1
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Blazek ES, Bucher A. Barriers to COVID-19 Vaccination in a Troop of Fleet Antiterrorism Security Team Marines: Observational Study. JMIR Form Res 2024; 8:e50181. [PMID: 38502179 PMCID: PMC10988372 DOI: 10.2196/50181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 11/21/2023] [Accepted: 02/19/2024] [Indexed: 03/20/2024] Open
Abstract
BACKGROUND In 2019, the World Health Organization declared the reluctance to vaccinate despite the availability of vaccination services as one of the top 10 threats to global health. In early 2021, self-reported reluctance to vaccinate among military personnel might have been considered a significant threat to national security. Having a choice architecture that made COVID-19 vaccination optional rather than required for military personnel could have inadvertently undermined military readiness if vaccination uptake did not reach an acceptable threshold. OBJECTIVE The purpose of this observational study was to examine Marines' self-reported reasons for planning to decline the COVID-19 vaccine to understand their barriers to vaccination. METHODS As the vaccination became available to 1 company of Fleet Antiterrorism Security Team (FAST) Marines in early 2021, company command required those planning to decline vaccination to write an essay with up to 5 reasons for their choice. These essays provided the data for this study. Qualitative descriptive analysis with elements from grounded theory was used to thematically categorize FAST Marines' written reasons for planning to decline the COVID-19 vaccine into a codebook describing 8 key behavioral determinants. Interrater agreement among 2 qualitatively trained researchers was very good (κ=0.81). RESULTS A troop of 47 Marines provided 235 reasons why they planned to decline the COVID-19 vaccine. The most frequent reasons were difficulty understanding health information (105/235, 45%), low estimates of risk (33/235, 14%), and fear of physical discomfort (29/235, 12%). Resulting interventions directly targeted Marines' self-reported reasons by reducing barriers (eg, normalized getting the vaccine), increasing vaccine benefits (eg, improved access to base gyms and recreational facilities), and increasing nonvaccine friction (eg, required in writing 5 reasons for declining the vaccine). CONCLUSIONS Understanding the barriers military personnel experience toward COVID-19 vaccination remains critical as vaccine acquisition and availability continue to protect military personnel. Insights from subpopulations like FAST Marines can enhance our ability to identify barriers and appropriate intervention techniques to influence COVID-19 vaccination behaviors.
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Affiliation(s)
- E Susanne Blazek
- Behavioral Reinforcement Learning Lab (BReLL), Lirio, Knoxville, TN, United States
| | - Amy Bucher
- Behavioral Reinforcement Learning Lab (BReLL), Lirio, Knoxville, TN, United States
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2
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Arora V, Chakravarty S, Kapoor H, Mukherjee S, Roy S, Tagat A. No going back: COVID-19 disease threat perception and male migrants' willingness to return to work in India. JOURNAL OF ECONOMIC BEHAVIOR & ORGANIZATION 2023; 209:533-546. [PMID: 37025424 PMCID: PMC10040349 DOI: 10.1016/j.jebo.2023.03.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 03/11/2023] [Accepted: 03/19/2023] [Indexed: 06/19/2023]
Abstract
This paper explores the causal link between the likelihood of re-migration to cities and the perceived threat of contracting COVID-19 using novel data on male reverse migrant workers in India. We find that reverse-migrants who believe there is a significant chance of contracting COVID-19 display a significantly lower likelihood of returning to their urban workplaces, regardless of their duration of migration. On the other hand, longer-duration migrants display a lower perceived chance of contracting COVID-19 than shorter-duration migrants. We also contribute to the migration literature by linking behavioural attributes to the decision to migrate. We find that more impatient individuals display a heightened belief regarding contracting COVID-19 and a higher projected likelihood of returning to work. Finally, we find that while both loss and risk-averse individuals have a lower projected likelihood of returning to urban workplaces, only loss-averse individuals perceive that their chance of contracting COVID-19 is lower.
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Affiliation(s)
- Varun Arora
- Behavioural Insights, Architecture & Strategy (BIAS) Inc., New Delhi, India
| | - Sujoy Chakravarty
- Centre for Economic Studies and Planning, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India
| | - Hansika Kapoor
- Department of Psychology, Monk Prayogshala, Mumbai, India
| | - Shagata Mukherjee
- Centre for Social and Behaviour Change, Ashoka University, India
- Behavioural Insights Unit of India, NITI Aayog, India
| | - Shubhabrata Roy
- Behavioural Insights, Architecture & Strategy (BIAS) Inc., New Delhi, India
| | - Anirudh Tagat
- Department of Economics, Monk Prayogshala, Mumbai, India
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3
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Redelmeier DA, Wang J, Thiruchelvam D. COVID Vaccine Hesitancy and Risk of a Traffic Crash. Am J Med 2023; 136:153-162.e5. [PMID: 36470796 PMCID: PMC9716428 DOI: 10.1016/j.amjmed.2022.11.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Revised: 10/27/2022] [Accepted: 11/02/2022] [Indexed: 12/03/2022]
Abstract
BACKGROUND Coronavirus disease (COVID) vaccine hesitancy is a reflection of psychology that might also contribute to traffic safety. We tested whether COVID vaccination was associated with the risks of a traffic crash. METHODS We conducted a population-based longitudinal cohort analysis of adults and determined COVID vaccination status through linkages to individual electronic medical records. Traffic crashes requiring emergency medical care were subsequently identified by multicenter outcome ascertainment of all hospitals in the region over a 1-month follow-up interval (178 separate centers). RESULTS A total of 11,270,763 individuals were included, of whom 16% had not received a COVID vaccine and 84% had received a COVID vaccine. The cohort accounted for 6682 traffic crashes during follow-up. Unvaccinated individuals accounted for 1682 traffic crashes (25%), equal to a 72% increased relative risk compared with those vaccinated (95% confidence interval, 63-82; P < 0.001). The increased traffic risks among unvaccinated individuals extended to diverse subgroups, was similar to the relative risk associated with sleep apnea, and was equal to a 48% increase after adjustment for age, sex, home location, socioeconomic status, and medical diagnoses (95% confidence interval, 40-57; P < 0.001). The increased risks extended across the spectrum of crash severity, appeared similar for Pfizer, Moderna, or other vaccines, and were validated in supplementary analyses of crossover cases, propensity scores, and additional controls. CONCLUSIONS These data suggest that COVID vaccine hesitancy is associated with significant increased risks of a traffic crash. An awareness of these risks might help to encourage more COVID vaccination.
