La verdadera pregunta es: ¿cómo se pueden detener las pandemias?
Una pandemia devastó el mundo como un incendio forestal, matando a más de 50 millones de personas en todo el mundo y alrededor de 675,000 en los Estados Unidos.
“La intensidad y la velocidad con la que golpeó fueron casi inimaginables, infectando a un tercio de la población de la Tierra”, dijo la Organización Mundial de la Salud.
Esa fue la pandemia de gripe de 1918. El virus a menudo se llamaba “gripe española” , aunque no se originó en España.
Avancemos rápidamente hasta 2020, y el nuevo coronavirus también se está extendiendo a una velocidad asombrosa.
Algunas de las dolorosas lecciones aprendidas de la pandemia de 1918 siguen siendo relevantes hoy en día, y podrían ayudar a prevenir un resultado igualmente catastrófico.
Lección n. ° 1: no renuncies al distanciamiento social demasiado pronto
Durante la pandemia de gripe española, las personas dejaron de distanciarse demasiado pronto, lo que condujo a una segunda ola de infecciones que fue más mortal que la primera, dicen los epidemiólogos.
De hecho, una gran reunión cerca del final de la primera ola en 1918 ayudó a alimentar la segunda ola más mortal.
En San Francisco, cuando el número de casos de gripe española era casi cero, “los padres de la ciudad dijeron: ‘Abramos la ciudad. Tengamos un gran gran desfile en el centro. Todos nos quitaremos nuestras máscaras juntos'”. epidemiólogo Dr. Larry Brilliant dijo.
“Dos meses después, debido a ese evento, la gran influenza volvió a rugir”.
Del otro lado de los Estados Unidos, Filadelfia sufrió un destino similar.
Aunque 600 marineros del Navy Yard de Filadelfia tuvieron gripe española en septiembre de 1918, la ciudad no canceló un desfile programado para el 28 de septiembre de 1918.
Tres días después, Filadelfia tuvo 635 casos nuevos de gripe española, según el Centro de Archivos y Registros de la Universidad de Pensilvania.
“Rápidamente, Filadelfia se convirtió en la ciudad con el mayor número de muertes por influenza en los Estados Unidos”, afirma la investigación de Penn.
Por el contrario, a St. Louis, que programó un desfile similar pero lo canceló, le fue mucho mejor.
“El mes siguiente, más de 10,000 personas en Filadelfia murieron de gripe pandémica, mientras que el número de muertos en Saint Louis no superó los 700”, dijeron los Centros para el Control y la Prevención de Enfermedades de EE. UU.
Por supuesto, diferentes lugares alcanzarán diferentes picos en diferentes momentos. Pero el hecho de que un lugar supere el llamado pico con coronavirus no significa que los casos o muertes allí no puedan volver a surgir.
“La imagen que tenemos de esta curva epidémica, decimos que vamos a alcanzar un ‘pico’, lo miramos, se ve como el Monte Fuji en nuestras mentes … una sola montaña solitaria”, brillante dijo.
“No creo que vaya a verse así. Creo que una mejor imagen es una ola de tsunami, con las ondas de eco que siguen. Y depende de nosotros, qué tan grandes serán esas otras olas”.
Lección # 2: los adultos jóvenes y saludables pueden ser víctimas de sus sistemas inmunes fuertes
La pandemia de 1918 mató a muchos adultos jóvenes que por lo demás estaban sanos, dijo John M. Barry , profesor de la Escuela de Salud Pública y Medicina Tropical de la Universidad de Tulane.
Aproximadamente dos tercios de las muertes fueron entre personas de 18 a 50 años, “y la edad máxima para la muerte fue de 28”, dijo Barry, autor de “La gran influenza: la historia de la pandemia más mortal de la historia”.
En los años previos a la pandemia de gripe de 1918, la esperanza de vida en los EE. UU. Era de principios de los años 50 . Pero en solo un año después de que golpeó, la esperanza de vida promedio de los EE. UU. Se redujo en 12 años.
