12 Apr 2021, 11:25
At the government session chaired by Prime Minister Askar Mamin, the sanitary and epidemiological situation in the country was considered. Minister of Healthcare Alexey Tsoy reported on the current situation, the progress of vaccination and the measures taken.
According to the minister, the situation with morbidity and mortality from COVID-19 in the world remains tense. To date, more than 135 million cases of CVI have been registered in the world, more than 600 thousand cases are recorded per day, the increase in incidence is 0.5. More than 2.9 million people died, the mortality rate was 2.2%.
In five of the six regions of WHO, there is an upward trend in the incidence. As of April 12, 271,809 patients with a positive result of COVID-19 and 51,399 cases with CVI- were registered in Kazakhstan.
According to the matrix for assessing the epidemiological situation, the republic has been in the red zone for 12 days.
Also in the red zone there are 8 regions: the cities of Nur-Sultan and Almaty, Atyrau, West Kazakhstan, Almaty, Akmola, Karaganda and Aktobe regions.
Four regions moved to the yellow zone over the past week, so today there are 7 regions in the yellow zone: the city of Shymkent, North Kazakhstan, Zhambyl, Mangystau, Kyzylorda, Kostanay, Pavlodar regions.
Only Turkistan and East Kazakhstan regions are in the green zone.
“In April of 2021, there is a worsening of the epidemiological situation, so for 11 days of April, 24,955 cases were registered compared to the same period in March, there is a 3-fold increase in the incidence, up to 2,800 patients are registered per day,” Tsoy informed
An increase in the incidence is noted in all regions, with the exception of Kostanay and Turkistan regions.
About 61% of the incidence in the country falls on 3 regions — the cities of Nur-Sultan and Almaty, Almaty region.
Along with an increase in the incidence, there is an increase in the number of deaths, so in March compared to February, the number of deaths from CVI increased by 1.4 times.
At the same time, 57% of deaths also occur in 3 regions — the cities of Nur-Sultan and Almaty, the Almaty region.
According to the Minister of Healthcare, taking into account the epidemiological situation in April, there is an increase in the daily number of tests to 48 thousand tests per day, which is 41% of the total daily capacity in the country.
“Taking into account the current situation in all regions, additional restrictive measures are being taken in accordance with the criteria for restricting the work of socio-economic objects. At the same time, given the deterioration of the epidemiological situation, regional akims need to ensure constant monitoring of the situation and prompt response and the adoption of preventive and anti-epidemic measures,” said Tsoy.
According to the daily monitoring of bed occupancy in the context of regions, as of April 12, 2021, in the Republic of Kazakhstan, 30,109 infectious beds are deployed, employment is 41% (12 349 beds). The reserve fund is 32,065 beds.
Progressive high employment of infectious beds is noted in the Almaty region, years. Almaty and Nur-Sultan. At the same time, the reserve of beds in the cities of Nur-Sultan and Almaty is about 1,200 beds in each city.
It should be noted that despite the indicators of low bed occupancy in the country, today the number of hospitalized patients has increased 2.6 times from 4,713 people on March 12 to 12,349 patients on April 12.
“The number of intensive care beds in infectious diseases hospitals is 2,752, employment is 27%. High occupancy of intensive care beds is noted in Nur-Sultan — 66% and Almaty — 50%. The number of patients in intensive care units has increased 2.4 times,” Tsoy informed.
The work of mobile mobile teams of universities continues in the assigned regions. 724 volunteers were involved. More than 10 thousand medical workers have been trained. Medical universities have created 14 multidisciplinary teams that provide assistance to the regions.
426 COVID-19 patients were consulted. There are call-centers for consultations, the teaching staff of universities consulted and treated — 42 198 patients, of whom 3,880 are seriously ill.
As the Minister of Healthcare noted, due to the increase in the number of seriously ill patients in certain regions, from the beginning of this year. The Ministry provides organizational and methodological assistance with visits to the regions.