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Affiliation(s)
- Donald A Redelmeier
- Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ont, Canada; Department of Medicine, University of Toronto, Ont, Canada; Institute for Clinical Evaluative Sciences (ICES), Toronto, Ont, Canada; Division of General Internal Medicine; Center for Leading Injury Prevention Practice Education & Research, Sunnybrook Health Sciences Centre, Toronto, Ont, Canada.
| | - Jonathan Wang
- Department of Medicine, University of Toronto, Ont, Canada; Institute for Clinical Evaluative Sciences (ICES), Toronto, Ont, Canada
| | - Deva Thiruchelvam
- Evaluative Clinical Sciences, Sunnybrook Research Institute, Toronto, Ont, Canada; Institute for Clinical Evaluative Sciences (ICES), Toronto, Ont, Canada
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4
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Behavioral Economics in the Epidemiology of the COVID-19 Pandemic: Theory and Simulations. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19159557. [PMID: 35954908 PMCID: PMC9368471 DOI: 10.3390/ijerph19159557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Revised: 07/29/2022] [Accepted: 07/31/2022] [Indexed: 02/01/2023]
Abstract
We provide a game-theoretical epidemiological model for the COVID-19 pandemic that takes into account that: (1) asymptomatic individuals can be contagious, (2) contagion is behavior-dependent, (3) behavior is determined by a game that depends on beliefs and social interactions, (4) there can be systematic biases in the perceptions and beliefs about the pandemic. We incorporate lockdown decisions by the government into the model. The citizens’ and government’s beliefs can exhibit several biases that we discuss from the point of view of behavioral economics. We provide simulations to understand the effect of lockdown decisions and the possibility of “nudging” citizens in the right direction by improving the accuracy of their beliefs.
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5
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Siu M, Lin AM, Narvaez VF, Perez-Coulter A, Norris MA, Kronick MD, Hadro NC, Kravetz AJ, Ching YA, Morris ME. Analysis of Presentation and Outcomes in Acute Limb Ischemia Patients During COVID-19 State of Emergency. Vasc Endovascular Surg 2022; 56:15385744221106272. [PMID: 35648644 DOI: 10.1177/15385744221106272] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
BACKGROUND During the COVID-19 pandemic, cardiovascular patients were found to be presenting to hospitals with myocardial infarctions and cerebrovascular accidents at progressed disease states. We noticed a parallel in acute limb ischemia (ALI) patients presenting during Massachusetts' COVID-19 State of Emergency declaration. We question whether patients developed a hesitancy to seek medical attention at hospitals due to fear of COVID-19. Our objective was to compare acuity of ALI, interventions, and limb survival in patients presenting before, during, and after a state of emergency. METHODS Four timeframes were set to compare patients presenting peri-2020 COVID-19 State of Emergency and patients presenting during a pre-pandemic era at a tertiary, academic institution. A reference period from 2019, Pre-State of Emergency period, State of Emergency period, and Post-State of Emergency period were designated. Patient characteristics, interventions, and outcomes data were collected. Unpaired t-test, ANOVA, and Chi-square statistical analyses were used. RESULTS A total of 95 patients presenting with ALI were identified. Compared to Reference group, state of emergency group had more patients presenting with Rutherford Class III, 12.9% vs 35%, and less patient presenting with Class I, 45.1% vs 0%, P = .02. State of emergency group had more delayed presentations with ≥6 hours after symptom onset, 45% vs 85%, P = .01. Above-knee amputations were performed in 20% of patients during state of emergency and 31.6% for Post-State of Emergency, vs 6.5% in the Reference group; P = .03. There was no difference in intensive care unit admission, length of stay, or mortality between patients from different groups. CONCLUSION During a state of emergency, ALI patients were noted to present later from symptom onset, have greater disease severity, and more likely to undergo amputations. We suspect delay in presentation and limb lost to be attributed to reluctance to seek immediate medical attention.
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Affiliation(s)
- Margaret Siu
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Alex M Lin
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Vincent F Narvaez
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Aixa Perez-Coulter
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Marc A Norris
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Matthew D Kronick
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Neal C Hadro
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Amanda J Kravetz
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Yiming A Ching
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
| | - Marvin E Morris
- Department of Vascular Surgery, 21645Baystate Medical Center, Springfield, MA, USA
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6
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Redelmeier DA, Singh SM. Long-term mortality of academy award winning actors and actresses. PLoS One 2022; 17:e0266563. [PMID: 35417469 PMCID: PMC9007384 DOI: 10.1371/journal.pone.0266563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Accepted: 03/22/2022] [Indexed: 12/01/2022] Open
Abstract
Background Social status gradients are powerful health determinants for individuals living in poverty. We tested whether winning an Academy award (Oscar) for acting was associated with long-term survival. Methods We conducted a longitudinal cohort analysis of all actors and actresses nominated for an Academy award in a leading or a supporting role. For each, a control was identified based on age, sex, and co-staring in the same film. Results Overall, 2,111 individuals were analyzed with 1,122 total deaths occurring during a median follow-up of 68.8 years. Comparisons of winners to controls yielded a 4.8% relative difference average life-span (95% confidence interval: 1.6 to 7.9, p = 0.004), a 5.1 year absolute increase in life expectancy (95% confidence interval: 3.0 to 7.2, p < 0.001), and a 41% improvement in mortality hazard (95% confidence interval: 19 to 68, p < 0.001). The increased survival tended to be greater in recent years, for individuals winning at a younger age, and among those with multiple wins. The increased survival replicated in secondary analyses comparing winners to nominees and was not observed in analyses comparing nominees to controls. Conclusions Academy award winning actors and actresses show a positive association between success and survival, suggesting the importance of behavioral, psychological, or other modifiable health factors unrelated to poverty.
