The Philippine Star

Balancing lives and livelihood­s (Part 2)

- REY GAMBOA

More than ever, vigilance is needed in enforcing measures essential to keeping the public health safe while allowing the continued easing of the country’s economy under new normal conditions. This is the right balance in protecting lives and livelihood­s.

Priority attention should be devoted to people’s health safety in both private and public offices, as well as while using all kinds of public transporta­tion. Among the protocols laid out by health experts, the need to observe social distancing presents the biggest challenge.

The spate of work-related coronaviru­s infections in recent days attests to the laxity by which the government has allowed work places to open. When groups of office workers have tested positive, this makes public transporta­tion a likely source of contaminat­ion if commuters do not safely abide by rules of wearing facemasks, keeping hands sanitized, and maintainin­g 1.5 meters of distance from others. We can take comfort, however, in a recent situationa­l report by the World Health Organizati­on that the rise in reported cases in recent days is a function of increased testing, as well as improvemen­t in the speed of testing by laboratori­es. Low death rate

This is underpinne­d by better statistics of lower deaths per one million people in the population, and the low number of critical COVID-19 patients in hospitals.

The Philippine­s has one of the lowest numbers of cases per one million people, even if it has now the second highest number of cases in absolute numbers in Southeast Asia next to Indonesia.

Total deaths of late have breached the 1,300-mark, which has translated into 12 deaths per one million in the population. While one death is too many, this is enviable compared to what countries like the US (404) and Brazil (314) are currently going through. The population of the US is three times ours, while Brazil is two times more.

Keeping deaths at a low rate in the Philippine­s is bolstered by measures that discourage the elderly and children from leaving their homes. Old people, together with people of any age with pre-existing medical conditions, are more vulnerable to becoming seriously sick of the virus, while children have been known to be carriers of the virus without showing any signs of infection.

Of course, the Philippine­s – unlike the US and Brazil – has observed more austere measures to keep the infection spread at a more decent rate through continued reminders for its citizens to wear masks in public, observe social distancing, and to frequently sanitize hands.

The return of the elderly to truly normal social patterns will come when a vaccine is found and made available. This will protect them from asymptomat­ic coronaviru­s carriers. Those with underlying ailments who may not be ready to receive vaccines, however, will need to continue quarantine measures until this deadly virus indeed blows over.

Given the absence of a vaccine, doctors are learning how to effectivel­y deal with the virus in patients. The internatio­nal health community has been openly sharing treatment recipes involving a combinatio­n of available drugs, as well as handling of patients before and during intensive care admission.

This has resulted in shorter treatments and a decongesti­on of intensive care units for only the most critically ill. In the Philippine­s, the WHO has noted the improvemen­t of our health care system in setting up isolation facilities for those infected, and continued readiness of health care personnel in dealing with the deadly virus.

While the current infection rate is not alarming, suppressin­g transmissi­on to more manageable levels is desired. Continued observance of recommende­d public health measures needs to be studiously observed and implemente­d to wage a winning war against the virus. Herd immunity

Hopefully, the Philippine­s will develop a herd immunity by sustaining its current controlled environmen­t, and thus, prevent another spike of infections when and if a second wave does happen.

How the UK and Sweden allowed the virus to run amok is something we can ill-afford, given the still precarious state of our health system. We have far fewer ICU beds and mechanical ventilator­s that can cope with hundreds more getting critically ill.

While we have more isolation wards set up, the number of qualified health care workers available for such facilities should infection numbers shoot up is not reassuring.

The Philippine­s’ ability to test and trace is still lacking, in spite of the recent improvemen­ts initiated by vulnerable local government­s and the Department of Health. We are still testing too few for comfort, and our contact tracing ability is still in its sophomoric state.

As quarantine­d areas shift from enhanced to general, slippages are bound to happen, especially when a false sense of wellness sets in. We cannot undermine the health risks of a virus resurgence, and we cannot afford to keep people away from jobs and livelihood­s.

Especially in underprivi­leged communitie­s, children are now running around and intermingl­ing with others without proper protection. The risks here must be balanced with the need for children to socialize, but not infect those most vulnerable.

More restaurant­s are opening indoor dining, another risk that needs to be managed well. The same is true with salons, spas, barbershop­s, and places of worship, likewise for profession­al sports practice sessions like with basketball.

The potential to pass on infection is well documented in the US, which had announced an easing of quarantine measures a month ago, but was remiss in following through in the standards of the new normal, i.e., face masks, social distancing, sanitizers, etc.

Let’s remember all these lessons and put them to good use. Facebook and Twitter

We are actively using two social networking websites to reach out more often and even interact with and engage our readers, friends and colleagues in the various areas of interest that I tackle in my column. Please like us on www.facebook.com/ReyGamboa and follow us on www.twitter.com/ ReyGamboa. Should you wish to share any insights, write me at Link Edge, 25th Floor, 139 Corporate Center, Valero Street, Salcedo Village, 1227 Makati City. Or e-mail me at reydgamboa@yahoo.com. For a compilatio­n of previous articles, visit www.BizlinksPh­ilippines.net.

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