pein ::On je kazao i da je u borbi protiv korona virusa država napravila samo jednu grešku - "što je dozvolila našim državljanima, koji su bili u inostranstvu, da se vrate u Srbiju", dodavši da zbog Ustava to nije moglo da se izbegne.
- Samo smo jednu veliku grešku smo napravili, koju zbog Ustava nismo mogli da izbegnemo, a to je puštanje svih državljana da uđu na teritoriju Srbije. Ni četvrtinu problema sada ne bismo imali da tu grešku nismo napravili - rekao je Vučić.
https://www.blic.rs/vesti/drustvo/slede-nove-mere-.....ref=fbblic
Ето, сад је све јасно, направио је грешку што му се омакло да поштује устав и да пусти сопствене грађане назад, а нису направили грешку што раније нису направили карантин и оштрије мере изолације. Криви гастоси, а не он.
Mere izolacije su ok, ali ih moroni nepoštuju, gde da smestiš 100.000 ljudi, greška samozaljubljenog i ekipe je što su moroni imali vremena, a ništa nisu pripremili, sad unosiš krevete u hale, izmeštaš bolnice za dan, ne određuješ na vreme koje će biti za bolesnike, ne nabavljaš maske, odela (dobro tu ima opravdanja generalo sada je jako teško nabaviti, Nemačku je neko zavrnuo za nekoliko miliona maski), mere donosiš prilično konfuzno umesto da si ih ranije pripremio, pa u zavisnosti od situacije primenio.
Sa druge strane ima srceparajućih priča eto otišli momci na Tajland, Bali, Južnu Ameriku, Abu Dabi, a sad jao država da pošalje avion, prvo si mentol što si otišao, drugo si mentol što si toliko čekao kad si video da se sranja komplikuju.
Nije bas virus koji sve melje i da ima velik broj harazenih bez simptoma ili malim simptomima i OK je to sa sajmom.
Druga stvar sto nemamo vanrednu sluzbu spremnu. Primjeceno je i kontaminiranje bolnica. Kuci mi kazu da stavljaju ispred Domova Zdravlja trijazni sator, da se dom zdravlja ne kontaminira. (mogao sam doci kuci nisam htio, ne zelim kuci sta da donesem. Sa druge strane inamo ljude koji su se morali vratiti kuci nemaju gdje, ja imam opciju gdje da budem).
Tesko koja drzava bi izdrzala nagli skok kriticno bolesnih, zato je izolacija. Vise ce ljudi prezivjeti.
A nadamo se i da ce proci.
Njemacka ima 25 000kreveta na intezivnoj njezi.
Francuska ih tranportuje po cjeloj drzavi gdje ima slobodno na intezivnoj.
Samo u vezi tog smjestaja, prilikom spanske gripe je primjeceno da boravak na otvorenom pomaze prilikom oporavka. To sam takodjer primjetio da mnogi doktori prinjenjuju po svjetu.
Prava i blagovremena mera je bila zatvaranje granica na vreme, uspostavljanje karantina za sve nase koji su dosli iz inostranstva, obezbedjenje improvizovanih bolnica za lecenje svih koji su bolesni u karantinu. I to je trebalo uciniti cim ej postojalo jasno da epidemija nije ogranicena na Kinu, vec da je krenula da se siri u nasem okruzenju.
Time bi se sprecio ulazak zaraze u zemlju, u bolnice. Zemlja bi nastavila da normalno zivi i radi, firme bi nastavile da privredjuju, budzet bi se punio normalno, pa bi i bilo para za sve.
Problem je sto je za sve to bila potrebna dobra organizacija, logistika, i dovoljan broj ljudi u drzavnim sluzbama koji bi taj posao mogli da sprovedu. Takodje objekti sposobni da prime dovoljan broj ljudi u karantinu, i da budu brzo adaptirani za karantinski smestaj i privremene bolnice.
Posto je civilna zastita razjebana, vojska svedena na dobrovoljno lovacko drustvo, a broj policajaca smanjen na minimum, broj zdravstvenih radnika sa iskustvom smanjen na pola zbog odlaska u Nemacku koji je drzava sponzorisala kroz drzavni ugovor dve sluzbe za zaposljavanje, dosli smo tu gde jesmo.