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Affiliation(s)
- Donald A. Redelmeier
- Department of Medicine, University of Toronto, Toronto, Canada
- Evaluative Clinical Sciences Platform, Sunnybrook Research Institute, Toronto, Canada
- Institute for Clinical Evaluative Sciences in Ontario, Toronto, Canada
- Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, Canada
- Centre for Leading Injury Prevention Practice Education & Research, Toronto, Canada
- * E-mail:
| | - Sheldon M. Singh
- Department of Medicine, University of Toronto, Toronto, Canada
- Schulich Heart Program, Sunnybrook Health Sciences Centre, Toronto, Canada
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7
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Abraham A. How We Tell Apart Fiction from Reality. AMERICAN JOURNAL OF PSYCHOLOGY 2022. [DOI: 10.5406/19398298.135.1.01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Abstract
The human ability to tell apart reality from fiction is intriguing. Through a range of media, such as novels and movies, we are able to readily engage in fictional worlds and experience alternative realities. Yet even when we are completely immersed and emotionally engaged within these worlds, we have little difficulty in leaving the fictional landscapes and getting back to the day-to-day of our own world. How are we able to do this? How do we acquire our understanding of our real world? How is this similar to and different from the development of our knowledge of fictional worlds? In exploring these questions, this article makes the case for a novel multilevel explanation (called BLINCS) of our implicit understanding of the reality–fiction distinction, namely that it is derived from the fact that the worlds of fiction, relative to reality, are bounded, inference-light, curated, and sparse.
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8
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Testa A, Fahmy C, Hill TD. Perceptions of neighborhood dangerousness and changes in sleep quality during the COVID-19 pandemic: Assessing the mediating role of changes in health behaviors. Prev Med 2022; 156:106991. [PMID: 35167855 PMCID: PMC8837485 DOI: 10.1016/j.ypmed.2022.106991] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 12/02/2021] [Accepted: 02/06/2022] [Indexed: 11/25/2022]
Abstract
Numerous studies have demonstrated that neighborhood context contributes to variations in morbidity and mortality. This body of work includes a burgeoning literature that links adverse neighborhood characteristics (e.g., neighborhood poverty and perceptions of disorder and dangerousness) with poorer sleep outcomes. During the COVID-19 pandemic, many neighborhoods exhibited socioeconomic downturns and escalations in crime and violence. The question is the extent to which these changes in neighborhood conditions have impacted the sleep quality of residents. In this paper, we use original survey data from the 2021 Crime, Health, and Politics Survey (CHAPS), a national probability sample of adults living in the U.S., to formally test whether changes in perceptions of neighborhood dangerousness during the pandemic are associated with sleep quality during the same period. Regression analyses show that while reports of a neighborhood becoming safer during the pandemic are associated with better sleep quality, reports of a neighborhood becoming more dangerous are associated with worse sleep quality. Mediation analyses also indicate that the association between increased neighborhood dangerousness and poorer sleep quality is partially explained by a concurrent deterioration in diet quality, but not increases in alcohol or cigarette consumption. We conclude with a discussion of the implications of our findings for research and policy on neighborhood context and sleep.
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Affiliation(s)
- Alexander Testa
- University of Texas at San Antonio, Department of Criminology & Criminal Justice, United States of America.
| | - Chantal Fahmy
- University of Texas at San Antonio, Department of Criminology & Criminal Justice, United States of America.
| | - Terrence D Hill
- University of Texas at San Antonio, Department of Sociology, United States of America.
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9
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Lin A, Yan WH. Perspective of HLA-G Induced Immunosuppression in SARS-CoV-2 Infection. Front Immunol 2021; 12:788769. [PMID: 34938296 PMCID: PMC8685204 DOI: 10.3389/fimmu.2021.788769] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2021] [Accepted: 11/17/2021] [Indexed: 12/23/2022] Open
Abstract
COVID-19, the disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has threatened public health worldwide. Host antiviral immune responses are essential for viral clearance and disease control, however, remarkably decreased immune cell numbers and exhaustion of host cellular immune responses are commonly observed in patients with COVID-19. This is of concern as it is closely associated with disease severity and poor outcomes. Human leukocyte antigen-G (HLA-G) is a ligand for multiple immune inhibitory receptors, whose expression can be upregulated by viral infections. HLA-G/receptor signalling, such as engagement with immunoglobulin-like transcript 2 (ILT-2) or ILT-4, not only inhibit T and natural killer (NK) cell immune responses, dendritic cell (DC) maturation, and B cell antibody production. It also induces regulatory cells such as myeloid-derived suppressive cells (MDSCs), or M2 type macrophages. Moreover, HLA-G interaction with CD8 and killer inhibitory receptor (KIR) 2DL4 can provoke T cell apoptosis and NK cell senescence. In this context, HLA-G can induce profound immune suppression, which favours the escape of SARS-CoV-2 from immune attack. Although detailed knowledge on the clinical relevance of HLA-G in SARS-CoV-2 infection is limited, we herein review the immunopathological aspects of HLA-G/receptor signalling in SARS-CoV-2 infection, which could provide a better understanding of COVID-19 disease progression and identify potential immunointerventions to counteract SARS-CoV-2 infection.
