2P2R

2 Pinot 2 Riesling. That could be the long version of 2P2R. However, this far from (politically) correct. The not-joking scientific medical journal “The Lancet” (Vol.401 Nr 10391) has next to the article on “Laughter is the best medicine” coping with trauma, the serious matter of how best to deal with pandemics. Remember 2P2R as the important lesson from the pandemic. Prevention, preparedness, response, and recovery (2P2R) are key. And don’t forget about primary health care or essential (medical and other) workers. This is, in short, the message from Arush Lal and Nina Schwalbe (Paper Link). Lots of social topics involved in this correspondence from the authors. Prevention is a big issue and, as in the health system, fighting continuously for sufficient resources. Prevention is in most cases less costly than curing a disease. Preparedness has direct costs. Masks and ventilators need to be produced, stored and monitored in their functionalities. Response has to be immediate, masks in China a important but do not allow us to respond fast to local emergencies. Recovery can be long and costly as well, just as we learn from Long-COVID patients.
Now we need to define properly what is included in primary health care. Medical doctors, nurses and technicians of hospitals have to reach patients and hospitals in pandemics or need child care, food etc. and, maybe, also laughter to avoid trauma. Remember 2P2R, but best in company with your loved ones, but not on your own.