“Bogotá compró 140 ventiladores mecánicos con sobrecostos y perdió más de $ 1.600 millones”: Contraloría Distrital

Informe auditoría Contraloría de Bogotá by Semana on Scribd

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Las cifras globales registradas muestran que la emergencia sanitaria por este virus causó en el país más de seis millones de casos confirmados y cerca de 143.000 muertes por esta enfermedad; y que, en diez meses del Plan Nacional de Vacunación, el 70 % de la población tenía al menos una dosis. "},{"_id":"7CAM7QUBCVADNPQAS4FEVNYNHQ","additional_properties":{},"type":"text","content":"Pero, ¿qué nos puede decir sobre el devenir y la gestión de la pandemia una mirada mucho más profunda a los datos? Una investigación liderada por el Instituto de Salud Pública de la Pontificia Universidad Javeriana, que hace parte de la Alianza ÁGORA*, intentó hacer ese análisis, reconstruyendo los datos públicos de fuentes como Sivigila, Segcovid, PAIWEB y estadísticas vitales (nacimientos y muertes), así como de secuenciación genómica (Gisaid), movilidad (Google Mobility) y proyecciones poblacionales (Dane). 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La tercera ola, impulsada por la variante Mu, fue la más letal y llevó al límite la capacidad hospitalaria. Para ese momento, el país ya había aumentado sus camas UCI a más de 13.000, pero el impacto fue desigual. La letalidad hospitalaria fue más alta en regiones como la Orinoquía y la Amazonía, y sistemáticamente menor en la región Andina, lo que reafirma las desigualdades estructurales en infraestructura. "},{"_id":"NNZB36XFERFKBHGNSVRV2FBFHA","additional_properties":{},"type":"text","content":"El documento destaca que el sistema logró integrar una amplia variedad de fuentes: datos epidemiológicos, clínicos, genómicos, de movilidad, vacunación y capacidad hospitalaria. Y si bien esta interconexión permitió reconstruir la evolución de la pandemia con gran precisión, también dejó en evidencia que las decisiones no siempre respondieron a esta información. Por ejemplo, pese a tener datos claros de las zonas con mayor letalidad, como el Vichada, en la región amazónica, estas siguieron registrando coberturas vacunales por debajo del 50 %, mientras que lugares como Bogotá o San Andrés superaron el 90 %. "},{"level":2,"_id":"Z6HQYGVMZNFOVJHG2BWG75Y354","additional_properties":{},"type":"header","content":"Radiografía de una desigualdad anunciada "},{"_id":"J7F4DF4VXVHPNGVSWWKZFOLVKA","additional_properties":{},"type":"text","content":"El análisis resalta que las diferencias territoriales no fueron una sorpresa. Ya antes de la pandemia, departamentos de la región amazónica enfrentaban rezagos en infraestructura y personal. Y durante la emergencia, esos mismos territorios registraron los peores indicadores: altas tasas de letalidad hospitalaria, baja cobertura de vacunación y limitada capacidad de respuesta. En la primera ola, por ejemplo, la región amazónica tuvo la mayor letalidad hospitalaria del país. "},{"copyright":"Getty Images","syndication":{},"auth":{"1":"3ee561a5f7a0f98d11be0bb2ed5500f82a80a4611d76e6ee3c5cea91c8d3ba41"},"caption":"De no haberse aplicado medidas de supresión tempranas, el sistema habría colapsado, pues en el primer pico de la pandemia el virus presentaba una transmisibilidad inicial (Rt) superior a 3 y apenas había 5.000 camas UCI disponibles.","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","licensable":false,"alt_text":"Piropos a mujeres","credits":{"affiliation":[{"name":"Getty Images","type":"author"}],"by":[{"name":"RicardoImagen","type":"author","byline":"RicardoImagen"}]},"creditIPTC":"Getty Images","country_name":"Colombia","additional_properties":{"fullSizeResizeUrl":"/resizer/v2/43JVQ2XTBRGQXOPNRYSZTXUDMY.jpg?auth=3ee561a5f7a0f98d11be0bb2ed5500f82a80a4611d76e6ee3c5cea91c8d3ba41","iptc_source":"E+","keywords":["20 - 25 years","one men only"],"proxyUrl":"/resizer/v2/43JVQ2XTBRGQXOPNRYSZTXUDMY.jpg?auth=3ee561a5f7a0f98d11be0bb2ed5500f82a80a4611d76e6ee3c5cea91c8d3ba41","link":"","takenOn":"2020-03-27T00:00:00Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/43JVQ2XTBRGQXOPNRYSZTXUDMY.jpg","published":true,"resizeUrl":"/resizer/v2/43JVQ2XTBRGQXOPNRYSZTXUDMY.jpg?auth=3ee561a5f7a0f98d11be0bb2ed5500f82a80a4611d76e6ee3c5cea91c8d3ba41","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/v2/43JVQ2XTBRGQXOPNRYSZTXUDMY.jpg?auth=3ee561a5f7a0f98d11be0bb2ed5500f82a80a4611d76e6ee3c5cea91c8d3ba41&width=300","version":0,"countryId":48,"usage_instructions":"Model Released (MR) ","originalName":"GettyImages-1215938009.jpg","mime_type":"image/jpeg","restricted":false,"template_id":280,"galleries":[],"iptc_title":"Contributor"},"last_updated_date":"2022-04-18T18:00:51Z","slug":"1215938009","height":3448,"image_type":"photograph","owner":{"sponsored":false,"id":"semana"},"address":{"country_name":"COL"},"version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/43JVQ2XTBRGQXOPNRYSZTXUDMY.jpg","subtitle":"Latino