A Global Experiment on Motivating Social Distancing during the COVID-19 Pandemic

2021 ◽  
Author(s):  
Nicole Legate ◽  
Thuy-vy Thi Nguyen ◽  
Arlen C. Moller ◽  
Lisa Legault ◽  
Michael R. Maniaci ◽  
...  

Effectively motivating social distancing—keeping a physical distance from others —has become a global public health priority during the COVID-19 pandemic. This cross-country preregistered experiment (n=25,718 in 89 countries) tested hypotheses derived from self-determination theory concerning generalizable positive and negative outcomes of different motivational messages encouraging social distancing. Participants were randomly assigned to three conditions: an autonomy-supportive message promoting reflective choices, a controlling message that was restrictive and shaming, or no message. Results partially supported experimental hypotheses: the controlling message increased defiance relative to the autonomy-supportive message and increased controlled motivation (which itself correlated with more defiance and less long-term behavioural intentions to engage in social distancing) relative to no message, but messages did not influence behavioural intentions. Despite small experimental effects on defiance and motivation (rs= .07 and .10), this work highlights the potential harm of controlling public health messages and potential benefits of autonomy-supportive ones.

Antibiotics ◽  
2020 ◽  
Vol 9 (10) ◽  
pp. 698 ◽  
Author(s):  
Alexandru O. Doma ◽  
Roxana Popescu ◽  
Mihai Mitulețu ◽  
Delia Muntean ◽  
János Dégi ◽  
...  

Excessive use of antimicrobials and inadequate infection control practices has turned antimicrobial resistance (AMR) into a global, public health peril. We studied the expression of qnrA, qnrB, and qnrS plasmid in ciprofloxacin (CIP)-resistant strains of Escherichia coli in swine and humans from Romania, using the Polymerase Chain Reaction (PCR) technique. Antibiotic Susceptibility Testing (AST) for human subjects (H) on 147 samples and 53 swine (S) was ascertained as well as the isolation of bacterial DNA (E. coli) as follows: bacteriolysis, DNA-binding, rinsing, elution, amplification, and nucleic acids’ migration and U.V. visualization stages. From 24 samples of E. coli resistant to CIP collected from H subjects and 15 from S, for PCR analysis, 15 H and 12 S were used, with DNA purity of 1.8. The statistically analyzed results using the Crosstabs function (IBM SPSS Statistics-Ver. 2.1.), revealed the qnrS (417 bp) gene in 13 human subjects (52.0%), as well as in all swine samples studied. The qnrB (526 bp) gene was exposed in 9 of the human patients (36.0%) and in all swine isolates, and the qnrA (516 bp) gene was observed only in 3 of the isolates obtained from human subjects (12.0%) and was not discovered in pigs (p > 0.05). The presence of plasmids qnrA, qnrB, and qnrS in the human samples and of qnrB and qnrS in swine, facilitates the survival of pathogens despite the CIP action. The long-term use of CIP could cause a boost in the prevalence of qnr resistance genes, and resistance in the pigs destined for slaughter, a perturbing fact for public health and the human consumer.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F Sesti ◽  
A Rosano ◽  
D Ingleby ◽  
G Baglio ◽  
R Bell ◽  
...  

Abstract Issue With increasing of numbers of people moving in Europe and around the world, the health of migrants has become a key global public-health issue. Migrants in an irregular situation (MIS) represent an important part of the migration phenomenon, whether they have become irregular by entering a country without authorisation or by overstaying a visa, including whose applied unsuccessfully for asylum. Description of the problem Overstaying of visas is not unusual in EU countries and during 2015 and 2016 in particular, many countries experienced a large number of unauthorised entrants. Health policies for MIS are increasingly a matter of concern. Using the 2015 Migrant Integration Policy Index Health strand (MIPEX HS) it is possible to conduct an analysis of health policies, focusing on access to health services by MIS. Results Among the 34 European countries covered by the MIPEX HS, Italy’s overall score of 65 is exceeded only by Switzerland (70) and Norway (67). Averaging the indicators of access for MIS, Italy obtains the highest score (83), followed by Denmark, France, the Netherlands, Romania, Spain, Sweden and Switzerland with 67. Its score for legal entitlements to health care is 75 (the same as Sweden), while reporting of MIS to the immigration authorities is prohibited and there are no sanctions against helping them. However, legislation introduced by the new government in 2018 has restricted some of their rights. Lessons Current migration to Europe requires dealing with short-term health needs as well as strengthening public health and health systems in the long term. This presentation will discuss the lessons that can be learned from the comparative analysis of health policies for MIS using the MIPEX HS. Key messages Affordable health care is a human right, which should not be denied to any migrant. Policy analysis plays a key role in identifying interventions for promoting health equity.


