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The number of seriously ill cases of the new coronavirus nationwide reached 272 on the 16th, surpassing the highest number of the “second wave” of 259 (August 23). After that, the number continued to rise, reaching 280 on the 18th. In Tokyo and Osaka prefectures, the rate of bed use for critically ill people exceeds 25%. There is still room, but if the number of infected people continues to rise, the number of seriously ill people will increase. If the spread of the infection is not prevented, medical collapse can occur. (Haruyasu Tsuchiya, Daiki Fujikawa)
◆ The rate of use of beds for the seriously ill is 25%
The number of seriously ill people in Tokyo on the 19th is 38 by the city’s standard. In April, when the number of people was declared an emergency, the number surpassed 100, which is less than half, but has increased about 1.6 times from 24 people on October 19, a month ago.
As of 19, the bed use rate for the critically ill (150 beds) in Tokyo is 25%. On the 19th, the capital raised its own alertness to the highest level, but the alertness of the health care delivery system remained the second “most serious need to strengthen the system.”
A private room with an intensive treatment room function. An artificial cardiopulmonary device “ECMO” (bottom left) is also installed = at Kobe City Medical Center Central Municipal Hospital
A person in charge of a designated medical institution for infectious diseases in Tokyo says, “This is not a difficult situation.” Compared to the “first wave” this spring, the period from hospitalization to discharge has been shortened and the number of seriously ill patients has decreased. The problem is in the future. “I don’t know after next week,” he said, concerned about the spread of the infection.
◆ “Osaka, Aichi predicts tension before Tokyo”
The number of seriously ill people is increasing across the country. On the 18th, the number of seriously ill people in Aichi Prefecture increased by 4 from the previous day to 19 people. The rate of use of beds for the seriously ill has risen to 27.1%.
Osaka prefecture is more serious. The number of seriously ill people was 26 on day 1, but increased to 72 on day 18. The prefecture has expressed a strict opinion that “in the worst case, the number of seriously ill people can exceed the number of beds early December. “
“Speaking of sick beds, I predict Osaka and Aichi will be tight before Tokyo.” One of the members of the government’s new coronavirus infection control subcommittee said so.
◆ General sickbed conversion “Takes 2-3 weeks”
Some of the beds insured by the prefectures are generally used as general beds in case of spread of infection. The conversion will take “two to three weeks” and “if the spread of the infection is rapid, it will not be possible to respond.”
In a hospital in Aichi prefecture, the number of hospitalized patients has increased again since the end of October. The person in charge said: “Many patients are recovering and are being discharged from the hospital, but how long will this trend continue?”
According to a summary by the Ministry of Health, Labor and Welfare, 328 people were the most seriously ill in Japan on April 30. The CRP test and the hospitalization of the patient were delayed, causing the patient’s aggravation. In the second wave, the medical and examination system was established, and the number of seriously ill people decreased, but recently it has increased about 1.23 times a week. If this pace continues, a simple calculation shows that 280 people on the 18th will reach 344 people on the 25th, a week later, which is a new record.
Toshio Nakagawa, president of the Japan Medical Association, said on the 18th: “Seriously ill people need a lot of man-centered medical resources for respiratory management, etc. We must prevent medical collapse. Hear our thoughts. I want you to do it. ”