man peeks his house out the window of his house wearing masks","width":5168,"_id":"43JVQ2XTBRGQXOPNRYSZTXUDMY","created_date":"2022-04-18T18:00:51Z"},{"_id":"5F44WXZFOZEBJKR3ILGUJE5GLA","additional_properties":{},"type":"text","content":"Aunque la cobertura vacunal nacional superó el 90 %, varios departamentos no alcanzaron ni el 50 % con la primera dosis. El estudio también indica que, si bien factores como la estructura demográfica influyeron, hubo una falta de priorización efectiva desde el nivel central. Amazonas fue priorizado para la estrategia de vacunación en su momento por la amenaza de la variante Gamma, pero otras regiones con altos riesgos no recibieron el mismo tratamiento. "},{"_id":"WR3ZK6X3UBEGDOUVI5JXXCBJKE","additional_properties":{},"type":"text","content":"Otro hallazgo crítico fue la falta de una plataforma nacional de datos en salud que integre todas las fuentes de manera segura, interoperable y en tiempo real. Es cierto que durante la pandemia se logró una articulación técnica para conectar bases como Sivigila, Segcovid y PAIWEB, pero esa articulación no se institucionalizó, dicen los investigadores. El país sigue aún con una limitada infraestructura que permita activar respuestas automáticas ante nuevas amenazas. "},{"_id":"FIWTGZXCWFBOVMCGUAMPCYYCAI","additional_properties":{},"type":"text","content":"En la tercera ola, que puso a prueba todos los recursos disponibles, se alcanzaron cifras récord de ocupación UCI, con 16 departamentos superando el 95 %. Al mismo tiempo, se registraron hasta 660 muertes en un solo día. La vacunación había comenzado, pero las coberturas eran bajas, especialmente en los grupos de edad media. Por eso, según el estudio, fue la ola con mayor mortalidad en personas entre los 40 y 69 años. "},{"_id":"SLIFTIXPX5HSLNXFWDONOSTUZQ","additional_properties":{},"type":"text","content":"“En una pandemia, los datos deben ser más que registro: deben ser el motor de decisiones oportunas. Mirar atrás y ver que la desigualdad persistió nos recuerda que la equidad debe estar al centro de cualquier respuesta”, afirma la doctora Zulma M. Cucunubá, directora de la Alianza ÁGORA. "},{"level":2,"_id":"IFZ7SFFAFJHILMXDEJNKN56CDE","additional_properties":{},"type":"header","content":"Lo que no se puede repetir"},{"_id":"QM46KELQLNFLJGJ2WVUO6OCAWY","additional_properties":{},"type":"text","content":" Una de las grandes lecciones que deja este análisis es que los datos, por sí solos, no resuelven nada. El análisis señala que se necesita una gobernanza capaz de convertirlos en decisiones oportunas y equitativas. Por ejemplo, la falta de una plataforma nacional de datos en salud, con vigilancia en tiempo real, impidió tomar medidas diferenciales basadas en evidencia. Y en ese sentido, señalan que Colombia necesita una estructura que pueda activarse de inmediato ante nuevas amenazas, con indicadores como Rt, ocupación UCI y letalidad hospitalaria que disparen alertas automatizadas. "},{"_id":"4LYMT73CLJB5ZPAWO3DPWORDHM","additional_properties":{},"type":"text","content":"El estudio también plantea la urgencia de recolectar datos que hoy no hacen parte de la vigilancia rutinaria, como patrones de movilidad, aceptación de medidas o intención de vacunarse. Esta información permitiría entender mejor el comportamiento social ante las emergencias y anticipar respuestas."},{"_id":"SW77WLHL2BEFXHJH3FVAZMUZYA","additional_properties":{},"type":"text","content":"Finalmente, los investigadores proponen fortalecer la capacidad analítica territorial, con equipos locales de ciencia de datos que puedan detectar brechas en tiempo real, priorizar recursos y asegurar que la información sea usada para cerrar las desigualdades. "},{"_id":"R2QQWHOJLVC3VFDDG5B4LMV5BA","additional_properties":{},"type":"text","content":"“Durante la pandemia, aprendimos que los datos no son un lujo técnico: son una herramienta de justicia, pero solo si sabemos leerlos, integrarlos y actuar con ellos antes de que las brechas se cobren más vidas”, concluye Zulma M. Cucunubá. 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Duque tuvo que hacerle frente a la crisis del coronavirus y por eso fue consultado."},{"_id":"ZG3PJVTYZJEO7A3GRFNB6E5VCA","additional_properties":{"_id":1743445181227},"type":"text","content":"“Pues hubiera sido un desastre porque, primero, yo nunca puse agendas ideológicas para gestionar ningún sector. Lo hacíamos con tecnocracia, con gerencia pública, con evidencia y tomando también decisiones basadas en la ciencia. Eso nos permitió a nosotros ser exitosos enfrentando la pandemia”, aseguró el expresidente Iván Duque al insistir en que sus decisiones fueron técnicas, más allá de su filiación política, y sin incurrir en lo hecho por el presidente, Gustavo Petro, quien con tres años de gobierno lo sigue culpando a él de múltiples de su fallas en la administración."