Thursday, June 25, 2020
It’s very noteworthy that the number of patients reported released today exceeded the new cases by a large margin. The positive test rate seems to have hit a plateau for the past nine days.
I’m still trying to figure out why there is such a huge difference in the numbers of cases in the Cusco region between Minsa and the Health Directorate here. They are over 300 cases apart and the separation seems to be growing.
Peru to Implement 50 Temporary Markets Nationwide
The Executive Power ordered today (Emergency Decree No. 073-2020) the implementation of 50 temporary markets at national level, with the purpose of generating optimal conditions for the supply of the products of first necessity.
Once the implementation of the temporary markets is completed, The Ministry of Production will transfer to each local government the goods it has acquired to meet this objective, within the framework of the rules of the National Supply System.
This emergency decree is effective until December 31, 2020.
Government and Private Clinics Reach Agreement for Treatment of COVID Patients
Yesterday the President stated that private clinics had two days to come to an agreement in to provide affordable COVID treatment after many reports of price gouging. Shortly thereafter leaders of Congress stated their support for his threat to utilize Constitutional powers to impose fair treatment.
The stand-off only lasted a few hours as the executive secretary of the Acuerdo Nacional, Max Hernandez, reported that the government reached an agreement with private clinics on the fees for attending patients diagnosed with COVID-19.
He explained that the dialogue between the two parties proposed a flat fee of 55,000 soles for the entire period of treatment.
“It can be a day or two or even more than 30 days,” he said. “We are also considering a continuous review to see how to stratify more efficiently, depending on the stay. We have sought a standard contract that allows all clinics to be articulated,” he told America TV.
The Ministry of Health (Minsa) said that this step is an expression of the willingness to dialogue and the willingness of the parties to increase the availability of ICU beds in the health system and in response to the need to mobilise all their resources to guarantee the right of access to health services under decent and timely conditions in the midst of a coronavirus pandemic.
“An agreement has been unanimously reached on the provision of services, which will allow people affected by COVID-19 who require specialized hospital care services to be referred from public hospitals to private clinics, with the SIS and EsSalud paying for the expenses incurred by such care,” said the ministry headed by Victor Zamora in a statement.
Daily COVID stats from Minsa
The Ministry of Health (Minsa) reported 3,913 new cases of COVID-19 to bring the nationwide total to 268,602. They also reported 175 deaths making the total 8.761 across all of Peru.
There are 10,587 patients hospitalized with Covid-19, of which 1,144 are in ICU with mechanical ventilation. So far 156,074 people have completed their period of home isolation or have been discharged from a health facility.
Lima continues to be the region with the highest number of Covid-19 infections to date with 151,225 followed by the regions of Callao (17 449), Piura (16 101), Lambayeque (12 892), La Libertad (9090), Loreto (8743), Ancash (7553), Ucayali (7327), Ica (6723), Arequipa (6411), San Martín (3975), Junín (3470), Tumbes (2442), Huánuco (1998), Amazonas (1845), Cajamarca (1774), Cusco (1680), Ayacucho (1644), Madre de Dios (1467), Pasco (898), Moquegua (881), Huancavelica (847), Tacna (821), Puno (832) and Apurimac (514).
Needed Oxygen Plants Coming Online in San Martin
Health Minister Victor Zamora reported that last night the necessary parts to repair the oxygen plant at the Tarapoto hospital were moved to the San Martin region thanks to the airlift coordinated by the Ministry of Health (Minsa). This would be the third plant that would come into operation to provide this basic input to the region and meet the demand of patients and the 10 hospitals in the area.
Zamora Mesía indicated that 1200 oxygen bottles have been moved to Tarapoto and that on June 21 the first oxygen plant was put into operation, while the second will operate this Friday. On July 1 the Tarapoto Hospital plant will begin working. The parts were purchased by the Regional Government of San Martin and imported and cleared with the support of the Central Government.
“I join in the deep sorrow that the loss of San Martin families causes us, especially the loss of our newborns. From the first day, the Government allocated funds to take the provisions that the case merited in equipment, personnel, provision of products and inputs,” he said.
The head of the sector indicated that 14 specialists from the Minsa are in the area providing technical assistance and health personnel have also been mobilized on a permanent basis, as well as the dispatch of five mechanical ventilators. Last night, another team of experts in oxygen plants from the Equipment and Maintenance Directorate of the Minsa also joined in.
Dr. Leslie Zevallos, Minsa’s representative, is leading the actions in San Martin and said that despite having solved the problem with the operation of the oxygen plants, the shuttles will be maintained until necessary. “From June 9 to date, more than 1,200 balls have been moved from the cities of Chiclayo, Pucallpa, Iquitos and Lima. Including 110 for EsSalud,” he said.
The next steps in strengthening the region’s health services are to guarantee oxygen reserves for San Martín’s ten hospitals and to support the work of planning, organization and process standardization so that the population receives timely and safe care. “The best ones are already being implemented in the hospitals of Juanjuí, Moyobamba and Tarapoto,” he concluded.
