Bhaskar Sonu, Rastogi Aarushi, Menon Koravangattu Valsraj, Kunheri Beena, Balakrishnan Sindhu, Howick Jeremy
Pandemic Health System REsilience PROGRAM (REPROGRAM) Consortium, REPROGRAM Health Equity and Justice Study Group, Sydney, NSW, Australia.
Department of Neurology, Liverpool Hospital and South Western Sydney Local Health District, Sydney, NSW, Australia.
Front Psychiatry. 2020 Dec 3;11:559905. doi: 10.3389/fpsyt.2020.559905. eCollection 2020.
The coronavirus 2019 disease (COVID-19) is deepening the inequity and injustice among the vulnerable communities. The current study aims to present an overview of the impact of COVID-19 on equity and social justice with a focus on vulnerable communities. Vulnerable communities include, but not limited to, healthcare workers, those from lower socioeconomic backgrounds, ethnic or minority groups, immigrants or refugees, justice-involved populations, and people suffering from chronic diseases or mental illness. The implications of COVID-19 on these communities and systemic disparities beyond the current pandemic are also discussed. People from vulnerable communities' experience disproportionately adverse impacts of COVID-19. COVID-19 has exacerbated systemic disparities and its long-term negative impact on these populations foretell an impending crisis that could prevail beyond the COVID-19 era. It is onerous that systemic issues be addressed and efforts to build inclusive and sustainable societies be pursued to ensure the provision of universal healthcare and justice for all. Without these reinforcements, we would not only compromise the vulnerable communities but also severely limit our preparedness and response to a future pandemic.
2019冠状病毒病（COVID-19）正在加剧弱势群体之间的不平等和不公正。本研究旨在概述COVID-19对公平和社会正义的影响，重点关注弱势群体。弱势群体包括但不限于医护人员、社会经济背景较低的人群、种族或少数群体、移民或难民、涉及司法程序的人群以及患有慢性病或精神疾病的人。还讨论了COVID-19对这些社区的影响以及当前大流行之外的系统性差异。弱势群体中的人们遭受了COVID-19 disproportionately的不利影响。COVID-19加剧了系统性差异，其对这些人群的长期负面影响预示着一场即将到来的危机，这场危机可能在COVID-19时代之后仍然存在。解决系统性问题并努力建设包容和可持续的社会，以确保为所有人提供普遍的医疗保健和司法服务，这是一项艰巨的任务。没有这些强化措施，我们不仅会损害弱势群体，还会严重限制我们对未来大流行的防范和应对能力。