},{"_id":"X4UR7OYQRNDC7BY2RNJQSMVV3E","additional_properties":{"_id":"5SCT6BLT6NEJVKVAQ44KMNLW3Y"},"title":"","type":"link_list","items":[{"image":{"owner":{"id":"semana"},"copyright":"Guillermo Torres Reina","address":{"locality":"Cartagena De Indias - Bolívar"},"auth":{"1":"a30a07c47a09260544dff25ddf950da325b4f4fd86bbacd58293aee201631342"},"caption":"Iván Duque ","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/3TJJ6INPONF2BHWPIZVNQPT2N4.jpg","licensable":false,"alt_text":"Iván Duque ","credits":{"affiliation":[{"name":" guillermo torres-semana","type":"author"}],"by":[{"name":" guillermo torres-semana","type":"author","byline":" guillermo torres-semana"}]},"subtitle":"¿Qué le pasa a Petro?_7","width":1000,"_id":"3TJJ6INPONF2BHWPIZVNQPT2N4","additional_properties":{"fullSizeResizeUrl":"/resizer/v2/3TJJ6INPONF2BHWPIZVNQPT2N4.jpg?auth=a30a07c47a09260544dff25ddf950da325b4f4fd86bbacd58293aee201631342","iptc_source":"Fotógrafo","iptc_job_identifier":"SEMANA","keywords":["edición 2203"],"proxyUrl":"/resizer/v2/3TJJ6INPONF2BHWPIZVNQPT2N4.jpg?auth=a30a07c47a09260544dff25ddf950da325b4f4fd86bbacd58293aee201631342","takenOn":"2024-06-06T14:27:24Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/3TJJ6INPONF2BHWPIZVNQPT2N4.jpg","published":true,"resizeUrl":"/resizer/v2/3TJJ6INPONF2BHWPIZVNQPT2N4.jpg?auth=a30a07c47a09260544dff25ddf950da325b4f4fd86bbacd58293aee201631342","thumbnailResizeUrl":"/resizer/v2/3TJJ6INPONF2BHWPIZVNQPT2N4.jpg?auth=a30a07c47a09260544dff25ddf950da325b4f4fd86bbacd58293aee201631342&width=300","version":0,"originalName":"que-le-pasa-a-petro-7.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"galleryOrder":6,"iptc_title":"USO EXCLUSIVO EDITORIAL"},"created_date":"2024-09-14T04:17:04Z","last_updated_date":"2024-09-14T04:17:04Z","height":530},"description":{"_id":"W4TRDUBDGFAPFNIR577RQJ35MM","type":"text","content":""},"_id":"IHKAEIHE3BCWBLIKH3JWYEROWM","type":"interstitial_link","content":"Expresidente Iván Duque pide abstención en la consulta popular para no caer en “la trampa”","url":"https://www.semana.com/semana-tv/semana-el-debate/articulo/expresidente-ivan-duque-pide-abstencion-en-la-consulta-popular-para-no-caer-en-la-trampa/202503/"}]},{"_id":"E3JIU7TVNRF75C5IDLHJUF5ZVY","additional_properties":{"_id":1743445181229},"type":"text","content":"“Aquí hay un presidente que siempre ha querido acabar la red de aseguramiento privada. Entonces, imagínese lo que hubiera sido. Hubieran aprovechado la emergencia para nacionalizar la economía, para intervenir la economía, para intervenir la red hospitalaria y para gestionar la pandemia con criterios políticos y electorales. Es decir, hubiera sido un colapso”, aseveró el expresidente Iván Duque (2018-2022)."},{"subtype":"youtube","referent":{"referent_properties":{"additional_properties":{"_id":"J3J2SL33LZHW7JBYFHDLNCJ2LU"}},"provider":"https://www.youtube.com/oembed?maxwidth=560&maxheight=340&url=","service":"oembed","id":"https://www.youtube.com/watch?v=RiLWbM86FLU","type":"youtube"},"_id":"KKF7V6HEGFAIFJRL76BGNOOXYY","raw_oembed":{"author_name":"RevistaSemana","provider_url":"https://www.youtube.com/","title":"¿Cómo habría sido la PANDEMIA en Colombia con Petro presidente? Habla Iván Duque | El Debate","type":"youtube","thumbnail_url":"https://i.ytimg.com/vi/RiLWbM86FLU/hqdefault.jpg","version":"1.0","thumbnail_height":360,"author_url":"https://www.youtube.com/@Revista_Semana","width":560,"thumbnail_width":480,"html":"","_id":"https://www.youtube.com/watch?v=RiLWbM86FLU","additional_properties":{"_id":"J3J2SL33LZHW7JBYFHDLNCJ2LU"},"provider_name":"YouTube","height":315},"type":"oembed_response"},{"_id":"4ZNIBUSNDBDKFKELKRYEFLXY4U","additional_properties":{"_id":1743445181230},"type":"text","content":"“Nosotros cerramos el año 2019 con un superávit fiscal primario, el menor déficit fiscal desde que existía la regla fiscal y habíamos logrado duplicar el crecimiento económico frente a lo que heredamos en el año año 2018. Y nos tocó en el 2020 aumentar el déficit, aumentar el endeudamiento, como lo hicieron la gran mayoría de países del mundo para enfrentar una tragedia de esa naturaleza. Pues resulta que hoy el déficit fiscal es más grande que en 2020, sin pandemia”, aseguró el expresidente Iván Duque."