The data show that the occupation of ICU-covid beds in the public network in the Regional Health Directorate of Araçatuba is 111.8%, according to a spreadsheet distributed by the directorate today (3) in a WhatsApp group with the health managers of the municipalities of the city. board.
Altogether, SUS in the region has 93 beds available for ICU-covid patients, but 104 beds are occupied. The explanation, according to the health secretary of a municipality, who asked not to be identified, is overcrowding. “Several hospitals are improvising spaces to meet the demand”, she informs in a conversation with the Twitter.
Hospitals improvise new vacancies
That’s exactly what the data shows. Santa Casa de Penápolis, for example, today has 10 ICU-covid beds paid for by SUS, but there are 14 patients admitted there. The same happens in Birigui, which serves 15 patients where there should only be 10. “We have even adapted space for exams in order to meet the demand, but it is difficult”, completes the secretary.
However, anyone who thinks that the occupation is at this level is mistaken only because critically ill patients are taken to the ICU and do not stay in the infirmary, since they are also full with 91.7% occupation. This means that, of the 288 nursing beds agreed by SUS for the region of Araçatuba, 264 are occupied.
But the case of some municipalities is desperate, as is the case in Pereira Barreto (SP). The city of 25 thousand inhabitants, which had 24 deaths since the start of the pandemic, saw the number jump with four more deaths in just one day yesterday (2) —one, including a city hall director who had to stand in line because he there was a vacancy in the public network to guarantee him an ICU.
Occupation is high in nursing vacancies too
Despite the deaths, no hospital in the city provided vacancies in ICUs-covid. The city has only 10 beds of infirmary beds, but has 25 inpatients, an occupation of 250%.
The Regional Health Directorate of Araçatuba divides the wards into three areas, called CIR. Consórcios, which has five cities, has the lowest occupation, of 81.2%, while Central, with the same number of cities, sees the index reach 86.4%. The worst situation is at CIR Lagos, with seven cities and eight hospitals and 109.4% occupancy.
Plenty of private beds
While there are patients being placed in corridors in SUS hospitals in the region of Araçatuba, in the private network the beds are left over. The same internal document shows that private hospitals in the region are far from collapsing.
Occupancy in ICU-covid beds is 74.5%, that is, of the 55 available beds, 41 are occupied. Only in Araçatuba and Birigui there are private hospitals treating covid-19 in the region and all vacancies are at the Unimed Araçatuba hospital.
The situation of the private ward is even better, with 58.4% of the beds occupied. There are currently 32 vacancies available in the private network for patients covid-19 for infirmary in private hospitals while space is lacking in the public network.
Scenario was worse, shows document
If the collapse of the public network is frightening, the board document shows that the worst may be happening in the region of Araçatuba. This is because, in the first three days of April, there was a decline in occupied beds both in the infirmary and in the public network.
While April started with 341 patients admitted to the ward, today the number has dropped to 309, that is, a 10% drop. In the ICU-covid, the decrease was lower, at 5%, jumping from 152 occupied beds on the 1st to 145 today.
What the government of São Paulo says
In a note, the government of the State of São Paulo states that the state and the municipalities “remain dedicated to ensuring adequate and timely assistance to patients in the 645 cities of SP, in addition to working on expanding the health network”. The state government asks the entire population to collaborate to prevent more cases, hospitalizations and deaths from happening. “Keeping the distance and staying at home is essential, at this moment, respecting the emergency phase of the São Paulo Plan, which was extended until April 11th”.
The government also said that in March, the State Department of Health inaugurated new field hospitals in several regions, including that of Araçatuba, which now has the service at AME Andradina. “10 ICU beds and 10 infirmary beds are gradually being activated in the unit. In addition, the portfolio has expanded the capacity for attending to the coronavirus at the Mirandópolis State Hospital, activating an additional 10 ICU beds and 10 infirmary beds. The unit now operates with 44 beds for severely covid-19 patients, including 18 ICU beds, which are temporarily occupied. The demand of the sectors varies throughout the day due to factors such as discharges or deaths, for example. “
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