Due to the rapid spread of the new coronavirus infection, the number of inpatients in Tokyo has exceeded 3,500, which is the largest number, and the number of people receiving medical treatment at home has exceeded 17,000.
Under these circumstances, there are cases where patients who cannot find a recipient in Tokyo are transported to a hospital in Saitama Prefecture.
Women in Tokyo 6 hours No hospital found in Saitama
This week, the Saitama Medical Center General Medical Center in Kawagoe City, Saitama Prefecture, received a request to accept a woman in her 40s who lives in Tokyo.
According to the hospital, the woman had been treated at home for five days, but the health center adjusted her hospitalization because the oxygen level in her blood dropped.
However, there was no place to accept it, and after that, the ambulance crew searched for a hospital, but they continued to be refused, and they stayed in the ambulance and could not find a hospital for more than 6 hours.
Then, Tokyo and Saitama Prefecture coordinated and were transported to this hospital, which is about 50 kilometers away from the city center.
At this hospital, hospitalization requests are made every day, and since last week, 6 beds for severe illness have been almost filled, and the beds are always tight. , It means that it was accepted.
This patient was already in a condition called "moderate 2" that required oxygen administration at the time of admission.
In the 5th wave, there were a series of cases in which generations in their 40s and 50s who had no underlying illness and had never had a major illness became in a state of "moderate 2", and they had to wear a respirator. It means that some patients get worse to "severe".
Doctor "If you don't have a destination, you can lose your life."
Dr. Hideaki Oka of the Department of Infectious Diseases said, "In the 5th wave, the condition may suddenly worsen from moderate 2 to severe, and if you cannot find a destination like this time, you may lose your life. I think that if we can help, we will not be able to reach the treatment, and unfortunately we will lose our lives. "
Ministry of Health, Labor and Welfare "Basically secure beds in each area, carefully consider"
“Wide-area transportation” to transport patients to different areas requires fine coordination between medical institutions, so the prefectures where each location is located agree.
In April, Shiga Prefecture accepted patients in response to the strain on the medical system in Osaka Prefecture due to the spread of the new coronavirus infection.
On the other hand, the Ministry of Health, Labor and Welfare wants you to make individual judgments, saying that transferring patients will be a burden on the body, and that the condition of critically ill patients who require a respirator may change suddenly.
In particular, if the number of people who are transported from the target area of the state of emergency to another target area or are hospitalized does not exceed the number of beds secured by the prefecture, be careful based on the infection situation. I'm asking you to consider.
The Ministry of Health, Labor and Welfare said that wide-area transportation would be limited to a limited effort, saying that "it is practically difficult for some local governments to accept many patients at once because the infection is widespread nationwide." "I will not deny it, but I want you to get the understanding of the residents and medical institutions."
On top of that, he said that it is basic for prefectures to secure beds in their respective areas, and that they will continue to provide support such as dispatching doctors and nurses to areas where the medical system is tight.
Expert "At home to control local infections"
Professor Koji Wada of the International University of Health and Welfare, who is a member of the expert meeting of the Ministry of Health, Labor and Welfare, said, "The spread of infection has not stopped because the rapid increase in infection has not been stopped. In the current situation, it is becoming difficult to transport patients beyond the prefecture because they are full of their own areas. Unless the spread of infection is stopped, wide-area cooperation of medical institutions may not be an effective measure. Isn't it? "
Regarding the situation of medical pressure, "The number of hospitals that want to accept patients but cannot accept them is increasing, and some medical staff are feeling helpless. Accidents, heat stroke, myocardial infarction. Even if you call an ambulance when you or your family are injured, it may take several hours to go to the hospital. Even if you have a chronic illness such as cancer, you may not be able to receive the planned treatment. I also want you to take action to prevent the spread of infection in terms of protecting yourself and those around you. "
On top of that, Professor Wada said, "At this stage, in order to reduce the chances of contact with other people, we have to ask them to stay at home as much as possible. If the work starts after the holidays, the number of contacts in the workplace may increase and the infection may spread further. Now it is important to have people stay at home to prevent infection in the area as much as possible. " I complained.
