To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
The Covid-19 pandemic has had global impacts, leading to changes in human activities and resulting in both positive and negative outcomes for the natural environment. To more fully understand the pandemic’s impact on the conservation of ecosystems and conservation actors or organizations, this research investigated its impact on the Caribbean island nation of Trinidad and Tobago. Data were collected through an online questionnaire and targeted follow up semi-structured interviews. The results showed that the pandemic led to many challenges for some actors, including job loss and cancellation of fieldwork and outreach events. More positively, there were opportunities for some actors to adapt or find new modes of operation, which unexpectedly made some of them more effective at achieving their goals. The results also suggest that the impacts of the pandemic on ecosystems were both positive and negative. On the positive side, curfews and lockdowns restricted access to natural areas, resulting in benefits such as ecosystem recovery. More negatively, there were issues associated with spikes in illegal activities such as poaching and squatting in protected areas. Respondents suggested that better access to funding and local government support would have helped conservation actors be in a better position to adapt to the changes brought about by the pandemic. The results of this research provide much needed insight into how the Covid-19 pandemic is and will continue to impact conservation actors and their initiatives. Further studies can build on this research to explore the impact of pandemics on conservation in the long term.
Acute poisoning is a major cause of pediatric emergency department (PED) visits, with the COVID-19 pandemic potentially altering exposure risks and care-seeking behaviors. This study compares pediatric poisoning characteristics before and during the pandemic.
Methods
A retrospective analysis was conducted at the Gazi University PED between January 2018 and June 2022. Patients aged 1 month-18 years diagnosed with poisoning were identified via ICD codes grouped into before pandemic and during pandemic cases. A systematic random sampling yielded 178 BP (before the pandemic) and 94 DP (during the pandemic) cases with complete data. Demographic and clinical properties of cases were analyzed.
Results
The mean age was significantly higher during the pandemic (BP:7.63±0.49; DP:9.27±0.69). A higher prevalence of chronic diseases was noted in DP cases (BP:0.29±0.049; DP:0.57±0.100). Hotline consultations were higher in DP period (54.5% vs.72.5%) while hospitalization rates were lower (55% vs. 35.2%). While suicide attempts were significantly higher in women compared to men before the pandemic, this difference disappeared during the pandemic period (BP:8.6% of males vs. 37.2% of females; DP: 25% of males vs. 39% of females).
Conclusion
The COVID-19 pandemic significantly impacted pediatric poisoning profiles, underscoring the need for targeted prevention strategies and adaptive emergency protocols.
This paper draws upon the theoretical literature on migration policy and health, and empirical data on three European states with differing welfare models – Sweden (social democrat), France (conservative), and the United Kingdom (liberal) – during Covid-19, to highlight the often hidden and contradictory politics through which refugees, asylum seekers, and undocumented migrants were forced to navigate during the most uncertain period of the pandemic. Although migrants’ treatment during Covid-19 was generally better in Sweden with a social democrat welfare tradition, we see migration management priorities greatly undermining the extent to which welfare systems function overall for the benefit of population health. Furthermore, Sweden’s recent political shift to the right exacerbates those negative tendencies. As the paper shows, there was considerable effort by civil society and local government to fill the gap where national governments failed to protect this group, stepping in to provide health information, and support.
The papers in this special themed section reflect on, explore, and analyse national and local government policy responses to the recent pandemic between 2020 and 2022, and the short- and longer-term impacts on human security for different groups of people and places, with a particular focus on the UK and Korea. Drawing on an integrated critical human security and state capacity approach and qualitative methodology, they contribute to and further develop debates on the social policy responses to the pandemic and their scarring effects. They also highlight the key role that a state capacity for human security approach can play in promoting inclusive risk governance, recognising and addressing constellations of vulnerability, risk and insecurity, and highlighting the rapid and uneven distribution of the benefits of digital technologies and its potential from compromising as well as enhancing human security.
The COVID-19 pandemic threatened to worsen pre-existing economic inequality in China. This chapter discusses how the Chinese party-state used distinctive “ultra-heterodox” measures to alter or nullify contractual terms in contractual disputes during the pandemic that raised serious concerns about inequality, social unrest, or systemic financial risk. Specifically, courts would refer such disputes to either mediation, insolvency, or a “macro-prudential” proceeding that involved courts collaborating with government agencies, party officials, and stakeholders of firms experiencing financial distress to negotiate and implement resolutions of disputes. These procedures allow the party-state to achieve its objectives of preventing market disruption, social unrest, and financial crisis triggered by unfair and unequal contracts. The “negotiated legality” reflected in these measures works in China because of the dominance of the party-state, widespread acceptance among contracting parties of a communitarian understanding of liability and responsibility, and the efficiency of postponing risk allocation to the enforcement stage from the contract formation stage in an emerging market.