Umesto vise desetina hiljada ljudi u privremenom karantinu, pretvorili smo celu drzavu u karantin, privreda nam je stala, a sada polako radimo sve ono sto smo mogli uraditi odmah, kako do ovoga ne bi doslo.
Sta ja mislim o kurti i murti je moja licna stvar. Ali, od predsednika drzave ocekujem da radi svoj posao, a da pusti druge ljude da rade svoj bez njegovog mesanja. Ne ocekujem od predsednika da bude placipicka, panicar, ne ocekujem pateticne govore, vec coveka koji je sposoban da vodi zemlju u skladu sa ovlascenjima koja ima. Od predsednika vlade ocekujem da ne ide predsedniku na kanabe ako treba da ide u toalet da piski, vec da donosi odluke u skladu sa svojim ovlascenjima uz koordinaciju sa ostalim institucijama drzave.
Najgore u celoj prici je sto ni prethodni, a ni dolazeci u najavi (jer se vec javljaju nove korisne budale koje odredjene interesne grupe iz inostranstva spremaju da zasednu na razne stolice), nisu bolji. Pitanje je da li bi uradili jos gore.
Pri tome svi imaju u glavi da je sve uradjeno pre njih lose, i da ce posle njih ostati potop. I onda bez razmisljanja unistavaju sve, ne razmisljajuci u posledicama. Tako su, na primer, razjebali SDK, a danas svi, i drzavne institucije i privatnici, kukaju i pitaju se zasto je jedna tako efikasna sluzba ukinuta, a platni promet prebacen bankama.
Tako je uradjeno i sa svim ostalim institucijama koje su imale svoju namenu, i danas bi nam resile gomilu problema koji se cine neresivim.
Takav mentalitet je ujedno prepreka da se bilo sta svrsishodno i dobro uradi u drzavi. Postoje neki priridni ciklusi od ideje, preko pripreme, do realizacije. Ti prirodni ciklusi zahtevaju neko konacno vreme, koje nekako korespondira sa petogodisnjim ili desetogodisnjim ciklusima, Zato su valjda svojevremeno postojale petoletke. Sa politickim partijama koje po automatizmu unistavaju sve sto su prethodnici zapoceli, i izbornim ciklusom od 4 godine, ukoliko dolazi do redovne smene vlasti, ni jedan normalan drzavni projekat se ne moze isterati do kraja.
Ne kazem da demokratiju treba ukinuti, vec da se mora promeniti mentalitet partija ako zelimo da uradimo bilo sta svrsishodno u zemlji. Ako je neko nesto prethodno uradio dobro, ne treba to unistavati po automatizmu, vec nastavljati sve projekte koji su logicni.
Svojevremeno je grad Nis bio u par godina poplavljen vise puta. Dolazi na vlast gradonacelnik (ne znam kako se tada funkciaj zvala) koji zapocinje projekat ispravljanja reke, i gradjenja bedema. Svi su ga pravili ludim, sta ce to nama, ove poplave koje su se desile se desavaju jednom u 50 ili 100 godina. On ih covek nije slusao, u nasledje nam je ostao bedem koji je zastitio Nis bez problema u vreme kada je pola Srbije strahovalo od poplava. Dok se pola zemlje treslo da li ce biti poplavljeno ili ne, Nislije su spavale mirno. Pravili coveka ludim, na kraju je jedino on ispao pametan.
Vlasti dolaze i prolaze. Iza njih ostaju pustosi ili nesto uradjeno.
Na nama je da vidinpnsta treba i pokusamo da se izborimo u buducnosti
Ljepse je uciti na tudjim greskama ali na svojim se najbolje nauci.
Zanimljiv predlog to sa granicama, ali samo ako ces da ih drzis vecno zatvorene, a karantin za 100.000, a da ne rizikujes da ih sve zarazis, ne vidim mogucnosti. Ne izmisljajte ono sto niko nije primenio, valjda posto razlog.
Status of COVID-19
As of 19 March 2020, COVID-19 is no longer considered to be a high consequence infectious diseases (HCID) in the UK.
