How lessons from the HIV epidemic can help combat COVID-19 Coronavirus Disease COVID HIV TheLancetHIV UCSF UCBerkeley LSHTM
By Suchandrima BhowmikNov 13 2022Reviewed by Benedette Cuffari, M.Sc. Three lessons learned from the human immunodeficiency virus pandemic were published by an international group of public health researchers in April 2020 in response to the coronavirus disease 2019 . These included anticipation of health inequalities, engagement in multidisciplinary efforts, and creating an environment to support effective behavioral changes.
Antigen and antibody tests, along with the development of effective messenger ribonucleic acid and viral vector vaccines, eventually became available to prevent severe COVID-19. Significantly, the rate at which these therapeutics were developed significantly differs from the rate at which HIV medications, preventive measures, and diagnostics were eventually established.
Social and economic disadvantages increased health inequalities within and between countries. For HIV, the interaction between the virus and social health determinants can worsen health outcomes and increase comorbid conditions for marginalized and disempowered communities. Inequities in access to tools for combatting COVID-19 can result in the emergence of new SARS-CoV-2 variants that can evade both natural and vaccine-induced immunity. Although the COVID-19 Vaccine Global Access facility intended equal access to vaccines, HICs sabotaged international cooperation that would have led to affordable vaccine prices, globalized manufacturing capacities, and facilitated an early return to pre-pandemic life.
Nevertheless, several examples of engagement at the community level led to improved uptake of COVID-19 information and services. The effect of misinformation and understanding of mechanisms plays a vital role in mitigating future pandemics. The emergence of discrimination and racism towards people from east Asia occurred with the spreading of the term “China virus” through social media and national leaders. Additionally, the removal of blanket restrictions in many countries led to increased judgment, fear, and blame of this population.
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