},{"owner":{"sponsored":false,"id":"semana"},"copyright":"Nicolás Galeano","address":{},"syndication":{},"auth":{"1":"4b6dfb6f7484535a0dcff50f0ae4027b6cea379244536e2a6cafda45d8b13137"},"caption":"Iván Duque, expresidente de Colombia. ","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/DYIIDF6SJZHLNKS2JIBNRYWNGY.jpeg","licensable":false,"alt_text":".","credits":{"affiliation":[{"name":"Nicolás Galeano","type":"author"}]},"subtitle":"Iván Duque, expresidente de Colombia","width":2560,"creditIPTC":"Nicolás Galeano","_id":"DYIIDF6SJZHLNKS2JIBNRYWNGY","additional_properties":{"fullSizeResizeUrl":"/resizer/v2/DYIIDF6SJZHLNKS2JIBNRYWNGY.jpeg?auth=4b6dfb6f7484535a0dcff50f0ae4027b6cea379244536e2a6cafda45d8b13137","proxyUrl":"/resizer/v2/DYIIDF6SJZHLNKS2JIBNRYWNGY.jpeg?auth=4b6dfb6f7484535a0dcff50f0ae4027b6cea379244536e2a6cafda45d8b13137","link":"","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/DYIIDF6SJZHLNKS2JIBNRYWNGY.jpeg","published":true,"resizeUrl":"/resizer/v2/DYIIDF6SJZHLNKS2JIBNRYWNGY.jpeg?auth=4b6dfb6f7484535a0dcff50f0ae4027b6cea379244536e2a6cafda45d8b13137","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/v2/DYIIDF6SJZHLNKS2JIBNRYWNGY.jpeg?auth=4b6dfb6f7484535a0dcff50f0ae4027b6cea379244536e2a6cafda45d8b13137&width=300","version":0,"usage_instructions":"Nicolás Galeano","originalName":"WhatsApp Image 2025-03-05 at 7.05.23 AM.jpeg","mime_type":"image/jpeg","restricted":false,"template_id":280,"galleries":[],"_id":"H75NNJCNKBHU5B6HNRYVNBP7NM"},"created_date":"2025-03-05T12:09:29Z","last_updated_date":"2025-03-05T12:09:29Z","height":1706,"image_type":"photograph"},{"_id":"AZYJ7TWRINE5VEQXP7UBIUS6WQ","additional_properties":{"_id":1743445181232},"type":"text","content":"“Hoy el nivel de deuda es más grande que en 2020, sin pandemia, lo cual quiere decir que hoy tenemos una pandemia en el Gobierno nacional que está llevando a una situación de debilitamiento de las finanzas públicas que nos tocó hacerlo en el manejo de la pandemia para poder garantizar la protección de la red de seguridad social, pero teniendo una agenda de reactivación que nos dejó en 2021 el año de mayor crecimiento económico de nuestra historia y lo propio hasta agosto del año 2022″, aseveró."},{"_id":"X75NYY2NSRBXTNDLL6KT3BMNSA","additional_properties":{"_id":1743445181233},"type":"text","content":"“Aquí lo que estamos viendo es como un Gobierno lleno de prejuicios ideológicos destruye la salud, espanta la inversión y debilita nuestra economía. Es que todos los gobiernos que se han regido por los paradigmas del socialismo del siglo XXI buscan acabar la participación de los privados en las actividades económicas y sociales. Eso es una característica del socialismo del siglo XXI. Entonces, claramente, el interés que han tenido es el de colapsar el sistema para tratar de reconstruirlo a la fuerza bajo los prejuicios ideológicos que tiene el actual gobierno porque de otra manera no hubieran cesado los pagos oportunos a la red de aseguradoras. Ni hubieran afectado los pagos a la red hospitalaria, ni tendríamos la situación de escasez de medicamentos”, señaló el expresidente Iván Duque, quien dio cuenta en campaña de que su Gobierno sería de economía naranja, pero el covid-19, la pandemia mundial por coronavirus, lo llevó a atender esta crisis que afectó a todo el planeta."},{"_id":"PZILAFRBYJEKPMXNX2MGPAKJJM","additional_properties":{"_id":1743445181234},"type":"text","content":"Vea la entrevista completa con el expresidente Iván Duque:"},{"subtype":"youtube","referent":{"referent_properties":{"additional_properties":{"_id":1743445181235}},"provider":"https://www.youtube.com/oembed?maxwidth=560&maxheight=340&url=","service":"oembed","id":"https://www.youtube.com/watch?v=VPlfHGyIiUI","type":"youtube"},"_id":"DDPF6POATJENNBKHGIIQ3RCDTM","raw_oembed":{"author_name":"RevistaSemana","provider_url":"https://www.youtube.com/","title":"Iván Duque LE TIRA RAYOS al Gobierno Petro: \"Lo construido se está destruyendo\" | El Debate","type":"youtube","thumbnail_url":"https://i.ytimg.com/vi/VPlfHGyIiUI/hqdefault.jpg","version":"1.0","thumbnail_height":360,"author_url":"https://www.youtube.com/@Revista_Semana","width":560,"thumbnail_width":480,"html":"","_id":"https://www.youtube.com/watch?v=VPlfHGyIiUI","additional_properties":{"_id":1743445181235},"provider_name":"YouTube","height":315},"type":"oembed_response"},{"_id":"Q2TXZATHO5GBPOFMNATV2P4YZE","additional_properties":{"_id":1743445181236},"type":"text","content":"“Y yo lo he dicho, que ese es uno de los patrones que ha tenido el socialismo del siglo XXI, que le gusta antes de los años electorales, en sus primeras administraciones, generar un caos y un colapso para tratar de entender que ese caos y colapso obedece al pasado y que ellos son esa ave fénix que va a salir de las cenizas y así lo han hecho electoralmente en Bolivia, en Ecuador, en Venezuela, en Nicaragua, en muchos lugares”, explicó el expresidente Iván Duque."