Social stigma associated with COVID-19

The level of stigma towards those affected with COVID-19 is due to multiple factors. The virus is new, and there are many unknowns surrounding transmission and a possible cure. Many people cannot access tests and[7] drug development for treatment is still in progress. Meanwhile, there is widespread misinformation regarding the disease, under which various online groups and activists have spread conspiracy theories and unproven claims, including: that the virus was created in a laboratory; the virus was "planned"; and that the virus was caused by 5G networks, among other theories.[8][9][10]

In this cultural context, the disease itself is an unknown—and, according to many international health experts, people feel fearful when confronted with the unknown. In such circumstances, they may deal with this fear by assigning blame to the "other," [2] which may include groups of people, governments, or institutions. This environment can fuel harmful stereotypes. As a result, social cohesion is undermined, and there may be increased social isolation of impacted groups. With this social isolation, people may be less likely to seek out medical help or services, take necessary precautions, or seek out social services, due to fear of discrimination. This can contribute to a situation in which the virus is more likely to spread, leading to severe health problems and difficulties in controlling disease outbreak.[2] Furthermore, people could also subjected to physical violence[3] and hate crimes.

In order to address social stigma, it is important to build trust in reliable health services and advice, show empathy to the affected individuals and adopting effective practical measures to keep people safe.[2] The following measures are recommended to address social stigma by the UNICEF:[2]

• Use of people-first language, that respects the individual and talking about the disease with a positive tone in all communication channels, including media, such as:
  • Not attaching ethnicity or locations to the disease, such as 'Chinese virus', 'Wuhan virus' or 'Asian virus' and using the official name COVID-19 or in a colloquial context the Coronavirus or Corona
  • Using 'people who have COVID-19' instead of 'COVID-19 cases' or 'COVID-19 victims' or 'COVID-19 suspects'
  • Using terminology like, people 'acquiring' or 'contracting' COVID-19 instead of people 'transmitting COVID-19', 'infecting others' or 'spreading the virus' as it implies intentional transmission and assigns blame
  • Refrain from using criminalising or dehumanising terminology in a way that might create impression that those with the disease have done something wrong, thereby feeding stigma
  • Speaking the facts about COVID-19 accurately, based on scientific data and latest official health advice
  • Not repeating or sharing unconfirmed rumors, and avoiding using of exaggerative terms like 'plague' and 'apocalypse' to denote the pandemic
  • Emphasizing the effectiveness of prevention and treatment measures, rather than dwelling on the negatives or messages of threat.
• Spreading accurate and updated facts, such as by:
  • Using simple language and avoiding clinical terminology
  • Engaging social influencers, such as religious or political leaders and celebrities to amplify the message in a geographically and culturally appropriate way
  • Amplifying the stories and images of local people who have recovered or supported a loved one through the recovery from COVID-19
  • Portraying of different ethnic groups, and use of symbols and formats that are neutral and not suggestive of any ethnic group
  • Practicing ethical journalism: Reports that overly focus on patient responsibility can increase stigma for people who may have the disease. News that speculates the source of COVID-19 in each country, for example, can increase stigma towards such individuals.
  • Linking up to the other initiatives that address social stigma and stereotyping
• Observe communication tips:[3]
  • Correct misconceptions, while acknowledging that people's feelings and subsequent behaviour are real, even if their underlying assumptions are false.
  • Share sympathetic narratives and stories that humanise the struggles of affected individuals and groups
  • Communicate support for those working in the frontline

According to United Nations Population Fund, midwives play an essential role in reducing stigma and battling the spreading belief that health facilities are to be avoided.[11]