The 4 nations public health HCID group made an interim recommendation in January 2020 to classify COVID-19 as an HCID. This was based on consideration of the UK HCID criteria about the virus and the disease with information available during the early stages of the outbreak. Now that more is known about COVID-19, the public health bodies in the UK have reviewed the most up to date information about COVID-19 against the UK HCID criteria. They have determined that several features have now changed; in particular, more information is available about mortality rates (low overall), and there is now greater clinical awareness and a specific and sensitive laboratory test, the availability of which continues to increase.
The Advisory Committee on Dangerous Pathogens (ACDP) is also of the opinion that COVID-19 should no longer be classified as an HCID.
The need to have a national, coordinated response remains, but this is being met by the government’s COVID-19 response.
Cases of COVID-19 are no longer managed by HCID treatment centres only. All healthcare workers managing possible and confirmed cases should follow the updated national infection and prevention (IPC) guidance for COVID-19, which supersedes all previous IPC guidance for COVID-19. This guidance includes instructions about different personal protective equipment (PPE) ensembles that are appropriate for different clinical scenarios.
Definition of HCID
In the UK, a high consequence infectious disease (HCID) is defined according to the following criteria:
acute infectious disease
typically has a high case-fatality rate
may not have effective prophylaxis or treatment
often difficult to recognise and detect rapidly
ability to spread in the community and within healthcare settings
requires an enhanced individual, population and system response to ensure it is managed effectively, efficiently and safely
Classification of HCIDs
HCIDs are further divided into contact and airborne groups:
contact HCIDs are usually spread by direct contact with an infected patient or infected fluids, tissues and other materials, or by indirect contact with contaminated materials and fomites
airborne HCIDs are spread by respiratory droplets or aerosol transmission, in addition to contact routes of transmission
List of high consequence infectious diseases
A list of HCIDs has been agreed by a joint Public Health England (PHE) and NHS England HCID Programme:
Contact HCID Airborne HCID
Argentine haemorrhagic fever (Junin virus) Andes virus infection (hantavirus)
Bolivian haemorrhagic fever (Machupo virus) Avian influenza A H7N9 and H5N1
Crimean Congo haemorrhagic fever (CCHF) Avian influenza A H5N6 and H7N7
Ebola virus disease (EVD) Middle East respiratory syndrome (MERS)
Lassa fever Monkeypox
Lujo virus disease Nipah virus infection
Marburg virus disease (MVD) Pneumonic plague (Yersinia pestis)
Severe fever with thrombocytopaenia syndrome (SFTS) Severe acute respiratory syndrome (SARS)*
*No cases reported since 2004, but SARS remains a notifiable disease under the International Health Regulations (2005), hence its inclusion here
**Human to human transmission has not been described to date for avian influenza A(H5N6). Human to human transmission has been described for avian influenza A(H5N1), although this was not apparent until more than 30 human cases had been reported. Both A(H5N6) and A(H5N1) often cause severe illness and fatalities. Therefore, A(H5N6) has been included in the airborne HCID list despite not meeting all of the HCID criteria.
The list of HCIDs will be kept under review and updated by PHE if new HCIDs emerge that are of relevance to the UK.
HCIDs in the UK
HCIDs, including viral haemorrhagic fevers (VHFs), are rare in the UK. When cases do occur, they tend to be sporadic and are typically associated with recent travel to an area where the infection is known to be endemic or where an outbreak is occurring. None of the HCIDs listed above are endemic in the UK, and the known animal reservoirs are not found in the UK.
As of February 2020, 2019, the UK has experience of managing confirmed cases of Lassa fever, EVD, CCHF, MERS and monkeypox. The vast majority of these patients acquired their infections overseas, but rare incidents of secondary transmission of MERS and monkeypox have occurred in the UK.
HCID risks by country
For health professionals wishing to determine the HCID risk in any particular country, an A to Z list of countries and their respective HCID risk is available.
See HCID country risks
Monthly summaries of global HCID events
PHE’s epidemic intelligence activities monitor global HCID events. These are published in a monthly summary.
