Médecins Sans Frontières - 100-bed treatment centre for COVID-19 patients in Patna (B-Roll)

Unique Identifier Code / URN MSF323782

Date taken / Date Recorded 20/06/2020 12:00 AM

Country India

Commissioning section MSF-INDIA

Photographer / videographer / producer Garvit Nangia

Copyright Garvit Nangia/MSF

Usage Rights (MSF) External Media

Formal Consent Copy available yes

Editor's rating ★★★★★★ (B)

Video format h264 (Main) (avc1 / 0x31637661)

Duration 9m7s

Maximum Size 1920px × 1080px 413.09 MB

Additional Information / Shotlist 00:00 - 00:05 -

B-roll Footage and interviews:
COVID-19 facility, Patna Bihar, India

Date : June 2020

Shot by :
Smriti Singh, Aahana Dhar, Garvit Nangia

00:06 - 00:08 -
Text - "Shots of facility being set up”

00:09 - 00:21 -
Various shots of facility being set up

00:22 - 00:24 -
Text - “Shots of journey - Traveling from Delhi to Patna

00:25 - 00:55
Various shots of the journey in a bus from Delhi to Patna. Followed by few shots of the stadium in Patna

00:56 - 00:58
Text - “Few shots of final fixes in facility followed by facility/treatment centre shots

00:59 - 01:56
Various shots of beds, isolation ward, palliative care, wash basin, nurses checking on the medicines,

01:57 - 02:00
Text - “Shots of Hygiene agents cleaning the facility

02:01 - 02:17
Shots of Hygiene agents cleaning the bed, floor and other things

02:18 - 02:20
Text - Shots of training staff with PPE kits

02:21 - 02:37
Training shots

02:38 - 02:40
Text - Shots of Meeting

02:41 - 02:56
Various shots of meeting being addressed by Dr Prince Mathew and Jacob Goldberg

02:57 - 03:00
Text - Interview of Dr Prince Mathew, Regional Head, Asia, MSF

03:01 - 04:12
Responding to one of the largest pandemics of our lifetime that too amidst a crippling lockdown of 1.3 billion people in India has been a difficult experience for us. But, it's also what MSF does best, responding to difficult situations in remote places at challenging times. What we basically, did is get together a small team put them together on a bus and travel 1,200 kilometers in 24-hours non-stop from Delhi to Patna to begin to setup this facility. - MSF has been in Bihar working on various humanitarian medical activities for the last 10 years. And our long-standing collaboration with the state health authorities continue, in this emergency response as well.And so, here we are today, having converted this sports complex into a COVID-19 field hospital with all the necessary infection, prevention control measures in place with isolation wards for suspected comorbidities like TB with adequate PPEs for our staff and oxygenated beds for moderate COVID-19 patients. We should be receiving our first patients very soon and we look forward to doing our little bit in responding to this global crisis in this part of the world.

04:13 - 04:15
Text - “Interview of Manish Pandey, Logistics Team Leader, COVID-19, Patna

04:16 - 05:53
So, I just tell you that when we arrive here, first day when we go and visit the stadium, so first we see the flooring, so when we were about to start from Delhi to Patna, so we have kind of setup in our mind like we will go and place our 100 beds and we will start like this. But when we arrive here the first day, the biggest challenge that we see that the old flooring was the wooden one and we also heard of the last year flood, because of the bad drainage system in Patna, so the first think that struck in our mind was how we are going to solve this flooring thing and all because if we put water or chlorination the wood will be damaged and the wood is required for the sports and all, so to save that flooring we do our own flooring with vinyl flooring, so that we can do our own processes and when we will go, we will remove all the flooring. And also we have some challenge with the roofing because of the COVID-19, we are not able to use centralized air condition. So, we put up our own tent, just for temperature control and then we give extractor to our own tents, just for cross ventilation and all. So, we create everything by us to solve the purpose.

05:54 - 05:56
Text - “Interview Rashmi Renu, HR Manager, COVID-19, Patna

05:57 - 06:08
And the major challenge was getting the right resource for the right role in this place in Patna. This is because of the lockdown, we were not having the transport moving and we could not get people here on location.

06:09 - 06:11
Text - “Interview of Dr Nimrat Kaur, Medical Doctor, COVID-19, Patna

06:12 - 06:23
As the pandemic evolves and oxygen demand overstrips existing supplies, the focus will switch to providing high flow oxygen through oxygen concentrators and dignified palliative care for those who are at risk of loosing their lives.

06:24 - 06:26
Text - “Interview of Jacob Goldberg, Medical Coordinator, COVID-19, Patna

06:27 - 06:46
Our facility will be very much part of the government system, so we are really just adding to state response and that was our intention from the beginning to support the state health response as to COVID-19. So, in the early phase state health response require us to be a treatment facility for mild and moderate cases.

06:47 -07:23
Same response requires a treatment facility for mild and moderate disease so this is cases who have been diagnosed with disease, who do not have a sign of severe disease but they need to be taken away from the community, to avoid transmission of COVID-19 among their families and household. So patient will arrive here by an ambulance from a from a quick triage area they will be moved on to our wards. And in our ward they'll be monitored by doctors and nurses and they'll be given health education and we provide food and we also provide them with pajamas, clothing and some light entertainment to try to keep people occupied for the time they are with us.

07:24 - 07:58
However, we also have the ability to offer care for more severe cases. We find somebody that has breathing difficulties, and their oxygen levels starts to fall then we can offer them, oxygen via face masks. And these patients might even slightly increased level of care with us, so they'll be more high dependency area, they'll be more nurses and doctors around monitor these patients because these are the patients that are more susceptible to deterioration and being needed to transfer onto a government owned ICU facility.

07:59 - 09:07
Then we are also planning for a time when the outbreak might escalate to be relatively out of control in terms of the capacity within state to offer care that is needed. So, we are foreseeing a time where there might be people who have a fairly poor prognosis, who are not likely to do very well to recover and there are no ICU beds available.

And so these patients we are able to offer palliative care to say, we feel there is someone, and so far in this outbreak across the world, we've seen that the often elderly patients or patients with other comorbidities or other diseases, they tend to have a slightly higher risk of having severe disease, and as a consequence of dying and losing their lives. And so in order to support these patients in their in their final days we'll were able to provide palliative care in a, in a private area with staff who are trained in in giving them palliative care medication and relieving symptoms of providing some psychosocial support.