DGS says that Festa do Avante ″ has legitimacy to be held ″

The director general of Health, Graça Freitas, said, this Wednesday, in a press conference, that the Festa do Avante “has legitimacy to be held” and that the DGS is in “wide conversation” with the promoters of the event.

“The preparations for the Festa do Avante are works of rigor and detail, which involve extensive conversation,” explained Graça Freitas, adding that the DGS “listed a series of parameters that it needs to know in order to comment and for the organizing entity send technical documents that allow you to accurately assess how the event is expected to take place “.

“What happens is that whoever promotes an event – and this event has legitimacy to be held – brings us a series of technical documents, a contingency plan, a space use plan, a circuit plan, a series of things that we analyzed. And then the regulations in force apply to that special circumstance “, added Graça Freitas.

“We are in this phase of work, work, work. We ask for information, we speak, we ask for new information and we start to speak again,” he concluded.


Baby victim of covid-19 was infected in a family context and had ″ very serious ″ pathology

The general director of Health, Graça Freitas, said, this Wednesday, in a press conference, that the four-month-old baby victim of covid-19 was infected in a family context and that she already had “a very serious underlying pathology” .

The usual update press conference on the situation of the covid-19 pandemic in Portugal took place this Wednesday, attended by the Minister of Health, Marta Temido, and the Director-General of Health, Graça Freitas.

“There is more 58 active cases than the previous day and some are associated with outbreaks, 152 in the country. The 152 outbreaks have the following distribution: there are 44 in the North, six in the Centro region, 74 in Lisbon and Vale do Tejo, 15 in Alentejo and 13 in the Algarve. The incidence rate over the past seven days is 14.4 new cases per hundred thousand inhabitants. The transmissibility index, Rt, is now at 1,01%, below the last count, done two days ago “, clarified the minister.

Marta Temido also informed that one of the two fatalities in the last 24 hours is a child of four months who was hospitalized in the Hospital Dona Estefânia and who suffered from other diseases and pathologies. “It is a death that happened in the hospital center of Lisbon Central,” said the minister, adding that the other mortal victim is an 80-year-old man who died “in the hospital center of Barreiro-Montijo”.

About to situation in homes, the Minister of Health highlighted a “positive evolution”. “There are 2500 residential structures for licensed seniors and a set of other structures that are not licensed, but that the Government is monitoring. Since the beginning of March, we have tried to do specific monitoring for these units in the light of the special vulnerability of the people who reside there. There are also inpatient units in the national integrated continuous care network. These are two different universes. When we talk about homes, we talk about 1600 units and when we talk about units in the national integrated continuous care network, we are talking about 300 units ” , explained Marta Temido, informing that, in total, there are 563 resident users that are positive cases and 225 professionals also positive “. There are at this moment 69 homes with positive cases.

As to home visits, “are taking place and are one of the fundamental instruments for understanding and anticipating problems,” said the minister, recalling that “by the end of this month, health and social security technicians are expected to visit more than thousand of these entities “, due to” the new focus of concern “.

On the death of the four-month-old baby, the director-general of Health clarified that “it will have been a family transmission“.” The child had a very serious underlying pathology, an very severe congenital heart disease and that was aggravated by covid-19, which resulted in a consequence widely described worldwide, a myocarditis. The cause of death was a septic shock “, explained Graça Freitas.

About Feast of Avante, DGS is in a “broad conversation” with the promoters and “listed a series of parameters that it needs to know in order to make a statement and for the organizing body to reach out technical documents that allow us to accurately appreciate how the event is expected to take place “, stated Graça Freitas.

“What happens is that whoever promotes an event – and this event has legitimacy to be held – brings us a series of technical documents, a contingency plan, a space utilization plan, a circuit plan, a series of things that we analyze. And then the regulations in force apply to that special circumstance, “added Graça Freitas.” We are in this phase of work, work, work. We ask for information, we speak, we ask for new information and we speak again “.

Regarding the situation in the Caxias prison hospital, DGS reported that positive cases were detected in the kitchen staff, and in ten tests carried out there were five positive cases. More tests have already been carried out, but the results are not yet known, which should happen in the next few hours, guaranteed the Director-General of Health.