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Affiliation(s)
- Aifen Lin
- Biological Resource Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, China.,Key Laboratory of Minimally Invasive Techniques & Rapid Rehabilitation of Digestive System Tumor of Zhejiang Province, Taizhou Hospital of Zhejiang Province, Linhai, China
| | - Wei-Hua Yan
- Key Laboratory of Minimally Invasive Techniques & Rapid Rehabilitation of Digestive System Tumor of Zhejiang Province, Taizhou Hospital of Zhejiang Province, Linhai, China.,Medical Research Center, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Linhai, China
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10
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Çalışkan E, Kargın M. The relationship between coronavirus 19 fear and occupational fatigue, burnout and recovery levels in healthcare professionals in Turkey. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2021; 77:711-720. [PMID: 34890295 DOI: 10.1080/19338244.2021.2002796] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Studies conducted after the SARS outbreak (2003) reported that healthcare professionals experienced high levels of psychological distress. These psychological problems need to be addressed during and after the epidemic. This study was planned to be carried out in healthcare professionals to determine the relationship between the fear of COVID-19 and burnout. Data were collected online from 538 healthcare professionals working in different cities and units using the Personal Information Form consisting of questions about demographic characteristics, the COVID-19 Phobia Scale and the Occupational Fatigue Exhaustion Recovery Scale. It was determined that the fear of COVID-19 high and burnout levels of the participants were above the scale. There was a significant difference between the burnout level of individuals, the level of fear of COVID-19, the individual's profession and the unit they work in. It is important to implement psychosocial interventions in order to take the necessary precautions to ensure that healthcare workers are less affected by the negative effects of fear and burnout during the epidemic process. The role of professional teams, including psychiatric nurses, is of great importance in determining and resolving the negative effects of the pandemic on healthcare professionals.
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11
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A brief forewarning intervention overcomes negative effects of salient changes in COVID-19 guidance. JUDGMENT AND DECISION MAKING 2021. [DOI: 10.1017/s1930297500008548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
AbstractDuring the COVID-19 pandemic, public health guidance (e.g., regarding the use of non-medical masks) changed over time. Although many revisions were a result of gains in scientific understanding, we nonetheless hypothesized that making changes in guidance salient would negatively affect evaluations of experts and health-protective intentions. In Study 1 (N = 300), we demonstrate that describing COVID-19 guidance in terms of inconsistency (versus consistency) leads people to perceive scientists and public health authorities less favorably (e.g., as less expert). For participants in Canada (n = 190), though not the U.S. (n = 110), making guidance change salient also reduced intentions to download a contact tracing app. In Study 2 (N = 1399), we show that a brief forewarning intervention mitigates detrimental effects of changes in guidance. In the absence of forewarning, emphasizing inconsistency harmed judgments of public health authorities and reduced health-protective intentions, but forewarning eliminated this effect.
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12
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Teixeira da Silva JA. Corona exhaustion (CORONEX): COVID-19-induced exhaustion grinding down humanity. CURRENT RESEARCH IN BEHAVIORAL SCIENCES 2021; 2:100014. [PMID: 38620780 PMCID: PMC7836432 DOI: 10.1016/j.crbeha.2021.100014] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 01/05/2021] [Accepted: 01/08/2021] [Indexed: 12/05/2022] Open
Abstract
The constant presence and reminder of COVID-19, as well as persistent measures to control, test, measure or otherwise monitor this pandemic are taking an eroding psychological toll on the global population, even as select populations begin to receive a vaccine. This daily "presence" is exhausting humanity in ways akin to times of war or extreme financial strife, and its long-term impact on human mental health is referred to in this paper as CORONEX, or exhaustion caused by the coronavirus, in this case COVID-19. This term is based on broad observations, but not on clinical data. Prolonged fear, insecurities, and radical changes to lifestyles can erode psychological defenses while fortifying mental frailties. Particularly vulnerable to both health and mental health impacts of COVID-19 are older individuals, those with pre-existing conditions, minorities, and healthcare workers. Even with vaccines, COVID-19-induced fatigue (CORONEX) will likely continue in the foreseeable future as humanity learns to coexist with this pandemic. Suitable and robust economic, psycho-emotive and healthcare support structures are needed for those that survive, even more so for communities living in under-privileged conditions.
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13
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Both LM, Zoratto G, Calegaro VC, Ramos-Lima LF, Negretto BL, Hauck S, Freitas LHM. COVID-19 pandemic and social distancing: economic, psychological, family, and technological effects. TRENDS IN PSYCHIATRY AND PSYCHOTHERAPY 2021; 43:85-91. [PMID: 34043896 PMCID: PMC8317552 DOI: 10.47626/2237-6089-2020-0085] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 09/17/2020] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The concept of social isolation is currently understood as a measure of epidemiological containment that aims to reduce the speed of spread of the disease, enabling health services to prepare their resources to cope with the likely increase in demand, while also seeking to provide additional protection to groups considered to be at higher risk. OBJECTIVE The present narrative review aims to compile and synthesize the literature related to social isolation produced during the COVID-19 pandemic in 2020. METHOD This study is a narrative review of the literature on social isolation in the context of the COVID- 19 pandemic. RESULTS 73 publications were included for full-text reading and were classified into the following categories: levels of social isolation, economic effects, family relationships, health system, mental health of the population, and use of technology. CONCLUSIONS It is necessary to plan an escalation of responses to the consequences of the pandemic, especially in view of the increased demand on the health sector and social services. The negative effects of social isolation can be prevented by public policies that offer a response to the economic recession, maintenance of social work, encouragement of quality care in mental health services, and community support for vulnerable families.
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Affiliation(s)
- Luciane Maria Both
- Programa de Pós-Graduação em Psiquiatria e Ciências do ComportamentoUniversidade Federal do Rio Grande do SulPorto AlegreRSBrazil
Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento
,
Universidade Federal do Rio Grande do Sul
(UFRGS),
Porto Alegre
,
RS
.
Brazil
.
| | - Gustavo Zoratto
- Faculdade de MedicinaUniversidade Federal de Santa MariaSanta MariaRSBrazil
Faculdade de Medicina
,
Universidade Federal de Santa Maria
(UFSM),
Santa Maria
,
RS
,
Brazil
.
| | - Vitor Crestani Calegaro
- Departamento de NeuropsiquiatriaUFSMSanta MariaRSBrazil
Departamento de Neuropsiquiatria
,
UFSM
,
Santa Maria
,
RS
,
Brazil
.
| | - Luis Francisco Ramos-Lima
- Programa de Pós-Graduação em Psiquiatria e Ciências do ComportamentoUniversidade Federal do Rio Grande do SulPorto AlegreRSBrazil
Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento
,
Universidade Federal do Rio Grande do Sul
(UFRGS),
Porto Alegre
,
RS
.
