[ad_1]
Dialogue – Ahmed Jumaa:
Dr. Alaa Hashish, Infectious Diseases Officer in the WHO Egypt office, has revealed that there are soon several Remediffer packs available in Egypt, to begin use in clinical trials of the disease (Covid 19) caused by the emerging corona virus.
“Hashish” said in an interview with “Masrawy” that it is necessary to increase the number of crown tests in Egypt, allowing patients to be contacted more quickly, so that health authorities can isolate them and prevent the transmission of infections, and protect the wounded from deterioration of their health.
And in the government’s orientation to facilitate precautionary measures for “Corona”, hashish endorsed the principle of “living with the virus because life must continue”, but before that it was necessary that the opening of activities was parallel to the ability of the health system to absorb the possible new increase in the number of cases discovered. And to the text of the dialogue:
What is your opinion on the epidemiological situation regarding the “Corona” virus in Egypt … is it stable or surrounded by some concerns?
The number is increasing, of course, and the index continues to grow. Let’s say the epidemiological curve has 3 sides “up, stable and down”, and in Egypt we are still in the up stage, but looking up during the last period says that we are increasing by about 14% per week, and this increase is not significant, and we have not yet entered the idea of the engineering sequence in increments repeated
Overall, we didn’t get to the flat rib, but the numbers are still reassuring.
Do you think we are entering the engineering progression stage to increase injuries?
In current data, I don’t think so, as long as there is a commitment from all parties, and the World Health Organization believes that state intervention is not just a health intervention, but rather an intervention from all agencies and entities, and social measures must be integrated with health measures, to ensure that there is spatial divergence and there is no containment, so as not to transmit the infection from an infected person to a healthy person.
The numbers increase at an average rate of 200 cases per day and most of them are in contact with previous cases, as well as with a percentage of workers in the health sector, and according to current observations there is no significant increase in Egypt. But we must be careful because there is no slack in a part or a transport network in a place that can cause this. Epidemic outbreaks.
Egypt announced a few days ago to perform 90,000 tests for “Corona”. Is this number enough?
In general, it is not limited to Egypt alone, because the nature of the current epidemic is that the reported numbers are less than the actual numbers on the ground, because there are cases that have not been diagnosed and approved in peace and did not form a series of other infections.
In any case, we need to increase the number of tests and be focused and with a greater number, but the decision to increase the number of tests depends on several things, including: logistics capabilities and the capabilities of the state itself, including laboratories, laboratories, trained medical equipment, samples and reagents.
Egypt has great potential and has equipped factories at the governance level and the PCR machines were renewed during the 100 million health campaign, a campaign that has made a real breakthrough in Egypt’s health system.
Egypt has the capacity to increase the number of tests, and we have general guidelines for the need for more tests to reach patients faster in order to isolate them and not spread the infection.
Are these just guidelines or recommendations that you are following?
The organization calls on all countries in the world to increase the number of analyzes, regardless of the number they have reached, analysis is the first step in determining the case, and our directives are clear to increase the number of analyzes to increase the number of cases discovered.
At the same time, we must be more careful with the measures taken, because with pressure from the media or the public to increase the number of analyzes, there may be an unnecessary expansion to carry out the analyzes without taking into account the definition of the case and the cases involved, and we found a large accumulation in the analysis laboratories that is initially aware of their negativity. And so the results of the actual analyzes they expect are delayed.
Does this mean that you are not with the idea of ”random analysis”?
The idea of random analyzes is for research studies only and has a mechanism and methodology.
“Covid 19” scans must be in contact, infected, or suspected of being infected, but we cannot run scans for 100 million people, which is a violation of the healthcare system.
The Ministry of Health adopts the methodology of carrying out analyzes for those who show symptoms and for a limited number of contacts. Have you advised this?
No! Tests should include all those who are positive or who have symptoms. Tests include any patient who is hospitalized and suffers from pneumonia, and people who have gone to hospitals with flu symptoms.
What is your comment about the high crown death rate in Egypt … and what are the reasons for that?
Corona death rates differ across age groups, and for people with other non-Covid illnesses, late arrival of people in hospitals delays their chances of recovery. If we could deal with people at the beginning, the result of the medical intervention would be better, and the longer the patients arrival to the hospital every time the function of some parts of the body fails.
Some have spoken about the incorrect results of some analyzes. How true is that?
The diagnosis of “Covid” is not incorrect, but the analysis can show the result of an “incorrect negative” and this has several reasons, among them: that the sample was not trained or that the sample was exposed to the sun, and this it is contained in any analysis in general.
In general, there is no analysis with 100% accuracy, and this depends on more than one factor, including: When the sample was withdrawn, the patient may be symptom-free at the time of sample extraction, then symptoms began to appear after that because the PCR analysis analyzes the DNA of the virus, Unlike the one who obtained the sample, is it a trained person or not, apart from the medium (package) in which it was placed?
What about your latest findings regarding clinical trials of drugs aimed at treating Corona?
We currently have the Takaful Takaful experience worldwide, and there are more than 90 countries that share these experiences, including: Egypt.
There are several axes to treat today, the first: administering existing medications, and each hospital treats according to its capabilities, and the second: “hydroxychloroquine” for the treatment of malaria, then “Caletra” is one of the anti-drug AIDS, and may be with “Interferon”, and finally the drug “Remdisevir”.
Egypt currently has chloroquine, calatra, and a “remdisifir” drug will soon be provided for testing under the organization’s supervision.
But a few days ago, did the “FDA” warn about the side effects of hydroxychloroquine in “SK” patients?
It is true. There is no drug without side effects. Hydroxychloroquine affects the heart’s electricity and causes heart beat problems, so care should be taken when taking these medications under medical supervision.
