Michaéla Schippers, John P. A. Ioannidis and Ari Joffe:

A series of aggressive restrictive measures around the world were adopted in 2020-2022 to attempt to prevent SARS-CoV-2 from spreading. However, it has become increasingly clear that an important negative side-effect of the most aggressive (lockdown) response strategies may involve a steep increase in poverty, hunger, and inequalities. Several economic, educational and health repercussions have not only fallen disproportionately on children, students, and young workers, but also and especially so on low-income families, ethnic minorities, and women, exacerbating existing inequalities. For several groups with pre-existing inequalities (gender, socio-economic and racial), the inequality gaps widened. Educational and financial security decreased, while domestic violence surged. Dysfunctional families were forced to spend more time with each other, and there has been growing unemployment and loss of purpose in life. This has led to a vicious cycle of rising inequalities and health issues. In the current narrative and scoping review, we describe macro-dynamics that are taking place as a result of aggressive public health policies and psychological tactics to influence public behavior, such as mass formation and crowd behavior. Coupled with the effect of inequalities, we describe how these factors can interact towards aggravating ripple effects. In light of evidence regarding the health, economic and social costs, that likely far outweigh potential benefits, the authors suggest that, first, where applicable, aggressive lockdown policies should be reversed and their re-adoption in the future should be avoided. If measures are needed, these should be non-disruptive. Second, it is important to assess dispassionately the damage done by aggressive measures and offer ways to alleviate the burden and long-term effects. Third, the structures in place that have led to counterproductive policies, should be assessed and ways should be sought to optimize decision-making, such as counteracting groupthink and increasing the level of reflexivity. Finally, a package of scalable positive psychology interventions is suggested to counteract the damage done and improve future prospects for humanity.