{"id":301,"date":"2020-06-22T09:04:45","date_gmt":"2020-06-22T09:04:45","guid":{"rendered":"https:\/\/blogs.bmj.com\/covid-19\/?p=301"},"modified":"2020-06-22T09:04:45","modified_gmt":"2020-06-22T09:04:45","slug":"stigma-at-the-time-of-an-outbreak","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/covid-19\/2020\/06\/22\/stigma-at-the-time-of-an-outbreak\/","title":{"rendered":"Stigma at the time of an outbreak"},"content":{"rendered":"<p><span style=\"font-weight: 400\">The origin of the word stigma stems from the late 16th century. The word comes via Latin (stigmat) from Greek (stizein) translating to a mark of disgrace associated with a particular circumstance, quality, or person.<\/span><a href=\"https:\/\/www.merriam-webster.com\/dictionary\/stigma\"><span style=\"font-weight: 400\">1<\/span><\/a><span style=\"font-weight: 400\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quoting history\u2019s most popular space franchise\u2019s legendary character, Yoda \u2013 \u2018Fear leads to anger, anger leads to hate and hate leads to suffering\u2019 is a fitting statement today when the world is in the midst of a pandemic. An Outbreak such as the one we are facing today can be associated with considerable fear in the general public or in specific communities, especially when illness and deaths are substantial. This fear is the key ingredient for stigma to thrive.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Stigma towards mental illnesses, sexually transmitted diseases, sexual orientations, physical deformities are some of the most commonly faced stigmas by people around the world. In many countries, cultural and religious beliefs define the attitude of people towards those suffering from such conditions. This can affect the person\u2019s willingness to seek and adhere to help or treatment further pushing them towards mental stress, depression and in worst cases suicide.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">However, what we have seen in recent times is far more troubling. The intolerance has been fuelled by misinformation and rumours to bring about a negative and many times violent reaction towards those that are helping the stigmatised person.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">In recent examples, a number of health care workers were ostracized by their homeowners and neighbours who were demanding that they stop living in their community. The government was then driven to release guidelines that legally prohibit any landlord to ask a health care tenant working during the time of COVID-19 to vacate the premises. However, stigma towards health care professionals is not a new phenomenon. In some countries, studies have also highlighted that stigma, religious beliefs, distrust of the medical profession, and communication barriers may contribute to wariness of mental health services.<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21999029\/\"><span style=\"font-weight: 400\">2<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">Ostracization and stigmatization is far more deadly during an outbreak like COVID-19. In a socially close-knit country of India, the fear of being segregated lies deep within each individual. The need to be accepted into a group or a social circle is so strong that the mere thought of stigmatization will drive people to hide their symptoms or vital information of contacts or history that could help the authorities contain the spread of the virus.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">This negative chain of effect saw its impact during the HIV outbreak, as well as during the more recent SARS, MERS epidemics. A society known to stigmatise people will push a symptomatic person to avoid seeking medical care as well as live in denial by not following any safety measures to not spread the infection further.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">With new information unfolding every day about the SARS-CoV2 virus and our unpreparedness for other viruses in the coming years, a society where stigmatisation is prevalent will prove to be a friend to the virus helping it spread indirectly and causing irreparable damage to the society and its future generations.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">A recently published UN article very eloquently lists down simple measures that could be taken by the government and media houses to reduce the prevalence of stigma in the society due to a pandemic like COVID-19. It talks about how to use language to humanize the disease rather than victimize it. A simple change in the words and being more mindful of the way we communicate can alter people\u2019s attitude towards a disease and bring down the feeling of negativity amongst the masses towards a person having COVID-19<\/span><a href=\"https:\/\/www.unicef.org\/media\/65931\/file\/Social%20stigma%20associated%20with%20the%20coronavirus%20disease%202019%20(COVID-19).pdf\"><span style=\"font-weight: 400\">3<\/span><\/a><span style=\"font-weight: 400\">. More articles, posts, videos on social media on the personal stories will raise the emotional quotient of this equation and further work towards building compassion towards those having the disease and those treating them.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400\">As Martin Luther King, Jr. rightly said \u2013 \u2018Darkness cannot drive out darkness, only light can do that. Hate cannot drive out hate, only love can do that.