No beds, packed morgues: Mumbai hospitals near collapse

Published May 16, 2020
The state-run Lokmanya Tilak hospital has become a byword for the stunning failure of Mumbai to cope with the pandemic. — AFP
The state-run Lokmanya Tilak hospital has become a byword for the stunning failure of Mumbai to cope with the pandemic. — AFP

Packed morgues, bodies in wards, patients forced to share beds and medical workers run ragged: Mumbai's war against coronavirus has pushed the Indian city's hospitals to breaking point.

Ravi, 26, had to change his mother's diapers himself as she lay dying from the disease in the huge Lokmanya Tilak Municipal General Hospital, better known as Sion.

"They would just give us medicines and leave," Ravi (not his real name) told AFP.

Staff in the 1,300-bed facility were "overworked and tired", he said, with sometimes three patients per bed.

Now he too has contracted the virus and is in another hospital — but only after four facilities refused to admit him. "We don't have the infrastructure for this disease," he said.

The state-run Sion hospital has become a byword for the stunning failure of Mumbai — home to billionaires, Bollywood and slums — to cope with the pandemic.

A video widely shared on social media and shown on Indian TV showed corpses wrapped in black plastic left on beds in a ward where patients are being treated.

Authorities said they were investigating the footage.

So many cases

With space at a premium and relatives too afraid or unable to claim their dead because they are themselves in quarantine, disposal of coronavirus corpses is not easy, doctors say.

But dealing with the sick is much harder.

"We don't have enough beds to manage so many cases. The emergency area gets full in a matter of hours," Aditya Burje, a junior doctor working night shifts at Sion hospital, told AFP.

The hospital's proximity to India's biggest slum Dharavi makes it a key battleground in the fight against the pandemic.

"In March there were just one or two suspected cases a day. It all seemed to be under control. Then the situation drastically changed," the 25-year-old said.

By the end of April, Burje and his colleagues were overwhelmed.

"We were seeing 50-100 patients a day, 80 per cent of whom would turn out to be positive and many would need to be on oxygen," he said.

Like many doctors at state-run hospitals, Burje, who gets a $700 monthly stipend, has not been paid since India went into lockdown in late March.

He has not had a night off in two months.

With nearly a third of his medical school cohort at the hospital diagnosed with coronavirus, he admitted he was scared to go to work.

"If something happens, who will take care of me?"

System exploding

Sion hospital is not alone in India's financial capital. And everyone — from medical students to doctors with decades of experience — is struggling.

Intensive care specialist Deepak Baid, who runs a private hospital in north Mumbai, volunteered to help at a state-run medical facility, Rajawadi Hospital.

But though it is only equipped to handle patients with moderate symptoms, doctors there routinely end up treating critically ill people, Baid said.

Even clinicians specialising in fields like dermatology or orthopaedics are being hit with caseloads of patients they are not qualified to treat.

"We can't send patients to other better-equipped hospitals because they have no beds and so we do what we can," he told AFP.

"The system is under a lot of pressure, it's exploding," he said.

Flimsy protective equipment has made sanitation workers fearful of tackling tasks such as changing sheets used by coronavirus patients, Nilima Vaidya-Bhamare, another doctor, told AFP.

Utterly neglected

Mumbai has 4,500 beds for coronavirus patients, according to Daksha Shah, a senior health official with the city authority.

"We are expanding capacity all the time," she told AFP, pointing to efforts to build a 1,000-bed field hospital in the country's commercial hub.

Authorities are also setting up intensive care units inside schools.

But with Mumbai so far registering around 18,000 cases, a fraction of its 18-million-strong population, fears are growing that India's worst-hit city is unprepared for a potential surge.

India spends less than two per cent of its GDP on healthcare.

As of 2017, India had 0.8 doctors per 1,000 people, around the same level as Iraq, according to the World Bank. China has 1.8 per 1,000, and the United States 2.6.

Many of the problems highlighted by the pandemic have been festering for a long time, Vaidya-Bhamare said, from a lack of basic supplies such as soap to overburdened staff.

"I graduated in 1994 and government hospitals were utterly neglected then," she said. "Why does it take a pandemic to wake people up?"

Opinion

Editorial

Bad measures
Updated 25 Jul, 2024

Bad measures

They do not seem to have realised that they have put the country’s best interests at risk.
Hamas-Fatah deal
25 Jul, 2024

Hamas-Fatah deal

THE Beijing Declaration signed in the Chinese capital on Tuesday reiterates the need for internal Palestinian unity...
Rating risks
25 Jul, 2024

Rating risks

FINANCE Minister Muhammad Aurangzeb’s recent discussions with the executives of the two top global credit rating...
Reforming militants
24 Jul, 2024

Reforming militants

Such initiatives have been tried before, in Swat for instance, at centres run by the military as well as NGOs.
IPP debate
24 Jul, 2024

IPP debate

A FIERCE debate blaming the exorbitant electricity prices on expensive power purchase agreements with IPPs has been...
Political vendettas
24 Jul, 2024

Political vendettas

IT seems that the PML-N and PPP need to be reminded again that they are doing themselves a considerable disservice ...