The daily increase in coronavirus infections in the Czech Republic exceeded three thousand, other area measures are being introduced – ČT24 – Czech Television

From Monday, it will be mandatory to wear a veil at outdoor events, which will bring together more than 100 people. This applies with exceptions to Prague, Central Bohemia, the Zlín Region and the Cheb District. The regulation applies to events such as festivities, theater and film performances, sports and other gatherings. Exceptions will be children under two years of age, people with intellectual disabilities, actors, musicians, moderators and athletes during training or wrestling.

Renewed crisis staff

It will start on Monday to reopen the Central Crisis Staff, said Prime Minister Andrej Babiš. According to his renewal of the crisis staff, he complied with the call of the regions, and Deputy Prime Minister and Minister of the Interior Jan Hamáček (CSSD) is to take the lead again.

At the same time, the Prime Minister did not rule out the possibility that a state of emergency could be declared again in the Czech Republic. This would be the case if the Ministry of Health needed to declare some measure that it does not have competence under the Public Health Protection Act.

Deputy Olga Richterová (Pirates) praised the resumption of the crisis staff in Events and Comments, stating that the situation could not be managed logistically without the involvement of the army and police. “Believe that the trend is threatening,” she warned, calling for the promotion of the e-veil application. She criticized the government for its late response and poor communication.

MP David Kasal (YES) defended the cabinet, saying that it is not possible to expect such an increase exactly and that the government is responding sufficiently. According to him, the health system was well prepared for the situation.

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Events, comments: Kasal and Richter on coronavirus

The number of hospitalized is also growing, visitors to Prague are banned

Hygienists have announced a ban on visits to all Prague medical facilities and social services. Valid from Friday 18 hours. The ban should last a month, Prague hygienists said.

Currently, there are 20,289 infected people in the Czech Republic, most of whom have a mild course of the disease. According to the latest available data from Wednesday, there are 413 people with infections in hospitals, 91 of whom are in a serious condition. Since Tuesday, the number of hospitalized patients has increased by 25 and severe cases by ten.

According to the Ministry of Health, hospitals can handle many times more patients with covid-19 than now, even in serious cases. The number of people who died with the covid is also increasing. There are a total of 489 victims, with four more deaths on Thursday.

The Czechia has ten times more cases of coronavirus per capita than Slovakia. In comparison with the states of the European Union, the Czech Republic is the third in this calculation in 14 days, only Spain and France are ahead of us.

Video Events

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Events: Testing for coronavirus in the Czech Republic

More tests

In a single day, tests showed an infection in 3,130 people on Thursday, which is a similar figure as for the entire month of March. The number of infected people also grew significantly last week, when the daily increase exceeded the 1,000 for the first time. Since then, with the exception of Sunday, more than a thousand confirmed diseases have been added daily. But more was tested.

The disease is spreading faster than in neighboring countries. Absolute numbers are higher in the Czech Republic than in the more populous Germany or Poland. It is the same when comparing values ​​per million inhabitants.

Laboratories performed a record 22,271 tests on Thursday. Of these, 14 percent were positive. The share was higher only on March 10, when there were only 165 tests.

In August, the number of tests per day only exceeded 10,000, while last week the laboratories performed more than 15,000 tests every day from Tuesday to Thursday, a record 19,000 on Friday. On Wednesday, they managed 17,890 subscriptions. According to Minister Adam Vojtěch (for YES), the capacity of laboratories is 20,700 per day, the target is 25,000.

The first sign of improvement in the epidemic situation will be according to the director of the Institute of Health Information and Statistics Ladislav Dušek reducing the share of new cases in the number of tests. On Wednesday, the share reached almost 12 percent, the day before it was less than ten percent and on Monday over six percent, while on weekends it was also over 11 percent.

On Friday morning, however, there were complications during testing. The system of electronic requests for examination of a sample for covid-19 has failed. However, according to information from the Smart Quarantine team, the problem has already been solved. Due to the outage, doctors or hygienists could not issue requests, but sampling at the sampling points worked.

