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Flu cases: Hospital treats 300 patients a day

UPDATED - The Health Department said today that the Emergency Department is treating some 300 patients per day because of a severe outbreak of influenza.

It apologised to patients and their relatives after 18 patients were yesterday transferred from Mater Dei to private facilities and thanked the medical and transport staff for their services and cooperation.

Earlier today The Times reported that public and private hospitals were chock-a-block yesterday, struggling with a wave of patients struck by what the Health Department described as a “severe outbreak of influenza”.

The situation reached a point where the management of Mater Dei had to turn to the St James Group for help with bed space, only to be told they too were full to capacity.

“Both St James’ hospitals are full. We have patients waiting on chairs in emergency for people to be discharged from the wards to use the room directly afterwards,” Maria Bugeja, director of St James Hospital Group said.

She admitted the situation was not uncommon at this time of the year. However, the situation has been made worse by the crowding at Mater Dei.

The situation was so bad in Mater Dei hospital’s Emergency Department yesterday that doctors and nurses ran out of stretchers on which to see new patients as they were being used up by people waiting in the corridors for a bed in the wards, the president of the Emergency Nurses’ Union, John Zammit told The Times.

“The situation keeps getting worse. I think tonight we will have no place where to put patients,” he said, pointing out that two additional corridors were opened since Tuesday but even these had already been filled-up.

The Health Department last night issued a warning about the severe outbreak of influenza that hit the islands over the past weeks.

The department said there was no room for panic but urged people to be cautious, warning the flu could lead to problems among vulnerable people, including the elderly and those suffering from chronic conditions like heart failure and asthma.

This situation comes after the Emergency Nurses’ Union on Tuesday gave the health authorities until next week to sort out the overcrowding in hospital corridors, which last year saw two patients receive cardio-pulmonary resuscitation in full view of those around them.

“There is no more place in casualty for us to put these patients in,” Mr Zammit said before going to hospital for night duty, dreading the long shift ahead.

Since the New Year, the hospital witnessed an increased influx of patients, as is known to happen during the winter period.

Influenza-like illness trebled over the past 15 days, the Health Department said, pointing out that chest infections were behind the increase in admissions in the acute care hospital.

There were over 200 admissions of very sick patients between New Year’s Eve and 4 p.m. on Tuesday with another 45 people admitted during the night.

Mr Zammit said the union met up with the hospital management and the Health Department yesterday to discuss a way forward.

The union proposed that ward space be used more efficiently and estimated that each ward could take an extra four beds in the rooms. It also singled out a large store room, which, it said, was not being used much and could fit another 30 patients. Mr Zammit said if beds reserved for tomorrow’s operations would be used up, “which is likely”, the surgeries would have to be cancelled.

The union also asked for a riskassessment of the department and for the infection control unit to prepare a report of the situation in casualty.

Health Services director general John Cachia said the Health Department was making use of all the bed space it could source elsewhere in homes and discharging patients who could be sent back to their own homes safely.

However, Mr Zammit said many patients were being re-admitted in the evening, after being discharged from hospital in the morning.

As a long-term solution to address the problem, the department was looking into increasing long-term beds in other hospitals, to transfer such cases from Mater Dei. The department pointed out, however, that this would depend on the availability of nurses and carers.

The hospital has long suffered from bed-shortage problems. Soon after opening its doors to the public, the issue of having fewer beds than St Luke’s Hospital (Mater Dei’s predecessor) soon surfaced, leaving new admissions waiting around in Emergency Department corridors for a bed in the wards.

The problem of “bed-blockers” has long been known to be behind the problem as patients waiting for long-term care take up acute care beds while waiting to be transferred to places like St Vincent de Paul and Karen Grech Hospital. The wait can be a lengthy one as doctors and nurses have pointed out it is not unheard of for patients to wait a month at Mater Dei before being transferred elsewhere for long-term care.

(More stories from The Times in the News section)

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C. Weitze

Jan 7th 2011, 19:34

quoting Wikipedia: "In 2008, for the first time in 14 years, measles was declared endemic in the UK, meaning that the disease was sustained within the population. In May 2008, a British 17-year-old with an underlying immunodeficiency died of measles." Are these the hundreds of children, that died? In my childhood parents used to hold Measles, Rubella and Chicken Pocks Parties - just to mention an few - and let the kids drink from one straw to make sure we kids would get the virus during childhood, thus having a lifelong immunity against these viruses. Nowadays there are vaccinations for everything under the sun and an ongoing increase in allergies, autoimmune illnesses, ADS and Autism, again just to mention a few. Coincidence?! Perhaps it would be interesting for you to read about vaccine damages/injuries on the internet. There are quite some interesting sites.

g borg

Jan 8th 2011, 02:11

my mistake, i meant infected not killed, was writing above in a hurry.

that same fact autism has been refuted by the Lancet - the publishing journal of the original article, and the doctor involved in falsifying that information has lost his licence to practice by the english GMC.

if it were for you people, our children should not be immunised for hepatitis, polio, meningitis etc...

i would prefer to be immunized than get polio for eg.

