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CITY TRIBUNE

Top ICU consultant slams people who decide not to get Covid vaccine

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Dr Kevin Clarkson: UHG overwhelmed with critically ill patients.

Deciding not to get vaccinated has been slammed by the Regional Head of Surgery, Anaesthesia and Intensive Care Medicine as “self-destructive” and “selfish” and a move that was causing immense harm to the health services as well as the community.

Dr Kevin Clarkson, consultant in Intensive Care Medicine in University Hospital Galway (UHG) and Perioperative Clinical Director for the Saolta Hospital Group, has described the pandemic for staff as “constant warfare”.

“Day to day it’s extremely difficult to manage theatres, ICU [Intensive Care Units], A&E [Accident and Emergency]. Yesterday we were briefly overwhelmed with critically ill patients on wards, on the ICU itself and operating theatres. We simply do not have the resources to cope. We do manage but it’s constantly like warfare . . . it’s the constant siege and threat that is wearing on people.”

The latest statistics from the Central Statistics Office (CSO) – which includes a breakdown for the first time of vaccination status for admissions to hospital – shows that more than half (54%) of the 136 admitted to ICUs nationally in September and October said they were not vaccinated.

While 7% of the population is unvaccinated, they account for more than half of all admissions to the ICU. Some 62% of the 0-24 age group with the infection in hospital were not vaccinated.

Almost all (97%) of those who contracted Covid-19 in September and October who were admitted to an ICU and were vaccinated had an underlying health condition.

That contrasts with the figure for the unvaccinated – one in three of them in ICU had no underlying health condition.

Around 28% of those who contracted the virus in the last two months and were admitted to an ICU were not born in Ireland. Of these 90% reported being unvaccinated.

Dr Clarkson said these statistics rang true in the Saolta Group.

“We have two presentations with Covid – the unvaccinated and those who are profoundly immuno-suppressed, often with haematological cancers so even though vaccinated they do not have general immunity.

“This cohort have a length of stay in the ICU that is extraordinarily long and they have a particularly high mortality.”

Patients from overseas who were unvaccinated predominately came from central and eastern Europe which had low vaccination rates, the consultant stated.

“They [people who choose not to get vaccinated] have made a very self-destructive and selfish decision that is causing immense harm to the health services and the broader society,” he insisted.

Hospitals have lost as many staff as they have managed to recruit throughout the pandemic. The only way to improve the dire circumstances for patients and staff was a new, expanded hospital with more staff with increased capacity in community care.

“The Prospectus Report in 2008 estimated we needed 40 critical care beds in Galway. We are down one to 13 beds. We were funded for six extra ICU beds in UHG but we can’t recruit to staff them. In addition, the infrastructure is severely limited.

“It can take long periods of time to get patients into ICU but it can take longer to get them out because we can’t get them out to the wards and that’s down to a lack of capacity. There’s the inability to discharge to the community because of the lack of rehabilitation facilities. There’s a need to overhaul flow productivity. The community can turn off the tap, the hospital can’t.

“We need a major new hospital with more bed stock and associated staff, accelerated ability to discharge to the community and we need to build operating theatres – it needs a major new hospital. We’ve not properly invested in Galway for the last 30/40 years, we‘ve had replacements, refurbishments, but very little new bed capacity.”

A total of 1,391 people tested positive in Galway in the seven days until Wednesday and 2,852 in the past fortnight – giving a 14-day incidence rate of 1,105 per 100,000 population – still below the national average of 1,287.  The latest figures from the HSE show there were 16 confirmed Covid cases being treated in UHG on Wednesday, as well as one suspected case.

There were two Covid patients in the Intensive Care Unit (ICU) in Galway, and there were no ICU beds available. There were 16 general beds available.

The latest CSO report shows there were no confirmed Covid-19 deaths recorded in Galway in the week ending November 12. Overall, there have been 155 Covid deaths in Galway since the start of the pandemic. People aged 65 and over accounted for half all those hospitalised since March 2020.

Despite the high numbers going for PCR tests, there continued to be same day and next day availability at testing centres at Galway Airport and NUI Galway, unlike large swathes of the country.

Some 7,000 people had gone for testing in seven days at the airport.

Testing at NUIG has been increased from five to seven days providing in excess of 400 additional appointments.

Meanwhile a survey conducted by the Irish National Teachers’ Organisation INTO) found that 2.1% (156) of Galway pupils were reported as testing positive for Covid.

They poll, based on responses from 877 schools, found 3.6% of staff nationally tested positive.

INTO General Secretary John Boyle said the snapshot survey shines a light on a primary education system that is creaking at the seams.

“Soaring transmission levels are an indictment of the premature removal of testing and contact tracing from our primary schools, and of the frustrating failure to move quickly to deploy antigen testing.”

 

 

 

 

CITY TRIBUNE

Community volunteers out in force for planathons on banks of Lough Atalia

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Planters…the group of community volunteers after their Lough Atalia Plantathon.

Student volunteers and community activists were out in force throughout the month of December to push back against the climate crisis – taking part in a series of ‘plantathons’ on the banks of Lough Atalia.

Planting bulbs and trees, the programme was led by Galway Community College which owns the lands involved – and aims to rewild another portion of the city, following in the footsteps of Terryland Forest Park.

While a much smaller area by size, those behind the initiative say it shows what’s possible when the community comes together.

Supported by the National Park City initiative, the creation of this woods and wildflower meadow on what were, until now pasture lands, also had the backing of several other voluntary organisation in the city as well as Scoil Chaitríona Senior, Dominican College Taylor’s Hill, Galway Education Centre and Galway Science and Technology Festival.

With the bulbs provided by the Newcastle-based multinational Aerogen, Convenor of the Galway National Park City Brendan Smith said the project epitomised how the initiative brings interested parties together to do good.