Graça Freitas also mentioned that the autumn and winter plan is being prepared “many months ago”, preparatory measures have already been taken, which include the need for budgets, for example, such as the purchase of flu vaccines. “Right now we are in the consolidation phase of the plan,” he explained, pointing out as a major challenge the fact that there are many people with acute respiratory symptoms due to the new coronavirus, flu or even a decompensation of chronic diseases and that it is “necessary to distinguish”. “The challenge of the SNS is to make a differential diagnosis”.

On Thursday, there will be meetings with professional health-related Orders to hear them about the plan and to make it more “robust, dense and more comprehensive”.

About the use of mask in a wider way, Marta Temido recalled that “the ministry is attentive and that it will collect the best technical information to make decisions”. “At this moment we know that there are several countries that are evaluating the use of masks in all places”, he pointed out. “It is a strategy in continuous evolution”, added the director-general of Health, noting that there are five or six countries in the southern hemisphere, where it is now winter, that are being evaluated to understand how the coronavirus behaves in these circumstances.

As for a greater infection among people aged between 20 and 40, Graça Freitas recalls that this may have to do with issues of mobility and autonomy that makes them more exposed, despite being age groups in which gravity does not it’s so big.

Regarding the situation in the Reguengos de Monsaraz home, the minister stated that the responsibilities that may be determined will be determined at the headquarters. “The Ministry, with the documents it received, activated its inspection structure. Asking for an assessment of the responsibilities of the actors in the area of ​​Health. This is our tutelage”, he clarified.

“There are several pieces of information and documents that have been sent to the Ministry of Health since the beginning of August about the Reguengos de Monsaraz home. One of these documents is the one that has been most reported. Another is an evaluation of the timeline made by health These are the documentary elements that instructed the analysis that was made by the ministry and that determined the decision to send it to the health inspection authorities. The ministry will not reveal these documents “, said Marta Temido, adding that they will not be made “more comments” on the topic.

About to second wave, the minister stressed that the evolution of the pandemic is different and that the “second phase of response may not be the same as the first”. “Our ability to resume total confinement is quite difficult to achieve. And we must bet on more focused and targeted responses at the regional or local level”, he concluded.

In relation to the municipality of It must, there are 49 known cases and there are five people admitted to the Évora Hospital. In Montemor-o-Novo, there are 28 cases, all also with known transmission chains. More than 400 people have already been tested in Mora and more than 250 in Montemor.

Regarding the flu vaccination, it will be “different this year”, said Graça Freitas. DGS intends to have two million people vaccinated before winter, in a different campaign than usual. “The first tranche will arrive in the first days of October and will be more than 300 thousand doses and we will distribute it as soon as we can to immediately start vaccinating the priority group, which are the elderly in homes and employees of these structures that deal with a population We will then do intensive vaccinations. The strategy is to, as batches of vaccines arrive, vaccinate as quickly as possible and to drain all vaccines quickly. It is being considered to create special vaccination campaigns to speed up the process. It may be necessary to create own structures dedicated to influenza vaccination. We are in a consultation process to see the pertinence of creating these exceptional structures “, said the director-general of Health.

Regarding doctors and nurses who work in homes and in hospitals, Marta Temido recalled that “at the beginning of the pandemic there was a great concern by all entities in preventing health professionals from walking from one place to another”, in order to avoid a greater number of contagions.

Portugal registers this Wednesday two more deaths from covid-19 and 253 new cases infection. They managed to recover 193 more people from the disease.

The Directorate-General for Health accounts for a total of 1786 deaths associated with covid-19, since the beginning of the pandemic in March, and 54,701 cases confirmed infection. So far recover from illness 40129 people.


Six more deaths and 325 new cases of covid-19 in Portugal

In the last 24 hours, Portugal registered six more deaths from covid-19 and 325 new cases of infection. In total, there were 1770 deaths and 53,548 infected.

Since the beginning of the pandemic in March, 39,177 people have recovered from the disease.

According to the Directorate-General for Health (DGS), fatalities are three men and three women (a man and a woman in their 70-79 years, and two men and two women over 80). Of the six deaths, two are from the North and four from the Lisbon and Vale do Tejo region.

From 325 new cases of infection, 204 belong to the Lisbon region, which now has a total of 27,645 cases and 625 deaths. THE North has 84 more cases (19,301 in total, 838 deaths), the Center more 22 (4560 cases, 253 deaths), the Alentejo plus six (786 cases, 22 deaths) and the Algarve plus eight (946 cases, 17 deaths).

