Despite one of the world's strictest and longest lockdown policies, the Philippines' securitized approach to containing the COVID-19 pandemic has led to unnecessary suffering, especially in poor communities. This article explores how the Philippine government's prioritizing of punitive policies such as detaining quarantine violators or attempting to decongest Manila by sending poor families to neighbouring provinces, magnifies existing socio-spatial inequalities and further spreads disease. In many of these communities, poverty is a co-morbidity. As local governments struggle to provide frontline health and social welfare services, high-profile arrests, media shutdowns, and the proposed Anti-Terrorism Bill spark concerns about restrictions on free speech while movement is curtailed. Nevertheless, community and private sector efforts around localized healthcare, food security, and inclusive mobility indicate potential paths towards a ‘better normal’ that goes beyond just survival.

Issues we are confronted with in the age of the Anthropocene, such as climate change, extinction, and the coronavirus pandemic demand a fundamental rethink of human-nature relationships, but at the same time we are faced with a ‘crisis of imagination’, which is highlighted by the paucity of stories or narratives that enable us to fully engage with these issues. We have a ‘climate crisis’ as well as a ‘crisis of culture’ and both derive from the same source: epistemological limitations in the paradigm of modernity. The most problematic limitation is the fact that our social scientific knowledge has blind spots when it comes to nature and spirituality which makes it almost impossible for us to rethink human-nature relationships in a meaningful way. Miyazaki Hayao and Shinkai Makoto, however, directly illuminate these blind spots by making nature and spirituality central features in their animation films. This opens up new epistemological and ontological spaces in the hearts and minds of a global audience, making it possible to imagine something new. And that ‘something new’ is ‘postmodern animism’ which emerged from the fusion of a critique of modernity with the intangible cultural heritage of grassroots Japan. Postmodern animism is a philosophy that sees nature as a combination of the life-world and the spiritual-world thus enabling us to engage with climate change and the COVID-19 pandemic in a radically different way. It helps us to conceive a new paradigm that is more suitable for the Anthropocene.

The fear of being forgotten that haunts the victims of the Fukushima nuclear disaster set in quickly in the months following March 11, 2011. The Tokyo Olympics, touted as the “Recovery Olympics,” has served as a powerful vehicle for accelerating amnesia, on the one hand justifying the rushed reopening of restricted zones and other decisions of convenience, on the other, programming moments highlighting Fukushima in the Games. As preparations for the latter, especially the torch relay, reached fever pitch, the novel coronavirus intervened to force an abrupt postponement. It also disrupted ongoing and special events planned for the ninth 3.11 anniversary. The essay below elaborates on that context as an introduction to two texts by Muto Ruiko, head of the citizens' group whose efforts led to the only criminal trial to emerge from the Fukushima disaster. The first, a speech anticipating the torch relay, outlines what the Olympics asks us to forget about Fukushima; the second is a reflection on living under two emergency declarations, the first nuclear, the second, COVID-19.

On 25 March, the Olympic Torch Relay is to set out from Fukushima with its “sacred flame” on a grand national circuit, visiting all 47 of the country's prefectures and arriving at the Tokyo Games venue for the opening ceremony on 23 July. But will this scenario really play out? Even as the countdown to the Olympic opening ceremony proceeds, in the shadow of the 3.11 earthquake, tsunami and nuclear disaster and the Covid pandemic there are reports that cancelation might be imminent.

As the novel coronavirus swept Japan, religious practitioners of all types responded. This article provides an overview of early-stage reactions by individuals and organizations affiliated with Buddhism, Shinto, New Religions, and other religious traditions in Japan. It features interviews with Japanese clergy and lay followers who contended with social distancing and more dire consequences of COVID-19, and it contextualizes their responses within media coverage, sectarian sources, and historical research. As it highlights trends in religious reactions to the coronavirus, such as a divide between policies enacted by “new” and “traditional” groups, the article discusses reasons for contrasting responses and points to dilemmas that will face Japan's religious organizations after the pandemic subsides.

While prior studies have barely explored social interaction for COVID-19 across Asia, this study highlights how people interact with each other for the COVID-19 pandemic among India, Japan, and South Korea based on social network analysis by employing NodeXL for Twitter between July 27 and July 28, 2020. This study finds that the Ministry of Health and Prime Minister of India, news media of Japan, and the president of South Korea play the most essential role in social networks in their country, respectively. Second, governmental key players play the most crucial role in South Korea, whereas they play the least role in India. Third, the Indian are interested in COVID-19 deaths, the Japanese care about the information of COVID-19 patients, and the South Korean focus on COVID-19 vaccines. Therefore, governments and disease experts should explore their social interaction based on the characteristics of social networks to release important news and information in a timely manner.

