The occupation of beds in the country by patients with Covid-19 continues to rise since, between January 1 and 16, the number of hospitals without general beds available went from 66 to 113, an increase of 71%; while in beds with a ventilator, the number of hospitals with the same situation was from seven to 16, an increase of 128.5%, according to data from the Federal Health Secretariat (SSA).
Until last Sunday, the occupancy data for general beds in the country, according to the SSA, stood at 30% and in spaces with respirators at 17 percent.
By entity, in general beds, CDMX is where a greater number of health centers have been saturated since, by January 1, there were nine hospitals without spaces, by the 16th 18 were registered.
The health centers without spaces in general beds in the capital, until January 16, are the general hospitals of zone 8 (San Ángel); 30 (Iztacalco) 47 (Vicente Guerrero), 1 (Deer); 24 (Insurgents); 32 (Villa Coapa); 48 (San Pedro Xalpa); 29 (San Juan de Aragon); La Raza medical center and specialty hospital; XXI Century Medical Center.
In addition to the Magdalena de las Salinas hospitals; regional 2 of Villa Coapa; Tlahuac General Hospital; Hospital Dr. Manuel Gea González and Cat Morelos, among others,
While in beds with a ventilator, the hospital without spaces, according to the SSA, is the National Institute of Neurology and Neurosurgery, Manuel Velasco Suárez.
In the area of spaces with a ventilator, there are two entities with the greatest increase in health centers without spaces: Puebla and San Luis Potosí, since they went from one to three hospitals, each, without places for seriously ill patients.
In Puebla, the hospitals without beds with respirators, until January 16, are the generals of Acatlán de Osorio; Teziutlán and Huejotzingo.
While in San Luis Potosí they are the general hospital of zone 2 of the Social Security, the hospital of San Luis Potosí of the ISSSTE and the general hospital of zone 50 of Tangamanga.
These increases in the number of hospitalizations are considered by experts as worrying, while warning that they could increase considerably in the coming days.
“These figures can be somewhat misleading because when we talk about occupation we talk about the entire country, so there are places where there is very little transmission and it has 90% availability, other places in conurbation areas, hospitals are saturated in Covid capacity. It is worrying, we must be vigilant”, said Samuel Ponce de León, coordinator of the UNAM University Health Research Program.
For his part, Mauricio Rodríguez Álvarez, professor at the Faculty of Medicine and spokesperson for the UNAM Commission for Covid-19, explained that the occupation will continue to rise, because hospitalizations are a few days behind in relation to the number of active or outpatient cases.
“This week or the next they will give us figures that are going to speak almost of hospital saturation, simultaneously (…) We are going to see some slightly different saturation reports. They will surely be saturated, we hope that the impact on beds with ventilators and deaths will be much less than the previous wave,” Ponce de León commented.
Pressure on other services
The specialists agreed that as a result of these increases, possible hospital reconversions and even staff absenteeism due to the SARS-CoV-2 coronavirus could affect the health services provided by institutions for other diseases.
“The other phenomenon that can affect or even already does is absenteeism due to Covid cases in health personnel, that can reduce the operation of all services (…) it may be that you have a hospital where health is affected. half of the workforce and that harms the operation of the operating rooms or clinical services,” said Rodríguez Álvarez.
The spokesperson for the UNAM commission also revealed that the pandemic has impacted health services in many aspects, from the interruption of prevention programs to the modification of monitoring of chronic diseases, “the care of many ailments that are resolved surgery” until the change in adherence to treatment such as tuberculosis.
“Undoubtedly all services are affected, right now people who had planned to have surgery on a knee, gallbladder, better think about it and do not go or in the service where they had to go they tell them: we are going to reschedule it because we are not going to be able to attend to it, in the case of chemotherapies, they also reduce the availability of services,” said Ponce de León.
The expert added that Mexico does not have the infrastructure to fight two fronts at the same time. “Our capacities were very poor before the pandemic (and) with it it became even more acute, (and it also) happened in other European countries where they are exceeded.”
Register Social Security in seven days 50,967 permits
IMSS grants 303 disabilities due to coronavirus every hour
To justify their absence from work, the Mexican Social Security Institute (IMSS) granted 50,967 workers, between January 10 and yesterday, January 17, the Covid-19 Permit that they processed through the IMSS Digital application or online.
The foregoing is equivalent to the fact that every hour, on average, some 303 workers were granted disability due to being infected with the coronavirus.
The permit application is only for workers registered in the Compulsory Regime and whose type of modality grants benefits in money, not for those who are registered in modalities 32 (Optional Insurance), 33 (Family Health Insurance) and 40 ( Voluntary Continuation to the Compulsory Regime), informed the institution.
With the Covid-19 Permit, cites the press release issued, workers who present infections by the SARS-CoV-2 virus obtain their disability for up to seven days and the corresponding payment in their bank account.
“The Covid-19 Permit is a response to the pandemic, which is why it is available and in operation for workers with symptoms of coronavirus, or those asymptomatic people who have a positive laboratory test, where they must fill out a form. questionnaire to obtain your permission through the IMSS Digital application or the website”.
The aforementioned permit grants the worker an economic subsidy corresponding to 60% of his salary from the fourth day of disability.
After the announcement of the launch of the application, users have reported on networks that the app has been saturated at various times. (Rolando Ramos and Editorial Office)