},{"_id":"M3ARCZK76BETFNSPACNWFYYIZU","additional_properties":{"_id":"KFXVPNBSSFAMFNF5SE7YUULTNY"},"title":"","type":"link_list","items":[{"image":{"owner":{"sponsored":false,"id":"semana"},"copyright":"Semana","address":{},"syndication":{},"auth":{"1":"192f500919ae4d63e43dbafc55b9a0e134f5bce5d5d0d6e9912c228231659e85"},"caption":"Duque le aclaró al presidente el tema de los gestores farmacéuticos.","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/UGEBXJVTFRDV7F7Q6IVQVFEV5Q.jpg","licensable":false,"alt_text":"Duque le aclaró al presidente el tema de los gestores farmacéuticos.","credits":{"affiliation":[{"name":"Semana","type":"author"}]},"subtitle":"Iván Duque y Gustavo Petro","width":1280,"creditIPTC":"Semana","_id":"UGEBXJVTFRDV7F7Q6IVQVFEV5Q","additional_properties":{"fullSizeResizeUrl":"/resizer/v2/UGEBXJVTFRDV7F7Q6IVQVFEV5Q.jpg?auth=192f500919ae4d63e43dbafc55b9a0e134f5bce5d5d0d6e9912c228231659e85","proxyUrl":"/resizer/v2/UGEBXJVTFRDV7F7Q6IVQVFEV5Q.jpg?auth=192f500919ae4d63e43dbafc55b9a0e134f5bce5d5d0d6e9912c228231659e85","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/UGEBXJVTFRDV7F7Q6IVQVFEV5Q.jpg","published":true,"resizeUrl":"/resizer/v2/UGEBXJVTFRDV7F7Q6IVQVFEV5Q.jpg?auth=192f500919ae4d63e43dbafc55b9a0e134f5bce5d5d0d6e9912c228231659e85","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/v2/UGEBXJVTFRDV7F7Q6IVQVFEV5Q.jpg?auth=192f500919ae4d63e43dbafc55b9a0e134f5bce5d5d0d6e9912c228231659e85&width=300","version":0,"usage_instructions":"Not Released (NR)","originalName":"234949.jpg","mime_type":"image/jpeg","restricted":false,"template_id":280,"galleries":[]},"created_date":"2025-03-27T15:42:14Z","last_updated_date":"2025-03-27T15:42:14Z","height":705,"image_type":"photograph"},"description":{"_id":"KM667X7VRFA5ZBYFN5CBPX2JPM","type":"text","content":""},"_id":"7I6YOAMUPFFMBFPVKVAW4CTIW4","type":"interstitial_link","content":"Iván Duque advierte lo que busca Gustavo Petro con la crisis del sistema de salud: “Ciencia ficción”","url":"https://www.semana.com/semana-tv/semana-el-debate/articulo/ivan-duque-advierte-lo-que-busca-gustavo-petro-con-la-crisis-del-sistema-de-salud-ciencia-ficcion/202503/"}]},{"_id":"MQMBJ6XXFVBRZHH5HUOZJU3VRY","additional_properties":{"_id":1743445181238},"type":"text","content":"“Tenemos que ser claros en defender que si bien el sistema de salud era siempre perfectible y mejorable, nosotros teníamos un sistema de salud que nos permitió enfrentar la crisis más grande en más de cien años, y que se hizo con un sistema de aseguramiento donde teníamos agentes privados y agentes públicos y lo hicimos exitosamente. Lo que hoy es una crisis inducida está llevando al mayor colapso histórico del sistema de salud en Colombia”, acentuó sobre el particular.”"},{"_id":"WJ4JBMWTAJB2ZET3ZLRPNAY4CY","additional_properties":{"_id":1743445181239},"type":"text","content":"“Recordemos que en el gobierno nuestro tuvimos que enfrentar la peor crisis de salud pública en más de 100 años y logramos que el país vacunara de manera eficaz, logramos que el país triplicara o cuadruplicara todas las unidades de cuidado intensivo, logramos sacar adelante la ley del residente, logramos poner en marcha la ley de punto final para pagar deudas anteriores al año 2018, logramos también la construcción de hospitales en distintos lugares del territorio nacional y fuimos ranqueados como número uno en América Latina y el Caribe en el índice de resiliencia frente a la pandemia publicado por Bloomberg”, recordó."}],"copyright":"Redacción Debate","subheadlines":{"basic":"El expresidente Iván Duque habló con El Debate de SEMANA, a propósito de la crisis de la salud actual y los múltiples y constantes señalamientos en su contra por parte del presidente, Gustavo Petro. 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Y pueden ser incluso más letales en el futuro. “Tenemos que cambiar nuestra relación con la naturaleza si queremos evitar más epidemias y pandemias”, agrega Lieberman."},{"_id":"VW4766AMFVCNPOL53NNS23KPHY","additional_properties":{"_id":1729872659068},"type":"text","content":"“Si no se hace nada, si nada cambia, habrá otra pandemia. 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En opinión de este experto, “cuanto más penetran los seres humanos y su ganado en zonas hasta ahora vírgenes de gran biodiversidad, más probabilidades tienen de encontrarse con nuevas cepas de virus (sobre todo de ARN, como la covid-19) que mutan constantemente”, señaló con preocupación."},{"_id":"H3N2SCUYFRBVJFVOIU43GXK4ZM","additional_properties":{"_id":1729872659072},"type":"text","content":"El tema se ha tomado una parte de la agenda de la COP16 en Cali. Un escenario en el que se debate un “plan de acción” para mitigar el vínculo entre biodiversidad y salud, y que se espera sea adoptado por los 196 países miembros del Convenio sobre la Diversidad Biológica (CDB), que se reúnen en Colombia hasta el 1º de noviembre."},{"_id":"B7SXBJBVWBA3XFULF7B56HJUR4","additional_properties":{"_id":1729872659073},"type":"text","content":"Dicho plan contempla una serie de compromisos para limitar la silvicultura y la agricultura, usar cada vez menos pesticidas, fertilizantes y una serie de productos químicos agresivos con la naturaleza. 