"We meet everyone with test tubes." Why Sakhalin is more successful than other regions confront pandemia

Sakhalin is more successful than other regions of the country opposes pandemia. In the neighboring Primorye and the Khabarovsk Territory, the number of Covid-19 diagnoses exceeded a thousand. In the Sakhalin Region, today, according to Coronavirus-monitor.ru, 50 cases of coronavirus infection have been recorded. By the number of infected region in the last place in the country. How on the island it is possible to restrain the spread of infection - in the material of Siberia. Realities.

On May 19, two passengers were sent to Koronavirus from a flight to Yuzhno-Sakhalinsk from Khabarovsk. The man whose test gave a positive result, calmly walked after the doctors into the ambulance at the door of the airport. And the young woman who arrived in the Gazprom shift group refused to believe the test results.

- Do you see a second strip? - She shows a plastic test to colleagues and meetings. - Do you see? I don't see either. There is one strip. Why should I go to this hospital?!

The medication physician with difficulty hides irritation:

- Are you a specialist? Are you a doctor? And we know what to look at. Two tests were held for you, and both results are dubious. Every day the same thing. All the same, you will have to go to the hospital, why wash your nerves.

Such a procedure for meeting flights with mandatory testing for coronavirus, an obligation to undergo two -week self -isolation and direction to specially equipped hospitals for all who have given suspicious results, has been practiced on Sakhalin since the beginning of April.

On April 5, the mother of Mikhail Malyugin flew to Sakhalin from Moscow.

- At the airport, she handed over tests and signed the documents that was obliged to withstand a two -week quarantine. Together with her, our whole family went to self -isolation. From time to time, doctors came to us, checked the state of health. Mom flew back on April 25, and the contrast of Moscow with Sakhalin, according to her, was striking - there was nothing at the airport in the capital to say that the epidemic was developing: neither tests, nor inspections of doctors, nor obligations about the observation, ”says Mikhail.

At that time, 2612 Covid-19 cases were revealed in Moscow per day. The Sakhalin authorities tried to establish testing passengers in departure points. Express testing was organized at the airports of Moscow (Sheremetyevo), Novosibirsk, Vladivostok and Khabarovsk. But this work had to be folded quite quickly, although during this time 12 people infected the Covid-19 were identified.

- We were not supported in this matter. We suffered a week and recalled our doctors, ”the Governor of the Sakhalin Region Valery Limarenko admitted to the local media.

On the island to organize testing all arrivals, of course, is easier than in other regions - you can get here only by plane or ferries. The authorities even more simplified their task, first reducing the number of flights from the mainland three times, and then closing all the flights to Yuzhno-Sakhalinsk. The airlines do not return money for the abolished flights of the airline, they offer to transfer the flight to a later date. A resident of Okha Anatoly (he asked not to name the name) a family from Khabarovsk is visiting.

- They have tickets in their hands on May 18. But there will be no departure. Aurora (airline that made a flight along the route Okha - Khabarovsk. - Approx. SR) says, use a ticket as a voucher when open flights, take tickets for another date for it. This is inconvenient, but at least the situation is not critical, and if a person was on a business trip, he needs to return one way or another, he will fly through Yuzhno-Sakhalinsk for his own, and what should he do with a voucher, which will no longer come in handy? - says Anatoly .

But the authorities have already announced that there would be no other air traffic with Sakhalin until June 1.

Today, Sakhalin has the highest in the country the level of Coronavirus testing per 100 thousand people. For absolute figures for the tests of Sakhalin and Kurili in ninth place in Russia (with a population of less than 500 thousand people). At the same time, on Sakhalin from the very beginning of the pandemic in Russia, they began to massively conduct computed tomography of the lungs. To date, 12 thousand Sakhalin residents have passed such a study. Both tests and CT can pass everyone around, having signed up by a single number 1-300. For diagnostics, 13 computer tomographs are involved, up to 450 CT research is carried out daily, from 6 to 20 cases of "community-acquired pneumonia" are detected per day. All residents of the region and visitors are subject to compulsory examination on CT and testing for coronavirus.

The method of the most wide testing and tracking of all the contacts of the sick is usually called "Korean". According to the employees of the Sakhalin Ministry of Health, they tracked foreign experience.

Когда запылала Европа, начали рассчитывать возможности, в том числе самые неблагополучные варианты

- We followed the news in the world, in China. It quickly became clear that we could not avoid adversity. They began to look closely at the experience of doctors abroad, then in Russia, ”says the Minister of Health of the region Vladimir Yushchuk . - When Europe flashed, they began to calculate the possibilities, including the most dysfunctional options and, of course, calculated how many medicines needed, what equipment - Ivl. Experience in Italy, Spain showed how to prepare, so we went along the path of providing a large number of patients at once - they purchased equipment, medicines, and extended oxygen to those institutions that never had it. It must be understood that Ivl is an extreme case when the condition is already threatening. Therefore, they set the task - to follow the path of prevention, the identification of all patients before they creep around the island. The insidiousness of the disease is that one lost case may work in arithmetic progression. Therefore, they turned on triple control - at the entrance gate - aircraft, sea transport, we meet everyone with test tubes.

All these measures cost the local budget of 60 million rubles. Additionally, electrocardiographs, infusion equipment, multifunctional beds, and medicines were bought. Now in the region of 181, the IVL apparatus is the eighth result in the country in security for 100 thousand people. In a short time in the region, an infectious hospital for 200 beds based on the Dolinsky Central District Hospital was equipped. The insulator based on a skin-venereological dispensary can take 100 patients. The hospital is equipped with 45 beds based on the infectious diseases department of the city hospital. 100 beds were allocated for patients with a virus and based on a local railway hospital. But while the vast majority of these beds, fortunately, remains unfilled.

