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Early reflection on the global impact of COVID19, and implications for physiotherapy

1/7/2020

 
Michel D. Landryb
Lauren Geddesc
Annie Park Mosemand
James P. Leflere
Sudha R. Ramanf
Joost van Wijchen
On March 11, 2020, the World Health Organization (WHO) elevated the status of the novel coronavirus (COVID19) to a pandemic. Although the assessments are changing rapidly, COVID19 has now infected and taken the lives of thousands. Since the first cases appeared in late 2019, COVID19 has unleashed widespread shock on public and clinical health systems that struggle to respond to the surge, and on global economic productivity as workers are increasingly restricted from participation. A profound anxiety is spreading almost as quickly as the disease itself.

​The growth in the number of new cases, alongside the sobering reality that potential vaccines are months if not years away [
1], have led to an unprecedented response even when compared to other infectious disease outbreaks. An increasing number of high-income countries (HICs) have partially or completely closed borders and significantly restricted human movement with the ambition of viral containment. Meanwhile, some low and middle income (LMICs) countries with fragile infrastructure fear being unable to meet the health needs during an pandemic [2, 3]. Given these realities, the WHO has strongly advocated that the best approach to “flatten the curve” of newly identified cases is through robust and responsible public health measures at the individual, community, national and global levels. Dr. Michael Ryan, the WHO Executive Director of Health Emergencies, went so far as to suggest that “We share failure in the same way that we share success” [4] and that all citizens have a role to play in this global fight.

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The resilience of the Spanish health system against the COVID-19 pandemic

19/5/2020

 
  • Helena Legido-Quigley
  • José Tomás Mateos-García
  • Vanesa Regulez Campos
  • Montserrat Gea-Sánchez
  • Carles Muntaner
  • Martin McKee
Spain, with more than 11 000 cases and 491 deaths as of March 17, 2020, has one of the highest burdens of coronavirus disease 2019 (COVID-19) worldwide. In response, its government used a royal decree (463/2020) to declare a 15-day national emergency, starting on March 15.
​
Although the Spanish health system has coped well during the 6 weeks since its first case was diagnosed, it will be tested severely in the coming weeks as there is already widespread community transmission in the most affected regions, Madrid, the Basque Country, and Catalonia. The number of new cases in the country is increasing by more than 1000 each day. A crisis such as this places pressure on all building blocks of a health system, each of which we consider in turn.

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