Article Type : Review Article
Authors : Ahmed Thabet Helal Ibrahim
Keywords : Stigma; Negative attitudes; Coronavirus (COVID-19); Egypt
In December 2019, in the Chinese city of Wuhan, the New
Corona Virus appeared. It was classified by the World Health Organization on
March 11th, 2020 as a pandemic. The number of infected people over the world
has reached 35,659,007, including 1,044,269 deaths until now. Its emergence has
been accompanied by many social problems that require the social work response.
This article discusses the social stigma for people with COVID-19 and its
effects on them. In addition, the article develops a set of facing strategies
that may be useful for social workers over the world in responding to the
stigma of those people.
The stigma is one of the important topics in social
work which has always been concerned with dealing with the stigma of clients
infected with HIV, cancer, leprosy, venereal diseases, psychiatric diseases
such as schizophrenia, skin diseases, addiction, disabilities, juvenile
deviation, and infectious diseases [1-8]. Kucharsky indicated, in his book
"The Rules of Infection", that history tells us that epidemics lead
to the stigmatization of societies. This can make controlling epidemics more
difficult. Stigmatizing behaviour’s towards individuals infected with epidemics
can make families deny that they have an infected person. It makes people
reluctant to report about the patient which increases the infection spread [9].
Covid-19 can be accompanied by discrimination and
social stigma for infected people, their families, their health care and
frontline workers. Stigma and discrimination must be faced through some steps
through all stages of responding to Covid-19. Wang indicated that people tend
to overreact and prejudice towards patients, especially when they feel that
they are more exposed to the infection [10]. Logie & Turan explained that
there is a need for more studies that provide us with information which help to
reduce the stigma of COVID-19, with the need to find effective strategies that
prevent the stigma from occurring with people who have a contact with New
Corona Virus victims [11].
The evidence indicated that public health emergencies
such as (Covid-19) represent difficult times for people and societies. Fear and
anxiety from disease can lead to a social stigma towards people, places, or
things. Stigma and discrimination can occur when people associate a disease,
such as COVID-19, with a population or a nationality. The stigma towards the
patient appears when some people associate the virus with a specific person,
place, or society. Stigma also occurs after a person leaves quarantine however,
he/she is not a risk for spreading the virus. It also appears when some people
die of the virus. People who work in health care may also feel stigmatized as
people assume, they have the virus [12].
Stigmatized groups can be exposed to the following
risks: social avoidance or rejection; deprivation of health care, education,
housing, and work; physical violence; as well as the effects of stigma on the
emotional or mental health of stigmatized groups and the societies in which they
live. Stigma can lead to social isolation and the spread of the virus. This
leads to health problems and a disease outbreak. Stigma can make people hide
infection and deprive people of health care [12].
Like most countries in the world, Corona Virus
appeared in Egypt. The number of people infected has reached nearly 3,500
people. One of the main concerns that have been linked to its emergence in
Egypt is the fear of showing that people are infected leading to negative
trends and feelings of stigmatization from their community and families. In
Egypt, for example, some of people in a village of northern Egypt refused to
burry a doctor because she died out of the virus. They believed that the dead
person could infect the rest of people. In Cairo, some families gathered and
demanded that one of the doctors leave her house immediately just because she
works in a hospital dealing with Corona Virus cases. They were worried that she
may infect their children. The third example is about an infected person who
recovered from the virus and stated that some of his neighbours refused to let
him continue staying in the same street and asked him to leave his house
because they believed that he was still suffering from the virus. These three
examples summarize the stigma of some members of society. In addition, there is
the stigma of those who have a contact with Corona Virus victims, medical
staff, or victims' families and relatives.
With the increasing feelings and behaviours of stigma
towards individuals infected with Corona Virus, many international
organizations such as the WHO, IFRC, UNCIF and the Centre for Disease Control
have rushed to publish several strategies to deal with stigmatic behaviour’s
towards the infected people. These organizations have demanded stopping the
stigma as important requirements to make members of societies resist this
epidemic. Everyone can help in stopping the stigma related to Covid-19 through
the following points [12,13]:
1. Knowing
the facts about the virus and sharing it with others in the community.
2. Sharing
precise information about how the virus spreads.
3. Maintaining
the privacy and confidentiality of those seeking health care and those who are
in contact with the infected person.
4. Raising
awareness about Covid-19 without raising fear.
5. Speaking
about the negative effects associated with stigmatizing the infected persons
and their families including negative data on social media about groups of
people or excluding those people who don't constitute danger from daily
activities.
6. Making
sure to take care about the images that are shared on social media and ensuring
that they do not reinforce stigmatic stereotypes about the infected.
7. Participating
in stigmatized groups across media channels including news media and social
media.
8. Delivering
support, encouragement, and thanksgivings to those who are on the frontlines of
this outbreak (health care workers, volunteers, community leaders, etc.).
9. Demanding
help from people who travelled to areas where Covid-19 outbreak occurred for
providing valuable services to the society by helping to ensure that this
disease does not spread significantly and providing the most appropriate ways
to prevent this virus.
10. Providing
all forms of social support to the people who have returned from China or are
concerned about friends or relatives in the affected area as well as providing
psychological support to the infected persons and their families.
11. There
is a need for collective solidarity and global cooperation to prevent further
transmission and reduce the concerns of societies.
12. Sharing
sympathetic narratives that humanize the experiences and struggles of
individuals or groups affected by the new Corona Virus (Covid-19).
It is worth noting that in order to deal with the
stigmatic behaviour’s towards those infected with Corona Virus in Egypt, the
Egyptian government gave the name of doctor Sonia Aref, who died of the Corona
Virus and some people from her village refused to bury her due to their fear of
infection, to a school in this village and also to a hospital for Hospital of
Infectious Diseases in Cairo. The government also launched a campaign to stop
bullying against doctors and against people infected with the virus. Religious
institutions also prohibited the negative perception towards the people living
with the virus. At the end of this article, we invite researchers to conduct more
descriptive studies, as well as to test the effectiveness of therapeutic
interventions in reducing stigma for the New Corona Virus patients and their
families.
The author has no relevant
affiliations or financial involvement with a financial interest in or financial with the subject matter or
materials discussed in the manuscript.
There is no
conflict of interest.