For the first time since the start of the weekly publication of a Covid-19 risk map by the State Department of Health (SES), in July 2020, all municipalities in Rio
They have a low risk of disease transmission (yellow flag). In addition, at the end of September, more than half of the cities of Rio de Janeiro had recorded no deaths from the Corona virus. And in the capital, historically responsible for most of the cases and deaths in the state, authorities believe the epidemic situation is “under control”, which is unprecedented since the disease arrived in the city. .
Indeed, the indicators improved almost 20 months after the outbreak of the epidemic and 67,342 deaths. Forty-eight of the state’s 92 cities had no deaths from the disease from September 19 to 25, which is the 38th epidemiological week, as evidenced by figures from the SES panel. In addition, during the month between weeks 34 and 38 (from August 22 to September 25), 16 municipalities were free from deaths due to the coronavirus.
According to the state’s 52 risk map, Rio had the “best epidemiological assessment” yesterday since the study’s first version: a 40% drop in new admissions for severe acute respiratory syndrome (SRAG) between 37 weeks epidemic (September 12 to September 18). ) and 39 (September 26 to October 2). During this period, the number of deaths also fell by 39%. The setback, which lasted about two weeks for the analysis of the indicators, is due to possible delays in updating the data.
In the assessment of Secretary of State for Health, Alexander Shep, the positive numbers are due to the effect of vaccination. Between epidemiological weeks 37 and 39, more than two million doses of vaccine were applied in the state. “It is important to clarify that our study does not only assess hospital admissions and deaths,” said the secretary.
DC on the same track. The number of new hospitalizations for SRAG has fallen by 65% in public facilities over the past two months, according to the City’s Epidemiological Bulletin 41. The decline continues – which is still seen in indicators such as confirmed cases, death and care in the public network – prompted the municipal secretary for health, Daniel Sorans, to say yesterday that “for the first time in the entire pandemic, the situation is under control” in the town.
“This is the first time since the start of the epidemic that we can say that we have a situation under control. We have a drop in indicators that has been going on for seven weeks. And the number of cases and hospitalizations is falling more and more, ”he said.
All of the city’s 33 administrative districts are on a “moderate” transmission risk rating, the lowest of the three scoring levels, for the fourth week in a row. Mayor Eduardo Paes noted that the current outlook is the best one can have during the pandemic.
“Less than that, right at the end of the pandemic. We look forward to the time when we don’t need to reveal this card, but it will take some time, ”he said.
Experts support the assessment that the epidemiological scenario in Rio has improved significantly. But for epidemiologist Diego Xavier de Viecruz, the city must wait for the drop in indicators to stop naturally when it reaches a minimum, to say that the SARS-CoV-2 epidemic in Rio is under control.
“We will only get the epidemic under control when we reach an endemic stage. In other words, the disease will not go away. This will continue to happen at an acceptable base level, and then we will need to discuss what is acceptable and how it is clear that a lot of people “can” die in a given period. ”
Epidemiologist Leonardo Bastos, one of the developers of InfoGripe Bulletin, also from Fiocruz, said that the fact that many municipalities in Rio had not recorded deaths from Covid-19 in a week was due to the vaccination.
He believes that “with the level of movement of people that we are currently seeing, a proportional increase in indicators was expected, which, thanks to vaccination, has not been confirmed.”
The good results are concentrated in the communes of origin. Some have already started to divert beds and lay off resources that were meant to support the demand generated by the pandemic. This is the case of Quissamã, in Norte Fluminense, who worked 72 hours Wednesday afternoon without hospitalization for SRAG.
Reference unit for the treatment of Covid-19 in the city, the Mariana Maria de Jesus hospital once had 17 intensive care beds and 20 beds exclusively reserved for clinics to treat people with the disease, but it does not now has more than ten of each. Unit director Dr Francisco Oliveira attributes the change to various factors.
“What really makes the difference is prevention: mask, distance, plus vaccination, of course,” he says. “Now we are reaping the benefits of a mass vaccination campaign, and more than that, raising awareness. ”
The vaccine also emptied intensive care units and services in the capital, which yesterday recorded 245 admissions, the lowest number since April 2020, a few weeks after the start of the epidemic. Faced with the drop in the number of hospitalizations, the largest referral unit in the treatment of Covid-19 in the state of Rio, Ronaldo Gazzola, was transferred at the end of September to a general hospital.
“I think if the beds are really empty, they better free them from other diseases. However, it is important to have some sort of real-time monitoring to quickly reassemble the Covid bed, if necessary, in order to minimize losses, ”explains Leonardo Bastos.