Number of newly infected people ・ 1.33 times nationwide compared to the previous week
According to the materials presented at the expert meeting of the Ministry of Health, Labor and Welfare held on the 11th, the number of newly infected people in the week up to the 10th
is 1.33 times
that of the previous week,
and the spread of infection continues nationwide. In
areas where emergency declarations have been issued,
▼ Tokyo is 1.19 times,
▼ Saitama prefecture is 1.39 times,
▼ Kanagawa prefecture is 1.36 times,
▼ Chiba prefecture is 1.33 times,
▼ Osaka prefecture is 1.25 times,
▼ Okinawa The
number of infected people has reached a record high
of 1.38 times in the prefecture,
and the number of infected people continues to increase.
In areas where priority measures such as spread prevention are applied,
▼ Hokkaido is 1.34 times,
▼ Ibaraki prefecture is 1.32 times,
▼ Tochigi prefecture is 1.12 times,
▼ Gunma prefecture is 1.38 times,
▼ Shizuoka prefecture is 1.65 times,
▼ Aichi prefecture 1.48 times,
▼ Shiga prefecture 1.75 times,
▼ Kyoto prefecture 1.54 times,
▼ Hyogo prefecture 1.37 times,
▼ Fukuoka prefecture 1.58 times
▼ Kumamoto prefecture 1.54 times, while
▼ In Fukushima prefecture, it was flat at 0.99 times, and in
Ishikawa prefecture, it was 0.80 times.
Number of infected people per 100,000 population (last week)
Looking at the current infection situation in the last week infected persons per 100,000 population,
▼ Okinawa Prefecture 247.83 people,
▼ Tokyo and exceeds for the first time 200 people at 200.06 people
in the past in Japan every region of in addition to that is to scale spread of infection that has not been experienced,
▼ Kanagawa Prefecture 140.27 people,
▼ Saitama Prefecture 119.66 people,
▼ Chiba Prefecture have become such as 107.27 people,
is 77.60 people with the infection situation in ▼ nationwide There are 31 prefectures that exceed the 25 most serious “Stage 4” guidelines.
In addition, it is estimated that the highly infectious mutant virus "Delta strain" has almost replaced in the Tokyo metropolitan area and has already accounted for more than 80% of all infections in Kansai.
Delta shares 95% in the Tokyo metropolitan area 80% in Kansai
The highly infectious mutated new coronavirus "Delta strain" has already almost replaced 95% of all infections in the Tokyo metropolitan area, and the National Institute of Infectious Diseases estimates that it accounts for more than 80% in Kansai. Summarized.
The result of the National Institute of Infectious Diseases estimating the proportion of viruses containing the "L452R" mutation found in delta strains based on the data of "mutant screening tests" of seven private testing companies. Was shown at an expert meeting of the Ministry of Health, Labor and Welfare on the 11th.
According to this, Delta stocks have already been replaced by 95% in Tokyo, and 95% in 1 metropolitan area including Kanagawa, Saitama and Chiba prefectures.
In addition, in the two prefectures of Osaka, Kyoto, and Hyogo prefectures, the number was low until early July, but it has expanded rapidly to 84%, and by the end of this month, almost all of them are in Kansai. Will replace the Delta stock.
Furthermore, the replacement is rapidly progressing in various places such as 96% in Okinawa prefecture, 94% in Fukuoka prefecture, and 82% in Aichi prefecture. It has been pointed out that they are connected.
“A phase close to the situation at the time of a disaster” Ministry of Health, Labor and Welfare expert meeting
As the number of people infected with the new coronavirus has exceeded 10,000 people nationwide for more than a week in a row, the spread of the infection continues rapidly, and an expert meeting of the Ministry of Health, Labor and Welfare was held to advise on countermeasures.
Regarding the current situation, he expressed a strong sense of crisis that many lives could not be saved due to the tight medical treatment, saying that "the situation is close to the situation at the time of the disaster", and then postponed homecoming such as Obon and already vaccinated. He emphasized the need to thoroughly implement basic infection control measures such as masks, including those who have been vaccinated.
At an expert meeting held on the 11th, the state of infection nationwide was analyzed as "the number of new infections is increasing rapidly in almost all regions of the country, and the spread of infection has never been experienced before." Did.
On top of that, the number of severely ill people, which had been kept low until now, has increased rapidly, and the number of people who are adjusting for hospitalization has also increased rapidly. We are approaching a situation close to the situation at the time of the disaster. "
By region, the largest-ever spread of infection in Tokyo has reached record highs for both inpatients and severely ill patients, and the number of patients undergoing home medical care is increasing rapidly. In some cases, there are cases where general medical care is restricted.
