paragraph on role of hospitals in covid
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Many private hospitals in the city have said there is no clarity about their role in handling the coronavirus disease (COVID-19). This is despite the State Health department announcing that it had held meetings with representatives of private hospitals and the Indian Medical Association, and that treatment protocols had been shared with them.
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As public social distancing policies evolve to control the COVID-19 pandemic, the direct public health role of hospital infection control should also be considered. There is now emerging evidence pointing to hospitals as high-risk areas for outbreaks. As enclosed buildings that house large numbers of individuals who regularly interact with each other, including patients infected with COVID-19 and the health care workers who care for them, hospitals could potentially become infectious hotspots if rigorous infection control processes are not in place. Even as the COVID-19 curve begins to flatten in parts of the world and social distancing restrictions start to relax, hospitals will remain as potential new sources of community spread. For this reason, South Korea has incorporated hospital infection control as a core component of its national COVID-19 containment strategy, which thus far has been relatively successful in controlling the pandemic within its borders. These lessons may be important to consider as the world is working toward not just flattening the curve but keeping it flat.
Enable Tight National Coordination Among Hospitals, Government, And Industry
After suffering a crisis in 2015 from outbreaks of the Middle East Respiratory Syndrome (MERS) in several hospitals that emerged from just one infected patient, South Korea took significant steps nationally to proactively strengthen hospital infection control capacity and sustain close cooperation between central and local governments and health care institutions to prepare for future epidemics. Strict standards are applied to hospitals with more than 300 beds to regularly conduct drills and maintain adequate numbers of negative-pressure isolation beds and infection control experts. This level of preparedness enabled hospitals across the country to quickly respond to the COVID-19 pandemic. Immediately after the identification of the first confirmed patient with COVID-19 in South Korea, the national alert level was raised to yellow, which then mobilized hospitals to implement associated infection control measures in accordance to national guidelines. Government, manufacturers, and health systems immediately coordinated to enable rapid testing, contact tracing, and prompt isolation of infected individuals and their close contacts in an effort to contain the initial outbreak in Daegu. When local hospitals reached capacity, medical staff from other regions volunteered to help and many critically ill patients were transferred to hospitals in neighboring cities.
Maintain Rigorous Infection Control Standards And Processes Within Hospitals
Hospitals in South Korea prioritize the implementation of stringent infection control strategies not just for the purpose of protecting its health care workers but also as a public service to prevent outbreaks that would threaten the general population. For example, the Samsung Medical Center (SMC), a 2000-bed tertiary hospital in Seoul with 9,000 staff, has adopted a rigorous infection control strategy that is centered on preventing the unrecognized entry of COVID-19 into the hospital, staff exposure to COVID-19 within the hospital, and the transmission of COVID-19 from the hospital into the community. All hospital visitors are thoroughly screened for risk of COVID-19 infection with questionnaires, scanned with thermal cameras, and required to wear masks prior to entering the building. Advanced screening of patients and use of telemedicine limit unnecessary
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