Brazil
.
- Programa de Pesquisa e Tratamento de Trauma PsicológicoHospital de Clínicas de Porto AlegrePorto AlegreRSBrazil
Programa de Pesquisa e Tratamento de Trauma Psicológico
(NET-Trauma),
Hospital de Clínicas de Porto Alegre
(HCPA),
Porto Alegre
,
RS
,
Brazil
.
| | - Bianca Lorenzi Negretto
- Faculdade de MedicinaUniversidade Federal de Santa MariaSanta MariaRSBrazil
Faculdade de Medicina
,
Universidade Federal de Santa Maria
(UFSM),
Santa Maria
,
RS
,
Brazil
.
| | - Simone Hauck
- Programa de Pós-Graduação em Psiquiatria e Ciências do ComportamentoUniversidade Federal do Rio Grande do SulPorto AlegreRSBrazil
Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento
,
Universidade Federal do Rio Grande do Sul
(UFRGS),
Porto Alegre
,
RS
.
Brazil
.
- Programa de Pesquisa e Tratamento de Trauma PsicológicoHospital de Clínicas de Porto AlegrePorto AlegreRSBrazil
Programa de Pesquisa e Tratamento de Trauma Psicológico
(NET-Trauma),
Hospital de Clínicas de Porto Alegre
(HCPA),
Porto Alegre
,
RS
,
Brazil
.
| | - Lucia Helena Machado Freitas
- Programa de Pós-Graduação em Psiquiatria e Ciências do ComportamentoUniversidade Federal do Rio Grande do SulPorto AlegreRSBrazil
Programa de Pós-Graduação em Psiquiatria e Ciências do Comportamento
,
Universidade Federal do Rio Grande do Sul
(UFRGS),
Porto Alegre
,
RS
.
Brazil
.
- Programa de Pesquisa e Tratamento de Trauma PsicológicoHospital de Clínicas de Porto AlegrePorto AlegreRSBrazil
Programa de Pesquisa e Tratamento de Trauma Psicológico
(NET-Trauma),
Hospital de Clínicas de Porto Alegre
(HCPA),
Porto Alegre
,
RS
,
Brazil
.
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14
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Battiston P, Kashyap R, Rotondi V. Reliance on scientists and experts during an epidemic: Evidence from the COVID-19 outbreak in Italy. SSM Popul Health 2021; 13:100721. [PMID: 33553567 PMCID: PMC7859315 DOI: 10.1016/j.ssmph.2020.100721] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2020] [Revised: 12/01/2020] [Accepted: 12/11/2020] [Indexed: 12/14/2022] Open
Abstract
Research suggests trust in experts and authorities are important correlates of compliance with public health measures during infectious disease outbreaks. Empirical evidence on the dynamics of reliance on scientists and public health authorities during the early phases of an epidemic outbreak is limited. We examine these processes during the COVID-19 outbreak in Italy by leveraging data from Twitter and two online surveys, including a survey experiment. We find that reliance on experts followed a curvilinear path. Both Twitter and survey data showed initial increases in information-seeking from expert sources in the three weeks after the detection of the first case. Consistent with these increases, knowledge about health information linked to COVID-19 and support for containment measures was widespread, and better knowledge was associated with stronger support for containment policies. Both knowledge and containment support were positively associated with trust in science and public health authorities. However, in the third week after the outbreak, we detected a slowdown in responsiveness to experts. These processes were corroborated with a survey experiment, which showed that those holding incorrect beliefs about COVID-19 gave no greater - or even lower - importance to information when its source was stated as coming from experts than when the source was unstated. Our results suggest weakened trust in public health authorities with prolonged exposure to the epidemic as a potential mechanism for this effect. Weakened responsiveness to expert sources may increase susceptibility to misinformation and our results call for efforts to sustain trust in adapting public health response.
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Affiliation(s)
| | - Ridhi Kashyap
- Department of Sociology & Leverhulme Centre for Demographic Science, University of Oxford, UK
- Nuffield College, University of Oxford, UK
| | - Valentina Rotondi
- Department of Sociology & Leverhulme Centre for Demographic Science, University of Oxford, UK
- Nuffield College, University of Oxford, UK
- Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Switzerland
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15
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Amato M, Eissa A, Rosiello G, Farinha R, Piazza P, Sighinolfi MC, Rocco B, Bianchi G, Micali S, Mottrie A, Puliatti S. Diagnostic bias during the COVID-19 era: COVID-19 or renal abscess? Urologia 2021; 88:218-222. [PMID: 33550944 PMCID: PMC7873619 DOI: 10.1177/0391560321993592] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction: The Coronavirus disease-2019 (COVID-19) has been declared as a pandemic in March 2020 by the World Health Organization (WHO). Since then, this pandemic has dramatically affected the entire world, even radically influencing the way patients are framed at triage. Symptoms and tests in most cases lead to a correct diagnosis; however, error may be around the corner. Case report: A 60 years old patient was referred with weight loss, fatigue and mild fever for 3 weeks as he was working in a COVID-19 ward. After a positive swab and chest CT scan, he was admitted in the hospital and treated as mild COVID-19 patient. A CT scan performed after the patient was discharged revealed a renal lesion misidentified as a tumor then clarified to be an abscess which retrospectively appears to be the main cause of his symptoms. Conclusion: Clinicians should consider other life-threatening disease in the differential diagnosis of patients presenting with similar symptoms to minimize mistakes and avoid further unnecessary investigations.
