Underlying health conditions aren’t just an excuse for COVID-19 deaths. They’re also a warning

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When announcing updates on COVID-19 deaths, authorities are quick to add a caveat: How many of those who died had an underlying health condition. It’s almost like the pandemic version of victim-blaming. It’s not the virus killing people, but their pre-existing conditions.

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This is problematic in a number of ways. The qualifier diminishes the risk of COVID-19 itself and ignores the fact that more than 40% of Australians have a medically diagnosed health condition that could worsen the impacts of the virus. Due to privacy concerns, public health officials rarely disclose further details about the persons’ health. 

In the absence of that context, it’s all too easy to fall into the trap of seeing underlying conditions as a caveat or an excuse. If this person didn’t have an underlying health condition, COVID-19 might not have killed them. Do they really “count” as evidence of how deadly the virus is? Is a death without any underlying conditions any more serious or tragic than one without them? 

This kind of thinking is a dangerous road to go down, as it undermines the seriousness of this disease. It implies the victim was at fault when most underlying health conditions are anything but, and it can embolden individuals without known underlying conditions to take unnecessary risks. It makes it easy to lose track of the very real consequences that can come with catching and spreading COVID-19. 

It’s a similar line of thought for those who accuse women of “asking for it” due to their choice of clothing after reporting a sexual assault. It’s unfortunately common for some to unabashedly view these incidents as entirely or even partially the fault of the victim, instead of the perpetrator. 

While this situation is inherently different from sexual assault, the mentality is much the same. 

Just as what a woman is wearing should never factor into the likelihood of being sexually assaulted, having a clean bill of health should not factor into whether a death from COVID-19 counts in the eyes of the public. 

There is also a huge list of underlying health conditions that can increase the severity of COVID-19. While forms of cancer, lung disease, liver disease, kidney disease, or heart conditions are the most obvious, the same can’t be said for everything. Asthma — something 11% of Australians have — is also on that list. 

Altogether, the list encompasses a spectrum of health disorders, diseases, disabilities, and even lifestyle choices. This includes pregnant women, obesity, substance abuse, and even people who have smoked tobacco regularly at some point in their lives. 

The line between letting underlying health conditions take the blame for the virus and blaming COVID-19 victims for having those conditions is as blurry as comorbidities get. 

Regardless of whether someone has a disability or health condition, everyone should be protected from and wary of the dangers of COVID-19. If you don’t get that, then you aren’t taking the virus seriously.


  • Suvir Salins

    Suvir Salins

    12:02 PM, 09-09-2021

    Put it this way, many with these underlying health conditions were expected to live for many years but when they contracted COVID they died. So it’s COVID that killed them. It’s just that their underlying health condition made them more susceptible. Totally healthy people have died from COVID too, while most survive. However 5-10% of survivors end up with long COVID and ongoing health issues.

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