Published: 2021-04-22

Disaster of housing care amenities versus COVID-19 in urbanized countries: medication of social science

Anwar Ali, Munir Ahmed, Ahmed Bostani, Qurat U. Ain, Ayesha Saeed


In the background of the COVID-19 epidemic, a big portion of developed nations have suffered an exceptionally high human death toll residing in nursing care homes. In order to further explain this process, public epidemiology contributes significantly, due to the biological influence of the pathogen on as a core feature of wellbeing, disadvantaged high-risk communities and to the position of treatment. The catastrophe of deaths associated with COVID-19 in care centers is largely attributed towards its iatrogenic distribution and exacerbated by societal factors. Present segregation and containment measures have struggled to illustrate their efficacy in mitigating these trends, along with the extended alienation of tenants from their companions, and are thus excessive. Reforms that value for both protection interests of all citizens and fundamental rights must be substituted. Now about the dubious feasibility, these initiatives carry substantial costs of chances, because as standard of health and life conditions of isolated inhabitants are adversely impacted. The COVID-19 issue, viewed in specific from the prism of pharmacy as a public study and social epidemiology, creates ability to correctly appreciate and radically strengthen system parameters.


COVID-19, Developed countries, Public epidemiology, Home cares

Full Text:



Virchow R. Mittheilungen über die in oberschlesien herrschende typhus-epidemie (news about the typhoid epidemic in upper silesia. Berlin: De Gruyter; 1848.

Mackenbach JP. Politics is nothing but medicine at a larger scale: reflections on public health's biggest idea. J Epidemiol Community Health. 2009;63:181-4.

Kadar N, Romero R, Papp Z. Ignaz Semmelweis: the "savior of mothers": On the 200th anniversary of his birth. Am J Obstet Gynecol. 2018;219:519-22.

Prasad V, Sri BS, Gaitonde R. Bridging a false dichotomy in the COVID-19 response: a public health approach to the 'lockdown' debate. BMJ Glob Health. 2020;5:e002909.

Kali E. Coronavirus and the social determinants of health. Available at: coronavirus- and- the- social- determinants- of- health/. Accessed on 30 December 2020.

Wilkinson D. ICU triage in an impending crisis: uncertainty, pre-emption and preparation. J Med Ethics. 2020;46:287-8.

Emanuel EJ, Persad G, Upshur R. Fair allocation of scarce medical resources in the time of Covid-19. N Engl J Med. 2020;382:2049-55.

Salcher-Konrad M, Jhass A, Naci H. Updated findings: living systematic review of emerging evidence on COVID-19 related mortality and spread of disease in long-term care, 2020. Available at: https://ltccovid. org/ 2020/ 06/ 30/ updated- findings- living-systematicreview- of- emerging- evidence- on- covid- 19- related- mortality- andspread- of- disease- in-long-term- care/. Accessed on 30 December 2020.

Burki T. England and Wales see 20000 excess deaths in care homes. Lancet. 2020;395:1602.

Comas-Herrera A, Zalakaín J, Litwin C. Mortality associated with COVID19 outbreaks in care homes: early International evidence. Available at: https:// associated-with-COVID-21-May-1. Accessed on 30 December 2020.

Health staff working to deal with dementia care facility COVID-19 cluster. Available at: health- staff- working- to- deal- with- dementia- carefacility- covid- 19- cluster. Accessed on 30 December 2020.

Koshkouei A, Abel L, Pilbeam C. How can pandemic spreads be contained in care homes? Available at: can-pandemic-spreads-be-contained-in-care- homes/. Accessed on 30 December 2020.

Birnbaum M, Booth W. Nursing homes linked to up to half of coronavirus deaths in Europe, who says. Washington post, 2020. Available at: https://www. homes- coronavirus-deaths- europe/ 2020/ 04/ 23/ d635619c- 8561-11ea-81a3-9690c9881111_story.Html. Accessed on 30 December 2020.

Etard J-F, Vanhems P, Atlani-Duault L. Potential lethal outbreak of coronavirus disease (COVID-19) among the elderly in retirement homes and long-term facilities, France, March 2020. Euro Surveill. 2020; 25:2000448.

Truog RD, Mitchell C, Daley GQ. The Toughest triage allocating ventilators in a pandemic. N Engl J Med. 2020;382:1973-5.

Barnett ML, Grabowski DC. Nursing homes are ground zero for covid-19 pandemic. JAMA Health Forum. 2020.

Gordon AL, Goodman C, Achterberg W. Commentary: COVID in care homes-challenges and dilemmas in healthcare delivery. Age Ageing. 2020;13:afaa113.

Abramson A. Protecting nursing home residents during COVID-19. American psychological association. Available at: topics/covid-19/nursing- home- residents. Accessed on 30 December 2020.

Brinkman-Stoppelenburg A, Rietjens JAC, van der Heide A. The effects of advance care planning on end-of- life care: a systematic review. Palliat Med. 2014;28:1000-25.

Lanoix M. Nursing homes in the time of Covid-19. impact ethics. Available at: https:// impactethics. ca/2020/04/21/nursing-homes- in- thetime- of- covid- 19. Accessed on 30 December 2020.

Oliver D. let's not forget care homes when covid-19 is over. BMJ. 2020;369:m1629.