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Concerns

  • Stressed, unsafe and insecure: Essential workers need a new, New Deal. University of Massachusetts Amherst, June 5, 2020.
  • Essential workers need childcare in order to work. EdSurge April 22, 2020.
  • Essential workers are not able to demand protective gear, family and medical leave, or adequate pay. American Progress April 8, 2020.
  • Grocery store and warehouse employees say they do not have enough protection at work. They worry they will carry the virus home to their families. New York Times April 20, 2020.

Ethical Principles

  • Provide adequate institutional and professional support to enable competent performance. APHA Code of Ethics, 4.8.4.
  • Governments and the healthcare sector should institute measures and processes to guarantee provisions and support services to individuals and/or communities affected by restrictive measures. University of Toronto
  • Frontline workers should be given fair remuneration for their work. WHO Ethics in a Outbreak

Recommendations and Practices

Concerns

  • COVID-19 pandemic and social distancing: economic, psychological, family, and technological effects. Trends in Psychiatry and Psychotherapy, Apr-May, 2021.
  • COVID-19 and the effects of social distancing on the economy. VoxEU. August 31, 2020.
  • Deaths from a second wave of infections following relaxed physical distancing would be worse for the economy than remaining isolated longer to get the virus more under control. The Verge March 25, 2020.
  • Due to COVID-19, the economy is reported as a significant source of stress by 7 out of 10 adults in the United States (compared to 46% in 2019). American Psychological Association
  • Rates of depression and anxiety are increasing in Americans, representing the negative mental health effects of coronavirus. The Washington Post, May 4, 2020.
  • Regular care needs have gone unmet because people are afraid to visit the doctor. Child vaccines, including measles, experienced a drastic decline in March and April. Stat News, May 8, 2020.
  • Afraid of catching coronavirus, people with potentially fatal conditions are avoiding the emergency room. This treatment delay leads to worse outcomes or death. ABC News, April 23, 2020.

Ethical Principles

  • Efforts to maximize utility require consideration of proportionality (balancing the potential benefits of an activity against any risks of harm) and efficiency (achieving the greatest benefits at the lowest possible cost). WHO Ethics in an Outbreak
  • Efforts should be made to support the social and professional reintegration of individuals for whom confinement is no longer necessary, including measures to reduce stigmatization and discrimination. WHO Ethics in an Outbreak

Recommendations and Practices