The SARS-CoV-2 pandemic: A syndemic perspective

被引:62
|
作者
Fronteira, Ines [1 ]
Sidat, Mohsin [2 ]
Magalhaes, Joao Paulo [3 ]
Cupertino de Barros, Fernando Passos [4 ]
Delgado, Antonio Pedro [1 ,5 ]
Correia, Tiago [1 ]
Daniel-Ribeiro, Claudio Tadeu [6 ,7 ,8 ]
Ferrinho, Paulo [1 ]
机构
[1] Univ Nova Lisboa, Inst Higiene & Med Trop, Global Hlth & Trop Med, Lisbon, Portugal
[2] Univ Eduardo Mondlane, Fac Med, Community Hlth Dept, Maputo, Mozambique
[3] North Hlth Reg Adm, Publ Hlth Unit, Minist Hlth, Grp Primary Care Ctr Porto Oriental, Lisbon, Portugal
[4] Univ Fed Goias, Fac Med, Goiania, Go, Brazil
[5] Univ Cabo Verde, Praia, Cape Verde
[6] Inst Oswaldo Cruz, Lab Pesquisa Malaria, Fiocruz, Rio De Janeiro, Brazil
[7] Fiocruz MS, Ctr Pesquisa Diagnost & Treinamento Malaria, Rio De Janeiro, Brazil
[8] Secretaria Vigilancia Saude, Rio De Janeiro, Brazil
关键词
COVID-19; Health in all policies; One health; SARS-CoV-2; Syndemic; PUBLIC-HEALTH; HEPATITIS-C; COVID-19; HIV; DISEASE; DISPARITIES; HIV/AIDS; POVERTY; AFRICA; IMPACT;
D O I
10.1016/j.onehlt.2021.100228
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The SARS-CoV-2 pandemic has affected communities, populations, and countries throughout the world. As the SARS-CoV-2 pandemic developed, the extent to which the disease interacted with already existing endemic, noncommunicable and infectious diseases became evident, hence deeply influencing health outcomes. Additionally, a synergistic effect has been demonstrated also with socio-economic, cultural, and contextual determinants of health which seem to contribute to poorer health and accumulating social disadvantages. In this essay, using as a starting point the syndemic theory that translates the cumulative and intertwined factors between different epidemics, we argue that the SARS-CoV-2 is a one health issue of a syndemic nature and that the failure to acknowledge this contributes to weakened policy-making processes and public health responses and ineffective health policies and programs.
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页数:7
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