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Because we still don’t know much about COVID-19, it is entirely normal that we’re afraid of what’s going to happen next. However, this fear has led us to afraid of other people, creating new problems in containing the disease.

From the dawn of history, people suffering from all sorts of medical conditions have experienced similar problems — rejection and stigmatization, leading to being excluded and ostracized from their communities.

This type of stigma can even be seen in the Old Testament, where leprosy was perceived as a curse from God, as well as throughout history, where people suffering from epilepsy, dermatological diseases, and mental disorders have been forced to carry the “badge of shame”, just for being sick.

Although the times have changed, social stigma has never gone anywhere. People suffering from ailments as varied as addiction, STDs, or even suicidal behavior fall victim to it every day. To make matters worse, those people are forced to simultaneously cope both with the illness itself and the sense of shame the society burdens them with.

Stigmatizing and "otherizing" certain segments of society seems to be embedded in the very fabric of human nature, and worsened exponentially during times of crisis . It's no surprise that it's also rearing its ugly head during the COVID-19 pandemic. Are we forever going to be frightened by coughing people? 

A modern plague for modern times

The current COVID-19 pandemic, just like almost every infectious disease epidemic, has intensified the natural human fear of being sick, mainly because of the ever-increasing number of recorded cases.

Widely-published images of quarantined cities and sick patients — often couple with sensationalized headlines — only added fuel to the fire. Safety measures, like self-isolation, social distancing, and constant reminders to wash our hands, were introduced to keep us and our loved ones safe from contracting the virus.

However, in some people, this fear extended beyond the potential dangers of the virus itself, giving birth to a paranoid type of behavior. This mindset seems to comfort people who convince themselves that their fate lies exclusively in their own hands.

Some even whipped up dangerously false conclusions that infected people must have done something wrong, such as not washing their hands (or eating bats), so they deserve to be sick. Unfortunately, this is happening because it seems normal for us that “bad things happen to bad people”. But viruses do not discriminate, people do.

Fear and paranoia seem to be going viral, too

To make things worse, people with COVID-19 aren’t the only ones bearing this stigma. Because COVID-19 symptoms include coughing, people are now afraid to cough in public — and failure to hold it in can lead to real discrimination.

People with cystic fibrosis, tuberculosis and other respiratory diseases, allergies, and healthy people with only a tickle in their throat are now afraid to do something normal like coughing, because they may awaken fear in the eyes of a passerby. People seen coughing on the street are met with disgust, shunned, harassed, lectured about what they should do and not do.

It doesn’t matter if they have a mask on, or practice any of the compulsory or advised measures – they will almost certainly receive judgmental looks from nearby busybodies over something that cannot be controlled. A once innocent gesture was turned into a weapon to spread germs, and more often – fear.

This fear has the power to dehumanize entire groups of people, just like people of Asian descent have faced discrimination because some media referred to COVID-19 as the “Chinese virus”.

It’s not even about the stigma itself, because even the anticipation of stigma may trigger fear in these unfairly marginalized groups, making them less likely to get tested and treated in the first place — severely reducing the efforts of overall prevention and increasing the risk of transmission.

Of course, there will always be those who aim to exploit crises to satisfy their selfish needs, resulting in (mis)using coughing as a fear-inducing weapon for them to try to get what they want. Luckily, these are individual incidences, but the authorities still debate if criminalizing this type of behavior is effective as a part of a successful disease control strategy.

Nevertheless, the solution lies in trying to educate the entire population, so everybody will know what they should and shouldn’t be afraid of. In the end, we need to remember that this situation makes us all equally vulnerable, and that, instead of widening the gaps between us, it is the right time to fight the common enemy – COVID-19. And the only way we can do that is with education and solidarity.

How to fight against this type of stigma?

Education, including positive media coverage, is the most powerful weapon in fighting prejudice. By raising awareness and informing people both about the disease itself, as well about the consequences of discrimination, we are one step closer to creating an environment where everyone is treated equally, knowing that it is the safest (and the right) way to go.

Fortunately, educational systems are more available today than ever, but don’t forget that we are the main instrument in fighting stigmatization by providing support to those who need it. Many individuals, organizations, and governments have poured efforts into fighting against this kind of discrimination, but although the public attitude towards medicine and diseases changed a lot since the Middle Ages, there is much more to be done in order to ensure that we live in a stigma-free world.

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