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Affiliation(s)
- Marco Amato
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy.,Department of Urology, OLV, Aalst, Belgium.,ORSI Academy, Melle, Belgium
| | - Ahmed Eissa
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy.,Urology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - Giuseppe Rosiello
- Department of Urology, OLV, Aalst, Belgium.,ORSI Academy, Melle, Belgium.,Division of Oncology/Unit of Urology, URI, IRCCS Ospedale San Raffaele, Milan, Italy.,Vita-Salute San Raffaele University, Milan, Italy
| | - Rui Farinha
- Department of Urology, OLV, Aalst, Belgium.,ORSI Academy, Melle, Belgium
| | - Pietro Piazza
- Department of Urology, OLV, Aalst, Belgium.,ORSI Academy, Melle, Belgium.,Department of Urology, University of Bologna, Bologna, Italy
| | | | - Bernardo Rocco
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Giampaolo Bianchi
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Salvatore Micali
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy
| | - Alexandre Mottrie
- Department of Urology, OLV, Aalst, Belgium.,ORSI Academy, Melle, Belgium
| | - Stefano Puliatti
- Department of Urology, University of Modena and Reggio Emilia, Modena, Italy.,Department of Urology, OLV, Aalst, Belgium.,ORSI Academy, Melle, Belgium
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16
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de Almeida SMV, Santos Soares JC, Dos Santos KL, Alves JEF, Ribeiro AG, Jacob ÍTT, da Silva Ferreira CJ, Dos Santos JC, de Oliveira JF, de Carvalho Junior LB, de Lima MDCA. COVID-19 therapy: What weapons do we bring into battle? Bioorg Med Chem 2020; 28:115757. [PMID: 32992245 PMCID: PMC7481143 DOI: 10.1016/j.bmc.2020.115757] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2020] [Revised: 07/29/2020] [Accepted: 09/03/2020] [Indexed: 01/18/2023]
Abstract
Urgent treatments, in any modality, to fight SARS-CoV-2 infections are desired by society in general, by health professionals, by Estate-leaders and, mainly, by the scientific community, because one thing is certain amidst the numerous uncertainties regarding COVID-19: knowledge is the means to discover or to produce an effective treatment against this global disease. Scientists from several areas in the world are still committed to this mission, as shown by the accelerated scientific production in the first half of 2020 with over 25,000 published articles related to the new coronavirus. Three great lines of publications related to COVID-19 were identified for building this article: The first refers to knowledge production concerning the virus and pathophysiology of COVID-19; the second regards efforts to produce vaccines against SARS-CoV-2 at a speed without precedent in the history of science; the third comprehends the attempts to find a marketed drug that can be used to treat COVID-19 by drug repurposing. In this review, the drugs that have been repurposed so far are grouped according to their chemical class. Their structures will be presented to provide better understanding of their structural similarities and possible correlations with mechanisms of actions. This can help identifying anti-SARS-CoV-2 promising therapeutic agents.
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Affiliation(s)
- Sinara Mônica Vitalino de Almeida
- Laboratório de Biologia Molecular, Universidade de Pernambuco, Garanhuns, PE, Brazil; Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil; Laboratório de Imunopatologia Keizo Asami (LIKA), Universidade Federal de Pernambuco, Recife, PE, Brazil.
| | - José Cleberson Santos Soares
- Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Keriolaine Lima Dos Santos
- Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | | | - Amélia Galdino Ribeiro
- Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Íris Trindade Tenório Jacob
- Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | | | | | - Jamerson Ferreira de Oliveira
- Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | | | - Maria do Carmo Alves de Lima
- Laboratório de Química e Inovação Terapêutica (LQIT) - Departamento de Antibióticos, Universidade Federal de Pernambuco, Recife, PE, Brazil
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17
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Do BN, Tran TV, Phan DT, Nguyen HC, Nguyen TTP, Nguyen HC, Ha TH, Dao HK, Trinh MV, Do TV, Nguyen HQ, Vo TT, Nguyen NPT, Tran CQ, Tran KV, Duong TT, Pham HX, Nguyen LV, Nguyen KT, Chang PWS, Duong TV. Health Literacy, eHealth Literacy, Adherence to Infection Prevention and Control Procedures, Lifestyle Changes, and Suspected COVID-19 Symptoms Among Health Care Workers During Lockdown: Online Survey. J Med Internet Res 2020; 22:e22894. [PMID: 33122164 PMCID: PMC7674138 DOI: 10.2196/22894] [Citation(s) in RCA: 58] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2020] [Revised: 09/25/2020] [Accepted: 10/28/2020] [Indexed: 01/16/2023] Open
Abstract
Background The COVID-19 pandemic has imposed a heavy burden on health care systems and governments. Health literacy (HL) and eHealth literacy (as measured by the eHealth Literacy Scale [eHEALS]) are recognized as strategic public health elements but they have been underestimated during the pandemic. HL, eHEALS score, practices, lifestyles, and the health status of health care workers (HCWs) play crucial roles in containing the COVID-19 pandemic. Objective The aim of this study is to evaluate the psychometric properties of the eHEALS and examine associations of HL and eHEALS scores with adherence to infection prevention and control (IPC) procedures, lifestyle changes, and suspected COVID-19 symptoms among HCWs during lockdown. Methods We conducted an online survey of 5209 HCWs from 15 hospitals and health centers across Vietnam from April 6 to April 19, 2020. Participants answered questions related to sociodemographics, HL, eHEALS, adherence to IPC procedures, behavior changes in eating, smoking, drinking, and physical activity, and suspected COVID-19 symptoms. Principal component analysis, correlation analysis, and bivariate and multivariate linear and logistic regression models were used to validate the eHEALS and examine associations. Results The eHEALS had a satisfactory construct validity with 8 items highly loaded on one component, with factor loadings ranked from 0.78 to 0.92 explaining 76.34% of variance; satisfactory criterion validity as correlated with HL (ρ=0.42); satisfactory convergent validity with high item-scale correlations (ρ=0.80-0.84); and high internal consistency (Cronbach α=.95). HL and eHEALS scores were significantly higher in men (unstandardized coefficient [B]=1.01, 95% CI 0.57-1.45, P<.001; B=0.72, 95% CI 0.43-1.00, P<.001), those with a better ability to pay for medication (B=1.65, 95% CI 1.25-2.05, P<.001; B=0.60, 95% CI 0.34-0.86, P<.001), doctors (B=1.29, 95% CI 0.73-1.84, P<.001; B 0.56, 95% CI 0.20-0.93, P=.003), and those with epidemic containment experience (B=1.96, 95% CI 1.56-2.37, P<.001; B=0.64, 95% CI 0.38-0.91, P<.001), as compared to their counterparts, respectively. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures (B=0.13, 95% CI 0.10-0.15, P<.001; B=0.22, 95% CI 0.19-0.26, P<.001), had a higher likelihood of healthy eating (odds ratio [OR] 1.04, 95% CI 1.01-1.06, P=.001; OR 1.04, 95% CI 1.02-1.07, P=.002), were more physically active (OR 1.03, 95% CI 1.02-1.03, P<.001; OR 1.04, 95% CI 1.03-1.05, P<.001), and had a lower likelihood of suspected COVID-19 symptoms (OR 0.97, 95% CI 0.96-0.98, P<.001; OR 0.96, 95% CI 0.95-0.98, P<.001), respectively. Conclusions The eHEALS is a valid and reliable survey tool. Gender, ability to pay for medication, profession, and epidemic containment experience were independent predictors of HL and eHEALS scores. HCWs with higher HL or eHEALS scores had better adherence to IPC procedures, healthier lifestyles, and a lower likelihood of suspected COVID-19 symptoms. Efforts to improve HCWs’ HL and eHEALS scores can help to contain the COVID-19 pandemic and minimize its consequences.