In the Azores, the numbers remain the same as in the last bulletin (15 deaths and 184 infected). THE Madeira adds this Thursday a new case, totaling 136 infected and no deaths.

There are, at this moment, 358 hospitalized patients (minus nine) and 39 in Care Units Iintensive (one less). Since the last bulletin, there are 237 more recovered (39,177 not total).


Lisbon council already has more cases of covid-19 than Greece – coronavirus

The municipality of Lisbon recorded 76 more new confirmed cases of infection with the new coronavirus in the last 24 hours, according to the daily bulletin released this Sunday, June 28, by the Directorate-General for Health (DGS). The municipality of the capital now totals 3,423 cases since the beginning of the pandemic, more than the whole of Greece, which has registered 3,376 accumulated positive cases.

Lisbon, with 509,500 inhabitants (4.95% of the national population), exceeds the number of cases in the Mediterranean country, which has a population of 10.4 million, 20 times greater than that of the Portuguese capital.

In the municipality led by Fernando Medina, there is an incidence of 6.72 cases per thousand residents. In Greece, this figure is only 0.32 cases per thousand inhabitants.

Lisbon Metropolitan Area beats Denmark cases
The outbreak in the Metropolitan Area of ​​Lisbon (AML), which has been accentuated since the lack of definition, on May 4, means that the group of these 18 municipalities has already lost 15,386 infected people. This figure would place the AML in 59th place in the list of countries with the most cases.

Despite having a population of 2.86 million people, the AML has more confirmed cases than countries like Denmark (12.675) or South Korea (12.715), which have populations of 5.8 million and 51.3 million , respectively.

Currently, AML has the four counties with the most cases in the country. In addition to Lisbon, Sintra has 2,564 infected, Loures has 1,791 cases and Amadora surpassed Vila Nova de Gaia this Sunday and has 1,645 positive cases.

Thus, Sintra – which has 391 thousand inhabitants – has only 127 fewer cases than Croatia, a country with a population of 4.1 million.

And the Porto Metropolitan Area has more cases than Norway
After being one of the areas most affected by the pandemic in the first two months, the Metropolitan Area of ​​Porto (AMP) has been experiencing a reduced number of new infections in recent weeks.

Even so, with 9,638 cases, the region, which has 1.7 million residents, exceeds the figures reported by Norway (8.846), a country that has three times the population (5.4 million inhabitants).

In fact, AMP presents a number of cases per thousand inhabitants of 5.58, still above the 5.37 registered in the Metropolitan Area of ​​Lisbon. At the national level, the incidence is 4.04 cases per thousand people.


DGS “macro” data remains distant from mayors “micro” data | Coronavirus

There is a war of numbers between the mayors and the Directorate-General for Health (DGS) over cases of covid-19. The former want the photograph to be as accurate as possible – to the minute, if necessary – to better manage the response to be given to their residents. The second is the general trend, the evolution of the pandemic – DGS even distinguishes between what it calls data macro and micro. Result: mayors insist that there are cases of infected patients in their areas that are not reported by the DGS or are reported late. And the difference amounts to hundreds of cases per day.

Some mayors have real information machines mounted in their municipalities, which compile information from various sources (unlike the DGS, which only receives data entered on the platform of the National Epidemiological Surveillance System or Sinave). In the case of Ovar, where the state of calamity was decreed in mid-March, there is a Crisis Office to which data arrive “transmitted by the Public Health cell that integrates the office itself: Local Health Authority and Group of Health Centers (ACES) of Baixo Vouga”, explains a person responsible for that office to the PUBLIC.

“The data released is actually that of the day and allows monitoring of all cases, especially of infected people. This is the only way to be able to refer immediately, for testing or prophylactic isolation, and for social support, from households ”, he adds.

In many situations, this photograph does not coincide with that of the national health authorities and, if some mayors consider that this is due to “failure to update”, others believe that “there are numbers hammered”.

“We do not know how information circulates between ACES and DGS, nor does ACES justify this discrepancy. We believe there is a failure in the respective updates ”, says the member of the Ovar Crisis Office.

Notorious difference

Without wanting to draw conclusions, the mayor, Salvador Malheiro, underlines that the difference in numbers is notorious. “The numbers have never been right,” he says. “I am on the ground every day, I know people and I see that the numbers of the Directorate-General for Health are quite different from those I know about,” he declares to the PUBLIC.

