COVID

‘This isn’t about lockdowns or no lockdowns’: Boston doctor urges states to focus on ‘better’ public health in response to coronavirus

“Shaming individuals misses that this epidemic has been far more about a failing public health system.”

BOSTON, MA - 12/11/2020: 15SWABBERS....At East Boston Neighborhood Health Center, Karina Mendoza, a RN is in ready mode waits for a patient, she is one of the people on the other side of the nasal swabs, part of the small army of health care workers who day in and out, through sweltering heat, lightning, and now snow, keep swabbing the masses in testing for COVID-19 coronavirus pandemic. East Boston has had highest positivity rate in city. (David L Ryan/Globe Staff ) SECTION: METRO David L. Ryan / Boston Globe, File

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A doctor at Brigham and Women’s Hospital is calling on state leaders to rethink their response to the coronavirus as not simply being about lockdowns. 

Dr. Abraar Karan wrote about the issue Thursday after treating multiple people for COVID-19 at his hospital. 

“Only when you hear actual stories of the struggles people are going through does it make it clear how problematic it is when we blame those who got sick because of what externally seems like ‘irresponsible’ behavior,” the doctor wrote. 

Medical providers are still treating individuals who don’t have “the luxury to stay home,” either because of the job they hold or because of their family situations, he wrote. 

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“This isn’t about lockdowns or no lockdowns — this is about creating better public health,” Karan wrote. 

The focus should be on creating systems that can provide protection during a public health crisis, the doctor said, stressing that politics — not public health — has been responsible for creating a “false choice” between lockdown and no lockdowns as a response. 

Providing higher quality masks to better protect against transmission, better workplace protections, and keeping outdoor spaces open for public use but reopening indoor settings more slowly are all steps Karan wrote would be simple actions to take, yet seem not to be pursued by officials.

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“Shaming individuals misses that this epidemic has been far more about a failing public health system,” he wrote. “Lost within that we have the false dichotomy of lockdowns versus no lockdowns— instead of focusing on creating an actual public health strategy.”

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