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USA has a population of around 327 million with only 160,000 ventilators available.
We have much less.
Countries like Italy are struggling with case numbers surging, severity of disease and death as the outcome.
The ceiling of care is lowered as more and more people get sick.
Ceiling of care is a term used to describe the highest level of care a patient will receive.
Doctors are having to decide which patients have the BEST shot at a favourable outcome rather than death.
What this means is that resources are allocated to those who have the best shot.
Those who suffer from this will be the immunocompromised (diabetic, hx of cancer, those who have autoimmune disease, taking steroid medication those with HIV and those at extremes of age (babies and elderly).
This means that their chance of receiving active treatment is low.
Fiji healthcare has always been centred around prevention rather than cure. This is the IDEAL healthcare intention. In a population that is health conscious and follows guidelines on exercise and healthy eating and seeking treatment early to prevent death and complications.
But the reality is, this isn't the case. One of our professors would tell us, in Fiji, the doctors competition is the next door neighbour or coconut wireless. Most people would listen to ANYTHING BUT the doctors advice. When it comes to #COVID19 and #HighRiskCOVID19 patients
This is something we CANNOT afford.
Fiji has been fortunate, we have learnt (unfortunately) from other countries.
The transmission, prevention and treatment has been outlined AS BEST IT CAN given the ~ 2 months we have had to learn about #COVID19
#flatteningthecurve and #SocialDistancing has proven to be an effective way in reducing transmission and case loads to the point where the health care system can effectively cope with the case load AND other emergent situations (which are bound to occur).
#handhygiene is an ESSENTIAL component in preventing infection & transmission of #COVID19. These are not things that closing borders or money will solve.
These are INDIVIDUAL actions and behaviours which MUST be done in order to remain safe and protect #HighRiskCovid19 patients
Even the best developed countries around the world are playing "catch up" with #COVID19. At this point, @AalishaSahukhan @Nadokoulu and team are doing the BEST that they can, in our setting to protect the population, anticipate cases and the best management plan that we can give
However, they can't do this alone. The outcome is LARGELY determined by PEOPLE who will FOLLOW the ADVICE GIVEN TO THEM and TRUST that the medicos KNOW what they are doing. So PLEASE, cooperate, isolate, prepare and take #COVID19 as seriously as you've ever taken anything.
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