Undocumented U.S. Immigrants and Covid-19

Page, Kathleen R.; Venkataramani, Maya; Beyrer, Chris; Polk, Sarah

doi:10.1056/nejmp2005953

Cited by 225 publications

(251 citation statements)

References 3 publications

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“…Yet COVID-19 travel restrictions may also facilitate stigma and xenophobia by reproducing the social construction of illness as a foreign invasion, in turn reinforcing social hierarchies and power inequities [1,10] -at times through authoritarian means [11]. Enforcement of travel bans, movement restrictions, and quarantines may disproportionately affect already stigmatized persons, including homeless persons [17], persons who are incarcerated [18], migrants and refugees [19], undocumented immigrants [20], and racial minorities [8]. There are global media reports of arrests for COVID-19 transmission [21][22][23][24][25].…”

Section: Tensions Between Stigma Mitigation and Covid-19 Public Healtmentioning

confidence: 99%

“…This is not unique to HIV: the United Nations Population Fund also reported significant funding shortfalls for humanitarian relief in 2019 [39]. We need to act now to harness political investment in challenging the social inequities that exacerbate COVID-19′s impact on marginalized communities-such as refugees [19] and undocumented immigrants [20]-rather than waiting for the pandemic to subside when there may be a decreased sense of commitment, urgency, and momentum.…”

Section: Tensions Between Stigma Mitigation and Covid-19 Public Healtmentioning

confidence: 99%

See 1 more Smart Citation

How Do We Balance Tensions Between COVID-19 Public Health Responses and Stigma Mitigation? Learning from HIV Research

2020

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We are not being invaded. The body is not a battlefield. The ill are neither unavoidable casualties nor the enemy. We-medicine, society-are not authorized to fight back by any means whatever. -Sontag (1 p. 180) Sontag's quotation above from 'AIDS and its metaphors' [1] reminds us to expose, and disengage from, constructions of illness that propagate fear. We are called to address the fear of COVID-19 by correcting misinformation [2,3]. While misinformation is indeed a driver of fear and stigma, other underlying facilitators produce stigma [4,5] and need to be considered in stigma mitigation. HIV research and an understanding of the historical construction of illness can be leveraged to mitigate COVID-19 stigma. COVID-19 public health responses-essential for prevention and containment [6,7]-also have the potential to exacerbate stigma [8]. We outline four tensions between COVID-19 containment and stigma mitigation, and offer possible ways forward.

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Section: Tensions Between Stigma Mitigation and Covid-19 Public Healtmentioning

confidence: 99%

Section: Tensions Between Stigma Mitigation and Covid-19 Public Healtmentioning

confidence: 99%

How Do We Balance Tensions Between COVID-19 Public Health Responses and Stigma Mitigation? Learning from HIV Research

2020

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“…They would not be able to consult their family physician before going out for testing of COVID-19. In addition, although the U.S. Citizen and Immigration Services has been made clear that screening, testing, and treatment of COVID-19 are not considered as "public charge," undocumented immigrants may be deterred to seek public assistance [9]. Spanish-speaking population was found to be at greater risk of exposure to H1N1 during the 2008-2009 outbreak.…”

Section: Payers Providers and Public Healthmentioning

confidence: 99%

Coordinated multi-sectoral efforts needed to address the COVID-19 pandemic: lessons from China and the United States

Cao

Yang

2020

glob health res policy

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The COVID-19 pandemic has caused staggering human and economic costs. We outline four key lessons learned from efforts to address the pandemic in China and the US. First, effective surveillance, reporting, and contact tracing are needed to contain an epidemic at its emergence and to mitigate its impact at a later stage. Second, multi-sectoral efforts to offer incentives for those with no or minor symptoms to seek care and to quarantine themselves are critical, which would need concerted efforts from payers, providers, and public health. Third, sustained and routine prevention efforts involving both the public and the health systems will prove to be useful in times of a pandemic. Fourth, a strong public health system is essential and will be appreciated at times of urgency. Concerted multi-sectoral efforts are required to address COVID-19 pandemic with strong leadership from the public health sector.

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“…Many cannot consider missing work because of infection risk or even actual infection, as they depend on daily wages to support them and their families, and losing one paycheck may translate into homelessness. 7,17,18 Similarly, documented immigrants living in the United States on a path to obtain citizenship may not seek medical care, even if suffering from symptoms consistent with Covid-19, because of concerns that using Medicaid services could impair their ability to remain in the United States. 7,18,19 Unwilling to seek health care and afraid of losing their jobs, thousands of individuals working in meat-processing plants-many of whom are undocumented immigrants-have contracted COVID-19, with many deaths in Georgia, Colorado, and Pennsylvania.…”

Section: Introductionmentioning

confidence: 99%