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HEALTH PLANSERVICES FORTHE GREEKISLANDS
Plan of protocols and uniform health servicesfor the island territory of the countryTARGETTo keep Greece safe in view of the tourism season ACTIONSStrengthening health structuresHuman resourcesMeans of individual protectionInterconnection with Covid -19 hospitals (i.e Attikon)Access to testing for Covid-19Strengthening of patient transfer network
Health SystemHospital beds available for Covid-19 treatment in the Greek islandsCOVID-19 beds in the islands806040200COVID-19 bedsAdditional COVID-19 beds that can operate in an emergency 446 hospital beds exclusively for COVID-19 treatment on the islands. This number could swiftly getincreased to 694 if necessary
Health SystemICU beds available for COVID-19 in hospitals on the Greek islandsCOVID-19 ICU beds in the islandsCOVID-19 ICU beds25Additional ICU COVID-19 ICU beds in case of emergency201510PAN. G.H.HERAKLIONG.H. CHANIAG.H.HERAKLIONVenizeleioPananeioG.H. AG.NIKOLAOSG.H. CORFUG.H. ZANTEG.H. CHIOS(IFU)G.H. SYROS(IFU)G.H. SAMOSG.H. RHODES0G.H. MYTILENE5 18 committed ICU beds for COVID-19 treatment on the islands that could be increased to 79IMMEDIATELY, if necessary COVID-19 ICUs will be used until patients transport to a reference hospital is secured
Medical staff and Healthcare workers Detailed reflection of the current situation in all structures Reinforcement with auxiliary staff Support with physicians from the healthcare Regions Contracts between Hotel structures and medical staff (Mininstry of Tourism) Training and drills In case of emergency Doctors cooperating with EOPYY for home visit Activation of self-employed doctors (600 doctors remunerated by 2.000 euro tax free) Activation of Regional Authorities for providing housing/food service Staff for round-the-clock operation in all structures of the islands
Recruitment of Auxiliary PersonnelAlready completed hiring of 687 Auxiliary Personnel in the islands(72 physicians, 615 healthcare workers and other staff)7η ΥΠΕ7th Health Region6η ΥΠΕ6th Health Region1100 approvedrecruitment5η ΥΠΕ5th Health Region4η ΥΠΕ4th Health Region2th Health Region2η �ροσωπικό250300350Other StaffΛοιπό400450
Interconnection between Central Hospitals andIsland StructuresTransfer of personnel between Health Regions to cover needs during thetourism season. For example:
Primary and Secondary healthcare24-hour readiness structuresStructureIslandHospitalsSantorini, Mytilene, Rhodes, Samos, Syros, Chios, Ikaria, Kalymnos, Kythira, Kos,Lemnos, Naxos, Leros, Chalkida, Karistos, Kymi, Zakynthos, Corfu, Kefalonia,Lefkada, Lixouri, Ag. Nikolaos, Herakleion, Rethymno, Chania, Ierapetra,Neapoli, SiteiaICU HospitalsMytilene, Rhodes, Samos, Syros, Chios, Zakynthos, Corfu, Ag. Nikolaos,Herakleion, ChaniaHealth CentersAigina, Andros, Ios, Karpathos, Milos, Mykonos, Paros, Patmos, Amorgos,Samothrace, Thasos, Skiathos, Skopelos, Ithaca, Paxos, Tinos, SalaminaMulti purposeRegionalmedicalpractices andregional surgeriesAgistri, Hydra, Poros, Anafi, Sikinos, Folegandros, Astypalaia, Leipsi, Kasos, Nisiros,Kimolos, Serifos, Kea, Kythnos, Sifnos, Antiparos, Koufonisi, Kastelorizo, Symi, Telos,Ag. Efstratios, Agathonisi, Donousa, Thymaina, Irakleia, Therasia, Oinouses,Schinoussa, Fournoi, Chalki, Psara, Alonnissos, Spetses
2nd Primary and Secondary healthcare24 hour readiness structuresStructureHealth CentersMulti purposeRegionalmedicalpractices andregional surgeriesIslandAegina, Andros, Ios, Karpathos, Milos,Mykonos, Paros, Patmos, Amorgos,Tinos, SalaminaAgistri, Hydra, Poros, Anafi, Sikinos,Folegandros, Astipalaia, Leipsi, Kasos, Nisyros,Kimolos, Serifos, Kea, Kythnos, Sifnos,Antiparos, Koufonisi, Kastellorizo, Symi, Telos,Ag. Efstratios, Agathonisi, Donousa, Thymaina,Irakleia, Thirasia, Oinouses, Sxoinousa, Fournoi,Chalki, PsarraMedical and HealthcareStaff31889
4th Region Primary Healthcare24h-readiness structuresStructureHealth CentersIslandSamothrace, ThasosMedical and HealthcareStaff55
5Η Primary Healthcare Region24h readiness structuresStructureIslandMedical and HealthcareStaffHealth CentresSkiathos, Skopelos27Multi purposeRegionalmedicalpracticesAlonnisos, Skyros11
6th Region Primary Healthcare24h readiness structuresStructureIslandMedical and HealthcareStaffHealth CentersIthaca, Paxoi21Multi purposeRegionalmedicalpracticesSpetses2
