Istanbul, Turkey – March, April, when the outbreak began, is now a very long time for hospitalization in intensive care because those in the risk group are now infected with the disease, said Prof Dr Sait Gönen, Dean of Cerrahpaşa Medical School, saying that there was a tsunami in Istanbul as in many major cities in Europe. “Our intensive care occupancy rate is more than twice as high as in April, ” said Prof Dr Gönen, who said that the health system will begin to be difficult as intensive care stays extend. Contagion in mostly domestic and social areas spread the disease. If necessary, sit at home with a mask in the family, but please protect yourself,” he said.
As Turkey enters its eighth month in a Coronavirus outbreak with new injunctions, the number of cases and seriously ill continues to rise rapidly. Dr. Sait Gönen, Dean of Istanbul University Cerrahpaşa Faculty of Medicine, said that both major cities in Europe and Istanbul are facing a large tsunami wave, “unfortunately, we are facing a much larger number of transmission rates than we saw in April. Transmission of the virus has increased, but its lethality has not decreased. In the first months of the outbreak, we admitted all those who tested positive to the hospital and were able to discharge a large number of patients at the same time. Currently, those who have tested positive but have no symptoms are being treated at home. The patients we invest in are at-risk patients with serious health problems, diabetes, hypertension, kidney disease or other chronic disease. Unfortunately, their treatment takes longer. There are a lot of such patients in our intensive care units. As of today, the occupancy rate in our intensive care unit has exceeded the occupancy rate in April. Our services are also filling up quickly, ” he said.
Prof Dr Gönen, who stressed that the epidemic cannot be ended by treating patients, said:
“We have to minimize contamination on the field. Additional measures are also very necessary for this. There are quite a lot of domestic infections. Again, in socialized environments, cafes, restaurants, and friend environments, we see that the transmission is excessive. So we need to break this transmission rate for two weeks. No contact with anyone, if possible, phone calls. Even in the family, if necessary, sit with a mask. These two weeks are very important. Otherwise, we will enter a more serious problem both as a city and as a country, I think. Why do I say two weeks? Because if the transmission rate goes like this, the number of positive patients within a week and the number in intensive care units increases within a week after that. Our ICU is not supposed to be locked down. We need to minimize the number of patients going to the ICU, the number of patients going to bed so that the health system doesn’t get locked up. At the moment, there are still no problems with capacity, but if it goes at this intensity, we will have to take many other measures in two weeks.”
“If we look at the information we have received from our teachers at the Pediatrics clinic, we see as many cases of child hives as we did not see in April. At that time, we had almost no patients in our children’s intensive care. Currently, we also have a serious number of children with covid in our intensive care unit. Then we’re dealing with more child patients than we’ve ever seen. This, in turn, is again related to the increase in the speed of transmission of the virus and the spread of domestic transmission,” he said.
Prof Dr. Gönen, who also mentioned the promising developments related to the vaccine, stressed that it is also very dangerous to lethargy in case the vaccine will come, and made the following warnings:
“The data we have on the vaccine is hopeful. Both in our country and around the world, Phase 3 studies have come to an end. At Cerrahpaşa Medical School, we were involved in Phase 3 studies of the Chinese (Sinovac) and German (BioNTech) vaccine. Phase 3 studies of the vaccine of Chinese origin are ongoing. We’ve reached 500 volunteers. And we have finished Phase 3 vaccinations of the German vaccine. We did it to 60 volunteers. We forwarded the results to the appropriate Center. They will evaluate the data and explain the results. I just have to say that the vaccine should not lead to lethargy in society we have at least 3 more months before the vaccine can be implemented and switched to public use. OK, in the interim results of the studies, the success was announced as over 90 percent, but this effect also needs to be decoded. It is necessary to determine how long the antibody remains. All this will take time. For him, he also has 3 months to predict. So for another 3 months, we need to continue strict measures, we have to maintain our own measures.”