<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2077-2874</journal-id>
<journal-title><![CDATA[EDUMECENTRO]]></journal-title>
<abbrev-journal-title><![CDATA[EDUMECENTRO]]></abbrev-journal-title>
<issn>2077-2874</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2077-28742023000100079</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Huellas históricas de la COVID-19 en la asistencia médica de los habitantes de Manicaragua, Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Historical traces of COVID-19 in the medical care of the inhabitants of Manicaragua, Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrazana Santos]]></surname>
<given-names><![CDATA[Yaimelin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesa Reyes]]></surname>
<given-names><![CDATA[Yisley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado García]]></surname>
<given-names><![CDATA[Yadalys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvares Alonso]]></surname>
<given-names><![CDATA[Julio Obdulio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabello Cabrera]]></surname>
<given-names><![CDATA[Aray]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conde López]]></surname>
<given-names><![CDATA[Leyanis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara Dirección Municipal de Higiene y Epidemiología ]]></institution>
<addr-line><![CDATA[Manicaragua. Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara Dirección Municipal de Salud ]]></institution>
<addr-line><![CDATA[Manicaragua. Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Universitario Municipal  ]]></institution>
<addr-line><![CDATA[Manicaragua. Villa Clara ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>15</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2077-28742023000100079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2077-28742023000100079&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2077-28742023000100079&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la pandemia de COVID-19 ha tenido un efecto socioeconómico disruptivo en el mundo; pero ha dejado huellas que constituyen lecciones aprendidas entre la población de numerosos países.  Objetivo:  describir las huellas históricas de la COVID-19 en el municipio de Manicaragua, Villa Clara, Cuba, como expresión de la reorganización y regionalización de los servicios de salud que demandaba el enfrentamiento a la pandemia.  Métodos:  se realizó un estudio descriptivo longitudinal cuantitativo sobre el comportamiento de la COVID-19 en Manicaragua desde el inicio de la pandemia, abril 2020 hasta el 2022. Se emplearon métodos teóricos: análitico-sintético e histórico-lógico; empíricos: análisis documental; y matemático-estadísticos: para los valores absolutos y relativos.  Resultados:  fue analizado el impacto de la COVID-19 a partir de los casos diagnosticados y sus tasas de incidencia por habitantes en las distintas áreas de salud. Se destacan cifras predominantes: el poblado de Manicaragua y el grupo etario de 19 a 64 años como los de mayor presencia de contagiados, la fuente de infección superior fue la intradomiciliaria y Estados Unidos como el país que aportó la mayor cifra de contaminados. Se argumentan algunas formas de indisciplinas sociales como causas de los rebrotes epidemiológicos.  Conclusiones:  la COVID-19 dejó huellas que pueden considerarse históricas en Manicaragua, pues representó una pausa en su desarrollo social y un reordenamiento de los servicios médicos asistenciales. El incumplimiento de los protocolos y la actuación comunitaria frente a las indisciplinas sociales hoy se consideran lecciones aprendidas frente a próximos eventos epidemiológicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background:  the COVID-19 pandemic has had a disruptive socioeconomic effect on the world; but it has left traces that constitute lessons learned among the population of many countries.  Objective:  to describe the historical traces of COVID-19 in the municipality of Manicaragua, Villa Clara, Cuba, as an expression of the reorganization and regionalization of health services that the confrontation with the pandemic demanded.  Methods:  a quantitative longitudinal descriptive study was carried out on the behavior of COVID-19 in Manicaragua from the beginning of the pandemic, April 2020 to 2022. Theoretical methods were used: analytical-synthetic and historical-logical; empirical ones: documentary analysis; and mathematical-statistical: for absolute and relative values.  Results:  the impact of COVID-19 was analyzed based on the diagnosed cases and their incidence rates per population in the different health areas. Predominant figures stand out: the town of Manicaragua and the age group from 19 to 64 years as the ones with the highest presence of infected people, the highest source of infection was intra-domiciliary and the United States as the country that contributed the highest number of infected people. Some forms of social indiscipline are argued as causes of epidemiological outbreaks.  Conclusions:  COVID-19 left traces that can be considered historical in Manicaragua, since it represented a pause in its social development and a reordering of medical care services. Failure to comply with the protocols and community action against social indiscipline today are considered lessons learned in the face of upcoming epidemiological events.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[historia de la Medicina]]></kwd>
<kwd lng="es"><![CDATA[infecciones por coronavirus]]></kwd>
<kwd lng="es"><![CDATA[medicina comunitaria]]></kwd>
<kwd lng="es"><![CDATA[educación médica]]></kwd>
<kwd lng="en"><![CDATA[history of medicine]]></kwd>
<kwd lng="en"><![CDATA[coronavirus infections]]></kwd>
<kwd lng="en"><![CDATA[community medicine]]></kwd>
<kwd lng="en"><![CDATA[education, medical]]></kwd>
</kwd-group>
</article-meta>
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