The extra edition of the Covid-19 Fiocruz Observatory Bulletin, released last Wednesday (22), points to a downward trend in the covid-19 adult ICU bed occupancy indicator.
According to data obtained on September 20, only the state of Espírito Santo and the Federal District remain in the intermediate alert zone with, respectively, 65% and 66% of Intensive Care Unit beds occupied to treat patients infected with the coronavirus .
The survey by Fiocruz also points out that among the capitals, the city of Rio showed a reduction in the indicator leaving the critical alert zone, with more than 80% of beds occupied, to the intermediary.
In the city, there was a reduction from 82% to 75% of beds occupied. The improvement was also observed in Boa Vista, which went from 76% to 58% and Curitiba, which reduced occupancy from 64% to 58%. The worsening occurred in the capital of Espirito Santo, in Vitória, where there was an increase from 55% to 65% in ICU beds occupied for covid-19.
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The Bulletin also highlights that at the end of Epidemiological Week 37 (September 12th to 18th) there was an abrupt increase in the number of covid-19 cases reported in the e-SUS system.
According to the study, 241,161 cases were registered that week, about 16% more than in the previous two weeks. Information available in the press and investigations carried out by the Covid-19 Fiocruz Observatory indicate that these were records that had been withheld, which mainly affected the states of Rio de Janeiro and São Paulo.
In Rio de Janeiro, around 100 thousand excess cases were reported in just one day, which refer to events that occurred months ago, considering the date of onset of symptoms. In São Paulo, around 45 thousand were registered in two days, which offset the extremely low values verified in the previous week.
According to Fiocruz, the new data contributed to the increase in the national average of cases, but cannot be considered as a reversal of the pandemic trend.
“This episode serves as an alert to important issues related to the flow and timing of data and its consequences for decision making. The delay in the inclusion of records related to previous weeks contributed to an underestimation of the indicators of disease transmission and cases, especially in these states, having as one of the possible results the flexibility of measures without data support”, the researchers note.
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The researchers also warn that, after the acute phase of the pandemic, the country must prepare itself to face covid-19 in the medium and long term. This involves both considering the care liability during the pandemic, which is of high magnitude and requires the health system to organize itself to provide efficient responses, as well as the continued use of masks and certain measures of physical distance from the perspective of living with covid-19 as an endemic disease for a long period.
Source: BoF Rio de Janeiro
Edition: Jaqueline Deister