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Affiliation(s)
- Binh N Do
- Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.,Division of Military Science, Military Hospital 103, Hanoi, Vietnam.,Director Office, Military Hospital 103, Hanoi, Vietnam
| | - Tien V Tran
- Department of Infectious Diseases, Vietnam Military Medical University, Hanoi, Vietnam.,Division of Military Science, Military Hospital 103, Hanoi, Vietnam.,Director Office, Military Hospital 103, Hanoi, Vietnam
| | - Dung T Phan
- Faculty of Nursing, Hanoi University of Business and Technology, Hanoi, Vietnam.,Nursing Office, Viet Duc University Hospital, Hanoi, Vietnam
| | - Hoang C Nguyen
- Director Office, Thai Nguyen National Hospital, Thai Nguyen, Vietnam.,President Office, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam
| | - Thao T P Nguyen
- Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue, Vietnam.,Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
| | - Huu C Nguyen
- Department of Thoracic and Cardiovascular Surgery, E Hospital, Hanoi, Vietnam.,Director Office, E Hospital, Hanoi, Vietnam
| | - Tung H Ha
- Director Office, General Hospital of Agricultural, Hanoi, Vietnam
| | - Hung K Dao
- Director Office, Bac Ninh Obstetrics and Pediatrics Hospital, Bac Ninh, Vietnam
| | - Manh V Trinh
- Director Office, Quang Ninh General Hospital, Quang Ninh, Vietnam
| | - Thinh V Do
- Director Office, Bai Chay Hospital, Quang Ninh, Vietnam
| | - Hung Q Nguyen
- Director Office, Quang Ninh Obstetrics and Pediatrics Hospital, Quang Ninh, Vietnam
| | - Tam T Vo
- Director Office, Trieu Phong District Health Center, Quang Tri, Vietnam
| | - Nhan P T Nguyen
- General Planning Department, Da Nang Oncology Hospital, Da Nang, Vietnam
| | - Cuong Q Tran
- Director Office, Thu Duc District Health Center, Ho Chi Minh, Vietnam.,Faculty of Health, Mekong University, Vinh Long, Vietnam
| | - Khanh V Tran
- Director Office, Hospital District 2, Ho Chi Minh, Vietnam
| | - Trang T Duong
- Nursing Office, Tan Phu District Hospital, Ho Chi Minh, Vietnam
| | - Hai X Pham
- Director Office, District 9 Health Center, Ho Chi Minh, Vietnam
| | - Lam V Nguyen
- President Office, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam.,Aesthetic Plastic Surgery & Skin Care Center, Can Tho University of Medicine and Pharmacy Hospital, Can Tho, Vietnam
| | - Kien T Nguyen
- Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi, Vietnam
| | - Peter W S Chang
- School of Medicine, Chung Shan Medical University, Taichung, Taiwan.,Department of Public Health and Community Medicine, Tufts University School Of Medicine, Boston, MA, United States
| | - Tuyen Van Duong
- School of Nutrition and Health Sciences, Taipei Medical University, Taipei, Taiwan
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18
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Tanga V, Leroy S, Fayada J, Hamila M, Allegra M, Messaoudi Z, Bonnetaud C, Lespinet V, Bordone O, Washetine K, Griffonnet J, Maniel C, Philibert L, Selva E, Benzaquen J, Ilie M, Long E, Lassalle S, Lantéri E, Marquette CH, Hofman V, Hofman P. Establishment of a Collection of Blood-Derived Products from COVID-19 Patients for Translational Research: Experience of the LPCE Biobank (Nice, France). Biopreserv Biobank 2020; 18:517-524. [PMID: 33175565 DOI: 10.1089/bio.2020.0055] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
In only a few months after its inception, the COVID-19 pandemic lead to the death of hundreds of thousands of patients and to the infection of millions of people on most continents, mostly in the United States and in Europe. During this crisis, it was demonstrated that a better understanding of the pathogenicity, virulence, and contagiousness of SARS-CoV-2, all of which were initially underestimated, was urgently needed. The development of diagnostic tests to identify SARS-CoV-2 or to detect anti-SARS-CoV2 antibodies in blood, of vaccines, and of preventive and curative treatments has been relying on intense activity of scientists in academia and industry. It is noteworthy that these scientists depend on the use of high-quality biological samples taken from positive COVID-19 patients in a manner that preserves their integrity. Given this unique and emergent situation, it was necessary to urgently establish biological collections clinically annotated for immediate development of clinical and translational research projects focusing on COVID-19 biological aspects. It is in this very specific context that biobanks must rapidly adapt their infrastructure and/or operational capacity to fulfill new critical needs. We report the establishment of a biobank dedicated to the collection of blood-derived products (plasma, serum, and leukocytes) from COVID-19 patients hospitalized in the Nice Pasteur Hospital (Nice, France).