The metropolis has the worst numbers

The disease is now most prevalent in Prague and the adjacent Central Bohemian districts, but also in the Kroměříž, southern Plzeň, Uherské Hradiště and Cheb regions. In the last seven days, hygienists in Prague confirmed 191 cases per 100,000 inhabitants, followed by Kroměříž with 171 cases, more than 150 infected per 100,000 inhabitants in the districts of Prague-East, Prague-West, Pilsen-South and Uherské Hradiště.

Distance learning at Prague universities

Distance learning will be introduced at universities in Prague next week. According to the risk of infection with the new coronavirus, Prague will have a red color on the map of regions, said Mayor Zdeněk Hřib (Pirates) on Twitter. According to Hřib, the city agreed on the measure with the hygienists. When exactly will be introduced, he did not say.

“At the moment, I have not been able to convince the hygiene that there are reasons for us to transfer to distance learning in high school,” the mayor of Prague told ČT24. He originally stated that distance learning would be introduced in secondary schools in the metropolis. “Hygiene wants to keep it in reserve and possibly reconsider it in the coming days,” the mayor added.

This week, Prague, together with hygienists, decided to wear veils even during classes. The Ministry of Health subsequently introduced them for the whole country from Friday. According to Thursday’s statement by the director of hygiene in Prague, Zdeněk Jágrová, 29 schools in the metropolis are affected by covid-19 and there are a total of thirty children and teachers who are positive.

New area measures

From September 10, due to the deteriorating epidemic situation, the obligation to wear a veil in the interior of buildings applies throughout the Czech Republic. Due to the growing number of infected and hospitalized, the state is introducing further general measures from Friday. Indoor mass standing events for more than ten people will be banned. Exceptions are exhibitions, markets and similar events. Pupils and teachers must wear veils even in classrooms with the exception of primary school. They will stay all over the country restaurants or bars closed between midnight and six o’clock in the morning.

Restrictions also apply from Friday when traveling from the Czech Republic to Slovakia. Tourists and other groups of passengers, with a few exceptions, need a negative coronavirus test result to avoid quarantine and a subsequent infection test.

Video Studio ČT24

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CT correspondent Petr Obrovský on travel to Slovakia

People should follow the basic rules of hygiene, Minister Vojtěch urged them to be considerate and to limit participation in larger events as much as possible. According to the ministry, the most common places of infection are the family and the work environment, and a visit to social events, such as family celebrations and weddings, is also a risky activity. More than a fifth of recent cases have come from schools.

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Obesity increases risk of dying from COVID by 48%

Moderate to severe obesity is believed to increase the risk of dying from COVID-19 by nearly 50%, a study finds that the probabilities of complications associated with body build are higher than previously thought.

• Read also: LIVE | The latest developments on the coronavirus

The study conducted at the University of North Carolina at Chapel Hill in the United States is a meta-analysis that brought together all the available data on this subject. In total, 75 previous studies, involving nearly 400,000 patients, were analyzed.

Researchers conclude that individuals with both obesity (defined by a body mass index of 30 or more) and COVID-19 are twice as likely to be hospitalized. Their risk of being admitted to intensive care would be increased by 74% while that of succumbing to the new coronavirus would be 48% higher.

This is explained by the fact that obesity is linked to other health problems which are factors of vulnerability to COVID-19, such as hypertension, heart disease, type 2 diabetes and problems renal. Being overweight could also lead to insulin resistance and inflammation, which in turn can hamper the body’s fight against viral infection, it says.

The study also raises the possibility that future COVID-19 vaccines may be less effective in individuals with obesity based on the fact that influenza vaccines would be less effective in adults who have this. health problem.

“We are not saying that the vaccine will not be effective in populations suffering from obesity, but although obesity should be considered as a factor that could affect its performance,” said in a statement Melinda Beck, a professor in nutrition who participated in the study.

The authors warn that economic insecurity may reduce access to healthy food among low-income people. Furthermore, containment measures and even teleworking, although they are necessary to limit the spread of the coronavirus, can lead to more sedentary behavior, they add.

