Tokyo New monitoring item No numerical value is set Standards are evaluated and judged June 30, 18:38

The Tokyo Metropolitan Government is reviewing the new monitoring item for the new coronavirus, and we will not set a numerical value as a standard for calling attention to the citizens of Tokyo. For this reason, although the Tokyo Alert will not be issued in the future, it is expected that experts will analyze the infection situation and medical system and the city will evaluate and decide whether or not to call attention.

The Tokyo Metropolitan Government is reviewing the monitoring items in preparation for the second wave of the spread of infection, and according to the people concerned, it is expected that there will be seven items in total showing the infection status and medical system.

Specifically, we set items such as the number of people who do not know the route of infection and the rate of increase, and the number of consultation cases such as fever sent to the fire department in order to estimate the signs of the spread of infection, and the potential spread of infection and Analyze the infection in.

In addition, the number of cases in which multiple medical institutions were requested to accept emergency patients, but the delivery destination could not be found or it took time, etc., will be used as a numerical value to estimate the degree of tightness of the medical system.

Experts analyze these items about once a week, and the city evaluates the results based on the results, and if it determines that the situation has deteriorated, it calls attention to cooperation such as unnecessary and emergency refraining from going out. Is the idea to do.

On the other hand, when the average number of new infections per week has reached 20 or more, the Tokyo Metropolitan Government has issued a “Tokyo Alert” to warn the residents, and when the average per week is 50 or more, it is again The standard was to request leave.

However, the Tokyo Metropolitan Government is not planning to set such a standard value for new monitoring items.

Therefore, the "Tokyo Alert" will no longer be issued.

The city will announce new monitoring items tonight, and after one day, will try it out and implement it in earnest.

New monitoring items

According to people in the Tokyo metropolitan area, there are a total of seven new monitoring items that are being reviewed.

We will continue to monitor the two major pillars of analyzing "infection status" and "medical system" in Tokyo, which will continue after the review, but we plan to change some of the contents to be monitored.

Of these, there are three monitoring items for "infection status".

1. Number of new infections
2. Number of consultations regarding fever, etc. sent to the "#7119" telephone consultation service of the Tokyo Fire Department
3. Among new infections, the number and increase ratio of those who do not know the infection route.

The number of consultations sent to the fire department, the number of people who do not know the route of infection, and the rate of increase were newly established this time to analyze the spread of potential infection and infection in the city.

On the other hand, the four monitoring items of the "medical system" are
4. positive rate of test,
5. number of cases applying "Tokyo Rule" for emergency medical care,
6. number of inpatients, and
7. number of seriously ill patients.

Of these, the number of cases where the "Tokyo Rule" is applied is the number of cases where multiple medical institutions were requested to accept emergency patients but the delivery destination could not be found, or it took time to determine the delivery destination.

This time, it has been newly included as a numerical value to estimate the degree of tightness of medical institutions.

The metropolitan government will ask doctors and infectious disease specialists to analyze the values ​​of these seven items by comparing them with the maximum values ​​during the previous week and during the period when the emergency declaration was issued.

What is the "Tokyo Rule" for emergency transportation?

In order to reduce the number of cases where emergency patients are refused to be hospitalized, the Tokyo Metropolitan Government operates a system called the “Tokyo Rule” in which a regional core hospital or the like searches for a delivery destination instead of a fire department.

Specifically, if the
emergency department refuses to be accepted by five or more medical institutions,
or if the delivery destination is not decided for more than 20 minutes, the designated central hospital or Tokyo Fire Department for each of the 12 areas in Tokyo. A coordinator resident in Japan searches for destinations and has been introduced for 11 years.

According to Tokyo, the number of cases that apply to this Tokyo rule was 2365 cases in April, which increased to about 4 times that of the same period last year due to the rapid increase in confirmation of new coronavirus infection.

Last month, it was 1626, 2.5 times more than last year. This month, the number of data up to the 19th was 579, 1.6 times more than last year.

According to the city, it is not possible to accept patients who are suspected to be infected with the new coronavirus due to fever or dyspnea, because the medical institution cannot secure a private room and it is difficult to prevent nosocomial infections. There were many cases.