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Affiliation(s)
- Virginie Tanga
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
| | - Sylvie Leroy
- Department of Pneumology, FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Julien Fayada
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Marame Hamila
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Maryline Allegra
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Zeineb Messaoudi
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Christelle Bonnetaud
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Virgine Lespinet
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Olivier Bordone
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Kevin Washetine
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Jennifer Griffonnet
- Department of Pneumology, FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Charlotte Maniel
- Department of Pneumology, FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Lorène Philibert
- Department of Pneumology, FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Eric Selva
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Jonathan Benzaquen
- Department of Pneumology, FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Marius Ilie
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
| | - Elodie Long
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
| | - Sandra Lassalle
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
| | - Elisabeth Lantéri
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
| | - Charles-Hugo Marquette
- IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France.,Department of Pneumology, FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France
| | - Véronique Hofman
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
| | - Paul Hofman
- Laboratory of Clinical and Experimental Pathology (LPCE), Biobank (BB-0033-00025), FHU-OncoAge, Nice Hospital University, Université Côte d'Azur, Nice, France.,IRCAN, CNRS, INSERM, Centre Antoine Lacassagne, FHU-OncoAge, Université Côte d'Azur, Nice, France
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19
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Vallejo BM, Ong RAC. Policy responses and government science advice for the COVID 19 pandemic in the Philippines: January to April 2020. PROGRESS IN DISASTER SCIENCE 2020; 7:100115. [PMID: 34173440 PMCID: PMC7299863 DOI: 10.1016/j.pdisas.2020.100115] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/14/2020] [Accepted: 06/15/2020] [Indexed: 05/05/2023]
Abstract
In this paper we examine two policy questions about the COVID 19 pandemic in the Philippines. These are science informed policy questions that will have to take into consideration a large degree of uncertainties in outcomes. The first question is on when to lift the Enhanced Community Quarantine (ECQ) as informed by epidemiological modelling. The second deals on how the Philippines can respond to a future pandemic crisis. We review the Philippine government's responses and introduce the complicating scientific, social, and political contexts for both questions and address proposals for strengthening the science advisory structures. We propose a permanent science advisory body for emergencies with the widest source of expertise as needed.
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Affiliation(s)
- Benjamin M Vallejo
- Institute of Environmental Science and Meteorology, University of the Philippines Diliman, Philippines
- Science and Society Program, University of the Philippines Diliman, Philippines
- International Network for Government Science Advice-Asia, Kuala Lumpur, Malaysia
| | - Rodrigo Angelo C Ong
- Institute of Environmental Science and Meteorology, University of the Philippines Diliman, Philippines
- Science and Society Program, University of the Philippines Diliman, Philippines
- College of Medicine, University of the Philippines Manila, Philippines
- International Network for Government Science Advice-Asia, Kuala Lumpur, Malaysia
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20
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Tsamakis K, Dimitrakakis G, Stefanadi E, Tsiptsios D, A. Dimitrakaki I, Mueller C, A. Spandidos D, Stefanadis C, Rizos E. [Comment] The challenges of planetary mental health in the COVID-19 era. Exp Ther Med 2020; 20:1843-1844. [PMID: 32782492 PMCID: PMC7401303 DOI: 10.3892/etm.2020.8927] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 06/24/2020] [Indexed: 01/27/2023] Open
Abstract
As the focus of the COVID-19 crisis is gradually taken away from emergency healthcare needs, increased attention is warranted on the psychological impact of the pandemic on a global level. Existing guidance on managing the COVID-19 related distress needs to be better informed by upcoming larger-scale research. Applying e-Health can be useful in dealing with the immediate psychological needs, while developing strategies to identify vulnerable populations and shifting the provision of mental health and social care to community services need to be prioritised when looking at the future. Focusing on global mental health during this universal crisis is an opportunity for promoting a more compassionate and less discriminating society.
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Affiliation(s)
- Konstantinos Tsamakis
- Second Department of Psychiatry, University of Athens, ‘ATTIKON’ University Hospital, 12462 Athens, Greece
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, London SE5 8AF, UK
| | - Georgios Dimitrakakis
- Department of Cardiothoracic Surgery, University Hospital of Wales, Cardiff CF14 4XW, UK
| | | | - Dimitrios Tsiptsios
- Neurophysiology Department, South Tyneside and Sunderland NHS Foundation Trust, Sunderland SR47TP, UK
| | | | - Christoph Mueller
- King's College London, Institute of Psychiatry, Psychology and Neuroscience, London SE5 8AF, UK
| | - Demetrios A. Spandidos
- Laboratory of Clinical Virology, School of Medicine, University of Crete, 71003 Heraklion, Greece
| | | | - Emmanouil Rizos
- Second Department of Psychiatry, University of Athens, ‘ATTIKON’ University Hospital, 12462 Athens, Greece
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21
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El-Saiedi SA, Haeffele C, Hanna BM, Lui GK. The Hidden Victims of the COVID-19 Pandemic: Congenital Heart Disease Patients. JACC Case Rep 2020; 2:1411-1413. [PMID: 32835286 PMCID: PMC7294284 DOI: 10.1016/j.jaccas.2020.05.081] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Sonia A. El-Saiedi
- Division of Pediatric Cardiology, Pediatrics Department, Cairo University, Cairo, Egypt
| | - Christiane Haeffele
- Division of Pediatric Cardiology, Stanford University School of Medicine, Stanford, California
- Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California
| | - Baher M. Hanna
- Division of Pediatric Cardiology, Pediatrics Department, Cairo University, Cairo, Egypt
| | - George K. Lui
- Division of Pediatric Cardiology, Stanford University School of Medicine, Stanford, California
- Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California
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22
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Adebayo O, Ayowole D, Ogbonna V, Amoo A, Babarinde T, Nwafor J, Enebeli U, Sokomba A, Ilesanmi O. COVID-19 at the community level: What are the countermeasures? NIGERIAN JOURNAL OF MEDICINE 2020. [DOI: 10.4103/njm.njm_109_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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