The orders in Bosnia and Herzegovina do not meet these criteria. First, singling out age as the sole determinant is problematic. While older people are among those at high risk of death from COVID-19, there are also increased risks for people of any age with certain underlying health conditions. These include heart and lung diseases, including asthma or chronic obstructive pulmonary disease, liver disease, diabetes, cancer and compromised immune systems, and likely current or recent pregnancy. Growing evidence globally shows that adults across all age groups may ultimately require hospitalization if they contract COVID-19.
If the objective of the order is to protect people at high risk, limiting it to people over 65 is arbitrary. There are effective ways to prevent exposure, such as social distancing and strict hygiene including hand washing and not touching your face. Banning people from going outside is not strictly necessary.
Research also suggests that children with COVID-19 have less severe symptoms and lower mortality rates than other age groups. There is little evidence that children play a significant role in asymptomatic transmission, and there is no need to restrict their right to go outdoors, if they adhere to the same social distancing restrictions as adults.
The order can also be a burden on parents and a challenge for children if they must stay confined for extended periods of time. One mother of two boys, aged three and 11, told us: “The kids have been confined to the house for 15 days now. The boys are restless and nervous. They are bored. They sleep less. The older one has tantrums and the younger one cries more often. …I’ve always been in favour of avoiding gatherings, playrooms and parks full of children during flu season, for example. But I don’t understand why now they cannot even go out a few meters from our apartment building, or get in and out of [the] car.”
Older people subject to such extreme social isolation may struggle to get food, health services and medicine, and their health and mental well-being may be harmed as a result. The daughter of a 72-year-old woman who lives alone in Zenica told us: “Fortunately, neighbours help out and make sure she has food…. [It’s] more the psychological impact. It is not easy to handle this isolation, especially for people who live alone.
“What really made me sad the other day was when mom told me: ‘If I could just go out to throw away the trash’ …How terrifying it is that it would mean something to her to be able to walk for 20 or 30 meters to the trash container!”