At a press conference on the 26th, Governor Koike of Tokyo reiterated his intention to continue to grasp the total number of people infected with the new corona for the time being, and if the government reviews the system, it will prevent confusion on the ground. I asked that it should.
Regarding the new corona countermeasures, the government has reviewed the grasp of the total number of infected people, and has indicated a policy to allow local governments to limit the subjects of reports to those who are at high risk of becoming seriously ill. , shows the intention to continue to grasp all the numbers as before.
At a press conference on the 26th, Gov. Koike said, ``Recently, there have been a noticeable number of people with mild or moderate illness who suddenly died. We were distributing test kits and devising fever consultations, so I was worried that if we changed it here, it would rather cause confusion at the site."
Also, when asked by reporters about the response to a request to review the nationwide uniform grasp of all numbers, he said, "I would like to ask the government not to cause confusion in the field where countermeasures are being taken. I expect it to stack up," he said.
There is also a certain understanding of the continuous grasp of all clinics in Tokyo
Regarding the fact that Governor Koike of Tokyo has indicated that he will not review the total number of people infected with the new coronavirus for the time being, a clinic in Tokyo said that although it is difficult to enter data, the data is useful for corona countermeasures. Some voices of understanding were heard as important.
At the "Sumida Ishibashi Clinic" in Sumida Ward, Tokyo, the number of patients visiting the fever outpatient clinic is on the decline, but four patients were diagnosed as positive on the morning of the 26th, and the staff sent the patient's information to "HER-SYS". ” into the national system.
In order to grasp the total number, it is necessary to enter the data of all patients infected with the new coronavirus, and even at this clinic, at most, about 20 patients are diagnosed as positive a day, and the work can take more than an hour, which is a burden. I was.
Regarding the grasp of the total number of cases, the government has decided to limit the subjects of the report to those who are at high risk of becoming seriously ill, at the discretion of the prefectures. It indicates an idea to continue without
The director of the clinic, Tsutomu Ishibashi, said, ``I was worried that if there were no statistical data, it would be too late to notice the mutation of the virus, and the on-site countermeasures might be delayed. It's physically demanding, but I understand the importance of data in my head, so I think it can't be helped," he said.
Some voices of concern about the government's review policy
Regarding the policy to revise the "total grasp" of the new corona infected people, it may not be possible to grasp the young generation, who are said to be at low risk of becoming seriously ill from medical sites in Tokyo, if their physical condition deteriorates during home treatment. There are voices of concern.
A 20-year-old woman who was hospitalized with the new coronavirus late last month and was discharged just a few days ago.
This woman was confirmed her infection, she continued to have a fever of 39 to 40 degrees, but she was not hospitalized and she remained in her home care for about two weeks.
However, she was hospitalized because a CT scan at the hospital confirmed her pneumonia.
She said, "Before the infection, I thought that the younger generation would not get worse, but I never thought it would get this bad, and I was afraid of Corona," she said.
At the Tokyo Rinkai Hospital in Edogawa-ku, Tokyo, where a woman was hospitalized, most of the inpatients are elderly, but about 20% of the patients are under the age of 50.
Deputy Director Tomoyoshi Yamaguchi said, ``If we stop keeping track of all patients, the administrative work at medical institutions will be reduced, and the burden will be lessened. There are concerns that it will not be possible," he said.
He added, "The '100% grasp' is effective for hospitals that accept inpatients, as it allows them to check the necessary information such as the progress of symptoms by entering the patient's ID into the national system. I think it was good for patients and hospitals that they weren't going to review it for the time being."
Governor Ohno of Saitama Prefecture "Understanding the infection situation is unified nationwide"
Governor Ohno of Saitama Prefecture said in a comment released on the 24th that ``it is better for the national government to take responsibility for determining the infection status nationwide, rather than leaving it to the judgment of local governments.''
In addition, regarding the future response, "We will promptly consider the response based on the contents of the notification from the government, the current situation of the prefecture, and the opinions of experts."
Saitama Prefecture will hold an expert meeting attended by doctors and prefectural executives on the night of the 26th, and it is expected that opinions will be exchanged on whether to review the total number of cases.
Governor Kumagai of Chiba Prefecture "I was surprised at the decision of the local government"
Governor Kumagai of Chiba Prefecture expressed his appreciation for the review of the total number of cases. "I was very surprised because I hadn't assumed that it would be 'at the discretion of the local government.' There are many cases where it is not appropriate to leave it to the local government."
He also said, ``The government needs to take responsibility and show a policy to shift the way we deal with the new coronavirus, and respond. I would like to consider it carefully, including that."
Kanagawa Prefecture Governor Kuroiwa "I can't get on the review as it is"
Governor Kuroiwa of Kanagawa Prefecture confirmed the details of the review with the national government, and said that the problems had become clear, saying, "I can't ride as it is."
Governor Kuroiwa is concerned about the impact on Kanagawa Prefecture's independent medical treatment system.
Under this system, if a person with a low risk of becoming seriously ill tests positive for a commercially available antigen test kit, he/she can recuperate at home without going through a medical institution or public health center by registering online, and can claim insurance. A certificate of medical care required for
In an interview with NHK on the 26th, Governor Kuroiwa said, "We have learned that the prefecture's independent medical reporting system will no longer be usable. I can't help but think that the design of the system was not sufficiently scrutinized." In the future, I would like to ask the country to review.
Kanagawa Prefecture will hold an emergency countermeasures meeting on the night of the 26th to decide on a response.
Experts “Need a way to follow”
Regarding the review of the grasp of the total number of people infected with the new coronavirus, experts participating in the national expert meeting said that if the review is made, it will be difficult for information on people who are judged to have mild symptoms to reach public health centers and local governments. He pointed out that there is a need for a follow-up method because food assistance may become difficult.
Regarding the grasp of the total number of people infected with the new coronavirus, the government has decided to limit the subjects of reporting to those who are at high risk of becoming seriously ill, at the discretion of the prefecture.
Regarding this, Hideo Maeda, director of the public health center in Tokyo's Kita Ward, said, "There were requests from some local governments to narrow down the target of the report to people with a high risk of becoming seriously ill, so I think it's appropriate in that respect." said.
On the other hand, regarding the issues associated with the revision, he said, "There is a possibility that people with mild symptoms will develop serious symptoms, so I am concerned that it will be difficult for public health centers and local governments to receive information about people who are judged to have mild symptoms. With regard to dealing with people other than those with high blood pressure, the government plans to create a system where infected people can consult, but if the local government does not have information about the patient's condition, it may take time and delay the response. There is," he pointed out.
He added, "If the government's policy of asking people to refrain from going out even if they have mild symptoms does not change, food assistance and other measures will be necessary. If we review the total number of people, it will be difficult for local governments to keep track of these people, so we can follow up. must be carefully considered," he said.