It might be a good idea to get a proper, competent Test & Trace program oven-ready (to quote someone...)
https://www.facebook.com/612503137/posts/10158547490268138/
A Sky News post about Hungary's Test and Trace, Covid treatment
By Alex Crawford, special correspondent
They are sleuths to be reckoned with: Thousands of track and trace teams fan
out across Turkey every day and night hunting down patients struck down by coronavirus
and all those people they’ve been in contact with for the previous fortnight.
Much of the country's success in containing the disease has been put down to
Turkey’s so-called COVID-19 "detectives".
Two members of Turkey's track and trace team kitted out to visit the home of
someone who needs to be tested
Turkey has managed to test millions of people for the virus and has registered
more recoveries from the disease than infections for the past four weeks on
the trot.
One of the country's leading doctors told Sky News that Turkey's relatively
low mortality rate is down to the extensive testing and tracing network, as
well as aggressive treatment in the early stages of the disease.
Professor Nurettin Yiyit said the Turkish administration has also been manufacturing
and administering its own hydroxychloroquine drug, controversially endorsed
by US President Donald Trump.
Turkey has been using hydroxychloroquine, which has been controversially recommended
by Donald Trump
They have had dramatically good results, although they employ multiple treatment
disciplines - including giving plasma from recovered COVID patients - and are
now using the anti-viral favoured first by China called favipiravir.
The official number of COVID-19 deaths in the country is under 6,000 in a population
of 83 million – this compares with the UK's 46,000 deaths, despite having
a smaller population of 66 million.
There are about 8,500 tracer teams made up of 16,300 "detectives".
Every contact of every person who tests positive is found by the COVID 'detectives'
Every child, relative, acquaintance, workmate and secret lover of every person
who tests positive is found and told to isolate for 14 days.
They are regularly followed up by health workers and tested as soon as they
begin to show symptoms, and their treatment starts early even if symptoms are
very mild.
The health workers test as soon as symptoms begin to show
Every part of their treatment, from testing, medicines and hospital treatment,
is free.
Fatih is just one of Istanbul's 39 districts each with its own network of tracers.
During the day in Fatih, there are an estimated 4.5 million people passing through,
working or visiting.
Dr Melek Nur Asla, who is director of the Istanbul Fatih District Health Directorate,
has 40 teams on the go under her command in Fatih, which encompasses Turkey's
famous Blue Mosque, Hagia Sophia mosque and internationally-renowned Grand Bazaar.
Dr Melek, who works in Istanbul's Fatih district, has 40 teams under her command
She has a 24-hour telephone hotline running with a string of linguists ready
to question every caller thoroughly and prompt them to remember every single
person they've been in contact with the previous fortnight.
"We don't want them to lie to us," says Dr Melek.
"Often we make them remember people, locations, instances they have just
completely forgotten. We are truly like detectives."
Istanbul is Europe's most populated city with about 15 million residents living
in one of the most crowded areas of the Western world.
Fatih encompasses some of Istanbul's busiest areas, including the famous Blue
Mosque, Hagia Sophia, street markets and Grand Bazaar
To put it in context, Turkey's albeit smaller neighbour Greece has a total population
of under 11 million.
At the peak of the pandemic, Istanbul was the country's epicentre. But test
and trace teams started work immediately when the first COVID-19 patient was
diagnosed on 11 March.
"We started straight away," Dr Melek says.
"We had the teams all in place already and the plans all there. We just
had to dust off them off and put them into action. And we haven't stopped.
Dr Melek says her team have been working long hours to bring COVID-19 under
control
"None of us could live with ourselves if we missed a single person or someone
died because we didn't trace them. We have been working all hours."
Dr Melek is "100% sure" her team in Fatih has traced every single
coronavirus patient as well as all the people they were in contact with from
the start of the pandemic in Turkey – an astonishing claim, but one she
insists she is certain about.
The rigorous testing (4.7 million tests and counting to date) has enabled Turkey
to stay one step ahead of the virus, according to Dr Yiyit.
He runs three large hospitals in Istanbul, including a deluxe one built in a
record 45 days specifically for pandemic patients.
Professor Nurettin Yiyit is in charge of three large hospitals
The hospital, known as the Professor Fariha Oz Emergency Hospital, covers a
huge 75,000 square metre area on the Asian side of the city, with 1,008 beds
- of which 432 are intensive care (ICU) beds. All of them can be turned into
ICU beds if necessary.
Each patient admitted has an individual room equipped with a TV, telephone and
camera for constant medical observation, and a negative pressure system to hoover
the virus out.
The ICU rooms also have a double-door system where one door has to close before
the second opens to enforce non-contamination.
The Professor Fariha Oz Emergency Hospital, on the Asian side, covers a huge
75,000 sq metre area
Like many of the doctors we've interviewed across the world, the Turkish medics
also discovered early on in the pandemic that success lies in catching the disease
early on in its progression and avoiding the use of ventilators unless as a
last resort.
Dr Yiyit says: "Our target is to be ahead of the virus… all of us
aim to stop the progression of the disease. To treat the disease is hard. The
best way is to stop the progression of the disease."
And they are doing that aggressively.
The Turkish medical teams believe that success lies in catching the disease
early
As soon as a patient has symptoms, they are treated with hydroxychloroquine
tablets and/or favipiravir at home.
Follow-up calls quickly spot if the symptoms worsen, and then they will be admitted
to hospital.
Once at the hospital, Dr Yiyit says the treatment is increased and combined
with high-flow oxygen treatment, anti-coagulants, steroids, vitamins and more
high-dose favipiravir or hydroxychloroquine.
Most patients leave within days.
Doctors in Turkey are tackling coronavirus aggressively, using techniques like
computed tomography to spot the signs of severe illness
"Most of patients recover in five days," Dr Yiyit insists.
"Generally we follow up all the patients for two weeks after that. After
two weeks, if he or she has no symptoms, we stop the follow-up and they are
deemed to have recovered."
The more serious ones tend to come in late for treatment, he says. Then it becomes
increasingly difficult.
Sky News saw a few patients on ventilators in the ICU and at least one was being
given immune plasma to try to help recovery.
Among the therapies is the use of blood plasma from recovered patients
"The plasma is like a vaccine," Dr Yiyit says. "But it does not
work on everybody and it's better to have it, again, at the beginning of the
disease.
"There is still a lot we do not know about this disease. We are all still
learning. But it is most important to stay ahead of the virus."