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‘Is there a problem with the current social distancing system?’▶ Click here to enlarge
Experts pointed out that in order to maintain a ‘social distance’ in preparation for the new prolonged coronavirus infection (Corona 19), it is necessary to deviate from the uniform method of ‘group spirit’.
Such a suggestion was made by Professor Yoon Kim from the Department of Medical Management at Seoul National University School of Medicine at the ‘Discussion on Reorganizing the Social Distancing System’ organized by the Accident Control Center of Seoul. Ministry of Health and Welfare.
Professor Kim said that above all we need to improve the current distancing system, which focuses everything on the ‘number of confirmed cases’.
In the US and Europe, when the number of new confirmed cases is less than one per 100,000 inhabitants, the degree of risk of corona19 is assessed as a ‘containment’ stage. Although this is the lowest level, it is less than 518 new confirmed cases by our standards.
Professor Kim explained: “Even if we compare the number of confirmed cases and the intensity of the distance, in Korea, the number of confirmed cases per 1,000 people is 1.1, while the intensity score of the distance was 47 points”. The number of confirmed cases in Sweden with the same distance score is 42.3.
However, on the ‘Financial Support Index’, which indexed the level of cash aid or debt relief for Corona 19 victims, Korea showed 47. This was low compared to the UK (95), Spain (82) and Denmark (80).
Comparison of the number of confirmed corona19 cases and the intensity of social distancingProfessor Kim emphasized that the government must fulfill its “responsibility” for the remote system to function properly.
The proportion of cases that took more than a week to be confirmed was around 9% as of June 5 last year, but has risen to 20% as of December 5. The number of cases that exceeded two weeks or more until the last confirmation in cases of group infection also rose to 36%.
Professor Kim explained that the number of confirmed cases will increase if the contact quarantine fails, arguing that “the speed and accuracy of the epidemiological investigation of group infection should be improved by expanding the quarantine workforce in cities and counties.” .
He also noted that if there were enough beds to treat Corona 19 patients, the application of the distance between them has changed as well.
Professor Kim said: “If we had enough treatment beds, on September 12 last year, we could have lowered the distancing stage to stage 1, and we could also reduce the harm to small businesses.” Said.
He also criticized that “(recently) the Minister of Strategy and Finance said, ‘(government) finances are not hwasubun’, but I want to ask if the pockets of the self-employed who have to close the door by order of the government are hwasubun.”
He noted the status of infections at the main facilities and asked, “If 3 out of 100,000 facilities occurred (corona 19 infection), is it a scientific method to shut down the remaining 99,000?”
He said: “By the spring of this year, the effect of vaccination will be negligible,” he said. “We need to prepare for outbreaks 4 and 5 with the possibility of a recurrence due to the decreased distance.”
Social distancing and ability to mobilize critically ill patients Professor Kwon Soon-man of the Seoul National University Graduate School of Health also argued that to respond to COVID-19 in a sustainable way, “it is not a uniform policy for all people, but a differentiated response according to risks. “. . “
Professor Kwon noted that “most of the research is mainly based on simulations, so there is not enough empirical evidence.”
For example, it means that there was insufficient evidence, such as whether the decrease in average mobility contributed to reducing the number of confirmed cases in high-risk facilities, such as nursing homes, and how the degree of involvement of small Busy people varies. according to the distance stage.
Professor Kwon said: “Currently, it is buried in the distance distancing stage. If the effect does not appear in the distancing stage 2, we should not consider upgrading to the next stage, but discuss why the effect will not appear.”
He added: “A policy based on the number of seriously ill patients and the competence of the health system is necessary, not on the number of confirmed patients. We need to compensate for the operational loss of the self-employed, whose business is restricted by distance, and this should be included in social expenses. “.
An open debate to reorganize the phase of social distancing▶ Click here to enlarge
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