SallyJ.Gatt

Jan 6th 2011, 19:17

Mrs.Falzon i agree but then again i tend to keep away from the British most times, they bore me to tears half the time, i know i lived in that horrible horrible country for quite a while, but now i am in paradise and by that i mean these lovely sunny healthy islands. Good bye and stay healthy, TIP:- country walks in Gozo and exercise more and plenty of home grown veggies. Sal from Qala

Mo Fenech

Jan 6th 2011, 22:51

We couldn't agree with you more Sally from Qala same here my girl. Gozo is over crowded with Foreigners (in caps) at the best of time. But i like your style, free speach makes our country different from the rest thank God. Mo Fenech

Simon George

Jan 7th 2011, 19:25

J Simpson

Jan 7th 2011, 09:20

It's because no one can do miracles, but sometimes Maltese people think that the government can! Maltese tend to think that hey are inferior to other countries, and that the grass is always greener on the other side!...they need to know that other BIGGER countries can't do miracles either!!!

Leonard Brincat

Jan 6th 2011, 13:17

With What right you call people idiots, I think you must be one yourself.

o.galea

Jan 6th 2011, 14:21

@ leonard - no need to split hairs. Mr. Magro was not being personal....
That's a "figure of speech"... it's the act that is idiotic. especially since ultimately......... prevention is better - and cheaper - than cure

Fabio Cassar

Jan 6th 2011, 15:07

When FACTS are evident by research....you have to be a big IDIOT to dismiss them!!

-Vaccine. 2010 Dec 16;29(2):240-6: 25,000 subjects, mortality hazard ratio (HR)=0.61; 95% CI 0.47-0.79. 39% reduction in mortality!!!!
-Eur Respir J. 2009 Jul;34(1):56-62. Adjusted mortality 0.56 (95% CI 0.45-0.69) 44% reduction in mortality!!!!!
-Eur Heart J. 2009 Jan;30(2):209-16 Influenza vaccination was associated with a significant reduction of 37% in the adjusted risk of winter mortality during the overall period 2002-2005. The attributable mortality risk reduction in vaccinated people was 8.2 deaths per 1000 person-winters.

Only 3 studies...from hundreds and hundreds. Not even ONE study has refuted these findings!!

J.Xuereb

Jan 6th 2011, 15:43

Dear Mr. Magro. I think it is better for you to make some research on what is best to take against flu viruses, either vaccination or natural vitamins and supplements, before calling people idiots!! I think that unfortunately the mainstream is being continuously affected by the media and by those in power like the health department. the mainstream is continuously bombarded in order to take vaccinations as prevention, while in reality our body has the natural ability to fight infections. Vaccinations kill this natural ability. Of course, the health department will NEVER advise and teach the mainstream to divert to natural vitamin suppliments (and there's a lot one can take) because of medicine business. So, Mr. Magro get informed on who is being the pure idiot.

J Simpson

Jan 6th 2011, 12:28

Are you a teacher? :P

Mark Scerri

Jan 6th 2011, 12:29

Ohhh YES......and what will hospital employees do with their children??
Or should hospital staff stay at home to take care of their kids??

G.Fenech kindly advise!!!!

L Vella

Jan 6th 2011, 17:44


@ J Simpson & Mark Scerri

from today's BBC Online:

Director of Public Health at NHS Suffolk, Dr Brian Keeble, said: "It's clearly still very much around this mini-epidemic and it will be interesting to see what happens in the next week or so.
"I think it probably will start to tail off, but with the kids going back to school we might see another surge because kids are very good at passing bugs around."

Any further comments?

R Borg

Jan 6th 2011, 12:45

My grand father used to do that,God bless his soul.

RMangion

Jan 6th 2011, 11:56

Mr Van Gurchom, its not the flue but complications that arise from it. This mostly appliues to persons that suffer from chronic diseases such as congestive heart failure etc... which are more at risk

L.Abela

Jan 6th 2011, 12:06

I agree 100% with you, most of my family had and still have some kind of flu, and also with very high temperature.......but we saw our GP and started medications!!! either we are too spoiled, on this Island, or we do it on purpose to add in the confusion!!