The population should adopt better lifestyles, while governments would have an interest in implementing public policies in this direction, they believe.

-With the collaboration of the QMI Agency

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Miloš Říha is hospitalized, his condition is said to have deteriorated

Sixty-one-year-old hockey coach Miloš Říha senior, who led the Czech national team in the last two seasons, is hospitalized at the Institute of Clinical and Experimental Medicine in Krč, Prague. Slovan Bratislava, who trained Říha in the past, stated on his social networks that the Přerov native has deteriorated in recent weeks.

Říha ended up in the hospital last April, when in Nitra the Czech national team was preparing for the Euro Hockey Challenge matches against Slovakia before the World Championships in our eastern neighbors.

He was released from the hospital after two days. “I do not want to divulge the details. It is a banal situation that happens to every person. Everything is alright. I just felt a little sick and the doctor is careful, so we did all the tests and it turned out that it was perfectly fine, “said Říha sixteen months ago.

Bývalému úspešnému trénerovi HC SLOVAN Bratislava Milošovi Říhovi sa, žiaľ, v posledných týždňoch natoľko zhoršil…

Posted by HC SLOVAN Bratislava on Tuesday, August 18, 2020

The daily Blesk now informs that Říh has returned health problems that he has not solved for a long time. He is said to be having abdominal pain that bothered him last year. He has now undergone surgery. It’s not about banality.

Říha ended up in the hospital, he will not lead the national team in Slovakia in Friday’s match

“Unfortunately, Miloš Říh’s health has deteriorated so much in recent weeks that he had to be hospitalized. First at Roosevelt Hospital in Banská Bystrica, later he was transferred to the Institute of Clinical and Experimental Medicine in Prague-Krč. Miloš, we are thinking of you and praying for your healing, “Slovan wrote on his Facebook, which Říha reached two championship titles in Slovakia in the past and later led him in the KHL between 2015-2017.

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On video | Camino Nuevo Barranquilla will strengthen preventive medicine

A total of 80 thousand users will benefit from the Camino Nuevo Barranquilla that advances in the old building of the Barranquilla Hospital, located in the San Roque neighborhood.

The new project, which is built in an area of ​​11,019 square meters without affecting the heritage building of the current Hospital, guarantees care for users who reside in the Historic Center and the southeast of the city.

The new hospital center will have a level 2 complexity, 24-hour emergency services, 8-hour external consultation and imaging, and will offer different services.

In addition, it will have two procedure rooms, a resuscitation room and observation rooms for adult patients and children.

Its delivery is scheduled for May 2021. The total investment is $ 87,331 million in civil works and endowments.

Extern consult

It will also have outpatient services for promotional care, prevention, outpatient consultation, outpatient consultation and specialized consultation.

It will have a promotion and prevention office for adults and children, four general medicine offices, seven specialized medicine offices, a minor procedures office, a psychology office, a dental and oral hygiene office with three cubicles, and a vaccination office.

The Health walkers will also offer systematized services to provide personalized attention.

The surgical-obstetric service will have two delivery rooms, labor recovery with neonatal adaptation and sterilization service.

While the hospitalization area will have 120 beds, 33 two-person rooms for adults, 16 one-person rooms for adults, two rooms for isolated, 3 two-person pediatric rooms, two neonatal rooms with five cribs, four one-person pediatric rooms, eight intensive care units and eight intermediate care units.

This project is part of the comprehensive modernization of the District’s public health network, which has been implemented in the last 12 years with the aim of guaranteeing timely and quality care.

Mayor Jaime Pumarejo Heins has expressed his commitment to strengthening preventive medicine, one of the lessons that has been learned in the course of the pandemic, and which allows the early detection of patients with comorbidities that in many cases involve risk to their lives.

“Here we are going to have all the necessary elements to fulfill this objective,” said the mayor.

The district president made an inspection tour to find out how the work that rises in the same place is progressing, where the first hospital center in Barranquilla worked, built between 1871 and 1876, and which became over the years into one of the emblematic sites of this city.

