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1.
Br J Soc Psychol ; 59(3): 694-702, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32609398

RESUMO

In this paper, we analyse the conditions under which the COVID-19 pandemic will lead either to social order (adherence to measures put in place by authorities to control the pandemic) or to social disorder (resistance to such measures and the emergence of open conflict). Using examples from different countries (principally the United Kingdom, the United States, and France), we first isolate three factors which determine whether people accept or reject control measures. These are the historical context of state-public relations, the nature of leadership during the pandemic and procedural justice in the development and operation of these measures. Second, we analyse the way the crisis is policed and how forms of policing determine whether dissent will escalate into open conflict. We conclude by considering the prospects for order/disorder as the pandemic unfolds.


Assuntos
Betacoronavirus , Distúrbios Civis , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Distúrbios Civis/legislação & jurisprudência , Distúrbios Civis/psicologia , Controle de Doenças Transmissíveis/legislação & jurisprudência , Conflito Psicológico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , França/epidemiologia , Governo , Política de Saúde/legislação & jurisprudência , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Opinião Pública , Comportamento de Redução do Risco , Justiça Social , Reino Unido/epidemiologia , Estados Unidos/epidemiologia
2.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-601671

RESUMO

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Assuntos
Antivirais/uso terapêutico , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Mídias Sociais/ética , Anticorpos Monoclonais Humanizados/uso terapêutico , Antivirais/provisão & distribução , Azitromicina/provisão & distribução , Azitromicina/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Distúrbios Civis , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/economia , Dissidências e Disputas , República Dominicana/epidemiologia , Reposicionamento de Medicamentos , Humanos , Hidroxicloroquina/provisão & distribução , Hidroxicloroquina/uso terapêutico , Ivermectina/provisão & distribução , Ivermectina/uso terapêutico , Pandemias/economia , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/economia , Política , Saúde Pública/economia , Saúde Pública/tendências , Confiança/psicologia
3.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-157069

RESUMO

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Assuntos
Antivirais/uso terapêutico , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Mídias Sociais/ética , Anticorpos Monoclonais Humanizados/uso terapêutico , Antivirais/provisão & distribução , Azitromicina/provisão & distribução , Azitromicina/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Distúrbios Civis , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/economia , Dissidências e Disputas , República Dominicana/epidemiologia , Reposicionamento de Medicamentos , Humanos , Hidroxicloroquina/provisão & distribução , Hidroxicloroquina/uso terapêutico , Ivermectina/provisão & distribução , Ivermectina/uso terapêutico , Pandemias/economia , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/economia , Política , Saúde Pública/economia , Saúde Pública/tendências , Confiança/psicologia
4.
Am J Trop Med Hyg ; 102(6): 1172-1174, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32358952

RESUMO

The first case of novel coronavirus disease (COVID-19) in the Dominican Republic coincided with a period of political crisis. Distrust in governmental institutions shaped the critical phase of early response. Having a weak public health infrastructure and a lack of public trust, the Ministry of Health (MoH) began the fight against COVID-19 with a losing streak. Within 45 days of the first reported case, the political crisis and turmoil caused by "fake news" are limiting the capacity and success of the MoH response to the pandemic.


Assuntos
Antivirais/uso terapêutico , Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Mídias Sociais/ética , Anticorpos Monoclonais Humanizados/uso terapêutico , Antivirais/provisão & distribução , Azitromicina/provisão & distribução , Azitromicina/uso terapêutico , Betacoronavirus/efeitos dos fármacos , Distúrbios Civis , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/economia , Dissidências e Disputas , República Dominicana/epidemiologia , Reposicionamento de Medicamentos , Humanos , Hidroxicloroquina/provisão & distribução , Hidroxicloroquina/uso terapêutico , Ivermectina/provisão & distribução , Ivermectina/uso terapêutico , Pandemias/economia , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/economia , Política , Saúde Pública/economia , Saúde Pública/tendências , Confiança/psicologia
5.
Am J Trop Med Hyg ; 102(6): 1175-1177, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-105809

RESUMO

Two decades of growing resource availability from agencies and foundations in wealthy countries has transformed approaches to health in poorly resourced nations. This progress looks increasingly unstable as climate change, social unrest, and, now, disruptive pandemics present threats not only to health but also to the mechanisms that manage it, and to funding itself. The growth in "global health" schools, technology development laboratories, nongovernmental organizations and multilateral institutions in donor countries has delivered not only successes but also disappointment, and reflect a paradigm that is in many ways contrary to the principles of population-based ownership that they espouse. Although the COVID-19 crisis has underlined the importance of health access and health service capacity, we may have a limited window of opportunity in which to rethink the current model and improve both efficiency and effectiveness. With a dose of humility, we may all benefit from studying our own rhetoric on human-centered design and applying these principles across global health to ensure that our approach is effective, efficient, and defensible.


Assuntos
Betacoronavirus/patogenicidade , Técnicas de Laboratório Clínico/economia , Infecções por Coronavirus/epidemiologia , Saúde Global/economia , Acesso aos Serviços de Saúde/economia , Pandemias , Pneumonia Viral/epidemiologia , Distúrbios Civis/economia , Técnicas de Laboratório Clínico/tendências , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/economia , Infecções por Coronavirus/prevenção & controle , Países Desenvolvidos/economia , Países em Desenvolvimento/economia , Saúde Global/tendências , Humanos , Cooperação Internacional , Propriedade/economia , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/diagnóstico , Pneumonia Viral/economia , Pneumonia Viral/prevenção & controle , Pobreza/economia , Fatores de Tempo
6.
Am J Trop Med Hyg ; 102(6): 1175-1177, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32314697

RESUMO

Two decades of growing resource availability from agencies and foundations in wealthy countries has transformed approaches to health in poorly resourced nations. This progress looks increasingly unstable as climate change, social unrest, and, now, disruptive pandemics present threats not only to health but also to the mechanisms that manage it, and to funding itself. The growth in "global health" schools, technology development laboratories, nongovernmental organizations and multilateral institutions in donor countries has delivered not only successes but also disappointment, and reflect a paradigm that is in many ways contrary to the principles of population-based ownership that they espouse. Although the COVID-19 crisis has underlined the importance of health access and health service capacity, we may have a limited window of opportunity in which to rethink the current model and improve both efficiency and effectiveness. With a dose of humility, we may all benefit from studying our own rhetoric on human-centered design and applying these principles across global health to ensure that our approach is effective, efficient, and defensible.


