Workers gather outside a police station to take a bus directed in Mumbai during a nationwide lockdown . Picture: INDRANIL MUKHERJEE / AFP
Workers gather outside a police station to take a bus directed in Mumbai during a nationwide lockdown . Picture: INDRANIL MUKHERJEE / AFP

Mumbai — India’s financial hub and the epicentre of the nation’s coronavirus outbreak, is converting its heritage structures into quarantine facilities as it races to prepare for a predicted peaking of infections this month.

From a new hospital being built just a short stroll away from the US consulate building and the India offices of Citigroup to quarantine centres being set up in a nature park and planetarium, the Mumbai metropolis is readying 100,000 beds, or about five times the current number of positive diagnoses.

The goal is to be able to treat and isolate at least 75,000 cases, a projection based on last month’s data when cases were doubling almost every week, said Ashwini Bhide, additional commissioner at Mumbai’s municipal corporation. The pace has since slowed amid the world’s strictest lockdown and, “while we are unlikely to touch those projections by the end of May, we continue to plan for the worst case scenario,” she said.

Mumbai’s race against time spotlights the challenges for the densely populated Asian nation, which has failed to flatten its virus curve despite the harsh shelter-at-home restrictions. Home to globe-trotting executives and poor migrant labourers living in tiny slum shanties, Mumbai, like New York City, is fertile ground for the highly infectious pathogen.

“We had some scary projections for virus infections and deaths in Mumbai city and the state, had the lockdown not been announced,” Uddhav Thackeray, chief minister of the state of Maharashtra, of which Mumbai is the capital, said in a televised speech on Monday. “While we have not been able to break the chain of infection, we have definitely put a break on the speed at which the infections are increasing.”

A Twitter video earlier this month showed a hospital ward allegedly in Mumbai’s Lokmanya Tilak Hospital where corpses of virus victims tied in black plastic sheets were left on beds next to infected patients. The hospital formed a committee to probe the incident and later replaced its dean, the Times of India reported. Mumbai’s newly added facilities aim to ease the strain on resources.

Here’s a rundown on some of Mumbai’s preparations:

Bandra Kurla complex: This patch of land in the heart of the city has developed into a financial hotspot, comparable with London’s Canary Wharf. It houses the headquarters of several global investment banks as well as the country’s capital markets regulator, posh restaurants and five-star hotels.

Over the past weekend, it started operating a 1,000-bed non-critical Covid hospital, that can be scaled up to 5,000 beds. Soon it will have another 1,000-bed intensive care unit stocked with ventilators and other critical equipment.

The hospital was built in less than a fortnight and can weather Mumbai’s heavy monsoon rainfall, Mumbai commissioner RA Rajeev said.

National Sports Club of India: Built in 1950 soon after India gained independence, the heritage structure and its dome-shaped auditorium have held TEDX talks, Broadway-like musicals and music concerts. Its dome is now a 600-bed quarantine plus observation facility with 30 intensive care unit portable beds.

Mahalaxmi race course: Built in 1883, this sea-facing race course hosted 2020’s Indian Derby in February, just days after India reported its first coronavirus infection. Located in an upmarket Mumbai neighbourhood, its parking lot is now a 300-bed isolation centre created using huge tent structures and canopies typically constructed to maintain aircraft.

There are plans to add another 500 beds, according to Sharad Ughade, an assistant commissioner in Mumbai’s municipal corporation. “These facilities will create vacancies in hospitals that can deal with more severe cases,” Ughade said.

Mahim Nature Park: A 15ha green pocket tucked away in the middle of bustling Mumbai, this garbage-dump-turned-nature-park hosts over 120 species of birds and 75 species of butterflies. It will now have 1,200 beds and serve as a quarantine facility for high-risk contacts of virus patients near Dharavi, Asia’s most densely populated slum. It will also have 20 beds isolated for patients who show severe symptoms.

Nesco Grounds: A venue for conventions, exhibitions and trade fairs in one of Mumbai’s suburbs, Nesco Grounds will sleep 1,200 asymptomatic patients from Mumbai’s slums.

Nehru Science Centre: A popular venue for school field trips, the centre in the pre-Covid world showcased more than 500 interactive science exhibits on energy, sound, kinematics, mechanics and transport. Last year, it was the site of a vintage car and bike show. It has now been converted into an isolation facility of 100 beds for slum dwellers.

Nehru Planetarium: Built for astronomers, space aspirants and schoolchildren curious to know more about the sun and stars, the dome-shaped structure of Mumbai’s beloved planetarium plans to have 300 beds that will house asymptomatic patients.

Mumbai’s authorities also propose to reserve 50% of beds in private hospitals for coronavirus patients and fill 28,000 vacant positions across the broader state’s health and medical education departments.

Maharashtra has asked doctors with a private practice to show up for two-week mandatory virus duty to give respite to overworked health-care staff in state-run hospitals. It has asked Prime Minister Narendra Modi for 20 companies of paramilitary forces to rest its own fatigued policemen.

While the lockdown has somewhat helped the situation, “we will have to be careful until June,” said Rajesh Tope, Maharashtra’s health minister.

Bloomberg