Minister Koca: 'We Are Moving To A New Application In Home Treatment'

Health Minister Fahrettin Koca made a statement at the press conference held after the Coronavirus Scientific Committee meeting.


Regarding the increase in the number of cases, Koca said, "The number of cases has been on the rise for a while, we have reached the highest number of patients in the last 1,5 months." said. Koca stated that while the number of patients was 1 on July 1192, this number was realized as 1263 yesterday, therefore, every increase was a warning, and said that these increases should not cause frustration and a sense of defeat.

Pointing out that the number of new patients detected on June 12 is 1592, Koca said, “Do not forget that we have brought this to less than 1000 with the union of power. It is an epidemic process, such variability is seen all over the world. What is required is persistence in success. If increases from time to time, for various reasons, intimidate us, the victory will prolong and the wound we will receive will grow. For this, I invite you to be strong and believers. I invite you to look into the future, not the past. " said.

Stating that the fight against the epidemic continues successfully, Koca stated that nobody should have doubts about it.

If you try to paste Turkey secretion fighting to the failure label, also of what it means or does not know the epidemic as it knew, or chose to forget the political transfer of her husband, "In history, there were no outbreaks of navigating in a straight line. The reduction in cases did not provide any assurance that it would not rise. What matters is stability in the struggle. " he spoke.

Minister Koca shared the following information regarding the point where the coronavirus was reached:

“The current number of tests, the number of new patients and the number of serious patients in the daily table are three of the prominent headings. After the number of new patients exceeded 1000 again, our daily test count, which was 3 thousand on 41 August, was 82 thousand yesterday. This number could rise to over 100 thousand in a few days. People who do not have a chronic illness, are young, and have mild symptoms, rest in isolation from other people at home and apply the treatment planned for them. Our healthcare teams contact and follow up with these people with mild illness on the first, third, seventh and fourteenth day of treatment and isolation.

"Physicians will follow patients treated at home with" Telemedicine "" 

Minister Koca, stating that they will start a new study on patients treated at home, continued as follows:

“We will start a new application in the coming days for our patients treated at home. Our physicians will interview their patients directly, thanks to the system called 'Telemedicine'. We will have taken a new step in patient follow-up with the help of technology.

Turkey, which began treating patients in the early stages of the Kovid-19. Access to treatment has become very easy. Thus, risky developments are prevented. We do not have any difficulties in drug supply. The domestic production of the antiviral drug was started by four companies. As with diagnostic tests, drug expenses are covered by the government. We are one of the rare countries where treatment expenses are covered by the state. "

Emphasizing that the most important indicator in terms of the consequences of the epidemic is the number of serious patients, Minister Koca reminded that the number of serious patients reached 686 yesterday. Stating that the patients in this group are mostly composed of people with chronic diseases and adults, Koca said, “We see the saddest results in this patient group. Their treatments are really taking place with great difficulty. For one of the breaths we breathe in and out without us even realizing it, they are reaching the stage where they will give up everything. " said.

Underlining that there are fluctuations behind the number of deaths in the case table every day, a healthy person will never know, Koca said, “This situation is so shocking that it makes us forget the fact that most patients experience Kovid-19 lightly. We must not allow chains of contact and transmission to be a chain of causes for people weak in the face of disease. While following the three simple rules of controlled social life, mask, distance, and cleanliness, we not only prevent the spread of the disease, we reduce the number of seriously ill patients and the number of deaths. We prevent possible pain and suffering. " he spoke.

"No problem in intensive care bed" 

Husband Minister of Turkey, in the fight against the epidemic of filyasyo work drawing attention to see huge benefits, filyasyo the team that matters in the world of television, said that continuing this success. Stating that on July 1, they increased the number of filming teams from 7 to 507, Koca noted that they appointed a physician in each filming team, and the rate of reaching people known to be in the contact chain was 9 percent in the last 344 days.

Koca said, “Apart from the intensive care bed occupancy experienced for a short time in Sivas and Urfa, no problem was encountered. Including Kovid-19 and all other diseases, the service bed occupancy rate is 51,3 percent, the intensive care bed occupancy rate is 64,8 percent, and the ventilator occupancy rate is 31,7 percent. Our healthcare professionals, healthcare system and hospitals are strong enough to meet the needs. " he spoke.