Brazil and the United States adopted contrasting approaches to protection of tenants against eviction during the COVID-19 pandemic. In the United States, the legislature adopted protective measures for tenants early in the pandemic that were later overturned by the Supreme Court. In Brazil, the legislature failed to adopt significant protective measures during the early phases of the pandemic; the first important protective measure was an interim decision of Brazil’s Supreme Court handed down over one year after the beginning of the pandemic. In this sense, Brazil’s overall approach was heterodox while the approach in the United States was orthodox. At the same time, the actions of the Brazilian legislature and executive branch were highly orthodox, based on the argument that measures that served to protect tenants might harm vulnerable landlords. In fact, economically vulnerable tenants are likely to be much more common in Brazil than economically vulnerable landlords. This episode shows that a heterodox system may contain orthodox institutions that deny the distributional potential of private law. It also shows that a heterodox system may be less effective than an orthodox system at enforcing social rights.
The COVID-19 pandemic and associated restrictive measures affected the mental health and well-being of individuals globally. We assessed non-modifiable and modifiable factors associated with the change in well-being and mental health from before to during the COVID-19 pandemic in South Africa.
Methods:
A cross-sectional online survey was conducted from 26 April, 2020, to 22 April, 2021. Paired samples t-tests were conducted to assess change in well-being (measured on The World Health Organization-Five Well-Being Index (WHO-5)) and mental health (a validated composite psychopathology p-score). Sociodemographic, environmental, clinical, and behavioural factors associated with change in outcomes were examined.
Results:
The sample comprised of 1866 adults (M age = 44.26 ± 17.36 years, female = 78.9%). Results indicated a significant decrease in well-being (p < 0.001) and increase in p-score (p < 0.001) from before to during the pandemic. Having a prior mental health condition was associated with a worsening well-being score, while being female was associated with a worsening p-score. Being of Black African descent was associated with improved p-score and higher socio-economic status (SES) was associated with improved well-being. Factors associated with worsening of both well-being and the p-score included adulthood adversity, financial loss since COVID-19, and placing greater importance on direct contact/interactions and substance use as coping strategies. Higher education level and endorsing studying/learning something new as a very important coping strategy were associated with improved well-being and p-score.
Conclusion:
Findings inform the need for targeted interventions to reduce and prevent adverse well-being and mental health outcomes during a pandemic, especially among vulnerable groups.
Telehealth offers an exciting opportunity for observation medicine. It offers the same high quality patient care, but the patient is remote from the provider. Telehealth can be utilized in many ways such as centralizing patient care to a single provider and/or combining inter-hospital observation units. This larger tele-observation unit could allow for separate observation billing creating increased revenue for physician services. Creation of tele-observation requires a diverse group of stakeholders from information technology, observation medicine, telemedicine, and nursing to create a streamlined process for patient care and technical details. Due to the Covid-19 pandemic reimbursement is unchanged when using telemedicine for observation care but expect changes as the public health emergency ends. Telemedicine and tele-observation will use will likely expand and therefore should be incorporated into residency and continuing medical education training.
There remain important questions about how personality shapes risk perceptions, willingness to engage in protective behaviors, and policy preferences during a changing pandemic. Focusing on the Big-5 and COVID-19 attitudes, we find associations between risk perceptions and negative emotionality and agreeableness, as well as between each Big-5 trait and protective behaviors and support for government restrictions. These associations are mostly stable over time, with instability pronounced for lockdown policy support, where agreeableness and conscientiousness diminish in importance as pandemic conditions improve. Negative emotionality, conscientiousness, and agreeableness reduce differences between the political left and right and between those who do and do not trust experts. We highlight the heterogeneous interplay between personality and political ideology to understand pandemic policy support, attitudes, and behaviors.
