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© Associated Press
For the first time since the start of the coronavirus epidemic in the country, the headquarters presented a visual scheme, according to which patients and health authorities are expected to act. It is not detailed, but it gives a general guide on which institutions intervene in case of suspected infection, in its confirmation, what are the indicators of hospital admission and confinement in home isolation.
According to official data, Bulgaria is fourth in Europe in terms of growth of new infected with SARS-CoV-2 (the virus that causes COVID-19 disease) in the past two weeks, with the Czech Republic in first place and the country returning some of the drastic restrictions. On the other hand, in Bulgaria the authorities insist that they will not return the measures, but that they will control more the fulfillment of the current ones.
The COVID Patient Scheme (Suspect)
Logically, the regimen begins with a patient suspected of being infected with SARS-CoV-2, and may be referred by his or her personal physician for a PCR test or may have decided to do it himself. If the study confirms the suspicion, the Regional Sanitary Inspections (RHI) are underway to carry out an epidemiological study. (How is it possible that the person has been infected, who are his close contacts? Author’s note).
People who have a “severe clinical course”, are over 60 years old, have concomitant chronic diseases, and their immunity is “compromised” are expected to be admitted to the hospital. When the hospitalized patient improves and has a temperature below 37.8 degrees for 48 hours or ten days have passed since the start of complaints, plus three days without complaints, then the person is additionally placed in home isolation.
The home quarantine lasts 14 days and also applies to people who have been found to be infected with coronavirus, who have no symptoms or have “mild clinical complaints.” These patients are monitored by the GP, and if the person worsens, the ambulance must take them to the hospital. After 14 days, the patient was released from isolation without further PCR testing.
A criterion for the number of tests is discussed.
Associate Professor Angel Kunchev announced that the European Commission is discussing an indicator of at least 300 people per 100,000 inhabitants, which must be tested to consider the data presented by the country as indicative. According to him, now Bulgaria is not included in it and during the last week more than 400 people have been surveyed for every 100,000 inhabitants. According to the chart presented by the state’s chief health inspector, fewer than 300 COVID tests were performed per 100,000 residents weekly in mid-July.
© Ministry of Health
Freeze of a presentation of the coronavirus headquarters
The coronavirus investigation in the country is now lower than in the summer, when people were tested for travel. According to Kunchev, the labs are now working on a “much more specific basis: people with a clinic, contact, quarantined” and thus accounted for the significantly higher percentage of positive samples than the total.
According to Kunchev, around 1,000-1,500 tests a day are performed at the state’s expense “for medical reasons, not at will” in response to a question from Dnevnik about how many of the tests are personally funded. In the last two and a half months, the COVID tests carried out have usually been around 5,000.
When asked by Dnevnik if it was possible for headquarters to provide information on how many of the tests carried out per day were of new people and not the control tests to eliminate the virus from patients in hospitals, the chief state health inspector replied: “We will try, because the number of labs that import information every night is tremendously large.”
However, there seems to be a problem with the clarity of the number of tests at the beginning of the COVID epidemic, because the data provided by the headquarters lacks information for the months of March, April and May. “At the beginning, there was a craze regarding the evidence, which ones are true and which ones are not. All kinds of companies came out of Asia, that’s probably why,” Kunchev said.
More control … with the police
Once again, Health Minister Prof. Kostadin Angelov announced that the old restrictions against the spread of the infection will not be returned, highlighting the increase in control and inspections in nightclubs. As an occasion for this, he referred to the observations of “social networks such as distributed videos and photos of young people.”
It was not known from Kostadin Angelov’s statement whether violations of anti-epidemic measures had been established so far in night establishments, but he noted that health inspectors will issue prescriptions first. (i.e. they will first point out what is wrong – author’s note) and then, if “the instructions are not followed, the establishment in question will be closed.”
“No matter how tired the colleagues of the Regional Sanitary Inspections are, they will continue working at night to check where the measures are not observed,” said Professor Kostadin Angelov and specified that the control is carried out by both the police and “all the institutions that can perform control functions “.
Report on how to sanction for non-compliance with the measures – here
The development of the situation with the coronavirus in Bulgaria today – here
Like a block in London after COVID-19 infection: hit