Stating that the total number of people diagnosed and the number of contacts increased day by day, Koca said that in the process, each region showed its own characteristics, over time, they chose the method of combating the epidemic in regional conditions, and that the fight against the epidemic gained the characteristic of local combat.

Explaining that the provincial sanitation boards are chaired by the governors in every city and that the city makes the necessary decisions, Koca underlined that these decisions are the power of sanction. Stating that he held an average of two meetings per week with the boards of the provinces where the increase of cases attracted attention, Koca stated that as a result of the decisions taken, the number of cases decreased in 10 cities, stabilized in 12 cities, and the struggle continued in 7 provinces.

"HPP application will be launched in Turkey" 

Stating that they have benefited from the power of technology in the fight against Kovid-19, Health Minister Koca said:

“I will give a news that will concern the whole country and will be excited for every citizen who wants to take advantage of the power of technology in the fight against Kovid-19. Our Ministry had developed a mobile application called HES. We have brought the 'Risky Area' feature to this application. This feature, which is currently being tested in Kırıkkale, which is the pilot area, will be put into service throughout the country by the end of the month. The 'Risky area' feature in the mobile application will inform you by reading the data matrix at the public places you go. You will find out if a Covid patient or contact was found there recently. We have seen great benefits from the HES mobile application we have developed so far. The number of citizens producing HES codes exceeded 25 million.

With this application, we detected and prevented more than 95 thousand people who were required to be in isolation due to their illness or contact, trying to get on the plane, train or bus in violation of the isolation rule. Thanks to this application, law enforcement officers prevent the travel of risky people for passengers in intercity transportation inspections. Home insulations are also controlled by this mobile application called HEPP. "

Expressing that the perfect is not what exists but what is sought and that there may be deficiencies and mistakes, Koca said, “We have received complaints due to mistakes in some of our cities in the past weeks. People are fighting this war. People can get tired, we made changes in places where we detected human-induced problems, we strengthened our infrastructure. " used the expression.

Koca said, “Our health army continues to show its sacrifice for our people. While receiving services from our healthcare professionals, we have full confidence and respect for them. It is not an easy load to carry the load they undergo. Many get sick while fighting for their patients. You cannot see this in any other profession. " he spoke.

Pointing out that the fight against the epidemic is carried out within a distribution of tasks and a consensus has been reached as a society, Koca said that their aim is to protect human health, to overcome this process with the least pain and suffering and to return to normal life.

The call for "let's not spoil our unity and solidarity, our friendship of struggle" 

Underlining that this goal should not be abandoned, Koca continued his words as follows:

“Let's not break our unity, solidarity, and struggle friendship that give signs of weakening. We live and see how life can be turned upside down for unimaginably simple reasons. We discover that breathing can turn into a miraculous experience. It is our moral to protect each other. The war also has its gains against its losses. Let's keep our developing human sensitivities and homework feelings permanent among us. It is this morality, altruism, respect for someone else's life that will make us successful against the epidemic.

In this war, each of us see how necessary and valuable we are for our family and the life around us. There are those who worry about us. We have the same concern for other people. We remember that every person is unique. Fighting the epidemic brings back some forgotten and neglected traits. We get injured, but we learn. We will learn the war again and win with the traits we cling to. As your health army, we do everything we can for you, and we will continue to do so. There will never be a step back. You will see that the works of our state, scientists, and our Ministry will not fit into a conversation in every affair we do from now on, as it has been until now. "

"Ways of transmission of coronavirus and flu are the same" 

Minister Koca stated that in return of these efforts, they expect citizens to adhere to the rules of the fight against the epidemic.

Emphasizing that everyone is expected to comply with the mask, distance and cleaning measures, Koca said:

“Our lifestyle until the day we won the struggle should be a controlled social life. I invite you to re-solidarity in measures. As a homework, I recommend reducing the number of cases together and offering a healthier social environment to our children. I believe that we can do this in more civilized ways, without prohibitions, restrictions, punishments, using them as little as possible.

