Casa de Oswaldo Cruz, Fiocruz, Brazil.
J Hist Med Allied Sci. 2024 Sep 23;79(4):395-406. doi: 10.1093/jhmas/jrae010.
This article focuses on Brazil and Peru, the Latin American epicenter of the coronavirus pandemic during 2020 and 2021. The pandemic magnified the legacy of years of neoliberal policies, corruption and racism in these countries, the limitations of their poverty-reduction programs, the fragility of their democratic systems, and the insufficient political regard for public health and basic sanitation. I rely on the concepts of negligence and necropolitics. The first refers to the abdication of authorities in providing sufficient basic services to its citizens. The second - coined by Achille Mbembe before the pandemic - is used to explain the banalization by governments of preventable deaths of discriminated social groups. On a global level, the problematic access to medical equipment and vaccines was a failure because of the hoarding of vaccines by rich nations and the blaming of developing countries for their high mortality. The result was that national and international governmental reactions to COVID-19 worsened health asymmetries within countries and between the Global North and South.
本文聚焦于巴西和秘鲁,这两个国家是 2020 年至 2021 年期间拉丁美洲冠状病毒大流行的中心。这场大流行放大了多年新自由主义政策、腐败和种族主义在这些国家的遗留问题,凸显了其减贫计划的局限性、民主制度的脆弱性以及对公共卫生和基本卫生设施的关注不足。我依赖于疏忽和专制政治这两个概念。前者是指当局放弃为其公民提供足够的基本服务。后者是由阿契尔·姆贝贝在大流行前创造的,用于解释政府对被歧视社会群体可预防死亡的漠然。在全球层面,由于富国囤积疫苗以及指责发展中国家死亡率高,医疗设备和疫苗的获取出现问题,这是一次失败。结果是,各国和国际政府对 COVID-19 的反应加剧了国内和南北国家之间的健康不平等。