Osaka prefecture, the first over 2000 people.

Aichi Prefecture is the first to exceed 1000 people.

And Tokyo has the second highest number of 5,386 people so far.

The number of confirmed infections of the new coronavirus has exceeded 23,000 people nationwide, making it the largest number of announcements made on a daily basis.



While the number of home recuperators is increasing rapidly, it is clear that all three infected parents and children were recuperated at home in Tokyo, and their mother in her 40s died.



In order to overcome such a difficult situation, efforts such as sending out "urgent symptoms" on Twitter and utilizing old ambulances that have retired from active duty have begun.

The number of newly infected people is the highest ever in various places

As of 6:30 pm on the 18th, 23,917 infections were announced nationwide, the highest number ever announced on the 1st.

Of these, 27 prefectures are the largest or the largest in history.

It has been confirmed that 5386 people, the second highest number so far, are newly infected in Tokyo.


This is the highest number of Wednesdays ever, and the infection continues to spread rapidly.


The city also revealed that six people who were confirmed infected had died.

Unstoppable spread of infection

According to the materials presented at the expert meeting of the Ministry of Health, Labor and Welfare held on the 18th, the number of newly infected people in the week up to the 17th is 1.31 times that of the previous week, and the spread of infection continues nationwide. ..


In areas where a state of emergency has been declared,


▽ Tokyo and Kanagawa prefectures are 1.14 times,


▽ Saitama prefectures are 1.25 times,


▽ Chiba prefectures are 1.29 times,


▽ Osaka prefectures are 1.46 times, and


▽ Okinawa prefectures are 1.26 times.


The expansion trend has not stopped.



Even in areas that have been decided to be added to the target areas of the declaration from the 20th of this month,


▽ Ibaraki prefecture 1.06 times,


▽ Tochigi prefecture 1.18 times,


▽ Gunma prefecture 1.38 times,


▽ Shizuoka prefecture 1.74 times,


▽ Kyoto prefecture It is 1.48 times,


▽ 1.57 times in Hyogo prefecture,


▽ 1.18 times in Fukuoka prefecture, and


it continues to expand while renewing the record high.

Home recuperation "All three parents and children infected mother died"

As the infection continues to spread, the number of people receiving medical treatment at home is increasing along with the strain on the medical field.



On the 17th, the Tokyo Metropolitan Government revealed that all three parents and children infected with the new coronavirus were treated at home, and the mother in her 40s died.



According to the city, a woman in her 40s who died had a domestic infection and was found positive on the 10th of this month.



The husband and the child were also positive, and the three of them were receiving medical treatment at home.



The woman had fever and coughing symptoms on a health observation conducted by the health center the day after she was found to be positive.



I think that the city was mildly ill because there was no request for hospitalization adjustment from the public health center.



The next day, on the 12th, my husband found him lying down at home, but he had already died.



At this time, the cause of death for women is unknown.



The details of whether women and their families wished to be hospitalized are unknown because the city has not heard from the health center.



The woman had an underlying diabetes disorder and had never been vaccinated.



Seven people died during the home medical treatment that the city grasped in the fifth wave.

Home recuperation "Highly urgent symptoms" sent on Twitter

Under these circumstances, efforts are being made to overcome the severe situation caused by the spread of infection.



The Volunteer Association, which is made up of medical and public health specialists involved in countermeasures against the new coronavirus, has posted on Twitter the points to be aware of during home medical treatment.



Among them, 13 items are shown as "highly urgent symptoms" that can be used as a guide for calling an ambulance during medical treatment, and the patient himself can check



about breathing

with purple lips


▽ breathing becomes rough. was


▽ suddenly stifling became


▽ stuffy and a little move has a life


▽ is chest pain


can not breathe and ▽ not sit not accustomed to the horizontal


and have to breathe in the ▽ shoulder


▽ began to sudden wheezing


consciousness


▽ The


point is

that the rhythm of the pulse

seems to

be disturbed

.



We also

ask

family members and cohabitants

to be aware

that they are


apparently pale ▽ unusual


, strange


▽ weakly responsive, absent-


minded ▽ unanswered and trying


.

Depending on the area, even if you request an ambulance, it will take a long time to transport it, so if you are worried about changes in your physical condition, we call on you to consult your family doctor, the doctor who diagnosed you, the health center, or the consultation desk of the local government.



A group of volunteer experts said, "Since the number of people who are going to home medical treatment without contact from the health center or guidance from the clinic about home medical treatment is increasing, I thought that I had to deliver the necessary information." is.

