Citation: Shahid, Hina Javaid, and
Sufyan Abid Dogra. 2022. The
Muslim Gaze and the COVID-19
Syndemic. Religions 13: 780.
https://doi.org/10.3390/
rel13090780
Academic Editor: Jeff Levin
Received: 15 January 2022
Accepted: 8 August 2022
Published: 25 August 2022
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religions
Article
The Muslim Gaze and the COVID-19 Syndemic
Hina Javaid Shahid
1,2,
* and Sufyan Abid Dogra
3
1
Muslim Doctors Association, London E16 2DQ, UK
2
Allied Health Professionals CIC, Suffolk IP23 7BH, UK
3
Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust,
Bradford BD9 6RJ, UK
* Correspondence: chair@muslimdoctors.org
Abstract: COVID-19 has replicated and intensified pre-existing health inequities by creating a vicious
syndemic that brings together concurrent biological, psychosocial and structural epidemics with
synergistic interactions that reinforce unequal outcomes. In the UK, the Muslim community has been
disproportionately impacted by excess morbidity and mortality from COVID-19. This article uses a
transdisplinary lens in the context of COVID-19 to analyse the role of Islamophobia as a fundamental
driver of health inequities in Britain’s Muslim community. It highlights multilevel policy reforms
and recommendations that centre community empowerment, social justice and cultural humility to
close the gap and achieve justice and good health for all.
Keywords: public health; health inequalities; Muslims; Islamophobia
1. Introduction
COVID-19 was declared a pandemic on 11 March 2020. It was first reported in China
in December 2019, although evidence suggests it was circulating in Europe before this
(Amendola et al. 2021). The virus spread to all continents, except Antarctica, in less than
four months. To date, almost 171,396 people have died and over 21 million people have
been infected in the UK. COVID-19 has not been a leveller but has been a great revealer,
shining a light on pre-existing disparities in society; those who already experienced social
and health inequities on the margins of society have been disproportionately impacted,
further increasing marginalisation.
After campaigning by community and faith groups on publishing data by faith groups,
the government published its report in June 2020, which showed that Muslims had the
highest risk of dying from COVID (Office for National Statistics 2020a). There are mul-
tiple reasons for the disproportionate numbers of deaths related to COVID-19 among
British Muslims, such as living in deprivation, poverty, structural inequalities, racism and
Islamophobia. However, after accounting for deprivation and ethnicity, this excess risk
disappeared, consistent with structural discrimination, racism and Islamophobia as the
main drivers of disparities in the Muslim community as these are exacerbated in a post-9/11
political context in West. These structural disparities are not new; prior to COVID-19 it was
well known that Muslims face some of the worst outcomes in domains of social mobility,
housing, education, employment and income as well as pre-existing poor health outcomes
(Ali 2015).
A more appropriate term for COVID-19 is that it is a syndemic, bringing together
concurrent biological, psychosocial and structural epidemics with synergistic interactions
that reinforce unequal outcomes. The excess disease burden of COVID-19 experienced by
Muslims in the UK necessitates a new framework for health policy and action that predicts,
controls and mitigates risks to close an unacceptable, unfair and unjust gap. This paper is a
critical analysis; at the time of writing the world is grappling with the Omicron variant of
coronavirus. Application of lessons learnt is vital and urgent as we continue to enter cycles
Religions 2022, 13, 780. https://doi.org/10.3390/rel13090780 https://www.mdpi.com/journal/religions