Assuntos
Betacoronavirus/patogenicidade , Técnicas de Laboratório Clínico/economia , Infecções por Coronavirus/epidemiologia , Saúde Global/economia , Acesso aos Serviços de Saúde/economia , Pandemias , Pneumonia Viral/epidemiologia , Distúrbios Civis/economia , Técnicas de Laboratório Clínico/tendências , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/economia , Infecções por Coronavirus/prevenção & controle , Países Desenvolvidos/economia , Países em Desenvolvimento/economia , Saúde Global/tendências , Humanos , Cooperação Internacional , Propriedade/economia , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/diagnóstico , Pneumonia Viral/economia , Pneumonia Viral/prevenção & controle , Pobreza/economia , Fatores de Tempo
7.
Lancet ; 395(10220): 248, 2020 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-31982049
10.
Lancet ; 395(10220): 273-284, 2020 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-31928765

RESUMO

BACKGROUND: Hong Kong has been embroiled in increasingly violent social unrest since June, 2019. We examined the associated population mental health burden, risk factors, and health-care needs. METHODS: In a population-based prospective cohort, adult participants aged 18 years or older were assessed at nine timepoints from 2009. Probable depression was measured using the Patient Health Questionnaire-9 (score ≥10) and suspected post-traumatic stress disorder (PTSD) by the PTSD Checklist-Civilian Version (score ≥14), plus direct exposure to traumatic events related to the ongoing social unrest. We used multivariable logistic regression to identify factors associated with both outcomes, adjusting for doctor-diagnosed depression or anxiety disorders before the unrest. On the basis of routine service statistics and respondents' intention to seek professional care, we projected the number of additional ambulatory specialist psychiatric visits required. FINDINGS: After the two baseline surveys, we followed up random subsets of 1213-1736 adults at each timepoint. Probable depression was reported by 11·2% (95% CI 9·8-12·7) of participants in 2019, compared with 1·9% (1·6-2·1) during 2009-14 and 6·5% (5·3-7·6) in 2017 after the Occupy Central Movement and before the current unrest. Prevalence of suspected PTSD in 2019 was estimated to be 12·8% (11·2-14·4). Age, sex, educational attainment, or household income were not associated with either outcome, whereas heavy social media use (≥2 h per day) was associated with both. Political attitude or protest participation was not associated with probable depression, but neutrality towards the extradition bill approximately halved the risk of suspected PTSD. Family support mitigated against probable depression. We estimated that the mental health burden identified would translate into roughly an excess 12% service requirement to the public sector queue or equivalent. INTERPRETATION: We have identified a major mental health burden during the social unrest in Hong Kong, which will require substantial increases in service surge capacity. Health-care and social care professionals should be vigilant in recognising possible mental health sequelae. In a world of increasing unrest, our findings might have implications for service planning to better protect population mental health globally. FUNDING: Research Grants Council, University Grants Committee of Hong Kong, Hong Kong Jockey Club Charities Trust.


Assuntos
Depressão/epidemiologia , Exposição à Violência/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adolescente , Adulto , Distúrbios Civis/psicologia , Feminino , Hong Kong , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Estudos Prospectivos , Índice de Gravidade de Doença , Mídias Sociais/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
13.
Lancet ; 395(10220): 309-310, 2020 01 25.
Artigo em Inglês | MEDLINE | ID: mdl-31818492
17.
Lancet ; 394(10210): e35, 2019 11 09.
Artigo em Inglês | MEDLINE | ID: mdl-31685260
20.
Int J Public Health ; 64(8): 1193-1201, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31489461

RESUMO

OBJECTIVES: A long-term civil conflict has been occurring in the southernmost provinces of Thailand, and migration to Malaysia has been accelerated by this conflict. The objective of this work was to examine the influence of perceived effects of the unrest, migration of a household member, and children left behind on the reporting of psychiatric symptoms of working age adults. METHODS: A first round of data collection was conducted in 2014 including interviews with a probability sample of 1102 households and individual interviews with 2058 males and females aged 18-59. In 2016, a second round of data collection was conducted. A fixed effects model was used in the analysis. RESULTS: The perceived effect of the unrest on the household was associated with an increased reporting of psychiatric symptoms. Furthermore, the migration of a household member for work and the presence of children left behind were related to an increased reporting of psychiatric symptoms among adults, especially among females. CONCLUSIONS: The unrest and its associated migration was related to an increased reporting of psychiatric symptoms among working age adults in the study population.


Assuntos
Distúrbios Civis , Transtornos Mentais/epidemiologia , Saúde Mental , Estresse Psicológico/epidemiologia , Adolescente , Adulto , Criança , Emigração e Imigração , Características da Família , Feminino , Humanos , Estudos Longitudinais , Masculino , Transtornos Mentais/etiologia , Pessoa de Meia-Idade , Estresse Psicológico/etiologia , Tailândia/epidemiologia , Adulto Jovem
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