Stigmatization can lead to violation of rights, discrimination and impair the efforts in containing the epidemic

Date of article: 13/04/2020

Daily News of: 14/04/2020

Country:  Croatia

Author: People's Ombudsman of Croatia

Article language: en

While living in times of widespread fear from the COVID-19, caused by the coronavirus, citizens who are perceived to be infected, or of those who indeed are, are in an increased risk of stigmatization. They are being perceived as less worthy which can, in extreme cases, lead to discrimination, violations of their rights and exclusion from society. Unfortunately, health condition is often associated with negative perception which determines the attitude of the society towards the ill. Thus, various contagious diseases, such as HIV-AIDS, tuberculosis and similar, have often been triggers of stigmatization of those affected and their families. This led to many obstacles in realization of their human rights, by denials of goods and services, but also to various forms of discrimination in many different areas of life. Even before this epidemic, we have been receiving complaints from citizens who have been denied the right to health protection, labour or housing due to their condition.

Same is happening in today’s situation of the widespread coronavirus when, as soon as the virus appeared in certain parts of China and the awareness about its danger and contagiousness rose, persons of Asian origin were met with considerable stigmatization. Reports on racist or xenophobic hate speech and incidents of hate crimes committed against people with Asian origin started to appear across Europe. Croatia was no exception – media reported on incidents such as children throwing objects at tourists from China while yelling “corona, corona”.

Stigma is the cause of many violations of human rights. In accordance with the International Covenant on Economic, Social and Cultural Rights, but also the Croatian Anti-discrimination Act, any discriminatory treatment towards persons based on their health condition or the perception of such health condition is forbidden. It is the state’s responsibility to make sure that no health condition presents an obstacle in retaining human rights, such is the right to health protection, as we have observed recently in the case of a young woman in urgent need of a surgery.

In order to prevent violations of human rights of persons suspected to have the virus, or those who actually have it, the World Health Organization gave a recommendation not to associate contagious diseases with geographical regions. This, in addition to associating health conditions with certain groups, ethnicities, skin colors, education, socioeconomic statuses or regional origins, can lead to exclusions of entire communities, exposing them to various forms of unacceptable treatments, including threats and violence.

At the same time, WHO stresses how stigma can have negative impact on the whole society, as fear of unwanted reactions can cause people to hide their condition and, in order to avoid unpleasantries, not seek medical help, which can have fatal consequences to their, but also public health, as well as impair the success of the measures taken to contain the virus. Combating stigmatization based on health condition can add to efficient prevention of spreading of the epidemic, so it is important that every individual becomes aware that he or she can get sick themselves, and adjust their behaviour and actions in accordance with relevant and verified information from competent authorities, such is Croatian Public Health Institute, about how the virus is acting and how to reduce the risk of infection.

On the other hand, in order to protect the sick ones, cured ones and people in self-isolation from stigmatization, it is important to report on the cases in a way that, when speaking about the number of infected, does not provide information from which it would be possible to identify those who have been tested or confirmed infected. It is also important to ensure that people in isolation, such as older people, have sufficient social contact without exposure to the contagion. Finally, seeing how those who have gone through the disease have valuable experience and insight into how to improve the precaution measures, it is important to include them into making decisions that have a major impact on their lives. This will, after all, have a positive impact on trust in the authorities, which is the key in succeeding in combating the spread of the virus.

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