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Coronavirus England: NHS and nurses in May 10


According to a report released today, nine out of ten health and nursing workers infected with the coronavirus got it at work.

And one in five patients hospitalized with Covid-19 had been infected with the virus in one ward and raised concerns about the spread of the disease in hospitals.

The report by scientists from the Data Evaluation and Learning Group for Viral Epidemics (DELVE) added that at least one in ten coronavirus cases diagnosed in England in May was found in healthcare workers.

Researchers say that transmission in homes and hospitals – which often happens between people with no symptoms – acts like a "revolving door" with outbreaks in the community where both feed each other.

According to the report, an additional 1 percent of cases in May affected hospitalized hospitalized patients with the virus.

Another six percent were in nursing homes, the researchers said.

They pointed out that data suggest that Covid-19 infection is six times more likely to occur in healthcare workers than in the general population. According to tests by the National Statistics Office, 1.87 percent of healthcare workers would test positive, compared to 0.32 percent of the general population.

The experts suggested that inadequate protective equipment, insufficient tests, inadequate separation of patients and employees who did not distance themselves socially could all have been behind the spread.

All NHS employees now have to wear personal protective equipment when they meet patients in person to prevent the spread of the coronavirus (Image: Christie Cancer Hospital staff in Manchester).

Medical personnel wear PSA while treating an intensive care patient at Frimley Park Hospital in Surrey

Medical personnel wear PSA while treating an intensive care patient at Frimley Park Hospital in Surrey

The Royal Society's report entitled "Acquisition and Control of COVID-19 in Hospitals and Healthcare and Control" examined the spread of coronavirus in hospitals and nursing homes in England.

It was carried out by the Committee on Data Evaluation and Learning for Viral Epidemics (DELVE).

An attempt was made to find out the extent of the spread – the nosocomial infection – and the reasons why this had happened and how it can be prevented in the future.

ONE IN FIVE COVID-19 HOSPITAL PATIENTS WHO HAVE VIRUS IN A CITY

The British hospitals were one of the main hatcheries for the spread of Covid-19. According to scientists, every fifth patient in the hospital falls ill with the virus.

Papers published by Sage in June and prepared for the cabinet office showed that at the height of the crisis, hospital transmission accounted for up to 22 percent of hospital patient cases and up to 11 percent of deaths.

Neither employees nor outpatients were included in the numbers, so the numbers may be underestimated.

In light of the data, a letter from NHS England medical director, Professor Stephen Powis, was sent to the hospitals instructing them to minimize close contact between employees and asking workers not to work in key workplaces gather and take staggered breaks.

Public Health England (PHE) was reportedly not able to guide hospital staff until May 18, according to a study by The Daily Telegraph, on how to comply with the distance rules.

This was almost two months after Britain was banned on March 23.

The data has fueled concerns that NHS trusts, alongside nursing homes, will cause Covid-19 to "return" to the community, making it difficult to lift the restriction restrictions.

The researchers said it was important to understand the spread among health and care workers, as this also contributes to community cases and vice versa.

The report said, "Hospital infections have a major impact on infection outcomes (hospital patients and some employees are at higher risk), staff planning (healthcare workers cannot work during high pressure periods), and community transmission ( by discharging infectious patients and passing them on to families and other contacts of healthcare workers and patients). "

The report referred to a study published by Public Health England in May that predicted that 89 percent of Covid-19 cases were distributed among healthcare workers in hospitals.

And about 20 percent of infections in hospitalized hospital patients were caught by the patient in the hospital for something else, it said.

Data from April 26 to June 7, the report said, showed that at least 10 percent of all Covid-19 infections occurred in health and nursing staff.

During this period, the peak of the crisis in late March and early April was not included.

During this period, however, health care workers accounted for a lower proportion of all cases than the virus was more widespread in public.

It was estimated that the maximum level of all infections in the hospital coincided with the national high, but hospitals made up the largest share at 10 to 20 percent in early May.

Professor Anne Johnson of University College London said: “Hospital-acquired infections increase the spread in the community…. There is a revolving door from the hospital to the community and back again, ”reported the Evening Standard.

Health and care workers would likely intercept the virus at work while caring for people with Covid-19 and then take it home and pass it on to their families.

On the other hand, they threatened to give it to more people if they got out of work because they came into contact with so many people.

The report included a case study of a hospital employee in Germany who went to work with a fever and infected 28 colleagues, 13 patients and seven visitors.

In this case, the uncontrolled spread was due to a lack of social distancing and protective equipment (PPE) and the infected worker who did not stay at home.

The data showed that the proportion of hospital infection cases peaked in early May, about a month after the peak in England in early April

The data showed that the proportion of hospital infection cases peaked in early May, about a month after the peak in England in early April

Social distancing, PPE and generally below-average hygiene practices have led to a worldwide spread in hospitals, the report says.

It seemed to include Britain, but has not identified specific causes in NHS hospitals.

Some of the reasons why the virus seemed to spread so quickly in hospitals and care facilities were reportedly inadequate hand washing, poor surface disinfection, lack of adequate physical distance, non-separate separation of infected and non-infected patients, and rotation staff by different areas of Hospitals.

They also said that further testing and tracing would be required in the future to control the spread of the virus among healthcare workers.

In recommendations for the future reduction of infections, the experts recommended widespread rapid tests for all employees in hospitals, not only for doctors and nurses.

They also called for better monitoring and data for hospital-acquired infections, outbreak investigations at the time of occurrence, and more research on cost-effective ways to reduce the spread of the disease.

Professor Johnson said: "We now understand better the risks of COVID-19 transmission in hospitals and care facilities, although improved data is needed.

“As in many countries, outbreaks have occurred and continue to occur, although prevention efforts are now being made again.

"Now we need to learn from our experience and use our better understanding of the pandemic to ensure that we are better prepared to prevent and deal with new outbreaks and a potential second wave, and to protect everyone."

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