The date to start face-to-face education in schools is also important in other aspects. We will have entered autumn, and the cases of flu, which we call 'influenza' in medical language, will increase. I ask you to be very careful. If you follow the epidemic measures, our job will be much easier. The ways of transmission of coronavirus and flu are the same. With the same measures, you will prevent both. "

"We should never compromise on rules" 

Health Minister Koca stated that the world of science has begun to say that Kovid-19 will weaken over time and turn into a disease like flu, “Some scientific articles express the opinion that the virus has changed, spread faster, but the severity of the disease has declined. These are good news that should be met with caution. ” found the assessment.

Stating that the decrease in the severity of the disease and the increase in the spread should be considered together, Koca pointed out that as the spread increases, people with low resistance will be easily transmitted to the virus and the losses will increase.

Koca said, "We should record these news as signs that we will overcome the disease, but we should never compromise on the rules." used the expression.

"There is no endless epidemic or war in history" 

Addressing the citizens, Minister Koca said, “I know that you get tired from time to time and feel helpless. People who have this feeling find themselves all alone in the world. Now all humanity is in similar feelings. Please remember that there is no epidemic or war that has not ended in history. " He spoke in the form.

Minister Koca reminded that the last Spanish flu was experienced 100 years ago, the first cases of this epidemic were seen in the US state of New Mexico in March 1918, and that the 1st World War continued on this date.

Explaining that the epidemic spread to the world with US soldiers who went to Europe to join the war, people wearing masks were seen in the photos from that period, and this virus was transmitted from person to person like the same coronavirus, Koca continued as follows:

“The Spanish flu affected humanity, but it lasted 18 months. Trust the progress humanity has made in 100 years and in science. Viruses are not beings with the mind, the strategy of spreading disease. We are the ones who transmit the virus to each other by acting recklessly in risky environments. If we implement the measures meticulously and do not give the virus a chance to spread, we can control the epidemic now and stop it from being a danger tomorrow. "

Today coronavirus number describing her husband, the pneumonia rate has decreased steadily in recent years, it is an antiviral agent which is one of the important reasons Favipiravir is said to be produced in Turkey.

Stating that 4 companies have been licensed to produce this drug, Koca noted that these companies are planning to contribute to the supply with a fixed number.

Her husband, in this sense, expressed that an adequate amount of the drug in Turkey, the Scientific Committee's recommendation, stated that enter into the treatment guidelines in the early stages of the introduction of this drug.

Stating that with the introduction of Hydroxychloroquine and Favipiravir in the early period, it was observed that the rate of pneumonia gradually decreased, Koca said:

“The pneumonia rate, which was 27,06 percent last month in Konya, decreased to 12,51 percent in the last week and 3 in the last 10,42 days. Especially since drug use has increased since the religious holiday… The rate of pneumonia in İzmir was 13,7 percent in the last month, it decreased to 7,78 percent in the last week and to 3 percent in the last 6,17 days. Here, too, the use of drugs has increased. The rate of pneumonia fell in Istanbul until 6,83 in the last month, 4,28 in the last week, and 3 in the last 3,67 days. In Ankara, it was 12,1 percent in the last month, it decreased to 5,61 percent in the last week, and fell to 3 percent in the last 4,57 days. Therefore, the next process can be reduced down to how the pneumonia rate in Turkey, how we can begin to drugs at an early stage, we think it will decrease the rate of hospitalization. We think that the important thing here is to ensure that the patient burden of our health institutions is somehow sustainable. "

Noting that the number of serious patients is increasing, Koca stated that it is important that the number of serious patients is decreasing, and that they expect this to decrease with an early treatment approach.

"We will clarify with the Ministry of National Education"

Minister Koca answered the questions of the press after his statement. “When the schools will open,” Koca said, “The public health team of our Ministry of National Education and the Science Commission, especially interested in education, are in constant communication and working. We are in an approach that basically supports the opening of schools on September 21. " gave the answer.

Stating that they will clarify the issue of education with the Ministry of National Education in the coming weeks, Koca said, "In general terms, it is essential that education starts on the basis of 21, but if the course of the epidemic is different, a point will be reached by talking about this issue with the Ministry of National Education in line with the recommendation of our Scientific Committee. said.

Koca noted that remote, online, hybrid methods can also be applied in education when necessary.

