Division de psychiatrie sociale et culturelle, Université McGill, CLSC Parc-Extension, 7085 Hutchison, Bureau 204.2, Montréal, QC, H3N 1Y9, Canada.
Center for Refugee Studies, York University, Toronto, Canada.
Can J Public Health. 2020 Dec;111(6):963-966. doi: 10.17269/s41997-020-00422-2. Epub 2020 Oct 6.
The pandemic has highlighted the complexity of public health measures and their side effects, the intricacy of the underlying health, social and political phenomena at play as well as their specificity for marginalized minority communities. Based on this experience, this commentary suggests that it would be relevant in the future to develop consultation mechanisms that take into account the entire population, including marginalized minority groups, in order to better inform decision-making processes in times of pandemic. In a context of fluid crisis, any consultation process must take into account the limits of what is possible and mourn the comprehensiveness in favour of repeated iterations of dialogue, mediation and decision-making. This means creating conditions favourable to the consideration of the most vulnerable people and groups' voices by public authorities. In order to prepare for the next crises, it is necessary to develop strong links between public institutions and communities, both of majorities and minorities, in order to define the mechanisms favouring the emergence of truly inclusive public health, taking into account the physical, mental and social health of the population.
大流行凸显了公共卫生措施的复杂性及其副作用，凸显了所涉及的基本健康、社会和政治现象的复杂性，以及这些现象对边缘化少数群体社区的特殊性。基于这一经验，本评论建议，未来有必要制定协商机制，将包括边缘化少数群体在内的整个人口纳入其中，以便在大流行期间更好地为决策过程提供信息。在危机不断变化的情况下，任何协商过程都必须考虑到可能的局限性，并哀悼全面性，转而支持反复进行对话、调解和决策。这意味着要为公共当局考虑最弱势群体和群体的声音创造有利条件。为了为下一次危机做好准备，有必要在公共机构和社区之间建立牢固的联系，包括多数群体和少数群体，以确定有利于真正包容的公共卫生出现的机制，同时考虑到人口的身体、精神和社会健康。
