India and Brazil. Why did your health services collapse due to covid-19

India and Brazil are the nations that in recent times have been in a competition in which many would not like to be, alternately occupying the second place among the countries most affected by covid-19, being only surpassed by the United States, and both the Asian and South American territories have been in the eye of the international community with severe restrictions and the emergence of pandemic variants.

Decisions of the authorities, social behavior and traditions that many prefer not to modify even in a pandemic, are part of the consequences that have generated the collapse in the health system and that Dr. Francisco Oliva Sánchez, professor and researcher at the Department of Health Care of the Autonomous Metropolitan University (UAM) analyzed.

In an interview with MILLENNIUM, the professional commented that the pandemic boom Indian and Brazilian has both “biological and social” edges, because “on the one hand there are the new strains, but on the other hand you have to see how the health systems have been responding to preventive measures and the health situation.”

So much Brazil and India share a population reality. The Asian nation is the second with the most inhabitants in the world, a position it repeats in the continent where it is, while the South American country also has the same place in all of America. Both are respectively surpassed by two powers: China and the United States.

“The health collapse that we are seeing, for example in India, also has to do with how prepared was the health system in that country. I mean that this system, if we compare it to the amount of population it has to attend to, maybe it was not prepared for this infection like the Indian variant, which is a little more resistant ”, says the specialist.

Oliva Sánchez specifies that “the virus is a biological being, not a living being“, So” it has many RNA chains “, which is important to pay attention to in the respective health systems.

“The third cycle or the third wave in Brazil is actually due to the same thing (as India). The point is how much does the Brazilian government epidemiologically monitor to the population, because epidemiological surveillance includes something that is laboratory surveillance and this includes having the panorama of tests and vaccination against new strains ”.

The importance of communication to the inhabitants

The UAM expert emphasizes the importance of both authorities in power communicate the coronavirus alert, even more so when dealing with territories with detected variants, which in the case of the Brazilian is called P.1, while the Indian is B.1.617, although in the latter case a second arose, but it is believed that it was a mutation of another from California, United States.

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“Among the sanitary measures, the important thing is to be able to generate a good communication strategy. In this sense, that strategy is not being adequate to the characteristics cultural aspects of society itself ”, said the professor, who deepened the deficiency in India.

He added that “India is a very diverse country, so that impacts whether or not the Indian government is doing (a communication plan) or how much it is meddling in that situation.”

India is currently the nation that is generating greater concern at the international levelMany countries, including Mexico, have created plans or ways to help the health crisis. There are patients who come to share beds with others to be cared for, while the funeral pyres have worked every day cremating the bodies of people who died after contracting covid-19.

“I think it was a very good action by the government of Mexico in not accepting the AstraZeneca vaccine in the sense that right now those who have the problem are them. I believe that the WHO has to create a broader collaborative system of international aid to be able to support the Indian government because it is everyone’s problem, it is a pandemic ”.

So far, the Asian country has almost 20 million infected and more than 219 thousand deaths from covid-19, according to the report of the World Health Organization that is favored by those emanated by the Indian authorities, although experts consider that the figures actual may be higher.

“I am not saying that the multidiversity of India is a problem, but the way in which the health authorities have to respond to this social challenge. The pandemic is not only the biological partIt is also the part of how the response of the authority corresponds and in this case, the one who has to remedy it is the government ”.

The situation in Brazil is not far behind, its very president, Jair Bolsonaro, was the focus of controversy when he downplayed the coronavirus, calling it “a little grip”, a style in his speech that has nuanced, but has not radically changed, even though he , his wife and children had covid-19, a disease that caused the death of his partner’s grandmother.

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Currently, according to WHO figures, Brazil reports 14.8 million infections and 408 thousand deaths from covid-19. In recent times, the country has generated controversy because, despite the number of infected, the far-right government opposed receiving the Russian vaccine against the coronavirus, Sputnik V, even when 14 states were requesting it, the health decision to stop its use of the drug came from the drug regulator, Anvisa.

The international community, especially European countries, have decided to pause commercial travel to those territories, including the prohibition of entry to citizens of both countries who do not have residence in the continental bloc.

Oliva Sánchez maintains that the decision to travel was “more than late, it has to do with the fact that the situation in India was not reported so quickly. We realized almost a day after the tragedy what happened in the country ”. For this reason, he recommends that all other nations, including Mexico, consider epidemiological surveillance, “we have to be proactive so that we do not have this situation.”

The same expert urged not to generate a panic alarm in Mexico and added that today it is more important that citizens apply the basic rules to avoid contagion, such as the use of face masks, frequent hand washing and social distancing.

“That people are also not afraid to get vaccinated against covid-19, that they get vaccinated as it touches them. Which vaccine is the best? All, all have a degree of effectiveness ”.



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