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新冠疫情中的劳动、健康与脆弱性

Labor, health and vulnerability in the COVID-19 pandemic.

作者信息

Santos Kionna Oliveira Bernardes, Fernandes Rita de Cássia Pereira, Almeida Milena Maria Cordeiro de, Miranda Samilly Silva, Mise Yukari Figueroa, Lima Monica Angelim Gomes de

机构信息

Faculdade de Medicina da Bahia, Universidade Federal da Bahia, Salvador, Brasil.

Instituto de Ciências da Saúde, Universidade Federal da Bahia, Salvador, Brasil.

出版信息

Cad Saude Publica. 2020 Dec 16;36(12):e00178320. doi: 10.1590/0102-311X00178320. eCollection 2020.

Abstract

This essay discusses the repercussions of the COVID-19 pandemic on the relation between labor and health, from the perspective of the workers' risk and vulnerability. The pandemic has represented a humanitarian crisis, since both the disease and the measures to contain it lead to persistent socioeconomic effects. In this context, the labor category has an important role, either because of the feasibility of maintaining the social distancing and living conditions allowed by the employment relationship, or because of the impossibility of adopting protection strategies due to job insecurity. The essay was initially built on the basis of a literature review on the interface between COVID-19 and workers' health, carried out from December 2019 to April 2020, on the PubMed, BIREME, Cochrane Library, medRxiv and LitCovid bases, as well as using gray literature. Health professionals are more affected, but they also have greater access to diagnosis; however, data are still scarce on other professional categories, as well as on the social determinants that lead to greater labor-related vulnerability. In Brazil, the pandemic coincides with a situation in which workers accumulate significant losses of labor and social security rights, in addition to pre-existing social inequalities, such as precarious housing, with greater exposure and risk. Although the pandemic is still evolving, social inequalities are expected to intensify, with the deep retraction of the economy, and workers must be a priority target of attention in the control and spread of the disease, in addition to being the axis for planning public social and health protection policies.

摘要

本文从工人的风险和脆弱性角度,探讨了新冠疫情对劳动与健康关系的影响。这场疫情代表了一场人道主义危机,因为疾病本身及其防控措施都会导致持续的社会经济影响。在这种背景下,劳动这一类别具有重要作用,这要么是因为就业关系所允许的保持社交距离和生活条件具有可行性,要么是因为工作不安全而无法采取保护策略。本文最初基于2019年12月至2020年4月在PubMed、BIREME、Cochrane图书馆、medRxiv和LitCovid数据库上对新冠疫情与工人健康之间的界面进行的文献综述构建而成,同时也使用了灰色文献。卫生专业人员受影响更大,但他们也有更多机会获得诊断;然而,关于其他职业类别以及导致更大劳动相关脆弱性的社会决定因素的数据仍然很少。在巴西,疫情恰逢工人除了面临如不稳定住房等先前存在的社会不平等问题,还累积了大量劳动和社会保障权利损失的情况,且暴露程度和风险更高。尽管疫情仍在发展,但随着经济深度收缩,社会不平等预计会加剧,工人必须成为疾病防控和传播中优先关注的对象,同时也是规划公共社会和健康保护政策的核心。

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