A partir de 2017, la esperanza de vida promedio en los EE. UU. Fue de 78.6 años . Y con el coronavirus, los ancianos y las personas con problemas de salud subyacentes tienen un mayor riesgo de complicaciones graves.
Una razón por la que la gripe de 1918 fue tan mortal para los adultos jóvenes fue porque el brote comenzó durante la Primera Guerra Mundial, cuando muchos soldados estaban en los cuarteles y muy cerca unos de otros.
“Los campos de entrenamiento militar de Estados Unidos obviamente tenían una alta mortalidad”, dijo Barry.
Ahora no hay guerra mundial, pero quedan lecciones importantes: las personas jóvenes y saludables no son invencibles. Y sus sistemas inmunes fuertes podrían funcionar contra ellos.
Mirando hacia atrás a la gripe española, los científicos ahora creen que una “reacción exagerada del sistema inmunitario contribuyó a altas tasas de mortalidad entre adultos jóvenes sanos en 1918”, escribió el Dr. Richard Gunderman , profesor de medicina del canciller en la Universidad de Indiana.
Un siglo después de esa pandemia, los sistemas inmunes hiperactivos también podrían estar contribuyendo a la muerte de los jóvenes por coronavirus, dijo el corresponsal médico principal de CNN, Dr. Sanjay Gupta . Estas respuestas excesivamente fuertes a menudo se llaman tormentas de citoquinas .
“En algunas personas jóvenes y sanas, un sistema inmunitario muy reactivo podría provocar una tormenta inflamatoria masiva que podría abrumar los pulmones y otros órganos”, dijo Gupta.
“En esos casos, el problema no es un sistema inmunitario envejecido o debilitado, es uno que funciona demasiado bien”.
Lección # 3: No tomes drogas no probadas al virus
Sí, ha habido importantes avances médicos y tecnológicos en los últimos 102 años. Pero la gripe española y las nuevas pandemias de coronavirus comparten dos desafíos principales: la falta de una vacuna y la falta de cura.
En 1918, los remedios “variaban desde los medicamentos recientemente desarrollados hasta los aceites y las hierbas”, según una publicación de investigación de la Universidad de Stanford . “La terapia fue mucho menos científica que los diagnósticos, ya que los medicamentos no tenían una teoría explicativa clara de la acción”.
En 2020, existe una especulación generalizada sobre si la hidroxicloroquina , un medicamento utilizado para tratar la malaria, el lupus y la artritis reumatoide, podría ayudar a los pacientes con coronavirus.
El presidente Donald Trump ha promocionado la hidroxicloroquina, diciendo: “¿Qué tienen que perder? Tómenlo “. Después de eso, algunos comenzaron a acumular el medicamento , a pesar de que todavía se está probando y es posible que ni siquiera funcione contra el coronavirus.
Un estudio reciente encontró que la hidroxicloroquina no ayudó a los pacientes hospitalizados con coronavirus; en cambio, algunos pacientes desarrollaron ritmos cardíacos anormales.
“Esto proporciona evidencia de que la hidroxicloroquina aparentemente no trata a los pacientes con Covid 19”, dijo el Dr. Paul Offit, especialista en enfermedades infecciosas del Children’s Hospital of Philadelphia.
“Peor aún, hubo efectos secundarios causados por el medicamento: toxicidades cardíacas que requirieron su suspensión”.
Los médicos en Brasil y Suecia también han expresado su preocupación por el uso de cloroquina, un medicamento muy similar a la hidroxicloroquina, en pacientes con coronavirus debido a problemas cardíacos.
El resultado final: todavía no está claro si algunas drogas causarán más daño que bien en la lucha contra el coronavirus.
Utilicemos el conocimiento que nos dejaron nuestros antepasados para poder superar esta nueva pandemia.
Recuerda que permanecer en casa es lo primordial, nuestra salud y la de nuestros seres amados comienza en nuestras manos.
Con información de CNN
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