Recover jobs

Although Barranquilla is on the list of cities with the lowest unemployment rate in the country, the District is looking to recover the 150,000 jobs that the city lost during the health emergency.

Between now and 2021 Barranquilla will invest more than $ 5 billion. The investments will be destined to education, health, public services, drinking water and basic sanitation, equipment, transportation and culture, among others.

The District says that these projects, included in the 2020-2023 Development Plan, will generate employment, taking into account that each peso invested by the State is multiplied by six, seeking that the economy grows at a rate of 8%.

The mayor estimates that the current reopening points him to that goal of “recovering employment.”

Barranquilla was the city, among the main in the country, with the lowest growth in the unemployment population and the second lowest growth in the inactive population, the Mayor’s Office reported.

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In 200 mp per day, attention to Covid in a private hospital in Puebla

In addition, there is no immediate availability for care in private hospitals.

The cost of medical care for patients with Covid-19 in private hospitals of Puebla It is almost unattainable for those who lack resources, since a single day can reach up to 200 thousand pesos, in addition to the fact that there is no availability of beds.

The secretary of Health in the state, Jose Antonio Martinez Garcia, indicated that until last week the cost to the state administration for the care of a person in Intensive care it is 50 thousand pesos per day.

Until last Thursday, 930 people hospitalized in the entity were reported, of which 84 were in private institutions and 846 in state and federal government hospitals.

Spanish charity, with the highest cost

In the Spanish charity there are no beds available for a patient with contagion, so it is necessary to call constantly to verify availability.

The staff indicated that it is necessary to make a deposit of 200 thousand pesos for a person with Covid-19 In addition, the account of one day per hospitalization it ranges between 50 and 70 thousand pesos a day.

No availability at the Puebla Hospital

Care for people with Covid-19 in the Puebla Hospital is subject to availability. Until this weekend there were no beds available and there is no waiting list so it is necessary to ask to verify if there is a space.

Staff indicated that patients with coronavirus They enter through the Emergency area, for which it is first necessary to make a deposit of 10,000 pesos. Once this payment is made, the person can enter and be valued, which will generate a cost of between 50 and 60 thousand pesos for the attention and the fees of the doctors.

In case the person needs to be hospitalized, it is necessary to cover a fee of 50 thousand pesos, which will be repeated daily until the patient is discharged.

Thus, on the first day, the cost of care oscillates in the 100,000 pesos, according to the staff, who pointed out that until this weekend there is no space in the Intensive care unit where people who have a critical health condition must be treated, and whose rate is 40 thousand pesos per day, which must be added to the amounts already mentioned.

Christ Muguerza

At Hospital Christ Muguerza There was also no availability of beds for people with coronavirus until this weekend, so it is necessary to call the hospital to secure a space.

To be treated in this hospital it is necessary to make a deposit of 35 thousand pesos to which the costs of the fee of treating physicians and medications, so a single day of hospitalization can cost more than 60 thousand pesos.

The cost for the occupation of a bed of Intensive care It amounts to 8,602 pesos, but to this must be added the costs of medicines and the fees of the nursing and medical personnel who treat the person.

At Angeles Hospital There is no longer care for people with coronavirus, only tests are carried out to detect the virus, which have a cost of 5,000 pesos for those of the type PCR and 1,700 pesos for those that detect antibodies in a person, also known as rapid tests.

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Police obliged to inform relatives of detainees about their hospitalization :: Society :: RBC

During the day, the police must inform the detainee’s relatives that he was given first aid or hospitalized. For medical reasons, relatives were informed of injuries or death of the detainee.

Photo: Vladimir Astapkovich / RIA Novosti

The government ordered police officers to inform relatives or loved ones of the detainees about their hospitalization or first aid. This is stated in the resolution of the Cabinet, published on the official portal of legal information.

The amendments will supplement the government decree of April 16, 2012 “On approval of the provision on the conditions of detention, food standards and the procedure for medical care of detainees in the territorial bodies of the Ministry of Internal Affairs of the Russian Federation”. It says that upon the conclusion of an ambulance doctor, detainees can use medicines that are stored on the territory of the Ministry of Internal Affairs and issued by the police in the manner prescribed by doctors.

