Hospital El Salvador: broader questions remain

“…According to the data analyzed in this research, the diversity of lineages circulating in Nicaragua is lower compared to the majority of the countries in Central America and the introduction of new lineages occurred later than the majority of the countries in the region. It has been documented that most of the Central American countries, except for Nicaragua, have instituted stringent lockdowns, states of emergency, and states of calamity [25][26][27][28][29][30] . This observation suggests that, beyond these measures, there are other potential intrinsic factors in population dynamics that influence the nature of the circulating diversity and establishment of SARS-CoV-2 lineages.…”