Yagüe-Pasamón Rubén
Programa de Doctorado en Ciencias de la Salud y del Deporte; Universidad de Zaragoza. Zaragoza. España.
Unidad de Cuidados Intensivos Coronaria; Hospital Universitario Miguel Servet. Zaragoza. España.
Rev Esp Salud Publica. 2023 Jul 5;97:e202307059.
Monkeypox is a zoonosis, which is transmitted by direct and close contact, and has recently produced a large epidemic outbreak in non-endemic areas, classified as a Public Health Emergency of international concern by the World Health Organization. The global doubting and delayed response, and the stigmatizing approach to men who have sex with men promoted by public opinion, some scientists, socio-political agents, and the media, could be some of the reasons why the epidemic has not yet been contained. The stigma around the disease produces severe injuries to its victims and obstructs actions aimed at controlling the disease, as occurred with HIV in the past. To limit stigma and contain the outbreak, scientists should lead the diffusion of scientifically validated information, educate the population about prevention, symptoms, how to react in case of suspicion and the importance of not contributing to others' stigmatization. Interventions must also be conducted on victims of stigma to counter act its consequences and encourage their self-efficacy. Public health interventions should be carried out in collaboration with political and social actors to integrate evidence into regulations and procedures and facilitate public health interventions. Experts should also work together with the media to facilitate proper health communication and warn about bad practices. Similarly, the relationship between organizations and health professionals and stigmatized individuals must be improved to optimize their access and retention in health systems. The objective of this study was to review the stigmatizing response of some political agents, the media and social opinion to the Monkeypox epidemic, to highlight the consequences of stigma on the patients and the control of the disease. And to establish a series of recommendations to treat this situation effectively through a non-stigmatizing approach.
猴痘是一种人畜共患病,通过直接和密切接触传播,最近在非流行地区爆发了大规模疫情,被世界卫生组织列为国际关注的突发公共卫生事件。全球的怀疑态度和反应迟缓,以及一些科学家、社会政治行为体和媒体对男男性行为者的污名化态度,可能是疫情尚未得到控制的部分原因。围绕该疾病的污名给受害者造成了严重伤害,并阻碍了控制疾病的行动,就像过去艾滋病的情况一样。为了减少污名并控制疫情爆发,科学家应带头传播经过科学验证的信息,教育民众有关预防、症状、疑似情况的应对方法以及不助长他人污名化的重要性。还必须对污名受害者进行干预,以应对其后果并增强他们的自我效能感。公共卫生干预措施应与政治和社会行为体合作开展,将证据纳入法规和程序,并促进公共卫生干预。专家还应与媒体合作,促进正确的健康传播,并警告不良做法。同样,必须改善组织与卫生专业人员和被污名化个体之间的关系,以优化他们在卫生系统中的就医机会和留存率。本研究的目的是回顾一些政治行为体、媒体和社会舆论对猴痘疫情的污名化反应,强调污名对患者和疾病控制的影响,并提出一系列建议,通过非污名化方法有效应对这种情况。