In the first 12 days of the year, Campinas (SP) issued 1,903 health certificates online, a number 1,151% more than in the whole of December 2020, when 152 were requested. The data was provided on Thursday (13), When the Municipal Health Minister made Invite people with mild respiratory symptoms to stay in isolation at home and not seek care in health facilities.
“[O atestado] It is provided by the municipal health authorities associated with health control and is the same way for us to reduce the movement of people, avoiding going to the basic health unit. It is completely online,” explained the Director of the Department of Health Surveillance (DEVISA), Andrea von Zuben.
“We are even increasing technical capacity and we are going to make it easier to access because the number of people who are looking for it is very large,” Andrea sums up.
The strengthening in the issuance of certificates comes to confront the overcrowding of health units, which faced an increasing number of patients with respiratory syndromes. Last week, the city broke the record for all-epidemic calls. The technical director of Mario Gatti Hospital, Carlos Arca, says that 99% of treated cases are mild.
The authorities believe that people seeking jobs for health certification can apply through virtual means, thus opening the doors of hospitals and emergency care units. This is a request from the health owner in Zambon Lier Municipality.
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“I imagine people who are otherwise healthy, have very mild flu syndrome, who can stay home with social distance, and if there’s no apparent seriousness, they don’t seek care.”
“This demand is for very mild cases and people who don’t need this diagnosis, I ask them to stay at home and if something serious happens, like overheating, a lot of discomfort etc, they obviously have to look for health centers but mild cases we ask You are to stay at home.”
Last week, Campinas broke a record for the care of patients with respiratory problems. The number was higher than the number recorded in the second wave of the COVID-19 pandemic.
“We urge you to try to reduce demand at the door. I’m not asking you not to look, but in mild cases you can stay home, do isolation, stay home, please,” pleads Zambon.
The certificate request must be submitted by City Council website According to the manager, it is valid throughout the municipality area.
Andrea von Zuben, Director of Devisa, in Campinas (SP) – Photo: Carlos Bassan/PMC
Covid-19 testing restrictions
Another growing demand in the municipality, Covid-19 tests continue to be performed on all patients seeking the municipality’s network, but the Devisa manager already anticipates that she will need to limit use to patients with severe symptoms of the disease.
“Maybe at some point, we’ll have to limit that because it doesn’t make sense to test someone whose only clinical manifestation is an itchy throat, and to stop testing someone in the hospital who needs a differential diagnosis to enter with a behavior [tratamento]”.
Zambon adds that in addition to testing, there is concern about the exclusion of health professionals serving the public. The municipal network recorded a 132.5% increase in the number of employees on leave due to respiratory illnesses, including Covid-19, in six days.
“The fact that human resources in care in both health centers and hospitals are limited. So there is no point in wanting to test everyone at this moment, because there is already a certain decrease in the supply of supplies, but it is mainly about the people who take these exams” .
“We know that the next three or four weeks will be very difficult. There will be a much greater demand for hospitals,” the minister said.