The art of medicine Has COVID-19 subverted global health?

Type Journal Article Author Richard Cash Author Vikram Patel URL https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(20)31089-8.pdf Series The Lancet Perspectives Volume 395 Publication The Lancet / Department of Global Health and Population, Harvard T H Chan School of Public Health, Boston, MA, USA (RC); and Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA 02115 USA (VP) Date 05/05/2020 DOI https://doi.org/10.1016/ S0140-6736(20)31089-8 Language en Abstract For the first time in the post-war history of epidemics, there is a reversal of which countries are most heavily affected by a disease pandemic. By early May, 2020, more than 90% of all reported deaths from coronavirus disease 2019 (COVID-19) have been in the world’s richest countries; if China, Brazil, and Iran are included in this group, then that number rises to 96%. The rest of the world—historically far more used to being depicted as the reservoir of pestilence and disease that wealthy countries sought to protect themselves from, and the recipient of generous amounts of advice and modest amounts of aid from rich governments and foundations—looks on warily as COVID-19 moves into these regions.