{"id":4247,"date":"2021-12-27T13:18:28","date_gmt":"2021-12-27T12:18:28","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-ethics\/?p=4247"},"modified":"2021-12-27T13:18:28","modified_gmt":"2021-12-27T12:18:28","slug":"the-haves-and-have-nots-of-ppe-in-covid-19","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-ethics\/2021\/12\/27\/the-haves-and-have-nots-of-ppe-in-covid-19\/","title":{"rendered":"The \u2018haves\u2019 and \u2018have-nots\u2019 of PPE in COVID-19"},"content":{"rendered":"<p>By Cliff Shelton, Kariem El-Boghdadly, John B Appleby.<\/p>\n<figure id=\"attachment_4249\" aria-describedby=\"caption-attachment-4249\" style=\"width: 225px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4249 size-medium\" src=\"https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-225x300.jpg\" alt=\"Photo provided by authors\" width=\"225\" height=\"300\" srcset=\"https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-225x300.jpg 225w, https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-768x1024.jpg 768w, https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-1152x1536.jpg 1152w, https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-1536x2048.jpg 1536w, https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-640x853.jpg 640w, https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-scaled.jpg 1920w\" sizes=\"auto, (max-width: 225px) 100vw, 225px\" \/><figcaption id=\"caption-attachment-4249\" class=\"wp-caption-text\">Photo provided by authors<\/figcaption><\/figure>\n<p>Personal protective equipment (PPE) has been a frequent source of controversy during the COVID-19 pandemic. At times, supplies have run short, leading individuals to <a href=\"https:\/\/www.bbc.co.uk\/news\/uk-52519339\">purchase (and sometimes improvise) their own PPE<\/a>; debate has raged over what PPE should be worn in different circumstances; and pictures of <a href=\"https:\/\/www.nursingtimes.net\/news\/coronavirus\/icu-nurse-captures-the-impact-of-covid-19-on-the-workforce-06-09-2020\/\">healthcare workers bearing the scars of long hours in respirator masks<\/a> have been an enduring feature of social media feeds. At first glance, these issues may seem to unify a healthcare workforce who have faced adversity together during this difficult time, but we suggest that several inequalities have emerged between the \u2018haves\u2019 and the \u2018have-nots\u2019 of PPE.<\/p>\n<p>As is sadly so often the case, inequalities arise in connection with finance, ethnicity, gender and professional power. Individual purchasing of PPE favours those with the resources to acquire scarce equipment. Professional guidelines are inevitably written from the perspectives of the profession in question, thereby neglecting those groups of workers who lack organised (and expert) professional representation. Personal protective equipment is often made for industrial rather than healthcare use, and <a href=\"https:\/\/www.bbc.co.uk\/news\/health-52454741\">is designed with a particular shape and size of a worker in mind<\/a>. Moreover, this prototypical worker is seldom representative of our diverse healthcare workforce.<\/p>\n<p>Though the vaccination programme provides a glimmer of light at the end of what seems like a very long, dark, tunnel, new variants of the SARS-CoV-2 virus pose a perennial threat. We must reflect on how decisions relating to PPE have impacted inequalities amongst healthcare workers. To avoid repeating the errors of the COVID-19 pandemic, governments, industry and healthcare organisations should strive to develop PPE, policies and practices that work equally well for everyone facing COVID-19 as well as future pandemics.<\/p>\n<p><strong>Paper title:<\/strong> <a href=\"https:\/\/jme.bmj.com\/content\/early\/2021\/12\/16\/medethics-2021-107501\">The \u2018haves\u2019 and \u2018have-nots\u2019 of personal protective equipment during the COVID-19 pandemic: the ethics of emerging inequalities amongst healthcare workers<\/a><\/p>\n<p><strong>Authors:<\/strong> Cliff Shelton, Kariem El-Boghdadly, John B Appleby<\/p>\n<p><strong>Competing interests:<\/strong> The authors have no competing interests to declare<\/p>\n<p><strong>Social media:<\/strong> Twitter: <a href=\"https:\/\/twitter.com\/DrCliffShelton\">@DrCliffShelton<\/a> <a href=\"https:\/\/twitter.com\/elboghdadly\">@elboghdadly<\/a> <a href=\"https:\/\/twitter.com\/JohnBAppleby\">@JohnBAppleby<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Cliff Shelton, Kariem El-Boghdadly, John B Appleby. Personal protective equipment (PPE) has been a frequent source of controversy during the COVID-19 pandemic. At times, supplies have run short, leading individuals to purchase (and sometimes improvise) their own PPE; debate has raged over what PPE should be worn in different circumstances; and pictures of healthcare [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-ethics\/2021\/12\/27\/the-haves-and-have-nots-of-ppe-in-covid-19\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":353,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8070],"tags":[],"class_list":["post-4247","post","type-post","status-publish","format-standard","hentry","category-pandemic"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The \u2018haves\u2019 and \u2018have-nots\u2019 of PPE in COVID-19 - Journal of Medical Ethics blog<\/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\/medical-ethics\/2021\/12\/27\/the-haves-and-have-nots-of-ppe-in-covid-19\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The \u2018haves\u2019 and \u2018have-nots\u2019 of PPE in COVID-19 - Journal of Medical Ethics blog\" \/>\n<meta property=\"og:description\" content=\"By Cliff Shelton, Kariem El-Boghdadly, John B Appleby. Personal protective equipment (PPE) has been a frequent source of controversy during the COVID-19 pandemic. At times, supplies have run short, leading individuals to purchase (and sometimes improvise) their own PPE; debate has raged over what PPE should be worn in different circumstances; and pictures of healthcare [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-ethics\/2021\/12\/27\/the-haves-and-have-nots-of-ppe-in-covid-19\/\" \/>\n<meta property=\"og:site_name\" content=\"Journal of Medical Ethics blog\" \/>\n<meta property=\"article:published_time\" content=\"2021-12-27T12:18:28+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-ethics\/files\/2021\/12\/Shelton-PPE-225x300.jpg\" \/>\n<meta name=\"author\" content=\"Mike King\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mike King\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/\"},\"author\":{\"name\":\"Mike King\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/#\\\/schema\\\/person\\\/b107957622bc42b2097d15e5e02a112c\"},\"headline\":\"The \u2018haves\u2019 and \u2018have-nots\u2019 of PPE in COVID-19\",\"datePublished\":\"2021-12-27T12:18:28+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/\"},\"wordCount\":352,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/files\\\/2021\\\/12\\\/Shelton-PPE-225x300.jpg\",\"articleSection\":[\"Pandemic\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-ethics\\\/2021\\\/12\\\/27\\\/the-haves-and-have-nots-of-ppe-in-covid-19\\\/\",\"name\":\"The \u2018haves\u2019 and \u2018have-nots\u2019 of PPE in COVID-19 - 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