Primary Health Care & EODY (National Agency of Public Health)Mobile health teamsTargets: Strengthening epidemiological surveillance forSARS-CoV-2 throughout Greece Enhancing diagnosis for suspected / possiblecases of COVID-19 throughout GreeceStrategy (3 pillars): Conduct diagnostic molecular tests with gradual additionof antibody tests – mainly for vulnerable populationgroups and closed structures (eg nursing homes & prisons)Collection of data for epidemiological studiesIntensify tracking
Mobile health teamsData up to June 9 2020: 32.481 samples 1.577 missions 48 regional entities
Mobile health teamsIsland territory:9 Mobile health teams in Crete (Chania,Rethymnon, Heraklion) and the island of Thasos106 Mobile health teams are underway in thefollowing areasSalamis, Aegina, Agistri, Cythera, Poros, Spetses,Hydra, Trizinia, Skiathos, Corfu, Zante, Ithaca, Samos,Lefkada, Mytilene, Ikaria, Lemnos, Chios, Syros,Andros, Santorini, Kalymnos, Karpathos, Kea, Kos,Milos, Mikonos, Naxos, Paros, Rhodes, Tinos, Crete
Sea Mobile Health teamsTargets: Strengthening diagnosis for suspected/possible cases of COVID 19 toinhabitants and tourists Rapid interventionStrategy: Collaboration with Municipalities of small islandsConducting molecular & antibody tests for SARS-CoV-2 virus detectionin vulnerable groupsVoluntary participation of NGOs for moving EODY units & transportingsamples in secure boxesSample tests: Milos Kimolos Sikinos Folegandros Koufonissia Anafi Levitha onisi ArkoiLipsiPserimosTilosKastelorizoHalki
PCR Testing -StrategyObjective: Rapid and reliable diagnosis Molecular analyzers with high potential will be transferred to Syros and Rhodes Equipping certain islands with PoC analyzers for emergencies Radial planning to accelerate transport of samples Transfer of samples to specific central laboratories eg EKEA for mass collection Use of Mobile health teams for targeted expeditions
PCR Testing – Usefulness of small analyzers(Point of Care) Need to perform rapid molecular tests with Point-of-Care Testing (POCT) To help in real medical needs in serious cases with symptoms of COVID-19infection To inspire a sense of security for both tourists and permanent residents onthe islands
PCR (Point of Care)Testing – Installed molecular analyzers There are small molecularanalyzers already installed on thefollowing islands: Additional small molecularanalyzers will be installed to covermore than 20 islands. Lesbos, Samos, Chios, Corfu,Paros, Antiparos, Syros, Naxos,Santorini, Rhodes, Kos, Leros andKalymnos Distribution in more islands isbased on: the distance of each island fromthe central laboratory the expected number of tourists the geographical position of theisland in relation to the healthstructures
PCR Testing – Installing of additional Point ofCare Analyzers ( 14) The installation of small analyzers is planned for the following islands:Mykonos, Zakynthos, Corfu, Kythira, Lemnos, Skiathos, Cephalonia,Karpathos, Milos, Ikaria, Santorini, Kos. Islands with a smaller numbers of expected tourists will be assisted by thenearest islands with the appropriate infrastructure
TRANSFER OFSAMPLES TOTHE REFERENCELABORATORYFOR EACHREGION
REGIONAL UNIT OF SPORADES & THEREGION OF STEREA ELLADA
REGION OF EASTERN MACEDONIA AND THRACE
REGION OF ATTICA
Test/HourTest/HourREGION OFNORTHAEGEANThere is an installedreagent for moleculardiagnosticsTest/Hour
REGION OFIONIANISLANDS
REGION OFSOUTHAEGEANTest/HourTest/Hour
REGION OF CRETE
Transfersby air or boatStrengthening ofprotection meansagainst Covid-19Current SituationAir transfers from all air basesΕΚΑΒ (NATIONAL CENTER FOREMERGENCY ASSISTANCE)had one special chamber ofnegative pressure available(capsule)We received 8 more capsulesFrom next week on, we’llhave 2 morein total 11 capsules
TransmissionsAerial transfersShip deliveriesThey are carried outby aircraft andhelicopters managedand provided by theAir Force, at requestof EKAB or by leasedaircraft that arecertified for theexecution of air travelat request of the CivilProtectionThey are carried outby vessels of theCoast Guard or byprivate meansindicated by theCoordination Centerof the Coast Guardat the request ofEKAB
Airfields covering different areasElefsina (Operational Center - PA Aircraft Base)Cyclades (SYROS airlift base)Dodecanese (RHODES Airlift base)Western Greece - Ionian (AKTION airlift base)Northern Greece (THESSALONIKI airlift base)
Health System ICU beds available for COVID-19 in hospitals on the Greek islands 18 committed ICU beds for COVID-19 treatment on the islands that could be increased to 79 IMMEDIATELY, if necessary COVID-19 ICUs will be used until patients transport to a reference hospital is secured 0 5 10 15 20 25 E ES OS. G.H. OS
