Pandemic Sciences Institute, University of Oxford, Oxford, United Kingdom.
Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Front Public Health. 2023 Dec 22;11:1303679. doi: 10.3389/fpubh.2023.1303679. eCollection 2023.
There is a complex interplay between infectious disease outbreaks and the stigmatization of affected persons and communities. Outbreaks are prone to precipitating stigma due to the fear, uncertainty, moralisation, and abatement of freedoms associated with many infectious diseases. In turn, this stigma hampers outbreak control efforts. Understanding this relationship is crucial to improving coordinated outbreak response. This requires valid and reliable methods for assessing stigma towards and within impacted communities. We propose adopting a cross-outbreak model for developing the necessary assessment tools. A stigma-informed approach must then be integrated into outbreak preparedness and response efforts to safeguard public health and promote inclusivity and compassion in future outbreaks.
传染病暴发与受影响者和社区的污名化之间存在着复杂的相互作用。由于许多传染病所带来的恐惧、不确定性、道德化和自由受限,暴发很容易引发污名化。反过来,这种污名化又会阻碍暴发的控制工作。了解这种关系对于改善协调一致的暴发应对至关重要。这需要有效的、可靠的方法来评估受影响社区内外的污名。我们建议采用跨暴发模型来开发必要的评估工具。然后,必须将污名知情方法纳入暴发准备和应对工作中,以维护公共卫生,并在未来的暴发中促进包容性和同情心。