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Covid-19: Is isolating the sick in hotels the solution to break transmissions?

2020-11-21T14:45:58.641Z


Already encouraged by the National Academy of Medicine during the first wave, this device would make it possible to remove patients from their family circles and thus limit the spread of the virus.


The compulsory isolation of Covid-19 patients is "

a track on the table

" which must be the subject of a "

democratic debate

", government spokesman Gabriel Attal said on Friday, November 20.

In full reflection to ensure better deconfinement in order to avoid a third wave, France is seeking to perfect its “

test, trace, isolate

strategy

and particularly the last point.

There is no isolation today in fact

, was annoyed with the World, Philippe Juvin, the emergency manager of the Georges-Pompidou hospital, in Paris

.

There is no point in testing millions of French people if it is to then send them home when they are positive and infect those around them,

”he continued, not excluding the possibility of putting positive cases. quarantined in hotel rooms.

An idea already developed by Bruno Retailleau as of November 5: "

Let us requisition hotels to isolate the sick.

".

The president LR group in the Senate accused the current strategy of screening and tracing the virus accusing it of being ineffective: "

in July, we traced five contact cases, today only three

", he said exasperated. .

Opposed to a stricter re-containment, he wishes more "to

isolate the sick than the healthy

" in particular by making the French hotel stock available to the regional health agencies (ARS).

Over 1000 beds available

In a press release dated April 10, the National Academy of Medicine had "

recommended that hotel establishments be made available to Regional Health Agencies to accommodate, until clinical recovery and the negativation of viral detection tests, patients with simple or moderate forms of Covid-19, or recovering from this disease leaving hospital

”to avoid the creation of family clusters.

Read also: For lack of travelers, the hotel supports the hospital

The idea met with initial success in France last April.

The Première Classe hotel in Perpignan and the training center of the French Tennis Federation in Paris each accommodated around forty people.

In a single room, meals served on site and limited access to a rest room, patients are housed during their quarantine, thus limiting contact with their loved ones and therefore making it possible to break the chains of transmission.

Throughout France, 1,000 beds were made available to health authorities during the first wave, confirms

Le Figaro

, Jean-Virgile Crance, president of the National Group of Hotel Chains (GNC), which brings together more than 3,000 hotels.

Taking advantage of the very low activity of establishments to relieve congestion in hospitals is the idea of ​​Covid hotels, a project in which several large chains participated.

83 Accor group hotels including 10 in the Paris region have allowed 390,000 overnight stays since March.

Read also: Covid-19: Accor lost more than two-thirds of its turnover in the third quarter

A partnership has even been signed with the Assistance Publique des Hospitals de Paris (AP-HP) as part of the “

Covisan

” system, a multisectoral organization to better understand deconfinement.

However, only about forty patients took advantage of it.

Mixed success

Unlike Spain, where Covid hotels were taken by storm, French patients did not particularly join, which slowed down the reinstatement of the device to deal with the second wave.

A regret for those who had participated in the first edition of the device.

Nothing this fall,

” regrets the French Tennis Federation, which had adapted its Parisian training center to accommodate beds.

On the side of the AP-HP, "

it was lifted with the agreement of the Prefecture of Ile-de-France in July for lack of requests

".

Read also: Covid-19: Have hospitals recruited enough caregivers?

A project which certainly did not meet the expected success but which "is

worth it

" for Jean-Virgile Crance, president of the GNC.

"Everything is ready to operate it," he

impatiently convinced.

In China, we know thanks to our hotel groups there that one of the keys to success has been being able to isolate Covid patients ”

.

In Madrid, hotels are not only used as a place of isolation but as hospitals allowing the creation of between 3,000 and 4,000 beds to relieve exhausted hospitals.

A few steps from the El-Retiro Garden and the Gregorio Marañón University Hospital, the Ayre Gran Hotel Colón, in the center of the city of Madrid, has welcomed Covid-19 patients since it opened March 19.

On October 7, another 68 people were staying there, according to the Spanish newspaper La Vanguardia.

Read also: Spain, Europe's new sick man

At a time when 4,854 people are hospitalized in an intensive care unit, according to the latest report from Public Health France and where interregional transfers of patients are increasing, using hotels is "

an easy solution to set up

" and “

Less expensive than opening intensive care beds

” for Jean-Virgile Crance.

The Accor group therefore says it is “

ready to once again welcome requests from prefectures and authorities for the isolation of patients

”.

At the end of August, as a preventive measure, the AP-HP reopened an internal structure which can if necessary accommodate 33 people in isolation without special medical care.

SEE ALSO

- "The number of cases in France remains particularly high", notes Jérôme Salomon

Source: lefigaro

All news articles on 2020-11-21

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