J Simpson

Jan 6th 2011, 11:35

I used to live abroad....and NO hospital (that you have to pay for your treatment) was equipped and preparedfor a disaster!!!!!!! Stop winging everyboday...and when catching a cold go to your GP not to hospital!!!!

j.zammit

Jan 6th 2011, 11:56

Seriously? if its a disaster then nobody is every prepared for it... thats why its a disaster.
Do you have a grab bag ready that contains first aid, basic supplies, spare clothing and bedding? maybe throw in a light shelter too... 99% of the population in Malta does not... why.. cos we all rely on big brother to take full care of us in good time, let alone the bad times...

m.ellul

Jan 6th 2011, 10:20

I didn't took the vaccination and I am on my fourth year now without taking it....guess what I a very fine. and I am surrounded by ill people who sneeze and cough and they all took the vaccination. And btw dear professor, do you have a record that all the people that are recovered in hospital all did not took the vaccination ?

LEONARD BRINCAT

Jan 6th 2011, 10:53

Mr.Farrugia
In life you always have a choice.I choose not to take the vaccination most probbably you took it.I did not force you to have it but you are demanding those who did not take it to take it . Please do not be !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

GOOD DAY

Anthony Farrugia

Jan 6th 2011, 11:46

Read my post again, please. I am writing about those armchair critics and know-it-alls, who after consulting some obscure and worthless internet site, panicked people by writing negatively about the H1N1 and seasonal flu vaccinations.
I have been taking the seasonal jab for years and have also taken the H1N1 vaccine with no side-effects whatsoever. Off course, one also has to take the normal elementary precautions, like washing hands etc.

A Cassar

Jan 6th 2011, 12:25

Dear m.ellul, One cannot call some casual "observation" as a medical fact.

The FACTS, taken from MILLIONS of subjects shows that Influenza vacination reduces,
1) illness 2) days off work 3) hospitalisation 4) DEATHS!!
These are NOT opinions...but FACTS.

And to your last answer YES....the great majority of people admitted with influenza did NOT take the vaccine. Of course the influenza vaccine does not protect from other forms of chest infections, pneumonias etc etc (though even these are reduced in vaccinated people as influenza predisposes to these conditions)

One has to have a severe lack of INTELLIGENCE, to continuing arguing against vaccination while our hospitals are choc-a-block with hundrends of patients, some of which are dying!!!

m.ellul

Jan 6th 2011, 19:36

@A Cassar

I am not arguing against vaccination and I am not forcing anyone not to take it. The reason why I did not take or will decide not to take the vaccination is because it is in my right of choice or because I am not a gullible person.

l fenech

Jan 6th 2011, 09:52

One solution to the problem is to get St. Luke's going again. Unfortunately this government has the obsession of closing down buildings, the list is tall. I wonder why Mater Dei has not been given to some foreign consortium.

Maria Attard

Jan 6th 2011, 10:34

ok fair enough we get help from the EU but in the meantime where are we going to transfer the patients that are in a&e! as if you don't know the a&e needs to transform in a major disaster area..and yes it might be all over the world that there are shortage of nurses but re. a&e its not the shortage of nurses they are concerned about...its the shortage of beds..i guess its not fair on them that much of the time area 2 has to be transformed in a ward + lots of patients waiting in the corridors..while when coming back from an ambulance call there is no place where to transfer the patients...action needs to be taken as apart its not fair on the patients themselves, its quite stressfull on the staff!! i believe the goverment need to start planning in reconstructing the health centres, at least 4 main ones, where they have to be fully equiped so at least priorities 2 and 3's could be seen there and by that reducing the overload in a&e!!!!!

C. Borg

Jan 6th 2011, 11:43

Do you hang out at the emergency room and observe this yourself?

N.Cutajar

Jan 6th 2011, 12:19

@C.Borg...yes most cancer patients start of at the emergency so I couldn't help laughing at whole families complete with thermos & sandwiches tending to a relative with a minor scratch trying to save on a box of elastoplast

C. Borg

Jan 6th 2011, 11:41

Spot on.

Mark Scerri

Jan 6th 2011, 12:31

JOKE OF THE CENTURY!!!
Employees who go to work despite being sick....YOU MUST BE JOKING!!!

