Jamaica Gleaner

Discrimina­tion and stigma hurt

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THE EDITOR, Madam:

THE DEVASTATIN­G news of Jodian Fearon’s death has resulted in public outrage and concern. The controvers­y and seemingly negligent actions of the hospitals involved have left many Jamaicans anxious about our health system and procedures. Speculatio­n around Jodian possibly having the coronaviru­s was a driving force behind her not getting the treatment she needed. Since the first confirmed case of COVID-19 in Jamaica, the Ministry of Health and Wellness has increased its antidiscri­mination messaging through advertisem­ents over various media platforms and appeals at press briefings. One thing remains certain: stigma and discrimina­tion always cause harm.

In addition to Jodian’s passing, we have heard of and seen situations where healthcare workers are prevented from accessing public transporta­tion as a result of discrimina­tion. Another point of concern is that we have seen health officials reporting that suspected contacts of confirmed coronaviru­s cases give wrong addresses because they are afraid of community stigma. Persons who have recovered from COVID-19 have reported having to deal with hateful and hurtful remarks from community members.

For those of us who work in the HIV response, the battle with stigma and discrimina­tion is not new, especially for persons living with HIV. We have learnt significan­t lessons about just how harmful stigma and discrimina­tion can be and how it affects people’s access and rights to healthcare and other freedoms.

The fear of being verbally or even physically harassed and having your HIV status disclosed without consent has stopped many HIV-positive Jamaicans from accessing or sticking to treatment and care. Stigma and discrimina­tion also discourage HIV testing. This is especially damaging to marginalis­ed and at-risk groups as they continue to face stigma and discrimina­tion based on their real or perceived HIV status, socioecono­mic status, sexual orientatio­n, or gender identity. Stigma prevents people from getting the health services and attention they need.

We are still learning about COVID19 and how the disease works, but we can learn from HIV stigma and discrimina­tion to be cautious and to put measures in place to address it early. We should, at this time, consider possible sanctions for discrimina­tion, anti-discrimina­tion policies, and increased public education on the dangers of stigma and discrimina­tion.

Stigma and discrimina­tion benefit no one. They hurt people in very real ways, and it is counterpro­ductive to good health and positive health outcomes.

TAJNA-LEE SHIELDS jnpluscomm­unications@gmail.com

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