The war in Ukraine highlights weaknesses in the world’s global health network
that 65% of major infectious disease outbreaks occurring in the 1990s were among refugee populations or in conflict zones. Les Roberts, professor emeritus of Columbia University’s Mailman School of Public Health who has spent time in war zones addressing outbreaks, notes that these populations are especially vulnerable to viral diseases like COVID-19. “It turns out when you are under stress, your immune system does not work as well.
Hospitals will likely be hit hardest by the influx of refugees during the pandemic, say public health experts. War-related injuries will take precedence over COVID-19 care, which will only make it easier for the virus to spread. That disruption will in turn lead to more health care workers who will get infected, and won’t be able to perform their duties.
Shaman and other public health experts are also concerned about longer term effects of the conflict on COVID-19 control. Studies consistently show that vaccine-based immunity starts to wane after about five to six months. What’s truly needed is a global coordinating body for public health, Toner says, which isn’t likely, given challenges posed by issues of national sovereignty. But the principles behind global coordination might still be implemented in more limited ways., through which developed nations purchase vaccines in order to drive prices down for developing countries, represented such an effort, but is falling short of meeting its promise.
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