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The biggest risk to the health system: doctors are tired and the infected among them are growing, announced the Minister of Health.
The thresholds above the proportion of infected students that an entire class or school will transition to distance learning will be approved nationally.
However, RHI experts and the Ministries of Health and Education are still refining any percentage thresholds. Schools have different numbers of students and teachers and there is no way to set another ceiling. This was announced by the Minister of Health, Prof. Kostadin Angelov, at the first briefing of the National Operations Headquarters after his break in the summer.
However, there will be no uniform criteria to toughen measures at the national level, added the minister. Ministry of Health
tracks
diary
the propagation
of COVID-19 in
23 indicators,
and the data from them provide guidelines for future actions.
“However, we cannot make an algorithm that includes these 23 indicators and it is the same for all districts of the country. If we put a number (of the infected, ba) and in all the areas above it, the measures must be limited, which we are not discussing yet, this would not be an objective criterion, because it is of great importance if these numbers refer to a certain cluster or are diffusely distributed ” Angelov explained.
The regional crisis headquarters can make decisions for the specific settlement, he added.
The shortage of medical professionals, their fatigue and the growing number of infected doctors are some of the biggest potential risks that the epidemic could pose to our health system, said the minister after presenting the latest data on the spread of COVID-19.
The problem is very serious in small hospitals. The last time they came across such a case was in Gotse Delchev, where after the death of anesthesiologist Milan Parvanov from COVID-19, the medical institution was left without staff. Doctors from the capital St. Catherine agreed to help Gotse Delchev.
1,152 were infected doctors as of September 30, of which 409 were doctors, 387 were nurses and the rest were other medical personnel. Of the 227 active cases in the hospital, 36 and two –
doctor and
nurse,
they are in grave
condition
However, the proportion of infected doctors was not different from that of the whole society: about 5.6%, Angelov said.
At present, 10.5% of the 7,307 hospital beds for patients without complications and 4% of the intensive care beds, which are 1108, have been filled.
However, there will be an increase in the number of patients and hospital admissions, he and the Chief of State Health Inspectors, Prof. Angel Kunchev warned.
The promotion wave has already started, like last week
they are infected
with 1500, or
57% more
From the past. The number of people admitted to the hospital is 111 more, and those who need resuscitation, 15 more.
However, there is an increase in cured at 767.
Active cases already haunt 5,400 of the total of 20,833 infected so far.
By the last day the new cases are 286 – 5.8% of the 4943 tested. 12 died.
Of all those infected, about 20% show symptoms and about 5% need treatment, according to data from these 23 indicators, which are monitored by health authorities, said Associate Professor Kunchev.
At the time
Bulgaria is in
Rank 25 in
morbidity
and the 8
mortality
from 32 countries in Europe. Leading the Balkans and second in the world in the first indicator is Montenegro with 527 infected per 100,000 inhabitants.
However, at the beginning of September our country was in second place in terms of mortality. The reason for the high number of deaths with the relatively low number of infected, according to the Minister of Health, is that people seek medical help very late.
Educators with coronavirus are 0.1% – 90, schools will not close en masse
The incidence in schools and kindergartens does not exceed the national average, at the moment there is no cause for concern. This summary was made by the Minister of Health and Education Prof. Kostadin Angelov and Krassimir Valchev on Thursday.
According to the Ministry of Health, 117 students and 12 kindergarten children are carriers of the coronavirus.
The percentage of teachers is a little higher, but they are a professional group, they are in a working environment every day and for many hours, Minister Valchev explained. By Thursday, nearly 90 of the 90,000 educators were infected, or about 0.1% of the teachers.
4,043 students and 116 teachers are in quarantine, Professor Angelov said.
According to Valchev, the cases have accumulated, but some of the first teachers and students in quarantine are already returning. In the cold, more schools could be closed, but only in individual municipalities or districts. A complete closure of the educational system is not expected, he added, recalling that such a situation occurs every year with the flu holiday. Now, however, the learning process will not be interrupted and students will immediately move on to learning in an electronic environment.
19 people were treated with plasma at the Military Medical Academy
They are too few to draw conclusions about the effect, Gene explained. Mutafchiiski
Studies of the antiparasitic drug ivermectin are underway.
Since the start of the epidemic, there have been 19 patients with coronavirus infection treated at the Military Medical Academy by plasma transfusion.
In total for the country their number is a bit more, because the hospital has provided plasma to 5 more medical institutions, one of which is “St. Marina” in Varna. There, Dr. Nenkova became a patient in the intensive care unit after becoming infected with a coronavirus and falling into a serious condition. The treatment for her was a success.
Transfusion of plasma from coronavirus survivors is the method in which doctors have high hopes in treating COVID-19, especially for critically ill patients. It is used mainly in the Academy of Military Medicine, because in addition to their own blood center, they also have the necessary laboratory to analyze plasma.
However, the number of patients treated in this way is too small to draw conclusions about the effect in our country.
“The MMA has the most experience in plasma treatment. The trend in modern medicine is evidence-based, and in so few cases, generalizations about Bulgaria cannot be made. “Worldwide, however, great hopes are placed on the plasma of patients,” explained the head of the Military Hospital and chief of the National Operations Staff, Gen. Ventsislav Mutafchiiski. He presented the data during the first briefing at headquarters on Thursday.
We also had high expectations for the antiparasitic drug ivermectin. Studies on its effect on COVID-19 began in April and the first results were due to be presented in late July and early August, former Health Minister Kiril Ananiev and the head of the drug agency, Professor Bogdan Kirilov, promised. However, to date, investigations have continued and there are still no conclusions, Minister Kostadin Angelov explained yesterday.
Sufficient quantities of the drug remdesivir have been provided, Professor Angelov said. It is the only one that has so far received approval from the European Medicines Agency and the European Commission for the treatment of COVID.
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