This study highlights key players for COVID-19 in Brazil, Peru, Colombia, Chile, Argentina, and Ecuador by employing social network analysis for Twitter. This study finds that key players in Latin America play various roles in COVID-19 social networks, differing from country to country. For example, Brazil has no Latin key players, whereas Colombia and Ecuador have 8 Latin key players in the top 10 key players. Secondly, the role of governmental key players also varies across different countries. For instance, Peru, Chile, Argentina, and Ecuador have the governmental key player as the top key player, whereas Brazil and Colombia have the news media key player as the first. Thirdly, each country shows different social networks according to groups. For instance, Colombia exhibits the most open social networks among groups, whereas Brazil shows the most closed social networks among the 6 Latin countries. Fourthly, several top tweeters are common across the 6 Latin American countries. For example, Peru and Colombia have caraotadigital (Venezuelan news media), and Chile and Argentina have extravzla (Venezuelan news media) as the top tweeter.

SARS-CoV-2 superspreading occurs when transmission is highly efficient and/or an individual infects many others, contributing to rapid spread. To better quantify heterogeneity in SARS-CoV-2 transmission, particularly superspreading, we performed a systematic review of transmission events with data on secondary attack rates or contact tracing of individual index cases published before September 2021 prior to the emergence of variants of concern and widespread vaccination. We reviewed 592 distinct events and 9,883 index cases from 491 papers. A meta-analysis of secondary attack rates identified substantial heterogeneity across 12 chosen event types/settings, with the highest transmission (25–35%) in co-living situations including households, nursing homes, and other congregate housing. Among index cases, 67% reported zero secondary cases and only 3% (287) infected >5 secondary cases (“superspreaders”). Index case demographic data were limited, with only 55% of individuals reporting age, sex, symptoms, real-time polymerase chain reaction (PCR) cycle threshold values, or total contacts. With the data available, we identified a higher percentage of superspreaders among symptomatic individuals, individuals aged 49–64 years, and individuals with over 100 total contacts. Addressing gaps in the literature regarding transmission events and contact tracing is needed to properly explain the heterogeneity in transmission and facilitate control efforts for SARS-CoV-2 and other infections.

This qualitative research sought to identify factors influencing patient choice of, and patient-related internal and external enablers and barriers to engagement with, type 2 diabetes (T2D) remission strategies offered by the Remission in diabetes (REMI.D) project. Patients had a choice of three diets: Total Diet Replacement (TDR)-Formula Food Products, TDR-Food, and Healthy lifestyle approach; and three activity pathways: Everyday life, General Practitioner referral, and Social hub. Semi-structured interviews were recorded and transcribed. Thematic analysis used the Framework Method and NVivo 12 to assist with generation and organisation of codes, inductive and deductive (Theoretical Domains Framework). The REMI.D project was a place-based approach (place in this case being defined as two local authorities with significant rates of deprivation) situated in the North East of England. Twenty patients out of a possible 65 patients took part. Areas of interest included: patient choice, patient intention, patient adherence, patient non-adherence, and patient stigma. Addition of a more moderate dietary strategy (not dissimilar to the diet in the Healthier You NHS Diabetes Prevention Programme) to the existing NHS England T2D Path to Remission programme may enable more patients to achieve remission or delayed progression with deprescribing of diabetes medications. Embedding a tailored physical activity path within or as a bolt-on to the NHS programme requires consideration. Limited resources should be targeted towards patients who identify with more barriers or fewer opportunities for health behaviour modification. Further research on use of virtual programmes in deprived areas is warranted.

Older racial and ethnic minorities and older adults with dementia have an elevated COVID-19 risk, warranting research into the intersection between these two high-risk groups. We examined whether race-ethnicity moderates the association between dementia and COVID-19 diagnosis. Data were retrieved for 3189 respondents from a nationally representative prospective cohort sample of US older adults aged 65+ years. We analysed the effects of the interaction between race-ethnicity and dementia on COVID-19 diagnosis, after adjusting for sociodemographic factors, health and COVID-19 mitigation behaviours. The odds of COVID-19 diagnosis were significantly lower for Black older adults with dementia (adjusted odds ratio [aOR] = 0.07, 95% CI = 0.01–0.78, P = 0.03). In addition, dementia increased the odds of COVID-19 diagnosis among Hispanic older adults (aOR = 1.59, 95% CI = 0.12–21.29, P = 0.72), although this increase was not statistically significant. The interaction between race-ethnicity and dementia should be considered when assessing COVID-19 risk among older adults. Future research is needed to examine pathways through which dementia may interact with race and ethnicity to influence COVID-19 risk.

