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Coronavirus in Ile-de-France: "We have to bite the bullet for three more weeks"

2020-05-08T10:27:03.539Z


Aurélien Rousseau, Director General of the Ile-de-France Regional Health Agency takes stock of the health crisis while the region


Containment ends. Good news for millions of French women who will be able to gradually regain their freedom of movement. Some shops will remain closed and strict rules have been published for public transport in Ile-de-France. The director of the Regional Health Agency (ARS), Aurélien Rousseau, specifies the situation of the region classified red in the deconfinement map.

What will deconfinement on Monday look like in Ile-de-France, which remains in red on the coronavirus map?

Aurélien Rousseau. We open a positive page with great caution. Ile-de-France remains in red mainly because we still have 1245 Covid + patients in intensive care this evening, it is more than our maximum capacity in normal times. Ile-de-France, which experienced the strongest wave, remains in very strong red, because it is dense with more contaminated places than elsewhere, especially with public transport.

However, the circulation of the virus differs from one department to another, if we trust the rate of passage to the emergency room ...

Hospital tension is the same everywhere in the region and it is at the regional level that we manage the intensive care beds. At the time of deconfinement, this is the criterion that prevails.

The Minister of Health recalled that the R0, the factor of reproduction of the virus, which had dropped to 0.5 had gone back to 0.6 ... How did you prepare for deconfinement in this context?

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We start with trust. If we come out of this confinement, it is thanks to the extraordinary work of the hospitals and also thanks to Ile-de-France residents who have largely respected this confinement, including for those who live in difficult conditions. You have to clench your teeth three more weeks, they are decisive, to know if you are able to stifle this virus. We will have to continue to keep good reflexes, limit our trips, favor teleworking as much as possible and stay at home when we are particularly fragile, or when we live with a chronic illness. Every time you go out, you have to ask yourself if it's essential. The effectiveness of the response is in the hands of our fellow citizens.

Is reconfiguration possible?

We must necessarily work on this hypothesis. It is expected to have 1000 to 1200 new cases per day. The goal is to intervene as soon as possible to break the chain of contamination. It's like with a small fire, for a few seconds, a small damp cloth is enough to extinguish it, after it's too late. And oxygen, in the epidemic, is contact.

How many tests can be performed per day?

Our testing capacity is 40,000 per day, seven days a week. We must target symptomatic people and "contact subjects".

Concretely, how is it going to happen?

At the slightest symptom, the doctor is called, who, according to the clinical picture, will order a PCR test and prevent health insurance. If the test is positive, questions will be asked to find out how we live, in what accommodation, how much, to organize isolation and get in touch with those who have been in contact for a fortnight. They will be tested in turn after only a week, before it's too early, we can have "false positives". If they are positive, they will remain in isolation. If it is a school teacher, or a person living in a community, student residence, home for migrant workers, etc., it is the ARS which will be in charge of identifying the risk of cluster and samples on site. 150 people are already mobilized.

What are the brigades for?

The conditions of home isolation reveal extremely strong inequalities. This is why we put in place teams, like the Covisan system in Paris. They are being set up in the departments, around the prefects, communities, with the support of the ARS. They will often be made up of a social worker to assess, in addition to the security of isolation, the needs for carrying meals, accommodation elsewhere if the people live in a studio in three.

What if a patient refuses?

There will be no coercive measures. But I know that people trust professionals when it comes to protecting themselves and others.

A month ago, you launched the tests in the 700 Ehpad. What conclusions do you draw?

98% of Ehpad have been tested to date. 25% of the 60,000 residents and 14% of the 40,000 staff tested positive. We know that there were also 4,000 residents who died in nursing homes, and 1,000 more died in the hospitals where they were admitted. These tests also allowed us to break out of the isolation of some residents who were suspected of Covid and who were not sick. With 2700 reinforcements, 50 geriatric mobile teams ... we fought on all grounds not to leave the Ehpad isolated, and we will continue to call them every day to support the deconfinement.

Reinforcements in hospitals are gone for many, the staff is exhausted ...

We have not turned the page. The indicators are positive but fragile. We must pay tribute to the incredible work of hospitals, which are still extremely busy. There is a desire to allow the resumption of activities and at the same time, you must be able to rearm the device if necessary. The goal is to anticipate before seeing the patients arriving in intensive care.

Are there plans to increase the hospital budget?

The President and the Prime Minister have been clear: at the end of this crisis, many things will be put back on the table, we know that we owe it to caregivers. Bonuses of € 1,500 have been decided for hospital staff. This hospital, which expressed its discomfort before the crisis, had this incredible capacity to develop a response, with many sacrifices and taking risks. This French hospital is extraordinarily impressive.

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Source: leparis

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