Triple jeopardy: disabled people and the COVID-19 pandemic

Shakespeare, Tom; Ndagire, Florence; Seketi, Queen Elizabeth

doi:10.1016/s0140-6736(21)00625-5

Cited by 195 publications

(151 citation statements)

References 14 publications

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“…The outcome of the SARS-CoV-2 outbreak in this cohort is unexpected. Despite having premorbid severe disabilities (arterial hypertension, diabetes mellitus, heart disease, chronically disabled and hospitalized patients) which are well-established risk factors for fatal outcome in SARS-CoV-2 infection [ 18 , 19 ], in majority of them, most of the positive cases (93.7%) did not have a severe affection.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on a brain damage unit

Romero

Bravo-Martín²,

Oliva-Navarrete³

et al. 2021

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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Aim To report on the impact of COVID-19 on a brain damage unit. Methods We reviewed the records of all patients admitted to our brain damage unit. The study included all the significant clinical events from the first RT-PCR assay (April 8th, 2020) for SARS-CoV-2 to the day all patients tested negative (June 8th, 2020). Results Of the 20 patients (14 men) (age 57.7 ± 14.9; 2–71 months after brain damage; all with a Rankin scale > 4), 16 tested positive for SARS-CoV-2 and remained positive for a mean of 32.3 days (ranging from 26 to 61). One patient died from COVID-19, while 12 patients were asymptomatic and three suffered mild pneumonia without acute respiratory distress syndrome. All patients received prophylactic subcutaneous heparin. Intravenous methylprednisolone was prescribed for three patients with bilateral pneumonia with excellent results. Conclusions Most positive cases (93.7%) were not severe. The good outcome was most likely due to the use of phylactic anticoagulation therapy, the early use of methylprednisolone for pneumonia, and the previously reported immunosuppression amid patients with brain damage. This study hopes to encourage further study into brain damage immunity.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on a brain damage unit

Romero

Bravo-Martín²,

Oliva-Navarrete³

et al. 2021

Diabetes & Metabolic Syndrome: Clinical Research & Revi

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“…Hemos aprendido, de golpe, cómo las limitaciones afectan a nuestra vida cotidiana y cómo nuestros hábitos sociales se merman. Shakespeare et al (2021) afirman que la pandemia ha triplicado el riesgo de las personas con discapacidad por los problemas de acceso a los tratamientos médicos y rehabilitación, el impacto negativo en su bienestar que han supuesto las medidas de prevención de la pandemia y por el incremento de los problemas relacionados con su discapacidad. En este sentido, la plena accesibilidad digital que garanticen los Ayuntamientos a los servicios sociales, información y contenidos relevantes en el ámbito de la salud, así como a los recursos de educación, empleo y ocio adquieren una relevancia primordial para el colectivo de las personas con discapacidad.…”

Section: Coda ¿Y La Pandemia?unclassified

La discapacidad ante el nuevo contrato social digital: la redifinición de las políticas urbanas

Manfredi¹,

Kolotouchkina²

2021

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“…For example, Kavanagh and colleagues' [8] exploration of healthcare provision for disabled people during the pandemic demonstrated that pre-existing factors were intensified: health workforce issues, limited accessibility of healthrelated information and health promotion programs, unequal access to health services and interventions, and limited coordination of healthcare across sectors. There is strong evidence to document the impact of COVID-19 in simultaneously exacerbating these effects while making them more evident [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

“…Data from other countries has provided empirical insights into the specific effects of policy, including lockdowns or movement restrictions, on the experiences of people with disability. Epstein et al [2] found that people with disability experienced barriers in accessing their usual health and social care, as well as for COVID-19related care (including testing, also see [9][10][11]). Ableist medical rationing was a significant concern [2]; not only did disabled people feel discriminated when they sought care, but they were fearful of the effects of this should they require hospitalisation [2].…”

Section: Introductionmentioning

confidence: 99%

Examining the role of government in shaping disability inclusiveness around COVID-19: a framework analysis of Australian guidelines

Colon-Cabrera

Sharma

Warren

et al. 2021

Int J Equity Health

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Background The COVID-19 pandemic has uncovered the ways in which disabled people are made more vulnerable due to structural inequalities. These vulnerabilities are the result of the interaction between individual and structural factors that shape how risk is experienced by disabled people. In Australia, these vulnerabilities are influenced by the way disability services and care for disabled people are delivered through a consumer-directed approach. We analysed the policies and documentation made by the Australian Government and state and territory governments during the pandemic to explore whether these were disability-inclusive. We aimed to unpack how these policies shaped disabled people as vulnerable citizens. Methods Guided by documentary research, we used framework analysis to examine the policies of the Australian Government and state and territory governments. We analysed legislation that was given royal assent by the federal, state and territory governments, and documents (reports, fact sheets, guidance documents, etc.) published by the federal government and the state of Victoria (given that this state experienced the brunt of the epidemic in Australia) between February 2020 to August of 2020. Results We found that most of the resources were not aimed at disabled people, but at carers and workers within disability services. In addition, most policies formulated by the Australian Government were related to the expansion of welfare services and the creation of economic stimulus schemes. However, while the stimulus included unemployed people, the expansion of benefits explicitly excluded disabled people who were not employed. Most of the legislation and documents offered accessibility options, though most of these options were only available in English. Disability oriented agencies offered more extensive accessibility options. Conclusions The findings indicate a large number of documents addressing the needs of disabled people. However, disability-inclusiveness appeared to be inconsistent and not fully considered, leaving disabled people exposed to greater risk of COVID-19. Neoliberal policies in the health and welfare sector in Australia have led to an individualisation of the responsibility to remain healthy and a reliance on people as independent consumers. Governments need to take a clear stance towards the emergence of such a discourse that actively disvalues disabled people.

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Triple jeopardy: disabled people and the COVID-19 pandemic

Cited by 195 publications

References 14 publications

Impact of COVID-19 on a brain damage unit

Impact of COVID-19 on a brain damage unit

La discapacidad ante el nuevo contrato social digital: la redifinición de las políticas urbanas

Examining the role of government in shaping disability inclusiveness around COVID-19: a framework analysis of Australian guidelines

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