Confronting the Moscow Healthcare System with the Shocks of COVID-19

PDF (Русский)
Authors
Aleksandr N. Tsibin, Munira F. Latypova, Olga I. Ivanushkina
Institutions
The State Budget Institution “The Research Institute of Health Care organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, Russia
Issue
Published
2021-04-15
Pages
41-46
Section
Original Researches
Keywords:
pandemic, COVID-19, new coronavirus disease, SARS-CoV-2, large-scale laboratory screening, laboratory diagnosis, PCR testing, screening PCR laboratories, pre-testing, testing laboratories, patient categories, serological testing, IgM and IgG immunoglobulins

Abstract

Introduction. Transmissible coronavirus SARS-CoV-2I is the seventh known coronavirus that causes an acute infectious disease predominantly affecting the lungs (Corona Virus Disease 2019, COVID-19). The COVID-19 pandemic exposed serious gaps in health systems preparedness. The epidemic urgently required priority organizational measures to contain and reduce the spread of COVID-19. Public health authorities had to make decisions in a challenging situation where there was a lack of knowledge, experience, and great confidence, and the number of infected was steadily increasing. Purpose. The purpose of this article is to present the unique experience of Moscow in organizing a large-scale laboratory examination of the population of a metropolis with about 12.6 million inhabitants to meet the needs of the capital in testing for SARS-CoV-2 virus and combating its circulation in conditions of the COVID-19 pandemic. Materials and Methods. he decisions made and the measures taken by the Government of Moscow, the Moscow Operational Staff, the DZM and the DZM Laboratory Service to slow the growth of the COVID-19 epidemic among the population of the capital are listed step-by-step. Results. In the course of organizational activities, sufficient capacity to maintain the public health infrastructure in terms of laboratory diagnosis of the new coronavirus infection was ensured by the joint efforts. Safe laboratory diagnostics for detecting, treating, and isolating COVID-19 cases and contacts have been established in the capital city. Thanks to the successful implementation of timely decisions, the spread of infection in the city of Moscow has been slowed. The Moscow government has reported a steady decline in cases of the new coronavirus disease and most hospitals have switched to a safe treatment regimen for patients requiring hospitalization. Centralized laboratories with readiness to perform screening and referral studies for COVID-19 outbreaks have been established within the structure of the DZM.

For citation: Tsibin A. N., Latypova M. F., Ivanushkina O. I. Confronting the Moscow Healthcare System with the Shocks of COVID-19. City Healthcare. 2021; (2)1:41-46. https://doi.org/10.47619/2713-2617.zm.2021.v2i1;41-46

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Author Biographies

Aleksandr N. Tsibin , The State Budget Institution “The Research Institute of Health Care organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, Russia head of organizational and methodological department on clinical laboratory diagnostics, chief freelance specialist on clinical laboratory diagnostics

Munira F. Latypova , The State Budget Institution “The Research Institute of Health Care organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, Russia chief specialist of organizational and methodological department for clinical laboratory diagnostics

Olga I. Ivanushkina , The State Budget Institution “The Research Institute of Health Care organization and Medical Management of the Moscow Health Care Department”, 115088, Moscow, Russia chief specialist of organizational and methodological department for clinical laboratory diagnostics

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