According to the Czech Anti-Epidemic System, the risk score is 57, but the situation is different in individual regions

According to the Czech Anti-Epidemic System, the summarised risk index for the Czech Republic is at 57, which equates to alert level three. In view of the varying situation in the individual regions, the Ministry of Health is still considering whether to propose that the Czech government move to a different alert level.

The regions will be classified in the respective levels based on epidemiological indicators, such as the 14-day incidence per 100,000 inhabitants, a simplified calculation of the reproduction number, test positivity and the 14-day incidence per 100,000 inhabitants focused on groups of senior citizens.

The current value of the summarised risk index for the Czech Republic is 57. This is a level which corresponds to alert level three. However, the situation is complicated by the different risk scores in the individual regions. Whereas the risk score is, for example, 42 in Prague, it is 75 in the Vysočina region. The Ministry of Health will decide on the basis of analysis of the epidemiological situation
and discussion in the epidemiology group whether to propose that the Czech government move to a different level in the Anti-Epidemic System. 

Despite the fact that the summarised risk index for the Czech Republic is on a level corresponding to alert level 3, the situation is complicated by the differences between the individual regions. We will therefore still have to consider any possible change to the alert level in the Anti-Epidemic System, this being on the basis of the data and taking into consideration the need to ensure protection for senior citizens and other vulnerable population groups. However, for us the basic criterion while deciding on a possible shift to a lower alert level will always be the information which all of the available data tells us,” says Health Minister Jan Blatný, explaining the current situation. 

The score is evaluated in colour for the entire region, but the values can also be calculated for smaller administrative units. Depending on the score, the regions are classified into five alert levels, which are linked to the respective anti-epidemic measures concerning e.g. the wearing of masks, assembly, shops, culture and education.

“The success of tracing is positive news, which helps to ensure the more auspicious development of the epidemiological situation. It is clear from data from the past few weeks that we are managing to resolve roughly 85% of cases within 24 hours. The overall percentage of resolved cases is around 99%. The self-reporting form is of great help to us in this respect,” says Jarmila Rážová, Chief Public Health Officer of the Czech Republic´, describing the tracing situation.

The Anti-Epidemic System was development by the Ministry of Health and the Institute for Health Information and Statistics in cooperation with experts from Czech and foreign universities. The score is calculated and implemented into the online IHIS system and published on the website (only in the Czech language).

“The percentage of infections which are occurring in cohorts of vulnerable population groups and among senior citizens still remains relatively high. This is subsequently projected into the number of hospitalised patients. Although these numbers have dropped from more than 8,000 to the current 5,100, this still represents a high burden which is blocking hospital capacity. The current value of the reproduction number is 0.9, but the still relatively high share of positive tests and the great differences between the regions make the situation unstable and risky,” says Ladislav Dušek, Director of the Institute of Health Information and Statistics.

Given the current epidemiological situation, the Czech Government has imposed certain blanket measures concerning e.g. a night-time curfew, mandatory wearing of face masks and ordering of home office if permitted by the nature of the job.

“The situation regarding newly hospitalised patients is continuing to improve slightly across the board. Patients are currently not even being transported between individual regions. In this context, the Ministry of Health has issued an extraordinary measure rescinding the previous measure to halt elective care and setting out new rules for the acceptance of patients for elective procedures. However, hospitals must be ready, if necessary, to again adapt their activities to deal with an increased number of COVID-19 patients if this were to occur,” says Vladimír Černý, Deputy Health Minister, Chairman of the Czech Society of Anaesthesiology and Intensive Care Medicine and head of the COVID Clinical Group. 

The current measures, numbers of positively diagnosed patients and other information relating to the COVID-19 epidemic can be monitored on the special coronavirus website of the Ministry of Health koronavirus.mzcr.cz/en or on the government portal covid.gov.cz/en.