Aug 26, 2020
We apologise for the low quality audio, Dr Flavia Machado kindly delivered her talk in the middle of a hospital shift in São Paulo during the global pandemic.
LMIC's
bear 85% of the global burden of septicaemia. There are three main
determinants of mortality:
1. Pathogenic factors
2. Host Factors
3. Healthcare Inequality Factors (Prevention / Water & Sanitation /
Access to Care,Resources, Education)
Interestingly, the effects of the current Covid-19 Pandemic appear
to be more related to the pathogen than the other two factors and
so the burden of disease has been more evenly distributed globally.
That said, the pandemic has further exposed some weaknesses in
healthcare systems in countries like Brazil. Namely, the high rates
of secondary hospital acquired infections and antimicrobial
resistance, high mortality rates, unreliable supply chains,
cultural challenges with end of life care and broader social
challenges like corruption.
At the same time, some good things have come from the
pandemic in Brazil. There has been an increase in Philanthropy
towards healthcare, more recognition of the work healthcare workers
do, and an increased appreciation of the need to support public
healthcare institutions.
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