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In the last week, there have been suspicions in some municipalities that long-term recovery has been included in the statistics of patients with COVID-19 and, in reality, there may be several times fewer patients of this type than what has been announced officially until now. Eugenijus Vilčinskas, head of the NVSC Panevėžys department, admits that a similar situation may exist in Panevėžys. But because of that, the criminal does not see. According to him, GPs do not always provide information to the NVSC in a timely manner. However, Karolis Valantinas, the director of the Panevėžys City Polyclinic, is outraged that he wants to make family doctors guilty again, when the NVSC itself does not do its part.
I checked the numbers
According to Kazimieras Armonavičius, deputy director of the municipal administration of Panev municipalžys and chairman of the Commission for Emergency Situations, there is no time or human resources to check how many of the officially sick COVID-19 patients have recovered. According to him, this figure would not yet reflect morbidity statistics. The most important indicator is the number of new cases in 14 days for every 100,000 inhabitants.
When information about discrepancies in the number of patients in some municipalities appeared in public, Panevėžys also reacted. At the meeting of the Commission on Emergency Situations on Monday, the morbidity statistics of Panevėžys were analyzed and the head of the NVSC Panevėžys department was discussed.
“MI. Vilčinskas explained that it is not their responsibility, but the responsibility of personal health care institutions to provide accurate data. On the same day, we submitted a request to nineteen health care institutions operating in the city for family doctors to examine more closely which people are already well and which are still sick, ”said K. Armonavičius.
According to him, it takes time and effort to control more than 1,500 people officially infected with COVID-19, and the Group of Experts that advises the government is based on another indicator: up to 100,000. population has new cases in 14 days.
“I personally recalculated this indicator. That day, data from the Department of Statistics showed that in Panevėžys it amounted to 393.5 cases per 100 thousand population. In my calculations, 393.7 cases. It practically coincided 100%,” he said K. Armonavičius.
Bede to family doctors
E. Vilčinskas, director of the Panevėžys department of the NVSC, assures that his specialists cannot make a diagnosis or evaluate whether a person is cured; this is the competence of doctors. Each case of the disease enters the system from a laboratory that confirmed a positive case of COVID-19. Then the family doctors already take care of the patient, and when he recovers, he notes in the system about his recovery. Only then can official statistics show that a person has recovered.
Eugenijus Vilčinskas
© Voice of Panevėžys
“Each of us is enrolled in a medical institution. Unfortunately, information systems sometimes don’t communicate and sometimes doctors don’t. Maybe forget, maybe human errors. There are all the nuances. There was exactly the same problem with the death toll. This is a problem for personal health care institutions, “said E. Vilčinskas.
Seeing that the number of recoveries is growing insignificantly, at the beginning of the year, the NVSC’s Panevėžys Department sent reminders to all medical institutions in Panevėžys County that it is their duty to provide timely information about COVID-19 patients. for October, November and December. After such a reminder of more than 3 thousand. about 1,200 patients remained in the county.
“We are always reminded of that obligation, but as long as we do not take it seriously, the situation will not change. Now we are sending reminders again, and the number of sick people should decrease again,” said E. Vilčinskas.
Guilty hunting
K. Valantinas, director of the Panevėžys Municipal Polyclinic, heard the accusations made against family doctors and was outraged that they found him guilty, instead of organizing a system that includes all information about patients with COVID-19.
“It is common in Lithuania to search for culprits, but in this case it would not be necessary, because the problem is a completely disorganized system. If the family doctors are to blame, the question is, what does the NVSC do, whose job is to monitor and analyze the morbidity statistics, ”emphasized K. Valantinas.
Karolis Valantinas
© Your Panevezys
According to him, most misunderstandings arise when a person has an asymptomatic form of COVID-19. In this case, you don’t even need a family doctor’s consultation; after mandatory isolation for two weeks, the person returns to normal life. If you do not inform the family doctor, the system continues to show that the person is ill.
“Coronavirus is new to everyone, so it is natural for mistakes to occur. But if a person has to isolate himself for two weeks and does not get sick, the system should automatically record that he has been cured. It had to be started by the NVSC itself. The disease code must be changed automatically or it must be the duty of the patient to inform the family doctor or nurses about the recovery ”, suggests K. Valantinas.
Family doctors, according to the director, have around 1,500 patients. They receive 30-40 people in their area with other illnesses every day, so if they still had to call all the patients who tested positive for COVID-19 every day, the workload would be unbearable.
“NVSC sees when a person has run out of isolation. If there is a suspicion, why does the center itself not check what makes a person sick for three months? At the end of the day, he has all their contact details ”, the head of the polyclinic does not understand.
Going down
The morbidity curve for COVID-19 is already falling. Last week 124 new cases of this disease were registered in Panevėžys, although in the previous week there were 217 of them. investigate these cases. Last week, 24 new cases were identified in the city companies Norac, Amber pasta, Kadex, Aukštaitjos vandenys, ESO and others. The number of cases decreased in nursing and personal care institutions, but isolated cases were recorded in preschool institutions: in the “Rainbow”, “Dobilas”, “Kastytis” kindergartens, at the beginning of February there were five cases. in the Ramygala “Gandriukas” kindergarten.
Associative photo.
“In Panevėžys county, the situation is more complicated only in Biržai and Rokiškis. In other places, the situation is improving, but whether we manage to maintain that dynamic will depend on everyone, ”said E. Vilčinskas.
The decreasing morbidity of COVID-19 facilitates the relaxation of the doctors of the Republican Panevėžys Hospital. According to the hospital spokesman, Vytautas Riaubiškis, 59 coronavirus patients were treated there on Wednesday, 10 of them were treated in the Resuscitation and Intensive Care Unit. Of the 159 hospital beds for COVID-19 patients, 59 are currently occupied. 21 hospital staff also have coronavirus.
“As the number of COVID-19 patients decreases and taking into account the epidemiological situation in Panevėžys, Utena counties and the country, the planned services are gradually renewed. Today, the hospital contributes more than 80 percent. these services ”, said V. Riaubiškis.
Claw diseases
On Wednesday in Panevėžys, the incidence of coronavirus in 14 days was 100,000. population amounted to 388.9 cases.
Currently, 1,557 residents of Panevėžys have COVID-19. Since the start of the pandemic, 5,931 have recovered and 124 deaths from COVID-19 have been recorded.
In the Panevėžys district, the 14-day morbidity is 100 thousand. the population reaches 240.6 cases.
There are currently 470 people in the area and 1,850 have recovered since the start of the pandemic. 70 deaths from COVID-19 have been reported in the area.
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