiting lists, people will be less inclined to complain about it.



  • Registered Users, Registered Users 2 Posts: 2,760 ✭✭✭thesultan


    That has nothing really to do with it.. Covid has done a lot of damage to the indoor pub sector. I was talking to a fella publician yesterday and he has a bigger pub and he stated that it's shockingly quiet. One pub was open during the reopening (outdoor) and made a killing and gained a lot of customers from the three closed pubs. Now some haven't come back at all(older crowd) but it's worrying if you dont get the regulars back or even the young crowd(not fully vaccinated).



  • Registered Users, Registered Users 2, Paid Member Posts: 14,769 ✭✭✭✭ednwireland


    the right way is delivering results for patients not spending more and more and ending up with a fifth of the population on waiting lists. the mother in law went to get a mole removed was told it would be years before she got to see a consultant, a month later and a few grand later its sorted in dublin of course! lucky they have the money.

    the reason for the lockdowns is the state of the health service whcih will never be reformed because it would be political suicide to take on the vested interests , throwing more money at it isnt the answer.

    My weather

    https://www.ecowitt.net/home/share?authorize=96CT1F



  • Registered Users, Registered Users 2 Posts: 639 ✭✭✭Apothic_Red


    1812 positive swabs, 7.84% positivity on 23,098 tests. 7 day test positivity is 8.9%. - Wednesday, September 1st 2021


    Now yer swabbin'



  • Registered Users, Registered Users 2 Posts: 4,957 ✭✭✭kirk.


    All I'm hearing is waffle

    Disbanding Nphet and restrictions is all waffle,they'll still be there

    Beefing up the health service lol

    Setting up a handy evaluation before the clamour an enquiry


    All mostly window dressing and politicking



  • Registered Users, Registered Users 2 Posts: 32,132 ✭✭✭✭is_that_so


    The Government has received the go ahead for a Covid-19 vaccine booster campaign for immunosuppressed people, Taoiseach Micheál Martin has said, with third doses also likely to be given to nursing homes residents and the over 70s “subject to advice”. No indication of when just yet, but waiting for NIAC advice.



  • Registered Users, Registered Users 2 Posts: 32,132 ✭✭✭✭is_that_so


    Cases matching swabs - 1,789 new cases, 360 in hospital, 56 in ICU.



  • Registered Users, Registered Users 2 Posts: 32,132 ✭✭✭✭is_that_so


    I see in the middle of that is a video of Donnelly claiming cases will peak in mid-October. That quite a jump on what's been said to date.



  • Advertisement
  • Posts: 695 ✭✭✭ [Deleted User]


    That was the figure given by a legal employment expert who was interviewed on Drivetime.

    He said 7000 euro per employee, I presume this is to kit out a room properly.

    The situation that arose because of covid cannot continue, he stated that GPS are innundated with people reporting back strain and rrpetitive injury.

    Going forward employers have a duty to provide everything an employer needs, if they have to do this then they wont want hybrid working, they will want to get rid of office space completely.

    They will then realise there is no difference to someone WFH in Dublin compared to Mumbai except salary costs are higher, this will result in moving staff roles to cheaper locations.

    Be careful what you wish for.



Advertisement