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Algorithmic bias in COVID-19 detection systems poses aserious threat to equitable pandemic response, asdemographicdisparities in model performance risk worsening healthoutcomes across vulnerable populations. We present anadoptedCausal Concept Bottleneck Model (C2BM) framework thatsystematically addresses fairness in multimodal COVID-19detection by learning interpretable concepts from chest CTscans and patient metadata. Our approach targets theCountry → Institution → COVID causal pathway throughprincipledinterventions, achieving substantial bias reduction: age andgender demographic parity differences decrease from 51.15%to 18.50% (64% reduction), gender disparate impact improvesfrom 0.6475 to 0.9812 (51% improvement), whilepreserving 98.45% diagnostic F1-score. Throughcomprehensive evaluation across four model variants, wedemonstrate that causal interventions enable stable andreproduciblefairness improvements without compromising clinicalutility. Our work establishes that principled causalreasoning canachieve practical fairness-accuracy trade-offs in COVID-19detection systems, providing actionable guidance forequitable healthcare AI deployment.