He said efforts such as those on Lough Atalia showed the determination of young people and locals to continue the great work of those who carried out the very first plantathon in Terryland almost 22 years ago.

Those efforts were required now more than ever as the impact of the climate emergency was being acutely felt.

“The frequency and severity of storms is becoming more characteristic of Ireland as a result of unstable destructive global warm weather caused by the burning of fossil fuels and the destruction of nature’s ‘carbon sinks’ such as forests and bogs.

“Storm Barra was the latest in a long list of storms to hit our shores over the last decade. But one key way to tackle the climate emergency is to plant trees – and lots of them. The Irish Government wants to have 22 million trees planted annually.

“This planting also happens to tackle the other great global crisis of our modern era, namely Biodiversity loss,” says Brendan.

“One million out of five million known species on the planet are threatened with extinction. Global populations of fauna have declined by nearly 70% since 1970.

“A forest is probably Earth’s most diverse biodiversity rich mix of ecosystems with an oak tree being able to be home to over 400 species of flora, fungi and fauna.

“Planting trees is a necessary action in helping to save the planet from humanity’s errors.”

 

 

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CITY TRIBUNE

City’s newest Salmon Weir crossing will be in place before end of year

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An artist's impression of the new Salmon Weir crossing

Galway city’s newest pedestrian bridge – costing €5m – is expected to be installed before December of this year.

The new cycle and pedestrian bridge over the Lower River Corrib will be located 25 metres downstream of the existing Salmon Weir Bridge.

An Bórd Pleanála granted planning permission for the bridge last August, and work is expected to begin on the project in the coming months.

Galway City Council, in conjunction with the European Regional Development Fund (ERDF), North Western Regional Assembly and the National Transport Authority, has sought tenders from contractors to carry out the work.

The City Council is co-funding the project under ERDF with matched funding from the NTA.

The project must be completed by November 30, 2022, to comply with EU funding drawdown.

In the planning application, the City Council said 9,000 pedestrians and cyclists who currently use the Salmon Weir Bridge would use the new bridge once it’s opened.

The bridge will link Gaol Road to Newtownsmith. The scheme includes three span pedestrian and cycle bridge over the Lower River Corrib (main channel), Mill Race (Persse’s Distillery River) and Waterside Canal (Friar’s River).

The vision is that it would facilitate the BusConnects project, which will use the existing bridge, and also open up opportunities for a civic plaza at the Council owned car park at Galway Cathedral.

According to the tender documents, the “bridge substructure will be reinforced concrete construction, founded on sleeved reinforced concrete bored cast in place piles at the abutments and spread footings founded on and anchored to rock at the piers”.

Traffic management will need to be put in place during works and due to the environmentally sensitive site location “no temporary or permanent works will be permitted to be undertaken from the watercourses”.

Contractors have until January 21 to respond to the competition.

 

 

 

 

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CITY TRIBUNE

CPO could trigger major development of housing

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Aerial view of Bothar an Chóiste - Pic. Google Maps.

Just one submission has been received in relation to a Compulsory Purchase Order on a section of a hugely busy rat run between the Tuam and Headford Roads that could open up a large tranche of land for development if approved.

Galway City Council has applied to An Bord Pleanála to compulsorily purchase over 500 metres of land along Bother an Chóiste in Castlegar adjacent to land it already owns where a previous application to build 48 homes failed due to the width of the road around 2007.

That land is on the same side of the road as the Cluain Riocaird estate. There is another privately-owned land bank of over six hectares on the other side of Bothar an Chóiste also zoned residential that could accommodate up on 400 units which would also benefit from the road widening.

No application has been lodged for that development, but any approval would be dependent on an upgrade of the road which is widely used by motorists to avoid tailbacks at the two busiest traffic junctions in the city.

A spokesman for the Council told the Galway City Tribune that the purpose of the CPO is not to upgrade the through road between the Headford Road and the Tuam Road but to facilitate access to a parcel of its own land for housing development.

“The land take is not designed to be a transport measure. Bothar an Chóiste is not intended to serve as anything other than an access and egress point for local residents. The extent that we’re upgrading is the extent of residentially zoned land,” he stated.

One valid submission was received by the end of December deadline and has been forwarded by the board to the Council for consideration.

If the CPO is approved by an Bord Pleanála, the Council would prepare a design for housing and the road widening and seek funding from the Department of Housing. It would also be obliged to seek approval from Galway City Councillors for a part 8 development.

An application to build 74 homes a short distance away on the school Road was turned down by An Bord Pleanála after being rejected by the Council which had asked the developer, Altitude Distribution, to increase the housing density. The appeals board found the development would constitute a traffic hazard due to the width of the road and shortcomings with the layout because of site constraints.

A Bothar an Chóiste resident told the Galway City Tribune there were no details of what measures would be implemented to improve pedestrian and cyclist safety on what was already a highly-trafficked road.

“From a road safety stand point, marginally widening the road will only add to the already endemic ‘rat run’ culture as cars will be have a straighter road on which they can travel faster, with more danger for pedestrians, cyclists, families with buggies and small children getting to and from housing units to local shops, the Ballinfoile Castlegar Neighbourhood Centre, schools and other amenities,” she predicted.

“Making this road easier for cars to travel by widening means that even bigger, heavier vehicles that currently avoid it as it is narrow and bendy will make it even more detrimental to vulnerable road users.

“Housing units are welcome, but these builds should have the essential services and safe interconnected infrastructure for most vulnerable road users at the heart of the road widening proposals. It’s counter-productive to propose road widening without thoughtful footpaths and cyclepaths that will further lock local residents into car culture.”

The Council spokesperson said the design would facilitate pedestrian movements and public lighting to encourage active travel.

An Bord Pleanála is scheduled to hand down its decision by May.

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