1. The need for protecting and enhancing TB health policies and services for forcibly displaced and migrant populations during the ongoing COVID-19 pandemic
- Author
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Naser Almhawish, Ibrahim Abubakar, Miriam Orcutt, Salmaan Keshavjee, Hani Alashawi, Almuddin Zumla, Michael Wilson, Leonid Lecca, Aula Abbara, Ana Cristina Sedas, and Michael Knipper
- Subjects
0301 basic medicine ,Microbiology (medical) ,Economic growth ,Refugee ,030106 microbiology ,Population ,Context (language use) ,Infectious and parasitic diseases ,RC109-216 ,Microbiology ,Article ,1117 Public Health and Health Services ,03 medical and health sciences ,0302 clinical medicine ,Syndemic ,1108 Medical Microbiology ,Political science ,Pandemic ,Humans ,Tuberculosis ,030212 general & internal medicine ,education ,Pandemics ,Transients and Migrants ,education.field_of_study ,SARS-CoV-2 ,Health Policy ,Displaced person ,COVID-19 ,Migrant ,Social environment ,General Medicine ,Health services ,Forced migration ,Infectious Diseases ,0605 Microbiology - Abstract
Disruption of health services due to the COVID-19 pandemic threatens to derail progress being made in tuberculosis control efforts. Forcibly displaced people and migrant populations face particular vulnerabilities as a result of the COVID-19 pandemic, which leaves them at further risk of developing TB. They inhabit environments where measures such as "physical distancing" are impossible to realize and where facilities like camps and informal temporary settlements can easily become sites of rapid disease transmission. In this viewpoint we utilize three case studies-from Peru, South Africa, and Syria-to illustrate the lived experience of forced migration and mobile populations, and the impact of COVID-19 on TB among these populations. We discuss the dual pandemics of TB and COVID-19 in the context of migration through a syndemic lens, to systematically address the upstream social, economic, structural and political factors that - in often deleterious dynamics - foster increased vulnerabilities and risk. Addressing TB, COVID-19 and migration from a syndemic perspective, not only draws systematic attention to comorbidity and the relevance of social and structural context, but also helps to find solutions: the true reality of syndemic interactions can only be fully understood by considering a particular population and bio- social context, and ensuring that they receive the comprehensive care that they need. It also provides avenues for strengthening and expanding the existing infrastructure for TB care to tackle both COVID-19 and TB in migrants and refugees in an integrated and synergistic manner.
- Published
- 2021
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