key: cord-0014093-478cbumj
authors: Concepción-Zavaleta, Marcio José; Marreros, Diego Moreno; Arroyo, Julia Cristina Coronado; Urteaga, Luis Alberto Concepción; Gutiérrez, Francisca Elena Zavaleta
title: Requirement of a prompt solution to address infection and mortality due to COVID-19 among Peruvian physicians
date: 2020-10-14
journal: J Public Health (Oxf)
DOI: 10.1093/pubmed/fdaa180
sha: 5420a09654c05c8ee649309ac8610ffef061e76d
doc_id: 14093
cord_uid: 478cbumj

nan

We have carefully read the manuscript published by Biana H, 1 which highlights the medical and social problems that the medical sta su ered in the Philippines during the COVID-19 pandemic, including the increase in the number of infections, besiegement in health services, insu cient personalprotection equipment and inadequate salary being provided to healthcare workers. This is also being observed in developing countries such as Peru, where to date, 4036 doctors have been infected by COVID-19, 76 are hospitalized in the intensive care unit and 199 have died because of it. 2 Peru was one of the first countries to start the quarantine early, on 15 March 2020, to avoid a surge in the number of patients infected by COVID-19 and the collapse of the health system. Despite this, multiple factors have explained why this confinement measure was ine ective, resulting in the country having the highest mortality rate of COVID-19 in the world. 3 These include the informal sector representing the majority of employment (around 75%), indicating that the people need to work daily to obtain money for their families. Therefore, several people had to disobey the quarantine imposed by the government; other factors are the inadequate management and distribution of monetary bonus to the more economically vulnerable families, agglomeration in banks and markets and overcrowding at home.

Among the groups at greatest risk for acquiring COVID-19 infection are the health personnel, particularly doctors, 4,5 whose work in a precarious and fragmented health system puts them at a risk to fall ill and even lose their lives. 5 The best way for healthcare workers to prevent this infection is through the appropriate personal protective-equipment supply. 5 Furthermore, they can have an adequate competence in donning and do ng such equipment 6 through training.

In our country, from the beginning of the pandemic to the present, adequate priority and budget have not been properly assigned to fight COVID-19 7 ; this results in the suboptimal use of human resources, 8 inadequate provision of salary and the exhaustion of medical sta . 1 Moreover, the inappropriate management of social-distancing measures has led to the saturation of hospital services, which together with the lack of medicines, supplies and personal protective-equipment, 5,7 has contributed to a significant number of doctors being infected with COVID-19 and consequently causing a higher mortality in them.

In conclusion, it is essential to provide adequate training and use protection materials, as well as adopting e ective politics measures to safeguard the lives of all doctors who are part of the first line of defense against the COVID-19 pandemic.

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of this letter. 

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