On April 10, at 10:56 pm, the Mayor of Ovar, wrote on his Facebook account: “546 was the number provided by ACES [Agrupamento de Centros de Saúde], a few minutes ago, on those currently confirmed infected in the municipality of Ovar. Let’s see what number DGS presents tomorrow… today only 379 were presented ”. When exchanging messages with the PUBLIC, he shot another example. “Today [domingo, 12], at noon, we had 553 infected; the Directorate-General for Health said there were 409 ”.

Other mayors present their examples. The Mayor of Vizela, Vítor Hugo Salgado, advanced with three situations, corresponding to the days 2,3 and 9 of April. “On the 2nd, the municipality had 21 people infected, according to ACES do Alto Ave, DGS said that there were 11 cases; on the following day, the 21 remained, with the DGS referencing one more case than on the previous day; on the 9th of April the number of infected people rose to 35 and the DGS indicated 20 ”.

In the municipality of Vale de Cambra, the same scenario. On 4,6 and 9 April there were 36, 82 and 100 cases of infected people in the municipality, according to the mayor, José Pinheiro da Silva. The figures released by DGS were only 31, 36 and 48, for these same days.

Fernando Queiroga, president of the Chamber of Boticas, never tires of stressing that the figures that ACES provide about the infection are “true, objective and reliable”. Regarding national data, he has doubts: “The Directorate-General for Health is hammering the numbers because it is not entering all the data”, the mayor declared to the PUBLIC.

DGS’s explanations

The PUBLIC questioned the DGS about these concrete discrepancies presented by the mayors, but the answer eventually came through the daily press conference. Asked, once again, on the subject, the director-general, Graça Freitas, gave a long explanation about the difference between the data she called “micro”, and which have been used by mayors, and “macro”, From national health authorities.

“It is normal that at the micro level the capacity to have more specific and more accurate information is greater”, he assumed, recognizing that the DGS information is “more macro, less accurate”.

The leader later explained that a methodological note will appear in the daily bulletin “so that it is realized that at some point the data may not be the same, depending on how the observation is made.”. Currently, there are other explanatory notes accompanying the figures. On the 14th, one said: The information presented refers to the total of clinical notifications in the Sinave system, corresponding to 81% of confirmed cases”. This means, for example, that in a total of 17 thousand cases, there are 3400 that do not appear distributed by municipality). Another note explained that “data by county of occurrenceare We are a family owned and operated business.presented in alphabetical order. And in a third, it read: When the confirmed cases are less than three, for reasons of confidentiality, the data are not presented”.

In his explanation, Graça Feitas gave the example of several situations that can contribute to the discrepancy of data (related to the patient’s address in the National Registry of SNS Users and which may be different from the place where the case occurred) and clarified that, for daily bulletin purposes, the DGS sources of information are the medical statements registered on the Sinave platform or the laboratory reports registered in the Sinavelab database. Graça Freitas called on doctors to make their reports as “early as possible” so that the information is accurate.

“Dwe depend on the amount of data, but also on its dynamism”, Said Graça Freitas, who was sympathetic to the fact that mayors need more specific (micro) information for the purpose of responding to populations.

Do not share data

Complaints about the discrepancies in the numbers have been a constant since the beginning of the pandemic, but thickened after the Minister of Health gave instructions to local health authorities that were understood as a way to limit the access of mayors to the data collected.

Marta Temido hurried to explain that “there is no prohibition on sharing information”, but yes a clear appeal to all entities that make up the Ministry of Health, in particular local and regional health authorities, to focus on sending timely and consistent information to the national levelbecause “Bparceled oletins can cause fragmented analyzes”, But some mayors maintained their suspicion.

Also speaking as chairman of the District Civil Protection Commission of Alto Tâmega, Fernando Queiroga underlines that the mayors are those who are in the “first line” of response and who must have access to all information. For now, Queiroga can breathe a sigh of relief in its municipality – Boticas – it has zero people infected with covid-19 and zero deaths.

For the Mayor of Vale de Cambra, there is also no doubt that mayors need access to information. “Whoever is on the ground and has to plan actions has to have access to information, because if any problem happens, it is not the NHS that will solve the problem”, defends José Pinheiro da Silva. “I never wanted to know the names of people who are infected, but when it comes to sensitive cases, the numbers are important,” he adds.

