“the Situation remains difficult, the spread of the epidemic, unfortunately, continues. The number of people infected with coronavirus, is growing,” – said Vladimir Putin. This increases not only in Moscow, which first faced the threat of infection recorded in all 85 regions. However, the government was preparing, and at the expense of preventive measures, the dissemination process was able to slow down and keep. Analysis and comparison of the obtained data with the situation in other countries confirm that it is possible to solve tasks of the first phase of the epidemic is to slow its spread. “But it is in any case should not make us complacent,” – said the head of state. “As experts say, the incidence peak is still ahead, and now we need to do everything to smooth this peak, to shorten the passage through the so-called plateau, when recorded the largest number of new infections,” he said.
the Work goes in all directions, said Putin. By the end of this or beginning of next week will be fully deployed for more specialized collection of medical beds in all regions, and the authorities take into account all possible scenarios of development of events, he said.
the Head of state asked the participants several questions. The first is assessment of the situation and the dynamics of the epidemic in Russia, forecast at 3-7-10 days, for a month, including the number of complications. The President also wanted to know whether there are enough reserves and stressed that health workers must be protected from contamination. By the way, vaccines primarily are given to them.
due to the holidays period, quarantine and isolation rules managed to get the extra time to bring down the pace of the epidemic, and to reconfigure the health care system, stated the head of state and asked whether sufficient preventative measures. “We proceed from the chief is to protect the life and health of the people and only relying on expert opinion, to apply the safest modes of branches of individual enterprises and organizations,” he decided. We must act very carefully, knowing that the economy is completely unstoppable, Putin said. But it is necessary to minimize the impact of the epidemic on employment and incomes.
Another important issue – the work on creation of the vaccine. “Make it is difficult, impossible, – the President said. – Since the vaccine must not only be collected should be proven its efficiency and security”.
However, he was asked to name possible terms of development – in order to prepare in advance the capacity and to start production in the right amounts. The next question is medication. Searching for treatment methods or provide new drugs and their combinations. “With the exposure and disease may encounter��smiling everyone, and it is very important that health care workers have been pre-prepared algorithms of actions for providing effective assistance to people and all ages,” he explained. In addition, the President pointed out that special attention should be paid to pregnant women and children.
the Operational data of the whole country and in Moscow reported to the Vice-Prime Minister Tatiana Golikova: growth per day – 10 per cent, on the capital – 8.3%, Moscow region – 12.4 percent. Other regions lag behind in terms of growth and development of the disease for 2-3 weeks. The growth in 54 regions is higher than in Russia on average, and in some regions significant, said Deputy Prime Minister. While these are small numbers, but the pace should be forced to think about it, she said.
Russia has one of the largest coverage in the world of testing population. At the beginning of April 20 made 2 million 53 thousand studies, this is the second result in the world. “This test coverage allows you to proactively identify asymptomatic forms,” said Deputy Prime Minister and added that you cannot directly draw a parallel between the number of TB cases in other countries where testing anyone with symptoms or a serious illness.
In Russia – 285 foci of disease, continued Golikova. The average age of onset of female 47,9 years, men of 44.7 years. The proportion of children and 7.6 percent of citizens over 65 years old – 15.5%, lower than in other countries, and speaker attributed this to the fact that they proactively placed in isolation. The regions still have the lag in time to prepare health network, she assured me.
“of course we Need the regions to work on more,” agreed Putin, announced the meeting of Prime Minister with colleagues in the regions and tasked to implement best practices across the country.
Moscow Mayor Sergei Sobyanin believes that deterrence and isolation in the capital should continue. “We have decided to extend until may 1, rather rigid restrictions and permit regime”, – he said. “Within a week and a half more or less be clear how we will continue to move forward,” the mayor added. Also the mayor has noticed that in other countries statistics shows seriously ill. In Russia, the diagnosis is even on the clinical picture, “on suspicion of Coveney pneumonia using computed tomography”. In this case, close attention is paid to those who are sick of SARS. Per month at the usual time, these people about 400-450 thousand. Now all of them immediately issued a decree of isolation, and relatives too, said the mayor. The number of seriously ill is reduced through timely isolation of risk groups, early detection and treatment.
“Over the past 10 days, the number of seriously ill patients stabilized at 1000-1300 per day. There’s no such explosive growth… This gives you the ability all medicine SPO��oyno routine work”, – noted Sobyanin. “We have a fairly large margin of safety of the medical system in two weeks,” he said.
