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U\u017e d\u0159\u00edve byly do oran\u017eov\u00e9ho stupn\u011b pohotovosti za\u0159azeny okresy:<\/b>\u00a0Beroun, Kladno, Kol\u00edn, Uhersk\u00e9 Hradi\u0161t\u011b, Praha-v\u00fdchod, Praha-z\u00e1pad,\u00a0M\u011bln\u00edk, Nymburk, P\u0159\u00edbram, Cheb, Plze\u0148-m\u011bsto, \u00dast\u00ed nad Labem, Ostrava-m\u011bsto, D\u011b\u010d\u00edn, Litom\u011b\u0159ice, Teplice, Brno-m\u011bsto, Zl\u00edn, Chrudim, Pardubice, Havl\u00ed\u010dk\u016fv Brod, Brno-venkov, Bene\u0161ov, Mlad\u00e1 Boleslav, Svitavy, Hodon\u00edn, Krom\u011b\u0159\u00ed\u017e a Plze\u0148-jih.\u00a0Nov\u011b nyn\u00ed okresy:<\/b>\u00a0\u00dast\u00ed nad Orlic\u00ed, Klatovy, \u010cesk\u00e9 Bud\u011bjovice, Prachatice, T\u00e1bor, Doma\u017elice, Plze\u0148-sever, Karlovy Vary, Jablonec nad Nisou, Liberec, Ji\u010d\u00edn, N\u00e1chod, T\u0159eb\u00ed\u010d, \u017d\u010f\u00e1r nad S\u00e1zavou, Blansko, Znojmo, Olomouc, Prost\u011bjov, \u0160umperk, Brunt\u00e1l, Nov\u00fd Ji\u010d\u00edn, Opava, B\u0159eclav, Vy\u0161kov, Jesen\u00edk, Fr\u00fddek-M\u00edstek, Karvin\u00e1, \u010cesk\u00fd Krumlov, Strakonice a Tachov.<\/strong>\u00a0Do zelen\u00e9ho stupn\u011b pohotovosti, kter\u00fd se vyzna\u010duje v\u00fdskytem n\u00e1kazy bez komunitn\u00edho p\u0159enosu, spadaj\u00ed nyn\u00ed tyto okresy:<\/strong>\u00a0<\/strong>Most, Kutn\u00e1 Hora, Rokycany, Louny, Semily, Hradec Kr\u00e1lov\u00e9, Jihlava, Rakovn\u00edk, Jind\u0159ich\u016fv Hradec, P\u00edsek, Chomutov, \u010cesk\u00e1 L\u00edpa, Rychnov nad Kn\u011b\u017enou, Trutnov, Pelh\u0159imov, P\u0159erov, Vset\u00edn a Sokolov.<\/strong><\/p>\n Denn\u00ed z\u00e1chyty pozitivn\u011b diagnostikovan\u00fdch pacient\u016f s COVID-19 jsou celorepublikov\u011b vysok\u00e9 a v \u010dase postupn\u011b d\u00e1le nar\u016fstaj\u00ed. Za v\u010derej\u0161\u00ed den byl potvrzen n\u00e1r\u016fst 2 913 p\u0159\u00edpad\u016f onemocn\u011bn\u00ed COVID-19. Celkem je potvrzeno 58\u00a0374 p\u0159\u00edpad\u016f v\u00a0\u010cR, z\u00a0toho 30\u00a0425 aktivn\u00edch. Nyn\u00ed je denn\u011b realizov\u00e1no v\u00edce ne\u017e 20 000 test\u016f, dne 23.9. bylo celkov\u011b zaregistrov\u00e1no 21 552 test\u016f.\u00a0\u201eNov\u00e9 z\u00e1chyty se st\u00e1le t\u00fdkaj\u00ed naprost\u00e9 v\u011bt\u0161iny okres\u016f \u010cR, by\u0165 dynamika \u0161\u00ed\u0159en\u00ed a kapacita z\u00e1chyt\u016f je velmi r\u016fzn\u00e1. Republika je nyn\u00ed p\u0159ev\u00e1\u017en\u011b\u00a0<\/i>oran\u017eov\u00e1. To by n\u00e1s m\u011blo varovat a v\u00e9st ke zodpov\u011bdn\u00e9mu p\u0159\u00edstupu v\u00a0dal\u0161\u00edch dnech.