“Not enough ambulances” Reuse old retired ambulances

Narashino City, Chiba Prefecture, has begun efforts to re-use old ambulances that have retired from active duty, as ambulances are increasingly being paid out due to the inability to find a place to accept patients who are undergoing medical treatment at home. rice field.



The Narashino City Fire Department operates six ambulances, but due to the rapid increase in the number of people infected with the new coronavirus, the ambulances were paid out 19 times from last month to the 17th, about 4 of the same period of the year. It means that it has doubled.



In some cases, the new corona beds in Chiba Prefecture are almost full, and even if we try to transport patients undergoing medical treatment at home to the hospital, we cannot find a place to accept them, and the ambulance has to wait at the site for a long time. The cause is that it is increasing.



At the fire department, in the event of an emergency, the ambulance might not be able to be dispatched, so we decided to re-use the old ambulance that was planned to be scrapped after retiring from active duty.



Toshiaki Nakata, chief of the Narashino City Fire Department's Security Division, said, "This is the first time for me to do this, but I want to protect the safety and security of the citizens by using an old ambulance."

Doctors observe the health of home recuperators on behalf of the health center

Instead of the health center, which is busy adjusting hospitalization due to the rapid spread of infection, efforts have begun in Tokyo to support the work of following changes in the physical condition of home care recipients in cooperation with local family doctors and visiting nurses.



Dr. Hiroshi Suzuki of the Ota Ward clinic called 11 home recuperators from the morning and carefully asked about the body temperature of the day, the oxygen level in the blood, and whether breathing was difficult.



In a conversation with a male patient in his 50s who was waiting for hospitalization while using an "oxygen concentrator" at home, the numerical value improved by administering oxygen, and Dr. Suzuki said, "I'm not going in the wrong direction, so I hope. Let's do our best with it. "



In addition, a woman in her thirties found that the oxygen level in her blood dropped to "moderate 2" the day before, but she could not find a device to administer oxygen, and she recovered after continuing medication. The doctor said, "You did your best in anxiety."

Dr. Suzuki said, "The health center plays the most important role in adjusting hospitalization. The family doctor is responsible for observing the health of the diagnosed patient and making home visits. The home-visit nursing station will improve the patient's life at home. In Ota Ward, cooperation with health centers, hospitals, and home-visit nursing has been successful to some extent, but the reality is that there are patients who cannot support it. No, "he said.

Expert Meeting Chair Wakita "Reduce contact for the time being"

As urgent action is required, the government and experts have described the current situation and future efforts as follows.



Chairman Takaji Wakita, who met after an expert meeting of the Ministry of Health, Labor and Welfare on the 18th, commented on the current infection situation and countermeasures. The area has continued to expand rapidly, and the number of infected people has been reported to be quite high in Tokyo, so it was discussed that the number of infected people would continue to increase. Has no choice but to reduce contact. As recommended by the government subcommittee, the focus is on having the opportunity to go out halved. Currently, the medical situation is often said to be "disaster level". However, I would like you to be aware that general medical care is restricted and act accordingly. "

Minister of Health, Labor and Welfare Tamura "Antibody Cocktail Therapy Nationwide Expansion"

At the beginning of the expert meeting, Minister of Health, Labor and Welfare Tamura said, "The infection has spread throughout the country, and the number of seriously ill people is increasing rapidly. We will work as soon as possible to secure a sufficient supply amount. Also, for those who are receiving medical treatment at home, we will increase the production of oxygen concentrators at home so that we can handle it at home in case of emergency. I would like to ask the government to manage it to some extent and consider systematic distribution. "



He added, "I would like to take immediate action by utilizing the provisions of the Infectious Diseases Control Law so that medical institutions that do not treat corona patients can also take care of them."

Chairman Nakagawa of the Japan Medical Association "Large-scale venue utilization for temporary medical facilities"

At a press conference on the 18th, Chairman Nakagawa of the Japan Medical Association requested the Ministry of Health, Labor and Welfare to utilize large-scale event venues and exercise facilities as temporary medical facilities due to the strain on the beds due to the spread of the new coronavirus infection. I explained that I am doing it.



On top of that, regarding temporary medical facilities, he said, "There is an advantage that sudden changes in patients can be detected very efficiently compared to home medical treatment. It is an urgent emergency and I would like to think about various things in the sense of increasing the number of beds as much as possible." He stated that he would cooperate with the dispatch of doctors.



In addition, in collaboration with Keidanren, it was revealed that it is considering using the training facilities of companies nationwide as accommodation facilities for infected people.



On the other hand, Chairman Nakagawa also expressed his intention to request the Ministry of Education, Culture, Sports, Science and Technology to promptly show concrete measures to prevent outbreaks in club activities and schools after summer vacation because the infection of children is increasing. ..