Author(s):  
Robin Welsch ◽  
Heiko Hecht ◽  
Lewis Chuang ◽  
Christoph von Castell

Background Mandatory rules for social distancing to curb the SARS-CoV-2 pandemic require individuals to maintain a critical interpersonal distance above 1.5 m. However, this contradicts our natural preference, which is closer to 1 m for non-intimate encounters, for example, when asking a stranger for directions. Objective This review addresses how humans typically regulate interpersonal distances, in order to highlight the challenges of enforcing atypically large interpersonal distances. Method To understand the challenges posed by social distancing requirements, we integrate relevant contributions from visual perception, social perception, and human factors. Results To date, research on preferred interpersonal distances suggests that social distancing could induce discomfort, heighten arousal, and decrease social signaling in the short term. While the protracted effects of social distancing are unclear, we propose hypotheses on the mid- to long-term consequences of violating preferred norms of interpersonal distances. Conclusion We suggest that enforcing a physical distance of 1.5–2 m presents a serious challenge to behavioral norms. Application We address how notifications, architectural design, and visualizations could be effectively applied to promote interpersonal distance requirements.


10.2196/19867 ◽  
2020 ◽  
Vol 3 (2) ◽  
pp. e19867 ◽  
Author(s):  
Jiancheng Ye

The coronavirus disease (COVID-19) pandemic has spread rapidly throughout the world and has had a long-term impact. The pandemic has caused great harm to society and caused serious psychological trauma to many people. Children are a vulnerable group in this global public health emergency, as their nervous systems, endocrine systems, and hypothalamic-pituitary-adrenal axes are not well developed. Psychological crises often cause children to produce feelings of abandonment, despair, incapacity, and exhaustion, and even raise the risk of suicide. Children with mental illnesses are especially vulnerable during the quarantine and social distancing period. The inclusion of psychosocial support for children and their families are part of the health responses to disaster and disaster recovery. Based on the biopsychosocial model, some children may have catastrophic thoughts and be prone to experience despair, numbness, flashbacks, and other serious emotional and behavioral reactions. In severe cases, there may be symptoms of psychosis or posttraumatic stress disorder. Timely and appropriate protections are needed to prevent the occurrence of psychological and behavioral problems. The emerging digital applications and health services such as telehealth, social media, mobile health, and remote interactive online education are able to bridge the social distance and support mental and behavioral health for children. Based on the psychological development characteristics of children, this study also illustrates interventions on the psychological impact from the COVID-19 pandemic. Even though the world has been struggling to curb the influences of the pandemic, the quarantine and social distancing policies will have long-term impacts on children. Innovative digital solutions and informatics tools are needed more than ever to mitigate the negative consequences on children. Health care delivery and services should envision and implement innovative paradigms to meet broad well-being needs and child health as the quarantine and social distancing over a longer term becomes a new reality. Future research on children's mental and behavioral health should pay more attention to novel solutions that incorporate cutting edge interactive technologies and digital approaches, leveraging considerable advances in pervasive and ubiquitous computing, human-computer interaction, and health informatics among many others. Digital approaches, health technologies, and informatics are supposed to be designed and implemented to support public health surveillance and critical responses to children’s growth and development. For instance, human-computer interactions, augmented reality, and virtual reality could be incorporated to remote psychological supporting service for children’s health; mobile technologies could be used to monitor children’s mental and behavioral health while protecting their individual privacy; big data and artificial intelligence could be used to support decision making on whether children should go out for physical activities and whether schools should be reopened. Implications to clinical practices, psychological therapeutic practices, and future research directions to address current effort gaps are highlighted in this study.


Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 120-124
Author(s):  
Anuradha Shah ◽  
Kunal Shah

With no definitive treatment in place to date for the COVID-19 pandemic, reliance on public health measures is of utmost importance. Social distancing requires maintaining a physical distance of at least one meter between people and reducing the number of times people come into close contact with each other. Modeling evidence from past influenza pandemics and current experiences with COVID-19 indicates the role of SD in delaying the spread of the virus by reducing the probability that uninfected person will come into physical contact with an infected person.


Viruses ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 683 ◽  
Author(s):  
Brayden G. Schindell ◽  
Andrew L. Webb ◽  
Jason Kindrachuk

There is an increasing frequency of reports regarding the persistence of the Ebola virus (EBOV) in Ebola virus disease (EVD) survivors. During the 2014–2016 West African EVD epidemic, sporadic transmission events resulted in the initiation of new chains of human-to-human transmission. Multiple reports strongly suggest that these re-emergences were linked to persistent EBOV infections and included sexual transmission from EVD survivors. Asymptomatic infection and long-term viral persistence in EVD survivors could result in incidental introductions of the Ebola virus in new geographic regions and raise important national and local public health concerns. Alarmingly, although the persistence of filoviruses and their potential for sexual transmission have been documented since the emergence of such viruses in 1967, there is limited knowledge regarding the events that result in filovirus transmission to, and persistence within, the male reproductive tract. Asymptomatic infection and long-term viral persistence in male EVD survivors could lead to incidental transfer of EBOV to new geographic regions, thereby generating widespread outbreaks that constitute a significant threat to national and global public health. Here, we review filovirus testicular persistence and discuss the current state of knowledge regarding the rates of persistence in male survivors, and mechanisms underlying reproductive tract localization and sexual transmission.


