Risk stage for Covid-19 in AM is linked to other flu cases; clinical bed occupancy rate is 16%.

The governor of Amazonas, Wilson Lima, visits beds in the state hospital. (Secom)

December 9, 2021

16:12

Luís Henrique Oliveira – from Cenarium Magazine

MANAUS – The possible change in the Covid-19 score, in Amazonas, from low risk (yellow phase) to moderate risk (orange phase) is related to the increase of other flu cases, not linked to the new coronavirus, the cause of Covid-19, as pointed out by the Amazonas Health Surveillance Foundation Dr. Rosemary Costa Pinto (FVS-RCP), released on Wednesday, 8.

The hospital occupancy rate for Covid-19, in clinical beds, is considered low, 16.05%, according to FVS/RCP. The risk calculation for pandemic is based on the evolution of diseases inserted in the Severe Acute Respiratory Syndrome group (SARS), which among them, is the Covid-19. Today, Amazonas has 70% of the “vaccineable population” immunized with up to the second dose of the Covid-19 vaccine.

Table shows the current bed occupancy rate in the capital and interior. (Art: Catarine Hak/CENARIUM)

The president-director of FVS-RCP, Tatyana Amorim, highlights that the Amazon faces the Amazonian winter, also known as the rainy season, which follows from November to May.

“In addition to the new coronavirus, viruses are circulating that can lead to clinical complications and hospital admissions. That is why it is so important that everyone makes use of the preventive measures to Covid-19”, says Amorim.

Among the viruses circulating the state in this rainy season are Influenza A and B, Respiratory Syncytial Virus (RSV), Adenovirus, Parainfluenza, Coronavirus and Metapneumovirus. All included in the SARS system.

The FVS bulletin informs that, in the last 14 days, there was an increase in the daily average of cases of SARS infection in Amazonas, increasing from 24 to 32 cases per day in Manaus and from 46 to 80 daily in the interior of the state.

Daily average

The variation influenced the score of the evaluation of the risk of transmissibility of the virus from 8 points on November 11 to 9 points on December 6. The score is the limit for the yellow phase and approaches the orange phase which is indicated from 10 to 14 points.

“The study shows that the variation is anchored in the increase in SARS (Severe Acute Respiratory Syndrome) cases recorded in the last 14 days, which include the severe cases of Covid-19”, explained the FVS CEO. 

Specifically about the epidemiological scenario of Covid-19, the bulletin highlights that, in the last 14 days, there was an increase in the daily average of cases of the infection in Amazonas, increasing from 24 to 32 cases per day in Manaus and from 46 to 80 daily in the interior of the state.

In the last peak of the Covid-19 pandemic, January to February 2021, the most critical phase in Amazonas, the state was registering more than 4,000 infected per day and more than 250 daily deaths from Covid-19.

Occupancy rate

Besides following the infection records, the Amazonas Health Surveillance Foundation also analyzes the safety of the health care structure in the public and private hospital network. Based on this, the institution issued data on bed occupancies for Covid-19 in Amazonas.

In Manaus, the occupation rate of clinical beds with patients infected by the new coronavirus, in the public state network, is 16.5%, and in beds of Intensive Care Units (ICU) is 39.71%.

In the interior of Amazonas, the occupation rate of clinical beds in public hospitals of the state, with patients identified with Covid-19, is 1.6% and of ICU beds is 0%, as pointed out by the FVS/RCP survey.

The figures on hospital occupancy rate from the Health Surveillance Foundation were updated on the morning of Thursday, 9, and reported by the body’s press office.

The FVS also reported that, in the last 14 days, there was an 8% reduction in the number of Intensive Care Unit (ICU) beds occupied by patients with Covid-19 in the public health network of the interior and capital.

ICU in the countryside

This year, for the first time, the Amazonas countryside received structure for Intensive Care Unit beds. The first high complexity wing was inaugurated in the city of Parintins (369 kilometers from Manaus), a city that serves as a service pole for other cities.

Until then, patients who needed ICU could only get treatment in Manaus. In the pandemic, the interior cities collapsed because of Covid and, besides the lack of beds, suffered with delays in transfers to the capital.

At the peak of the second wave, in January, the Amazonas Health system had more than 600 people waiting for a Covid bed, with patients waiting up to 72 hours to get a vacancy in the capital.