Metropolitan area Infection continues to spread for the time being Okinawa Prefecture Bed usage rate is severe
In addition, the usage rate of severely ill beds is increasing in Saitama, Chiba, and Kanagawa prefectures, and the decrease in the number of people at night in Tokyo did not reach the level at the time of the previous state of emergency declaration, only in the 20s and 30s. However, the percentage of people in their 40s and 50s who are at high risk of becoming severe is also high, and it is pointed out that the spread of infection will continue in the Tokyo metropolitan area for the time being.
Okinawa Prefecture has the highest number of infected people per population in Japan, which is an unprecedented level, the number of inpatients is increasing rapidly, and the bed usage rate is severe, while the number of people at night is high. Is declining.
Osaka Prefecture Rapid spread of infection continues
Even in Osaka Prefecture, the rapid spread of infection continues, the number of hospitalized and severely ill people is increasing, and the number of people at night has started to decrease, but it is still high, so it is predicted that the spread of infection will continue. ..
At the expert meeting, while the replacement of highly infectious mutant virus and Delta strain is progressing, the decrease in the number of people due to the declaration of emergency etc. is limited, and we are entering a phase of infection spread that we have never experienced before. On top of that, there is a limit to the expansion of the medical system, so the rapid increase in the number of seriously ill people is a strong crisis with unprecedented expressions, saying, "There is a concern even in a critical situation where many lives cannot be saved." He expressed his feeling that it was necessary to control the spread of the infection as soon as possible.
On top of that, as a necessary measure, the expert meeting ▼ refrained from moving or going out across prefectural borders during Obon and summer vacation, and requested that homecoming be considered for postponement.
In addition, as the infection is spreading rapidly not only in eating and drinking, but also in commercial facilities, workplaces, schools, etc. ▼ Wearing and disinfecting masks, including those who have been vaccinated, securing distance from people, ventilation, etc. In principle, we are requesting that the basic measures of the above be thoroughly implemented, and that meetings at the workplace be held online, that telework be promoted, and that people with symptoms should refrain from going to work.
He also pointed out the need to secure the necessary medical care by utilizing the recently approved antibody drugs that are expected to prevent the aggravation and immediately establishing a system that can respond quickly to the aggravation.
Minister of Health, Labor and Welfare Tamura "Infection spreads nationwide Tokyo is severe"
At the beginning of the expert meeting, Minister of Health, Labor and Welfare Tamura said, "The number of newly infected people is normally over 10,000, and the infection is spreading nationwide. Among them, the situation in Tokyo continues to be severe, but the situation in Tokyo. The number of prefectures approaching is increasing one after another. "
On top of that, "Given the situation where clusters are occurring, the infectivity of the Delta strain is so strong that it can be infected even in an environment that has not been infected until now. I want you to avoid dinner. "
On the other hand, Minister Tamura said, "Although more than one-third of the people were vaccinated for the second time," I want you to suppress your behavior for the next two weeks until the vaccination in your 40s and 50s progresses. " I think it will be an expert evaluation. I would like you to evaluate what kind of behavior you should pay attention to after vaccination has spread to the general public. "
Chairman Takaji Wakita "Actions to avoid risks, which are popular among people in their 40s and 50s"
After a special meeting of the Ministry of Health, Labor and Welfare, Chairman Takaji Wakita talked about the current state of the medical system. There was an unprecedented debate about whether to prioritize medical care. Naturally, it is necessary to create a system to promote corona medical care without sacrificing general medical care as much as possible, but for that purpose, infected people It is necessary to reduce as much as possible. Some members are already in a critical situation where they cannot access emergency medical care, and some members have expressed that it is a situation comparable to disaster medical care. I think there is a current situation that I have not been able to share with other people. "
On top of that, "According to the data analysis of the night-time population in Tokyo, not only the younger generation but also the people in their 40s and 50s who have a relatively high risk of becoming severe are increasing. The new corona virus is influenza. Unlike, it is an infectious disease that kills a few percent of infected people and is not a low-lethal disease. Take action to avoid the risk of infection to protect yourself and your loved ones. " ..