Statistics from around the world regarding the COVID-19 pandemic, including the most developed countries in Europe and the USA, show considerable gaps in our health care systems in particular for the risk groups of world population. According existing data most infections and deaths do take place in hospitals (https://www.bbc.com/news/health-52196978). It is an unprecedented truth in the 2020 that our modern health care systems, even in most advanced countries, are unable to provide safe and secure medical treatments for the most needed when it is needed. It is a scary reality for all of us, even for professionals in the health care sectors. The working conditions in hospitals and in health care systems are suffer from several uncertainties with clear associated risks to die among doctors and nurses in COVID-19 is also unacceptably high (https://www.aa.com.tr/en/asia-pacific/asia-pacific-health-workers-risk-all-to-fight-covid-19/1791014; https://www.aa.com.tr/en/europe/90-000-healthcare-workers-infected-with-covid-19-icn/1831765). The pitfalls and other shortcomings in global health care systems and the related health consequence are being analyzed, assessed and compiled by WHO (e.g. 20200411-sitrep-82-covid-19.pdf). The figure given here shows people died with confirmed COVID-19 in England and Wales by week ending 27 March 2020 according to data from Office for National Statistics (https://www.bbc.com/news/health-52196978). In this figure about 93% of the people infected by COVID-19 died in hospitals, i.e. a total of 501 persons out of a total of 538).
This situation and chaos didn’t take place overnight, though according to the UN-SDGs of 2017, Goal 3 calls is about: Ensure healthy lives and promote well-being for all at all ages (https://www.un.org/sustainabledevelopment/health/). Naturally the global health care system is very much dependent of other major factors: education; life on land; life under water; clean water and sanitation; poverty; hunger; energy; economic growth; industry and innovation; inequalities; sustainable cities and communities; responsible production and consumption; climate action; peace and strong institutions; partnership in goals and gender equality, all of which are goals in the UN-SDGs-package. According to New York Times, we knew the coronavirus is coming, yet we failed “the vulnerabilities that COVID-19 has revealed were a predictable outgrowth of our market-based health care system”. Also, in Europe, the crisis has been systematically developed and evolved during very long periods, e.g. for Sweden (https://mobil.unt.se/ledare/mangarigt-kaos-i-varden-av-de-allra-aldsta-5564852.aspx) as the death of coronavirus in olderly health care is above 45%. There are several reports of COVID-19 outbreaks in nursing homes across Europe, e.g. strains on health and social care systems and healthcare workers have been reported with shortages in laboratory and testing capacity, personal protective equipment and healthcare capacity (including ICU ventilator and healthcare workforce capacity and staff being absent due to illness, quarantine or isolation (covid-19-rapid-risk-assessment-coronavirus-disease-2019-eighth-update-8-april-2020.pdf). These highlight vulnerability of the elderly in long-term care settings and the importance of infection control measures to protect the vulnerable population in nursing homes. However, this is the situation of the reality as we know it today and more unknown data and facts will be unfolded gradually as the COVID-19 pandemic will still remain with us for some time. There is no definite answer how long it will keep circulating and how the future will be. Let us hope that we will not have the same fate as the dinosaurs, it was probably a virus that caused them to disappear. When science and technology has no solution it is only the natural laws of the survival of the fittest as described by Darwin.
Indeed, the pandemic is far from bring over and several counties, e.g. in Europe are hesitating in opening their economies or rather have considerable difficulties and uncertainties to do so. At the same time the rates of infections and death are still rapidly growing in many countries around the world, e.g. Russia, Brazil, India, Mexico,
Pakistan, Saudi Arabia, Chile, Bangladesh, Colombia, South Africa, Egypt, Kuwait, Algeria, Nigeria, Iraq and Bolivia (https://www.worldometers.info/coronavirus/).
We are back to Darwins time of the 19th century which strongly motivated him to do research on biological evolution rather than studying medicine. Ironically, he didn’t realize the strong links between medicine and biological evolution which we are facing today because of our tight interaction with ecosphere to secure our food. In his research he answered many questions as how species of organisms arise and develop through the natural selection of small, inherited variations that increase the individual’s ability to compete, survive, and reproduce (https://en.m.wikipedia.org/wiki/Darwinism).
