A simplification of the total number of new coronavirus infections that began nationwide on the 26th.
This will make it difficult to publish the number of infected people by municipality, which has been done in each prefecture so far.
However, it has been pointed out that if the announcement by municipality is stopped, it will be difficult to see the infection status in the region, and the response is divided.
We have summarized the responses of some local governments and public health centers due to this simplification.
[Tokyo] Cancellation of the number of new infections by municipality
On the 26th, a uniform nationwide operation began on the 26th, simplifying the grasp of the total number of people infected with the new corona and limiting detailed reports to those who are at high risk of becoming seriously ill.
As a result, the Tokyo Metropolitan Government is unable to grasp the gender, address, vaccination status, specimens outside Tokyo, and the route of infection, which are not subject to detailed reports.
For this reason, from the 27th, the metropolitan government will provide a
detailed breakdown of the number of newly infected people by
gender,
by municipality, by the
number of vaccinations, by
the number of specimens brought in from outside the city, and by the route of infection such as facilities and homes.
has decided to discontinue the publication of
On the other hand, we will continue to publish the number of new infections, the number of deaths and severe cases, and the breakdown by age group.
Tokyo metropolitan government expands its "positive person registration center"
In response to a review of the grasp of the total number of new coronas, the Tokyo Metropolitan Government will expand the system of the center to accept online registration from people with mild symptoms who are not subject to reporting, and will continue to monitor their health.
Along with this, if a low-risk Tokyo resident, such as a mild illness, tests positive, the people who can use the "Positive Person Registration Center" to register themselves online will be expanded from those in their 20s to 40s to those under 64. I was.
According to the metropolitan government, about 60 people registered at the "Positive Registration Center", but with the expansion of the target, about 100 people are responding from the 26th.
It will be possible to register about 8,000 people in a day, and the city will continue to monitor their health, and if their physical condition deteriorates, they will cooperate with the follow-up center of the city.
Yoshitaka Homma, head of the public health center collaboration support section at the Tokyo Metropolitan Bureau of Social Welfare and Public Health, called out, "Even young people can experience sudden changes in their condition, so if you have even the slightest concern about your health, please register."
Public health center in Hachioji City hopes to reduce burden
At the public health center in Hachioji, Tokyo, there were voices of hope that the burden of work, such as entering patient data on behalf of medical institutions, would be reduced.
The public health center in Hachioji, Tokyo has taken over the work of some medical institutions so far, inputting data such as the patient's name, contact information, and the date of onset sent by fax into a system called "HER-SYS". was
On a busy day, there were about 300 substitute inputs, but in the future, the target of detailed reports will be limited to those over the age of 65 and those who need hospitalization, which is expected to reduce the workload. and
In addition, if the detailed report is not covered, the "medical certificate" required for medical insurance claims will not be issued. It is also expected to reduce the amount of work required to inquire about data.
The public health center wants to focus on dealing with patients who are likely to become seriously ill and on preventing other infectious diseases such as syphilis because of the reduction in such work.
Yuko Takahashi, deputy director of the Hachioji City Public Health Center, said, "By simplifying the total number of cases, we will work to respond appropriately and quickly to those who need hospitalization adjustment."
[Chiba] Three cities will continue, others will be cancelled.
From the 27th, Chiba Prefecture will stop publishing the gender of newly infected people and the breakdown of infected people by municipality other than Chiba City, Funabashi City, and Kashiwa City, which have established public health centers.
The three cities with public health centers will announce the number of new infections and the number of people by age group based on reports from medical institutions in the city and the addresses of infected people registered online.
We are also encouraging those who are not eligible for detailed reporting to register online to assist in their subsequent recuperation.
[Kanagawa] Announcement of cancellations by municipalities for home care patients
Kanagawa Prefecture will also stop publishing the gender of newly infected people from the 27th, and will also stop publishing the breakdown of residences by municipality for infected people notified by medical institutions from the 27th.
