Tuesday, April 23, 2024

PAHO head repeats concern over struggling health systems

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Washington – The Pan American Health Organisation (PAHO) Wednesday said that while cases of the coronavirus (COVID-19) pandemic fell by a third in the Americas, including the Caribbean, this week, health care workers continue to face challenging conditions due to systems that are unprepared to support them.

“When cases surge exponentially, as they have in the past few weeks, the burden falls mostly on the people that power our health systems. For them, there is nothing mild about this Omicron wave,” said PAHO director, Dr Carissa F. Etienne said during a news conference.

The Dominican-born PAHO official said that with infections reaching 4.8 million, a  31 per cent  drop from last week, but 33 000 new deaths, the region remains in the grip of the latest COVID-19 wave and urged countries to harness the lessons learned from the pandemic so far as clinics and hospitals once again become full.

“Years of underinvestment in our health services, aging information systems and poor labour conditions made our health workers’ jobs challenging,” Etienne said, highlighting that these disadvantages were only exacerbated by COVID-19.

A PAHO study launched this week shows that over the course of the pandemic, doctors, nurses, and other frontline health workers saw more patients, worked longer hours, and suffered higher rates of COVID-19 infection.

In some countries, such as Ecuador and Bolivia, more than 10 per cent of health care workers got COVID-19, and many others lacked access to sufficient personal protective equipment (PPE).

Etienne said this has led to “elevated rates of depressive symptoms, suicidal thinking, and psychological distress”.

She said ensuring access to PPE and prioritising health care workers for vaccination are critical to addressing these issues and enabling them to do their jobs safely.

“Now more than ever, we must ensure health workers are protected with lifesaving COVID-19 vaccines and receive priority for vaccine boosters, where available,” Etienne said.

The director cited policies like hazard pay and life insurance, as well as regular testing, and transitioning pregnant and older staff to telemedicine work, as strategies countries can apply to protect health care workers.

“Investing in our health workforce should not be something countries only do during an emergency,” she said, adding that an investment in our health workforce is “an investment in all of us”.

Turning to the COVID-19 situation in the region, the PAHO Director said one trend stands out in that “countries with higher vaccination coverage are seeing lower ICU admissions and deaths”.

She also reported that in North America, new infections and deaths decreased in all three countries.

Infections are also slowing down in Central and South America, but deaths continue to rise in these areas. Hospitalisations are also rising in most Southern Cone countries.

In the Caribbean, with the exceptions of St Vincent and the Grenadines and Dominica, cases have begun to slow down. Deaths, however, continue to climb. (CMC)

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