From the first days of the pandemic in Russia, everyone who came to Sakhalin was sent to the observators. They appeared here earlier than in many other regions of the country. The first tourists were settled here, who were taken mainly from Thailand and Seoul (the most popular tourist destinations in the region). People, however, complained about poor conditions of detention in the observators and the duration of imprisonment. In March, the inhabitants of the observator, which was organized on the basis of the Yubileiny school camp, rebelled . They were outraged by both the conditions of stay in the observatory and the fact that the police, led by the head of the Ministry of Internal Affairs of the region, blocked the exit from the camp: “We asked if they would beat or shoot us if we try to leave? They didn’t receive an answer,” the passenger told the Siberia. Reali, who asked not to name his name.

Now all Sakhalin residents who arrives in the region can carry out a mandatory two -week self -isolation of the house, only those who do not have local registration are placed in observators (of them in the region of 22). During this period, visitors are under medical supervision, several tests are held on the COVID-19 and CT of the lungs.

Covid can be misleading to the last

“We are necessary for CT,” says Ksenia Sakharova, a representative of the Sakhalin Ministry of Health. - Sometimes all laboratory tests are negative, a person feels good, and pneumonia in the picture. This was faced with this for the first time. An atypical current, with ordinary, unconditional pneumonia without clinical manifestations, does not do, the naked eye can be seen by a person - sick. Covid can be misleading to the last, and only when the tissues of the lungs are already destroyed, with the well-being of a person begins to happen, and very unexpectedly when emergency care is already required, up to resuscitation. For violation of quarantine, a fine of 15 to 30 thousand rubles is laid, and the Sakhalin courts consider these cases in a priority order.

Since May 14, all arriving in the region must present Sakhalin registration. If it is not, then the visiting person is obliged to draw up a digital pass in advance. To do this, three days before sending to the region, it is necessary to fill out the questionnaire on the regional government specially created on the government’s website . The pass will be received by those who have close relatives in the field of close relatives. Those who go to Sakhalin work must indicate the address and data of the employee enterprise. The employer must also notify the control organizations of an invitation to the employee. For non -fulfillment of the requirements of the organization, a fine of up to 300 thousand rubles threatens, to an individual - up to 30 thousand.

Now Sakhalin is preparing for his main Putin - salmon. Most of the fishermen come to the island from the mainland. Employers are required to provide employees with a two -week observation.

-On average, about 2000 people arrive in Putin for one to two months. Being in the observatory for two weeks, people cannot get to work, all expenses go at the expense of shipowners. But Putin is going on, you need to work, ”says Maxim Kozlov , deputy of the Sakhalin Regional Duma.

Putiners who have entered the observators are discussing their position: “We will live there in the observatory for two weeks and only then on the shift by train. Where is the logic of actions? Perhaps it would be more logical for the northerners to stay in the observatory and then from there to objects to be imported after negative tests. It is outraged It can be infected on the train and then infect everyone on the shift.

“Representatives of the companies are looking for ways to take their employees from the observation as quickly as possible, because the other day the Ministry of Transport of Russia sent a letter to the governors with a request not to obstruct the sailors who were next to work,” says Nikolai Sukhanov , head of the seaside trade union of sailors. -Now, due to quarantine, many crews cannot go ashore, although the term of their contracts has ended. The whole problem, due to the fact that the sailors were equated with watchmen and put them on observation for two weeks, during which the employer must still feed and drink them.

Observators are also equipped with oil companies on the Sakhalin shelf. But many oilmen - both foreign and Russian - had to extend the watch: those who were supposed to change them cannot come to Sakhalin.

- To say that everything was easy - it is impossible. I had to make decisions in a constantly changing reality. Literally from the wheels. But, looking at the statistics of the sick, one can say for sure - each of the decisions made was true, in the interests of the Sakhalin residents and Kuril residents, ”says Vladimir Yushchuk.

Our measures allow you to effectively restrain the spread of the virus in the region in the absence of hard quarantine

It is impossible to say how much the insulation of Sakhalin lasts. And no one knows how the virus will behave after removing the blockade on the island. But in the Sakhalin Ministry of Health, they do not yet look so far.

- Our measures allow you to effectively restrain the spread of the virus in the region in the absence of hard quarantine. We plan to restrain the infection until the epidemiological situation in the Russian Federation improves. In case of the onset of the second wave, additional algorithms of action will be developed. It’s too early to talk about this, ”says Vladimir Yushchuk, Minister of Health of the Sakhalin Region.

Relatively optimistic data on the incidence in Sakhalin are recorded against the background of the lack of hard quarantine. The self-isolation index , which is conducted by Yandex, showed very low numbers on Sakhalin throughout April. From May 12 to 18, hairdressers, shopping centers, and high school students returned to schools after distance learning. All of them are allowed to the school building only after passing tests.

“The daughter passed the tests, since from Monday the 11th grades went out of full-time training,” says Elena Nitkuk , head of the department of regional projects in the Sakhalin Regional State Art Museum. - Everything went in an organized manner: the class teacher wrote to the group of parents that children should come to the children's clinic from 9.00 to 17.00 to a certain office and pass the test, the results told the leader, on their basis they issued admission to classes. Parents (who agreed) wrote consent to full -time training, from Monday the children went to study. The school give out disposable masks and gloves.

Since May 18, companies and individual entrepreneurs working in the field of tourism are allowed to organize excursions in the open air and, subject to the recommendations of Rospotrebnadzor. The libraries of the region resume the issuance of books. And museums are allowed to visit with limited groups unaccompanied by the guide.

The example of Sakhalin indicates that in Russia, in addition to the “Chinese model” of hard quarantine, the “Korean version” can also work in the fight against the virus: mass testing, tracking contacts, in the absence of hard restrictions.