Media found out about police empowerment project

Photo: Sergey Vedyashkin / AGN “Moscow”

The new decree supplements this paragraph (No. 27) with a requirement for police officers to inform the relatives or close person of the detainee “as soon as possible” that he was given first aid or about his hospitalization. At the same time, police officers must transmit information to relatives no later than 24 hours from the moment when the person was given first aid or when he was hospitalized. The exception in this case is a serious illness, injury, injury or death of the detainee. In such situations, police officers must transmit information to relatives and the prosecutor “immediately, but no later than 3 hours” (paragraph 28 of the 2012 government decree).

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experts explain why obesity “helps” coronavirus

– Has long been known that overweight people have lowered immunity, says head of the Department of endocrinology of the medical faculty Russian national research medical University. N. And. Pirogov Tatiana Demidova. Research and practice show that in these patients increases the risk of atherosclerosis sharply increases the risk of heart attacks, strokes and heart failure. Increased risk of endocrinological, oncological diseases, joint diseases, psychological disorders.

Epidemic COVID has added another item to the list of high threats to people who are overweight. It turned out that when infected with coronavirus patients with obesity more often require hospitalization, fall into the ICU, on the ventilator (artificial lung ventilation). Alas, is growing and the risk of death.

– If the original messages from China on the most severe cases COVID it was mainly about the older people with severe chronic diseases, according to the latest data from Europe and USA the risk group includes people with obesity – says Tatiana Demidova.

FACTS AND FIGURES

In what diseases most often develop complications due to coronavirus

90% of patients admitted with severe COVID-19 US hospitals, were the following comorbidities:

– hypertension — 49.7%,and

– obesity or 48.3%,

– chronic lung disease — 34,6%,

– diabetes type 2 diabetes was 28.3%,

– cardiovascular disease — 27,8%.

Thus, obesity is second among the States in which CouId be severe.

CORONAVIRUS, INFLUENZA, AND HIV, “LIKE” ADIPOSE TISSUE

Visceral adipose tissue, that is, one that is in the abdomen, is, in fact, highly individual body, experts explain. This body affects the immune, endocrine system and metabolism in the body as a whole.

– People who are overweight fat cells are much larger. So, is synthesized in much more of various hormones and inflammatory cells. Among them, including interleukin-6, interleukin-1, tumor necrosis factor, and others, – says Tatiana Demidova. Often in the body, there is a creeping inflammation.

At the same time observed that many viral infections and especially COVID-19 amplify the effects cytokines and lead to the extension of the generalization of inflammation. “It was proved that adipose tissue serves as a reservoir for some viruses, such as influenza, HIV and cytomegalovirus. Also, according to the latest data, it can be activated and coronavirus,” adds Demidov.

INSULATION NEEDS TO BE LONGER?

Studies have shown one more feature of coronavirus. As it turned out, he is able to spread rapidly in adipose tissue surrounding internal organs – lungs, liver, kidneys, heart, etc. because Of this, developing severe damage to these vital organs and people with excess weight, excess amount of adipose tissue increases the risk of death from multiple organ failure.

There is evidence that such patients are also unable to stay longer carriers of the virus, require longer hospital stay and isolation, said Tatyana Demidova.

AFTER INFECTION — DIABETES

There is evidence and that not less than one-third of patients hospitalized with COVID-19 in China, European countries and the United States, the infection resulted in damage of the pancreas. This was confirmed by elevated enzymes amylase and lipase, and glucose levels in the blood plasma.

– This is a very disturbing circumstance. Since we talking about high risk of developing diabetes type 2 diabetes in people with the original obesity after recovery from infection, says Dr. Demidov.

It is not excluded that after the break the pace of the epidemic COVID, we will see a worldwide surge in the incidence of diabetes, experts say.

So now, when the opportunity walks, sports, seasonal ripe fruits and vegetables rich in fiber, doctors suggest the obese individuals to exert their maximum effort for getting rid of really dangerous extra pounds.

