The ethical dilemma of having a PCR test in a government hospital Sedat ERGIN

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I’m contacting …My friend said.

We don’t just check contactsThe female maid replied.

Then he asked the second question:Do you have any symptoms?? “

This question put my friend in a rather anxious dilemma in his inner world. Because even though he was in contact with someone who tested positive for COVID-19, he had no complaints or symptoms. But to the officerNo.“It will not be possible for him to take the test.

The notice on the opposite wall was written in large letters as follows:

According to the latest decision of the Ministry of Health, PCR tests are not performed on people who have no symptoms. Chief Physician

Above the word Chief Physician was an official seal and the signature of the Deputy Chief Physician.

The talks took place at a state hospital in Istanbul on Monday evening.

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What is the answer then friend?

Meet for dinner with a group of friends

Let’s go to the beginning of the story before answering.

The man at the center of the story spent a week last Friday evening with friends at a restaurant dinner table. Let me mention now, he has two synovics and three
Bioentech grafted.

After this meal, he visited their mother (78) and father (81), who had a chronic illness, at their home on Saturday morning. The weekly holiday was his own.

On Monday evening, the third day after dinner, a friend of his, with whom he had dinner on Friday night, called. When he feels a sore throat in the morning, his PCR is checked and it comes back positive.

Our friend then went to the nearest state hospital at about 19.00 and wanted a PCR test.

What did the officer say?

Back to dialogue, “Do you have any symptoms?My friend paused for a moment to answer the question. He didn’t, but if he did, he wouldn’t be able to get tested.

The situation I was in was not pleasant at all. But most of all, I was in constant contact with my parents, I was in the office with my colleagues every day. I told him I had a cold, although there were no symptoms. So I lied. But the good thing is I lied“She is OK.

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The long wait began with this statement when he returned to the country with the test. He tries to know the result of the test by entering e-pulse from his mobile phone at regular intervals. Then fell asleep. When he wakes up in the middle of the night, he re-enters the e-pulse and finds that the test results are positive. “Life fit homeIt was also in the risk category in the (HES) application.

Yesterday, in our chat over the phone, he was alone at home waiting for the seven-day quarantine period to end. He had no complaints or symptoms. I guess he was a bit upset because he was stuck at home.

I am glad to learn positive. At least I didn’t go down without explaining myself first. I met my parents on Saturday morning, but I don’t think I contaminated it because I kept my distance from them. So far they have not received any complaint. However, three of the eight people sitting at our Friday night table tested positive.‘He said.

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However, the next morning, he called the Ministry of Health from Ankara and said,How are you, do you have any symptoms, do you need anything? You have vitamins, will we send? Do you want us to edit the report?? ”He added as they asked.

In short, although he had problems in his inner world because he did not tell the truth to the hospital staff, he thought he had done nothing wrong.

The ministry has disagreed with the citizens

The incident we have mentioned is thought-provoking as it shows the dilemma that the new testing policy announced by the Ministry of Health on Wednesday last week has left citizens in a quandary.

Because the Minister of Health. Fahretin coca With this decision announced by the company, the obligation to test people who are in contact with COVID-19 has been removed, and it has also been announced that those who do not show symptoms will not be tested. With this decision, screening tests were also discontinued.

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Let’s try to explain the risks of the decision made through the live event that we mentioned. Although my friend contracted the virus, he survived the infection without any symptoms with the protection given by the five vaccines. But that day he told the hospital official, “I have no symptomsIf he had answered “and as a result of not being tested, as a carrier, he would not have realized that he could have spread the virus to many people he came in contact with.”

Because of the high risk factors and especially the chronic disease in the elderly or infected people, it will be very possible for these people to become infected and pass the disease severely. But knowing he was positive, at least, kept him from transmitting the virus to other people.

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This decision of the Ministry of Health has raised fears of danger. Removal of testing requirements for acquaintances and asymptomatic citizens prevents positive case detection. It opens the door for carriers who are positive but do not show symptoms, to spread the virus among other people. Closing the tests by this decision will lead to an increase in infections, cases, hospitalization and other possible negative consequences.

The inevitable consequence of the new policy

The only aspect of the issue is that PCR tests are not performed on contacts that do not show symptoms. Another troubling aspect is that a second notification issued on January 15 stopped the practice of requesting PCR tests from immunized people when entering public venues such as concerts and cinemas and using transport vehicles such as trains and buses in the city.

The condition of the schools is no less deplorable. In previous practice, non-vaccinated teachers and other teaching staff were required to have a PCR test twice a week before going to school and teaching or working. It is no longer sought. The critical question is: Would you send your child to a classroom taught by an unvaccinated and unsupervised teacher?

It is possible to raise such questions.

Where all these questions come from is that they point to a relaxation in testing policy against COVID-19 and that it could weaken the fight against the epidemic.

Of course, there is another important drawback. An inevitable consequence of this state policy is that citizens must use false statements at the testing stage to find out if they have COVID-19.

It is thought provoking in itself that communicators need to make a statement that they are coughing even though they are not coughing to be tested. When we were talking about fighting the epidemic, look, we faced such a problem.

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