"There are global games behind the kit"

“CHP Ankara Deputy Murat Emir has the claim that 'domestic diagnostic kits are sold to the Ministry of Health with a price difference of 4 times in 6 months' intervals. What is your assessment on this matter? " On the question of the Minister, Koca stated:

“Let's be 83 million one during the pandemic period. Let's not get the politics into the pandemic. The Ministry of Health did not apply a price above 8,75 lira, which was the figure revealed in the tender made by the State Supply Office, except for the $ 9,8 kit purchased from abroad. Let's not mislead people. Other 12 producers did not give at this price. I know very well how global games are played behind the kit. Make sure the book is written. Please do not mislead our citizen. I know very well who speaks, where and how, and what he calculates after. "

“There are calls for the supply of drugs used in the treatment of children with SMA. What do you want to say about this? " Minister Koca said, “There will be no problems in accessing SMA Type-1, Type-2, Type-3 drugs. I can say that very easily. " he replied.

Turkey is the world SMA Type-1, Type-2, there is no fee to take the rare countries of the citizens in the Type-3 disease emphasizing husband, apart from the last period similar to that of a drug buy more licenses, also related thereto of Finance and SSI both the Ministry of Health He said he was active.

"There are 13 vaccine studies in total"

Koca said, “Russia, India and China announced that the coronavirus vaccine studies have been completed. Turkey, the situation in vaccine work? Is it planned to receive vaccines from these countries? " on the question, that is a total of 13 vaccine trials in Turkey, he finished third in the animal studies, he said that while the preclinical studies continued.

Emphasizing that they show all kinds of convenience to those who conduct vaccination studies, Koca noted that Russia, China, Germany and England are working in the world.

Husband of Turkish scientists in communication indicating that the vaccine group with Russia, "We talked in the form of phase-3 study done in Turkey and we are in contact. Finally, a draft contract was prepared for this. We consider it appropriate to see and start preclinical studies before proceeding with the Phase-3 study. " said.

Her husband, transferring the Phase-3 study found that China and Germany in the application to make in Turkey, they are also in talks about it, he showed them ease in this sense.

Husband, on the question of experts' recommendations for flu and pneumonia vaccination, said that there is no such thing as vaccination in the world and that it is not recommended.

Pointing out that there is no such production in the world, Koca said, “This issue came up in the Scientific Committee. We generally know who has to be vaccinated in particular, but who may be more risky in the Kovid period, work will be done on this. I think this will be clear within a week or two. " he spoke.

Underlining that the general criteria for whom the flu vaccine will be applied are known, Koca said, “Since we know that Kovid will be common this year, which patient group may be more risky due to Kovid, our Scientific Committee is doing a study on this. ”Used expressions.

Reminding that the Ministry makes the flu vaccine free of charge in cases of obligatory illness, Koca stated that every year the flu vaccine is taken and that the vaccine will be provided this year.

Koca said that since it is known that the vaccine will be consumed more this year, they are in an intense effort to provide enough vaccine.

On the question of the telemedicine system, Koca stated that they wanted to expand the system starting with Kovid patients and said, “We are in close conversation with the SSI and the Ministry of Labor on this issue. After bringing it to a point, we will have made its announcement about which patients should be opened especially. First of all, it will be about chronic patients, followed by patients with Kovid. " said.

After being reminded that restrictions were imposed on patients over 65 and chronic patients in some provinces and asked whether this would spread to other provinces, Koca emphasized that restrictions were imposed to protect citizens over the age of 65 against the virus. Minister Koca noted the following:

“There is no restriction on the age of 65 in general, in particular, these decisions can be taken by provincial sanitation boards in regions and provinces that are at risk. Let me just name one province. I am talking about a province we talked to yesterday, a province we shared data with, 42 percent of hospitalized patients were over 65 years old. In other words, the rate of over 65 percent of the province is 6 percent, and those who are sick are over 40 percent. Now is not the risk for this province? Shouldn't you take any measures for this province? Let's know that we take this to protect our elders. You know that there is no general restriction regarding the age of 65, this is left to the provinces, if there will be a restriction that should be taken in the provinces and how this will be, the provincial hygiene boards take this and it is taken in nearly 20 provinces.

claims related to the increase in the number of cases reminding coronavirus the case table "intubated patients" instead of "seriously ill" when answering a question regarding the inclusion of the phrase husband, with overseas between Turkey explained that there were differences between the patients grouping. Husband "This was to provide literature equality and closeness with abroad." he spoke.