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Sin embargo, a pesar de que tuvimos un periodo en ese sentido, se han presentado infecciones respiratorias en los meses de mayo, junio y julio. En agosto y septiembre vimos un descenso, pero ahora esperamos que lleguen muchos más por el inicio de las lluvias en octubre y que se pueden extender a noviembre y diciembre. Esta situación generará un incremento de infecciones respiratorias, pero hay un tema importante y es que los datos que muestra el Instituto Nacional de Salud revelan que la principal causa de ese crecimiento han sido, este año, los virus de influenza y el Sars-CoV-2 (coronavirus). Y si uno revisa los datos del Dane sobre mortalidad en 2024, vemos que la mortalidad, especialmente en la gente mayor de 50 o 60 años en Colombia, está relacionada con problemas respiratorios asociados a covid. Es importante tener presente que el virus del Sars-CoV-2, es decir, el que causa la covid-19, sigue circulando."},{"_id":"TJSXXTMYAVG5DDYEYYBI2XDLMM","additional_properties":{"_id":1728112393505},"type":"text","content":"SEMANA: ¿El covid sigue vivo?"},{"_id":"QRE7MO2X4BH5BKGVYSLE4A2TRQ","additional_properties":{"_id":1728112393506},"type":"text","content":"C.A.: Sí, el coronavirus sigue circulando y lo grave es que el virus cambia, hay mutaciones, pero claramente sigue habiendo circulaciones, no de la misma magnitud de antes, pero sigue siendo un problema en la salud de la población colombiana."},{"copyright":"getty semana","syndication":{},"auth":{"1":"ad72725746eb38c062249948fc846e09f90e6f5b9daf03365570ec75d975330d"},"caption":"Carlos Álvarez asegura que lo único que ayuda a controlar el virus son las vacunas. 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Los que tienen factores de riesgo siguen con complicaciones, no iguales a los de 2021, pero los datos evidencian que sí hay un incremento de casos que requieren hospitalización y que han llegado a la muerte por estos virus."},{"_id":"CJNZFMJRCNGFBHK3XSYW4SQV5U","additional_properties":{"_id":1728112393510},"type":"text","content":"SEMANA: ¿Y cómo diferenciar la influenza del coronavirus?"},{"_id":"5GK5QUTL55BK3MSKBORQXGI2J4","additional_properties":{"_id":1728112393511},"type":"text","content":"C.A.: Es muy difícil porque los síntomas son muy parecidos. De hecho, podría haber otros cuatro o cinco virus que también pueden causar síntomas parecidos y para los médicos no es tan fácil, casi que toca hacer pruebas diagnósticas para poder diferenciar, especialmente para saber cómo manejar el virus. Pero hago énfasis en estos dos virus por dos razones: primero, porque lo que nos están contando ahora y siempre ha pasado es que son los que más causan complicaciones y muertes. Y lo segundo es que estos virus tienen vacunas, pero lo curioso es que no las usamos."},{"_id":"KYE7QUXCENAMXA7EVHWKOHG7MQ","additional_properties":{"_id":"SQ5X6GGYL5FYXCY5F6ZA7GP47I"},"title":"","type":"link_list","items":[{"image":{"copyright":"Getty Images","syndication":{},"auth":{"1":"1bd1bbbbd31b20622cb18a324a42a2342753b50abb401a6a05bc85b4ab92235d"},"caption":"El sujeto puso en riesgo la vida de por lo menos tres personas.","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","licensable":false,"alt_text":"El sujeto puso en riesgo la vida de por lo menos tres personas.","credits":{"affiliation":[{"name":"Getty Images","type":"author"}],"by":[{"name":"MarianVejcik","type":"author","byline":"MarianVejcik"}]},"creditIPTC":"Getty Images","country_name":"Slovakia","additional_properties":{"fullSizeResizeUrl":"/resizer/080C-eUeI3AbHzAKIjiJF5_VmU8=/arc-anglerfish-arc2-prod-semana/public/MHHMCMNSYBGZ3DYONT7GAR5NBM.jpg","iptc_source":"iStockphoto","keywords":["anaesthetist","background","clinic","closeup","cure","drug","flu","gloves","health","healthcare","immunization","influenza","injection","medical","medicament","medication","needle","treatment","vaccine","vaccines","white"],"proxyUrl":"/resizer/080C-eUeI3AbHzAKIjiJF5_VmU8=/arc-anglerfish-arc2-prod-semana/public/MHHMCMNSYBGZ3DYONT7GAR5NBM.jpg","takenOn":"2018-08-29T00:00:00Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/MHHMCMNSYBGZ3DYONT7GAR5NBM.jpg","published":true,"resizeUrl":"/resizer/080C-eUeI3AbHzAKIjiJF5_VmU8=/arc-anglerfish-arc2-prod-semana/public/MHHMCMNSYBGZ3DYONT7GAR5NBM.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/duiD5Mqp-JeimZjEkChlHYTzNVU=/300x0/arc-anglerfish-arc2-prod-semana/public/MHHMCMNSYBGZ3DYONT7GAR5NBM.jpg","version":0,"countryId":194,"usage_instructions":"Not Released (NR) ","originalName":"GettyImages-1027752634.jpg","mime_type":"image/jpeg","restricted":false,"template_id":280,"galleries":[],"iptc_title":"Contributor"},"last_updated_date":"2024-01-26T21:15:58Z","slug":"1027752634","height":4096,"image_type":"photograph","owner":{"sponsored":false,"id":"semana"},"address":{"country_name":"SVK"},"version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/MHHMCMNSYBGZ3DYONT7GAR5NBM.jpg","subtitle":"Médico inyección","width":6144,"_id":"MHHMCMNSYBGZ3DYONT7GAR5NBM","created_date":"2024-01-26T21:15:58Z"},"description":{"_id":"OH2VI62T7VCHJAO5YSBX25TWUI","type":"text","content":""},"_id":"3QEFM5AXWNBLDFS3VKP233Q4QU","type":"interstitial_link","content":"Influenza: una enfermedad que va más allá de la época de lluvias; expertos resaltan importancia de la vacunación","url":"https://www.semana.com/salud/articulo/influenza-una-enfermedad-que-va-mas-alla-de-la-epoca-de-lluvias-expertos-resaltan-importancia-de-la-vacunacion/202441/"}]},{"_id":"2D2D25SXFNEPTIRB3EFZD6YZCY","additional_properties":{"_id":1728112393513},"type":"text","content":"SEMANA: Entonces, ¿con las lluvias las infecciones respiratorias aumentarán significativamente?"