Why vaccinating staff and supporting self-isolating people are national emergencies

Abstract

The political economy of covid-19 reinforces historical patterns of “resource extraction from poorer countries,” influenced by racial discrimination, marginalisation, and colonialism 1 The world was found wanting on universal preparedness and solidarity 2 Failed political leadership has led to an uncoordinated and ineffective response 3 The truth remains elusive,4 and social media organisations are only now awakening to their responsibilities 5 After 100 000 deaths,6 and the worst per capita performance of any major nation, the UK persists in neglecting key groups Where is the support for people unable to self-isolate because they are on low incomes and have to work or care for others? “Integrating equitable support services for those most at risk for covid-19 is a national emergency,” warn Muge Cevik and colleagues 8 Solutions are available, from short term financial support to ongoing universal basic income, and backed by evidence 9 But adequate support for self-isolating people is missing and ignored Moderna, for example, will trial a third dose of its vaccine because of concerns about a drop in immunogenicity,11 placing the UK’s reliance on single doses and extending the dosing interval to 12 weeks under greater scrutiny 12 In these circumstances, and given high levels of staff absence, overwhelming pressure on covid and non-covid services,13 and falling morale and medicolegal worries,141516 providing full vaccination to frontline health professionals must be an immediate priority and an unbreakable vow Or will the inequitable policies towards people on low incomes, minorities, and health professionals be added to a list of spectacular, deadly, but obvious government errors, of which failing to support self-isolating people remains a damaging example?