Sick leave is ABUSED by the majority of employees....they take a day off when they feel they don't want to go to work

Hallina sur Scicluna. HAHAHAHAHAHA

laura ferrito

Jan 6th 2011, 13:14

agree 100%....

S. Scicluna

Jan 6th 2011, 18:05

@ Mark Scerri

I did not say all employees do that, but some do. And yes they can spread the flu especially if they work in small, poorly ventilated workplaces.

Still, workers are not necessarily employees. These can be self employed (one man business) or are paid according to work done (per hour or per day). For these workers no work = no pay.

John Micallef

Jan 6th 2011, 08:45

You are wrong my friend, in government enquirries their are specialists in washing hands!! Pilot was an amateur in respect to them!!

robert micallef

Jan 6th 2011, 09:03

by your argument i suppose even the British do not wash their hands as there are close to 2 million people on sick leave today due to the flu.

S. Farrugia

Jan 6th 2011, 09:09

Ma naqbilx mieghek. L-Italja u l-Ingilterra wkoll kien hemm outbreak. Trid izzomm f'mohhok li f'dawn iz-zminijiet ikun hemm hafna parties, ikliet ecc, kollox fil-maghluq, u l-kesha wkoll tghin biex jinxtered il-virus. Huwa zmien tal-influwenza, u rridu naccettawha, mhux naraw kif se nwahhlu fin-nies. Inti tahsilhom idejk fuq kollox? u biex b'xi sapuna?? Ghax l-idealment huma prodotti li jkunu maghmulin minn 70% alcohol, u dawn jinxtraw minn kull spizerija.

C Cassar

Jan 6th 2011, 11:47

@robert micallef: yes hygeine is a big problem in the UK aswell. The message still hasn't got thru to many but the virus is very simple to control if:

a) People wash their hands several times a day with soap thoroughly.
b) Use a disposable tissue when sneezing/coffing and dispose of it immediately
c) All those handling food where some kind of latex gloves
d) Door handles, tables and commonly handled areas are wiped down regularly several times per day

The problem is that most people still judge hygeine by what they can see. If it looks clean it must be - but that couldn't be further from the truth.

The virus spreads because people are complacent, lazy, uneducated or all three.

S.Micallef

Jan 6th 2011, 12:45

I agree personal hygene is a problem in Malta.

Not only do people have problems washing their hands, it seems showers are a weekend luxury for some and clean and ironed clothes are not a priority either.

And this has nothing to do with education as I've met university graudates and professionals who are incapable of keeping up a decent clean appearance. Let this be a message to all.

Wash regularly and use deodrant!

C Cassar

Jan 6th 2011, 09:01

Stop being so typically Maltese and blaming the government for everything. The filthy habits & complete lack of hygeine of most Maltese is the root cause of such outbreaks.

Anthony Farrugia

Jan 6th 2011, 10:24

Wear an extra sweater and have a tot, for medicinal purposes obviously !

K.Anastasi

Jan 6th 2011, 10:32

Pleasing to the eye?? Not from the outside, its ugly... but I wouldn't care as long as there were enough beds!

A Bonnici

Jan 6th 2011, 08:10

Yes good idea. But who will man them?

Duncan A Falzon

Jan 6th 2011, 08:13

@ H. Dempster : I don't think it's possible on a tight schedule...remember that St Lukes was dismantled!
What can be done [in the longer term] is refurbishing parts of it and use them for these so called bed-blockers!
...however your idea is a very good one!

RMangion

Jan 6th 2011, 08:35

Whilst that would be an agreeable proposition ( AFTER upgrades are done to the place), we are still faced with a shortage of doctors and nurses, so....

albert leone ganado

Jan 6th 2011, 08:42

Please H Dempster dispel from your mind using St Luke's or part of it as an obvious logistic solution which will resolve permanently overcrowding at Mater Dei. Some of our bright young smart asses well placed as blue eyed fixtures in the government constellation have long cast their eyes on the place and have already ensconced themselves there with whatever grandiose illusions they harbour. Such persons rather than strengthen the concept of Smart City by centering themselves strategically at Xghajra have taken over the hill at Gwardamangia to act as lords of all they can survey from atop.

john vella

Jan 6th 2011, 11:59

@Dear Mr. albert leone ganado,
I could not say it better myself!
I was lately visiting a patient at Karen Grech. Why such a wait of property to build something smaller and let St. Luke to crumble. I am not going to say: 'only in Malta'. But please can someone shake my mind maybe I start of logic like those who increased themselves 600 a week. Rome is burning and Nero playing the harp.

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