Document Type : Letter to the editor

Authors

1 Social Determinants of Health Research Center, Birjand University of Medical Sciences Sciences, Birjand, Iran.

2 Health Policy and Management Research Center, Department of Health Services Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Abstract

We have witnessed many advances in all fields of science over the years, especially in the field of health. However, various facts can be obtained in times of adversity. Although programs usually work well until a crisis occurs, they do not well continue during the crises. In addition, there are some experiences in every crisis although they are insufficiently used in future plans. Accordingly, we frequently experience various problems in face of similar crises. The outbreak of coronavirus is considered as one of these crises.
 
The world has embraced a new unknown virus called the novel coronavirus disease 2019 (COVID-19) since late December 2019. The first outbreak of this virus was reported in Wuhan, China. Further, it has been reported in all countries worldwide as a pandemic. In the information era, conflicting news exists about the origin of the disease and there is still no general agreement in this respect although we do not intend to discuss it clinically in this article. Some helpful lessons on managing the condition are as follows.
 
From this point of view, the virus revealed some interesting facts about governments and health systems around the world. First, this pandemic showed us that we cannot claim that health systems are capable of responding to emergencies. There are several reasons regarding the inability of a system to respond to a crisis. The weaknesses of governance in health systems worldwide are considered among the substantial reasons. Many health systems do not yet have a clear arrangement, and health decisions are outside the purview of health professionals. For example, when it comes to quarantine a city, many factors affect it and different institutions have to consider it no matter whether they have a health professional.

Keywords

Main Subjects

1.Xu Z, Shi L, Wang Y, Zhang J, Huang L, Zhang C, et al. Pathological findings of COVID-19 associated with acute respiratory distress syndrome. Lancet Respir Med. 2020;8(4):420-2. doi: 10.1016/s2213-2600(20)30076-x. 
2.Arab-Zozani M, Hassanipour S. Features and limitations of LitCovid Hub for quick access to literature about COVID-19. Balkan Med J. 2020;37(4):231-2. doi: 10.4274/balkanmedj. galenos.2020.2020.4.67. 
3.Velavan TP, Meyer CG. The COVID-19 epidemic. Trop Med Int Health. 2020;25(3):278-80. doi: 10.1111/tmi.13383. 
4.Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020;323(13):1239-42. doi: 10.1001/jama.2020.2648. 
5.Mahase E. Coronavirus covid-19 has killed more people than SARS and MERS combined, despite lower case fatality rate. BMJ. 2020;368:m641. doi: 10.1136/bmj.m641. 
6.Lipsitch M, Swerdlow DL, Finelli L. Defining the epidemiology of Covid-19 - studies needed. N Engl J Med. 2020;382(13):1194-6. doi: 10.1056/NEJMp2002125. 
7.Spalluto LB, Planz VB, Stokes LS, Pierce R, Aronoff DM, McPheeters ML, et al. Transparency and trust during the coronavirus disease 2019 (COVID-19) pandemic. J Am Coll Radiol. 2020;17(7):909-12. doi: 10.1016/j.jacr.2020.04.026. 
8.Love JS, Blumenberg A, Horowitz Z. The parallel pandemic: medical misinformation and COVID-19: primum non nocere. J Gen Intern Med. 2020;35(8):2435-6. doi: 10.1007/s11606- 020-05897-w. 
9.Arab-Zozani M, Ghoddoosi-Nejad D. COVID-19 in Iran: the Good, the Bad, and the Ugly Strategies for Preparedness - A Report From the Field [published online ahead of print, 2020 Jul 27]. Disaster Med Public Health Prep. 2020;1-3. doi:10.1017/dmp.2020.261.