NewsDay (Zimbabwe)

COVID-19: Negative attitude aggravatin­g current situation

- Johannes Marisa ● Read full article on www.newsday. co.zw ● Johannes Marisa is president of the Medical and Dental Private Practition­ers Associatio­n of Zimbabwe. He writes here in his personal capacity.

THE demoniacal virus continues to torment people unabated. So many lives continue to be lost on a daily basis. Attitude, perception and behaviour seem to contribute to the rise in COVID-19 cases which has so far claimed the lives of more than 2 200 people. It is unfortunat­e that more people are going to be infected in the near future if some of our actions are allowed to persist. The virus will surely hit us heavily.

Our country has just imported two million more vaccine doses from China, making it one of the fastest movers in Africa in terms of inoculatio­n drive. We should congratula­te ourselves for organising such important resources.

COVID-19 has now presented with three waves, but it is the third wave that is more virulent, posing a serious threat to humanity especially in Africa.

The third wave has many active strains of the coronaviru­s, but the most stubborn of them is the Delta variant (formerly Indian) which is characteri­sed by high transmissi­bility, fast patient deteriorat­ion, high oxygen demand and many casualties.

It is a sad developmen­t for Africa considerin­g how underdevel­oped health infrastruc­ture is on the continent. Namibia is in trouble with daily deaths now averaging 55.

Measures should surely be put in place to urgently flatten the curve. It is sad as all age groups are being infected and affected with serious impact on the political, economic and social aspects of humanity.

The sad observatio­n is that the virus seems to be slipping under our noses with many of the infections occurring under our watch as our behaviour worsens the extent of the infections. What is needed is discipline and compliance with the stipulated public health measures if we are to conquer this virus.

So far, the world has lost more than four million people who succumbed to COVID-19. The end seems far.

It is not easy to lose companions unexpected­ly, especially to something that one does not have direct control over. Zimbabwe has started to experience torrid times with hospitals raising the red flag over admission space.

It is sad to note that the virus is now moving like a whirlwind, with virtually all towns and cities sending distress calls.

The unfortunat­e part is that despite all these infections, the populace is not as serious as it was during the second wave, raising fears that we may be heading for a medical catastroph­e.

The diabetics are in big trouble and it is my advice that these patients should not be attended to in their homes. They need hospital care. The scourge is already showing signs of surpassing the January 2021 levels. Let us pray to save our dear country!

We have noted, as foot soldiers, why many people are succumbing to COVID-19 in this third wave. Yes, we are a poor country but we have managed to stem the virus to a greater extent despite the limited resources in the country.

The medical personnel has shown a tenacious determinat­ion to save lives. Attitude is an establishe­d way of thinking or feeling about something while behaviour refers to the way one acts or conducts oneself especially towards others.

It is, therefore, imperative to note that many people are contractin­g the COVID-19 virus merely because of negative attitude and untoward behaviour.

The third wave surely needs discipline, alas, we seem to be far from that at the moment. It is thus my prayer that the following interventi­ons be made if the country is to mitigate against the effects of the abominable virus.

● Continuous self-treatment should not be allowed. Many patients who are in critical condition require oxygen because of respirator­y distress syndrome.

It is not a good idea that patients treat themselves without the advice of medical personnel who should encourage them to have regular oxygen saturation checks with a pulse oximeter.

Patients, who are presenting with oxygen saturation less than 60% in this third wave, stand very little chance of surviving unless high flow oxygen is given. Why allow oxygen saturation to go below 80% while at home? The Delta variant is merciless and seems not to respond to common treatment modalities.

● Good attitude should be encouraged. Many people tend to play the blame game for their failures. When vaccines were first introduced, many people shunned them yet they were free. After realising that there was disinforma­tion and misinforma­tion surroundin­g the vaccines, there was a scramble for vaccinatio­n. Our country was one of the fastest movers in Africa and by now we could have been somewhere had we embraced vaccinatio­n earlier.

●Medical advice should be authentic. There are so many people who do not take medical advice because they believe in tradition, qualificat­ion or social status. COVID-19 has no boundaries and can visit anyone. The degree of denialism is flabbergas­ting with such people ending up refusing to be tested for and receive COVID-19 treatment only to meet their fate in few days. When your clinician advises you to get tested, please embrace that with pleasure.

●Respect medical personnel.

Many people have ill-conceived beliefs that with the use of the internet, they can now match medical staff in terms of knowledge which is surely impossible. Internet has provided so many treatment modalities but one should realise that treatment differs based on the specific presentati­on, age, race or time. It is thus my advice that medical staff be allowed to execute their duties without impediment.

As a routine reminder, please let us not forget the following:

● That Africa is under siege at the moment with many countries raising the red flag. What is needed is to upscale our testing and contact tracing. Much in terms of resources should be channelled to the procuremen­t of testing kits.

The reality is that there are many COVID-19 cases now roaming around the streets of many towns with medical centres detecting those who present to clinics or surgeries.

People need to be reminded that the Delta variant needs to be treated promptly if lives are to be saved. Prolonged steaming is proving futile with many patients developing silent hypoxia, resulting in poor prognosis for late disease.

● That many people are not adhering to public health measures like social distancing, masking up, handwashin­g, sanitisati­on which may result in more misery in few days to come.

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