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Pandemic is a marathon, not a hundred-metre sprintThis year we learned that Covid-19 is more than a pandemic: it is also a syndemic
PTI
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Pedestrians, some wearing protective face masks to prevent the spread of the Covid-19, walk at the Misir Carsisi, or Egyptian Bazaar, in Istanbul. Credit: AP/PTI File Photo
Pedestrians, some wearing protective face masks to prevent the spread of the Covid-19, walk at the Misir Carsisi, or Egyptian Bazaar, in Istanbul. Credit: AP/PTI File Photo

By Sergio Ferrer Pérez for The Conversation,

Last year we left our protagonists, the entire population of planet Earth, cornered by a new coronavirus. They seemed on the verge of being defeated by the Covid-19 pandemic when the first vaccines arrived.

Just as 2020 was ending, the first doses began to be injected into the arms of some lucky ones. Was this the beginning of the end?

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This year we learned that Covid-19 is more than a pandemic: it is also a syndemic. The researcher from the University of Las Palmas de Gran Canaria María Teresa Tejedor explained the concept to us.

The situation we are experiencing goes beyond the coronavirus itself, which is intertwined with social, economic, political, labour and even ecological issues. Only by tackling its ultimate causes can we alleviate the effects of the crisis. Age and hypertension are risk factors for biological reasons. Poverty and race are for other reasons.

We also understood how long a pandemic can (and can) be. This is not a hundred-metre sprint, but a marathon. Indirectly, SARS-CoV-2 attacks our mental health and personal relationships. “Pandemic fatigue” is a concept whose scope we are only beginning to understand today.

Several researchers gave us a recipe to combat it without lowering our guard that half a year later is still very much in force. One of the keys: to point out everything we have achieved as a society so far, more than specific breaches.

"Individual responsibility" is another of the most repeated phrases of the pandemic. If in 2020 we thought that this was a fundamental key in the fight against the virus, this year we realized that it was only the tip of the iceberg. Without taking weight off the necessary citizen collaboration, FISABIO researcher Salvador Peiró told us why infectious diseases are a collective problem that depends on public health actions. These, he recalled in July, do not consist of replacing the masks in the open air.

We have been extremely lucky that Covid-19 does not strike the little ones, whose pictures tend to be mild and even asymptomatic. But this does not mean that they have emerged unscathed from the pandemic.

The management of this crisis has had hidden costs that the sociologist of the University of Huelva Iván Rodríguez enumerated in an article.

Treating children as vectors has been, in his opinion, a kind of social injustice in which the interests of infants and adolescents have been almost completely ignored while those of adults were prioritized.

But this year has been, above all, the year of vaccines. With them millions of deaths have been avoided and the scene has been completely changed. However, despite their safety and efficacy, with them came the hoaxes. A group of researchers led by the virologist from King's College London José Manuel Jiménez gave us a guide to disprove 24 of the most frequent hoaxes in the first months of a vaccination campaign that today we know was a historic success.

That is why we must not imitate other countries that, despite having access to vaccines, have been more reluctant to use them. Punitive measures against the unvaccinated, a tiny minority in Spain, can generate a social gap, damage trust and promote measures as ineffective as Covid certificates.

For this reason, Celia Díaz, a sociologist from the Complutense University of Madrid, was committed to celebrating what our country has done well to strengthen that sense of belonging to society and to unite around the common good.

Precisely because this has been the year of vaccines, it is more painful that they have not reached the entire planet equally. Some countries hoarded enough doses to vaccinate their entire population several times, including third and fourth doses, through opaque contracts with pharmaceutical companies. Meanwhile, others still have to wait for leftovers about to expire.

Vaccine inequality is one of the great failures of 2021: the emergence of the omicron variant on the least vaccinated continent on the planet should make us reflect on it.

For this reason, the epidemiologist from the University of Barcelona Carolina Domínguez warned against localism and defended looking beyond what is happening in our community.

The acute phase of the pandemic may end in 2022 and give way to the post-pandemic.

Maybe not. If we have learned anything, it is that the coronavirus is more unpredictable than we would like.

Fortunately, 2021 has been a year of good news for countries that have had access to vaccines and treatments, as defended at the beginning of the year by the microbiologist from the University of Navarra Ignacio López Goñi. May 2022 be a better year in which we can all come out of this crisis together, as neighbours of that pale blue dot. Any other result would not be a happy ending.

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(Published 01 January 2022, 15:13 IST)