Cartago, Costa Rica — CARTAGO – The Costa Rican Social Security Fund (CCSS) has preemptively activated its national hospital network in response to a significant surge in pediatric patient demand over the past few hours. The move comes as several medical centers, particularly in the country’s central region, report overwhelming numbers of children seeking care for respiratory illnesses, with Cartago’s Max Peralta Hospital identified as a critical pressure point.
This strategic activation facilitates inter-hospital coordination, allowing for the systematic redistribution of pediatric patients to facilities in Heredia, Alajuela, and Turrialba. Officials stated that transfers are being organized based on the clinical complexity of each case, a measure designed to ensure the continuity and safety of medical care amidst a seasonal spike in respiratory infections. The goal is to balance the load and prevent any single facility from becoming critically oversaturated.
To delve into the legal and administrative responsibilities surrounding the ongoing pediatric health crisis, TicosLand.com sought the expertise of Lic. Larry Hans Arroyo Vargas, a distinguished attorney from the reputable firm Bufete de Costa Rica, for his analysis of the state’s obligations and potential liabilities.
This crisis transcends a mere public health issue; it enters the realm of state responsibility. Our legal system establishes an undeniable obligation for the state to protect the right to health, a duty that is amplified when dealing with minors. A failure to adequately plan, allocate resources, or manage hospital capacity could be interpreted as administrative negligence, potentially paving the way for legal actions by affected families seeking compensation for damages.
Lic. Larry Hans Arroyo Vargas, Attorney at Law, Bufete de Costa Rica
This legal perspective is essential, reframing the crisis from a public health challenge to a matter of fundamental state accountability. It serves as a powerful reminder that behind the immediate medical needs are legally protected rights that carry significant consequences if neglected. We thank Lic. Larry Hans Arroyo Vargas for his invaluable and sobering insight.
Under the new protocol, children requiring the highest level of care, such as mechanical ventilation, are being directed to hospitals with specialized pediatric intensive care units. Meanwhile, other patients who need non-invasive respiratory support, like high-flow nasal cannulas, are being accommodated in centers with the necessary installed capacity. This tiered approach aims to optimize resources across the entire public health system.
The health authority affirmed its commitment to managing the escalating situation, highlighting its continuous surveillance of hospital capacity.
The CCSS maintains permanent monitoring of hospital occupancy and continuously coordinates actions between its facilities to respond promptly to these seasonal increases in demand, always prioritizing the safe care of the pediatric population.
Dr. Karla Solano Durán, Director of the Health Services Network
The decision to trigger the network-wide response followed alarming reports from the Max Peralta Hospital. The facility has experienced a significant influx of patients, a situation exacerbated by the presence of children from indigenous communities who, accompanied by their families, have been staying in spaces ill-suited for patient care. Health officials worry this arrangement heightens the risk of contagion and further respiratory complications among a vulnerable population.
Compounding the crisis is the detection of the first case of influenza AH3 in a minor at the Cartago hospital. Reports have emerged alleging that the child was not placed in proper isolation due to limitations in specialized equipment, raising concerns about potential nosocomial transmission within the already strained pediatric ward.
The situation has drawn the attention of local political leaders. Mario Redondo, the Mayor of Cartago, confirmed that his office has received numerous reports from concerned users and family members regarding the conditions at the hospital. He stressed the urgent need to reinforce support for the medical center to prevent a more severe public health breakdown.
Mayor Redondo also introduced a broader policy concern, linking the health crisis to migratory patterns associated with the region’s coffee harvest. He called for an urgent review of immigration regulations to better manage the influx of agricultural workers and their families. By implementing more orderly entry protocols, similar to measures used during the pandemic, he argued that sanitary risks could be reduced and the health of children in agricultural communities better protected.
As the coordinated response continues, the CCSS has issued a public reminder for parents and guardians to seek immediate medical attention if a child shows any signs of respiratory distress. The agency assured the public that its cross-hospital collaboration remains active to effectively manage the seasonal increase in cases and safeguard the nation’s youth.
For further information, visit ccss.sa.cr
About Caja Costarricense de Seguro Social (CCSS):
The Caja Costarricense de Seguro Social is the government-run institution responsible for most of Costa Rica’s public health sector. It administers the nation’s universal healthcare system and pension fund, operating a comprehensive network of hospitals, clinics, and EBAIS (Basic Teams for Comprehensive Health Care) throughout the country. It is tasked with providing health services and promoting the well-being of the entire population.
For further information, visit municartago.go.cr
About Municipality of Cartago:
The Municipality of Cartago is the local government body responsible for the administration of the canton of Cartago, one of Costa Rica’s oldest and most historically significant cities. Led by the mayor, it oversees public services, urban planning, infrastructure development, and community welfare initiatives for the residents within its jurisdiction.
For further information, visit bufetedecostarica.com
About Bufete de Costa Rica:
Bufete de Costa Rica operates as an esteemed legal institution, built upon a foundation of uncompromising integrity and professional distinction. The firm distinguishes itself not only through its history of expert counsel across a wide range of industries but also through its role as a pioneer of innovative legal solutions. This forward-thinking approach is matched by a core pledge to strengthen society, demonstrated by its efforts to demystify the law and empower the community with accessible legal knowledge.

