At the San Joaquin hospital in California’s Central Valley, nurses cover infectious Covid-19 patients with clear, tent-like barriers – or, when those aren’t available, white sheets – as they’re wheeled through the ICU.
“It’s for everybody’s protection,” said Jessica Vasquez, an ICU nurse at the hospital – the sheets ensure that infection doesn’t spread to other patients and medical staff. But like so many of the protocols that the hospital has implemented since the coronavirus pandemic struck, it feels uncanny.
It’s eerie, that these days, she barely talks to her patients – many of whom are too weak to speak. She remembers a man, who – not long before he died of the virus, suddenly grabbed her hand. “He just said, ‘Thank you, thank you.’” None of his loved ones could be there with him.
“I’ve just felt so scared,” she said. “This virus can come, for any of us”
When the virus first hit California, Vasquez was relieved to see the state implement a lockdown – it was the first American state to do so. Back in March, personal protective gear for medical staff was in short supply and hospitals were scrambling to understand the best practices to treat an illness they’d never encountered before, but at least, “people understood this was serious. They stayed inside, if they could – and California avoided the fate of New York and Louisiana.
In that first phase of the pandemic, hospitals in the nation’s most populous state were strained, but they weren’t overwhelmed the way New York hospitals were. They didn’t have to acquire massive refrigerator trucks to serve as mobile morgues for the virus’ victims.
Until now. Less than a fortnight before the Christmas holiday, California distributed 5,000 body bags to the hard-hit regions including Los Angeles, and readied 60 refrigerated trailers. As of Monday, the state has tallied more than 2.1m cases and counted more than 24,000 dead. The ICU capacity in southern California hit 0% by mid-December. Two people were dying of Covid-19 every hour in hard-hit Los Angeles county, where the public health director, Barbara Ferrer, fought back tears as she reported that thousands of “people who were beloved members of their families are not coming back”.
Facing an increasingly dire situation, the state enacted a second lockdown, asking Californians to remain at home throughout the holidays to slow the spread of the virus. But nine months after the first shelter-in-place order, a pandemic-fatigued, frustrated public pushed back.
They balked at leaders’ choice to allow retail shopping and entertainment production to remain open, while most schools were shuttered and families asked to keep away from loved ones. Rightwing protestors gathered outside the homes of public health officials, while progressives demanded that the government prioritize reopening schools over shopping malls. As politicians in Washington debated a second economic relief bill, restaurant owners fretted over whether their businesses could survive a second lockdown. Lines at coronavirus testing sites and food banks grew, as the pandemic devastated ranks of essential workers at farms, grocery stores, garment factories and warehouses. “After months and months, people are broken, and they’re tired,” said Monica Gandhi, an infectious disease specialist at UC San Francisco. “And they need support.”
The year culminated in a deadly, damning indictment of California – its leaders inability to convincingly enact and enforce public health measures, its structural racism and inbuilt inequalities, its vicious political infighting and its inability to function as a “nation-state”, as governor Gavin Newsom likes to call it, in isolation of of a hostile federal government. More