Waiting for the minister to take a step back, the Mayor of Vale de Cambra leaves Marta Temido with advice: “The Minister of Health must look to the mayors as partners in this combat strategy. If not, we are not doing anything here ”. with Sónia Sapage


Mitigation phase begins at midnight. What does it means? | Coronavirus

The general director of Health, Graça Freitas, said this Wednesday, during the daily press conference with the update of data on the covid-19 pandemic, that Portugal will enter the disease mitigation phase at 00:00 on Thursday. “We are in phase 3.2. We have community broadcast. It is not exuberant or uncontrolled, but it exists ”, said Graça Freitas. This phase corresponds to the highest alert and response level, this being the most serious phase of contagion.

“At midnight, you will enter [em vigor] a new plan to address covid-19 ”, he noted, adding that we will now move“ from measures of the containment phase for the mitigation phase measures ”. Graça Freitas also stressed that “as with all changes, the transition phase may have some turbulence”, since “one does not change the assistance paradigm from one day to the next without there being turbulence.

But what is the “mitigation phase” and what levels of alert and response are there?

O National Disease Preparedness and Response Plan for new coronavirus (covid-19), released by Directorate-General for Health (DGS), establishes the “strategic guidelines needed by the Health sector in the face of this threat in Public Health”. “For this purpose, alert levels and responses for Portugal were designed, integrating technical and scientific evidence, national and international. At response phases include three levels and six sub-levels, according to the risk assessment for covid-19 and its impact on Portugal ”, describes the document.

After the preparation phase, in which “there is no epidemic or epidemic concentrated outside Portugal”, we entered the following response phases foreseen in the authorities’ strategic plan:

Levels of the preparation, response and recovery phases

1. Containment

The first level of alert and response corresponds to “a situation in which the risk of covid-19 in Portugal is low, which is why it is a Containment Phase, with a concentration of contingency response means”.

After identification of the first contagions, during the “containment” phase, the epicenter is identified outside Portugal, but with the possibility of international transmission. It is also during this stage that cases imported into Europe are identified.

2. Extended containment

Alert level 2 corresponds to “extended containment”, during which secondary transmission chains are identified in Europe and imported cases in Portugal, without secondary chains. Here the level of risk of covid-19 in national territory becomes moderate, being important “the early detection of covid-19 cases” and the reinforcement of the response and containment measures by the authorities “to avoid secondary chains in Portugal”.

3. Mitigation

Level 3 (red alert level, the highest) corresponds to the “mitigation” phase and presupposes the “presence of covid-19 cases in national territory”, divided into two sub-levels: level 3.1. – “indoor transmission chains”; level 3.2. – “transmission chains in open environments”.

During this phase, “the covid-19 transmission chains are already established in Portugal, as this is an active epidemic / pandemic situation”. The containment measures are insufficient and “the answer is focused on mitigating the effects of covid-19 and in decreasing its spread, in order to minimize morbidity and mortality – the relationship between the number of deaths caused by the disease, in a given place and time period – and / or even the emergence of a vaccine or new effective treatment ”.

This implies, according to the DGS plan, that all NHS hospitals are called upon to respond, that private sector hospitals and social aspects are involved in the diagnosis phase and in case management, that isolating patients can be done at home and that the use of a mask can be recommended for people with “increased susceptibility” in contexts of large agglomerations or in health services.

From midnight on Thursday, the hospitals and health centers they will have to adapt to new rules to respond to the current stage of the disease in Portugal.

However, DGS underlines that “the epidemiological evolution of the infection will determine the immediate adjustment of responses” which will be “continuously updated and adjusted as more accurate knowledge about the behavior of the virus in human communities, transmission dynamics and diversity of responses and clinical consequences depending on the personal characteristics of each infected person ”.

The last recovery phase, a period in which “disease activity decreases in Portugal and in the world”.

Portugal registers, at this moment, 43 deaths due to the new coronavirus and 2995 cases of infection, according to the latest epidemiological bulletin released this Wednesday by the DGS. With Lusa.


Private hospitals to receive covid-19 patients | Coronavirus

Private hospitals will start receiving covid-19 patients who are diagnosed in these units. Until now, they followed the protocol that established that suspected or confirmed cases of infection with the new coronavirus were referred to referral hospitals.

Friday’s Directorate-General for Health reported that 1020 confirmed cases of infection by the new coronavirus in Portugal, 235 more than those registered the previous day, and 24 active transmission chains. There are 126 people hospitalized, 26 of them in intensive care units. There are also six deaths: two in the Lisbon region, two in the Centro region, one in the North and the other in the Algarve. But it also highlights the recovery of five people.

