EDITORIALREVISTA DE LA FACULTAD DE MEDICINA HUMANA 2020 - Universidad Ricardo Palma
1Hospital Diego Thompson, Buenos Aires-Argentina.
aNephrologist, Cardiologist, and specialist in arterial hypertension.
The Covid-19 pandemic, popularly known as coronavirus, was announced in an article by the American Society of Microbiology(1) that already in 2007 warned about the dangers of consuming exotic animals in the different Chinese communities. The background of SARS(2) and MERS(3) help us understand that humanity is not prepared for such severe contingencies. The global economy is out of control and there is no clear leadership. The health systems are deficient as the result of years of underinvestment, low salaries, and a shortage of qualified personnel to care for, monitor, control and manage infectious diseases.
What happened in Argentina? The first case in the country was discovered on March 3, 2020, and it arrived in Argentina with a passenger who was traveling on first-class of an Italian flag airline. The next day, sanitary controls began at the Ezeiza Airport and 11 people were quarantined. On March 5, the second case of a 25-year-old man who had arrived from Rome appeared, and then Argentinian airlines decided to suspend trips to Italy. From this moment, the population began an escalation of social isolation of those who came from Spain or Italy. A few days later, the government decided to expand the measures by suspending classes, closing schools, and restricting general public transportation. Four days after these measures, the government imposed a mandatory quarantine for the entire country. it is forbidden to go out more than is necessary, keeping the distance of one and a half meters between people, taking care of hand hygiene, and restricting the number of people circulating in food courts, pharmacies, supermarkets. This represents a suspension for the economy Argentina, since all recreational activities, clothing commercial activities and other items were forced to close their doors. Then the government decides an even more drastic measure which was the closure of borders to "flatten the curve" of cases and reduce infection. Argentines stranded around the world, some repatriated foreigners, chaos, and uncertainty - that's how the virus finds us.
In the context of Argentina, the challenge is insurmountable, since previously the country was going through one of the worst economic crises in its history, with its poor health system, exorbitant public spending, a mega devaluation of the dollar and galloping inflation. Understanding that the presidential measures were timely and severe, the social, economic and labor context jeopardizes the "vaccine" proposed by the WHO: social isolation. Argentina has more than 40% of its population below the poverty line, a consequence of the slowdown in the economy and payment chains. Added to this panorama is the lack of articulation between the public-private health sector, and the lack of validation of “remote” care methods, such as video calls, WhatsApp inquiries, and others, causing deficiencies in care as well as in the collection of benefits. The paranoia generated by the Covid-19 causes clinics and sanatoriums to have idle beds, waiting for the epidemic and with the problems that institutional financial support entails. The lack of health personnel is another issue to be resolved in the midst of this crisis. The few personnel that is available is exposed and at risk of infection, given the working conditions, the lack of supplies, and the necessary tests.
Correspondencia: Gabriel Lapman.
Dirección: Wenseslao tata 4726 caseros, 3 de febrero, argentina.