To investigate the symptoms of SARS-CoV-2 infection, their dynamics and their discriminatory power for the disease using longitudinally, prospectively collected information reported at the time of their occurrence. We have analysed data from a large phase 3 clinical UK COVID-19 vaccine trial. The alpha variant was the predominant strain. Participants were assessed for SARS-CoV-2 infection via nasal/throat PCR at recruitment, vaccination appointments, and when symptomatic. Statistical techniques were implemented to infer estimates representative of the UK population, accounting for multiple symptomatic episodes associated with one individual. An optimal diagnostic model for SARS-CoV-2 infection was derived. The 4-month prevalence of SARS-CoV-2 was 2.1%; increasing to 19.4% (16.0%–22.7%) in participants reporting loss of appetite and 31.9% (27.1%–36.8%) in those with anosmia/ageusia. The model identified anosmia and/or ageusia, fever, congestion, and cough to be significantly associated with SARS-CoV-2 infection. Symptoms’ dynamics were vastly different in the two groups; after a slow start peaking later and lasting longer in PCR+ participants, whilst exhibiting a consistent decline in PCR- participants, with, on average, fewer than 3 days of symptoms reported. Anosmia/ageusia peaked late in confirmed SARS-CoV-2 infection (day 12), indicating a low discrimination power for early disease diagnosis.

Older adults were particularly vulnerable to the COVID-19 pandemic, necessitating significant efforts to avoid contamination. This extraordinary situation posed an increased risk of mental pressure, and the ability to handle stressful situations is affected by several aspects. Therefore, this study aims to explore the coping strategies employed by older adults during the early months of the COVID-19 pandemic. A sample of 41 Swedish older adults aged 70–85 participated in phone interviews regarding their experiences with social distancing due to COVID-19. The interviews were conducted between April and May 2020, with nine follow-up interviews conducted in November and December 2020. The findings revealed results that despite the challenging circumstances, the participants demonstrated a strong mindset and resilience. Strategies utilised to improve their wellbeing and manage the situation included following recommendations, accepting the situation and maintaining a positive outlook. The influence of previous experiences on their coping strategies was evident. Additionally, the participants expressed a longing for their relatives and a need to adopt new technologies to manage their everyday lives. The follow-up interviews indicated no significant changes in worry or behaviour; if anything, participants were less worried at the beginning of the pandemic. This study contributes to the ongoing discussion on vulnerability among older adults by highlighting the diverse range of coping strategies employed during a prolonged crisis such as the COVID-19 pandemic. It demonstrated that though they are medically vulnerable, they are situationally resilient and, in many ways, well set to handle a challenging situation. During crises, older adults might need practical assistance. On the other hand, they can be a resource regarding mental preparedness during crises. Further research should explore the possibilities of balancing the needs of older adults and, at the same time, viewing them as a resource during long-time crises.

We examined the association between face masks and risk of infection with SARS-CoV-2 using cross-sectional data from 3,209 participants in a randomized trial exploring the effectiveness of glasses in reducing the risk of SARS-CoV-2 infection. Face mask use was based on participants’ response to the end-of-follow-up survey. We found that the incidence of self-reported COVID-19 was 33% (aRR 1.33; 95% CI 1.03–1.72) higher in those wearing face masks often or sometimes, and 40% (aRR 1.40; 95% CI 1.08–1.82) higher in those wearing face masks almost always or always, compared to participants who reported wearing face masks never or almost never. We believe the observed increase in the incidence of infection associated with wearing a face mask is likely due to unobservable and hence nonadjustable differences between those wearing and not wearing a mask. Observational studies reporting on the relationship between face mask use and risk of respiratory infections should be interpreted cautiously, and more randomized trials are needed.

Introduction: The aim of this study was to analyze the network structure of physical activity, frequency, depressive, and affective symptoms in people under home isolation due to COVID-19. Method: A longitudinal study was conducted in two phases (beginning (March 19, 2020) and end of home confinement (April 8, 2020)). The sample consisted of 579 participants from Spain (250 men and 329 women) aged 16 to 92 years (overall sample: M = 47.06, SD = 14.52). A network analysis was performed. Results: Four clusters emerged (PA, depressive symptoms, positive affect, and negative affect). A higher frequency of physical activity was related to better-sustained attention, increased alertness, and enthusiasm. In addition, feelings of guilt and shame were mitigated, and confinement distress and irritability were reduced. Physical activity also mitigated fatigue in women, whereas feelings of unhappiness were reduced in men. Conclusion: Physical activity seems to be an effective option for mitigating the negative effects of the COVID-19 pandemic. Public health policymakers should develop programs to promote physical activity in order to be able to cope with confinement or similar scenarios in the future.