The number of newly infected people in Tokyo on the 28th, which was the highest ever at 3177.
The spread of the infection has not stopped, and the sense of crisis about the tight medical system is spreading.
We have summarized the current state of the medical system in Tokyo.
<What you can see in this article>
▽ Chairman Omi appeals for recognition of "medical
pressure
"
▽ Moderate hospital "capacity over"
▽ Tokyo requests medical institutions to "consider restrictions on conventional medical care"
▽ "difficult to transport" Increasing number of cases
▽ The
number of
home care recipients is more than five times that of one month ago
Chairman Omi "Medical pressure has already begun to occur"
On the 28th, Chairman Omi of the government subcommittee pointed out at the House of Representatives Cabinet Committee that "the population staying at night is gradually decreasing in downtown areas, but unfortunately it has not reached the expected level." did.
On top of that, Chairman Omi pointed out that the number of inpatients, those who need high-concentration oxygen inhalation, and those who are receiving medical treatment at home or accommodation are increasing. But that's our perception. "
"It is necessary to reduce the flow of people and contact opportunities a little more rapidly. It is very important now that the citizens fully understand the indicators of the tightness of hospitalization and that all Japanese society shares a sense of crisis. ".
Hospital "Capacity Over" that accepts moderately ill patients
At hospitals in Tokyo that accept moderately ill patients, we are busy with measures such as hospitalization of patients who exceed the prepared beds.
"Kawakita General Hospital" in Suginami-ku, Tokyo is one of the core hospitals for patients with the new coronavirus, and the main hospital and the nearby branch hospital accept patients up to moderate disease.
The hospital has secured 43 beds for patients with the new corona, but the number of inpatients has increased from about a week ago, and as of the 28th, 46 people have been hospitalized.
Since there are many cases of infection at home, the family responds by having them hospitalized in the same room.
By age group, the younger generation up to the 30s accounts for two-thirds of the total, and there are cases where patients in their 40s and 50s become severely ill and are transferred to another hospital.
In addition, ▽ 6 babies under 1 year old are also hospitalized, and nurses wearing gowns to prevent infection are giving milk, etc., and the increase in inpatients is increasing the burden of work. is.
More than 20 people visit the fever outpatient department of this hospital every day, and there were days when about 40% of the people tested were confirmed to be positive.
Yoichi Sugimura, director of Kawakita General Hospital, said, "Until the beginning of July, there were 35 to 40 people, but in the last two weeks, 43 beds have become full, and it has been impossible to enter for about a week. The number of patients with mutant strains that are strong and have a long incubation period is increasing, and the number of cases in which people in their 40s and 50s become severe and are on a ventilator is increasing. I think that the situation of capacity over will continue for a while. " I told you.
Furthermore, "The most important thing to note now is not to cause nosocomial infections. If nosocomial infections occur in this situation, it will directly lead to medical collapse, so people who are to be hospitalized for treatment or examination should be infected as much as possible. Don't go to other places. It's difficult, but I want young people to know that they are at greater risk than ever before by trying to keep people in check. "
Tokyo "Consider restrictions on regular medical care" Medical institution "Explanation to Tokyo residents"
As of the 27th, the number of inpatients in Tokyo was 2,864, nearly double that of a month ago, and the bed usage rate also increased to 48%.
Under these circumstances, the Tokyo Metropolitan Government held a briefing session for medical institutions accepting patients with the new coronavirus, and requested that they consider restrictions on conventional medical care and secure more beds.
Medical institutions have expressed concerns such as "If you want to limit regular medical care, the city should explain it to the citizens of Tokyo."
Capital has want to increase "current, beds that ensure" the 5967 floor, up to 6406 beds that you are "can be secured at the maximum" to the prospect of the next month 6 days.
University hospital "May affect general medical care"
At the request of the Tokyo Metropolitan Government, an online meeting was held on the morning of the 28th at the Tokyo Medical and Dental University Hospital in Bunkyo-ku, Tokyo, to gather hospital executives and others on how to deal with securing beds.