Infection prevention and control in healthcare settings
Specific infection prevention and control (IPC) measures are required for suspected and confirmed HCID cases, in all healthcare settings (specialist and non-specialist).
IPC guidance appropriate for suspected and confirmed cases of Lassa fever, EVD, CCHF, MVD, Lujo virus disease, Argentinian haemorrhagic fever, Bolivian haemorrhagic fever and SFTS, is available in the ACDP guidance.
IPC guidance for MERS, avian influenza, Nipah virus infection, monkeypox and pneumonic plague, can be found in the relevant PHE guidance listed below.
Links to relevant PHE guidance for healthcare professionals
avian influenza
MERS
monkeypox
Nipah virus infection
plague
VHF, including Ebola
Specialist advice for healthcare professionals
The Imported Fever Service (IFS) provides 24-hour, 7-days a week telephone access to expert clinical and microbiological advice. Hospital doctors across the UK can contact the IFS after discussion with the local microbiology, virology or infectious disease consultant.
Hospital management of confirmed HCID cases
Once an HCID has been confirmed by appropriate laboratory testing, cases in England should be transferred rapidly to a designated HCID Treatment Centre. Occasionally, highly probable cases may be moved to an HCID Treatment Centre before laboratory results are available.
Contact HCIDs
There are 2 principal Contact HCID Treatment Centres in England:
the Royal Free London High Level Isolation Unit (HLIU)
the Newcastle Royal Victoria Infirmary HLIU.
Further support for managing confirmed contact HCID cases is provided by the Royal Liverpool Hospital and the Royal Hallamshire Hospital, Sheffield.
Airborne HCIDs
There are 4 interim Airborne HCID Treatment Centres in England. (zabranjeno) and paediatric services are provided by 6 NHS Trusts:
Guy’s and St Thomas’ NHS Foundation Trust ((zabranjeno) and paediatric services)
Royal Free London NHS Foundation Trust, with a paediatric service provided by Imperial College Healthcare NHS Foundation Trust
Royal Liverpool and Broadgreen University Hospitals NHS Trust, with a paediatric service provided by Alder Hey Children’s NHS Foundation Trust
Newcastle upon Tyne Hospitals NHS Foundation Trust ((zabranjeno) and paediatric services)
Case transfer arrangements
Hospital clinicians seeking to transfer confirmed HCID cases, or discuss the transfer of highly probable HCID cases, should contact the NHS England EPRR Duty Officer. It is expected that each case will have been discussed with the Imported Fever Service before discussing transfer.
Travel health advice for HCIDs
The National Travel Health Network and Centre (NaTHNaC) provides travel health information about a number of HCIDs, for healthcare professionals and travellers. Advice can be accessed via the Travel Health Pro website.
Published 22 October 2018
Last updated 21 March 2020 + show all updates
Contents
U prevodu, nema vise status toliko opasne bolesti.
Smrtnost je mala.
Sa druge strane izolacija je pozeljna zbog starih i bolesnih ljudi. Da se smanji prebukiranje bolnica.
Nadam se da ce ovo smanjiti tenzije malo. Proci ce ovo brzo pa cemo gundjati opet oko vojske.
Dobra je skola za propuste i sta nam sve treba u ovakvim slucajevima.
Citat:Строительство инфекционной больницы в Москве
Собянин 5 марта подписал указ о введении режима повышенной готовности из-за угрозы распространения коронавирусной инфекции, который среди прочего предполагает и возведение инфекционного корпуса. Новая больница будет построена в короткие сроки из быстровозводимых конструкций в поселении Вороновское. Для строительства больницы выбрана площадка в новой Москве, расположенная за "бетонным" кольцом, где нет крупных жилых комплексов, а ближайшие индивидуальные жилые дома находятся в 250 метрах от будущей больницы, что в 2,5 раза больше требуемой санитарной зоны.
Rusi u Italiji
Citat:The Iranian armed forces (Artesh in this case) converted an exhibition centre in Tehran to a 2000 bed hospital within 48 hours. It has capacity for an extra 1000 beds if required.
https://twitter.com/AmirIGM/status/1242750102684553216
