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Professor Alexandru Rafila, Romania’s representative to the WHO, warns, on the day that Romania broke several unwanted records on the situation of the COVID epidemic, that a blockage of the health system will mean even more victims. In the context of the continuous increase in the number of new cases, firm measures are needed, especially in the area of public transport, where congestion is a maximum risk of contagion, said Alexandru Rafila.
“We just can’t handle the influx of patients anymore,” Alexandru Rafila, who works at the “Matei Balş” Institute, told Digi24.
“The accelerated increase in cases of intensive care is something worrying and is the result of the number of cases that were registered a week ago, that is, when we exceeded 3,000 cases. It was expected that in about a week from then the number of cases of intensive care would increase. Today we start with 4, with the number 4, more than 4,000 cases, if during this week we will have values of 4,000-4,500 cases, we will see a new increase, a new jump in a week in intensive care units. Or these things must, at some point, stop. We cannot witness the blockade of the health system, because the blockade itself is not dangerous, but the fact that this results in victims among patients, among those who do not have access to the health system, etc. stated Professor Alexandru Rafila, on Wednesday, on Digi24.
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The expert pointed out that, in fact, there are no 3,000 beds in intensive care for COVID-infected patients and that such a number of patients should not be expected to arrive at ATI. If such a situation arises, these patients will be hospitalized, but not in intensive care units, Alexandru Rafila noted. “We should not wait for this to happen, but we must be prepared to get things under control,” added the professor.
He said that a month ago the scientific commission of the Ministry of Health (whose vice president is – no) recommended the exclusive treatment at home of asymptomatic patients and their follow-up by family doctors, even by telephone, so that they do not crowd together. hospitals. “In the end, if we make some recommendations, it is still good to take them into account, because we do not know what our role is in such a situation,” said Alexandru Rafila.
He criticized the stuttering and the hesitancy of the authorities to act. “We don’t have to wait any longer, in my opinion, I don’t think the calculations made for the resident population or that of the National Institute of Statistics are important. It is important to realize that it is a growing trend that lasts for a long time and this period of stabilization of the number of cases is shortened, that is, we have two or three days with 3,000 cases, after which, in the following week, we will see an obvious increase. Or, these successive increases, at an increasingly accelerated rate, seriously endanger the health system “, said Alexandru Rafila.
Things are partially under control, says Professor Rafila, because the health system can still respond to requests, but the public health area can no longer cope with epidemiological research, so the identification of contacts, isolation in home, etc.
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“I suspect that a very simple guide, a good practice in the event of a pandemic, should be known to the population: what to do if you do not feel well, have a fever, who to contact, if the test is positive, what to do next, how isolate at home, what is the behavior – things like this, simple, safe, they are not strategic communication, but common sense communication and I think that people need that guidance, because it increases them and trust in the health system. However, with contradictory information, with contradictory figures, this generates distrust and distrust generates panic, fear and instead of ending in a situation in which we all pull in the same direction, we end up in situations where everyone says something else and the world He no longer understands anything ”, draws the attention of Alexandru Rafila.
To limit the alarming growth of new COVID cases in Romania, it remains to be seen what are the sources of new cases, because while there is a community transmission, there are certain activities that generate these cases, and these activities will need at least two weeks to reduce to a minimum, says the Romanian representative to WHO.
Asked which is the most sensitive area, in which the broadest transmission of the virus would be favored at this time, the professor said that in his opinion it is about public transport. “Public transport does not correlate with a very clear project of postponing work hours by three hours for all employers, which will be implemented obligatorily, the transport park must be at the highest level during three hours. Pay close attention to long-distance transport, because it often offers unsuitable conditions and people stay in these modes of transport for many hours. We must look for alternatives to reduce the risk of infection ”, and in extreme cases, in crowded conditions, it is even possible to suspend these long-distance transports, considers Alexandru Rafila.
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