RESUMEN
Social research highlights the stability of cultural beliefs, broadly arguing that population-level changes are uncommon and mostly explained by cohort replacement rather than individual-level change. We find evidence suggesting that cultural change may also occur rapidly in response to an economically and socially transformative period. Using data collected just before and after the outbreak of Covid-19 in the U.S., we explore whether cultural beliefs about essential and non-essential occupations are dynamic in the face of an exogenous social and economic shock. Using a sample of respondents whose characteristics match the U.S. Census on sex, age, and race/ethnicity, we fielded surveys measuring cultural beliefs about 85 essential and non-essential occupations using the evaluation, potency, and activity (EPA) dimensions from the Affect Control Theory paradigm. We expected that EPA ratings of essential work identities would increase due to positive media coverage of essential occupations as indispensable and often selfless roles in the pandemic, while EPA ratings of non-essential identities would decline. Our findings show patterns that are both clear and inconsistent with our predictions. For both essential and non-essential occupations, almost all statistically significant changes in mean evaluation and potency were negative; activity showed relatively little change. Changes in evaluation scores were more negative for non-essential occupations than essential occupations. Results suggest that pervasive and persistent exogenous events are worth investigating as potential sources of episodic cultural belief change.
RESUMEN
BACKGROUND: Influenza outbreaks can occur among passengers and crews during the Alaska summertime cruise season. Ill travellers represent a potential source for introduction of novel or antigenically drifted influenza virus strains to the United States. From May to September 2013-2015, the Alaska Division of Public Health, the Centers for Disease Control and Prevention (CDC), and two cruise lines implemented a laboratory-based public health surveillance project to detect influenza and other respiratory viruses among ill crew members and passengers on select cruise ships in Alaska. METHODS: Cruise ship medical staff collected 2-3 nasopharyngeal swab specimens per week from passengers and crew members presenting to the ship infirmary with acute respiratory illness (ARI). Specimens were tested for respiratory viruses at the Alaska State Virology Laboratory (ASVL); a subset of specimens positive for influenza virus were sent to CDC for further antigenic characterization. RESULTS: Of 410 nasopharyngeal specimens, 83% tested positive for at least one respiratory virus; 71% tested positive for influenza A or B virus. Antigenic characterization of pilot project specimens identified strains matching predominant circulating seasonal influenza virus strains, which were included in the northern or southern hemisphere influenza vaccines during those years. Results were relatively consistent across age groups, recent travel history, and influenza vaccination status. Onset dates of illness relative to date of boarding differed between northbound (occurring later in the voyage) and southbound (occurring within the first days of the voyage) cruises. CONCLUSIONS: The high yield of positive results indicated that influenza was common among passengers and crews sampled with ARI. This finding reinforces the need to bolster influenza prevention and control activities on cruise ships. Laboratory-based influenza surveillance on cruise ships may augment inland influenza surveillance and inform control activities. However, these benefits should be weighed against the costs and operational limitations of instituting laboratory-based surveillance programs on ships.
