Acta Scientific Medical Sciences (ISSN: 2582-0931)

Review Article Volume 4 Issue 9

COVID-19: Containment Strategy and Related Complexities in Developing Countries; New Normal and New World Order

Sheikh Mohammad Fazle Akbar1*, Mamun Al Mahtab2, Md Sakirul Islam Khan3, Ananta Shrestha4, SP Singh5 and Hasan Ozkan6

1Department of Gastroenterology and Metabology, Graduate School of Medicine, Ehime University, Ehime, Japan
2Department of Hepatology, Bangabandhu Sheikh Mujib Medical university, Dhaka, Bangladesh
3Department of Anatomy and Embryology, Graduate School of Medicine, Ehime University, Ehime, Japan
4The Liver Clinic, Kathmandu, Nepal
5Department of Gastroenterology, S. C. B. Medical College, Cuttack, Orissa, India
6Department of Hepatology, University of Ankara, Ankara, Turkey

*Corresponding Author: Sheikh Mohammad Fazle Akbar, Department of Gastroenterology and Metabology, Graduate School of Medicine, Ehime University, Ehime, Japan.

Received: August 10, 2020; Published: August 26, 2020

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Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), most likely originated from zoonotic coronavirus in China, has caused coronavirus disease 2019 (COVID-19). Currently, COVID-19, a pandemic declared by World Health Organization (WHO) in March 2020, has spread widely across the world, affecting 215 countries and territories, leading to more than 21 million confirmed cases, and 762,000 deaths.

The virus is transmitted mainly via droplet infection and recently airborne infection has also been identified as a possible mode for transmission. The pathogenesis of COVID-19 seems to be highly complex and involve organs other than lungs and bronchial tree. Although the virus is not so cytopathic, it causes serious types of diseases by modulation the immune system of the infected persons.

The health care delivery systems of developed and advanced countries, especially the Group Seven (G7) countries, formulated different programs to contain the pandemic. However, almost all developed countries, including the United States of America (USA) failed to provide a viable program for containment of the virus even after spending trillions of dollars. UK initially took an aberrant path to contain the virus and finally altered it. Germany, France, and Italy also had high morbidity and mortality. Canada tried to control the pandemic, but it also embraced considerable mortality. Among G7 member countries, Japan contained the virus with minimum cases and minimum mortality by profound cooperation from its people and due to its unique health system for all of it’s citizen. The countries those are in between G7 countries and developing ones are also highly affected by COVID-19 pandemic with considerable morbidity and mortality.

Developing and resource-constrained countries are highly variable regarding their population, economic status, and nature of governance. All of them did their best to contain the pandemic. However, several long-lasting problems and realities as well as the fundamentals of health care delivery system of some developing and resource-constrained countries appeared to be counterproductive for containing this pandemic. Control of pandemic is a matter of comprehensive action of several branches of the government. Lack of coordination among curative and preventive health services, corruption in health-related establishments, presence of syndicate, incoherent and unrealistic policies, immoral physicians and health care personnel, inefficacy of health-related regulatory bodies and lack of scientific oversights are major factors influencing containment of the pandemic in some developing and resource-constrained countries. Elimination of these limitations are extremely necessary for facing COVID-19 pandemic and any future health emergencies of these countries.

Keywords: COVID-19 Pandemic; SARS-CoV-2; Developed Countries; Developing Countries; Health Syndicate

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Citation

Citation: Sheikh Mohammad Fazle Akbar., et al. “COVID-19: Containment Strategy and Related Complexities in Developing Countries; New Normal and New World Order". Acta Scientific Medical Sciences 4.9 (2020): 80-89.



ISI: 0.851

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