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On the 4th, the number of new coronavirus (Corona 19) infections increased by 1020, and medical staff are examining citizens visited by the Corona 19 temporary screening clinic in the parking lot of the Hanbat Gymnasium in Daejeon on the 4th. Reporter Kim Seong -tae.
In December, a group infection occurred in 14 nursing hospitals in one month and 996 people were infected, of which 99 died. The mortality rate reaches 9.94%. It is 6.5 times the death rate of the entire crown (1.53%).
December 99 deaths in 14 nursing hospitals
Director Bucheon Hyo Plus harshly criticized authorities
The tragedy of the nursing hospitals reveals the backside of the K quarantine that the government is proud of. As winter rolled in, the government panicked when group infections and deaths in nursing hospitals lined up, and this year they took action, but 99 people had already died.
The lack of quarantine in nursing hospitals stems from the lack of proper functioning of the cohort quarantine. Cohort refers to the same group. It is a quarantine method commonly used in hospitals and nursing homes during MERS and Corona 19. Cohort quarantine is to consider patients, doctors, nurses and caregivers in the hospital as the same group at the time of the group infection outbreak , and completely prohibit external access and resolve internal infection.
Proper cohort isolation eliminates the infection without spreading it. It is a technique that was successful in Changwon and elsewhere during the first corona19 epidemic in spring.
The government has decided to maintain the current social distancing standards (Seoul Metropolitan Area Stage 2.5, Non-Metropolitan Area Stage 2) for two more weeks to curb the spread of the new coronavirus infection (Corona 19) ‘third pandemic’ in Korea. News 1
However, Daegu does not use cohort isolation. This is because the conditions to apply it correctly are not met and the early dissipation policy is better. Daegu Metropolitan City Director of Infectious Disease Control Kim Shin-woo (Director of Infectious Disease Control Division, Kyungpook National University Hospital) said: “If there is no reliable environment for cohort quarantine, internal cross-infection will occur. There must be sufficient manpower and workers must be knowledgeable about infectious diseases and trained. ” “If these requirements are not met, it is difficult to maintain well the management of the cohort, so it is better to remove the confirmed person and observe him in another institution,” he said.
None of the nursing hospitals that entered cohort quarantine meet these conditions. As of the 4th, the highest number of deaths was recorded at Bucheon Hyo Plus Nursing Hospital. In a recent interview with the JoongAng Ilbo, the director of this hospital, Moo Kim, criticized the quarantine measures. “Last year, the quarantine cohort started on December 11, and on the afternoon of that day, an epidemiological investigator and an employee from the Bucheon City Health Center came and looked at it and said, ‘Everybody stop, never move. ‘ They mixed with positive and negative patients, but they told me not to move. In the end, there were four confirmed patients and two negative patients in a hospital room, ”he said.
He said: “I had to remove it, but I couldn’t remove it, and there was no space. To remove it, I had to take it outside. It was not a situation where only voice patients could get together to organize the room. If there were multiple rooms empty, we would do that, but we couldn’t do it because we only had one. I couldn’t do it, and the health center guidelines were final. ” He said: “The government has secured a bed somewhere, but our patient cannot go. Our patient is dying … We have to transfer this minute soon. If there is a delay, there was no response,” he said.
Director Kim pointed out the injustice of isolation of cohorts and the problems of health authorities not to exclude patients. He said: “The 27 people who died while waiting for the hospital bed would have saved 80% even if they had been transported to another place quickly.”
In the case of the Misodeul Nursing Hospital in Guro-gu, Seoul, not to mention the doctors and nurses, the number of caregivers has dropped significantly. The absolute workforce is insufficient due to off-duty workers during the cohort quarantine, caregivers who chose to self-isolate, and staff confirmed after quarantine. The chief of neurology Choi Hee-chan at this hospital told the Blue House national petition: “There is more going on in the nursing hospital than on a Japanese cruise ship. He also appealed.
Since the Bucheon Hyoplus Hospital cohort was quarantined on the 11th of last month and the Guromisodeul Nursing Hospital on the 15th of last month, the hospital became a ‘virus factory’. A cohort containment technique that failed in Daegu was applied to the site of the winter crown. On the 3rd, the government proposed measures for a nursing hospital, and the Accident Control Headquarters organized an emergency response team for the first time on the 4th and sent it to a nursing hospital in the metropolitan city of Gwangju. In a briefing on the 4th, Jung Eun-kyung, head of the quarantine countermeasures headquarters, said: “Eight field emergency response teams were dispatched to the site due to the outbreak of a group infection at the nursing hospital in Gwangju. Separation of close contacts, securing and bedding of all confirmed patients, and evaluation of the quarantine situation. We are promoting support for medical personnel and infection control measures for workers, “he said.
On the morning of the 3rd, a curtain was hung at the entrance to the Hyojeong Nursing Hospital in Gwangsan-gu, Gwangju, where the new coronavirus infection (Corona 19) broke out. Yunhap news
The interpretation is noted to be overly optimistic because group infections in nursing homes or nursing homes occur within the facility. Tae-ho Yoon, head of quarantine and prevention at the Accident Control Headquarters, said that 1,000 confirmed cases occurred at the briefing on the 4th. I think it is becoming the third fashion management. ”
Eun-mi Chun, professor of respiratory internal medicine at Ewha Women’s University Mokdong Hospital, noted that “the government does not seem to place much meaning on the occurrence of group infections in nursing homes or detention centers, not on community infections. “. Professor Chun added: “Because asymptomatic infections are increasing in local communities, group infections also occur in nursing hospitals.”
Professor Ki-Seok Jeong from Hallym University Sacred Heart Hospital said: “Since the spring of last year, we have been told that we should be prepared to have no beds, but we have constantly ignored them.”
A restaurant in Jongno-gu, Seoul on the 4th Yunhap news
Experts point out that the government’s response is simple.
Professor Chun noted: “I cannot understand that the quarantine authorities are reissuing some ban orders for golf courses and ski resorts,” he said. “It was said that a large-scale screening was done every week for workers in nursing homes and nursing homes, but it should be done with patients. If the PCR test is difficult, even the rapid antigen test should be done periodically. ”
Choi Won-seok, professor of infectious medicine at Ansan University Hospital, said: “The government said that ‘the medical system can respond,’ but half is right and half is wrong.” It is not being done. “Also,” I hope not to conclude that there are enough beds unless there are beds that can transport all the patients from the nursing hospital. “Expecting fewer patients and being optimistic is a completely different matter.”
Reporter Woorim Lee [email protected]
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