Enhancing the social outcomes from restrictions on arrivees during global public health emergencies: A Social Impact Assessment perspective

Abstract

Restrictions on travel and quarantine on arrival are typical strategies imposed by public health authorities during pandemics. While much research has analyzed the consequences of policies about global public health emergencies including COVID-19, to date there has been little discussion of the social consequences of these policies. We undertook an exploratory study using qualitative research to understand the social impacts experienced by travelers as a result of the restriction policies implemented in China following its implementation of a zero-COVID policy. Using online sources and 40 interviews with quarantine hotel staff, government officials, and arrivees to China, we found that the people with a strong justification for travelling during the pandemic were significantly affected by the restrictions, resulting in them experiencing a wide range of negative social impacts, including on their: psychosocial health and wellbeing; family cohesion; social networks; the experience of unexpected and unpleasant circumstances; and a sense of persecution. These outcomes were partly a consequence of the characteristics of Chinese society and the returnees themselves, and were influenced by the government's COVID management strategies. With medical experts having dominated the battle against the virus, ordinary people's feelings and concerns were ignored. We argue that these also need to be understood and considered in the planning of public health strategies. To improve outcomes in future situations, much can be learned from the field of Social Impact Assessment (SIA), especially in terms of understanding how people are affected, and to achieve acceptance and a social licence for pandemic management strategies, the importance of meaningful community engagement, ongoing monitoring, adaptive management, and an effective grievance redress mechanism. Our paper enriches the understanding of SIA when applied in the policy arena, and it demonstrates the value of a SIA perspective for improving social outcomes in public health emergencies. It also adds to understanding the consequences of pandemics and restriction policies on people.