What COVID‐19 has taught us about social inequities and the urgent need for systemic change

Journal article


Wright, T., Sah, Rajeeb Kumar, Keys, Clare, Nanayakkara, Gowri and Onyejekwe, Chisa 2021. What COVID‐19 has taught us about social inequities and the urgent need for systemic change. Public Health Nursing. 39 (1), pp. 344-349. https://doi.org/10.1111/phn.13001
AuthorsWright, T., Sah, Rajeeb Kumar, Keys, Clare, Nanayakkara, Gowri and Onyejekwe, Chisa
AbstractThis paper critically comments on the state of affairs in the UK relating to the pandemic and explores how a focus on inequities experienced by marginalized and vulnerable groups is necessary for exposing the material realties of everyday life, but also how such a focus has been hijacked by center right politics to distract us from collective responsibilities and building alliances for systemic change. The paper critically reviews the impact of the COVID-19 pandemic on the most marginalized and vulnerable in UK society and highlights the interconnected risk factors of COVID-19 and its secondary impacts to demonstrate how these are linked to political ideology, policy, and practice. We conclude with recommendations informed through a looking back at the key tenants and purposes of universal healthcare to apprise what is needed in this moment of crisis and beyond. [Abstract copyright: © 2021 Wiley Periodicals LLC.]
KeywordsPublic Health, Environmental and Occupational Health; General Nursing
Year2021
JournalPublic Health Nursing
Journal citation39 (1), pp. 344-349
PublisherWiley
ISSN0737-1209
1525-1446
Digital Object Identifier (DOI)https://doi.org/10.1111/phn.13001
Official URLhttps://onlinelibrary.wiley.com/doi/10.1111/phn.13001
Publication dates
Online29 Oct 2021
Publication process dates
Deposited06 Sep 2021
Accepted02 Sep 2021
Accepted author manuscript
Output statusPublished
References

Adams, R. (2020, October 14). University staff angry that Covid teaching advice was 'ignored'. The Guardian. Retrieved August 17, 2021, from https://www.theguardian.com/education/2020/oct/14/university-staff-a...

Altmann, D. M., Douek, D. C., & Boyton, R. J. (2020). What policy makers need to know about COVID-19 protective immunity. The Lancet. 395(10236): 1527-1529. https://dx.doi.org/10.1016%2FS0140-6736(20)30985-5

Botha, M. (2020, July 23). BSA Disability Study Group webinar 3: intersectional inequalities, part 1. BSA Disability Study Group. Retrieved August 17, 2021, from https://youtu.be/1FMiv6tbBF8

British Medical Association (BMA), (2020, July). The role of private outsourcing in the COVID-19 response. BMA. https://www.bma.org.uk/media/3576/the-role-of-private-outsourcing-in...

Cao, W., Fang, F., Hou, G., Han, M., Xu, X. & Dong, J. et al. (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research, 287:112934

Chatzidakis, A., Hakim, J., Littler, J., Rottenberg, C., & Segal, L. (2020). The care manifesto: the politics of interdependence. Verso.

Connell, R. (2013). The neoliberal cascade and education: an essay on the market agenda and its consequences. Critical Studies in Education. https://doi.org/10.1080/17508487.2013.776990

Davis, A. Y. (2017, February 19). History cannot be Deleted like Web Pages: Angela Davis’s speech. Women’s March on Washington. http://www.elle.com/culture/career-politics/a42337/angela-davis-wome...

Farrell, M. (2020) Intersectionality and its radical roots: implications for the discipline of geography today. Routes 1(2): 142–152.

Ford, M. and Mitchell, G. (2021). NHS pay award: reaction from nursing profession and next steps. Nursing Times. Retrieved August 17, 2021, from https://www.nursingtimes.net/news/workforce/nhs-pay-award-reaction-f...

Iacobucci, G. (2020). COVID-19: Is local contact tracing the answer?. BMJ 2020; 370:m3248. https://www.bmj.com/content/370/bmj.m3248

Josephson, A., Kilic, T. & Michler, J.D. (2021). Socioeconomic impacts of COVID-19 in low-income countries. Nat Hum Behav. 5:557–565. https://doi.org/10.1038/s41562-021-01096-7

Anonymised for review (2021).

Kippin, S., & Cairney, P. (2021). The COVID-19 exams fiasco across the UK: four nations and two windows of opportunity. British Politics, 1-23.

Launder, M. (2020). Coronavirus: changing the face of nursing. Nursing in Practice. Retrieved August 18, 2021, from https://www.nursinginpractice.com/analysis/coronavirus-changing-the-...

Lewis, J. (2021) The challenge of controlling COVID-19: public health and social care policy in England during the first wave. Policy Press.

Morgan, J. (2020, October 13). UK government was warned campus Covid outbreaks ‘very likely’. Times Higher Education. Retrieved August 17, 2021, from
https://www.timeshighereducation.com/news/uk-government-was-warned-c...

