the country. There are additional structural and organizational deficiencies, such as lack of specialized laboratories, scarce intensive care units (ICU), and the scarcity of personal protection equipment (PPEs) [4, 5] . Undoubtedly, under these adverse conditions, healthcare personnel have been the perfect target for this virus [6] .
In Peru, 58,404 physicians are practicing across the country, 21.9% of whom are > 60 years old, making them highly susceptible to COVID-19 [7] . According to a report from the Peruvian Medical College (PMC) by 6 September 2020, 3,676 physicians had contracted COVID-19, 81 of whom were hospitalized in ICU with mechanical ventilation, and 170 had died. The Peruvian coast is the geographical region with the highest mortality and percent case fatality among physicians (Table 1 ) [8] . The Peruvian Obstetrician College report that as of 6 September 2020, a total of 2035 obstetricians had contracted COVID-19 and 21 had died [9] . Unfortunately, there is no information about other categories of healthcare professionals.
Complicating this tragic situation, is a lack of efficient coordination between representatives of the central government, the Ministry of Health, and regional governments. Our health system was not prepared to handle the demand of health services because of these deficits and the result was the collapse of healthcare system, despite constant technical advice of the Peruvian Medical College (PMC) about how to manage the pandemic [10] . The system was ill prepared to handle the vastly increased needs for care. The PMC has had to use its own economic resources to mitigate the difficult situations of COVID-19 infected physicians in remote areaseven paying private air transportation to Lima (the capital city) for critically ill patients in search of better opportunities treatment [11] .
Despite the new measures and extension of the state of emergency until the end of September 2020 declared by the Peruvian government to diminish the contagion rate, the future remains uncertain in our country [12] . It is urgent to improve the working conditions for the healthcare workforce, including the provision of more PPE, prioritization of attention to infected personnel, to improve the telehealth attention and allocate more financial resources in health. Only with these actions will Peru have more opportunities to manage adequately our COVID-19 patients.
Author contributions All authors participated in the conception, design, writing, critical review and approval of this paper.
Funding None. 