The number of people with severe corona illness is increasing. Osaka is more than double that of Tokyo.

The number of people with severe corona disease is increasing. Osaka is more than double that in Tokyo. The reason is 19:25 on August 18th.

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With the spread of new coronavirus infections, the number of severely ill people has been increasing recently. The most infected people are in Tokyo, but the number of seriously ill people is more than double that in Tokyo as of the 17th. The Ministry of Health, Labor and Welfare has set standards for whether or not they are "severely ill", but it has been found that Tokyo and Osaka Prefecture compile the number of severely ill patients under different standards.

Governor Yoshimura of Osaka "Aged people should see a doctor early"

In Osaka prefecture, the number of severely ill patients with the new coronavirus has been increasing rapidly since the beginning of this month.

In Osaka Prefecture, 4 patients had severe cases of the new coronavirus one month ago on the 18th of the last month, and the utilization rate of the hospital bed to accept the serious cases was 2.1%, but as of the 17th day, 70 patients, 37.2%. And this month, the number has increased rapidly. On the 17th, five men and women aged 70 to 90 in total died.

Governor Yoshimura of Osaka Prefecture told reporters, "Comparing with Tokyo, the criteria for critically ill people differ between Osaka and Tokyo, but that alone does not explain the reason. I think that it is one reason that the distance to the current generation is close to the active generation, but I think that various factors are compounded,'' he said, holding a prefectural countermeasure headquarters meeting on the 19th to analyze the situation in detail. Was shown.

After that, he said, "Some elderly people are seriously ill at the stage when the infection is known. Before that happens, if any symptoms occur, ask for a medical examination as soon as possible." If they do, they suggest calling for an early examination.

Osaka Prefecture Criteria for the critically ill and transition of patients

According to Osaka Prefecture, the criteria for judging a patient who is infected with a new type coronavirus and is being treated as “severe” are the wearing of a ventilator and tracheal intubation, the wearing of an artificial heart-lung machine “ECMO”, and ICU = concentration. It corresponds to any of the four treatments in the treatment room.

Critically ill patients of Osaka that apply to this criterion,
▽ 4 person per month before the last month 18 days, but was 2.1% utilization rate of beds to accept critically ill patients,
▽ at the time of this month 1 day 20 people 10.6 % As of the
17th, 70 people were 37.2%, which is a significant increase this month.

The elderly are particularly noticeable, and when looking at the 43 seriously ill patients announced in the week until 17th by age group, approximately 60% were in their 20s, 70s were in 40%, and 80s were in 30%. 90% or more of the generations. Other than that, there were 3 people in their 50s, and 1 person in their 30s and 90s.

Governor of Koike "Promote measures for the elderly"

In Tokyo, the number of severely ill patients infected with the novel coronavirus reached 31 as of the 18th, and since May 30, the number has exceeded 30.

Governor Koike of Tokyo told reporters at the Tokyo Metropolitan Government Office, “Today, the number of severely ill people has increased by 4 to 31. Yesterday, we have already prepared 100 beds for severely ill people Since there is a high probability of becoming seriously ill, I would like to make steady progress on measures for the elderly."

Tokyo "without ECMO in intensive care unit" without counting

The Tokyo Metropolitan Government is counting the number of people infected with the new coronavirus who are using a ventilator and those who are being treated with an artificial heart-lung machine called "ECMO" as critically ill patients.

On the other hand, those who are in the intensive care unit without using a ventilator and "ECMO" are not counted as critically ill patients.

Regarding this, the metropolitan government said, ``I heard from the scene that there are people who are in the intensive care unit even if they are not seriously ill due to infection control and hospital beds. It counts in the form."

As of the 18th, the number of severely ill patients in Tokyo has reached 31.

Regarding this, the city has been increasing the number of inspections per day recently compared to April and May, and it is possible to detect infections of elderly people who do not have symptoms early and deal with them before the symptoms worsen. It is said that

Expert "Increasingly infected elderly people"

Regarding the trend of the number of severely ill persons nationwide, Professor Atsuro Hamada of Tokyo Medical University, who is familiar with infectious diseases, said, "The number of infected persons has been flat recently, but after the number of infected persons has increased, it has become a little late and serious. As the number of people increases, we need to be careful for a while."

Regarding the situation in Tokyo, Professor Hamada said, ``In the past, the infection had spread mainly to young people in Tokyo, but from this month it seems that the situation has changed, such as the proportion of elderly people is increasing gradually. Recently, it may have been the impression that young people are mainly infected and few people get seriously ill, but when the number of elderly infected people increases, the number of seriously ill people increases, which may lead to stress in the medical field. Hasn't changed. I want people to live with anti-infection measures such as avoiding the "3 dense" environment as before."

On the other hand, there is an area where the number of severely ill persons is increasing. “It is thought that this is due to the fact that the number of infected persons in Osaka has increased sharply since last month, and that elderly persons at high risk of getting seriously ill have also become infected. We need to be more careful than in other areas to prevent the spread of the infection."

Ministry of Health, Labor and Welfare "report according to standards"

For those infected with the new coronavirus, the Ministry of Health, Labor and Welfare has established the criteria for "severely ill" and has notified prefectures etc. this April.

Specifically, if you are in an intensive care unit, or if you need a ventilator or a cardiopulmonary device called “ECMO,” you are asked to report as a seriously ill person if either of them applies. I will.

A person in charge of the Ministry of Health, Labor and Welfare said, “The criteria for severely ill people are as shown, so we would like prefectures to report according to the criteria.”