The Covid situation in Thailand still has to “promote” Day by day, after the death toll has decreased for only 2 days, the latest has come back past the 80 digit again, less than 3 months, more than 3,000 deaths have accumulated, most of them are still “Elderly – chronic congenital disease” While the daily number of infected people has not faded, it has surpassed 20,000 continuously. almost the whole month last Mar. As a result, Thailand ranked 14th in the world while the latest situation It must be considered at a juncture. because the countdown to “Songkran” that people are preparing to travel across the province in large numbers untilMinistry of Public Health (MoPH) Must order to speed up reserves of drugs to treat COVID ready to deal with the epidemic The number of infected people is expected to skyrocket during the Thai New Year festival. In addition, in the past 2 weeks Surprisingly, the numbers “Patients with pneumonia – need intubation” increase with !!!
Sick of pneumonia – intubation
From the data graph of the Department of Disease Control pointed out that during the past 2 weeks More patients with pneumonia and intubation were found. while the patient died began to decline, which was in the 608 group and had not received a booster dose. As for the daily infected people, the graph is more linear than the upward or downward trend.
Win the number of infections during “Songkran”, inviting “pregnant people” to vaccinate
Assoc.Prof.Dr. Nithipat Jearakul, Head of the Department of Respiratory Disease and Tuberculosis Department of Internal Medicine Faculty of Medicine Siriraj Hospital Mahidol University It said the number of critically ill patients and deaths appeared to be stable, awaiting adjustments. If as hoped, next week may see a clearer change that the festivalSongkran FestivalMust be tensed or loosened
In addition, during this period, there were more infections in pregnant women. But reports of violence in pregnant women appear to be much weaker than during the Delta epidemic. especially in those who have been vaccinated Safety aspects of the MRNA vaccine in pregnant women Data from Canada and Sweden It would have helped to boost confidence for those who were still hesitant. Please help to invite pregnant women in every pregnancy. Get standard vaccinations and booster needles. to reduce the chance of infection until the disease became severe to the point of threatening the life of the mother or may result in the baby being born with abnormalities
Confirm that “Favi Ya” is not lacking. There are 25 million pills left in stock.
Favipiravir administration section In the treatment of COVID-19 patients, Dr. Thongchai Keeratihatthayakon, Deputy Permanent Secretary of the Ministry of Public Health, explained that the information as of March 28 in the past There are 22.8 million tablets of favipiravir remaining in 13 health regions. Currently, the average high dose is 2 million tablets per day, so the usage rate is 10 days away, but we have more drugs all the time and distribute them in An online system called VMI. When the hospital uses medicines, information is recorded in the system that how much did you spend Information will be displayed in the center. to know how much medicine is left Then it will be added to The Government Pharmaceutical Organization (GPO) will supply drugs. As for the distribution from March to present, approximately 72 million tablets were used, in two years about 200 million tablets of Favi were used. During March, the drug was distributed around the clock every week. All reserves of medicines are still in the central stockpile at the district office, another 2.2 million tablets, a total of 25 million pills.
explain rural doctors Reiterating that medication should be reserved for those who need it.
Deputy Permanent Secretary said that in the past 1-2 weeks have higher patients Some areas have increased drug use and are not currently recording. Came to record once, causing the central group to not know how much medication has been used causing the filling in time but not without medicine There is a management in the province. nearby hospitals can be sent to fill Overall, each province of Yafavi is not lacking, but some areas may lack flexibility in management. Currently assigned to the health district inspector and the provincial public health doctor to help take care of the management Importantly, patients with mild or asymptomatic symptoms Not everyone is required to take medication. The doctor must determine who is worthy of the symptoms because the drug can affect the liver and kidneys. If we are vaccinated against COVID, especially 3 doses, it will reduce symptoms that are mild. 5 days will build immunity to fight the virus, similar to taking Favi. Therefore, reserve medicine for those who need it. Because some people may not have good immunity.
