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Although the proportion of young patients is relatively high
If infection increases, as in nursing facilities, beds are limited
Appeal of ‘Meeting Cancel’ instead of Level Adjustment
I worry if there will be enough danger signs
Realization of the rapidly spreading bed shortage in Busan
At a high school in Busan on the afternoon of the 30th, 20 confirmed corona19 patients are being transferred to Daegu Dongsan Hospital. As the number of hospital beds in the Busan area declined due to the recent increase in confirmed cases in Busan, quarantine authorities transferred some of the confirmed cases to Daegu. Yunhap news
It was a commitment that the government would maintain social distancing in the Seoul metropolitan area on the 29th in the current stage 2 and introduced additional quarantine measures such as a ban on saunas, aerobics, and nightclubs. During the last week (November 23-29), the average number of confirmed cases per day in Korea was 416, which met the 2.5-step criterion, but took into account socioeconomic damage and national fatigue. However, some experts raise the voice that it is necessary to preventively increase the distance, considering the expansion trend that it is difficult to determine the peak. Going forward, government quarantine measures are expected to be influenced by three key variables, such as the ability to secure beds, the effect of distancing, and the expansion of non-metropolitan areas.
① Can I manage the number of beds and patients? The purpose of the reorganization of the distancing system at the beginning of November is to comprehensively analyze the response capacity to the medical system, such as beds for critically ill patients, as well as the trend of increasing and decreasing the number of new confirmed cases during the phase adjustment. The availability of hospital beds for critically ill patients depends on the size of confirmed cases of the elderly aged 60 years or older, who have a high probability of worsening as patients with severe gastric disorders. The government believes this epidemic is likely to slow the rate of depletion of critically ill beds, as the proportion of young patients is higher than before. The proportion of confirmed patients under 50 years of age decreased from 65.7% in August to 58.9% in September, then increased to 64.0% in October and 74.6% in November. The number of seriously ill patients needing ECMO or oxygen mask treatment at the same time in early September surpassed 170, but at 0 o’clock on day 30, 76 patients remained in the mid-70s for the past few days. However, if the current level of proliferation continues, even if the proportion of critically ill patients remains low, the medical system could be in an emergency. As of 29, the number of beds for critically ill patients with Corona 19 as compiled by the Central Accident Control Center was 77, 9 less than the day before. Busan, where 163 new confirmed cases occurred in a week, transferred 20 patients to Keimyung University’s Daegu Dongsan Hospital on the 30th. Ahn Byung-sun, director of the Busan City Health Policy Office, said: “As the number of patients suddenly increased, the shortage of beds became a reality. He said: “We are working to expand more quarantine beds at Busan Medical Center.” It is also onerous for the elderly care centers to appear frequently, such as the Day Center for the elderly in Nam-dong, Incheon, on the new wave of radio every day. In the case of Incheon, the number of beds in critical condition was much more spacious than that of Seoul and Gyeonggi, where the expansion trend was much stronger. Eom Joong-sik, professor at Gachon University Gil Hospital (infectious medicine department), said: “After receiving patients from the Day Care Center for the Elderly, there are elderly patients who appear to have been infected for more than one He noted that although some of the critically ill patients in Seoul and Gyeonggi, where the spread trend is more severe, were housed in Incheon according to the joint bed response system.
② Will we reduce year-end meetings by volunteering? It is also a key question how voluntary participation will lead to calls by quarantine officials for “year-end face-to-face cancellation.” The government’s recommendation to refrain from meetings with fewer than 10 people on the 29th is a request for quarantine cooperation, which is equivalent to three stages of drastic reduction of daily and economic activities under the premise of a national pandemic. This is because there is a gap. Lee Jae-gap, professor at Hallym University School of Medicine (department of infectious medicine), said: “I am concerned that the government has requested that all meetings be canceled during the end of the year and New Years holidays. , but that the non-metropolitan area is not showing enough signs of crisis, such as adjusting to stage 1.5. “Because it is accepted as a danger signal and the radius of activity increases or decreases, the number of patients (various meetings and activities continue) can increase even in the case of government appeals.” For example, although the government has banned parties and events that take place in accommodation facilities such as hotels, parties hosted by people at this time are an area that requires voluntary participation. Kim Mo-ran, a professor at the National Cancer Center (Preventive Medicine), said: “The key link in this epidemic is family and acquaintances, so if people don’t slow down the movement, the effect will be limited.”
③ How much of the non-metropolitan area It was also considered that if the distance between the metropolitan area has not been further improved, it should be applied at the national level from step 2.5. The current outbreak is estimated to have been triggered primarily in the metropolitan area and, due to the wide variation by region, it is not possible for high intensity measures to be applied at the national level. However, one variable is that the expansion of the non-metropolitan area is also increasing recently. The number of new confirmed cases in the non-metropolitan area was around 50 in the middle of the month, but increased to 153 on the 30th. Group infections that cross city and provincial borders also continue, such as the Jecheon Kimchi meeting in Chungbuk, which spread to Chungbuk, Gangwon, Incheon, and Daejeon. Professor Lee Jae-gap said: “A plan to reduce the relatively safe area to 1.5 levels after upgrading the entire country to the second stage may be more effective in terms of quarantine.” By Choi Ha-yan, Seo Hye-mi, Staff Reporter [email protected]
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