The Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, JDC Hill, P.O.B. 3886, 91037, Jerusalem, Israel.
Department of Health Systems Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Int J Equity Health. 2020 May 19;19(1):71. doi: 10.1186/s12939-020-01191-7.
Every country has vulnerable populations that require special attention from policymakers in their response to a pandemic. This is because those populations may have specific characteristics, culture and behaviours that can accelerate the spread of the virus, and they usually have less access to healthcare, particularly in times of crisis. In order to carry out a comprehensive national intervention plan, policy makers should be sensitive to the needs and lifestyles of these groups, while taking into account structural and cultural gaps.In the context of Israel, the two most prominent and well-defined minority groups are the ultra-Orthodox Jewish community and parts of the Arab population. The government was slow to recognize the unique position of these two groups, public pressure eventually led to a response that was tailored to the ultra-Orthodox community and during the month of Ramadan a similar response has been implemented among the Arab community.
每个国家都有弱势群体,决策者在应对大流行时需要特别关注这些群体。这是因为这些群体可能具有特定的特征、文化和行为,这些特征、文化和行为可能会加速病毒的传播,而且他们通常在获得医疗保健方面的机会较少,尤其是在危机时期。为了实施全面的国家干预计划,决策者应该了解这些群体的需求和生活方式,同时考虑到结构和文化方面的差距。在以色列的背景下,两个最突出和定义明确的少数群体是极端正统派犹太社区和部分阿拉伯人口。政府迟迟没有认识到这两个群体的特殊地位,公众的压力最终导致了针对极端正统派社区的专门应对措施,在斋月期间,阿拉伯社区也采取了类似的应对措施。