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What lessons can we learn from the Coronavirus health crisis?

                                                                                                            by Milena Radoman


              The Covid-19 pandemic is the most recent global health crisis. What lessons have been learned
              from its management? What are the positive points to remember and the pitfalls to avoid? We put
              this question to the Department of Social Affairs.

              Before the Covid-19 pandemic, the world had
              already experienced other health crises. The

              Plague terrified Europeans for centuries. The
              1347 pandemic struck every country on the planet,
              decimating half of the European population in the

              process. A first in the history of the world! The
              Spanish ‘flu from April 1918 to the spring of 1919
              caused between 25 and 40 million deaths, i.e.
              more victims than from the terrible WWI trench
              warfare that was raging at the same time... How
              can we forget the mortality of these epidemics                                                               © Manuel Vitali - Direction de la communication
              and the powerlessness of the authorities and
              doctors to contain them?
              Nevertheless, the health crisis resulting from
              the spread of the coronavirus in the world will
              remain in the records. This total crisis brought the   source of contamination (home, school, work   Monaco successfully reorganized its health
              entire planet to a standstill with unprecedented   environment etc.) and by isolating risky contact   structures: the coordination between Monaco’s
              global confinement, preventing or limiting - with   cases in order to anticipate possible clusters”.   private clinics and the Princess Grace Hospital

              authorisation - most daily activities... “The   National screening and vaccination centres have   Centre, which manages the hospitalization care
              State was obliged to take charge of organising   “enabled residents and employees in Monaco to   sector, made it possible to maintain the same
              community and work environments as well as   be screened and vaccinated without advance   quality of care for all, despite the pandemic.
              public transport and even families − in making   payment, all set up within in a very short time”…  “Health establishments have shown remarkable
              the decision whether or not to send children to                          solidarity and ethics. They reinvented their patient
              school. The management of the crisis required   “Monaco mobilized substantial funds”  care methods and they collaborated their efforts,
              cooperation between the State and private   There are other lessons to be learned from this   establishing teams in accordance with the State
              intermediaries - households and businesses - and   crisis: “Online tools helped to assist and inform   support system.”
              all health personnel”, assesses French economist   residents, workers and tourists wishing to visit   However, this crisis “also brought to light certain
              Daniel Cohen. What about Monaco? “The Covid19   Monaco. A website dedicated to covid19 served as   weaknesses,” recognizes the government
              health crisis has been a steep learning curve and a   a transparent and permanent link for information   Minister: “The small size of our territory of
              useful element in several areas. Around 600 million   about health, business and social issues. It answers   course implies dependence on other States to
              cases have been reported worldwide since the   people’s questions and provides comprehensive   acquire equipment. The Principality experienced

              start of the crisis, including more than 14,500 in   information in real time”, considers Christophe   difficulties in supplying masks, as it did not have
              the Principality, i.e. more than a third of the local   Robino, according to whom “the Principality has   safe procurement channels at the start of the
              population. Faced with this unprecedented scale,   benefited from the helpful reflexes of the resident   crisis, unlike large States which were in a more

              the Principality had to adapt and show innovation   population, and the responsible behaviour of   favourable situation.” But there is no question of
              and responsiveness by setting up support   all individuals following recommendations in a   seeing the glass half empty: “Monaco made the
              systems intended for Monaco citizens, residents   cooperative and supportive spirit.”  most of local potential by asking suppliers located
              and employees” says the Minister of Health   According to the Minister, in this period of   on its territory to produce high-performance

              and Social Affairs, Christophe Robino. He then   crisis “our long-term financial stability meant   equipment for the entire population, within
              praised his predecessor Didier Gamerdinger, for   that Monaco was able to mobilize substantial   tight deadlines. The Principality’s modest-size

              “putting in place in record time specific structures   funds to reorganise healthcare structures and   administration authorities had to deal with this
              which have undeniably made it possible not to   introduce emergency measures for businesses   exceptional situation with its own resources. The
              clutter up hospital circuits, given the urgency   and employers to protect our economy, without   State services and health workers in Monaco had

              of the situation”: A Covid-19 call centre open 7   any time constraints. Our financial autonomy   no precedents in managing such a crisis. Everyone
              days a week, a home patient monitoring unit, an   made it possible to maintain stability for health,   had to reinvent themselves and deploy positive
              epidemiological investigation unit, which “helped   business and social security structures, and thus   energy in order to make the right decisions in
              break contamination chains by determining the   to support members of our economy.”  record time,” concludes the Minister.



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