Dakar – As the 2nd wave of COVID-19 infections surged in early 2021, Senegal stepped up measures to address the predicted rise within the volume of patients needing vital care. Professor Daye Ka, Infectious and Tropical Illness Professional and member of Senegal’s COVID-19 process force, explains the steps taken to avert hospitals being overrun by a drastic rise in severely in heart-broken health patients.
What measures had been in spot to greater sort out an develop in COVID-19 infections?
Your complete nation used to be affected all thru the 2nd wave of COVID-19 in February when around 300 conditions had been being reported each day. We had been faced with a shortage of beds, especially resuscitation beds. We had 311 beds that had oxygen offer and an occupancy rate of 73%, with most effective 76 resuscitation beds that had 56% occupancy rate. So we added around 20 beds in [the capital] Dakar and within the regions. Clinical oxygen offer by formulation of quality and quantity used to be additionally overstretched. We explain up extra non permanent websites in some COVID-19 treatment centres in Dakar and within the regions to boot to elevated oxygen offer to avert shortages.
With the upward push in conditions got right here an lengthen in mortality, critically amongst older patients with underlying prerequisites corresponding to hypertension, cardiovascular diseases, diabetes, weight problems, bronchial asthma or continual respiratory diseases. To toughen treatment and lower deaths, to boot to to rising the volume of beds, especially resuscitation beds, we additionally brought in extra consultants in vital care. They incorporated resuscitation specialists, respiratory illness consultants, cardiologists, diabetes and kidney medical doctors, gynaecologists and obstetricians to boot to consultants within the care of older patients.
We additionally developed a treatment protocol to resolve which patients had been to be hospitalized and which had been to be cared for at home, the vogue of treatment reckoning on illness severity raging from light to life like, extreme to vital, as we as reckoning on comorbidities. By carefully monitoring the treatment centres we had been ready to resolve weaknesses and areas to beef up with equipment, gives and personnel.
How had been these measures utilized and what incompatibility did they gain?
All treatment specialists working in treatment centres or in home-based mostly care service had been educated within the new treatment protocol. In anticipation of a surge in conditions a brand new resuscitation centre used to be explain up, nonetheless it surely used to be never ragged as conditions began to fall. It’s no longer straightforward to evaluate the influence of these measures they had been willing when infections began to decline. So it is no longer most likely to gain a correlation between the measures put in spot and their influence. Extra prognosis could perhaps well additionally be obligatory to resolve any hyperlink.
What classes had been learnt in stepping up readiness for COVID-19 upsurge?
Before all the pieces, it is obligatory to half the treatment procedures and protocols with everyone within the health sector. It’s additionally pivotal to incorporate a diversity of specialists to toughen COVID-19 treatment due to those most affected earn comorbidities. Thirdly, we needed to on a typical foundation provide steering to your complete treatment specialists so that they had been up to this point with the newest scientific traits relating to the virus to boot to the therapies. With out ramping up personnel, especially resuscitation consultants, COVID-19 treatment wouldn’t had been atmosphere pleasant. Bettering oxygen production, in quality and quantity, performed a necessary feature thanks in greater equipping treatment centres. We additionally stepped up prognosis and affected person monitoring, in particular prognosis and imaging.
What could perhaps well additionally be extra improved to avert a brand new COVID-19 surge?
To cease a brand new COVID-19 surge we ought to work on several fronts. We’ve to toughen illness surveillance in any appreciate ranges to fleet detect conditions – right here is vital for isolation and monitoring. From the onset of the first wave, Senegal opted for home-based mostly case for light conditions with no comorbidities to boot to for those extinct below 60 years to guide clear of overwhelming treatment centres. A right kind home-based mostly care and observance of preventive measures are subsequently vital to limit the spread of the virus. Additionally, of us who had been sharp with COVID-19 patients desires to be monitored. Crucially vaccination desires to be expanded as unprecedented as most likely. No topic the COVID-19 fatigue amongst the inhabitants, preventive measures corresponding to carrying of masks, bodily distancing to boot to working with communities and educating of us more relating to the virus desires to be stepped up.