The COVID-19 pandemic impacted individuals worldwide, regardless of their geographic location, religious or political beliefs, occupation, or social standing. People’s experiences were directly impacted by lockdown measures, physical distancing, masks, vaccine recommendations, or illness of self or friend or family member, as well as by how their local and national elected officials and public health leaders managed and communicated about the pandemic. As people went into lockdown, they went online and found a proliferation of information both true and false about the pandemic. The constant deluge of online information, the new and evolving outbreak, and the worldwide impact created a complex health emergency. The COVID-19 pandemic brought emergency risk communication to the forefront of every health agency in the United States, from city to county to state to federal levels of government. This chapter provides an overview of public health preparedness; explains how Crisis and Emergency Risk Communication (CERC) is different from day-to-day public health communication; summarizes the CERC framework and phase-based messaging; and outlines how risk perception impacts the way people process information about health threats. A student case study analyzes a Legionnaires’ disease outbreak using the CERC framework. Reflection questions are included at the end of the chapter.
Will voters punish incumbents for psychological distress associated with public policy during external shocks? This study examines this question in the empirical context of the first wave of the COVID-19 pandemic in India, utilizing three novel cross-sectional surveys conducted in the first three weeks of June 2020, immediately after the national lockdown policy was officially revoked. We find that propensity to vote for the nationally incumbent Bharatiya Janata Party (if hypothetical elections were held on the day of the survey) was negatively correlated with mental stress from routine disruptions in mobility (Week 1); worsening mental health (Week 2); and emotion-focused coping (Week 3). We show that these effects are strongest in BJP-ruled states. We argue that psychological distress shaped political attitudes in the midst of the pandemic and this effect was conditional on the source of distress and moderated by governmental clarity of responsibility.
This article considers how the COVID-19 pandemic triggered a remarkable social experiment in the market for migrant ‘au pair’ labour in Australia. As has been illustrated in broader accounts of the pandemic’s ‘care crisis’, the global health emergency cracked open underlying fault lines, as capacities for social reproduction were stretched to breaking point. At the same time, the pandemic deepened the precarity of temporary migrants as they lost jobs and incomes, experienced housing insecurity, and were excluded from state emergency relief measures. Building on interdisciplinary feminist literatures on gender, work, migration, and social reproduction, this article adds to emerging scholarship on the growing phenomenon of au pairing in Australia to examine drivers of demand, migrant mobilities in and out of au pair labour, and the impact of the COVID-19 pandemic upon the market. While au pairing emerged during the pandemic as a form of survival work where migrants had little negotiating power, the market ultimately shifted when emergency childcare measures were withdrawn, migrant labour became scarce, and visa restrictions on working hours were relaxed. In addition to providing new empirical insights into au pairing in Australia, the findings underscore the constitutive role of law and policy settings in shaping the distributions and divisions of reproductive labour, which can both consolidate and also challenge broader gendered care norms and distributions and the social reproduction bargain.
We examine the impact of decentralisation on COVID-19 mortality and various health outcomes. Specifically, we investigate whether decentralised health systems, which facilitated greater regional participation and information sharing, were more effective in saving lives. Our analysis makes three contributions. First, we draw on evidence from several European countries to assess whether the decentralisation of health systems influenced COVID-19 mortality rates. Second, we explore the regional disparities in one of the most decentralised health systems, Spain, to untangle some of the determinants shaping health outcomes. Third, we estimate the regional loss of Quality Adjusted Life Years (QALYs) due to COVID-19 mortality, broken down by the wave of the pandemic. Our findings suggest that coordinated decentralisation played a critical role in saving lives throughout the COVID-19 pandemic.
We conducted interviews with state epidemiologists involved in the state-level COVID-19 response to understand the challenges and opportunities that state epidemiologists and state health departments faced during COVID-19 and consider the implications for future pandemic responses.
Methods
As part of a broader study on policymaking during COVID-19, we analyzed 12 qualitative interviews with state-epidemiologists from 11 US states regarding the challenges and opportunities they experienced during the COVID-19 response.
Results
Interviewees described the unprecedented demands COVID-19 placed on them, including increased workloads as well as political and public scrutiny. Decades of under-funding and constraints posed particular challenges for meeting these demands and compromised state responses. Emergency funding contributed to ameliorating some challenges. However, state health departments were unable to absorb the funds quickly, which created added pressure for employees. The emergency funding also did not resolve longstanding resource deficits.
Conclusions
State health departments were not equipped to meet the demands of a comprehensive COVID-19 response, and increased funding failed to address shortfalls. Effective future pandemic responses will require sustained investment and adequate support to manage on-going and surge capacity needs. Increased public interest and skepticism complicated the COVID-19 response, and additional measures are needed to address these factors.
