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Many field hospitals went largely unused, will be shut down

NEW YORK (AP) - Gleaming new tent hospitals sit empty on two suburban New York college campuses, never having treated a single coronavirus patient. Convention centers that were turned into temporary hospitals in other cities went mostly unused. And a Navy hospital ship that offered help in Manhattan is soon to depart.

When virus infections slowed down or fell short of worst-case predictions, the globe was left dotted with dozens of barely used or unused field hospitals. Some public officials say that’s a good problem to have - despite spending potentially billions of dollars to erect the care centers - because it’s a sign the deadly disease was not nearly as cataclysmic as it might have been.

Many of the facilities will now be kept on standby for a possible second wave of infections. Some could even be repurposed as testing sites or recovery centers.

“It will count as a huge success for the whole country if we never have to use them,” said Simon Stevens, the chief executive of the National Health Service in England, where sparsely used field hospitals have been criticized as costly, unnecessary “white elephants.”

“But with further waves of coronavirus possible, it is important that we have these extra facilities in place and treating patients,” Stevens said.

In Italy and Spain, field hospitals were seen as crucial to relieving strain on emergency rooms as the disease exploded in March. Those countries rank behind only the United States for the largest number of infections and deaths, according to a Johns Hopkins University tally.

Spain built at least 16 field hospitals, ranging from a few beds under tents to one with more than 5,000 beds at Madrid’s big convention center. That facility has treated more than 4,000 patients, accounting for 10% of the total infected population in the disease-ravaged capital.

As the crisis eases and permanent hospitals are able to better manage the load, some of Spain’s field hospitals are scaling back or shutting down. The Madrid facility halved its capacity and could close in two weeks if infection rates hold.

Spanish Health Minister Salvador Illa said the field hospitals have been important and in some cases “essential.”

In New York, the hardest-hit state in the U.S. with nearly 300,000 cases and more than 18,000 deaths, Gov. Andrew Cuomo has used the mantra “plan for the worst, hope for the best” to defend his push for field hospitals that have, so far, gone largely unused.

Looking at projections in mid-March that the state would need to double hospital capacity to 110,000 beds by the end of April, Cuomo asked the U.S. Army Corps of Engineers to build at least four field hospitals and the Navy to deploy the Navy’s Comfort hospital ship to Manhattan.

At the same time, hospitals were discharging patients to free up beds and adding new ones, and the public was starting to embrace social-distancing measures to stem the spread of infection.

With the number of disease-related hospitalizations cresting far below forecasts, at 18,825 on April 12, just one of the Army Corps-built temporary facilities opened, at the Jacob K. Javits Convention Center. It will close Friday after treating little more than 1,000 patients.

The three other field hospitals that Cuomo requested were completed and mothballed for possible future use. Plans for four other field hospitals were scrapped, and the Comfort is set to leave on Thursday.

In this March 30 file photo, the USNS Comfort hospital ship passes lower Manhattan on its way to docking in New York. The Navy hospital ship that offered help in Manhattan is soon to depart. AP PHOTO/SETH WENIG, FILE
FILE - In this April 23, 2020, file photo, doctors walk through a temporary field hospital set at Ifema convention and exhibition of in Madrid, Spain, constructed to treat patients with coronavirus. Spain built at least 16 field hospitals, ranging from a few beds under tents to one with more than 5,000 beds at Madrid's big convention center. Uncertainty in planning for the pandemic has left the globe dotted with dozens of barely used or unused temporary field hospitals. (AP Photo/Manu Fernandez, File)
FILE - In this April 1, 2020, file photo the interior of the TCF Center with temporary hospital rooms is seen inside the convention center in Detroit. The 1,000-bed facility at Detroit's big convention center has treated about three-dozen people, with about 16 receiving care there as of Tuesday, April 28. (AP Photo/Carlos Osorio, File)