\u2019 In these difficult times, we need to stand united and our actions and words need to be steered by the truth and our emotions need to be driven by compassion.\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b>References<\/b><span style=\"font-weight: 400\">:\u00a0<\/span><\/p>\n<ol>\n<li><span style=\"font-weight: 400\"> Merriam-Webster \u2013 Definition of \u2018Stigma\u2019 &#8211; https:\/\/www.merriam-webster.com\/dictionary\/stigma\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\"> Bailey, R.K., Milapkumar, P., Barker, N.C., Ali, S., Jabeen, S. (2011). Major depressive disorder in the African American population. <\/span><i><span style=\"font-weight: 400\">J Natl Med Assoc., <\/span><\/i><span style=\"font-weight: 400\">103: 548-557\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400\"> IFRC, UNICEF, WHO, \u2018Social Stigma associated with COVID-19\u2019, 24 Feb. 2020 -https:\/\/www.unicef.org\/media\/65931\/file\/Social%20stigma%20associated%20with%20the%20coronavirus%20disease%202019%20(COVID-19).pdf\u00a0<\/span><\/li>\n<\/ol>\n<div>Dr. Madhav Bhargava is a final year Core Medical Trainee in Internal Medicine at Aster Medcity, Kerala, India. He is a part of the first batch of CMT outside the UK, in India. Prior to pursuing Internal Medicine he has also worked at Safdarjung Hospital, one of the busiest hospitals in Asia in the heart of New Delhi.<br \/>\nHe has a keen interest in Infectious Diseases and plans to pursue the Specialty in the future.<\/div>\n<div><\/div>\n<div>Conflict of Interest : There are no conflicts of interest to disclose.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The origin of the word stigma stems from the late 16th century. The word comes via Latin (stigmat) from Greek (stizein) translating to a mark of disgrace associated with a particular circumstance, quality, or person.1\u00a0 Quoting history\u2019s most popular space franchise\u2019s legendary character, Yoda \u2013 \u2018Fear leads to anger, anger leads to hate and hate [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/covid-19\/2020\/06\/22\/stigma-at-the-time-of-an-outbreak\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":383,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[151],"tags":[],"class_list":["post-301","post","type-post","status-publish","format-standard","hentry","category-postgraduate-medical-journal"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stigma at the time of an outbreak - Coronavirus (COVID-19) Blog Posts Collection - BMJ Journals<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/pmj\/2020\/06\/08\/stigma-at-the-time-of-an-outbreak\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Stigma at the time of an outbreak - Coronavirus (COVID-19) Blog Posts Collection - BMJ Journals\" \/>\n<meta property=\"og:description\" content=\"The origin of the word stigma stems from the late 16th century. The word comes via Latin (stigmat) from Greek (stizein) translating to a mark of disgrace associated with a particular circumstance, quality, or person.1\u00a0 Quoting history\u2019s most popular space franchise\u2019s legendary character, Yoda \u2013 \u2018Fear leads to anger, anger leads to hate and hate [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/pmj\/2020\/06\/08\/stigma-at-the-time-of-an-outbreak\/\" \/>\n<meta property=\"og:site_name\" content=\"Coronavirus (COVID-19) Blog Posts Collection - BMJ Journals\" \/>\n<meta property=\"article:published_time\" content=\"2020-06-22T09:04:45+00:00\" \/>\n<meta name=\"author\" content=\"caitlinalder\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"caitlinalder\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/pmj\\\/2020\\\/06\\\/08\\\/stigma-at-the-time-of-an-outbreak\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/2020\\\/06\\\/22\\\/stigma-at-the-time-of-an-outbreak\\\/\"},\"author\":{\"name\":\"caitlinalder\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/#\\\/schema\\\/person\\\/6a90f3ceca251b386830821ec8125be0\"},\"headline\":\"Stigma at the time of an outbreak\",\"datePublished\":\"2020-06-22T09:04:45+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/2020\\\/06\\\/22\\\/stigma-at-the-time-of-an-outbreak\\\/\"},\"wordCount\":838,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/#organization\"},\"articleSection\":[\"Postgraduate Medical Journal\"],\"inLanguage\":\"en-GB\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/2020\\\/06\\\/22\\\/stigma-at-the-time-of-an-outbreak\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/pmj\\\/2020\\\/06\\\/08\\\/stigma-at-the-time-of-an-outbreak\\\/\",\"name\":\"Stigma at the time of an outbreak - Coronavirus (COVID-19) Blog Posts Collection - BMJ Journals\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/#website\"},\"datePublished\":\"2020-06-22T09:04:45+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/pmj\\\/2020\\\/06\\\/08\\\/stigma-at-the-time-of-an-outbreak\\\/#breadcrumb\"},\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/pmj\\\/2020\\\/06\\\/08\\\/stigma-at-the-time-of-an-outbreak\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/pmj\\\/2020\\\/06\\\/08\\\/stigma-at-the-time-of-an-outbreak\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Stigma at the time of an outbreak\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/covid-19\\\/\",\"name\":\"Coronavirus (COVID-19) Blog Posts Collection - BMJ Journals\",\"description\":\"This centralised hub collects coronavirus (COVID-19) blog post and medical information from across the BMJ&#039;s journal blogs. 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