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Further, new elective surgery schedules suspended other diseases, those of cases that are not considered urgent. Assistance had resumed in previous months, when Covid-19 indicators fell.
“This elevation of the curve of [de internações] promotes the need for strategic measures. In this way, the government today signs a decree that determines that no public, philanthropic and private hospital should demobilize any bed, whether ICU or infirmary, intended to treat Covid-19. In addition to not making new appointments for elective surgeries, so that we can guarantee beds for all patients with Covid ”, said the Secretary of State for Health, Jean Gorinchteyn.
In a news item made earlier on Thursday, the city of São Paulo denied that the city faces a new wave of Covid-19, but said it has opened 200 new beds to treat mild cases of the disease.
Mayor Bruno Covas (PSDB) admitted an increase in UCI occupancy, but said it was not necessary to adopt more restrictive measures such as “closure”.
Quarantine restrictions
After criticism for freezing the classification of the São Paulo Plan, which defines tougher or softer quarantine rules, the government also decided on Thursday to carry out the analysis every 14 days, and not more every month.
“The one-month period was adequate on the downward curve, as we now had two consecutive weeks with an increase in hospitalizations, now we are changing to follow the classification every 14 days. If this trend continues, the indicators will be demonstrated and we will have to take more restrictive measures ”, affirmed the Secretary of Economic Development, Patrícia Ellen.
Currently, the 39 municipalities of Greater São Paulo are officially in the green phase of the São Paulo Plan. But this week, the region already has indicators of the Covid-19 epidemic compatible with the yellow phase, thanks to the worsening of the disease in the capital, in the municipalities of Grande ABC, which make up the Greater São Paulo subregion, and in the subregion. Large SP North Region.
On Monday (16), the state administration admitted an 18% increase in the admissions of suspected and confirmed cases of the disease in the last epidemiological week, which was from November 8 to 14, in relation to the previous week: the average the rate of new hospitalizations increased from 859 to 1,009.
Before, even with the alert from the doctors of the private hospitals in the capital and with official data that already pointed to an increase in Greater São Paulo, the government denied that the disease was increasing in the state.
On Thursday (19), Gorinchteyn said that the state government still faces difficulties in interpreting hospitalization data. He cited the instability in the Sivep-Flu system of the Ministry of Health, which prevented the disclosure of data between November 6 and 10 and also the holiday of October 12, when employees work shifts and there is a reduction in the insertion of information. in the system.
“Our difficulty in interpreting the data is because we had the week of the holiday and between week 45 and 46 we were then surprised by a technical problem, which lasted until two days ago, when the data began to be instituted. We couldn’t understand if it was the data that was seized and therefore increased or actually increased and how much they increased, as this data is also being inserted gradually, gradually, ”said Gorinchteyn.
According to the Ministry of Health, on this farm an 8% increase in hospitalizations is observed in the epidemiological week. The data, however, are not yet closed, since the epidemiological week that runs from November 15 to 21.
Higher occupation in the capital
Occupancy of ICU beds in São Paulo grew 15% in the last week
The occupancy rate of beds in intensive care units (ICU) in municipal hospitals in the city of São Paulo for patients with Covid-19 reached 48% on Wednesday (18). The figure is the highest registered since August 10, when the occupation in City Hall hospitals was 50%.
This occupancy rate grew 15% in the last seven days, compared to the previous seven days. Between November 5 and 11, the ICU’s average occupancy rate was 34%. Between November 12 and 18, the average rose to 39%. The calculations were made by News based on data released daily by the Municipal Health Secretariat (SMS).
Hospitals contracted by the SP Prefecture -which are private hospitals that have beds rented by municipal management since May-, the increase was even greater: 45%. In the last seven days, the average occupancy was 48%. In the previous seven days, it had been 33%.
Intensive Care Unit (ICU) of the Bela Vista hospital, in SP, to care for victims of Covid-19. – Photo: Disclosure / PMSP
Overcrowded ICUs in private hospitals
As the G1 published on Wednesday (18), patients from the capital of São Paulo face difficulties to get a place in ICU beds in private hospitals in São Paulo. According to the reports that the report hears, the increase in the number of hospitalizations for coronavirus would be responsible for the capacity in the private network of the city.
Relatives of the patients heard by the report said they were unable to find beds on Wednesday (18) in at least three major hospitals in the city: Albert Einstein, Sírio-Libanês and São Luiz.
The problem affects both patients with a suspected or diagnosed Covid-19 and other diseases.
In a note, the Albert Einstein Israelite Hospital did not confirm the lack of vacancies, but said that at this time “there are 91 beds occupied by patients with a confirmed diagnosis of Covid-19” and that “from the last week of September to November 12, the average number of hospitalizations ranged between 50 and 55 patients with the new coronavirus ”.
Doctors working in the private and municipal network of SP also confirm to the G1 the saturation of the particular system. One of the professionals heard by the report revealed that on Tuesday (17), in six hours of service in a private hospital in the West Zone, he treated at least 25 patients with suspected or confirmed Covid-19.
In addition to the shortage of places, private hospital employees are being instructed to redouble the criteria for releasing the few remaining beds, mainly in the ICU.
According to the Brazilian Association of Diagnostic Medicine (Abramed), the demand for tests to detect Covid-19 has increased by 30% in the last 15 days. The percentage of positive results increased 25% in the same period.
In a letter released on Wednesday (18) to family and friends, a group of infectious disease specialists from various hospitals in the capital said they were “exhausted and surprised” with the progress of Covid-19 cases in the city.
“We think you are tired of all this, but remember that we are much more,” they say. “Each one has to do their part because we, despite being exhausted, will not stop doing ours,” say the doctors.
The advance of the pandemic in São Paulo worries experts
The infectologist Marcela Capucho, one of the signatories of the letter, says that the group was surprised by the number of ICUs and wards in São Paulo with cases of coronavirus infection.
“What happened was that two weeks ago the cases began to increase exponentially. We noticed an increase in the number of cases, especially in the ER. The rooms began to fill up again and so did the ICUs, ”says Capucho. in an interview with TV Globo.
“We were a little scared because we were not expecting it. It is still a reflection of what has happened in society as a whole. That people basically lost their fear and started to go out more, began to expose themselves, began to do party … We see people even having a wedding party. This would invariably lead to an increase in the number of cases, “says the doctor.