},{"_id":"FELITT6MD5EPBPXT4APLYDAY7E","additional_properties":{"_id":1728112393514},"type":"text","content":"C.A.: Sin duda alguna. Por eso hacemos un llamado para seguir con medidas de precaución que aprendimos en la pandemia y aplicando vacunas antes de que la temporada entre con fuerza."},{"_id":"Z5G4KU3VOBCMNMUQMPZRLA5BYY","additional_properties":{"_id":1728112393515},"type":"text","content":"SEMANA: ¿Quienes tengan tres o cuatro dosis de vacunas contra el coronavirus pueden aplicarse otra?"},{"_id":"5KE4BXVEVJCXRASIXFVU7R7VWU","additional_properties":{"_id":1728112393516},"type":"text","content":"C.A.: Sí, por ejemplo, si una persona tiene más de 60 años, tiene alguna comorbilidad y no se ha vacunado en 2024, debe aplicarse una inoculación."},{"owner":{"id":"semana"},"address":{},"auth":{"1":"b81ae89ac6d2c99df0c97a60dd3e3c81c734dce9dfec39f6dcc5e0f45ce2e09e"},"caption":"Se dice que para evitar avances del coronavirus en los niños, es importante que tengan el esquema de vacunación al día. ","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{},"type":"image","version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/LNV36BV455AKPCSQQTG2EOMTUI.jpg","licensable":false,"alt_text":"","credits":{"affiliation":[{"name":"adobe stock","type":"author"}],"by":[{"name":"adobe stock","type":"author","byline":"adobe stock"}]},"subtitle":"Vacuna de la esperanza_2","width":1000,"_id":"LNV36BV455AKPCSQQTG2EOMTUI","additional_properties":{"fullSizeResizeUrl":"/resizer/HL_B_l93646H_MO25fRTHFueNYE=/arc-anglerfish-arc2-prod-semana/public/LNV36BV455AKPCSQQTG2EOMTUI.jpg","iptc_source":"855246427","keywords":["edición 2204","ampoule","bacterial meningitis","biotechnology","booster","chicken pox","childhood immunizations","clinic","coronavirus","covid","covid-19","crisis","dengue fever","development","disease","dose","equipment","experiment","flu","flu season","health","hepatitis","hospital","hpv","human papilloma virus","immune","immunization","immunize","influenza","injection","lab","laboratory","medical","medication","medicine","pharmaceutical","pharmacy","pneumonia","prevention","protection","research","science","syringe","test","therapy","treatment","vaccination","vaccine","vial","viral","virus"],"proxyUrl":"/resizer/HL_B_l93646H_MO25fRTHFueNYE=/arc-anglerfish-arc2-prod-semana/public/LNV36BV455AKPCSQQTG2EOMTUI.jpg","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/LNV36BV455AKPCSQQTG2EOMTUI.jpg","published":true,"resizeUrl":"/resizer/HL_B_l93646H_MO25fRTHFueNYE=/arc-anglerfish-arc2-prod-semana/public/LNV36BV455AKPCSQQTG2EOMTUI.jpg","thumbnailResizeUrl":"/resizer/31C_5rTebKd9RqPCHm5Jiymxt6g=/300x0/arc-anglerfish-arc2-prod-semana/public/LNV36BV455AKPCSQQTG2EOMTUI.jpg","version":0,"originalName":"vacuna-de-la-esperanza-2.jpg","mime_type":"image/jpeg","restricted":false,"galleries":[],"_id":"4XCZBFS66NCI3LZQRV4XWNSGNQ","galleryOrder":1},"created_date":"2024-09-20T18:54:05Z","last_updated_date":"2024-09-20T18:54:05Z","slug":"Medical personnel picking up vial of generic vaccine with more i","height":530},{"_id":"HU4CXIZXLJEOHMJ54XZGFPDC2Q","additional_properties":{"_id":1728112393518},"type":"text","content":"SEMANA: ¿Y si es una persona joven?"},{"_id":"HCAHXORO3ZDZNJTUCBTWEDPTMI","additional_properties":{"_id":1728112393519},"type":"text","content":"C.A.: No es necesario y podría ser opcional."},{"_id":"4Q42R3R6LBH3TG3YBDEXTTD7QA","additional_properties":{"_id":1728112393520},"type":"text","content":"SEMANA: ¿Qué afectaciones hay en los niños por estas enfermedades?"},{"_id":"FNXMHOYIMJHXTKQFB7GZ2WFQTQ","additional_properties":{"_id":1728112393521},"type":"text","content":"C.A.: Afortunadamente, vemos que en los niños la mortalidad es muy baja, pero sí hay presencia de infecciones respiratorias. Se presentan muchos casos, pero son tratados rápidamente. Lo importante acá es tener el esquema de vacunación al día."