“Based on the results of the working trips, a number of remarks were revealed. Thus, there was an insufficient dynamic observation and treatment of concomitant diseases of patients from dispensary groups at the PHC level. Weak information and explanatory work among the population about measures for the prevention and diagnosis of CVI. Problematic issues of staffing at the level of infectious hospitals,’’ said Tsoy.
In the regions, detailed recommendations were left on the organization of the necessary measures, both at the level of primary health care and hospitals, and at the level of Health Departments.
In addition, it is necessary to take on constant monitoring of the provision of medical care to patients with CVI at the level of primary care and hospitals. Today, insufficient organization of work at the PHC level can lead to critical filling of beds in infectious diseases hospitals and reduce the availability of the population to emergency and planned medical care.
In this regard, the Health Departments need to intensify the work of PHC:
1) ensure constant monitoring of outpatient treatment of patients with CVI;
2) keep the work of mobile teams under constant control, in terms of timely service of calls and consultation of patients, sampling of biological material for PCR, delivery of medicines to the home of patients with CVI and viral pneumonia;
3) strengthen feedback with the attached population (online, offline), ensure control over outpatient treatment, especially for people from risk groups (monitored with chronic diseases, people over 60 years old), intensify advocacy.
Since Feb. 1, 611 thousand doses of the Sputnik V vaccine have been delivered to the regions. The delivery of the vaccine is carried out in stages according to the schedule. The delivery of the next 300 thousand doses of vaccines to the regions is expected tomorrow. In addition, about 1.4 million doses of vaccine are expected to be delivered in April, which will ensure the availability of vaccination for about 2 million citizens of the country.
According to the head of the department, the campaign of immunization of the population in the regions continues. Today, in the regions, immunization is carried out at 916 vaccination points.
In addition, 233 mobile vaccination teams are involved in vaccinating against CVI in remote areas, organized groups, crowded places. About 10 thousand health workers are involved in the immunization campaign.
In the cities of Almaty, Nur-Sultan, Kokshetau, vaccination points are deployed in shopping centers, in markets where vaccination is available on weekends, this allows the population to access vaccinations. Also, starting April 8, 2021, you can sign up for vaccinations through the e-government portal.
"For this, a citizen submits an application indicating a medical organization in the region of residence, the medical organization distributes applications indicating the time of vaccination, after which the citizen on the electronic government portal sees the date and time of visiting the medical organization," said Tsoy.
Taking into account the ongoing negotiations with manufacturers in Kazakhstan until September 2021 it is planned to provide access to vaccination for about 10 million of the population of Kazakhstan, i.e. 100% of the subject contingent.
The ministry constantly monitors the epidemiological situation in the country and in the world, on the basis of which measures are being taken to increase the preparedness of medical organizations for the increase in the incidence of coronavirus infection, organize and conduct vaccination of the population.
Akim of Almaty region Amandyk Batalov informed that in recent days in the region there has been a decrease in the reproductive number, which amounted to 1.1%. Since April 1, 36 thousand PCR studies have been carried out, 2,935 cases of CVI have been identified, of which 141 are children.
“The number of beds in the infectious diseases hospital has been increased to 4,300. Inpatient treatment is provided to 2,448 people, workload — 56.9%. All medical organizations and intensive care units are equipped with the necessary equipment, there is a monthly supply of medicines. Through telemedicine, 4 situational centers monitor critically ill patients. Residents of the region receive medical care from 205 ambulance teams and 391 mobile teams. Mobile teams are under control of 5,760 patients who are provided with the necessary medicines,” the akim of the Almaty region said.
46.7 thousand doses of vaccines were received in the region, 32.5 thousand people were vaccinated. 239 vaccination points have been prepared, a vaccination schedule has been drawn up, and a departure of teams has been organized to vaccinate labor collectives.
“Today it is planned to deliver 71,000 thousand vaccines. A total of 1.1 million people are planned to be vaccinated. The strict quarantine regime continues due to the region being in the red zone,” Batalov noted.
Ashyk mobile application is being introduced for business entities in Taldykorgan. Since April 1, in the course of 1,360 raids, monitoring groups have checked more than 9 thousand objects, 139 violations of the quarantine regime were identified. The epidemiological situation is under constant control.