\u00a0<\/i>Chci proto po\u017e\u00e1dat v\u0161echny na\u0161e spoluob\u010dany, aby vyu\u017eili de\u0161tiv\u00e9ho prodlou\u017een\u00e9ho v\u00edkendu k tomu, aby z\u016fstali doma. \u010cetli si kn\u00ed\u017eky, d\u00edvali se na filmy a u\u017e\u00edvali si rodinu. A nainstalovali si aplikaci eRou\u0161ka. Pomohou t\u00edm omezit \u0161\u00ed\u0159en\u00ed viru,\u201c<\/i>\u00a0<\/i><\/b>uvedl ministr zdravotnictv\u00ed Roman Prymula.\u00a0<\/i><\/b><\/p>\n N\u00e1r\u016fsty v dal\u0161\u00edch regionech jsou ni\u017e\u0161\u00ed ne\u017e v\u00a0Praze. Prahu s pom\u011brn\u011b vysok\u00fdmi hodnotami n\u00e1sleduje St\u0159edo\u010desk\u00fd kraj (498 p\u0159\u00edpad\u016f; 17,2% cel\u00e9 zem\u011b) a Jihomoravsk\u00fd kraj (369 p\u0159\u00edpad\u016f; 12,7% cel\u00e9 zem\u011b), vy\u0161\u0161\u00ed hodnoty vyk\u00e1zal i Moravskoslezsk\u00fd kraj (206 p\u0159\u00edpad\u016f; 7,1%).<\/p>\n \u201e<\/i><\/b>Vysok\u00e9 denn\u00ed n\u00e1r\u016fsty po\u010dtu naka\u017een\u00fdch s sebou nesou riziko tlaku na nemocni\u010dn\u00ed syst\u00e9m v n\u00e1sleduj\u00edc\u00edch dvou t\u00fddnech. A\u010dkoli mohu potvrdit, \u017ee v\u00fdvoj nesleduje \u017e\u00e1dn\u00fd z vysoce rizikov\u00fdch sc\u00e9n\u00e1\u0159\u016f, tak t\u00fddenn\u00ed n\u00e1r\u016fst 133 p\u0159\u00edpad\u016f na 100 tis\u00edc obyvatel rizikov\u00fd je, p\u0159edev\u0161\u00edm podle mezin\u00e1rodn\u011b nastaven\u00fdch norem. I p\u0159es relativn\u011b n\u00edzk\u00e9 procento naka\u017een\u00fdch senior\u016f<\/i>\u00a0star\u0161\u00edch 75 let, kter\u00fdch\u00a0<\/i>je m\u00e9n\u011b ne\u017e 5\u00a0<\/i>%<\/span><\/i>, jde o vysok\u00e9 po\u010dty pacient\u016f, kter\u00fdm hroz\u00ed riziko t\u011b\u017ek\u00e9ho pr\u016fb\u011bhu nemoci,\u201c<\/i>\u00a0uvedla hlavn\u00ed hygieni\u010dka \u010cR Jarmila R\u00e1\u017eov\u00e1 k\u00a0sou\u010dasn\u00e9 situaci.<\/p>\n V\u00a0Praze se jedn\u00e1 o \u0161\u00ed\u0159en\u00ed nemoci v b\u011b\u017en\u00e9 populaci a v b\u011b\u017en\u00e9m \u017eivot\u011b,\u00a0tzv. komunitn\u00ed p\u0159enos<\/i>, kdy p\u0159i vysok\u00fdch denn\u00edch n\u00e1r\u016fstech nen\u00ed mo\u017en\u00e9 \u0159\u00e1dn\u011b podchytit podstatn\u00e9 clustery. Nar\u016fst\u00e1 tak riziko n\u00e1kazy v b\u011b\u017en\u00e9m \u017eivot\u011b a riziko nekontrolovateln\u00e9ho r\u016fstu po\u010dtu naka\u017een\u00fdch.