Rise in Covid-19 cases causes ‘ripple of anxiety’ among GPs

The rising number of Covid-19 cases in Ireland has caused “a ripple of anxiety” for GPs as non-Covid care has been displaced, according to the Covid lead for the Irish College of General Practitioners, Dr Mary Favier.

GPs have noticed “a slow rise” in cases in recent weeks, said Dr Favier. This has led to more hospitalisations and more Covid patients in ICU beds “displacing” non Covid patients.

This was against a background of the good vaccination levels which was a concern for hospital capacity and treatment for non-Covid patients, she said.

Concerns over escalating Covid infections and risks to the health system have cast doubt on plans to remove almost all restrictions in just over a week’s time.

Senior officials and political aides were on Wednesday briefed by the National Public Health Emergency Team (Nphet) that the path of infection had taken an unexpected negative turn, and that all key indicators of the disease were now performing badly.

While sources across Government emphasised that no final decisions had been made, and that they still hoped to be able to proceed with the final unwinding of restrictions on October 22nd, the Taoiseach struck a cautious note.

“The presentation by the Deputy Chief Medical Officer [Ronan Glynn] was a serious one. The trajectory of the disease has taken a wrong turn,” Micheál Martin said. Asked if he could confirm that the next phase of reopening would proceed, he said: “I can’t guarantee [that] right now.”

‘Turning patients away’

Speaking to Newstalk Breakfast on Thursday, Dr Favier pointed out that Kerry University Hospital had been “turning patients away” because there were no beds available.

“This is déjà vu. It’s all about hospital capacity,” she said.

It was difficult to understand what was happening, she said. “There must be something in our behaviour, how we’re acting” as Ireland’s cases were far higher than other European countries.

She said: “We are victims of our next door neighbour. There is a UK factor.”

Dr Favier said there were still “a good few” people who were not vaccinated and they were the ones who were getting sick and ending up in hospital and in ICU. She was particularly concerned about the unvaccinated over 50s and encouraged them to get vaccinated.

Nphet would meet next Monday to “pull the figures together” and then advise the Government who would make a decision on restrictions, she said.

Vaccine measure

Meanwhile, immunology expert Prof Christine Loscher said the easing of restrictions should go ahead on October 22nd, but that vaccine certs should be retained as a mitigating measure.

Maintaining the necessity to produce a vaccine cert before entering a premises will minimise the impact of the opening up of society, she told RTÉ radio’s Morning Ireland on Thursday.

Case numbers had increased in recent weeks, she said, as people began to behave differently in anticipation of the lifting of further restrictions on October 22nd.

Prof Loscher said measures such as mask wearing should be maintained as she had noticed a decrease in their use recently.

“We need to accept that people get sicker in winter in general. They are mixing indoors in closed environments. That’s to be expected,” she said.

Vaccines had provided a wall of protection which meant even if people contracted Covid they would have mild symptoms and not require hospitalisation, said Prof Loscher.

She said the experience in countries like New Zealand had shown that zero Covid was not possible, but if the vaccination campaign continued “at some stage it will level off”.

A further 2,066 new cases of Covid-19 were reported in the State on Wednesday. Additionally, 5,306 deaths related to the virus have now been recorded, with an additional 26 deaths in the last seven days.

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