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Covid-19: under reinforced surveillance, Ile-de-France is preparing for a decisive week

2021-02-26T20:43:18.527Z


Hospitals on alert to find beds, wave of tests in schools, all-out consultations between prefects and elected officials… So


The figures leave no room for doubt: an incidence rate (number of positive tests per 100,000 inhabitants) of the Covid-19 epidemic which jumped 40 points in one week to reach 280.5.

With a "worrying" increase, according to Public Health France, of this indicator for the over 65s in Essonne and Seine-Saint-Denis.

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But also the predominant English variant in all the departments with a proportion greater than 55%.

And the bar of 800 Covid patients in intensive care crossed in hospitals ... Ile-de-France and its 12 million inhabitants are clearly under close surveillance.

Conclusion of the latest bulletin of Public Health France: “A worsening of the regional epidemiological situation in the coming weeks is to be considered.

"

As announced this Thursday the Prime Minister, Jean Castex, the appointment is already made for March 6.

If the situation deteriorates further by then, it is a turn of the screw that hangs in the face of Ile-de-France residents.

It is therefore a decisive week that is shaping up on several fronts.

As of Monday, the regional prefects, departments and the regional health agency (ARS) must launch consultations with elected officials.

Especially in Paris since to everyone's surprise, this Thursday evening, the 1st deputy mayor, Emmanuel Grégoire, had announced that Anne Hidalgo intended to ask the prefecture to put the city under the bell for three weeks.

But beyond the elected officials, it is on the responsibility of each one that the health authorities rely.

"The main challenge is not to shy away from getting tested, if you've eaten with friends, or moved to a place where you know the virus is circulating, it's worth it. isolate for a while and get tested, even if you have no symptoms, ”insists Aurélien Rousseau, the director general of the ARS.

This week 468,335 people have been tested, 34,445 have tested positive.

To counter the threat, several major decisions have been taken.

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Level 2 taken at the hospital

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This means an increase in the reception capacity for Covid patients in Ile-de-France hospitals.

The decision was taken on Tuesday, as evidenced by an internal email signed by the Director General of the ARS, Aurélien Rousseau.

“Today we have passed the threshold of 800 patients in critical care with 25 more patients in 24 hours […] We must imperatively reach 1127 beds (in critical care) at the regional level by Friday 26 February.

»315 beds in Paris, 210 in Hauts-de-Seine, 113 in Seine-Saint-Denis, 55 in Val-d'Oise… That's nearly double the number of critical care beds mobilized on level 1. This is 'necessarily accompanies the deprogramming of certain operations and strengthened management at the regional level.

And this time - this is a first - the number of Covid beds to be opened has been imperatively fixed for each establishment, in the public as in the private sector.

40,000 to 50,000 saliva tests at school.

This is the objective of the Ile-de-France health authorities this week.

“But we do not yet know where they will take place,” regretted this Friday Stéphane Troussel, president (PS) of the departmental council of Seine-Saint-Denis, where the positivity rate was the highest this week (11%).

It is the National Education which must orchestrate them, indicates the ARS, on the basis of the list of communes where the incidence is higher than elsewhere.

This should concern around 500 establishments.

This testing campaign in schools was also requested by Valérie Pécresse, president of the region.

250,000 doses of AstraZeneca vaccine

are announced in Ile-de-France in March.

This vaccination campaign will target caregivers and residents of Ile-de-France aged 50 to 64 with the most at-risk profiles.

As Simon Cauchemez from the Institut Pasteur indicated in our columns yesterday, a race against time is underway between vaccines and variants.

If the vaccination of the most precarious does not contain the epidemic, it could limit admissions to critical care in hospital.

The models let fear a third wave even more formidable than the first.

The announced endowment will not be enough to satisfy elected officials who, on all sides, would like to see vaccination accelerate, especially in the areas most exposed to the epidemic.

It would still be necessary to have stocks.

“The device is just in time, repeats Aurélien Rousseau, we have no reserve.

When we have surpluses, which happens occasionally, we target the departments where the impact is the highest.

"

The vaccination campaign with nursing homes is coming to an end.

With 81% of residents vaccinated, including 51% with both doses, and 41.7% of staff.

Outside of nursing homes, 3% of the general population could be vaccinated.

Almost a quarter of those over 75 were able to be vaccinated (24.2%).

Source: leparis

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