Shojaei Amirahmad, Salari Pooneh
Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Medical Ethics, Tehran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2021 Feb 27;10:62. doi: 10.4103/jehp.jehp_910_20. eCollection 2021.
Facing a devastating infectious outbreak like COVID-19, the command of "stay at home" was recommended by some officials as a self-voluntary quarantine strategy for controlling the outbreak, but the people perceived and act differently. In this study, we aimed at ethnographic evaluation of public response to this command.
This research used ethnography for observing the public response to the recommendation of "stay at home" in the COVID-19 outbreak. Data were collected via observing public behavior and documentation; then, the data were qualitatively analyzed.
Our findings showed 10 different ignored dimensions in this moral statement including lack of legal and administrative support, diverse perception and contradictory reactions of the people to the epidemiological forecasting and recommendations, different response to moral statements, various perceptions of the people about health and wellbeing, feeling exhausted of staying at home, not including justice and fairness in the moral statement, not clarifying the meaning of necessary matters, not considering the COVID-19 infected patients and their requirements, assigning the responsibility of government to the public, and halting other scientific activities and investigations in charge of COVID-19.
Taken together, the officials should take an active role in implementing this moral statement by strict regulations, public education about the disease, its control, and the importance of quarantine, considering justice and fairness in implementation.
面对像新冠疫情这样毁灭性的传染病爆发,一些官员建议“居家”指令作为控制疫情的一种自愿自我隔离策略,但民众的认知和行为各不相同。在本研究中,我们旨在对公众对此指令的反应进行人种志评估。
本研究采用人种志方法观察新冠疫情期间公众对“居家”建议的反应。通过观察公众行为和文献记录收集数据;然后对数据进行定性分析。
我们的研究结果显示,在这一道德声明中存在10个不同被忽视的方面,包括缺乏法律和行政支持、民众对疫情预测和建议的不同认知及矛盾反应、对道德声明的不同回应、民众对健康和幸福的各种认知、居家感到疲惫、道德声明中未包含正义和公平、未阐明必要事项的含义、未考虑新冠感染患者及其需求、将政府责任归咎于公众以及暂停其他负责新冠疫情的科学活动和调查。
总体而言,官员们应通过严格规定、对疾病及其控制以及隔离重要性的公众教育,在实施这一道德声明中发挥积极作用,并在实施过程中考虑正义和公平。