Then said the scientists. From one third to one half of the diseases proceeds in an asymptomatic form, and the unknown degree of contamination of patients with various forms of coronavirus infection, said the Deputy Director of TSNII of epidemiology Alexander Gorelov. The number of deaths relative to the total number of patients in Russia is much less than in other countries, compared the infectious disease specialist Viktor Maleev. Speaking about the withdrawal, he stressed that the most stringent measures are justified.
how to reduce mortality, said the academician pulmonologist Alexander Chuchalin. Called not to comfort themselves with the figures, he said that about a month may be needed to minimize the impact of the spread of coronavirus in the country. Academician spoke about the concept of chemical pneumonitis: a virus gets into the lower respiratory tract, develops anoxia, and the vessels are responsible cramps and blood clots. Ineffective artificial ventilation of lungs because the alveoli are already there.
can Help the helium – he can pass in any capillary, said Chuchalin and cited the work of Nobel prize laureates Kapitsa and Landau. “Kapitsa showed that at different temperatures helium has opened new properties,” he reminded the scientist. “Helium can actually remove oxygen starvation”, – he stressed. And will help in early diagnosis. The second stage is the nitric oxide, which relieve spasms of the blood vessels and will fight with blood clots in the capillaries. In Moscow there are stunning examples of the struggle with the disease, also said the scientist and praised Kommunarka – “one of the best hospitals in Europe.”
you Need to change the paradigm, that is, to correctly assess the initial phase of the disease, convinced Chuchalin. Russia could appoint a combined treatment with helium and nitric oxide, in other countries this is not possible. We need to act “as a blueprint” as with patients who have transferred a heart attack of the myocardium, suggested the scientist. The most insidious for patients with pneumonia – night growing is hypoxia and tissue damage, also he warned.
Approximately 3.5-4 month – period of the epidemic, but now begins the period of allergies-pollen Allergy, the symptoms are the same, and doctors should not go astray and confuse it with the coronavirus. With proper organization of work for 3-4 weeks to minimize heavy patients and to minimize the deaths, concluded the academician.
a doctor and a biochemist Nikolay Durmanov spoke about the impact on the course of the disease a genetic component: “We know which genes of the immune system provide us with stability and whom, the carrier of these genes, it is necessary to keep differently treated”. Genes will tell you what vaccines Primto Enate. “Because the dream that we have will be a blockbuster – a single vaccine for the entire population, perhaps this is a naive dream,” he said.
Director of the research center of epidemiology and Microbiology named Gamalei Alexander Ginzburg proposed to amend the government resolution on the release of drugs in civil circulation, which will save time on registration. Test system for the detection of antibodies to the coronavirus to the end of the week will be on the registration, he said. And the Ministry of health vaccine against the coronavirus will move to the stage of clinical trials from 1 June. The President promised to speed up administrative procedures, and if necessary, to allocate depressors. Gunzburg also said that the coronavirus is “very tricky” and there is speculation that part of its genome aims to constantly fool the immune system.
the mortality Rate from coronavirus in the last ten days is 0.8 percent, the situation is stable and sustainable, especially in the Moscow region, “despite the global hysteria,” reassured the Deputy Director of the research Institute of vaccines and sera named after Mechnikov, Nikolay Filatov. Against a background of increasing testing increases the detection rate of infection. Tactics based on the separation of the population has completed its task. And identified infected people and incidence are two different things, explained the scientist and asked him to open the parks and REC, of course, no public events.
Russia provides itself, antiseptics, manufacture of masks will soon increase to 7.5 million a day, the President said, concluding the meeting. “There are things that we make from scratch, are doing quite effectively. For example, we have never produced disposable breathing circuits for medical ventilators”, – he stressed. April will have produced 80 thousand pieces, may manufacturer will come to 200 thousand circuits on a monthly basis. Russia increased its production of protective suits to 20 thousand for a month has doubled the production of respirators – up to 280 thousand per day. Also are significant supplies from China. “We in China when our friends had a hard time in February, sent 2 million masks, – has reminded the head of state. – Now from China we have already received to date, through various channels of 150 million masks”.
Continue contacts with the European countries. “A well-known practical cooperation with some partners in Italy. We in this country sent their military doctors, sent the equipment back, as we know, civil agencies, through the health Ministry”, – said Putin. “But it’s not just a one-sided game, it’s not a one-way street: we buy in Italy, pressure sensors, without which it is impossible to manufacture devices of artificial ventilation of lungs. And this cooperation Rast��t,” he said.
we continue to cooperate with the United States, which Russia has also sent equipment and means of dealing with COVID-19. “The next day after he landed in new York, our military-transport aircraft, we have contracted with American partners to supply sensors air flow is also necessary for the production of a ventilator in Russia”, – said Vladimir Putin. “This cooperation will continue to develop, I’m sure,” he concluded.