\u00a0<\/strong>\u201eSpecifikem \u0161\u00ed\u0159en\u00ed nemoci v Praze je rostouc\u00ed po\u010det n\u00e1kazy u seniorn\u00edch obyvatel a obecn\u011b u zraniteln\u00fdch skupin obyvatel. Registrujeme n\u00e1r\u016fst o cca 40 p\u0159\u00edpad\u016f denn\u011b, za posledn\u00edch 7 dn\u016f se \u00fahrnn\u011b jednalo o 271 p\u0159\u00edpad\u016f. Nar\u016fst\u00e1 tak po\u010det osob, u kter\u00fdch existuje vysok\u00e9 riziko t\u011b\u017ek\u00e9ho pr\u016fb\u011bhu nemoci a n\u00e1sledn\u00fdch hospitalizac\u00ed,\u201c<\/i>\u00a0<\/i><\/b>vysv\u011btlila hlavn\u00ed hygieni\u010dka \u010cR Jarmila R\u00e1\u017eov\u00e1.<\/p>\n Specifick\u00e1 pozice Prahy jako hlavn\u00edho m\u011bsta a zam\u011bstnavatele obyvatel z mnoha okoln\u00edch region\u016f podle R\u00e1\u017eov\u00e9 zvy\u0161uje riziko nekontrolovan\u00e9ho \u0161\u00ed\u0159en\u00ed n\u00e1kazy i do dal\u0161\u00edch region\u016f \u010cR. Hlavn\u00ed hygieni\u010dka z\u00e1rove\u0148 varuje a apeluje na ob\u010dany:\u00a0\u201e<\/i><\/b>V\u00fdvoj rychl\u00e9ho r\u016fstu n\u00e1kazy nyn\u00ed pozorujeme zejm\u00e9na ve St\u0159edo\u010desk\u00e9m kraji, proto je t\u0159eba zv\u00fd\u0161en\u011b v\u00a0tomto kraji dodr\u017eovat v\u0161echna doporu\u010den\u00e1 protiepidemick\u00e1 opat\u0159en\u00ed, a to bez v\u00fdjimky. To, \u017ee neust\u00e1le apelujeme na zodpov\u011bdn\u00e9 chov\u00e1n\u00ed ob\u010dan\u016f, je zcela opodstatn\u011bn\u00e9, proto\u017ee p\u0159i nekontrolovan\u00e9m v\u00fdvoji by toti\u017e mohla b\u00fdt zasa\u017eena populace o velikosti v\u011bt\u0161\u00ed ne\u017e 2,5 milionu osob.\u201c<\/i><\/p>\n Vysok\u00fd po\u010det diagnostikovan\u00fdch koresponduje s velk\u00fdm objemem prov\u00e1d\u011bn\u00fdch test\u016f a samoz\u0159ejm\u011b odr\u00e1\u017e\u00ed \u0161\u00ed\u0159en\u00ed nemoci v\u00a0populaci. N\u00e1r\u016fst po\u010dtu pozitivn\u011b diagnostikovan\u00fdch osob se t\u00fdk\u00e1 v\u011bt\u0161iny okres\u016f \u010cR, nejde ji\u017e o omezen\u00fd po\u010det jasn\u011b popsan\u00fdch cluster\u016f nebo ohnisek n\u00e1kazy.\u00a0Celkov\u00e9 reproduk\u010dn\u00ed \u010d\u00edslo kalkulovan\u00e9 pro celou populaci \u010cR z\u016fst\u00e1v\u00e1 na hodnot\u011b 1,6<\/b>.<\/b><\/p>\n \u201eCelkem je nyn\u00ed hospitalizov\u00e1no 740 pacient\u016f. Hospitalizovan\u00ed tvo\u0159\u00ed 2,4 % z celkem pozitivn\u00edch pacient\u016f. Na jednotk\u00e1ch intenzivn\u00ed p\u00e9\u010de je hl\u00e1\u0161eno 136 osob, 96 na um\u011bl\u00e9 plicn\u00ed ventilaci a 2 na p\u0159\u00edstroji ECMO. Pod\u00edl osob v t\u011b\u017ek\u00e9m stavu z celkov\u00e9ho po\u010dtu hospitalizovan\u00fdch je 20 %. K p\u016flnoci jsou prozat\u00edm potvrzena 3 \u00famrt\u00ed