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how Nadezhda Babkina restores health after pneumonia

Nadezhda Babkina on May 9 will certainly perform Victory songs. This time thousands of spectators will not applaud her – we celebrate the main holiday in self-isolation mode. And Nadezhda Georgievna herself is recovering after a serious illness, therefore she saves herself – there will be concerts, but later. But “Victory Day” will certainly sound in the house of the national artist. We tell how Babkina regains her health after being discharged from the hospital.

Recall that Nadezhda Georgievna was hospitalized with pneumonia, for almost a month we were worried about her health. The treatment required the introduction of an artist into a coma, Babkina coped, doctors saved the life of Nadezhda Georgievna – and now she is already at home. The situation was very serious. Nadezhda Babkina told about the course of the disease in Let They Talk, immediately after hospitalization and computed tomography of her lungs, she was transferred to intensive care:

“About 80% of the lungs were affected … Everything covered with film and dragged on: it’s such an infection, it manifests itself very quickly and starts working …” Later, the artist found out that at some point the situation became very serious: “The question was acute at the time the kidneys stopped working. Why? Details did not tell me. Probably it was scary, there were a lot of problems with me … “

Before discharge, CT showed that lung damage, according to the singer, decreased to 40%. Now Nadezhda Georgievna is not in a Moscow apartment, but in her country house in the suburbs. Therefore, she goes to special Lapino hospital for special physiotherapeutic procedures to restore lung function and rehabilitation. At discharge, the artist was prescribed home recovery (for 20 days): pills, injections – the artist tells her colleagues what she can do herself. Doctors ordered Babkin to do breathing exercises.

Nadezhda Georgievna says that the exercises are not easy, they are dizzy after them, but the artist is not lazy: she does it every day, because it’s important for the profession to restore the lungs as soon as possible. “Since we are singing, I have light accordions (squeezed – unclenched),” Babkina communicates with her colleagues and friends over the telephone — her voice is normal.

Nadezhda Babkina walks a lot – she lives in a country house (the singer was taken to the hospital from her Moscow apartment), and she came to rehab for fresh air outside Moscow. The actress is accompanied by a nurse Allochka – now the first assistant to Nadezhda Georgievna. “A beautiful little girl, Allochka, looked after me in the hospital, as though she was young, and hands like sledgehammers — I think all four will fall down. And she dragged me. From the bed to the toilet (I couldn’t walk). And – night is not night, she just lived with me, ”Babkina got used to her nurse. And Allochka went to her house – to help recover.

She goes to physiotherapy with her son, and Assistant Allochka is always nearby at home. Civilian husband Yevgeny Gor also raises spirits – he and his Hope have been 17 years old.

“He protects me, worships!” – the artist praises her Zhenya. There is something to praise – Gore kept the defense of journalists for a month: not a single interview or comment on Babkina’s health until she wrote out. Immediately after Nadezhda’s discharge, Eugene breathed a sigh of relief, and even cut himself off for joy! The precautions for self-isolation in this family are followed very strictly. Now Babkina even before washing her hands washes: he touches his face only with clean hands.

Nadezhda Babkina with common-law husband Eugene GorePhoto: Personal page of the hero of publication in social networks

The house has a special lamp that disinfects the air. The device for air disinfection in the rooms of Babkina was presented for an anniversary – even before the illness. Now come in handy! In March, Nadezhda Georgievna celebrated her 70th birthday; she is going to celebrate lavishly in the fall, when they are allowed to hold events. For the anniversary, the singer lost 23 kg in three and a half months: food was delivered to her ready diet. And in the hospital she dropped it again: I didn’t want to eat. Now she eats fully: as she began to recover she suddenly wanted sauerkraut.