2020 ◽  
pp. 140349482096129 ◽  
Author(s):  
Theodore Lytras ◽  
Sotirios Tsiodras

An overall long-term strategy for managing the coronavirus disease 2019 (COVID-19) pandemic is presented. This strategy will need to be maintained until herd immunity is achieved, hopefully through vaccination rather than natural infection. We suggest that a pure test-trace-isolate strategy is likely not practicable in most countries, and a degree of social distancing, ranging up to full lockdown, is the main public-health tool to mitigate the COVID-19 pandemic. Guided by reliable surveillance data, distancing should be continuously optimised down to the lowest sustainable level that guarantees a low and stable infection rate in order to balance its wide-ranging negative effects on public health. The qualitative mixture of social-distancing measures also needs to be carefully optimised in order to minimise social costs.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
John Chukwuma Oyem ◽  
Patrick Chukwuyenum Ichipi-Ifukor ◽  
Chukubueze Caleb Obi-Ojinika

Context: The outbreak of the highly infectious COVID-19 has led to a global public health and economic crisis, especially in developing countries. Due to the global burden and spread and the high mortality rate of the virus, as well as an inadequate mental health care system in Nigeria, inhabitants often experience fear, depression, and anxiety that, if left unaddressed, may lead to long-term consequences. Although depression was a concerning issue in Nigeria before COVID-19, the pandemic has caused a surge in depression cases. This review highlighted the possible causes of depression among Nigerians during the COVID-19 pandemic and identified potential mitigating interventions to prevent depression. Evidence Acquisition: We searched PubMed for the articles published from January 2019 to September 2020 using the terms of “depression”, “COVID-19”, and “Nigeria”. The articles resulting from these searches and the relevant references cited in those articles were reviewed. Results: Nigerians are likely to fall into depression due to the challenges and limitations affecting the economy and development of Nigeria. Conclusions: During the COVID-19 struggle, providing sound mental health services for individuals is imperative to maintain nations’ mental health for a more rapid recovery across various measures of societal well-being post-COVID-19.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Laura A. Onyango ◽  
Mousa M. Alreshidi

Staphylococci are highly successful at colonizing a variety of dynamic environments, both nonpathogenic and those of clinical importance, and comprise the list of pathogens of global public health significance. Their remarkable survival and persistence can be attributed to a host of strategies, one of which is metabolic versatility—their ability to rapidly alter their metabolism in the presence of transient or long-term bacteriostatic and bactericidal conditions and facilitate cellular homeostasis. These attributes contribute to their widespread dissemination and challenging eradication particularly from clinical settings. The study of microbial behaviour at the metabolite level provides insight into mechanisms of survival and persistence under defined environmental and clinical conditions. This paper reviews the range of metabolic modulations that facilitate staphylococcal acclimatization and persistence in varying terrestrial and host conditions, and their public health ramifications in these settings.


2021 ◽  
Vol 9 ◽  
Author(s):  
Ronel Sewpaul ◽  
Musawenkosi Mabaso ◽  
Natisha Dukhi ◽  
Inbarani Naidoo ◽  
Noloyiso Vondo ◽  
...  

Introduction: Social or physical distancing has been an effective measure for reducing the spread of COVID-19 infections. Investigating the determinants of adherence to social distancing can inform public health strategies to improve the behaviour. However, there is a lack of data in various populations. This study investigates the degree to which South Africans complied with social distancing during the country's COVID-19 lockdown and identifies the determinants associated with being in close contact with large numbers of people.Materials and Methods: Data was collected from a South African national online survey on a data free platform, supplemented with telephone interviews. The survey was conducted from 8 to 29 April 2020. The primary outcome was the number of people that participants came into close contact with (within a 2-metre distance) the last time they were outside their home during the COVID-19 lockdown. Multivariate multinomial regression investigated the socio-demographic, psychosocial and household environmental determinants associated with being in contact with 1–10, 11–50 and more than 50 people.Results: Of the 17,563 adult participants, 20.3% reported having not left home, 50.6% were in close physical distance with 1–10 people, 21.1% with 11–50 people, and 8.0% with >50 people. Larger household size and incorrect knowledge about the importance of social distancing were associated with being in contact with >50 people. Male gender, younger age and being in the White and Coloured population groups were significantly associated with being in contact with 1–10 people but not with larger numbers of people. Employment, at least secondary school education, lack of self-efficacy in being able to protect oneself from infection, and moderate or high risk perception of becoming infected, were all associated with increased odds of close contact with 1–10, 11–50, and >50 people relative to remaining at home.Conclusion: The findings identify subgroups of individuals that are less likely to comply with social distancing regulations. Public health communication, interventions and policy can be tailored to address these determinants of social distancing.


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