MIL OSI Translation. Region: Russian Federation –
According to the Mayor of Moscow, the capital manages, on the one hand, to protect vulnerable groups of the population and maintain a sufficient volume of routine medical care, and on the other, to prevent a total lockdown and the closure of economic sectors.
Last week, for the first time since spring, more than five thousand cases of the disease were detected per day. According to the Mayor of Moscow, this figure is due to the high population of the city, as well as the increase in the number of tests. Sergei Sobyanin replied in my blog to popular questions from Muscovites.
The capital ranks first among the regions of Russia in terms of detection of infected with COVID-19. And in terms of the number of hospitalizations and covid pneumonia per 100 thousand of the population, Moscow today is in 30-40 place. There are about 10 thousand people in hospitals, about a thousand in intensive care and on mechanical ventilation.
“The efficiency of detecting infected people in Moscow is much higher, because in parallel with PCR testing, work is underway to identify COVID-19 through the ELISA test system (about 35 thousand per day) and CT diagnostics (from 1300 to 1500 per day). And the number of express tests can no longer be counted, ”said the Moscow Mayor.
In the capital, the number of tests per 100 thousand inhabitants is one of the highest in Russia and among cities in the world (1.5–2 times more than in London or Berlin).
“Our policy in the field of testing is to identify as early and as many cases of covid as possible in order to provide timely assistance and prevent infecting others. For this we use all available laboratory facilities and CT centers, ”added Sergei Sobyanin.
To assess the situation with morbidity, it is not the total number of detected cases that is important, but the number of patients who require hospitalization and even resuscitation. It is also worth paying special attention to the number of patients who have experienced complications after an illness, and, of course, mortality.
Number of hospital beds
Sergei Sobyanin also said that about 15 thousand specialized beds have already been deployed in the capital to fight the coronavirus, and reserve hospitals have been commissioned.
“This is a lot. Even with such a huge number of hospitalizations as today, they provide a fifty percent supply. At the same time, ordinary clinics fully provide emergency and planned assistance, which is extremely important, ”said the Moscow Mayor.
If the incidence continues to grow, other hospitals will need to be withdrawn from routine care. It will not be possible to simply deploy additional beds in the new buildings, since they require medical personnel who already work with extreme loads.
According to Sergei Sobyanin, extreme measures that can be used to combat coronavirus infection (the introduction of a curfew, a complete ban on movement around the city, on entering and leaving it, closing all enterprises) are absolutely unacceptable and impossible for Moscow.
“The optimal strategy is to find a middle way between closing the city and completely abandoning restrictive measures. Not to touch the main sectors of the economy, not to deprive people of work, but at the same time to find an opportunity to interrupt the chains of the spread of the coronavirus, ”the Moscow Mayor said.
Home regime must be observed by residents over 65 years of age (2.1 million people) and citizens with chronic diseases (700 thousand people). Schoolchildren from the sixth to the 11th grade, students of individual universities and colleges (660 thousand people) have been transferred to distance learning. Also protected are children under three years old who do not go to kindergarten yet (370 thousand) plus their mothers (700 thousand). More than one million people have switched to remote work. In addition, approximately 1.5 million people have already been ill with coronavirus, which means they are protected by immunity for some time.
Effectiveness of the introduced measures
The number of passengers on public transport decreased by 40 percent – from seven to 4.2 million people a day. In addition, the requirements for observing the mask regime have become more stringent.
“I do not see the need for more stringent measures, although individual point decisions cannot be ruled out. On the contrary, from Monday we return to school the students of the first to fifth grades. The risk of infection in this group is less of the harm caused by the inability to go to school for elementary school students. But what we will definitely do is to strictly and systematically monitor the observance of the measures taken, ”Sergei Sobyanin said.
Checks of mask mode at enterprises and in transport will be carried out regularly until the end of the pandemic.
“It’s the same with remote work. Starting from Monday, we will begin to check the organizations’ fulfillment of the requirement to provide information on the transfer of some employees to “remote work”. And in a few days more checks will begin on the actual compliance with the teleworking regime, ”the Moscow Mayor emphasized.
To enter nightclubs and bars, the opening hours of which include hours from 00:00 to 06:00, visitors will have to go through a check-in. This is necessary so that in case of detection of sick people among other guests, the establishments can notify everyone else by phone.
“I understand very well the enormous fatigue that I had to face in 2020. But to play down the danger and even more so to pretend that it does not exist is not an option. Today, more than ever, it is necessary to be as open and honest as possible. Only a sober assessment of the situation will make it possible to find the right solution, ”Sergei Sobyanin is sure.
According to him, Moscow has managed to find the best way, which, on the one hand, will help protect vulnerable groups of the population and maintain a sufficient volume of routine medical care, and on the other hand, prevent a total lockdown, which will cause irreparable damage to the economy and people’s incomes.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.