“Private hospitals will also receive covid patients, in cases where patients are diagnosed privately and in a complementary regime with the NHS. The response has been adapted to the evolution of the outbreak in the country ”, replied the communication office of the Ministry of Health to questions sent by the PUBLIC about the reorganization of the health care network.

During the morning, at the press conference, the Secretary of State for Health stated that the aid provided by the private sector is “very important as a complementary response to the NHS”. At that time, António Lacerda Sales said that aid from the private sector had not yet been used because it had not been necessary, but stressed that “as the outbreak evolved” could be called.

The PUBLIC found that during the afternoon of Friday the Portuguese Association of Private Hospitalization and the Ministry of Health were meeting to articulate the new phase of response to the pandemic.

It was at the press conference that the Secretary of State for Health said that private intensive care units could be “very important” to deal with the outbreak. And he gave numbers: 450 intensive care beds that can be added to the 1124 already registered in the NHS. The accounting of the fans had already been done and in the private sector 250 of these devices are signaled.

Some of the private health groups were already reorganizing to receive covid-19 patients. The CUF group this week sent a statement to employees explaining that “two of its hospitals – the CUF Porto Hospital and CUF Infante Santo Hospital – will assume the diagnosis and treatment of patients with infection with the new coronavirus ”. The Lusíadas Saúde group also issued a statement in which it said it would provide 231 hospital beds, 54 ventilators and the necessary health teams from Hospital Lusíadas Albufeira, Clínica de Santo António and a part of Hospital Lusíadas Porto for patients with covid-19.

In the National Health Service, the response to the pandemic is also reorganizing. “As was said at yesterday’s press conference [quinta-feira], most hospitals are already ready to receive patients infected with the new coronavirus ”, stressed the Ministry of Health. The general director of Health Graça Freitas explained in that conference that all hospitals were creating circuits to separate patients with and without suspected infection.

The same is happen in health centers. “The monitoring of non-urgent covid patients will also be done at the level of primary health care. Family doctors are already contacting patients with scheduled appointments by phone and will continue to do so as well as guide prescription issues, analyzes and examinations and will also do so to monitor patients with covid-19 ” , says the ministry in response to the PUBLIC.

Capacity for 9000 tests

At Friday’s press conference, Graça Freitas stated that Portugal “has the installed capacity to carry out 9000 tests” if necessary. “Everyone who has the indication to do the test, does it”, he assured, explaining that criteria are applied according to the risk exposure. He also explained that new methodologies are coming that will have to be validated by the National Institute of Health Doutor Ricardo Jorge.

He also spoke about the protocols for entering and leaving the country. And he said that “it will go into effect next week”. “Today [sexta-feira] we are going to launch a new standard for services to orient themselves and the general indication is that whoever enters Portugal will have to stay in prophylactic isolation for 14 days. The health authorities in the region where these people go can then make a more thorough assessment and take measures that do not apply this rule, ”explained Graça Freitas.


What is the “mitigation phase” in response to the new coronavirus? | Coronavirus

The Minister of Health, Marta Temido, said this Wednesday that “it is inevitable” for Portugal to enter “within hours or days” in the mitigation phase of the covid-19 disease, at least 59 cases of infection with the new coronavirus in Portugal. But, after all, what levels of alert and response are there?

After the preparation phase, in which “there is no epidemic or epidemic concentrated outside Portugal”, we entered the response phases provided for in the authorities’ strategic plan to respond to the covid-19 outbreak, in accordance with the guidelines of the Directorate-General for Health (DGS).

1. Containment

The first response phase after the identification of the first contagions is that of “containment”, during which the epicenter is identified outside Portugal, but with the possibility of international transmission. It is also during this stage that cases imported into Europe are identified. During this period, the risk of contagion is expected to be low, with the mobilization of means of response in case it is necessary.


2. Extended containment

The second phase corresponds to the “extended containment”, during which secondary transmission chains are identified in Europe and cases imported in Portugal, without secondary chains. Here, the risk level becomes moderate, requiring a reinforcement of the response and containment measures by the authorities.

