COVID-19: a new vision

The winter season has begun and this will represent a challenge for national health systems, since there is the possibility of a rebound in the COVID-19 disease, which is added to other conditions typical of this end of the year and the beginning of the next. such as diseases of respiratory origin associated with other microorganisms.

Well, it is time (hopefully now it is) that the data collection and analysis carried out in the last almost two years, allows us to face this epidemiological challenge in a better way and to have resources, capacities, as well as Adequate technical and financial support to strengthen health surveillance and response efforts at the national level. The perspective is different and spirits should be redoubled in the effort to establish generalized health care mechanisms, in which activities, technology, treatments and supplies are oriented for a long-term control of this epidemiological contingency.

Public health measures (those aimed at the general population or the most individualized ones) will have to be reviewed and reoriented to this new epidemiological context that includes new variants, natural immunity processes and immunity derived from vaccination, so that their impact allow that desired “control” that makes it possible to better attend to other aspects such as economic and social.

The risk-based approach is the one that must push, as well as be supported by the best available evidence and not only subject to the occurrences (sometimes true nonsense) of some characters who occupy or show themselves as figures of public leadership or authorities. It is essential to reevaluate the general health care objectives and take into account the results that have been obtained to date (paying special attention to those poor or incorrect results), also attending to the needs and expectations of the populations, the capacities of the services that are provided, the complexity of the processes that are being carried out and reevaluate the competence of the organizations and their members, in an effort to establish a short, medium and long-term care plan in the provision of quality services, in the national health system.

To establish (or maintain, if applicable) an efficient care system, efforts must be redoubled to sustain the health services with sufficient funding, supplies of all kinds, as well as human resources (which should be noted that in the case of health personnel there were yes many praises and thanks, but no real improvement in working conditions or an effective reflection in salary or economic benefits) in order to continue to face the current repercussions of the pandemic, while continuing to attend to other concomitant diseases and even other emergencies.

Efforts to vaccinate (and educate to achieve greater coverage) must be strengthened, since it is what allows better protection of vulnerable populations and the appearance or spread of variants and in the same way the messages to the population regarding social distancing, should be oriented to the evaluation, mitigation and communication of risks (again, not only by occurrences or “sensations” of authorities) and that there are factors that increase or make the risk more tolerable when it comes to social concentrations, which depends on the particular epidemiological context of the regions, so contact tracing, testing and establishing the transmission force should remain an active exercise.

The challenge now is not only to get ahead of COVID-19, but to really make efforts to provide comprehensive public health responses in our country. Authorities, they are late.

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