COVID in Cusco
The Regional Health Directorate released the results of s study done in the first two weeks of June showing some very interesting results regarding the spread of COVID-19 in the metropolitan Cusco area:
1) An investigation on prevalence and factors associated to COVID-19 infection in the city of Cusco was conducted between the second and third week of June, in a sample of 491 people in the 8 districts of Cusco Province, through a random sampling by multi-stage clusters proportional to population size using rapid tests. The sample size calculation was carried out with a 95% confidence level and a 5% error.
2) The overall prevalence of COVID-19 found was 2.65% in the population of Cusco province, i.e. 2.65% of the population at some point during the pandemic has been infected and has presented various clinical forms of the disease, especially asymptomatic and mild forms.
3) The prevalence of COVID-19 with respect to sex in the province of Cusco showed that the prevalence found in men was 2.84%, while in women it was 2.50%.
4) The prevalence of the COVID-19 found with respect to the districts of the province of Cusco was as follows Cusco 6.15%, San Jerónimo 2.00%, San Sebastián 1.55%, Wanchaq 1.41% and Santiago 1.09%. In other words, in the district of Cusco, 6 out of every 100 people or inhabitants have been infected with COVID-19, while in the district of San Jerónimo, 2 out of every 100 people or inhabitants have been infected.
5) The prevalence of COVID-19 found with respect to the stages of the life cycle in the province of Cusco showed the highest prevalences in descending order: Older adult 5.41% and adult 2.79%. This result calls for concern since it shows us that 5 out of every 100 people or older inhabitants have been infected with COVID-19, despite the fact that it was a group that in some way mostly respected quarantine, which would be showing that although it is true that they do not leave the house, it is the other people in the house who go out on the street that brought the disease into the house.
6) The prevalence of COVID-19 found with respect to the level of education in the province of Cusco showed that the highest prevalences of the disease were found in those who had higher university, primary and secondary education with prevalences of 4.71%, 2.08% and 1.64% respectively.
7) One result that is of great concern is that 85% of the cases that tested positive for COVID-19 believe that the altitude protects them; this could be showing that these people could have taken fewer precautions and fewer preventive measures against the disease.
8) 53.9% of the infected or positive cases found in the survey had inadequate knowledge about the disease, 76.9% did not perform adequate prevention practices against COVID-19. 100% used basic Personal Protective Equipment (PPE), 76.9% left their homes 3 or more times a week, 69.2% regularly attended clusters, 46.2% had inadequate hand washing technique, 15.4% did not respect social distancing. It is of concern that 46.2% of the cases found had comorbidities present, mainly Hypertension and Diabetes.
Polvo Azules Opens
More than 500 businesses that make up the huge Polvo Azules shopping center in Lima (a short distance south of the city center) opened yesterday.
The Vice-Minister of MYPE and Industry, José Salardi, toured the newly opened facility to inspect the procedures and protocols which had been put in place.
“We have verified that this conglomerate has provided the corresponding sanitary measures for this situation, both at the entrance and within the mall itself, thanks to the active participation of its partners in this process,” he said.
More and more businesses as also coming online as they continue to put into place their own compliant procedures to deal with the public.
The shopping center has a website to promote online shopping here: PolvosAzules.pe which appears to be still under development.
Misc News Highlights
- Eleven police officers are hospitalized and three died in recent days in Trujillo because of the new coronavirus, as confirmed by the head of the Third Police Macro-region Ancash – La Libertad, Colonel NPP Enrique Goicochea Chunga.
- Four commercial establishments that sold medicines without a health registration, with an expired date, and badly stored were closed by the personnel of the Regional Health Directorate Junín after a joint operation.
- The streets of the populous district of José Leonardo Ortiz, in Chiclayo province, dawned full of large piles of garbage, once again generating a huge source of contamination.
- EsSalud reported that this Thursday 153 patients from the Loreto region were discharged from the Pan American Village after defeating COVID-19 and will return to their homes.
- The Cusco region would be left without a supply of basic necessities if the government does not declare an agricultural emergency, especially small family farming, denounced the secretary general of the Revolutionary Agrarian Federation of Cusco, Victor Maita.
- The Ministry of Health, through the National Institute of Health, received on Thursday a donation of 100 000 molecular test kits from the German government.
COVID Reports from Across Peru
Most Regional Health Directorates post graphics each day on the current situation in their region each day. I’m going to try to keep up with these as best as I can for those regions that are particularly problematic so people can keep up with what is specifically happening in other parts of the country where there are particularly serious problems.
Most regions post daily reports late on the night before (but not all) so this is the latest information available. (Be sure to click on individual graphics to see a larger size.You might have to click on the top half of the graphic to click. Sorry, it’s a bug I haven’t been able to solve.)
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