This chapter tells the story of how the uncensored text of Pepys’s diary was finally published in the late twentieth century, before turning to the diary’s online presence in the twenty-first century. The complete text, edited by Latham and Matthews, appeared between 1970 and 1983. However, the decision to publish the diary in full was made much earlier, at the time of the controversial Lady Chatterley trial (1960). Getting all the diary into print required navigating the new law against obscene publications, with implications for how the diary is read today. International collaboration – and behind-the-scenes controversy – also shaped this edition. Collaboration is likewise a feature of the site pepysdiary.com (2003-present), which attracts an international community of readers. As the COVID-19 pandemic hit, this site became a record of how readers worldwide used Pepys’s history to interpret a contemporary plague.
The objective of this study is to develop a conceptual framework for use cases applicable to the development of an Internet of Things (IoT) system, designed for intelligent environments capable of managing the pandemic.
Methods
To achieve this objective, a comprehensive content analysis of scholarly articles from MDPI, PubMed, and Google Scholar was conducted. Best practices were identified, and various application examples were synthesized to establish an IoT-based framework.
Results
The study proposes measures for the implementation of technologically advanced environments and services while ensuring public compliance with these developments. Based on the identified use cases and enabled applications, a conceptual framework was formulated. The key use cases for IoT applications include traffic management, patient health monitoring, early virus detection, remote work facilitation, smart hygiene solutions, tracking infected individuals, monitoring social distancing, enhancing health care facilities, and ensuring quarantine compliance. To ensure rapid and effective implementation of policies, regulations, and government orders, robust architecture, applications, and technological infrastructures must be developed.
Conclusions
This study explores new architectural frameworks, potential use cases, and avenues for future advancements in IoT-based applications. The use cases are categorized as near-field measures, hybrid measures, centralized control mechanisms, and their integration in the defense against COVID-19.
The outbreak of major epidemics, such as COVID-19, has had a significant impact on supply chains. This study aimed to explore knowledge innovation in the field of emergency supply chain during pandemics with a systematic quantitative analysis.
Methods
Based on the Web of Science (WOS) Core Collection, proposing a 3-stage systematic analysis framework, and utilizing bibliometrics, Dynamic Topic Models (DTM), and regression analysis to comprehensively examine supply chain innovations triggered by pandemics.
Results
A total of 888 literature were obtained from the WOS database. There was a surge in the number of publications in recent years, indicating a new field of research on Pandemic Triggered Emergency Supply Chain (PTESC) is gradually forming. Through a 3-stage analysis, this study identifies the literature knowledge base and distribution of research hotspots in this field and predicts future research hotspots and trends mainly boil down to 3 aspects: pandemic-triggered emergency supply chain innovations in key industries, management, and technologies.
Conclusions
COVID-19 strengthened academic exchange and cooperation and promoted knowledge output in this field. This study provides an in-depth perspective on emergency supply chain research and helps researchers understand the overall landscape of the field, identifying future research directions.
During the pandemic, specifically in 2021, I established a virtual network that gathers Iraqi women academics who are based in the diaspora and in Iraq. The network is a private WhatsApp group and an X account that promotes the scholarly work of Iraqi women and fosters collaboration. We have attracted the attention of international institutions, enlarged our group to include Iraqi women academics across the continents, and introduced our work to a larger audience. Like any other group, the network has faced several challenges. We are academic women who are overloaded with endless tasks and burdened with family responsibilities, but we have found solidarity in our group. Our steps are small and slow, but we are making progress in enhancing the global visibility of Iraqi women academics and supporting the higher education system in Iraq.
Exposure to COVID-19 messaging that conflates older age with risk/infirmity has been suggested to have negative effects on older people’s sense of personal agency (i.e., sense of capacity to exercise control over one’s life).
Objectives
This qualitative study sought to determine how older adults perceived this vulnerability narrative within early COVID-19 public messaging and how this may have influenced their personal agency.
Methods
Semi-structured interviews with 15 community-dwelling older adults in Manitoba were completed and analysed using inductive thematic analysis.
Findings
Study findings suggest that early COVID-19 public health messaging created associations between vulnerability and older age that increased the participants’ sense of age-related risk. As a response, many participants described engaging in certain actions (e.g., lifestyle behaviours, following public health protocols, coping mechanisms) to potentially increase their feelings of personal agency.
Discussion
This study suggests that creators of public messaging pertaining to older age must be mindful of the ways that it may fuel a vulnerability narrative.