},{"_id":"AVPNSY3STFFRRJSZMAPN4MYYZY","additional_properties":{"_id":"HPLSIV76FVD4DDVCV5G3DPBS2A"},"title":"","type":"link_list","items":[{"image":{"copyright":"Getty Images","syndication":{},"auth":{"1":"1104a4a36dd20f6e8c50ce05b458336d75374153539982ed1d906baaabff8ce6"},"caption":"Cada año, la Cardioinfantil invierte más de 7.000 millones de pesos en la atención integral de los niños.","source":{"system":"photo center","edit_url":"","additional_properties":{"editor":"photo center"}},"taxonomy":{"associated_tasks":[]},"type":"image","geo":{},"licensable":false,"alt_text":"Cada año, la Cardioinfantil invierte más de 7.000 millones de pesos en la atención integral de los niños.","credits":{"affiliation":[{"name":"Getty Images","type":"author"}],"by":[{"name":"isayildiz","type":"author","byline":"isayildiz"}]},"creditIPTC":"Getty Images","additional_properties":{"fullSizeResizeUrl":"/resizer/W4N9FqMQqYgkIaT_J70eVUePhO4=/arc-anglerfish-arc2-prod-semana/public/UEXZV66L7JEMVOMXZSG4TTWB3U.jpg","iptc_source":"E+","iptc_job_identifier":"775389617","keywords":[""],"proxyUrl":"/resizer/W4N9FqMQqYgkIaT_J70eVUePhO4=/arc-anglerfish-arc2-prod-semana/public/UEXZV66L7JEMVOMXZSG4TTWB3U.jpg","takenOn":"2020-03-07T00:00:00Z","originalUrl":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/UEXZV66L7JEMVOMXZSG4TTWB3U.jpg","published":true,"resizeUrl":"/resizer/W4N9FqMQqYgkIaT_J70eVUePhO4=/arc-anglerfish-arc2-prod-semana/public/UEXZV66L7JEMVOMXZSG4TTWB3U.jpg","ingestionMethod":"manual","thumbnailResizeUrl":"/resizer/ZotGHRHYGP-0DgwiULJnx6Fqh18=/300x0/arc-anglerfish-arc2-prod-semana/public/UEXZV66L7JEMVOMXZSG4TTWB3U.jpg","version":1,"usage_instructions":"Regionales - Mejor Colombia","originalName":"Copia.jpg","mime_type":"image/jpeg","restricted":true,"template_id":280,"galleries":[],"iptc_title":"Contributor"},"last_updated_date":"2023-05-09T17:40:09Z","slug":"1217384593","height":4470,"image_type":"photograph","owner":{"sponsored":false,"id":"semana"},"address":{},"version":"0.10.9","url":"https://cloudfront-us-east-1.images.arcpublishing.com/semana/UEXZV66L7JEMVOMXZSG4TTWB3U.jpg","subtitle":"Un concierto que salva vidas: Andrés Cepeda cantará por los niños enfermos del corazón","width":7948,"_id":"UEXZV66L7JEMVOMXZSG4TTWB3U","created_date":"2023-05-09T15:28:56Z"},"description":{"_id":"WOAQZJNYAVAK5B73OCHB65NRVI","type":"text","content":""},"_id":"7C3HYP3ZBFH53LIZXCCJ4HCTYA","type":"interstitial_link","content":"Prevención y tratamiento del virus sincitial respiratorio, la principal causa de hospitalización en menores de cinco años","url":"https://www.semana.com/salud/articulo/prevencion-y-tratamiento-del-virus-sincitial-respiratorio-la-principal-causa-de-hospitalizacion-en-menores-de-cinco-anos/202453/"}]},{"_id":"Q6C675QJWBEO3HZIDCRL2S3WB4","additional_properties":{"_id":1728112393523},"type":"text","content":"SEMANA: ¿Vacuna contra el coronavirus?"},{"_id":"WEWUCXUTFFGDPNMZ5SCNXV6NTM","additional_properties":{"_id":1728112393524},"type":"text","content":"C.A.: Se puede hacer después de los seis meses. Los niños tienen que hacer el esquema completo de, al menos, dos dosis de vacuna contra el coronavirus. Y es importante recordar que las mujeres embarazadas también deben hacerlo. A muchas de ellas les da miedo que pase algo en la gestación, pero no ocurrirá nada y deben recordar que son el grupo de población que más se afecta con el virus de la influenza y el coronavirus. "},{"_id":"BOFREVXVOJBTFKDDJNJDWB544Y","additional_properties":{"_id":1728112393525},"type":"text","content":"SEMANA: ¿Entonces para las mujeres embarazadas no hay ningún problema en que se apliquen la vacuna contra el coronavirus?"},{"_id":"OL2L4XLVLFBETC4QERAPEXTHM4","additional_properties":{"_id":1728112393526},"type":"text","content":"C.A.: No, y es indicada y recomendada. Los datos son evidentes y, además, cuando la mujer embarazada se vacuna, se protege a ella y a su bebé hasta los seis meses."}],"copyright":"Redacción Semana","subheadlines":{"basic":"Carlos Álvarez, médico infectólogo y epidemiólogo, habla sobre el pico de infecciones respiratorias que se está presentando por las lluvias en el país. Hay alerta. 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Además, para muchas personas, el proceso de confinamiento implicó la pérdida temporal o permanente del empleo o una disminución significativa de los ingresos."},{"owner":{"sponsored":false,"id":"semana"},"copyright":"Getty Images","address":{},"syndication":{},"auth":{"1":"059a541d88cb366128a555b2cda6e6632a48c7ca26eeda9f3c78953bc2ac9f97"},"caption":"La vacuna sigue siendo la mejor alternativa contra el coronavirus. 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Recopiló información sobre las actividades durante el confinamiento, la actividad sexual, las percepciones del estado emocional, los cambios en las características menstruales y el impacto en la calidad de vida. El análisis de los cambios menstruales se limitó a las que respondieron no usaron anticonceptivos hormonales."},{"_id":"ULJDLJZ7EBEQZM4RVATDF6N4GA","additional_properties":{"_id":1724710655765},"type":"text","content":"Un total de 6.449 mujeres respondieron a la encuesta, y 4.989 encuestas fueron válidas para el análisis final. El 92,3 por ciento de las mujeres tuvo al menos una menstruación durante el confinamiento, mientras que el 7,7 por ciento tuvo amenorrea. La calidad de vida (CV) asociada a la menstruación empeoró en el 19 por ciento de las mujeres, no cambió en el 71,7 por ciento y mejoró en el 1,6 por ciento. 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