At the meeting, it was reported that as of the 28th, 21 patients with moderate illness and 4 patients with severe illness were hospitalized, and the beds for moderate illness were full. ..
For this reason, until now, the hospital rooms of mutant virus patients have been divided into patients with the mutant virus "Alpha strain" confirmed in the United Kingdom and patients with the "Delta strain" that has spread in India, which has strong infectivity. However, now that the infection is spreading rapidly, we decided to stop dividing the hospital rooms and make them the same so that we can open the hospital rooms and accept more patients.
In the video taken by the hospital, nurses rushed in and out of the hospital room with the sticker "L452R," which means Delta strain, to respond.
Although critically ill patients are still accepted at this hospital, there is a growing sense of crisis that if the infection continues to spread rapidly and the number of critically ill patients increases, general medical care may be affected.
Ryuji Koike, Deputy Director of Tokyo Medical and Dental University Hospital, said, "The number of patients is increasing explosively. We have to prioritize the accommodation of patients rather than the need to divide the hospital room according to the type of mutant strain. So please understand. "
Rapid increase in cases where emergency transportation is difficult
In July, the number of cases of “difficulty in transportation”, in which the medical institution that accepts emergency patients is not decided immediately, is increasing rapidly.
According to the summary of the Fire and Disaster Management Agency of the Ministry of Internal Affairs and Communications, the number of cases increased to 2202 in the week up to the 25th of this month for the third consecutive week, 1.4 times the number of 1545 cases in the previous week (until the 18th). ..
Of these, 698 cases were suspected of being infected with the new coronavirus, a 1.6-fold increase from the previous week.
By region,
▽ Tokyo is 1121 cases (Tasu285 cases)
▽ Osaka in a review 255 (Tasu116 cases)
▽ Sapporo is at 137 (+54 cases)
▽ Yokohama 135 (+53 cases)
to as large It stands out in the city.
According to the Fire and Disaster Management Agency of the Ministry of Internal Affairs and Communications, "Depending on the area, it has already taken time to select a medical institution and transport patients, and the data show signs that the beds are becoming tight. I want you to take measures. "
Home recuperators in Tokyo more than five times as many as one month ago
On the other hand, the number of people who are receiving medical treatment at home is also increasing rapidly compared to a month ago.
As of the 21st of this month, the number of people nationwide exceeded 10,000, and in Tokyo it was more than 4,000, which is more than five times the number one month ago, according to a summary by the Ministry of Health, Labor and Welfare.
Ministry of Health, Labor and Welfare Summary (as of this month 21 days)
▽ nationwide 10,717 people
has increased about 4900 people than the previous week (5809 people).
▽ Tokyo 4068 people
approximately two times that of the previous week (1839 people), has increased to 5.7 times as compared to the one month close before June 23 days of (711 people).
▽ Kanagawa Prefecture 2241 people
1.5 times the previous week (1468 people), one month before (746 people) of 3 times to
▽ Chiba Prefecture, 792 people
1.7 times the previous week (470 people), one month before (251 three times more than people)
▽ Saitama Prefecture 1104 people
2.7 times the previous week (410 people), has jumped to more than 10 times when compared with a month ago (108 people).
Home-visit doctor "I'm worried if I can get enough treatment at home"
Doctors who visit home caregivers are also becoming more vulnerable.
According to Kiyoshi Yamaguchi, director of "Owl Clinic, etc." in Setagaya Ward, a home-care patient who visited on the 26th said, "I can't get rid of my fever for a week." It means that it was decided to do.
Dr. Yamaguchi said, "Although oxygen can be administered and infusions can be given at home, it is overwhelmingly more time-consuming and limited compared to treatment at the hospital. Local family doctors have diagnosed the new corona but have experience in treatment. I'm worried if I can handle it enough. "
As the spread of the infection is expected to increase the number of home care recipients, we are calling for cooperation from other district medical associations.