The outbreak of COVID-19 pandemic has created a global health crisis that has a deep impact on world and everyday lives. Human are inherently social being, so, they prefer to have social life. due to this pandemic, the safety measures like social or physical distancing put in place to contain the spread of the virus by refraining from doing what is inherently human character,to find solace in the company of others.
Within this context of disease spreading rapidly, social and physical distancing, adherance to personal hygeine,use of mask, prolonged lockdown measures & closed factories, industrial plants, shops have not only affected health but also affects human psychology, behaviour, socio economic condition as well as economy.
COVID-19 pandemic has severely disrupted Prevention and treatment services for noncommunicable diseases (NCDs) along with other non covid diseases “Many people who need treatment for diseases like cancer, cardiovascular disease and diabetes, fractures & other non Covid disease have not been receiving the health services and medicines since the COVID-19 pandemic began. It’s vital that countries find innovative ways to ensure that essential services remain intact for NCDs & other non Covid disease continue, even as they fight COVID-19.”
Health services have been partially or completely disrupted by COVID-19 pandemic in many countries. More than half (53%) of the countries have partially or completely disrupted services for hypertension treatment; 49% for treatment for diabetes and diabetes-related complications; 42% for cancer treatment, and 31% for cardiovascular emergencies, significant number for fracture or orthopaedic related problems & other non Covid disease.
Rehabilitation services have been disrupted in almost two-thirds (63%) of countries, even though rehabilitation is key to a healthy recovery following severe illness from COVID-19 pandemic or from orthopaedic related illness In the majority (94%) of countries, health staff working in the area of NCDs are partially or fully reassigned to support COVID-19.
The postponements of public screening programmes (breast and cervical cancer) are also widespread, reported by more than 50% of countries. But the most common reasons for discontinuing or reducing services are cancellations or reffered of planned treatments for time being, a decrease in public transport system available, prolonged lockdown and a shortage of staff because health workers have been reassigned to support COVID19 pandemic Alternative strategies have been established in most countries around the globe to support the people at highest risk to continue receiving treatment for NCDs & other non covid diseases.
Globally 58% of countries are now using telemedicine (advice by telephone or online means) to replace in-person consultations or visiting out-patient departments.
Covid-19 pandemic has put enormous stress on health resourses around the world, In many countries it broke the existing health care system due to unavalability or lack of health resourses: in fact , Covid-19 has exposed already broken system in many countries. Countries fight with each other for health resources or there is internal competition within.This international phenomenon threatens health systems’ ability to prevent and treat the corona virus with shortages of essentials like hand sanitizers, masks, and pain relievers.
Covid-19 has put great stress on economy: due to prolonged lockdown measures & closed factories, industrial plants, shops & plight of migrant labourers, economy of many countries is going downhill. At the same time, some countries try to take advantages of the situation. Covid-19 pandemic is also worsening the ongoing problem of substandard, expensive and falsified drugs.
Health scams, falsified drugs, counterfeit materials can be harmful and even fatal to patients besides potentially leading to delays in proper diagnosis and treatment, sale of expensive counterfeit face masks and surgical gloves presents a serious public health hazard or problems against the spread of COVID-19 in many countries.
Health scams also have an economic impact where resources are already scarce.
The economic loss to governments and patients’ loss of income due to loss of jobs, closed factories, shops & other methods of livelihood increase socioeconomic inequalities and worsens health outcomes for these patients.
Covid-19 pandemic has drastically altered our life styles or routines. people resort to panic buying of potential drugs,treatments may also deplete medicines/drugs for patients who need most with chronic diseases– chloroquine and hydroxychloroquine remain unproven for COVID-19, but are vital medicines for autoimmune conditions.
Panic buying thretened to disrupt the global health supply chain. panic buying is not limited to grocery stores and pharmacies, It also presents a serious threat to ongoing global efforts to reach Sustainable Development Goal by 2030: to ensure “access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.”
It is also important that physical or social distancing measures, which are necessary to prevent the spread of COVID-19, are substantially more difficult for those with adverse social determinants and might contribute to morbidity.
Malnutrition or scarcity of food causes substantial risk to both the physical and mental health of children, including lowering immune response, which has the potential to increase the risk of infectious disease transmission Physical or social distance has been dubbed an issue of privilege that is simply not accessible for non previlegded.
Covid-19 has aggrevated global socioeconomic inequalities,While the pandemic has drastically altered our routines.The connectedness began as people voiced their concerns with panic buying and its impact on vulnerable populations due to underlying socioeconomic inequalities.
COVID-19 has been considered as great equaliser, necessitating social & physical distancing measures across the globe, it has not discriminated to anyone based on religion,region,caste,poor/rich,:in fact it has affected all, it is increasingly demonstrable that social inequalities in health & economy are profoundly, and unevenly, impacting COVID-19 morbidity and mortality.
Many social determinants of health—including poverty, low socioeconomic status physical environment (eg, smoke exposure, homelessness), personal habits and race or ethnicity—can have a considerable effect on COVID-19 outcomes. Homeless families are at higher risk of transmission because of crowded living spaces and scarce or no access to COVID-19 screening and testing facilities. Smoke exposure and smoking has been linked to adverse outcomes in COVID-19
Covid-19 pandemic has adversely affected all aspects of human life.The effect of social determinants of health and COVID-19 morbidity is perhaps underappreciated; the great public health lesson is that for centuries all pandemics disproportionately affect the poor, disadvantaged and non previledged.
Additionally, mitigating social determinants—such as improved housing, good ventilation, reduced overcrowding, good personal hygeine and improved nutrition—reduces the effect of infectious diseases, such as tuberculosis, even before the advent of effective medications or anti tubercular drugs.
COVID-19 pandemic have shed light on the broad disparities or inequalities within our society and provides an opportunity to address those disparities/inequalities moving forward.
* Pashupati Chaudhary: Professor, Department of Orthopaedics (Consultant Orthopaedic and Spine Surgeon) at B.P. Koirala Institute of Health Sciences,Dharan, Nepal.
** Opinions expressed in this article are the author’s own and do not necessarily reflect the editorial policy of The Asia Live.