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ETHICAL CONSIDERATIONS FOR RESTRICTIVE AND PHYSICAL DISTANCING MEASURES IN BRAZIL DURING COVID-19: FACILITATORS AND BARRIERS
Affilliation
Universidade Federal de São Paulo. Departamento de Medicina Preventiva. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Abstract
COVID-19 was recognized as a pandemic on
March 11, 2020. Nine days later in Brazil, community
transmission was deemed ongoing, and following what
was already being put in place in various affected countries, restrictive and physical distancing measures that
varied in severity across the different states were
adopted. Adherence to restrictive and physical distancing measures depends on the general acceptance of
public health measures as well as communities’ financial leverage. This article aims to explore and discuss
ethical facilitators and barriers to the implementation of
physical distancing measures within three dimensions:
political, socio-economic, and scientific. Furthermore, we would like to discuss ways to ethically promote
restrictive and physical distancing measures in a large
and unequal country like Brazil. There is an urgent need
for transparent, consistent, and inclusive communication with the public, respecting the most vulnerable
populations and attempting to minimize the disproportionate burden on them.
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