Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, Minas Gerais, Brazil; Nucleo interdisciplinar em Investigaçao Socioambiental/NIISA, Brazil.
Universidade Estadual de Montes Claros, UNIMONTES, Montes Claros, Minas Gerais, Brazil; Centro de Pesquisas em Doenças Infecciosas e Parasitárias/CPDIP, Brazil.
Med Hypotheses. 2021 Jan;146:110359. doi: 10.1016/j.mehy.2020.110359. Epub 2020 Nov 4.
The context of the COVID-19 pandemic has highlighted the structural inequalities and vulnerabilities experienced by black communities in the world, and in Brazil it is no different. The data generated in Brazil demonstrate that Brazilian inequality is alarming. Underreporting, non-prioritization of data that consider the variable race and color, and social groups in social vulnerability, help the unequal instrumentalization of epidemiological surveillance; many deaths from the black population are not being accounted for. Structural racism and the invisibility of the black population have been intensified with the pandemic. There is emerging evidence that COVID-19 may disproportionately affect black people, who in addition to the vulnerability resulting from socio-spatial conditions, appear to be more susceptible to contamination with a more serious and lethal outcome. Finally, biological differences, such as impaired functioning of the immune response, can be increased by structural racism. In this sense, we reinforce that possible relationships between social and biological vulnerabilities of black communities and the SARS-CoV-2 infection pandemic need to be considered and investigated.
新冠疫情大流行的背景凸显了世界各地的黑人社区所经历的结构性不平等和脆弱性，巴西也不例外。巴西产生的数据表明，巴西的不平等令人震惊。漏报、不优先考虑考虑种族和肤色变量以及社会弱势群体的数据，以及流行病学监测的不平等工具化，导致许多黑人的死亡没有被统计在内。结构性种族主义和黑人人口的隐形化随着疫情而加剧。有新的证据表明，新冠病毒可能不成比例地影响黑人，除了社会空间条件造成的脆弱性之外，他们似乎更容易受到感染，而且后果更严重、更致命。最后，结构种族主义可能会增加免疫反应功能受损等生物学差异。从这个意义上说，我们强调需要考虑和调查黑人社区的社会和生物脆弱性与 SARS-CoV-2 感染大流行之间可能存在的关系。