z nemocnic, pr\u016fm\u011brn\u00fd v\u011bk zem\u0159el\u00fdch za posledn\u00ed dva dny je 79 let. Celkem je nov\u011b p\u0159ijato 92 nov\u00fdch pacient\u016f, jejich\u017e pr\u016fm\u011brn\u00fd v\u011bk je 64 let. U v\u011bt\u0161iny p\u0159eva\u017euje lehk\u00fd stav onemocn\u011bn\u00ed, u 13 je stav t\u011b\u017ek\u00fd \u010di jin\u00e9 p\u0159idru\u017een\u00e9 komplikace. Nejv\u00edce p\u0159\u00edjm\u016f jsme zaznamenali v hlavn\u00edm m\u011bst\u011b,\u201c\u00a0<\/i>\u0159ekl\u00a0<\/i>k\u00a0sou\u010dasn\u00e9 z\u00e1t\u011b\u017ei nemocni\u010dn\u00edho syst\u00e9mu Vladim\u00edr \u010cern\u00fd, p\u0159edseda \u010cesk\u00e9 spole\u010dnosti anesteziologie, resuscitace a intenzivn\u00ed medic\u00edny, vedouc\u00ed Klinick\u00e9 skupiny COVID. Uvedl tak\u00e9, \u017ee celkov\u00e9 voln\u00e9 kapacity je 965 l\u016f\u017eek s\u00a0um\u011blou plicn\u00ed ventilac\u00ed, tj. 52 % celku, 62 p\u0159\u00edstroj\u016f ECMO, tj. 85 % celku,\u00a0<\/i><\/b>voln\u00e1 kapacita COVID+ l\u016f\u017eek na JIP je 198 (+ voln\u00e1 kapacita pro COVID- pacienty 665 l\u016f\u017eek). Standardn\u00ed l\u016f\u017eka s\u00a0kysl\u00edkem maj\u00ed nyn\u00ed volnou kapacitu pro COVID+ pacienty v\u00a0celkov\u00e9 v\u00fd\u0161i 870 l\u016f\u017eek (+ voln\u00e1 kapacita pro COVID- pacienty 5 389 l\u016f\u017eek).<\/p>\n U\u017e d\u0159\u00edve bylo z\u00a0d\u016fvodu epidemiologick\u00e9 situace na\u0159\u00edzeno\u00a0v\u00a0cel\u00e9 \u010cR\u00a0no\u0161en\u00ed rou\u0161ek ve\u00a0v\u0161ech\u00a0vnit\u0159n\u00edch prostor\u00e1ch a ve ve\u0159ejn\u00e9 doprav\u011b. Plat\u00ed tak\u00e9\u00a0z\u00e1kaz prodeje vstupenek na akce na st\u00e1n\u00ed a\u00a0omezen\u00ed otev\u00edrac\u00ed doby v\u00a0za\u0159\u00edzen\u00edch stravovac\u00edch slu\u017eeb\u00a0v\u00a0\u010dase od 0:00 do 6:00\u00a0hodin.\u00a0V souvislosti se zhor\u0161uj\u00edc\u00ed se epidemiologickou situac\u00ed v \u010cR p\u0159istoupilo Ministerstvo zdravotnictv\u00ed \u010cR k dal\u0161\u00edm opat\u0159en\u00edm. Omezila se otev\u00edrac\u00ed doba provozoven stravovac\u00edch slu\u017eeb od 22 hodin do 6 hodin r\u00e1no a upravilo se kon\u00e1n\u00ed hromadn\u00fdch akc\u00ed.<\/p>\n Stupn\u011b pohotovosti a opat\u0159en\u00ed vypl\u00fdvaj\u00edc\u00ed z aktu\u00e1ln\u00ed epidemiologick\u00e9 situace v\u00a0\u010cR budou aktualizov\u00e1ny na webov\u00fdch MZ \u010cR ke koronaviru.<\/b><\/b><\/p>\n Mimo\u0159\u00e1dn\u00e1 a ochrann\u00e1 opat\u0159en\u00ed MZ \u010cR:<\/b>
\nhttps:\/\/koronavirus.mzcr.cz\/category\/mimoradna-opatreni\/<\/b><\/a><\/p>\n