Nadezhda Georgievna is not bored at home: the collective of her theater “Russian Song”, like all artists on self-isolation, but Babkina is engaged in current affairs, in touch with her employees. In the hospital, I didn’t communicate with anyone from friends: only with relatives, and when I got better, I watched TV. But now it receives calls and congratulations, we can say that with a second birth. Babkina says that she gave herself the command not to be afraid, to completely trust the doctors as soon as I entered the hospital: “When I looked in my eyes Shapovalenko Tatyana Vladimirov (the chief physician of the Medsi Design Bureau in Otradnoye – approx. Aut.) said that I believe you – my life is in your hands. ”

Recovery will not be quick – this artist understands, does not deny: no one knows yet – what consequences can be after an illness. But now there is more good news: according to the results of the analyzes, the doctors said that the immune system is restored.

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Coronavirus in the Yvelines. 106-year-old dean of an Ehpad survived Covid-19

Hélène Lefèvre, resident of Ehpad Richard in Conflans-Sainte-Honorine (Yvelines) has recovered from the Covid-19 that she was diagnosed with a few weeks ago. According to information from Parisian, she tested positive on April 15 and needed no hospitalization. A great story for a 106 year old woman.

“Our dean is a very alert woman who still has her head, she even keeps her accounts”, underlines in the Ile-de-France daily Emmanuelle Guillon, the director of the establishment. During her recovery, the centenary rested, confined to her room.

“She has little information about the epidemic because she almost never watches television”, says Bruno, an employee of the “Golden Age Services” personal assistance company.

Daily exercises

Still surprised to be alive, Hélène “ don’t want to die “, reports The Parisian. The overactive resident forces herself to walk every day, morning and afternoon, in the corridors of the retirement home. The Yvelines establishment has 200 residents.

The dean celebrated her 106th birthday last January. She was born in 1914, just a few months before the outbreak of the First World War. Her family has always lived in the region, but Hélène never married and has lived in the Conflans-Sainte-Honorine nursing home for 100 years.

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Doctors compared mortality of COVID and other infections

On the page of the doctor and TV presenter Alexander Myasnikov interesting information about the situation with infectious diseases in the world was published on the social network. And in particular that rotavirus infection causes hundreds of thousands of deaths per year in the world. Is the familiar and familiar rotavirus more dangerous than the coronavirus? “KP»Understands together with the immunologist, expert in public health and international health care, candidate of medical sciences Nikolay Kryuchkov.

– Of course, in addition to COVID-19, there are many other dangerous diseases in the world and these are not necessarily infectious diseases. Let me remind you that mortality from cardiovascular diseases is in the first place, also high mortality is associated with oncological diseases, in particular, lung cancer, and, of course, infectious diseases are also often the cause of death. However, the threat of rotavirus infection today is greatly exaggerated, said Nikolai Kryuchkov.

How many people die from rotavirus?

According to pessimistic estimates provided by the World Health Organization, around the world in 2013, 215 thousand children under the age of five died from rotavirus infection. According to other data obtained in international studies, this is 122 thousand deaths in 2013.

– The situation since 2013 in terms of mortality from rotavirus infection has not changed much. I think here we can talk about 200 thousand deaths per year among children under five years of age. Half of the world’s deaths occur in five countries: India, Pakistan, Nigeria, Angola and Congo– emphasizes the immunologist Nikolai Kryuchkov. – In the media you can often find information that up to a third of deaths of children under five are caused by rotavirus. This is not true! The fact is that among all deaths of children under five years of age in the world, mortality from diarrhea accounts for about 8%, but among these 8% of deaths from diarrhea – from 25% to 30% are attributable to rotavirus. That is, it turns out about 200 thousand deaths of children under five years of age per year in the world, while more than 6 million children under five die in the world per year.

On the page of the doctor and TV presenter Alexander Myasnikov on the social network, interesting information was published on the situation with infectious diseasesPhoto: Ivan PROKHOROV

Is rotavirus disease relevant for Russia?

If you consider Europeyy region to which Russia, then the figures for mortality from diarrhea are lower than in developing countries. Mortality from diarrhea among children under five in Europe is 4% – 5% of all childhood deaths. About a quarter of them are rotavirus.

