The anti-epidemic score remains at 73, the burden on the healthcare system is still high

According to the Czech anti-epidemic system, the summarised risk index for the Czech Republic is at 73. A potential change in the alert level depends on the current epidemiological situation, the burden on the healthcare system and the decision of the expert epidemiological group. 

Classification into the respective levels is based on several epidemiological indicators, such as the share of hospitalised patients not detected in the community in the past 14 days, the 14-day incidence per 100,000 inhabitants, a simplified calculation of the reproduction number and the 14-day incidence per 100,000 inhabitants focused on groups of senior citizens.

There are several fundamental questions for calculating the risk index: How many people have been infected recently? How many seniors have been infected recently? Is the number of infected persons rising? Are we capable of registering infected individuals effectively and quickly?

 “Although there has been a slight improvement in the epidemic situation, community transmission is still strong and the impact particularly on vulnerable population groups is high. Therefore, we must continue to be cautious and thoroughly observe the implemented anti-epidemic measures. It is particularly necessary to take into account the situation at hospitals, which are still under immense pressure. The situation is complicated by the presence of the British strain of the coronavirus, which spreads up to 40 percent faster,” explained Minister of Health Jan Blatný.

The score is calculated for the entire country. In the Czech Republic, the anti-epidemic system is classified into five alert levels, which are linked to their respective anti-epidemic measures concerning, for example, the wearing of masks, congregations of people, shops, culture and education, as well as their easing.

“Based on the development of indicators in recent days, we can say that the epidemic in the Czech Republic is not progressing according to the worst-case scenarios. The reproduction number is currently at 0.83. Aside from the anti-epidemic risk index calculation, we also carefully monitor the burden on the healthcare system, which is still high, and the slowdown of the epidemic will be apparent only with a certain delay. The desired reduction in the number of hospitalisations can be expected at the earliest in 2 or 3 weeks,” says the Director of the Institute of Health Information and Statistics Ladislav Dušek.

The anti-epidemic system 2.0 was developed 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.

The tracing success rate has also helped improve the epidemic situation. “In the past 7 days we have managed to resolve 94% of the high-risk cases in 24 hours. During tracing, we also focus on the travel anamnesis,” explains Chief Hygienist of the Czech Republic, Jarmila Rážová.

 “The situation at hospitals is still at the brink of maximum capacity, especially because of the infection of medical staff. The army, students of medical faculties, healthcare schools and volunteers from the Red Cross are helping us cope with the current situation. When necessary, we also use the National Inpatient Care Dispatching, through which we transport patients between the regions. The number of inter-regional transfers is rising slightly,” said Deputy Health Minister, Chairman of the Czech Society for Anesthesiology, Resuscitation and Intensive Medicine and Head of the COVID Clinical Group, Vladimír Černý.

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 or on the government portal covid.gov.cz.