Without the mitigation effects offered through and isolation, the actual progress of the disease in the rest of the world will certainly be much more… - Adam Hanieh

In this sense, the COVID-19 crisis has sharply underscored the irrational nature of health care systems structured around corporate profit — the almost universal cutbacks to staffing and infrastructure (including critical care beds and ventilators), the lack of provision and the prohibitive cost of access to medical services in many countries, and the ways in which the property rights of pharmaceutical companies serve to restrict widespread access to potential therapeutic treatments and the development of vaccines. However, the global dimensions of COVID-19 have figured less prominently in much of the left discussion.

Similarly disastrous scenarios face the many millions of people currently displaced through war and conflict. The Middle East, for example, is the site of the largest since the Second World War, with massive numbers of refugees and internally displaced people as a result of the ongoing wars in countries such as Syria, Yemen, Libya, and Iraq. Most of these people live in or overcrowded urban spaces, and often lack the rudimentary typically associated with citizenship. The widespread prevalence of and other diseases (such as the reappearance of cholera in Yemen) make these displaced communities particularly susceptible to the virus itself.

One microcosm of this can be seen in the Gaza Strip, where over 70 percent of the population are refugees living in one of the most densely packed areas in the world. The first two cases of COVID-19 were identified in Gaza on March 20 (a lack of testing equipment, however, has meant that only 92 people out of the 2-million-strong population have been tested for the virus). Reeling from thirteen years of Israeli siege and the systematic destruction of essential infrastructure, living conditions in the Strip are marked by , poor sanitation, and a chronic lack of drugs and medical equipment (there are, for example, only sixty-two ventilators in Gaza, and just fifteen of these are currently available for use). Under blockade and closure for most of the past decade, Gaza has been shut to the world long before the current pandemic. The region could be the proverbial canary in the COVID-19 coalmine — foreshadowing the future path of the infection among refugee communities across the Middle East and elsewhere.