In Russia, according to WHO estimates, in 2013, 52 children under the age of five died from rotavirus infection, which is 0.3% of all other deaths of children under five years of age. Rotavirus infection is not the most common cause of death among children, and even more so among adults (the latter rarely die from rotavirus, so all statistics are data on the death of children – approx. Ed.).

– Rotavirus is a problem primarily in poor countries with a warm climate. For Russia, this is also a problem, but to a much lesser extent, ”said Nikolai Kryuchkov, a doctor. – It is important to emphasize that effective and safe rotavirus vaccines exist.

The incidence of rotavirus infection after the introduction of vaccination has decreased many times. In Russia, universal vaccination against rotavirus is not carried out, but, despite this, mortality is low, given that it is clear how to help such patients. The main thing here is replenishment of lost fluid and symptomatic therapy. Given these two factors — the availability of a vaccine and the development of affordable treatment — mortality from rotavirus is very low even among children from zero to five years old, not to mention adults. Among adults, these are isolated cases.

Who is worse: rotavirus or coronavirus?

According to epidemiologists, mortality (taking into account the number of deaths from the number of episodes of the disease) of rotavirus infection in the world is from 0.05% to 0.09%. This is comparable to mortality from seasonal flu. Yes, in the poorest countries it can reach up to 2%. However, in this case, only moderate to severe episodes are taken into account, and not all cases of rotavirus infection.

“With coronavirus infection, according to my most optimistic forecasts, the mortality rate in the world will be 2%,” says Nikolay Kryuchkov. – Let me remind you that now the mortality rate from COVID-19 in Russia is about 4%. AT Germany – 3.5%, and this is one of the best examples in Europe. Of course, a lot depends on how the data are kept and analyzed, but even though there are probably unaccounted cases, the mortality from coronavirus infection is much higher than the mortality from rotavirus. And the epidemic of coronavirus infection is still far from over.

“It is also important to understand that we are having a coronavirus pandemic, and the situation with rotavirus is under control.” The number of deaths from coronavirus is now growing, due to the fact that there is an increase in cases of infection. The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8%. Therefore, it is obvious that the situation with rotavirus is stable, and the coronavirus pandemic for us is not known how it will end. The coronavirus infection pandemic continues to grow, it is important to understand this, ”Nikolay Kryuchkov emphasized in a conversation with“ KP ”. – When we talk about the number of deaths from rotavirus, 200 thousand people a year around the world among children under five years of age are deaths that happened in a year! As we know, the coronavirus epidemic lasts about four months. This is significantly less than a year.


The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8% Photo: Ivan MAKEEV

The daily increase in new cases of coronavirus infection in the world is more than 5%, and in Russia today it is more than 8%Photo: Ivan MAKEEV

How many deaths from coronavirus infection will be in a year (given that, according to the data of May 3, 243,922 people died in the world – approx. Ed.)? Yes, there are other dangerous infections in the world, but many of them can be protected. This is Hepatitis B, and pneumococcal infection, tetanus, and so on. And Dr. Myasnikov rightly points out the need for widespread vaccination against the most dangerous and common infections. Unfortunately, there are no vaccines from COVID-19 yet, they will be ready by the spring of next year at best.

Also, an important difference between the course of rotavirus infection and coronavirus infection: hospitalization with rotavirus disease in developed countries is very rare. All necessary treatment conditions can be provided at home. With coronavirus, the patient often needs active therapy, which can only be provided in a specialized medical institution.

SPECIFICALLY

Dr. Myasnikov gives such statistics on mortality from infections (in the world for a year)

Measles (there is a vaccine) – 140 thousand deaths per year

Pneumococcus (there is a vaccine) – 2 -2.5 million deaths per year

Hepatitis B (there is a vaccine) – 650 thousand deaths per year

Tetanus (there is a vaccine) – 89 thousand deaths per year

Cervical cancer (there is a vaccine) – 250 thousand deaths per year

Tuberculosis (there is a vaccine) – 1.5 million deaths per year

Influenza (there is a vaccine) – 650 thousand-1 million deaths per year

Coronavirus (no vaccine) – 244 thousand deaths from the beginning of the spread

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