Hawaii is facing an oxygen shortage amid a record surge in Covid cases.

The authorities in Hawaii are struggling to move tanks of oxygen from the mainland because the state’s hospitals develop more and more strained by new coronavirus infections.

Medical authorities are asking folks to postpone elective surgical procedures and the state’s 223 I.C.U. beds have dwindled to 16 obtainable, stated Hilton R. Raethel, the president and chief government of the Healthcare Association of Hawaii.

“The most critical point for Hawaii that we’ve experienced during this entire pandemic is right now,” he stated.

Since July 1, Hawaii has been battling its highest surge in Covid-19 infections and hospitalizations, with the seven-day common of reported instances reaching 884 on Tuesday, according to a New York Times database. The seven-day hospitalization common peaked at 427 on Monday. Health specialists say the surge is pushed by the extremely contagious Delta variant and low vaccination charges.

Though Hawaii has seen droves of vacationers coming to the islands — so many who the state’s governor last week asked them to stay away — Mr. Raethel stated that round 95 p.c of hospitalized sufferers are unvaccinated residents, not vacationers.

These hospitalized sufferers are additionally largely the explanation for a large surge in requests for medical oxygen. The demand is up 250 p.c since August started, the affiliation stated in a assertion. The state authorities turned to the mainland for assist, however encountered challenges.

An worldwide shortage has restricted the variety of liquid oxygen tanks that the state can order, Mr. Raethel stated. It additionally takes as much as a month to ship the tanks in boats throughout the Pacific. (Liquid oxygen is extremely flammable and harmful to move by aircraft.)

“If New York runs out of oxygen, you ship it in from New Jersey or put it on a truck,” he stated. “Even Alaska can drive it across the border from Canada or Washington.”

The state presently has 10 tanks, Mr. Raethel stated, and every carries as much as 3,500 gallons of liquid oxygen.

The state authorities have requested help from the Federal Emergency Management Agency, U.S. Department of Health and Human Services and different companies because it tries to extend its oxygen provide, the affiliation stated.

Mr. Raethel stated he believes the state will climate the disaster with out working out of oxygen. In addition to canceling elective surgical procedures, FEMA has permitted the acquisition of three oxygen turbines, the authorities have requested transport corporations to hurry up deliveries and the state has recognized a few tanks that may carry liquid oxygen as an alternative of different gases.

“Living in Hawaii is wonderful when things are going well,” he stated. “But it’s really challenging when you have logistical concerns.”

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