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Dressed in a protective device to stop the spread of the new coronavirus, a doctor massages a patient in an army hospital established to care for COVID-19 patients in Mexico City, Mexico, on November 30, 2020.
Ugarte /AP Frame
The pandemic hit Mexico, which ranks fourth, only the United States, Brazil, and India, in terms of deaths shown by COVID-19, the head of the World Health Organization, Dr. “bad position” and that the accumulation of instances and deaths was “very worrying. “
The virus has affected the country’s medical personnel, with fatal consequences. Mexico has never fully mastered its first wave and cases are on their backs after months of stagnation. The physical care staff here haven’t had much respite.
“We are tired,” says Dr. Lorena Guerrero, researcher of infectious diseases at the National Institute of Health and Nutrition Sciences in Mexico City. “All fitness care professionals are tired of treating patients with COVID [-19] without interruption. “
Beyond exhaustion, fitness care professionals also get sick. Government knowledge shows that the virus has killed more than 2,000 Mexican fitness professionals since March. Guerrero co-wrote a study paper on COVID-19 mortality on medical staff in Mexico City and discovered many reasons for this. These included the highest rates of comorability, insufficiency for non-public protective devices (PPEs), and insufficient testing for COVID-19 infections.
A mural near an IMSS federal hospital in Oaxaca, Mexico, commissioned through a community organization to honor pandemic-fighting fitness personnel.
Shannon Young / The World
The head of the Mexican organization running the coronavirus, the undersecretary of health, Dr. Hugo López-Gatell, has continually rejected the need for mass testing, arguing that the pandemic is “immeasurable. “The executing organization used a method called “sentinel surveillance”. “that restricts outpatient testing to a small pattern of others who go to clinics with symptoms such as COVID 19. He argues that the effects of these patterns reveal the dimensions of the larger epidemic without the resources needed to conduct mass testing. “
Poor testing means limited wisdom about who is inflamed with coronavirus, which can lead to out-of-control spread. As a result, the medical corps of workers would possibly unknowingly come into close contact with patients who bring the virus.
In his studies on the deaths of health care workers, Dr. Guerrero found that PPE should not be kept outdoors in hospital facilities to treat patients with a proven diagnosis of COVID-19.
“If I didn’t think I was treating a patient with COVID [-19], I didn’t have the equipment,” he says. “And that’s a problem, because you don’t know who has COVID [-19] and who doesn’t have it until you have symptoms.
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Guerrero works in one of Mexico’s most sensible hospitals and says he has enough PPE material and access to rapid-effect tests through an on-site lab, but this is not the case in many small hospitals, especially those with COVID-19 patients. and others with more common disorders get treatment in the same building.
An Amnesty International report in September showed that Mexico is leading the world in the known number of fitness personnel who have died from the virus. Since then, deaths among fitness professionals in the country have averaged around 8 a day.
Mexico’s chief epidemiologist, Dr. José Luis Aloma, defended government control of the pandemic at a recent press conference and suggests that official knowledge of the deaths of physical care personnel may paint an exaggerated picture of the risks in the office. “”Not showing is if the user is actively working,” he said. Months ago, the government filed a paid protection license for public sector physical care personnel in the high-risk categories.
However, not all medical bodies of painters on leave from public hospitals stay at home. Guerrero notes that it is not uncommon for doctors in Mexico to perform personal practices, “so it cannot be said completely that they are at home or at home safely. “They probably paint, or just paint, with COVID patients [-19] in other institutions.
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Doctors represent almost part of the 2031 Mexican fitness staff who have died from the virus.
Several members of Oaxaca’s fitness staff spoke to Le Monde only informally due to favorable retaliatory considerations. They say that the protective device provided through the hospital is rarely deficient and that they have to spend their own cash on N95 masks, face shields and even hand sanitizers. . Some hospital staff members reported that fellow staff members who are meant to be on a protective leave are infrequently called to awning shifts when staff are scarce.
Given the demanding situations that physical health workers face, volunteers are taking steps to help.
“We are coordinating with 911,” says Josué Martínez, a volunteer paramedic in Oaxaca of the ARVU brigade. The organization has an ambulance and volunteers are basically active on weekends. “Basically we are on hold for you in case of injuries like car injuries, collisions or falls at home. “
Joshua Martinez and other members of the ARVU Brigade Volunteer Paramedics team park their ambulances on the side of the road and ask for donations for traffic lighting devices when responding to injuries or providing first aid.
Shannon Young / The World
His ability to address more common emergencies and administer first aid frees paramedics to address more complex cases, such as the transport of COVID-19 patients.
In their free time, uniformed volunteers park their ambulances and request donations of extra money on traffic lighting devices to cover fuel load and first aid equipment.
Others through volunteering at home. Arturo Erdely is a mathematician and professor of statistics at the National Autonomous University of Mexico, or UNAM, and every night collects, updates and tweets easy-to-read graphs from knowledge published through the Secretariat of Federal Health.
“With the same official data, I seek to propose charts that are different from those presented through the government to be offering other angles or perspectives that are not represented in the official charts,” he says.
The hashtag you use, #YoTengoOtrasGraficas, translates as “I have other graphics”. He has a trusted knowledge analyst for fitness care workers, hounds and their Twitter followers.
Erdely is also a member of Save with Science, or Let’s Save with Science, a newly formed organization of fitness professionals, scientists and others with STEM-related profiles. The organization includes doctors who volunteer for remote consultations and express their experience.
But to end Mexico’s developing crisis, more than volunteering is needed. Top fitness says Mexico wants to review its national reaction strategy to COVID-19.
“The first thing I would say is get tested,” says dr. Lorena Guerrero. ” Increase the number of tests – in schools, at work, in hospitals. The advice of the moment would be to make sure everyone knows how to wear their face mask. “. »
After months of grueling pictures and losses, it’s clear that the most productive way for fitness care staff is to replace the situations that make them sick, but relieving that burden doesn’t belong to them. It is a social contract that will require a large-scale institutional effort, political will and disciplined participation of the general public.
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