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The Association of Doctors United against Kovid (UPK) said that in the past it had actively worked on proposals and recommendations from experts for a better fight against the epidemic, which referred to the Ministry of Health and the general public, but that despite of all the warnings, and they are inadequate in the current dramatic situation. “
“The inertia of the crisis headquarters and the Ministry of Health and the lack of taking preventive measures that help the already fragile health system and ignoring our proposals, led to a total collapse, overcrowding of medical facilities and uncontrolled spread of the disease, “said the Association.
Source: Printscreen / United Against Kovid
According to their estimates, we are currently at the last black level of closure according to the cascading proposal of measures already proposed by UPK and level 5 of the package for catering facilities.
“It is important to understand that this problem now requires a systematic approach to all aspects of society that are not essential for the survival of the population, as well as that measures must be implemented consistently,” the statement said.
The UPK states that on November 3 it sent a request for a new meeting with the Minister of Health, which is held today. The purpose of the meeting, as they say, is to examine the reasons for ignoring previous requests and experts’ proposals, alerting the ministry to the epidemiological situation and the currently very unfavorable state of health, and finding a new plan to get out of this. situation.
In addition to the measures already mentioned, the UPK proposes “a few simple steps that can be applied at this time (without requiring excessive financial losses or better logistics and organization):
1. Reduction of virus transmission in society
to. There should be no exceptions to compliance – The funeral of His Holiness Patriarch Irinej of Serbia should be held in the inner circle of the clergy and leadership of the state behind closed doors with respect for preventive measures, while citizens, according to the situation, can watch the funeral and the funeral via television or live video link. During the day before the funeral, you will also avoid access and body kissing. The discovery of the body requires a meeting, which must be avoided by all possible measures. The coffin must be closed, with no possibility of access. The public health crisis of this magnitude, especially in Belgrade, which is the largest access point and whose health system is collapsing, must be controlled with rigorous measures that nullify all other ecclesiastical and social principles. This is a situation where both the church and politicians / KS must be accountable to the people and not allow gatherings on the occasion of the funeral.
b. Reduce contacts in public transport – introduce more public transport vehicles with a controller that allows only the number of passengers as many seats (or any other place, depending on the current situation), appeal that public transport be used exclusively for urgent trips (or more strict: exclusively for essential professions with certified demonstration), promote car driving if necessary, promote and assist work from home as much as possible. Alternatively, limit or suspend public transportation on weekends.
C. Reduce close contacts in public places – introduce zones of mandatory use of masks (busy city streets, shops and shopping centers, traffic parks): p. ex. Block all entrances to Knez Mihailova Street with clear signs that this is a mandatory mask-wearing zone. The communal police, who wear masks, warn that the mask must be placed in that area and issue fines if it is not respected.
d. Each store must have a person at the entrance to prevent the entry of people without a mask and prior disinfection of hands, as well as disinfect any cart / basket that remains at the exit, ensure one-way movement and control the number of people in the store at the Same time. Otherwise, the store will be closed for two weeks or you will be fined.
and. Catering – access the proposed package measure for catering companies – Level 5 or 6 – with a financial assistance package for catering companies
F. Celebrations and personal meetings – Although it is difficult to control whether people will gather at home, introduce a public measure prohibiting more than three guests a day per household. Call on people to respect this decision and refuse to receive or attend guests. Also enable the registration of the organization of celebrations and celebrations by neighbors and appropriate sanction. Depending on the situation, the glory should be celebrated in modesty and in the circle of the closest family of the same home.
g. Elementary schools and kindergartens They must remain open so that parents can go to work and be functional, especially since there is no great risk to children. This is only possible with intensive temperature control with quick gauges before entering the school, which also applies to employees, detailed daily disinfection of the entire school, preventing students from interfering with the holidays … In addition, it is It is very important that there is a clear algorithm by which parents know if a child can go to kindergarten, but also when educators and teachers have to stay at home. If a virus occurs, the entire group / department should be isolated and tested. Here, the most threatened are those employed in education because they are the group in danger and are exposed to an additional risk, so it is very important to protect them. Alternatively, a stricter grade is to provide a place in a kindergarten or school only for children whose parents come from essential occupations (doctors, medical personnel, public services, public transport, employees in supermarkets …). All other educational institutions (upper grades of elementary schools, high schools and colleges) must switch exclusively to online classes.
2. Test
According to the World Health Organization, mass testing is the first and best step in the fight against the virus, which is demonstrated through the examples of several countries that thus quickly overcome the epidemic (South Korea, Vietnam, China ). Of course, if there are no conditions for that, you must adjust using the best feasible strategy that you strive to achieve. Experimentally, testing people with symptoms, their close contacts, and special groups such as healthcare workers and vulnerable groups has proven to be an effective backup strategy. There is definitely a way to increase the number of tests (involve private laboratories in testing or increase the number of rapid antigen tests).
to. Relocation – Due to the large influx of people in primary health care (kovid ambulance), the increase in numbers and next winter, it is necessary to think about relieving these institutions. An easy way is the existence of telephone triage where all those who are in good general condition (without symptoms of the disease), those who enter the country, contacts and all those who want to have a test result for other purposes, as well as Control tests would be referred for relocation. . Large stadium garages are proposed, which are empty where there would be swab collection units (with two technicians for PCR and / or antigen testing) in the tents, and citizens would go to the scheduled swab by car (if possible) and give a show through the window without contact with others. potentially infected people. On the other hand, all people with symptoms would be referred to an outpatient clinic or hospital based on the rapid telephone examination and the severity of the clinical picture.
b. Calculation of evaluated numbers – It is very important to know which tests are counted and are added in the total number of tests per day and the total number of positive tests, only PCR tests and antigens that identify the presence of the virus and not serological tests.
C. Use of serological tests – Serological tests should not be used for diagnostic purposes, especially in the first days after symptoms appear. Alternatively, use rapid antigen tests if a PCR test is impossible.
d. Enter the country – The entry of people into the country must be limited or at least controlled upon entry. Whether across the airport or across the state border, passengers must have a negative PCR test that is no more than 72 hours old or they can be screened prior to passport control using rapid antigen tests and temperature measurement. In case of a positive test or symptoms, isolate them in a hotel or similar accommodation for two weeks or hospitalize them if necessary. In the event of a negative test, contact citizens via phone checks within the next 10-14 days and check their status.
3. Education of citizens
to. Issue only harmonized and consistent messages by decision makers (all state leadership and KS) to citizens and act in accordance with prescribed measures
second. An active and aggressive compliance campaign based on calls for responsibility, solidarity, assistance and tolerance
C. Education about the characteristics of the virus, the way it is transmitted, the importance of respecting preventive measures.
re. Stop UPK censorship on all televisions with national frequency
4. Help the doctors
to. Recognition of kovid as an occupational disease with 100% of salary
second. Employment of unemployed doctors and office nurses
C. Introduction of telephone triage
re. Participation of private practice in the diagnosis and care of non-covidual patients
and. Psychological Support
5. Support for citizens
to. Psychological Support
second. Call centers for questions and concerns
C. Assistance to vulnerable groups
Read more about kovid-19 and the consequences of the pandemic in the country and the world on the page. Coronavirus.
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