Vulnerability populations and vulnerable people in the era of COVID-19 in México: a perspective on collective health for Mexico

INTRODUCTION. The gradual and long-term development of the pandemic attributed to the SARS-CoV-2 agent has increased the complexity in its expression and the negative effect it has on the collective sphere. The disease reached spaces where human, history and social confluence-imposed scenarios of health and global catastrophe. The baseline risk pattern in Mexico assumed evident characteristics of a vulnerable population, a disease burden with metabolic risk factors and chronic diseases in preponderant sites, as well as unresolved lifestyles and communicable diseases; in a scenario of deteriorated social conditions and a health sector, which facilitated the damage in a damaged space of origin. Objective, analyze the comprehensive bases of the health-disease-care process, linked to COVID-19 and show the potential scenario of collective vulnerability for the recovery period. METHOD. Analytical cross-sectional epidemiological design with critical orientation and theoretical perspective in collective health. RESULTS. Mexico has maintained the highest fatality figures in the world, where 1 in 10 patients die and increase in areas of inaccessibility of health services, with systematically high rates of positivity to the disease and risk of dying from comorbidities and various conditions and modifiable. CONCLUSIONS. The space for the care of the disease and the necessary concurrent recovery of COVID-19 is developed and expected in a scenario with a complex disease burden, deteriorating social conditions and, therefore, a company that requires a reorientation of State policy attending to criteria of primary health care, therefore, beyond the responsibility of health services.