Coronavirus: Hospitals are “boiling” over increased intubation



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In one of the most dangerous turns of his journey through the already difficult field of his pandemic. coronavirus its the country. Whether the critical tipping point will pass safely will be seen in the next 7 to 14 days.

This time, from today, when additional measures are activatedIt will judge how close or far Attica will be in quarantine (lockdown), with all the weight – health, social, economic – that this will imply for the region that concentrates half of the country’s population.

The evaluation and effectiveness of the measures will be on the agenda of competent scientists and government officials every day.. The same is true of alternative scenarios for escalation of measures, with authorities even considering a selective lockdown, with the protection circuit designed around the vulnerable, patients and the elderly, before the plan for a general lockdown is developed. short term for Attica residents. .

The dramatic deterioration registered in the epidemiological picture in recent days in terms of transmission and effects of the coronavirus accelerated developments and launched drastic decisions by scientists and the government to deal with the epidemic wave that mainly devastates Attica.

«There is a gradual increase in recent weeks, this is one of the factors that put Attica in the orange», said last friday for the level of alarm in the Basin, the professor of Infectious Diseases of the Athens School of Medicine, representative of the Ministry of Health for the coronavirus, Sotiris Tsiodras.

The last ten days have been marked by negative records in new COVID-19 infections, seriously ill, intubated and dead. Last Friday, the Vice Minister of Civil Protection, Nikos Hardals, announced a new set of measures, following those announced last Tuesday, to deal with the coronavirus in the Basin.

The greatest epidemiological burden

In Attica, 2,100 of the approximately 4,000 assets are located coronavirus cases from the country with 1,037 registered in one week, from September 14 to 20. In addition, a heavier epidemiological burden was identified in some specific areas Municipality of Atenas, which launched specific actions and interventions to reduce it. According to Civil protection966 of the 2,100 cases are in the municipality of Atenas, and most are in the city center, in specific areas.

In fact in Ministry of Health The cases of foreign residents in the center of Athens and in the epidemiological “loaded” municipal districts, as they came out of the referral hospitals, were assessed as particularly worrying last week.

At “Evangelism” and to “Salvation»Foreign patients have steadily increased in the last two weeks after each wakefulness. In “Sotiria” 25% of the patients are foreigners under 30 years of age. The percentage of foreign patients admitted to the ICU is estimated at 5%. In “Evangelismos” foreigners with COVID-19 infection represent 55% of patients, and in fact belong to the age group of 17-25 years. In hospital ICUs, 15% of severe cases and intubations are also foreign.

To manage the pandemic to the vulnerable inhabitants of Athens, locals and foreigners, specific actions will be taken, such as information, tests, but also their hospitality when necessary in quarantined hotels, especially after their discharge from the hospital and until their departure. the necessary test results negative.

Outbreaks of overtime and the elderly

In Attica suspended for the next 14 days, and until October 4, the concerts in open and closed spaces and screenings in cinemas – This is the only measure in this phase that addresses recreational events that are characterized by synchronicity and are virus outbreaks. At the same address, a maximum of 9 people was established for indoor and outdoor meetings (excluding those where special distance measures are applied, such as health shops), as well as a maximum of 20 people for weddings, funerals and baptisms.

For the same period, a series of measures have been taken in the workplace and related trips, absolutely necessary given that 29.7% of the positive cases have been identified in the workplace. required telecommuting for 40% of public and private sector employees, staggered working hours in the Public Sector, with gradual arrival at work at 7 am, 8 pm and 9 am, dismissal in the private sector in 4 “waves” and radical controls on employers and employees to comply with health protocols is the set of measures aimed at reducing the transmission of new infections in the workplace.

Under the microscope of the competent authorities also higher, as your data shows ΕΟΔΥ they are the target of the coronavirus. People 65 and older pay a high price because the coronavirus fatally strikes them. 80% of the victims of the pandemic belong to the aforementioned age group. The elderly and vulnerable, that is, those who belong to groups at high risk for serious diseases, are proving to be the weak links in the transmission of the coronavirus, something that the scientists of the Committee of Experts have repeatedly highlighted.

As part of the new measures, the Undersecretary of Civil Protection advised people over 65 to limit their travels to what is absolutely necessary, to avoid contact with people outside their immediate family environment and to travel by public means. Transport.

The next step to protect this age group is quarantine and any movement if necessary for specific reasons, which must be notified to Civil Protection, as was done with the relevant forms or messages via mobile phone. (SMS) during the first phase of the pandemic.

The road to sad records and new measures

Last Thursday, 359 new cases of coronavirus were announced, the second highest number in September, after 372 cases last week that involved a factory spill in Pella. It is worth noting that this number of cases is the highest recorded since the beginning of the pandemic in Greece.

Also, the report of the same day showed a sad case history for September in Attica, with 212 new cases, while at the same time breaking the barrier of 200 cases for the Basin. Some 600 patients were hospitalized yesterday Friday, double the number at the beginning of the month. Approximately 1/3 is found in ICU, Intensive Care Units (ICU), Special Infection Units (ICU) and negative pressure rooms.

But also in terms of data on intubated patients, the picture is dark: on September 1 I had 37 and last Friday, September 18, it was 76. In three weeks they doubled!

Last Thursday the sad record of daily deaths was broken.: 9 patients lost their lives from the announcement of an epidemiological report to the next, that is, from Wednesday afternoon to Thursday afternoon. The sad news grew when 3 other people finished Thursday night, a total of 12. Ten was the highest death toll in history and occurred on April 3, 2020, in the heart of the pandemic. A total of 328 people have died from the coronavirus, 62 of them in September.

The summer wave of the pandemic, as reflected in the epidemiological data of last August, but also the lax compliance with the measures by both citizens and the State that imposed conditions of control of high speeds, made up the picture black epidemiological that scientists and government the last 24 hours, deciding to intervene drastically.

Another element that strengthened the opinion of the members of the Committee of Experts for the immediate taking of measures with the next escalation of the confinement for the “red” Attica are the “orphans” cases. As an indication, on Thursday difficult with 359 cases in the country, of which 212 in Attica, 6 out of 10 were “orphans”. Of the 359 cases, 223 (62%) had not been identified or traced.

The alarm over “orphaned” coronavirus cases had been ringing for scientists since the summer, as more than 25 unknown sources of positive coronavirus cases per day for several days sounded the bell of the virus’s uncontrolled circulation. In Attica, as was found in practice in September, when the return of residents from the resorts was completed, follow-up became extremely difficult.

The escalation of measures and the confinement

Your script emergency shutdown In Attica, although initially it was not included in the ways to stop the new coronavirus, it joined the plans and solutions that scientists and the government were seeking together.

The restriction of movements and activities in the Attica region was examined in the logic of a few days to stop the coronavirus, save valuable time for the health system, which must organize itself for the wave of seasonal viruses and, finally, activate reflexes . of citizens for the repetition of the phase “We stay at home”. The implementation of a new blockade certainly depends on the evolution of the pandemic in the next 7 to 14 days, as it remains a last resort in the package available to the State.

It should be noted that last March, when the unprecedented measure of general quarantine was applied at that time, the epidemiological data included 34 intubations and 15 deaths. However, this is not just a matter of numbers.

As Professor Gikas Majorkinis noted during last Friday’s briefing, the fact that more than 300 cases of coronavirus have been consistently recorded over several days shows a worrying stabilization, but its quality characteristics are also important. It is different, p. Eg if they are known traceable contacts, “orphaned” cases, or specific age groups or occupations. In Attica, however, “orphaned” cases are stabilizing. The number of patients in the ICU is also a critical factor, a field where there is a growing trend.

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