On the other hand, the status of patients under the Infectious Diseases Control Law has changed for those who registered online based on the results of antigen tests in accordance with the prefecture's own ``voluntary treatment notification system'' and were recuperating at home. Along with this, we will announce the number of patients reported by medical institutions from the 27th.
In addition, the number of people recuperating at home will be announced by municipality.
As a result, the number of infected people in Kanagawa Prefecture as a whole may increase.
Also, until now, children under the age of 10 were announced as one category, but they will be announced in three categories: 0 years old, 1 to 4 years old, and 5 to 9 years old.
[Saitama] Announced the number of infected people and gender by municipality
Saitama Prefecture will announce the number of infected people by municipality and gender on the day after announcing the number of new infected people and the number of people by age group.
People who are not subject to detailed reporting, such as the elderly, will be asked to register their addresses individually online.
Saitama Prefecture said, ``Since it seems that the number of infected people registered online is not all, we cannot publish the total number of infected people as we have been doing so far. We have decided to continue to publish the numbers."
[Mie] Continuing to keep track of the number of infected people in each municipality using the prefecture's own system
Mie Prefecture will continue to use its own system to keep track of the number of infected people in each city and town, and will work to reduce the burden on medical institutions and grasp information on infected people.
In Mie Prefecture, in advance, from the 9th of this month, we reviewed the grasp of all cases, and the subjects of detailed reports are ▽
people over 65 years old, ▽
people who need hospitalization,
▽ people who are at high risk of becoming severe, such as pregnant women. Limited.
In line with this, the prefecture has built its own system, and for infected people who are not subject to detailed reports, medical institutions are required to register three items: "name", "date of birth", and "name of the city or town where they live". We will continue to use this system to track individual infected people after the 26th.
Mie Prefecture intends to reduce the burden on medical institutions and grasp information on infected people through these measures, and wants to respond appropriately so that infected people can continue to receive appropriate medical care.
Kazushi Suzuki, director of the prefecture's patient information project team, said, "If the prefecture has information, it has the advantage of being able to quickly provide support, so I think it's necessary as a work."
[Oita] Only those with a high risk of becoming seriously ill are announced by municipality
A nationwide review of the total number of people infected with the new coronavirus will begin on the 26th, and even in Oita Prefecture, detailed reports will be limited to those who are at high risk of becoming seriously ill.
Along with this, the content of the information provision of infected people that has been announced so far will be reviewed from the 27th.
From the 26th, the grasp of the total number of people infected with the new coronavirus will be reviewed nationwide, and even in Oita Prefecture, medical institutions are required to report in detail
: people over the age of 65, and people under the
age of 65 who are judged to need hospitalization. It is limited to people at high risk of aggravation.
Along with this, the number of newly infected people by municipality and the classification of symptoms that the prefecture has provided so far will not be announced after the 27th, except for those who are subject to notification, and gender, occupation, and infection route. will no longer be published.
Regarding medical conditions, although the number of people who are hospitalized will be announced as before, the number of people who are receiving medical treatment at accommodation facilities or at home, and the number of people who have been discharged from the hospital will not be covered.
In addition, the number of new infections per day will be announced in more detail than before, and the bed occupancy rate, the number of people who died during medical treatment, and the number of clusters will be announced as before. will be
[Fukuoka] Expansion of the consultation desk system due to simplification
Since it is expected that health consultations will increase from people who are not covered by detailed reports, Fukuoka Prefecture is working to expand the system of consultation desks.
Fukuoka Prefecture has established a health follow-up center so that people who are not subject to detailed reporting can receive appropriate support as a result of the simplification of the total number of cases.
Of these, we have increased the number of nurses who will respond to the nighttime and holiday health consultation dials for home care patients from this month, assuming that consultations will increase from those who are not subject to detailed reports.
Specifically, from 5:00 p.m. to 11:00 p.m., the number of staff members was increased from 4 to 5, and from late night to morning, the number of staff was increased from 2 to 3. .
