It was presented as unknown pneumonia, which in late 2019 affected a small group in Wuhan, China. But as the days went by, more and more people came to the hospitals in that city with respiratory problems. That was about it COVID-19, Disease caused by SARS-CoV-2 corona virus.
Within weeks it had become one of the biggest epidemics in a century, from the one that plagued China.
Two years have passed, yet The outcome of the global health emergency does not seem so close. However, by this time we were able to better understand the virus, the disease it causes, and the key tool we have to deal with it: vaccines.
On March 11, 2020, the World Health Organization (WHO), the World Health Organization, declared the COVID-19 pandemic, ending an earlier health crisis of similar rates almost 10 years later: Influenza A (H1N1).
The company has taken into account two key criteria: Virus circulation in more than one WHO region (There are six regions in total) And cases in countries are not imported, i.e., the presence of a transmission may be associated with the corona virus. Thus, the whole country went into a state of lockdown and became ‘default’.
According to experts Held consultation For this journal, both conditions have not yet changed at this time, but the vaccine shows the progress of the vaccine in the most advanced countries. The picture may change in the future.
For example, the WHO International Health Regulations Emergency Committee Recommended Announce the end of the epidemic in August 2010, as outbreaks of AH1N1 flu worldwide returned to the status of seasonal flu, with the virus ceasing to dominate but continuing to spread and Many people then had immunity Against the virus, by natural infection or vaccination.
Last week, WHO Director Tetros Adanom said “2022 should be the year we end the epidemic”. “The WHO is committed to doing all it can to end the epidemic next year.”He reiterated that vaccination was the main weapon to achieve this.
Although considered a United Nations agency “Moral shame” If at least 40% of the population of each country is not vaccinated against COVID-19 by 2021, a new target has been set: 70% of the world’s population should be vaccinated by early July next year. , For which Adanom insisted To achieve this, “governments, industry and civil society are working with us on a campaign”.
Trade Brussels-based Border Doctors Nonprofit Health Policy Adviser talks to Peruvian physician Angela Ion The challenges we face next year in dealing with the epidemic.
“2022 is the year that prepares us the most”Says the epidemiologist.
– What challenges do we face regarding vaccination at home and in the world?
Reaching out to those who have decided not to get vaccinated is a challenge, and those who have not even received a single dose should place more emphasis on the first dose because they are at higher risk. That’s the challenge: trust those who do not trust the vaccine and approach them with adequate communication.
– How can this communication strategy be improved?
In many cases this communication will require social science work to improve the relationship we have with community leaders, including church leaders, opinion leaders, and politicians. : LHe believes there are people in institutions like science and government, Ministry of Health etc. Restoring that confidence is a very difficult one, but it is a challenge that needs to be faced little by little because it greatly limits the credibility that people have in all control activities. [establecidas por las autoridades], Including vaccines.
“Our community leaders, religious leaders and political leaders must be partners in vaccinating.”
– What else needs to be done?
First, we need to understand what is going on and where these reluctant people are [a la vacunación] And understand what the problem is. And I think you should make a little appeal to intermediate, versatile and intermediate groups. We need to work harder to understand the population, including the social sciences, through research – which allows us to better understand people’s causes and concerns. We have to come through the channels, in the same way [de comunicación] That Those reluctant people ask for more. In this way, our community leaders, religious leaders, and political leaders should be partners in vaccinating.
– Regarding the arrival of vaccines in difficult access areas, what is the challenge?
It is better not to neglect the ability to administer the vaccine in many places where vaccines are not available, for example, there are many more vaccines because messenger RNA vaccines do not have an adequate cold chain. The world, not just messenger RNA, is constantly on the market in certain places due to shortage of trained personnel or cold chain. These are Long-term challenges to our approach to primary health care in some areas, Which should definitely be a long-term job; Primary care should be the bulwark of our healthcare system.
“At some point large sections of the world’s population or all of them will be affected by the epidemic. [por covid]”
– With the panorama of the current results and the health crisis, will 2022 be the end of the epidemic?
The end of the epidemic is really a political term, because who decides what the outcome is? There is no epidemiological definition today to say when epidemics will end, probably when we look at what happens at this point and the behavior of variants like the highly contagious Ómicron – perhaps – we need to think about. At some point large sections of the world’s population, or all of them, will become infected [por covid], I think what we wanted to avoid from the beginning and precisely from the beginning was to slow down these infections. It would have been nice if we had avoided the presence of another community spreading respiratory virus [como el SARS-CoV-2]Today we already have over 100 and have four corona viruses. Ideally, we would have avoided it, but apparently it is already out of hand, it can not be avoided, at some point [el virus] It will be domestic [habitual en una región como el dengue].
I think it is important to remember that endemicity is not an end in itself, that is, it should not be intended to spread the virus, but rather a circumstance, and Vaccines are our best weapon to prevent serious illness and death. Most likely, next year we will see effective vaccines against all types – somehow – that can be overcome, focusing on protecting the most vulnerable. But how to deal with the population affected by the virus is not only in terms of its severity and mortality, but also the biggest challenges we face in terms of chronic Govt disease. 2022 is the year that prepares us the most for a variant that already appears to be vaccinated, more knowledgeable, less invasive, less dangerous, and we hope that new variants will not be created as the virus spreads. For more than one person, this is more likely to happen. Vaccines are our best allies.
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