That the transfer of patients to follow her husband abroad, such as in Turkey, respiratory distress of the patients that go to the hospital and pointed yaşamadık testing to patients.

filyasyo as in Turkey noted that it was made in another country, her husband, also for people with symptoms noted that tests done.

On the question of what measures were taken for the seminar to be organized by the Ministry of National Education for teachers, Koca said, “There is already a guide prepared especially regarding the measures to be taken. In this sense, we think that it will not be a problem to complete this training by complying with those rules. " said.

Koca made the following assessment regarding the claim that after continuing the treatment of patients with mild symptoms at home, this was interpreted as inadequate hospitals:

“What we do, especially in the filming, is to be able to find the people that the positive patient has contacted. If the symptoms are developed in the people who are contacted, that is, fever, cough, diarrhea and similar symptoms have developed, then we say 'sample should be taken'. If the test is done, if it is positive, we want to start the drug in the early period because it is our goal to start the drug in the early period.

Minister Koca pointed out that it is not right to bring the contact persons to hospital conditions that are likely to be positive and said, “If this treatment is positive at home with a doctor, isn't it the right thing to start? In which country do we have physician friends performing this service? This is an important service offered. A service unique to us. " he spoke.

Transferring the treatment process of the patients, Koca continued his words as follows:

“If the patients are positive, we say that the isolation of the patients at home, the radiation of the people with the isolation, the contact follow-up should be done in the early period. Therefore, we are increasing the number of filming teams in our provinces that are at risk. Only in Ankara, the number of teams that are currently filming has increased to 800. I'm not talking about people, I'm talking about 800 teams with 800 vehicles. We want to prevent these contact persons from being detected and infecting someone else as soon as possible, and if they are also positive, they can start their medication early and prevent the development of pneumonia. "

Stating that the patients with follow-up are also monitored by the call system on the 1st, 3rd, 7th and 14th days, Koca noted that they have established this system to follow up more intensively for two weeks especially in risky provinces.

Minister Koca continued his words as follows:

“If there is a change in symptoms, then we have developed an approach to bring the patient to the hospital with 112, if our physician friend visits at home or is examined by telemedicine. Make sure that you won't find this approach in many countries around the world. You cannot find many people in the world to isolate the patient. "

Minister Koca emphasized that citizens should also attach great importance to isolation and make an effort to take their medication in the early period.

Pointing out that the Ministry should also identify the contacts in the early period and if they are positive, they should make their isolation stronger by giving the drug again, "We can be successful if we do this struggle together." said.

"Virus mutated"  

On the question of whether there is a mutation in the virus, Koca said, “We know that it has been mutated and mutated many times in studies conducted so far, including our work. But we now know that this mutation is not a mutation that will affect its virulence. " used the expression.

Expressing the existence of different approaches from time to time, Koca made the following assessment:

“The virus has not lost its virulence yet, its effect continues. There was no virulence change due to the summer. We said this in March and April, if you remember. 'If you think this virus will lose its effect in the summer, don't think. Summer can only have this effect, 'I said. Viral infections are easily transmitted because they are more common in closed environments in winter. Because of the open air in summer, this contagion may be less, but the virus continues its contagion when you are in contact in summer and winter. "

Husband wished God's mercy to the citizen who lost his life and patience to his relatives after being reminded of the news that a citizen who was sent home on the grounds that the test was positive in Diyarbakır but there was no room in the hospital, died.

Stating that there were some problems in Sanliurfa and Sivas in intensive care, Koca said:

“It partially happened in Diyarbakır. During this period, nearly 2 million people came to Sivas. In other words, while we are building the health institution, namely the hospital, we plan the number of beds according to the population. Turkey 10000/27 average shape. Sivas is not below this, but the fact that 2 million people came there in a time period can be a factor that increases the occupancy rate in hospitals. We know that the number of cases has increased in Urfa. For this reason, we are increasing our intensive care numbers every day. "

Minister Koca, underlining that there is no intensive care problem at the moment, said, “Sometimes it was not experienced, but it happened. But I would like to say that we do not have a problem right now and will step in step by step in Urfa at 2 beds in the next 121 weeks. " he spoke.

 


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