CoViD-19: perspectives and vulnerability

Coronavirus disease 2019 (CoViD-19) is caused by severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) and has spread worldwide as a pandemic It is noteworthy that CoViD-19 surpassed the health care system in many countries, due to the speed of its spread and the lack of foresight at the health level, as well as the underestimation of its contagiousness Furthermore, being a new and unknown nosological entity, there are still no treatments that have been proven to be scientifically effective, safe;as well as a vaccine that will not destroy the pandemic Therefore, the only response so far has been to try to limit the spread of the disease through good hygiene practices and social distancing All this has caused the closure of the main parts of the economy and sudden high unemployment, causing negative consequences and a recession never seen before The most widely adopted strategies have involved the epidemiological approach of promoting good hygiene practices and social distancing, including shelter-in-place and quarantine orders These strategies have had varying degrees of success depending on the country The common phrase used to describe the objective of this epidemiological approach is to flatten the curve, an effect that is achieved by reducing the number of infections This approach was also a way to buy time to learn more about the disease and find more effective ways of treatment, prepare health systems, that is, develop validated therapies and vaccines Another approach would be to re-establish the economy more quickly and thus help the entire population avoid the profound adverse effects of a severe recession or depression on society and health;As well as, it would increase community immunity, lowering the risk for everyone, including those most susceptible to serious adverse outcomes, and those who develop immunity could donate serum fortified with antibodies, which could provide effective treatment as they develop and try vaccines and effective treatments to fight the disease The balance between the strategies of the epidemiological approach to attenuate the contagion curve and the attempt to reopen a population and its economy will be the key to a successful future This article was written with the hope of helping professionals understand the problems caused by CoViD- 19