Spain's rising cases give pandemic hospital a second chance

As soon as the lifeless body is silently pushed away on a stretcher, a cleaning battalion moves into the intensive care box. In a matter of minutes, the bed where the 72-year-old woman fought for over two weeks for another breath gets rubbed clean, the walls of glass isolating it disinfected with a squeegee.

There is little time to reflect on what has just happened, as death gives way to the possibility of saving another life.

"Our biggest source of joy is obviously emptying a bed, but because somebody is discharged and not because they have passed away," said Ignacio Pujol, the head of this Madrid ICU. "That's a little space there for somebody else to get another chance." As a surge of infections is once again putting Spain's public health system against the ropes, the Nurse Isabel Zendal Hospital that employs Pujol, a project seen by many as an extravagant vanity enterprise, is getting a fresh opportunity to prove its usefulness.

Named after the 19th-century Spanish nurse who took smallpox vaccination across the Atlantic Ocean, the facility was built in 100 days at a cost of 130 million euros (USD 157 million), more than twice the original budget. It boasts three pavilions and support buildings over an area the size of 10 soccer fields, looking somewhere between a small airport terminal and an industrial warehouse, with ventilation air ducts, medical beds and state-of-the-art equipment. The original project was for 1,000 beds, of which roughly half have been installed so far.

The Zendal opened to a roar of competing fanfare and criticism on Dec 1, just as Spain seemed to dampen a post-summer surge of coronavirus infections. By mid-December, it had only received a handful of patients.

But Spain on Monday recorded over 84,000 new COVID-19 infections, the highest increase over a single weekend since the pandemic began. The country's overall tally is heading to 2.5 million cases with 53,000 confirmed virus deaths, although excess mortality statistics add over 30,000 deaths to that.

As the curve of contagion steepened after Christmas and New Year's, the Zendal has gotten busy. On Monday, 392 patients were being treated, more than in any other hospital in the region of 6.6 million.

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