ABSTRACT
Summary Introduction The 2020 Tokyo Olympic and Paralympic Games (2020 Tokyo Olympics) was held in Japan during the pandemic of new coronavirus infection (COVID-19) in 2021. Preparedness In 2016, the Academic Consortium consisting of 29 major medical associations (AC2020) was launched and undertook medical risk assessment, issuing statements, and disseminating manuals/guidelines, training materials through its website. Administratively, Tokyo Organizing Committee of the Olympic and Paralympic Games (TOC) was responsible for preparations inside the venue, while Tokyo Metropolitan Government (TMG) was responsible for preparations on the last mile and around the venue. In response to the AC2020 recommendation, the TOC and TMG has set up the subcommittee for reviewing emergency and disaster medical systems for the games. Finally, the 2020 Tokyo Olympics gave up accepting spectators from abroad and limited domestic spectators. The multi-organizational training was not systematically performed until just prior to the event due to the delay in deciding on the form of this big event. Results A total of 779,820 people participated during the entire period. The 316 patients were seen at hospitals including 53 COVID- 19 cases, and the patient presentation rate (PPR) was 2.4/1000. The COVID-19 cases in Japan increased as the games approached, and a major wave peak of the epidemic was observed during the games. Conclusion If MCI had occurred during the games, the current medical care system would not have been able to cope with such situation. We were walking on thin ice, but fortunately, we didn’t step out and drown in the water. Résumé Introduction Les Jeux Olympiques et Paralympiques de Tokyo 2020 (Jeux Olympiques de Tokyo 2020) ont eu lieu au Japon pendant la pandémie COVID-19 en 2021. Préparation En 2016, le Consortium Académique composé de 29 grandes associations médicales (AC2020) a été lancé et a entrepris une évaluation des risques médicaux, publié des mises aux points et diffusé des manuels/directives, du matériel de formation via son site Web. Sur le plan administratif, le comité d’organisation des Jeux olympiques et paralympiques de Tokyo (TOC) était responsable des préparatifs à l’intérieur du site, tandis que le gouvernement métropolitain de Tokyo (TMG) était responsable des préparatifs sur le dernier kilomètre et autour du site. En réponse à la recommandation AC2020, le COT et le TMG ont mis en place le sous-comité chargé d’examiner les dispositifs prévisionnels de secours pour les urgences et en cas de catastrophe pour les jeux. Enfin, les Jeux Olympiques de Tokyo 2020 ont renoncé à recevoir des spectateurs étrangers et ont limité les spectateurs nationaux. La formation multi-organisationnelle n’a été systématiquement effectuée que juste avant l’événement en raison du retard dans la décision sur la forme de ce grand événement. Résultats Au total, 779820 personnes ont participé pendant toute la période. Les 316 patients ont été vus dans les hôpitaux dont 53 cas de COVID-19, et le taux de présentation des patients (PPR) était de 2,4/1000. Les cas de COVID-19 au Japon ont augmenté à l’approche des jeux, et un pic de vague majeur de l’épidémie a été observé pendant les jeux. Conclusion Si un afflux de victimes s’était produit pendant les jeux, le système de soins médicaux actuel n’aurait pas été en mesure de faire face à une telle situation. Nous marchions sur de la glace mince, mais heureusement, nous n’avons pas dérapé et ne nous sommes pas noyés dans l’eau.
ABSTRACT
In 2020, the COVID-19 pandemic has had unprecedented impacts on various aspects of the world. Each academic society has published a guide and/or guidelines on how to cope with COVID-19 separately. As the one and only nationwide association of academic societies that represent medical science in Japan, JMSF has decided to publish the expert opinion to help patients and care providers find specifically what they want. This expert opinion is a summary of recommendations by many academic societies and will be updated when necessary. Patients that each academic society targets differ even though they suffer from the same COVID-19, and recommendations can be different in a context-dependent manner. Readers are supposed to be flexible and adjustable when they use this expert opinion.
ABSTRACT
BACKGROUND: The Coronavirus disease 2019 pandemic caused the Japanese government to declare a State of Emergency on April 7, 2020. The aim of this study is to provide an overview of the effects of the pandemic on surgical cases at a university hospital trauma center. METHODS: An observational study was performed at a trauma center in a tertiary hospital in Tokyo, Japan. The number of surgeries was compared between two periods: a historical control period (Tuesday April 9 to Monday May 27, 2019) and the period of the Japan State of Emergency due to COVID-19 (Tuesday April 7-Monday May 25, 2020). Information on patient age, gender, and surgical diagnosis, site, and procedure was collected for cases operated on in each period. The number of trauma surgeries was compared between the two periods. Data from the two periods were compared statistically. RESULTS: The total number of surgical cases was 151 in the control period and 83 in the COVID-19 period (including no cases with COVID-19), a decrease of 45.0%. There were significantly more surgeries for patients with hip fractures in the COVID-19 period (9 vs. 19, P < 0.001 by Fisher exact test). CONCLUSIONS: During the State of Emergency in Japan, the number of operations for trauma patients at the trauma center decreased, but surgeries for hip fracture increased.