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Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward

A series of aggressive restrictive measures were adopted around the world in 2020–2022 to attempt to prevent SARS-CoV-2 from spreading. However, it has become increasingly clear the most aggressive (lockdown) response strategies may involve negative side-effects such as a steep increase in poverty,...

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Autores principales: Schippers, Michaéla C., Ioannidis, John P. A., Joffe, Ari R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491114/
https://www.ncbi.nlm.nih.gov/pubmed/36159300
http://dx.doi.org/10.3389/fpubh.2022.950965
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author Schippers, Michaéla C.
Ioannidis, John P. A.
Joffe, Ari R.
author_facet Schippers, Michaéla C.
Ioannidis, John P. A.
Joffe, Ari R.
author_sort Schippers, Michaéla C.
collection PubMed
description A series of aggressive restrictive measures were adopted around the world in 2020–2022 to attempt to prevent SARS-CoV-2 from spreading. However, it has become increasingly clear the most aggressive (lockdown) response strategies may involve negative side-effects such as a steep increase in poverty, hunger, and inequalities. Several economic, educational, and health repercussions have fallen disproportionately on children, students, young workers, and especially on groups with pre-existing inequalities such as low-income families, ethnic minorities, and women. This has led to a vicious cycle of rising inequalities and health issues. For example, educational and financial security decreased along with rising unemployment and loss of life purpose. Domestic violence surged due to dysfunctional families being forced to spend more time with each other. In the current narrative and scoping review, we describe macro-dynamics that are taking place because of aggressive public health policies and psychological tactics to influence public behavior, such as mass formation and crowd behavior. Coupled with the effect of inequalities, we describe how these factors can interact toward aggravating ripple effects. In light of evidence regarding the health, economic and social costs, that likely far outweigh potential benefits, the authors suggest that, first, where applicable, aggressive lockdown policies should be reversed and their re-adoption in the future should be avoided. If measures are needed, these should be non-disruptive. Second, it is important to assess dispassionately the damage done by aggressive measures and offer ways to alleviate the burden and long-term effects. Third, the structures in place that have led to counterproductive policies should be assessed and ways should be sought to optimize decision-making, such as counteracting groupthink and increasing the level of reflexivity. Finally, a package of scalable positive psychology interventions is suggested to counteract the damage done and improve humanity's prospects.
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spelling pubmed-94911142022-09-22 Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward Schippers, Michaéla C. Ioannidis, John P. A. Joffe, Ari R. Front Public Health Public Health A series of aggressive restrictive measures were adopted around the world in 2020–2022 to attempt to prevent SARS-CoV-2 from spreading. However, it has become increasingly clear the most aggressive (lockdown) response strategies may involve negative side-effects such as a steep increase in poverty, hunger, and inequalities. Several economic, educational, and health repercussions have fallen disproportionately on children, students, young workers, and especially on groups with pre-existing inequalities such as low-income families, ethnic minorities, and women. This has led to a vicious cycle of rising inequalities and health issues. For example, educational and financial security decreased along with rising unemployment and loss of life purpose. Domestic violence surged due to dysfunctional families being forced to spend more time with each other. In the current narrative and scoping review, we describe macro-dynamics that are taking place because of aggressive public health policies and psychological tactics to influence public behavior, such as mass formation and crowd behavior. Coupled with the effect of inequalities, we describe how these factors can interact toward aggravating ripple effects. In light of evidence regarding the health, economic and social costs, that likely far outweigh potential benefits, the authors suggest that, first, where applicable, aggressive lockdown policies should be reversed and their re-adoption in the future should be avoided. If measures are needed, these should be non-disruptive. Second, it is important to assess dispassionately the damage done by aggressive measures and offer ways to alleviate the burden and long-term effects. Third, the structures in place that have led to counterproductive policies should be assessed and ways should be sought to optimize decision-making, such as counteracting groupthink and increasing the level of reflexivity. Finally, a package of scalable positive psychology interventions is suggested to counteract the damage done and improve humanity's prospects. Frontiers Media S.A. 2022-08-25 /pmc/articles/PMC9491114/ /pubmed/36159300 http://dx.doi.org/10.3389/fpubh.2022.950965 Text en Copyright © 2022 Schippers, Ioannidis and Joffe. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Schippers, Michaéla C.
Ioannidis, John P. A.
Joffe, Ari R.
Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward
title Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward
title_full Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward
title_fullStr Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward
title_full_unstemmed Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward
title_short Aggressive measures, rising inequalities, and mass formation during the COVID-19 crisis: An overview and proposed way forward
title_sort aggressive measures, rising inequalities, and mass formation during the covid-19 crisis: an overview and proposed way forward
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9491114/
https://www.ncbi.nlm.nih.gov/pubmed/36159300
http://dx.doi.org/10.3389/fpubh.2022.950965
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