The status of corona infection in Tokyo and Osaka is “at the stage of increasing infection” government subcommittee

Corona infection situation in Tokyo and Osaka is “infection escalation stage” government subcommittee July 31 20:19

As the spread of the new coronavirus infection nationwide, the government’s subcommittee has compiled the idea that the infection situation should be divided into four stages and necessary measures should be taken based on indicators such as the number of severe people before the situation worsens. The chairman of the subcommittee, Mr. Omi, expressed the recognition that Tokyo and Osaka, where the number of infected people is increasing, is now in the second stage of the “infection escalation phase” in which the load on the medical provision system is accumulating.

After the government’s subcommittee meeting held on March 31, Minister Nishimura and Chairman Shigeru Omi gave a press conference to clarify the idea of dividing the status of the new coronavirus infection into four stages and considering necessary measures.

Specifically
The situation in which the infected person is sporadically occurred in the “zero-sporadic stage of infection”,
the situation in which the number of infected people is gradually increasing and the load on the medical provision system is accumulating is
The situation in which the number of infected people is increasing rapidly, and the medical care provision system is hindered,
The situation in which the medical provision system is dysfunctional due to the explosive spread of infection is the “stage of infection explosion”.

On top of that, it is important to take necessary measures based on indicators such as the number of severe patients and the medical care provision system before the situation worsens and moves to the next stage.

Mr. Omi expressed the recognition that Tokyo and Osaka, where the number of infected people is increasing, is in the second stage of the “infection escalation phase.”

As for the index for determining the status of infection, Minister Nishimura said, “In the future, I would like you to discuss further how to look at the medical provision system, the number of people in their 60s or older, the number of people with severe illnesses, and the number of new infected people. We keep in mind that this is a common indicator across the country.”

On the other hand, Minister Nishimura expressed his intention to establish a new working group led by experts and consider countermeasures, saying that prejudice and discrimination against infected people have been pointed out.

Classification of infection status into four stages

The government’s subcommittee said that there are few people infected with the infection situation.
“Zero sporadic stage of infection”,
“Infection escalating stage”,
“Infection surge stage”,
We have shown the idea of dividing them into four stages of the “infection explosion stage”.

As a result, the “zero infection sporadic stage” with the least infection is a situation in which there is no particular obstacle to the medical provision system though the infection has not occurred or is occurring sporadically.
It is said that the area where the number of infected people is small now is at this stage.

The second stage of the “infection escalation phase” is a situation in which the increase in the number of infected people, such as the outbreak of a population of infected people and clusters, is increasing, and the increase in the number of severe patients is gradually increasing, increasing the load on public health centers and medical care provision systems that take measures.
Mr. Shigeru Omi, chairman of the subcommittee, expressed the recognition that tokyo and Osaka, where the number of infected people is increasing, is at this stage.

The third stage of the “rapid increase in infection” refers to a situation in which the number of clusters and the rapid increase in the number of infected people have further increased the load on the health care provision system and have a significant impact on general medical care.
There are currently no regions at this stage.

The fourth stage of infection explosion, which is the most severe infection situation, shows a situation in which large-scale cluster infections, such as in hospitals, occur in a chain, leading to the spread of explosive infections.
Many people with a high risk of severe illness, such as the elderly and those with chronic illnesses, are infected, and public health centers and medical care provision systems are dysfunctional.

Measures and indicators to grasp the signs of deterioration

The subcommittee says that it is important to grasp the signs and take necessary measures as soon as possible before the situation of infection worsens at each stage and advance to the next stage.

Specifically, we plan to consider the index for this purpose in order to see the tightness of the medical provision system in the future.
The number of sickbeds that can be secured,
The number of severely ill patients,
In addition, we will judge based on the number of infected people over 60 years old.

Also
The percentage that is determined to be positive in the PCR test,
The positive rate and the percentage of people whose route of infection is unknown are also important to look at the burden on public health, which is used for testing systems and countermeasures.

In addition, the subcommittee also summarized the concept of measures to prevent the infection situation from worsening and the stage to proceed, of which in order to prevent the transition from the “infection escalation stage” to the “infection rapid increase stage”,
Requests for closure to restaurants that serve sake that do not comply with the guidelines,
3. Thoroughly avoid dense,
In addition, it is important to proceed with measures that are currently being taken, such as securing additional beds and accommodation facilities.

In addition, in order to prevent the transition to the “infection explosion stage”, it is necessary to reduce the opportunity of contact between people altogether, so it is necessary to consider a forceful response such as “declaration of emergency”,
Request for self-restraint of going out and holding events,
In principle, mild persons are taking measures such as giving priority to critically ill patients who need inpatient treatment, such as accommodation treatment.

Chairman Omi: “Show specific indicators such as numerical values as soon as possible”

At a press conference, Chairman Omi said, “I would like to show more specific indicators such as figures as soon as possible over the next week or so. Since the index must be satisfactory to the prefectures that take measures, we would like to make it in close cooperation,” he said, expressing his intention to propose more specific indicators until the next session.

Governor Hirai: “Discussions so as not to separate from the public’s thoughts”

Governor Hirai of Tottori Prefecture, who attended on behalf of the National Governors Association, told reporters after the subcommittee that the debate on the level of the infection situation was “an indicator to ensure that the sickbed is not full, but it should be not separated from the public’s desire to increase the number of infected people by this much. When discussing leveling, we should create clear criteria, such as how to exclude them from the Go To campaign.”

Governor Hirai also made it clear that he had called for the revision of the Corona Virus Antivirus Special Measures Act to allow policies with the ability to implement the exercise of authority, such as requests for leave of absence by prefectural governors, so that policies with the ability to implement them, including compensation for leave of absence, can be implemented.

According to Governor Hirai, there were similar proposals from Tokyo Governor Koike and Osaka Governor Yoshimura.

Prime Minister Abe: “Keeping a high level of tension and taking necessary measures”

Prime Minister Shinzo Abe told reporters during his departure from the prime minister’s official residence on Thursday night, “We are keeping a close eye on the current situation of infection with a high level of tension. First of all, it is a thorough test, and early detection of the positive person, and early treatment are advanced. In addition, prevention of severe illness is extremely important. It is necessary to prevent infection in people with high-risk underlying diseases and the elderly. We will thoroughly conduct inspections at hospitals and facilities. And as the government must work on, we will strive to develop and secure therapeutic drugs and vaccines.”

He said, “We heard from experts today, but we will take necessary measures in close cooperation with local governments.”