Order to speed up reserve medicine to deal with Covid during Songkran
part Miss Sirikul Metheweerangsan Deputy Director of the Government Pharmaceutical Organization said that after the Ministry of Public Health gave the Government Pharmaceutical Organization (GPO) to reserve 110 million pills at the end of the month last Feb. The Provincial Administration Organization has gradually delivered about 80 million tablets to the Ministry of Health, another 30 million tablets will be gradually delivered until mid-April, which will complete 110 million tablets. Support during the Songkran Festival and inform the plan to be a favi And 75 million tablets of nupiravir, the district office has prepared it in the middle of April. After signing the contract, it will be delivered within 2 weeks, about 10 million tablets.
Clarify the drug distribution group Emphasize patients with severe symptoms. Emphasize “Favi” to be careful of pregnant people – liver patients.
Dr. Manas Phothaphon, Deputy Director-General of the Department of Medical Services, said that the latest medical guidelines for medical personnel 21st update dated March 22, 2022 to reflect the situation of infection.Omikroneasily infected but no severe symptoms Adjust the approach to the asymptomatic group or have mild symptoms as follows:
- 1. The group without symptoms will be treated as an outpatient. or quarantine at home or places provided by the state as appropriate Provide symptomatic care at the discretion of the physician. Do not give antiviral drugs such as favipiravir. Because most of them disappear on their own. May consider giving Andrographis paniculata at the discretion of the physician Importantly, do not let Andrographis paniculata in combination with antiviral drugs. Because there may be side effects from the drug.
- 2. Patients with mild symptoms no pneumonia No risk factors for severe disease/comorbid disease and normal lung radiographs. may consider giving Favi The earliest initiation of the drug is no more than 5 days. If the infection is detected when the patient has symptoms for more than 5 days and the patient has no symptoms or has little symptoms, antiretroviral therapy may not be necessary. because the patient will heal on his own without complications Emphasis on giving Favi drugs There is caution in pregnant women. The group had liver problems. Therefore, I would like to emphasize that people must consider this as well.
Revealing that the covid infection repeatedly, the worse the illness
As for the case of someone who has been sick with COVID and has re-infected Prof. Dr. Yong Phuworawan, Head of the Center specializes in clinical virology. Faculty of Medicine Chulalongkorn University The post clarified that COVID-19 re-infection is common with other respiratory diseases such as the common cold, RSV, and influenza. The breed has changed all the time and it’s easier to get caught. So the chances of re-infection are even more. covid infection will cause a certain level of immunity and when the immunity decreases, they will be re-infected With a second re-infection, symptoms are less pronounced than with the first infection. The next 3rd and 4th infection, the symptoms will be reduced.
On the Facebook page Center for Medical Genomics by the Center for Medical Genomics Faculty of Medicine Ramathibodi Hospital, Mahidol University published information that information received by WHO from around the world concluded that Re-infection from BA.1 and then re-infection with BA.2 can occur. but rarely found In addition, the re-infected with BA.2 does not have mild symptoms that require hospitalization or death. This means that the immunity obtained from BA.1 infection can still protect against infection. prevent serious illness and preventing death from BA.2 well, although not 100%. In addition, most of the re-infected BA.2 are not vaccinated. This means that vaccination will help prevent re-infection.”
Explain the cause of covid killing young children, advise parents to observe symptoms – watch out for high-risk groups
As for the case of a young child who has died from COVID-19 Dr. Sophon Iamsirithavorn Deputy Director-General, Department of Disease Control explained that may not be healthy have a congenital disability have a congenital disease or have low immunity The key factor is delayed access to treatment. both vaccination against covid It is not available for children under 5 years of age, so prevention is not to infect young children. especially from the adults in the family infected with no symptoms and then infect the child For guidelines to reduce deaths in young children. Parents must be assessed to see if our children are at risk or not. If a young child has a congenital disease Considered at high risk, notice if you have a high fever, cough, shortness of breath, or vomiting. If there are symptoms in the respiratory system, immediately take him to see a doctor. for treatment because of the risk of severe symptoms
Author : Hongmen
Graphic: Jutaphun Sooksamphun