This is the analysis result of the infection situation and medical care provision system in Tokyo shown at the monitoring meeting on the 26th.
As of the 25th, the average number of new infections confirmed for 7 days was 4388.4.
Since the end of June, it has increased for 9 consecutive weeks until last week, but it has decreased by about 242 from 4630.6 as of the previous and 18th of this month.
Experts said, "The 7-day average is about 4702 on the 19th of this month, which is a record high and continues to be extremely high. 4300 people per day, which is 2.4 times the peak of the third wave. There are more than two new positives on the rise. "
In addition, the rate of increase in new positives has exceeded 100% for more than two months in a row, but this time it was about 95% of the previous week.
The percentage of people who were confirmed to be infected in the week leading up to the 23rd of this month was the
highest at 30.7% in their 20s, and has exceeded 30% for eight consecutive weeks since last month.
▽ 30s is 20.2%,
▽ 40s is 16.1%,
▽ 50s is 10.8%,
▽ teens is 10.1%,
▽ under 10s is 5.7%,
▽ 60s is 3.2%,
▽ 70s is 1.8 %,
▽ 80s was 1.1%,
▽ 90s and over was 0.3%.
Since mid-June, more than 90% of all employees are in their 50s or younger.
▽ under 10 years old increased by 0.7 points
▽ teenagers increased by 0.8 points, the third consecutive week of increase.
Experts point out that "schools are reopened and thorough infection control measures are required in school life. It is necessary for society as a whole to raise awareness of'protecting children'."
On the other hand, the number of infected elderly people aged 65 and over was 1377 this week, 1.3 times that of the previous week, which was 1078, and increased for the sixth straight week.
The percentage also increased by 0.6 points from the previous week.
Experts say, "The elderly are at high risk of becoming severe and may have a longer hospital stay. It is important to prevent the aggravation through early detection and early consultation."
Among those who know the infection route,
▽ infection from people living together is the most common at 66.3%, followed by
▽ workplace at 12.2%.
▽ Infection in nursery schools, schools, facilities for the elderly and hospitals was 5.6%, and
▽ dinner was 2.7%.
In particular, infections at facilities are at a high level for teens and under 10 years old, and experts say that it is necessary to take thorough infection control measures at nursery schools and schoolchildren's clubs that do not have summer vacation.
In addition, following last week, many cases of infection in kindergartens, nursery schools, club activities, university dormitories, etc. have been reported this week as well.
Experts said, "It is necessary to refrain from traveling and to reinforce basic infection control measures in school life including club activities and school events and cram schools. Especially, as a result of increasing contact opportunities by going to school after the summer vacation. There is a concern that the infection will spread to the homes that have been infected. "
In addition, he said that the rate of infection in the workplace is high, "To reduce the infection in the workplace, it is most important to actively encourage employers to see a doctor or take a vacation when an employee is ill. Summer vacation It is necessary to take positive measures to improve the environment to avoid the three issues, such as thorough acquisition of infections, teleworking, staggered commuting, and promotion of online meetings. "
The 7-day average of people who do not know the route of infection, which is considered to be an "indicator of the spread of infection," was 2614.7 as of yesterday, a decrease of about 262 from the previous week.
It has been increasing continuously for more than 2 months, but this time it has decreased.
The rate of increase was 90.9% on the 25th, down 24.9 points from the previous week, and has fallen below 100% since June.
However, experts said, "The number of people who do not know the infection route has remained at an extremely high level. There is a potential spread of infection that the infection route cannot be traced due to infection from a third party outside the workplace or facility. In addition, although the rate of increase has fallen below 100%, strict caution is still required. To prevent further expansion, it is necessary to drastically reduce the flow of people. "
The percentage of people who do not know the infection route is about 60%, down 2 points from the previous week, but it remains at a high level.
The percentage of people in their 20s to 40s who do not know the infection route exceeds 60%, and in particular, about 70% in their 20s and 30s who are active in their behavior.
Medical care provision system
The 7-day average positive test rate was 20.7% on the 25th, down 3.3 points from 24% on the 18th of this month in the previous week.