3. Mitigation

Then there is the “mitigation” phase, which includes local transmission in a closed environment and community transmission. At this stage, the chains of transmission of the new coronavirus in the country are already established, with prevention measures proving to be insufficient. As the name implies, it is at this point that efforts should be made to mitigate and limit the effects of covid-19, as well as its spread, with the aim of reducing the mortality rate. This implies, according to the DGS plan, that all NHS hospitals are called upon to respond, that hospitals in the private and social sector are involved in the diagnosis phase and in case management, that patient isolation can be done in home, and that the use of a mask can be recommended for people with “increased susceptibility” in contexts of large agglomerations or in health services.

Portugal is preparing to enter this phase in the next few hours or days.

The last phase is the recovery, a period in which “disease activity decreases in Portugal and in the world”.


Coronavirus: If you were at these shows, call ARS Centro | Coronavirus

The Regional Health Administration (ARS) of the Center wants to contact all the people who participated in four shows that took place in Ílhavo and Albergaria-a-Velha in the last weeks. The appeal, released this Monday, concerns the fact that a spectator of these shows has been confirmed to be infected with the new coronavirus SARS-CoV-2.

At stake are four shows held in the two municipalities, which the citizen affected by covid-19 attended. The first was the Family Concert – Four Famous Musical Notes, which took place on March 1st, at 5 pm, at Cineteatro Alba, in Albergaria-a-Velha. The other three are three puppet pieces, which took place on the 6th and 7th of March, as part of the Festival Palheta, in three spaces in Gafanha da Nazaré, in Ílhavo: the Fábrica de Ideias (Speeches The Triumph of the Word, at 9 pm last Friday), the Gafanha da Nazaré Secondary School (L’après-midi d’un Foehn, on the same day, at 10:30 pm) and at the Gafanha da Nazaré Parish Council (Error 404on Saturday at 5 pm).

The ARS of the Center therefore asks all people who have participated in any of these shows to contact the 910 700 272 or 910 700 762 mobile phones, to obtain information “about the procedures to be observed in view of the current infection by the new coronavirus” , it reads in the appeal sent by this body to the two municipalities.

The two municipalities publicized the appeal on their internet pages and, while the Albergaria-a-Velha Chamber, this morning, indicated that the municipal activity was “under constant evaluation, with updated information being released whenever justified”, the municipality de Ílhavo has decided to proceed with the suspension, until next March 22, of all cultural events managed by the municipal cultural project, the 23 Million, as well as the other activities aimed at children, youth, schools and “the senior community” . The chamber explains this decision as a “preventive measure to safeguard the population at greatest risk and to guard against possible effects of contagion”.
Second the latest information released by the Directorate-General for Health to 39 cases of covid-19 confirmed in Portugal and 339 suspected cases awaiting test results.

Download the PUBLIC app, subscribe to our notifications and be aware of the evolution of the new coronavirus. https://www.publico.pt/apps


Covid-19: São João and Santo António Hospitals have run out of capacity, new units activated | Cheers

The Santo António and São João hospitals, in Porto, “have run out of capacity”, so another four hospitals in the northern region were activated on Monday night due to the Covid-19 epidemic, announced the director-general of Health .

“I received a call (…) that told me that [os hospitais de] Santo António and São João have run out of capacity, ”Graça Freitas said on Monday, during the“ Prós e Contras ”program, on RTP1.

The director-general of Health said that, for this reason, she contacted the Regional Health Administration of the North to “activate the other four hospitals that were in the rear ready to be activated”, without specifying which hospital units.

Asked about the reasons why hospitals in Santo António and São João capacity was exhausted, the head of the Directorate-General for Health (DGS) explained that the rooms with negative pressure in these health units “have other inpatients there”, “the two positive cases” already known and also the “suspect cases that are there at the moment”.

The Covid-19 outbreak, detected in December in China, which can cause respiratory infections such as pneumonia, caused more than 3,000 deaths and infected almost 90,000 people in 67 countries, including two in Portugal.

Of the infected people, about 45,000 recovered.

In addition to 2912 deaths in China, there are fatalities in Iran, Italy, South Korea, Japan, France, Hong Kong, Taiwan, Australia, Thailand, the United States and the Philippines.

A Portuguese crew member of a cruise ship is hospitalized in Japan with confirmation of infection.

The World Health Organization has declared the outbreak of Covid-19 as an international public health emergency and increased the risk to “very high”.

In Portugal, DGS confirmed the first two cases of infection in Portugal, a 60-year-old man and a 33-year-old man admitted to hospitals in Porto.