Corona Superintendent Professor Roni Gamzo ordered the construction of a permanent model for imposing restrictions • In the background: The IDF report found that in the Western world a transparent, permanent and graded system is used • Advantage of the method: The public can understand in advance what restrictions will be imposed, when and where
Many countries around the world are working to strengthen public motivation to reduce morbidity by the "stair method". Each country has set itself criteria by which it can predict when a closure is expected and thus take into account the education, economy, culinary and other systems. In Israel, the material is being studied these days, in an attempt to formulate a strategy for the future.
Appointment of Gamzo to the position of Corona Commissioner, Archive // Photo: GPO
Indeed, one of the first tasks of the Corona Commissioner, Prof. Gamzo, which was assigned to the Deputy Director General of the Ministry of Health, Prof. Itamar Grotto, is to prepare a warning scale similar to models in the world that is also true for Israel.
In two weeks, the restrictions will expire, and in accordance with the "Corona Law," the Ministry of Health is required to bring a new model to the Knesset's Constitution Committee for approval. The aim is to prepare a multi-stage plan of relief and restrictions, with the transition between each stage depending on morbidity indices - not only the number of new diagnoses, but also the number of difficult patients and the number of hospital beds.
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A security report released over the weekend suggests the government adopt the "warning rating" method used in many countries around the world. It is a common organizing format in West and East Asia for the measured, timed, and predictable management of the transition from the morbidity and quarantine phase to a relative routine. Using the "warning levels" method, the government assesses the severity of the epidemic in a given country or region, and adapts the restrictions on public and economic activity to each level of warning.
The countries, including the United States, England, Germany, Japan and others, have formulated a management strategy for the fight against Corona, based on the "risk / warning levels" linking the morbidity situation and the severity of economic constraints. To the level of epidemic control or the level of warning for a re-emergence of the disease.
The "level of risk / warning" in most countries is determined by several indicators: the rate of infection with the virus and the number of new patients per 100,000 people, the rate of positive tests, changes in the coefficient of infection and the burden on medical staff measured by hospital bed occupancy. The energetic.
According to an AMN report, the advantage of the "stair method" lies in the fact that the criteria for moving between the stairs as well as the steps taken at each stage are determined in advance. In this way, the method creates transparency for the public, who know at all times the condition of the illness at their place of residence, understand the considerations for raising the "risk / warning level" and can anticipate what the restrictions will be in the event of an increase in illness.
The various countries combine information and reflect the situation, for example on interactive government websites, in order to strengthen the
public and the municipal authorities' sense of certainty and motivation to reduce morbidity.
Preparedness is planned
The criteria set for the transition between the steps are usually set by a team of experts and should address the state of the health system, the possibility of rapid identification of the increase in morbidity and reliable and time-fixed parameters, which do not change rapidly with policy changes. The distance restrictions, which are determined in each of the situations, can be determined according to the expected benefit following their application to reduce morbidity, weighing the economic damage that will be caused by the move. Thus, it is possible to pre-determine a program to support sectors whose activities may be severely affected and over long periods of time. For example, the tourism, leisure and culture sectors, restaurants and education.
Ranking methods vary from country to country. In Germany, for example, the grading system works by defining a red line above which are defined as "red" areas. Red line crossing will be determined by the number of new patients per 100,000 people.
The traffic light method
In France, the stair method was divided into traffic light colors: red, orange and green. Stair colors are also affected by the number of new patients per 100,000 people. In France, too, there are changes in the coefficient of infection and the load on hospital beds and intensive care beds in particular.
In the U.S., at the federal level, the stair method is also accepted in three stages. Beyond the number of reports of newly verified corona patients per day, it also refers to those infected with influenza and the ability of hospitals to treat the crisis, The method is in four stages, and in addition to the number of patients, the number of dead and hospitalized per day is also considered, as well as the number of epidemiological researchers in California.
