As we all know the certain condition of Russia. Every country has to cover the condition of their residents. Russia was unprepared for war in all of the following:
The charming tree-lined alley of Rojdestvensky Boulevard is almost deserted. Behind the barriers preventing access, a Moscow city employee, garbage bag and pliers in hand, picks up trash on the gravel. A few meters away, his colleague is resting, sitting on a bench. This year, only the municipal maintenance teams, recognizable by their fluorescent orange outfit. They are enjoying the thousands of blooming tulips, heralding the beautiful days.
Starting of criteria
Usually so alive in spring, the Russian capital is asleep in April. Shops, restaurants and cafes are closed, public places and parks padlocked … We do come across a few passers-by going out to shop or walk their dogs, but the calm is striking in the megalopolis of twelve million inhabitants, in confinement since March 30. The strangest thing is the absence of children and the elderly on the streets. For them, going out is prohibited, except to get to the dacha (1).
By taking several protective measures very early on in the face of the threat of the coronavirus – closing the land border with China from January 30, banning the entry of Chinese nationals into its territory shortly after, quarantine imposed on people returning from a countries at risk, daily temperature measurement of students in Moscow schools, disinfection of public transport… – Russia has managed to slow the arrival of Covid-19 by a few weeks.
Start of infaction
However, the epidemic has started to spread throughout the country. It even got carried away, with nearly 31,000 infections during the May Day long weekend. The day before, it was Prime Minister Mikhail Michoustine who announced that he had to be hospitalized because of a Covid-19 infection, before two ministers, then the spokesperson for the President of the Russian Federation, declared in turn to be affected by the disease.
As of May 19, the country had more than 300,000 infected people, but only 2,837 dead. A performance that cast suspicion on Russian statistics. The Western press points to an under-registration of deaths, estimated at 70% (The New York Times, May 11; Financial Times, May 11). For their part, while recognizing that a person who tests positive for Covid-19 who succumbs to the consequences of another disease will not be listed in the statistics, the Russian authorities deny any desire for manipulation. Even corrected upwards, deaths from Covid-19 remain well below the tolls of Italy, Spain or the United States. But for how long ? If the outbreak of the epidemic confirmed, would Russian medical infrastructures face an influx of patients?
Thanks to Doctors and their Helpers
Russia’s experience in combating infectious diseases may explain the authorities’ early response. It all started in 1918 with the creation of Narkomzdrav, the People’s Health Commission. Under the leadership of Nikolai Semashko, Narkomzdrav is developing a unified country. Nikolai Semashko is a trained medical doctor. Although, it is a wide health system – the first in the world. Free and universal, it is based on an organization of care by levels, called the Semachko system (2).
The first link in the system, the district polyclinic provides outpatient care for common illnesses and coordinates with other institutions in the sector. Kind of dispensaries, we consult general practitioners and specialists (otolaryngologists [ENT], urologists or dentists). “The organization of the health system according to the principles of the district gives healthcare providers the opportunity to better understand the working and living conditions of (…) their patients (…). In this way, the district doctor becomes the “local” doctor, a friend of the family, “wrote Semachko (3), the pioneer of general medicine, adopted in many countries today as the basis of their health system.
Significant hospital capacity
Although Russia was unprepared for war in all of the criteria, Particular attention is paid to the prevention of infectious diseases. In 1922, a health and epidemiological surveillance body – Sanepid – was created, with intervention teams operating throughout the territory, from villages to businesses (4). Coupled with mass vaccination, this surveillance enables the USSR to eliminate diseases such as tuberculosis and malaria. Life expectancy, which did not exceed 31 years at the end of the 19th century in Russia, reached 69 years in the early 1960s, with the Soviets catching up with Western countries.
Today, it is the successor of Sanepid, the Rospotrebnadzor, in daily contact with the Ministry of Health but reporting directly to the head of government. He is developing the strategy to fight against Covid-1
Conclusion: Russia was unprepared for war in all of the criteria. Now, he is trying to compensate it. For more information visit biglotshours.com