Department of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.
Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
J Pediatric Infect Dis Soc. 2022 Dec 7;11(Supplement_4):S127-S131. doi: 10.1093/jpids/piac088.
Coronavirus (COVID-19) laid bare the disproportionate effects of infectious agents on vulnerable communities. However, historically, infectious diseases have long been known to affect certain communities to a greater extent than others. The mechanisms behind these differences are multifactorial, and lie less in biological susceptibility and instead more on socioeconomic factors and other social determinants of health. This article highlights health disparities in common infections such as respiratory syncytial virus, tuberculosis, HIV, syphilis, and influenza and will use lessons learned from previous pathogens and infectious disease disparities in vulnerable populations to provide context to the COVID-19 pandemic.
冠状病毒（COVID-19）暴露了传染病对脆弱社区的不成比例影响。然而，从历史上看，传染病早就被认为对某些社区的影响比其他社区更大。造成这些差异的机制是多方面的，与其说与生物易感性有关，不如说与社会经济因素和其他健康社会决定因素有关。本文重点介绍了呼吸道合胞病毒、结核病、艾滋病毒、梅毒和流感等常见感染中的健康差异，并将利用从以前的病原体和弱势群体中的传染病差异中吸取的经验教训，为 COVID-19 大流行提供背景。
