Daegu government ignores’cohort lessons’… created’nightmare nursing hospital’

There are 17 nursing hospitals in which the novel coronavirus infection (Corona 19) group infection is in progress. As of 0 o’clock on the 28th, 1451 confirmed cases were found. Health officials have taken measures to quarantine the same group (cohort). In order to prevent the spread of infectious diseases, it is a technique to block the entire medical institution where the infected person occurred.
Cohort quarantine was introduced during the corona 19 outbreak in Daegu and Gyeongbuk in February-April. It was applied to nursing hospitals such as Hansarang and Daesil, mental hospitals such as Cheongdo Daenam Hospital, and general small and medium-sized hospitals. It worked as a hospital’s formula for solving group infections.

However, Daegu is not currently quarantining the nursing hospital cohort. Daegu Metropolitan City Citizen’s Health Bureau chief Kim Jae-dong told the JoongAng Ilbo on the 30th, “When the corona 19 epidemic in the spring, cross-infection occurred in the hospital and cross-infection occurred in the hospital. So, we do not quarantine the cohort now. They dissipate patients with facilities. Experts also recommend dissipation policies,” he said.
Director Kim gave an example. A nursing assistant working at a nursing hospital in Daegu was confirmed. 34 hospitalized patients on the same floor were moved to a location where conditions were acceptable. After moving, four of them were confirmed. Director Kim said, “If the cohort was quarantined, all 34 people could have been infected,” he said. “The hospital was terminated with one confirmed nurse assistant.”
In the metropolitan area, a group infection occurred in Guro-gu, Seoul, and Misodeul Nursing Hospital, Bucheon Hyoplus Nursing Hospital, and Goyang Smile Morning Nursing Hospital were put into cohort quarantine on the day of the first confirmed cases. However, somehow, as the internal infection spread, the Misodeul Nursing Hospital increased to 190 at 0 o’clock on the 30th, Hyoplus to 167, and Smile Morning to 105. Measures to prevent the spread of Corona 19 have resulted in a’corona plant’.
Daegu Metropolitan City Infectious Disease Control Director Kim Shin-woo (Director of Infectious Disease Control Division, Kyungpook National University Hospital) said, “If there is no reliable environment for cohort quarantine, internal cross-infection will occur. There must be enough manpower and workers must have knowledge of infectious diseases and trained.” “If you do not meet these requirements, it is difficult to keep the cohort management well, so it is better to remove the confirmed person and observe it at another institution,” he said.
However, none of the nursing hospitals that entered cohort quarantine met these conditions. In the case of the Smile Medical Center, not to mention doctors and nurses, the number of caregivers has decreased significantly. Absolute manpower is insufficient due to off-duty workers during cohort quarantine, caregivers who chose to self-isolate, and confirmed personnel after quarantine. Neurology chief Choi Hee-chan of this hospital told the Blue House national petition, “More things are happening in nursing hospitals than Japanese cruise ships.” “About 100 caregivers left the hospital for fear of infection. Nurses and doctors provide care services such as changing diapers and meals. I will do it.
The hospital’s medical staff said, “After the cohort was isolated, an epidemiological investigator came out and told me to’separate the confirmed case’, but there was no bed, so I put 8 confirmed cases into a five-person room.” He said, “They just told me to collect, examine, and separate the patients. I didn’t take it out.” He said, “It would not have happened if the patient had been removed quickly at first,” he said. “Even 10 confirmed cases occurred in the nursing home next to the corporation affiliated with our hospital, and they moved to our hospital.” Health officials say they started removing patients after three days of cohort quarantine, but only 2-3 people per day. According to the medical staff’s words, it means that the dissipation policy is more efficient like Daegu.
In this regard, an official from the health authorities said, “The patients admitted to the nursing hospital were difficult to move because of their disabilities, so they were forced to quarantine the cohort.”
He had accumulated expensive experiences in Daegu, but he could not utilize them. Chairman of the Korean Medical Association, Choi, said, “To isolate a cohort, it is necessary to be able to quickly turn on the power supply when a severe patient occurs, and to have the ability to treat moderate or higher levels. There must be an internal facility that separates confirmed and non-confirmed patients, and the competence of personnel must follow “He said. Chairman Choi said, “Since this is not possible in nursing hospitals, cohort isolation is not possible, so it should not be applied from the beginning.”
Deok-Hyun Son, chairman of the Korea Nursing Hospital Association, said, “In the early stages of infection in nursing hospitals, professional personnel must be immediately put in and commanded. But now, it is left to the local government. The public officials come, but they are not experts. People who lack the concept come and take care of it.” “I have to separate and filter while an expert or infectious nurse is resident, but it is blocked.”
Of course, there are also limitations. Director Kim Shin-woo said, “Patients in nursing homes are different from patients who eat alone and go to the toilet. They require a lot of manpower. It is not common to receive such confirmed patients. A specialized nursing facility with enough manpower should be designated and left blank. “It’s not as easy as it sounds.” Director Kim added, “I predicted that a situation like the war situation will come due to the deterioration of Corona 19. The state and local governments should prepare facilities, prepare and train manpower in anticipation of such a situation, but it would not have been easy to do so.” According to the Korea Nursing Hospital Association, group infections have occurred in 60 nursing hospitals nationwide since January.
Welfare reporter Shin Seong-shik, reporter Kim Hyun-ye [email protected]