The government has reviewed its grasp of the total number of patients with the new coronavirus and has indicated a policy to limit detailed reports to the elderly, etc., but only four prefectures have applied for review by the evening of the 29th. However, it became clear in the summary of NHK.
At present, 33 prefectures are under consideration, while 10 prefectures have indicated a policy of not reviewing.
In order to reduce the burden on medical institutions and public health centers, the Ministry of Health, Labor and Welfare has decided to send "outbreak notifications" of patients to those who are at risk of becoming seriously ill, such as the elderly, at the discretion of the prefecture as an emergency measure. I revised it so that it can be limited.
And if you wish to review from the start of operation on the 31st, you asked the prefecture to apply by the evening of the 29th.
When NHK inquired about this to prefectures nationwide, four prefectures, Miyagi, Ibaraki, Tottori, and Saga, answered that they had applied for a review.
When asked about the reasons for the review, they answered, "I gave priority to avoiding the work pressure of fever outpatients" and "To concentrate on responding to patients with a high risk of aggravation."
In addition, 33 prefectures answered that they are currently considering it, and as for the reason, many said, "In the future, I would like to make a decision based on the nationwide uniform guidelines presented by the government." There was also a voice saying that the center is not ready.
On the other hand, 10 prefectures, including Tokyo and Kanagawa, responded that they would not review the situation at this time, with reasons such as "Even people with a low risk of becoming seriously ill may experience worsening symptoms, and we will not be able to respond to patients." I can't follow up accurately, so there's a risk that home treatment won't be thorough."
The government indicated that Hokkaido will not be notified today
This is the content of the review that the government showed to Hokkaido last week.
On the premise that the total number of infected people by age group will be announced every day, the subjects of notification are: ▽ People
aged 65 and over,
▽ People who require hospitalization,
▽ People who are at risk of aggravation and need to administer therapeutic drugs or oxygen. It is
said that it will be possible to limit
it to those who are judged by doctors to be necessary, and
▽ pregnant women .
At present, it is said that the review will be made at the discretion of the prefecture, but the government has indicated that it will eventually shift to nationwide uniform measures.
Regarding this review of the total number of cases, the way is that the notification on the 29th was postponed.
In addition to coordinating with local governments such as Sapporo City that have established health centers and medical associations, there are still points to be considered regarding the handling of health observations of people who are not subject to detailed reports. is mentioned as a reason.
The government is requesting that people who are not covered by the system be informed of the contact information of the "Health Follow-up Center" where they can consult if their physical condition deteriorates. There is no conclusion whether it is necessary to set up a new window.
Also, according to the road, it is expected that about 70% to 80% of the total will not be eligible, but the total number of these people by age group for each day that is required to be announced will be collected from medical institutions. There is no specific method, such as how to report or how to count at the public health center.
Regarding the review of the 100% grasp, Sapporo City says that while the review will reduce the burden on medical institutions, it will not significantly reduce the work burden on public health centers.
Governor Suzuki said, "It is necessary to obtain sufficient understanding from each local government and medical personnel," and plans to carefully judge the response based on trends in other prefectures.
The reason why Tokyo will not review for the time being
The Tokyo metropolitan government has decided not to revise its grasp of the total number of infected people for the time being.
The background to this is the conspicuous number of cases in which the condition of patients with mild or moderate symptoms suddenly changed and died.
In order to connect patients with the new corona to the necessary medical care, it is necessary to grasp the health condition of each patient, rather than limiting the target of the outbreak notification to those who are at high risk of becoming seriously ill. is thinking.
Another reason is that the number of new infections has been decreasing recently.
A senior official of the Tokyo Metropolitan Government said, "I thought that changing the reporting and work methods would actually increase the administrative burden. It may be wrong to say that during the peak period, but the number of infected people is also decreasing."
The Tokyo metropolitan government provides 31,200 yen per case to medical institutions that use the national system HER-SYS, which manages the data of infected people, to create an outbreak report and conduct health observations.
Through these efforts, the city hopes to promote the implementation of health observations for patients.
Governor Koike Moves to uniform nationwide ``Don't get confused by listening to the voices of the field''
Regarding the review of the total number of people infected with the new coronavirus, Prime Minister Kishida has indicated that he will eventually shift to uniform measures nationwide. I emphasized the idea that we should
Governor Koike told reporters at the Tokyo Metropolitan Government Building on the 29th, "It's a big duty to take a good look at the lives of each person. We need to make sure it doesn't happen," he said.
On top of that, he pointed out, ``It is a voice from the field that input is troublesome twice because individual medical records and 'HER-SYS' are not linked, and there are also system issues.'
Kanagawa Prefecture Governor Kuroiwa ``We can't do it with the contradictory system.''
At a regular press conference on the 29th, Governor Kuroiwa of Kanagawa Prefecture said, ``The government says that people who are not covered by the survey can use accommodation facilities if they want to use them. If the system remains inconsistent, we can't do anything that can't be done even if it's said to be uniform nationwide." showed.
On top of that, Governor Kuroiwa said, ``I think the most important thing is not to do it nationwide, but the consistency of the system, so I want you to fix it as soon as possible.''
Pediatrician Physician ``Needs a system for public health centers to understand children's medical conditions''
At the "Maruyama Tame Pediatrics" in Chuo-ku, Sapporo, on the 29th, there were a series of consultations and inquiries about "my child had a fever."
The director made a diagnosis while going back and forth between the 1st floor of the building where the PCR test was performed and the 3rd floor where the examination room was located.
It takes about 10 minutes per patient to enter information such as the patient's name, age, and contact information into the system called "HER-SYS" to submit the "outbreak notification". .
At most 10 people a day, about 6 people on average, but we are not in a situation where we can concentrate on input only for answering phones etc. It is expected to reduce administrative burden.
On the other hand, she points out that if the system of 100% monitoring is revised and detailed reports are limited to those who are at high risk of becoming seriously ill, such as the elderly, there will be a need for a mechanism for public health centers to ascertain the conditions of children's illnesses. I'm here.
Director Tame said, ``In the case of children, children without underlying diseases do not need to be notified, but looking at reports nationwide, children without underlying diseases are more likely to become seriously ill or even die. Parents with small children in particular are worried, and many inquiries have been received, and the current situation is that there are two points of contact, administrative agencies and medical institutions, which leads to peace of mind. I think there is an aspect of it,” he said.
On top of that, ``If a child who is not subject to notification gets worse, we will have to share information from scratch, from name to age, when the onset will occur, and what kind of symptoms there are. If you don't change direction after securing a proper route, you will feel uneasy."