Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities

Older people were globally the most vulnerable during the pandemic. This paper examines the mortality and psychological crisis of older people during the pandemic in four cities, namely Wuhan, Milan, London, and Hong Kong, in order to explain their high death rates. The sample cities were purposeful...

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Main Authors: Johnston H. C. Wong, Ghee W. Ho
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Social Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-0760/11/11/498
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author Johnston H. C. Wong
Ghee W. Ho
author_facet Johnston H. C. Wong
Ghee W. Ho
author_sort Johnston H. C. Wong
collection DOAJ
description Older people were globally the most vulnerable during the pandemic. This paper examines the mortality and psychological crisis of older people during the pandemic in four cities, namely Wuhan, Milan, London, and Hong Kong, in order to explain their high death rates. The sample cities were purposefully selected to cover different degrees of social connectedness and outbreak periods. Quantitative data were employed to account for death and suicide data. Qualitative data analyses in government reports, public press releases, NGO announcements, and journal articles were used to study government responses and disruptions of essential healthcare services. Published scientific studies provided important information on the psychological stress and resilience of older people. Findings based on a welfare regime perspective showed that society and governments have not learned from the experiences of other countries, which resulted in high numbers of preventable deaths. Older people have successfully coped with living difficulties while serious psychological disturbances and suicidal ideations were absent at least for the period up to 2022. Older care home residents, unfortunately, were not protected with proper shielding and available vaccinations. Public inefficiency and negligence contributed to a disproportionately high rate of mortality in nursing homes.
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spelling doaj.art-3099c88c0cb94fc3ad492b422a6e69b82023-11-24T06:51:09ZengMDPI AGSocial Sciences2076-07602022-10-01111149810.3390/socsci11110498Shielding without a Shield—Older People under COVID-19: A Comparison of Four CitiesJohnston H. C. Wong0Ghee W. Ho1Department of Social Science, Faculty of Humanities and Social Science, BNU-HKBU United International College, Zhuhai 519088, ChinaDepartment of Life Sciences, Faculty of Science and Technology, BNU-HKBU United International College, Zhuhai 519088, ChinaOlder people were globally the most vulnerable during the pandemic. This paper examines the mortality and psychological crisis of older people during the pandemic in four cities, namely Wuhan, Milan, London, and Hong Kong, in order to explain their high death rates. The sample cities were purposefully selected to cover different degrees of social connectedness and outbreak periods. Quantitative data were employed to account for death and suicide data. Qualitative data analyses in government reports, public press releases, NGO announcements, and journal articles were used to study government responses and disruptions of essential healthcare services. Published scientific studies provided important information on the psychological stress and resilience of older people. Findings based on a welfare regime perspective showed that society and governments have not learned from the experiences of other countries, which resulted in high numbers of preventable deaths. Older people have successfully coped with living difficulties while serious psychological disturbances and suicidal ideations were absent at least for the period up to 2022. Older care home residents, unfortunately, were not protected with proper shielding and available vaccinations. Public inefficiency and negligence contributed to a disproportionately high rate of mortality in nursing homes.https://www.mdpi.com/2076-0760/11/11/498COVID-19social determinants of healtholder people vulnerabilityhealth welfare regimes
spellingShingle Johnston H. C. Wong
Ghee W. Ho
Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities
Social Sciences
COVID-19
social determinants of health
older people vulnerability
health welfare regimes
title Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities
title_full Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities
title_fullStr Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities
title_full_unstemmed Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities
title_short Shielding without a Shield—Older People under COVID-19: A Comparison of Four Cities
title_sort shielding without a shield older people under covid 19 a comparison of four cities
topic COVID-19
social determinants of health
older people vulnerability
health welfare regimes
url https://www.mdpi.com/2076-0760/11/11/498
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