THE CANARY ISLANDS MEETS MINISTRY OF HEALTH REQUIREMENTS FOR DE-ESCALATION

THE CANARY ISLANDS MEETS MINISTRY OF HEALTH REQUIREMENTS FOR DE-ESCALATION

25/04/2020 12:11
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On Monday there will be a new Inter-territorial Health Council meeting, and a technical meeting, for regions to submit their different territorial plans, if they meet the Ministry of Healths requirements.

The Canary Islands says they comply with essential health requirements and ‘markers’, as the regional government refers to a statement, which the Ministry of Health highlighted in the working document that Salvador Illa presented yesterday to the autonomous communities, in the Inter-territorial Health Council.
Yesterday, none of the autonomous communities were able to explain their own deconfinement plans, because the agenda was focused on the presentation and analysis of these requirements. Progress in this regard will be carried over to two working meetings that will take place on Monday: firstly a technical meeting, and then a new convocation of the Inter-territorial Health Council.
The Minister of Health of the Canary Islands, Julio Pérez, informed Salvador Illa that, according to the list presented at the meeting, “The Canary Islands would comply with all the requirements and would therefore be in an optimal position to begin the process of being de-escalated in coordination and under the orders of the State, as it could not be in any other way.” Yesterday, no start date was set for this process, although it was clarified that it would be “as soon as possible, provided that the health security conditions are in place.”
Among the essential requirements that the Ministry stated, are some hospital aspects such as the actions for the prevention of intra-hospital infections that the Canary Islands comply with, or are in a position to fulfill. Some of these markers are: – universal PCR screening of patients before admission for non-COVID pathology. – always prioritizing urgent patient care. – the separate wards between COVID and non-COVID, which is something that the Canary Islands is already working on as part of its plan to return to normal care.
In addition, precautionary measures and reserves of EPIS are requested, something that also occurs in the Canary Islands thanks to the open commercial channels with China for the direct provision of medical supplies.
Regarding acute beds and ICUs, the Ministry clarified that they must have the capacity to reserve mechanical respiration assistance and critical medication, an aspect that the Canary Islands have also resolved. In addition, the capacity for a net increase in acute care beds and ICUs is requested, in anticipation of a care peak, something that the Archipelago also has, including private centres and some extra-hospital spaces that it has prepared, for example, the field hospital in Santa Cruz de Tenerife.
In Primary Care, the Ministry requests: – separate wards for the face-to-face care of people with respiratory or infectious symptoms. – protocols for protection of personnel and diagnosis of new cases, isolation and follow-up.
At this point it must be said that the Canary Islands have a highly developed follow-up program that fits wiith Primary Care Management, that is already operating in the current pandemic.
The Ministry also requests protocols from health centres and for the identification of social centres in the basic health area, such as nursing homes, which is already underway in the islands through an instruction from the General Directorate of Public Health.
The ability to diagnose through PCR is emphasized, as is the screening of nursing homes for the elderly that is already being carried out across the Canary Islands. The Ministry also sets as an objective for de-escalation, a direct information system of cases similar to the web developed by the public company Grafcan for the Ministry of Health.

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