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Browsing by Person "Guntupalli, Aravinda"

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    Age discrimination, the right to life, and COVID-19 vaccination in countries with limited resources
    (Wiley, 2022-09-30) Lloyd-Sherlock, Peter; Guntupalli, Aravinda; Sempé, Lucas
    This paper seeks to develop and apply a simple yardstick based on remaining life expectancy to assess whether specific health policies unfairly discriminate against people on the basis of their age. This reveals that the COVID-19 vaccine prioritization policies of several countries have discriminated against older people. Conversely, the exclusion of older people from COVID-19 vaccine testing is shown to be non-discriminatory, as is some degree of age prioritization for limited acute COVID-19 care. Age discrimination in vaccine prioritization is shown to be embedded in wider ageist attitudes in health policy, which give the lives of older people a lower social value than the lives of people at younger ages.
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    Problems of Data Availability and Quality for COVID-19 and Older People in Low- and Middle-Income Countries
    (Oxford University Press, 2020-10-06) Lloyd-Sherlock, Peter; Sempé, Lucas; McKee, Martin; Guntupalli, Aravinda
    For all health conditions, reliable age-disaggregated data are vital for both epidemiological analysis and monitoring the relative prioritization of different age groups in policy responses. This is especially essential in the case of Coronavirus Disease-2019 (COVID-19), given the strong association between age and case fatality. This paper assesses the availability and quality of age-based data on reported COVID-19 cases and deaths for low- and middle-income countries. It finds that the availability of reliable data which permit specific analyses of older people is largely absent. The paper explores the potential of excess mortality estimates as an alternative metric of the pandemic’s effects on older populations. Notwithstanding some technical challenges, this may offer a better approach, especially in countries where cause of death data are unreliable.