Research Article
Volume 8 Issue 7 - 2021
What we have Learned during these Three Pandemic Waves
Sergio Perez-Holanda*
Digestive Surgeon (Health Care Area VIII, Langreo), Currently Serving as Surgical and Intensive Cares Medical Deputy Director (Health Care Area IV, Oviedo), Principality of Asturias, Spain
*Corresponding Author: Sergio Perez-Holanda, Digestive Surgeon (Health Care Area VIII, Langreo), Currently Serving as Surgical and Intensive Cares Medical Deputy Director (Health Care Area IV, Oviedo), Principality of Asturias, Spain.
Received: April 23, 2021; Published: June 11, 2021


This article focuses towards the measures taken during the last three pandemic waves, caused by the SARS-CoV-2 virus. It highlights the adaptation both in the strategic approach and the different organizational aspects, focusing on security for patients who required surgical intervention.

Keywords: COVID-19 Pandemic; SARS-CoV-2 Infection; Safety Management; Surgery


  1. Perez-Holanda S. “Organizational Aspects of Clinical Safety in Surgical Patients during the Covid-19 Pandemic in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System12 (2020): 08-21.
  2. Perez-Holanda S. “Different Strategical Lines in Clinical Safety for Surgical Patients during the Two COVID-19 Pandemic Waves in a Tertiary Level Hospital”. EC Gastroenterology and Digestive System2 (2021): 86-98.
  3. Government of the Principality of Asturias. "Decree 34/2020, of December 11, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm, during the Christmas Time". Official Gazette of the Principality of Asturias (BOPA) 238 (2020).
  4. Government of the Principality of Asturias. "Decree 29/2020, of November 3, second modification of Decree 27/2020 of October 26, by which measures are adopted to contain the spread of infections caused by SARS-CoV-2 within the framework of the state of alarm". Official Gazette of the Principality of Asturias (BOPA) 212 (2020).
  5. L. "Health Authorities attribute the rebound of the pandemic to the relaxation of the Regions". La Nueva España. Commentary in newspaper (2020).
  6. Martinez M. "Vaccinate 100,000 asturians a month, a great challenge to achieve a calm summer". La Nueva España. Commentary in newspaper (2020).
  7. Managing Director of the Health Service of the Principality of Asturias (SESPA). Medical Device Directorate for Coordination between Health Care Areas. "Regional monitoring COVID-19 Hospitals (date)". Daily reports in electronic spreadsheet format (2021).
  8. Ordóñez L. "Asturias, the sixth world community in vaccination". La Voz de Asturias. Commentary in newspaper (2021).
  9. Palicio M., et al. "The Government of the Principality of Asturias closes today the municipalities of Avilés, Castrillón and Corvera, and on Thursday the municipalities of Oviedo, Llanes and Cangas del Narcea will close". La Nueva España. Commentary in newspaper (2021).
  10. Government of Spain. "Royal Decree 1039/2011, of July 15, which establishes the framework criteria to guarantee a maximum time of access to the health benefits of the National Health System". Official Gazette of Spain (BOE) 207 (2011).
  11. Jimenez Idoeta J., et al. "Así se hizo la UCI 9 del HUCA" ["This is how the UCI 9 of HUCA was made"]. (2020).
  12. National Statistics Institute. "Guía de las restricciones y medidas contra el coronavirus por comunidad autónoma y municipios". Technical (2021).
  13. General Directorate of Public Health. "Instruction number 04/2021, to update the Vaccination Strategy against COVID-19 in Asturias in relation to Update number 4 of the National Strategy". Government of the Principality of Asturias (Oviedo, Asturias, Spain). Technical Document (2021).
  14. Balibrea JM., et al. “Surgical management of patients with COVID-19 infection. Recommendations of the Spanish Association of Surgeons”. Cirugía Española5 (2020): 251-259.
  15. Escudero D., et al. “Analysis of SARS-CoV-2 in the air of an ICU dedicated to COVID-19 patients”. Medicina Intensiva (2020).
  16. Zapico L., et al. “HUCA and HMN Assistance Indicators Dashboards”. Management Control Service, Central University Hospital of Asturias (HUCA)”. Technical Document (2021).
  17. Managing Director of Health Care Area IV. Medical Subdirectorate for Basic Services, including Department of Clinical Analysis. "Regional COVID-19 RNA cycles and depending on the Health Area of origin of the request". Daily reports in electronic spreadsheet format (2021).
  18. Managing Director of the Health Service of the Principality of Asturias (SESPA). Medical Device Directorate for Coordination between Health Care Areas. "Dynamic Contingency Plan according to incidence in SESPA hospitals. version 04 (preview version)". Technical Document (2020).
  19. Government of Spain. Ministry of Health and Consumption. “Handbook of Major Ambulatory Surgery Units: Standards and Recommendations”. Ministry Publications Center (Madrid, Spain). NIPO: 351-08-088-0. Technical Document (2008).
Citation: Sergio Perez-Holanda. “What we have Learned during these Three Pandemic Waves”. EC Gastroenterology and Digestive System 8.7 (2021): 01-10.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

January Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the November issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for Upcoming Issue

ECronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before February 14, 2023.

Certificate of Publication

ECronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

ECronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.