This window accepts consultations such as when symptoms worsen during home treatment or when you are unsure whether to visit a medical institution, and more than 200 consultations were received per day on many days in August. .
Yutaka Nakamura of the "Fukuoka Medical Center", which is commissioned by the prefecture, said, "I was worried that it would be difficult to connect to the consultation hotline, so I talked with the prefecture and strengthened the system. I'm worried about not knowing who to consult. I want to respond to this," he said.
Fukuoka City Clinic Significantly reduced the burden of reporting
At the clinic in Chuo Ward, Fukuoka City, about 90% of the patients are young people who have a low risk of becoming seriously ill, so this review will greatly reduce the burden of reporting.
On the other hand, in order to ensure that those who are not subject to detailed reporting can receive appropriate support, we will provide consultations when symptoms worsen during home treatment, and provide living support for those who have difficulty obtaining food and other items. A follow-up center was set up, and clinics handed out leaflets with contact information to those who had been tested.
Kazuyoshi Fukurono, director of the Fukuro Clinic, said, "Until now, it took more than five minutes for each person to enter an outbreak report, so I'm grateful that we have more time. We have a solid follow-up system for those who are not eligible. I can feel at ease."
Sapporo City Public Health Center "At the stage where citizens can consult when they need it"
At the Sapporo City Health Center, the response so far will change greatly.
《Only for the risk of aggravation》
So far, the public health center has grasped the personal information of all patients infected with the new corona in the "outbreak notification".
This "outbreak notification" was previously reported to the public health center by the medical institution by entering personal information such as the name, address, and symptoms of each patient, but with the simplification of this time, the report can be used to report the severity of the disease. Limited to at-risk patients.
As a result, in the case of the Sapporo City Public Health Center, based on the infection status in July and August this year, more than 80% of infected people are not subject to reporting by "outbreak notification".
<<Responsibility rests with the patient>>
In response to this, patients who are excluded from the target need to grasp their condition by themselves, and if necessary, consult with their family doctor or the positive person support center. I have.
Ayako Nagano, the manager of the Sapporo City Public Health Center's medical countermeasures office, said, ``Since the public health center had grasped all personal information and health conditions, it was little by little that citizens were able to consult when they needed it. We are moving in stages,” he said.
《Kobimaru Light》
The Sapporo City Public Health Center provides an internet site called "Kobimaru Light" to support patients' physical condition management.
When you enter your physical condition on this site, a computer program automatically judges the severity of your symptoms in three stages of red, yellow, and green, and recommends contacting the support center for those who tested positive.
《Support with flyers》
In addition, the public health center has created a new leaflet for patients when their physical condition deteriorates or when they want life support supplies.
If the leaflet is handed to a patient who has been tested for the new coronavirus at a medical institution and is positive, it can be used to report to the public health center by filling in the name, date of onset, and test results.
If you send this leaflet and a medical statement from a medical institution to the public health center according to the instructions written on the leaflet, you can receive life support supplies.
Ayako Nagano, the manager of the Sapporo Municipal Public Health Center's medical countermeasures office, said, "I want to create a system so that the public health center can provide solid support when their health deteriorates."
Medical personnel in Shizuoka City Expected to reduce work pressure
Medical personnel in Shizuoka City expressed their expectations for reducing work stress.
At the internal medicine clinic "Iwahashi Naika" in Suruga Ward, Shizuoka City, clerical staff and doctors submit outbreak reports to the public health center by entering them into an online system. It took about an hour to do the work, and it was a burden.
The prefecture expects that the number of people who are subject to reporting by the report of the outbreak will be about 20%, and five new positive cases were confirmed at this clinic on the morning of the 26th. did.
Masao Iwahashi, director of Iwahashi Internal Medicine Clinic, commented, "Until now, there were times when we couldn't take in all the patients. We hope that the burden of clerical work will be reduced and that we will be able to spend more time with each patient." was