It may be valid to take the current epidemiological affront as a contest and under this vision some principles of combat strategy could be applied. Derived from this, it is understood that not reflecting seriously on everything related to this challenge results in an indifference that can become the loss of what is most precious to us as a personal asset, that is, health.

On November 24, 2021, South Africa notified the World Health Organization of a new variant of SARS-CoV-2, identified in samples obtained in Botswana and after a few days it began to become evident that it was a variant with a much greater ability to spread than the original virus.

Although the time window was not too wide, the arrival of this variant in our country could be anticipated and it is undeniable that the planning and design of strategies for its attention should have been established to deal with this new version under social and economic conditions that They are completely different from two years ago.

However, despite these windows of “opportunity” and in an unfortunate, pitiful and worrying way, a total and absolute disorder continues to be called at the different levels of the health systems, which are once again facing a scenario of potential collapse, which it is worth noting, it is different from what was experienced in previous waves.

For this reason, it is important to talk about some circumstances that occur today in various hospital care centers, which are or should be the object of attention of senior health managers, to establish care, containment or resolution measures.

One of them is the “shortage” of clinical and healthcare personnel in all hospital categories, derived from this new variant that is more efficient in its transmission, which causes intra-hospital outbreaks with the consequent resulting disability of the workers, reducing the response capacity of the multitude. of services, with the addition of the reopening and return to care for other health conditions that cannot wait any longer to be treated (consultations, scheduled surgeries, ordinary therapies, etc.). The increase in waiting times, long lines and the discomfort of service users is notorious.

Similarly, there is a notorious lack of a sensible plan or public policy for health care, which allows the different hospital centers to make reasonable decisions to continue with clinical care, preserving the health of workers. Centralized guidelines, many of them merely cretinous, are a source of generation, development, implementation and improvement of redundant, stagnant or simply absurd processes and procedures, not in accordance with the diverse realities of the different regions, states, localities and even hospital centers. The bureaucracy in health and the terrible training in administration and management of a multitude of senior managers is present and results in a disrupted operation, really similar to a “headless entity”.

In the same way, there is a whiff of “well, let what has to happen” and all those promises of better conditions for health personnel, generation of new sources of employment and guarantee of safe and sufficient supply of supplies for attention to this new phase of contingency.

As previously mentioned, misinformation, lack of education and awareness with respect to weighting risks are pressing and health authorities send messages that are not only contradictory, now some even have loquacious overtones (bordering on a black comedy) that lead to a population confused, abandoned and left to their fate. Dark reality that only we, as a population, can recompose. Let’s do what’s necessary.

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