The Medical Association will propose to the Government a more complete matrix to assess the epidemiological situation in the coming months. The proposal, presented this week by the coordinator of the Portuguese Medical Association crisis office at TVI24 (see below), is based on a system of traffic lights with what is now used by the Government, but in which the country, sub-regions (NUTS 3 ) or counties would change from green, yellow and red not only due to the cumulative incidence of 14 days – which has been used as a criterion in decisions by county – but also of the transferability (RT), which has not been disclosed by county, of the positivity rate and number of tests, movements of patients in the ward and intensive care, the percentage of the vaccinated population and prevalence of new variants and their weight in patients admitted to hospitals with serious conditions.
When i, the President of the Medical Association says that the proposal is being finalized and will be presented to the Ministry of Health and the President of the Republic, insisting that the current matrix does not reflect the dynamics of infection in a context in which there is a growing number of vaccinated people: “We have to be able to control the infection, knowing that we are in a different context, but acting early on what are indicators of greatest concern”.
Miguel Guimarães exemplifies that it is different for a municipality to register 240 cases per 100,000 inhabitants and to have people hospitalized or not to have or to have cases of vaccine failure, for example associated with new variants, which argues that it needs to be analyzed.
It also emphasizes that it is not a question of “relaxing” red lines, which was contested at the last meeting of Infarmed by experts, but of making the analysis more comprehensive. “This matrix can give us a finer mesh of analysis and correspond to measures that the Government could or could not take as a result of this, but with an analysis with greater reasoning and knowledge of the population”, he says.
In the case of Lisbon, Miguel Guimarães considers that the increase in the incidence along with hospitalizations, including of vaccinated people, is a double warning sign and admits that the current measures may be insufficient. “Currently, the country is not confined, even Lisbon, so it will be difficult for there to be a reduction in the incidence. From the point of view of health services, there is an increase in hospitalizations, which is not to be devalued and has to be monitored. At this moment, the issue of the health system collapsing is no longer raised, but every time one more ward is opened for covid patients, there is less one ward we have to treat non-covid patients-19. We need more space and more time to dedicate ourselves to the sick”, he says.
Source: Jornal i by ionline.sapo.pt.
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