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The professor spoke about this at the conference “Confronting Covid-19: Have we gotten stronger?”, Which took place eight months after the first confirmed case of COVID-19 in the country.
At the beginning of the conference, Rolanda Lingienė, head of the Vilnius department of the National Center for Public Health, noted that there is currently a great lack of public support.
last call
A. Mickienė said that she rushed to the conference from the hospital department, where she was seriously ill, so she did not hide that it is difficult to change; colleagues also care how things are going at the hospital.
“I only had a minute to look at today’s numbers: 200, 300, 400. I would describe this situation, so to speak, as the last call for all of us and do everything that is up to each of us from today to do. All this. we would control the situation and prevent those numbers from increasing.
I would describe this situation as the last call for all of us to come together and do whatever is in our power to handle this situation.
If those numbers continue to rise at such an exponential rate, control will slip out of hand and we will no longer have enough human capacity to treat COVID-19 patients, services for people with other diseases will stagnate, which we really won’t we would like it because all diseases are equally important. People who have heart disease, cancer diseases, the common goal of all of us is that they also receive services. But also that patients with COVID-19 receive the best services, that we have enough local and human resources for that, ”said A. Mickienė.
According to the professor, it is not important to ruin the economy either. “During the first wave the public has gathered, which would be very serious if we take the measures that are recommended so that people comply with them and need those requirements as little as possible, so that there is good will like spring and we do not allow the situation worsens ”. the head of the Infectious Diseases Clinic spoke.
Eriko Ovcharenko / 15min nuotr./Kauno klinikos
It is also dangerous for young people
While it is common to say that older people with comorbidities should be the most protected, there are also a number of young people with the disease. Young people also have severe cases of the disease.
One of them is producer Justina Ragauskaitė, who has suffered from the virus for more than 40 days.
A. Mickienė, in turn, gave examples from other countries that young people who did not have a very serious illness did not need to stay in the hospital, symptoms such as fatigue, shortness of breath, cough persist for at least another three weeks, so that they cannot return to normal life.
Another aspect with young people is that when the prevalence of infection increases among young people, it feels like a spike between the ages of 65 and over after about three weeks.
“Another aspect with young people is that (a very recent publication in the United States) when the prevalence of the infection increases among young people, after about three weeks, there is an increase among people 65 and older. This means that when we say that young people here get sick easily, there will be nothing wrong, many asymptomatic, it is important to bear in mind that social contacts between different groups in society are inevitable. If you see a contagion among the young, know that it will also go to the elderly, then we will have an increase in the most sensitive group, “said the professor.
This illustrates very well the need to limit social contacts, especially to protect those most at risk of infection, those over 65, with comorbidities.
The importance of masks
A. Mickienė emphasized that the main route of spread of the virus is air droplets. You can avoid this by using remote masks. And touching something can also infect, but it also determines the above: when we do not wear masks, we release our respiratory secretions into the environment, those drops are deposited on some surfaces that a person touches, then we disinfect our hands, and then we touch the nose or eye , it can be a transmission mode.
Sigismund Gedvila / 15min photo / Warning sign
“Without a doubt, this transmission is less significant, because the virus needs to remain in the environment for some time, it can die and so on. The most important form is the air drop ”, emphasized the doctor.
He warned that although the places where there was the greatest threat of infection had changed during this time, we had all already entered closed places because the climate was cooling, all life had already moved into closed spaces. So the jump in the number of infections is not even surprising, as many years of experience with other communicable diseases show.
Even one dead is many
The teacher agrees with the statement that 80 percent. COVID-19 infects quite easily, but the remaining 20% are very seriously ill and end up in hospitals, trying to take care of the capacity of the medical system, etc.
Even if 1 percent. mortality, but that man died 100 percent. and it is completely unfortunate that 99 percent. survived
“A lot of people get sick easily, but the heavy segment is a big problem. Another thing is the statistics, the percentage … Even if it is 1 percent. mortality, as a professor would have said, but the man who died died 100 percent. and it’s completely unfortunate that 99 percent. he survived, ”said A. Mickienė.
He said that people who contract the disease and end up in hospitals have a hard time surviving the fact that they can no longer communicate with their relatives, who also find it very difficult, perhaps the last days of life, and cannot be together. .
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The doctor made no secret that the rapidly increasing number in Lithuania scares her. Also, it is much more difficult now than in the spring; It looked like a sprint then and now it’s a marathon.
His department has 100 beds for COVID-19 patients, now 65 occupied. The staff is already overworked. “We just realized that it wouldn’t take long. Therefore, much more stamina is needed and it is extremely difficult for doctors. Especially for middle staff, nurses.
If the number of infections continues to increase, we will see medical faces like we have seen in reports from other countries, because the workload is extremely high, ”said A. Mickienė.
The doctor also said that the treatment of these patients is changing as a result of clinical trials and their results.
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