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Minato Health Center staff handling infected people in the seats installed in the auditorium because they do not fit in the = 5th health center office in Minato-ku, Tokyo
In Tokyo, the number of people newly infected with the new corona virus has exceeded 1,000 for five or six days in a row, and the collapse of medical care has become a reality.The system of medical institutions that have beds to host people infected
A man in the Tama area of Tokyo tested “positive” for an antigen test at a local clinic on December 28 last year. The clinic did not have a hospital bed and delivered it to the health center the same day. However, the health center contacted the man on the 30th, two days later. Since the end of last year, the number of cases in which the health center takes more than two days to contact the patient is increasing.
“I have not heard from the health center, what should I do?” The clinic receives these types of inquiries from patients and their families. I want to introduce you to the hospital, but I have no information on empty beds. “It is extremely inefficient to call the hospitals that can treat Corona patients in turn,” said a doctor at the clinic.
“While you are waiting for the health center to contact you, it can become serious and you may need to take some measures. An older person who lives alone and who becomes infected and cannot be cared for by a helper may die at home.”
◆ I couldn’t find the destination for 5 1/2 hours even if my condition suddenly changed.
The delay in contacting the health center appears to be due to the few vacancies for corona in Tokyo.
At around 6 pm on the 4th, a man in his 40s who had a sudden change in his condition due to a patient with a crown requested emergency transportation in ward 23. However, even at 10 pm, the rescue team could not find a destination.
“I called dozens of places, but couldn’t find a destination.” A local health center was contacted and an executive asked an acquaintance from a medical institution to “even stay overnight” and finally completed the transfer around 11:30 pm.
The work of the health center in ward 23 is becoming more onerous due to the increase in infected people. At the Minato Public Health Center (Minato Ward), there were 409 reports of infection during the week of December 28 to January 3 during the end of the year and New Years holidays. It is more than double than a month ago and more than five times more than two months ago.
It can take up to 5 hours for an infected person to respond. Kayo Matsumoto reveals that “a uniform response is not possible, and we are triaging to prioritize the response of people in poor physical condition.”
The contact of medical institutions has been changed to a method where the symptoms are described in detail in the fax notification document. Looking at the contents, the corresponding order is decided.
Mr. Matsumoto said, “Based on the doctor’s diagnosis, we should specialize in people who really need medical care. It is better to prioritize senior facilities and medical institutions for cluster measures, etc.” In g.
◆ Waiting at home, which is increasing rapidly in Tokyo, more than 3000 cases are being adjusted
It is difficult to adjust the hospitalization of people infected with the new corona virus in Tokyo. The number of people forced to wait at home while they are deemed to need hospitalization is increasing rapidly, and Tokyo officials raise a sense of crisis that “the situation is rapidly deteriorating.”
In Tokyo, if each health center cannot find an inpatient destination within its jurisdiction, the inpatient coordination headquarters in Tokyo will search a wide area for an inpatient destination.
According to the capital, at the end of December last year around 200 cases were taken from the health center to the coordination headquarters per day. The number has more than tripled from about 60 in early November.
As a result, the fate of the hospitalization was not decided during the day and there were dozens of cases waiting at home every day. Since the end of the year and New Year, when the number of new infected people has exceeded 1,000, it has become “more serious” (city executives).
According to data on the number of infected released daily by the city, the number of people who are “in adjustment” for hospitalization and medical treatment, including accommodation treatment, has exceeded 3,000.
Most of the people who wait at home are those with relatively mild symptoms. The death cases pending since December last year “are not confirmed.” However, it is said that there are cases in which the condition changes suddenly and the patient is transported by emergency without deciding the fate of hospitalization for many days.