However, this drug works well in treating people with “Corona” in Egypt because there is no definitive drug for treatment, and all of these drugs should try to inhibit the activity of the virus.
When do we get to the medicine and the vaccine for “Corona”?
Symbiotic clinical experience has the advantage that the world is simultaneously reporting the results, and the information and data are being shared with all countries, and today there are experiments with 80 vaccines worldwide, and I hope that their production will not. less than a year and a half from now, and the drug may be less than a year. If one of the drugs under test proved effective, it was approved.
How do you see the news circulating about the approach of some research centers to the production of a medicine?
Scientific research has its course and the means to publish it, and research is scientific and not news, and we need to read the research document and its results to understand the nature of the new drug, and this document is read by specialists, not by the public.
The government is heading to reduce the procedures to confront “Corona”. Is this necessary or an adventure?
The world before “Corona” is not the world after “Corona”. Most people today have warnings when dealing with each other as we have noticed that social issues have been eased by shaking hands and hugging, and there is a spatial dimension between them and each other, and “people were still afraid by themselves”.
The second must be to guarantee the continuation of work in light of social divergence and the presence of precautionary measures, and it is possible to appear as a “Corona” patient in the work environment, be it a factory or a company, and we must give ourselves Consider how to treat, to reduce exposure to infection, and if there are places full of employees, there should be a space between them. .
In general, the opening or easing of aggressive measures to confront Corona needs to be in line with the ability of the health system to absorb the possible further increase in the number of cases detected.
As precautionary measures are mitigated, new cases are expected to emerge, and there must be flexibility in re-establishing strict procedures so that the health system does not collapse.
We don’t want the production wheel to stop, because “people will get more tired if their work stops,” but at the same time they must observe the divergence measures, and carefully consider the procedures and review them all the time.
What are your technical guidelines when you begin to facilitate Corona’s response measures?
“Awareness and then awareness and then awareness”, and the existence of an appropriate environment to implement the obligations, the state must find a solution to reduce congestion on public transport, either by increasing the number of public transport vehicles and reducing the distillation time on railways and subways, and providing personal hygiene and protection tools.
This is the role of governments in enacting laws and laws, for example: what the government has done in setting prices for disinfectants and medical supplies, so as not to take advantage of the needs of citizens. It is these decisions that the country manages to combat the virus.
Do you suggest continuing to disable recreational activities?
It is not necessary to start recreational activities that do not contribute strongly to the strengthening of the economy … The most important thing is that the wheel of life turns, considering that each activity is an industry in itself, and some of the things that we see as entertainment are industry and some are based on working with them.
What about the return of sports activity in Egypt?
There is no objection to the resumption of football activity in Egypt, with precautionary measures to reduce “corona virus” infection.
It is necessary to take into account the absence of large gatherings, and to consider the existence of precautionary measures that include social divergence in any activity, but taking into account the sporting activity in Egypt, football matches have been played for a long time without an audience or with a limited number, and therefore we do not have the problem that we fear it very much. We have 22 players on the field and 3 referees and this number is not that good.
It is also possible to allow a limited number of fans to attend the stadium, while steps are taken to distribute this audience to all seats in the stadium without assigning a specific stadium to them, so that they spread throughout the stadium, thus opening the way for citizens to entertain themselves.
It is necessary to realize and understand that the “crown” is a disease, and it is possible to face it, and thus we have opened the way for the return of activity and life to continue.
Does the World Health Organization support the idea of coexisting with Corona and facilitating procedures?
The World Health Organization believes that we will continue to confront “Corona” for a long time, and currently we are fighting against an unknown enemy and we are preceded by steps, and what we do is “hide from it”, and we will be able to face it when a vaccine or treatment, but “shall we sit in secret so far?”
We can coexist with more careful procedures, but the wheel of production must spin and continue to spin, “If there is no money, the drug will die,” we will treat “Covid” like a flu until a vaccine and treatment are reached. Life must go on.
How to prevent the spread of the stigma “Corona”?
In some events, stigmas have occurred, such as: what happened to colleagues on the health team or some deaths, but the numbers are few and the government’s decisions were clear and wonderful in dealing with stigma as a result of ignorance and unwarranted fear. The only solution to prevent stigma is to publish the correct information.
What are the reasons for the increase in the number of corona infections among medical personnel?
We talk that 10% of the wounded are medical teams. We must realize that the health care provider is more likely to develop “corona” because he deals with patients, and infection control measures must be followed, and at the same time they are part of the community and may be infected in the community. , not within the hospital, and therefore face two forms of infection.
We are currently studying these numbers and the cause of infection, and at the same time, we are working hard to train and educate medical teams on the proper management and management of infection control.
Have you detected corona infections to recover in Egypt?
We do not monitor that.
The ongoing controversy over the use of the medical mask … What is the scientific opinion about it?
The medical mask must remain for the medical team so as not to treat cases without masks or people showing symptoms, but some countries issued a circular with muzzles, and it is the right of any country to issue any decision to protect its citizens.
The opinion of the organization, which concluded that scientific research and experiments, that the muzzle remains for the medical team and people suffering from the disease.
What aspects of the support does the organization provide to the Egyptian authorities?
We work with the government in all its sectors, and we provide technical and technical support to the Egyptian government, which is evidence of the World Health Organization, and we are pleased that the government applies the global health recommendations, and there is daily technical support. with colleagues in the ministry.
Egypt was the first country in the Mediterranean region to reach reagents, in addition to supporting clinical trials. Detectors, personal protection tools and awareness campaigns are provided, and we coordinate the efforts of the United Nations to support the response. Egypt is one of the countries that communicates information in a complete and continuous way with total transparency.