Experts pointed out that "it is still at a high level. There is a possibility that a large number of infected people may be latent due to the inability to receive tests promptly. It is necessary to strengthen the testing system."
After that, "If there is a possibility that you are a close contact, such as when the attendees of the dinner are positive, consult a medical institution and have the citizens understand that you should receive the examination promptly without instructions from the health center. I need to. "
The number of inpatients was 4,154 as of the 25th, an increase of 339 from the 18th of this month, a new record high.
Experts pointed out that "many of the hospitalization priority medical institutions are hospitals that accept ordinary emergency patients, and there are major obstacles to the emergency transportation and acceptance of patients with urgent injuries and illnesses." ..
On top of that, "If the current infection situation continues, the situation where the life can not be saved beyond the limit of the medical care provision system will be further exacerbated. It is necessary to share the sense of crisis as a reality and cooperate with the whole society to confront." I strongly called for it.
The average number of requests from the public health center to the hospitalization coordinating headquarters in Tokyo for seven days was 595 on the 25th, a decrease of 106 from the 18th of this month.
However, an expert said, "It is moving at a very high level. There were many cases where adjustments were difficult and we were forced to carry over to the next day or later or wait at home, and yesterday 250 people carried over to the next day. It became. "
Looking at the 4,154 inpatients as of the 25th by age group, those in their 60s or younger continued to be at a high level of about 83% of the total, and by age group,
▽ 50s was the most common, and about 24% of the total.
▽ Next, about 21% are in their 40s.
▽ Even in the 30s and under, it accounts for about 27%, and experts said, "The number of hospitalized patients, mainly young and middle-aged, is increasing rapidly. Lately, the number of severely ill patients in this age group is also increasing rapidly. I pointed out.
In addition, the number of seriously ill patients as of the 25th, which was calculated based on the Tokyo standard, increased by 2 from 275 as of the 18th of this month to 277, the highest number ever.
Experts pointed out that "it has been at an extremely high level. The beds for critically ill patients are tight, and even if the beds are vacant, the next patient will be hospitalized and will be full." ..
As of the 25th, there are 277 seriously ill patients by gender:
▽ male 208
▽ female 69.
group, 109 people were in their 50s, followed
by 58 people in their 60s
, 49 people in their
40s, 27 people in their 70s
, 23 people in their
30s, 6 people in their 80s, and
▽. There were 4 people in their
20s and 1 person in their teens.
Experts said, "Vaccinations in their 40s and 60s make up 78% of all critically ill patients. It is necessary to raise awareness that vaccination is expected to prevent aggravation and reduce mortality in this age group. There is. "
He added that "new serious cases are occurring this week even in his twenties and thirties," and said that people with obesity and smoking history are at high risk of becoming severe even at a young age and need to be vigilant. Shown.
In addition, there were 571 people on the 25th who were likely to need mechanical ventilation or ECMO treatment soon.
Two more people have been added since the 18th of this month, a new record high.
Comparing the medical treatment status of those who became positive as of the 25th with the medical treatment status as of the 18th of this month, ▽ the number of people who are receiving medical treatment at home increased by 2943 to 25,169, ▽ medical treatment at hotels secured by the capital. The number of people who are there increased by 212 to 2019.
In addition, the number of people who are adjusting whether to be hospitalized at a medical institution or to receive medical treatment at a hotel or home increased by 2,323 to 10,26.
The total number of "people in need of medical treatment" including inpatients was 41,368, an increase of 1171 from the 18th of this month.
The ratio of inpatients to all medical treatment is about 10%, and the ratio of overnight medical treatment is about 5%, both of which increased by 1 point from the previous time, but experts point out that it is "extremely low level".
On the other hand, he explained that "there are still significantly more people" who are in the process of being hospitalized or being treated at a hotel or at home.
He also explained that five people had been reported dead during home care in the week leading up to the 23rd of this month, saying that "it is in a serious situation."
He also pointed out that it is necessary to further strengthen the follow-up system for home caregivers, such as a system that allows them to quickly grasp the deterioration of their physical condition at home and receive medical examinations promptly.
Meanwhile, 44 people infected with the new coronavirus died in the week leading up to the 23rd of this month.
Of these, 31 were in their 70s or older.Keywords: