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On day 1, when the number of serious and seriously ill patients with a new coronavirus infection (Corona 19) in Korea exceeded the first 100, quarantine authorities were more concerned about the situation going forward. This is because, since the time when patients reach the severe stage is 7 to 10 days after the diagnosis is confirmed, the increase in severe and severe patients cannot be avoided at the moment. Since the 22nd of last month, there are 200 to 400 new confirmed cases every day. When classifying Corona 19-related patients, quarantine authorities divide into seriously ill patients if oxygen injection treatment is required and critically ill patients if mechanical (forced) respiration measures are required because they cannot breathe on their own. themselves. Critically ill patients and critically ill patients are considered critically ill.
● “It is expected to increase significantly in seriously ill and seriously ill patients at the moment”
Previously, the Central Clinical Committee for New Infectious Diseases predicted that on the 25th of last month, assuming 300 new confirmed cases appear every day, the number of seriously ill patients will peak at 130 around the 3rd of this month. As expected, the number of patients is increasing rapidly. On the day the Central Clinical Committee made such a prediction, the number of seriously ill patients was 37, but it has risen to 104, which is almost three times the first day of this month, a week later.
Joon-wook Kwon, deputy director of Central Defense Countermeasures Headquarters, said in a briefing on day 1: “Considering the time difference between cases where the confirmed patient reaches a critical stage, it is expected that the size of seriously ill and seriously ill patients increases significantly at the moment. ” “The number of seriously ill patients is very likely to increase and the number of deaths is likely to increase over time.” Choi Won-seok, professor of infectious medicine at Korea University Ansan Hospital, said: “The number of seriously ill patients generally increases after 7 days or more after the group infection outbreak.”
The number of seriously ill and seriously ill patients increased markedly after the ‘Liberation Day holiday’. On the 18th, just after the holidays, there were 9 people, single digits, but it increased to 29 on the 23rd, 58 on the 28th and 79 on the 31st. On the 1st, 25 people increased compared to the previous day, increasing to three digits for the first time since January 20, when the first Corona 19 patient occurred in Korea. According to quarantine authorities, 93 (March 23) had the highest number of seriously ill patients during the epidemic in the Daegu-Gyeongbuk region centered on Shincheonji Jesus Bridge in February and March this year.
● The main cause is the increase in elderly patients.
Quarantine authorities are citing an increase in the number of high-risk elderly patients as the cause of the significant increase in the number of seriously ill and seriously ill patients. Of the 235 new cases confirmed on day 1, 85 were 60 years or older, representing 36.2%. This is about 10 percentage points higher than the rate of 26.3% in people over 60 years of the total of 20,182 confirmed cases. In the second Corona 19 epidemic, where the metropolitan area became a support site, the proportion of the elderly increased. Before August 12, when the first confirmed cases related to the Sarangjeil Church in Seongbuk-gu, Seoul, the proportion of new confirmed patients aged 60 and over was only 13.0%. Professor Jeon Byung-yul from the Department of Preventive Medicine at Cha Medical University said: “During the first outbreak in the Daegu-Gyeongbuk region, most of the confirmed cases were young, so the rate of patients bass and bass was not as high as now. ” As it progresses rapidly, there are many cases that lead to serious illness. “The second outbreak in the metropolitan area was found to spread more slowly than the first outbreak in Daegu and Gyeongbuk, but the duration of the outbreak, such as the half-life (the point at which it decreased to less than half the peak of the confirmed case), was longer. The virus epidemic is getting longer. During the first pandemic, the number of confirmed cases peaked (909 on February 29) after February 18, when the first confirmed cases related to Shincheonji were released, and on March 5, it took 16 days to bring them down to 437. After that, the number of confirmed patients rose and fell again for 3 to 4 days, and after March 8 (366), the number fell to less than half. It was less than half in 20 days. However, in the second epidemic in the metropolitan area, it took 15 days to reach its point or maximum (441 people on Aug. 27) after confirmed cases related to the Sarangjeil church came out on 12 last month, and it hasn’t dropped below half as of Aug. 21.
As the number of seriously ill patients increased, an emergency was necessary to secure a bed. To date, the number of hospital beds for seriously ill patients was 51 nationwide and 13 in the metropolitan area, which was 4 and 10 less than 55 and 23 the day before, respectively. In the case of the metropolitan area, there are only 9 of the 13 ‘beds that can be hospitalized at this time’.
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Reporter Kim So-min [email protected]
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