Stigma in the time of influenza: Social and institutional responses to pandemic emergencies

Stigma in the time of influenza: Social and institutional responses to pandemic emergencies
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DOI:
10.1086/524986
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发表时间:
2008-02-15
影响因子:
6.4
通讯作者:
Brown, Peter J.
Brown, Peter J.
中科院分区:
医学2区
文献类型:
--
作者:
Barrett, Ron;Brown, Peter J.

文献摘要

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本文探讨了污名化在社会和机构应对传染病紧急情况中的作用,以更好地理解和最大限度地减少这些动态在致命流感大流行的情况下。恐惧和耻辱感除了对人类痛苦产生影响外,还可能严重拖延检测和治疗工作、与接触者追踪和隔离措施的合作以及预防和控制传染病资源的有效分配。1994年印度鼠疫流行说明了这些动态,该流行发生在最近发现H5N1流感的一个地区。公众的恐惧和耻辱感也在社会和机构对1918年流感大流行的反应中发挥了重要作用。这些历史模型为大流行防范和全球卫生政策提供了重要的经验教训。
This article examines the role of stigma in social and institutional responses to infectious disease emergencies, to better understand and minimize these dynamics in the event of a pandemic of virulent influenza. In addition to their impact on human suffering, fear and stigma can seriously delay detection and treatment efforts, cooperation with contact tracing and isolation measures, and the effective distribution of resources for the prevention and control of infectious diseases. These dynamics are illustrated by the Indian plague epidemic of 1994, which occurred in a region where H5N1 influenza has been detected recently. Public fear and stigma also played a significant role in the social and institutional responses to the 1918 influenza pandemic. These historical models provide important lessons for pandemic preparedness and global health policy.