Munro, A. P. S., & Faust, S. N. (2020). Children are not COVID-19 super spreaders: time to go back to school. Arch Dis Child: BMJ 105:618-9. http://dx.doi.org/10.1136/archdischild-2020-319474

Newton, J., & Ferguson, B. (2017, September 06). Making the economic case for prevention. Public Health Matters. Retrieved August 17, 2021, from https://publichealthmatters.blog.gov.uk/2017/09/06/making-the-econom...

O'Connor, R., Wetherall, K., Cleare, S., McClelland, H., Melson, A., Niedzwiedz, C. & Robb, K. (2021). Mental health and well-being during the COVID-19 pandemic: Longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study. The British Journal of Psychiatry. 218(6), 326-333. https://doi.org/10.1192/bjp.2020.212

O’Dowd, A. (2020) COVID-19: Care home deaths in England and Wales rise sharply. BMJ. 2020;369;m1727. https://doi.org/10.1136/bmj.m1727

Office for National Statistics (ONS) (2020) Analysing regional economic and well-being trends: How UK regions and countries vary in performance on economic and wellbeing indicators, and how this trend has changed over time. (Report). ONS. Retrieved August 17, 2021, from https://www.ons.gov.uk/economy/nationalaccounts/uksectoraccounts/com...

Panorama (2020a, October 17) Belly Mujinga: searching for the truth. BBC1. Retrieved August 17, 2021, from https://www.bbc.co.uk/programmes/m000nh49

Panorama (2020b, September 28) Test and Trace exposed. BBC1. Retrieved August 17, 2021, from https://www.bbc.co.uk/programmes/m000n1xp

Panorama (2020c, October 27) Has Covid stolen my future?. BBC1. Retrieved August 17, 2021, from https://www.bbc.co.uk/programmes/m000nx44

Parker, J. (2020, October 26). School meals: Boris Johnson refuses to move on school meal vouchers. BBC News. Retrieved August 17, 2021, from https://www.bbc.co.uk/news/uk-54692880

Parnham, J. C., Laverty, A. A., Majeed, A. & Vamos, E. P. (2020). Half of children entitled to free school meals did not have access to the scheme during COVID-19 lockdown in the UK. Public Health. 187:161-164

Puar, J. (2007). Assemblages: homonationalism in queer times. Duke University Press.

Public Health England [PHE], (2020). Beyond the data: understanding the impact of COVID-19 on BAME groups. (Report). Public Health England. Retrieved August 17, 2021, from https://assets.publishing.service.gov.uk/government/uploads/system/u...

Purba, A. K. (2020). How should the role of the nurse change in response to Covid-19? Nursing Times. Retrieved August 17, from https://www.nursingtimes.net/clinical-archive/public-health-clinical...

Putnam, R. D., & Romney Garrett, S. (2020). The Upswing: how we came together a century ago and how we can do it again. Simon & Schuster.

Smith, L. E. et al. (2021) Adherence to the test, trace, and isolate system in the UK: results from 37 nationally representative surveys. BMJ 2021;372:n608

Social Mobility Commission (2017) State of the nation 2017: Social mobility in Great Britain. (Report). Social Mobility Commission. Retrieved August 17, 2021, from https://assets.publishing.service.gov.uk/government/uploads/system/u...

Sujita Kumar Kar S. K., Yasir Arafat, S. M., Kabir, R., Sharma, P. & Saxena, S. K. (2020). Coping with mental health challenges during COVID-19. In Shilendra K. Saxena (Ed.) Coronavirus disease 2019 (COVID-19): epidemiology, pathogenesis, diagnosis, and therapeutics. 199-213. https://link.springer.com/chapter/10.1007%2F978-981-15-4814-7_16#Sec...

Tabassum, N. (2020, September 02). What do we know about health inequalities of older BAME groups. Centre for Ageing Better. Retrieved August 17, 2021, from https://www.ageing-better.org.uk/blogs/what-do-we-know-about-health-...

The Wildlife Trust, (2020). What’s the damage?: why HS2 will cost nature too much. Report, The Wildlife Trust, UK. Retrieved August 17, 2021, from http://57ac0c4836212612790f-823d78da580330fdca9d1ec4339d74c1.r33.cf1...'s%20the%20damage%20-%20Full%20Report%20digital.pdf

Tyler, I. (2020). Stigma: the machinery of inequality. Zed Books.

Vinnakota, D., Davod Parsa, A., Yasir Arafat, S. M., Sivasubramanian, M. & Kabir, R. (2021). COVID-19 and risk factors of suicidal behavior in UK: A content analysis of online newspaper. Journal of Affective Disorders Reports. Volume 4, 100142. https://doi.org/10.1016/j.jadr.2021.100142

Yamey, G., & Walensky, R. P. (2020). COVID-19: re-opening universities is high risk. BMJ, 2020;370:m3365. http://dx.doi.org/10.1136/bmj.m3365

Ruqaiijah Y., & Seema M., Law, structural racism, and the COVID-19 pandemic. Journal of Law and the Biosciences, 7:1:lsaa036. https://doi.org/10.1093/jlb/lsaa036

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