As the coronavirus starts to spread in developing countries with a weak health infrastructure it is obvious that patients are going to be triaged for intensive care with younger patients getting priority over the elderly or those with co-morbidity. Those who do not have access to an ICU space will probably die without the support of family while health workers will concentrate on those that have a better chance of surviving. How are we going to provide palliative care to the dying. Although a very painful topic I believe we need to open a dialogue and agree on guidelines of care.
HIFA profile: Dave Woods is emeritus professor in neonatal medicine at the School of Child and Adolescent Health, University of Cape Town, South Africa. He is Chairman of the Perinatal Education Trust and Eduhealthcare, both not-for-profit non-government organisations that develop appropriate self-help distance learning material for doctors and nurses who care for pregnant women and their children in under-resourced communities. He has 30 years experience as a clinical neonatologist, with particular interests in perinatal care and training of health professionals. He is currently developing paper-based continuing learning material in maternal care, newborn care, childhealth, and care of adults and children with HIV/AIDS. He is also participating in the design and development of wind-up appropriate health technology for poor countries. www.pepcourse.co.za pepcourse AT mweb.co.za