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      Mental health and psychosocial well-being during the COVID-19 pandemic: the invisible elephant in the room

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          Abstract

          The novel SARS-CoV-2 coronavirus pandemic has emerged as a truly formidable threat to humankind’s existence. In the wake of the massively volatile global situation created by COVID-19, it is vital to recognize that the trauma it causes can affect people in different ways, at the individual and collective levels, resulting in mental health challenges for many. Although mental health problems account for about one-third of the world’s disability among adults, these issues tend to be under-addressed and overlooked in society and are closely associated with deadly disease outbreaks. In large scale outbreaks, the mental health problems experienced are not limited to infected persons but also extend to involve frontline health workers and community members alike. While it is crucial to limit the spread of infections during an outbreak, previous experience suggests that mental and behavioural health interventions should be fully included in public health response strategies.

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          Most cited references14

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Addressing the COVID-19 Pandemic in Populations With Serious Mental Illness

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              Local public health workers' perceptions toward responding to an influenza pandemic

              Background Current national preparedness plans require local health departments to play an integral role in responding to an influenza pandemic, a major public health threat that the World Health Organization has described as "inevitable and possibly imminent". To understand local public health workers' perceptions toward pandemic influenza response, we surveyed 308 employees at three health departments in Maryland from March – July 2005, on factors that may influence their ability and willingness to report to duty in such an event. Results The data suggest that nearly half of the local health department workers are likely not to report to duty during a pandemic. The stated likelihood of reporting to duty was significantly greater for clinical (Multivariate OR: 2.5; CI 1.3–4.7) than technical and support staff, and perception of the importance of one's role in the agency's overall response was the single most influential factor associated with willingness to report (Multivariate OR: 9.5; CI 4.6–19.9). Conclusion The perceived risk among public health workers was shown to be associated with several factors peripheral to the actual hazard of this event. These risk perception modifiers and the knowledge gaps identified serve as barriers to pandemic influenza response and must be specifically addressed to enable effective local public health response to this significant threat.
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                Author and article information

                Contributors
                akanotu@yahoo.com
                charlc6@mcmaster.ca
                sanni.yaya@uOttawa.ca
                Journal
                Int J Ment Health Syst
                Int J Ment Health Syst
                International Journal of Mental Health Systems
                BioMed Central (London )
                1752-4458
                28 May 2020
                28 May 2020
                2020
                : 14
                : 38
                Affiliations
                [1 ]GRID grid.415967.8, ISNI 0000 0000 9965 1030, Department of Infection and Travel Medicine, , Leeds Teaching Hospitals NHS Trust, ; Leeds, UK
                [2 ]GRID grid.413097.8, ISNI 0000 0001 0291 6387, Department of Internal Medicine, College of Medical Sciences, , University of Calabar, ; Calabar, Cross River State Nigeria
                [3 ]GRID grid.25073.33, ISNI 0000 0004 1936 8227, Department of Sociology, , McMaster University, ; Hamilton, ON Canada
                [4 ]Geography at the Laboratoire Caribéen de Sciences Sociales du Centre National de la Recherche Scientifique, Université des Antilles, Schoelcher, Martinique, France
                [5 ]GRID grid.28046.38, ISNI 0000 0001 2182 2255, School of International Development and Global Studies, , University of Ottawa, ; Ottawa, ON Canada
                [6 ]GRID grid.4991.5, ISNI 0000 0004 1936 8948, The George Institute for Global Health, , The University of Oxford, ; Oxford, UK
                Author information
                http://orcid.org/0000-0002-4876-6043
                Article
                371
                10.1186/s13033-020-00371-w
                7257210
                32514302
                6e86d717-99d6-4faf-a6e6-c12b4dafa004
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 11 April 2020
                : 16 May 2020
                Funding
                Funded by: Pierre Elliott Trudeau Foundation and SSHRC-Vanier Canada Graduate Scholarships
                Award ID: Not applicable
                Award Recipient :
                Categories
                Commentary
                Custom metadata
                © The Author(s) 2020

                Neurology
                mental health,psychosocial well-being,covid-19,pandemic,outbreak,health inequalities
                Neurology
                mental health, psychosocial well-being, covid-19, pandemic, outbreak, health inequalities

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