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BBC told about the collapse of health of Kyrgyzstan on the background of the pandemic coronavirus
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Mobile teams organized by the Ministry of health simply did not have time to go to all who had a list of all symptoms
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In may, the quarantine was relaxed, and the Ministry of health has declared their actions successful, as the whole country with a population of 6.5 million people there were only 1002 cases of Covid-19 and 12 deaths
med.kg
In Kyrgyzstan only in July the number of cases Covid-19 grew four and a half times the country’s health system could no longer cope with the load, the deputies went on vacation, and many people began to panic. On the situation in the Republic writes “BBC Russian service”.
The first three are infected with the coronavirus was discovered in early March of pilgrims among Kyrgyz, who arrived from Saudi Arabia where they were going for the lesser Hajj. Then the Republican staff on fight against a coronavirus reported that these three people from the moment of arrival does not comply with the rules of home quarantine and had contact with more than 150 people had to isolate and test.
By the end of March the government of Kyrgyzstan has closed the border of the air and imposed severe restrictions across the country. In the three largest cities of Bishkek, Osh, Jalal-Abad and in several areas was introduced a state of emergency and a curfew. Local residents are not encouraged to leave home without urgent need, it was forbidden to leave the limits of the village. Employees of most companies working remotely has stopped working public transport and a taxi, all schools and kindergartens in the country were closed for almost two months.
As a result, tax revenues of the country decreased tenfold and the budget deficit has reached an unprecedented 37 billion soms (about $ 500 million). The Economics Ministry forecasts that by the end of the year, the country will face the sharpest decline in GDP in the region since the 1990s – to a minus of 5.3 percent. Then the country asked for help in the fight against coronavirus IMF: appropriate urgent request was approved, but if you’ve received the money and where they were sent, exactly, is unknown.
In may, the quarantine was relaxed, and the Ministry of health has declared their actions successful, as the whole country with a population of 6.5 million people there were only 1002 cases of Covid-19 and 12 deaths. Most people who have arrived from other countries, including Kyrgyz migrants from Russia, forced to return home because of the pandemic. However, in June, when all restrictive measures were lifted, the number of infections started to grow exponentially: during the quarantine, every day was identified from 25-80 cases, and from mid-June on some days there were from 300 to 700. In the end, the patients that carry the disease to mild or medium-mild, recommended to be treated at home, and to open new beds in other hospitals and businesses.
One of the contacts of the man, sick with coronavirus, was unable to get an appointment with a local doctor, or call the hotline of the Ministry of health. Mobile teams organized by the Ministry of health simply did not have time to go to all who had a list of all the symptoms. The girl first reported about the negative results of the tests, which she passed in a private laboratory, but after she developed symptoms of the disease, said that due to the large influx of patients and analyses sent her the wrong diagnosis, and she discovered coronavirus.
“After a phone call I started to panic, I’m with these incorrect results for a whole week continued to go to work and even went on holiday with relatives,” she said. On the hotline of the Ministry of health told her that I can’t help and advised to call an ambulance. They said that on admission “, and there can not be”: with the influx of patients do not manage hospitals or ambulances. As reported by local media, two people with pneumonia died right on the doorstep of a hospital.
On the background of the collapse of the health system, patients and their families are searching online and pharmacies popular drugs – from simple paracetamol and antibiotics to oxygen concentrators (devices for extracting oxygen from the atmosphere). Most people are treated independently, reading recommendations online, and part refers to the doctors-volunteers who advise cases online.
In early July, morbidity in Kyrgyzstan has increased dramatically , at the same time, along with the daily number of deaths from Covid-19, the Republican staff on fight against a coronavirus began reporting about deaths from community-acquired pneumonia. Only for the first 13 days of July was recorded 372 cases, despite the fact that the total number of deaths from the coronavirus in the country now, according to official data, amounts to 167 patients.
Those who died from pneumonia, were negative test results for coronavirus. But the representative of who Michael Ryan has recently noted a similar trend in several countries of the region and did not exclude that the death could be the result of a coronavirus. In the end, the Ministry of health announced that statistical cases of community-acquired pneumonia are now considered to be a manifestation of coronavirus.
Not better accounted for health workers. Of the 12 thousand cases of every six employed in the health sector is two thousand physicians. Only July 14 among physicians and nurses was identified 105 cases of coronavirus. Causes of morbidity physicians began including an intense overtime in poor conditions and lack of personal protective equipment. For example, in the capital’s national hospital, where the diagnosis Covid-19 and community-acquired pneumonia are 450 employees, 145 employees are on sick leave. The number of cases – Minister of health of the country Sabirjan Abdikarimov and chief sanvrach Nurbolat of Usenbaev.
27-year-old Nurayym said on Twitter about the dire situation in the hospitals, anywhere she and her 50-year-old mother. “We finally take. Say, to go unaccompanied to the 5th floor and go into the spare chamber. The hardest lift is busy on gurneys. First drag mom takes the bed. Down again for two trunks, dragged again on the fifth. In the office, which opened an hour ago, already 30 people”, – writes the Nurayym.
According to her, two nurses and one doctor are available from 30 patients, in seven patients there are only five of the ventilator, and several people die in front of her. As of July 15, the Ministry of health has officially stated that in medical institutions is not enough 220 of the ventilator.
In the beginning of the pandemic, the Ministry opened a special account to fight the coronavirus, where international organizations and ordinary citizens did 321.2 million dollars. However, most of these tools (170 million), the government sent to pay salaries and pensions, including doctors and teachers. Directly to combat the coronavirus have spent only $ 2.2 million and 148 million are still not used. During the lockdown was not built any special hospital and not carried out mass training of doctors.
1 July the government acknowledged that hospital beds and medical ventilators, is not enough – and decided to expand day hospitals to reduce the burden on hospitals. Nine such centers appeared in different facilities in Bishkek, including at the Palace of sports and even in a former bakery. They are designed for patients who need injectable treatment or droppers. Funds for the purchase of the ventilator for these points were collected with the help of crowdfunding, and work there are volunteers, interns, and medical students. According to their patients, the hospital brought not only patients with mild symptoms, but those who have already died, their relatives “went to look for drugs in all pharmacies of the city” and the sick during this time just died.
For the first week of the hospitals in them died seven people. One of them is 21-year-old medical student Adini Murzabekova, who was a volunteer in one of these hospitals deployed in the hotel. According to colleagues, she was not able to provide timely assistance, as in the mobile hospital did not have intensive care.
The sharp rise in cases has also been observed in neighbouring countries: Uzbekistan and Kazakhstan have already announced the second quarantine, but the President of Kyrgyzstan said that in his case, the new lockdown impossible. Instead, the authorities introduced a number of other restrictive measures, such as public transportation now runs only during peak hours, which led to the overflow of buses and minibuses.