Write a letter to the editor how lockdown has affected the Physical and mental health of students
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Answer:
Dear Editor,
The insightful article by Nicola et al. regarding the socio-economic implications of the COVID-19 pandemic detailed the response from authorities, impact of the virus on various societal sectors and the social consequences of isolation measures [1].
In this letter, we present key information regarding the impact of protective social isolation policies, on the mental health of individuals in non-healthcare industries, drawing comparisons to the emotional trauma faced by healthcare staff on the frontline.
COVID-19 social isolation measures have had a profound impact on the psychological and mental well-being of individuals across society. Many of the anticipated consequences of isolation measures are themselves key risk factors for mental health issues including suicide, self-harm, substance misuse, and domestic and child abuse. Social
The implementation of a nationwide lockdown disrupts the day-to-day lives of the general public; the pandemic has caused an unprecedented shrinkage of the UK economy and the closure of businesses across the country. In combat, the UK government has provided financial support for businesses and the self-employed equating to 80% of their monthly wages. Due to the high demand for emergency funding, many self-employed individuals are resorting to short-term bank loans to maintain lines of income. Those in low-paid, self-employed or insecure occupations experience the greatest impact due to loss of work or the temporary closure of their business. There have been reports of heightened feelings of anxiety and depression, with some fearful of post-lockdown anxiety and paranoia; the largest stressor being an overarching feeling of loss (loss of income, routine or social interaction). Other at-risk groups include children and students who have experienced closure of schools and/or universities causing significant disruption to daily routines, with factors such as exam postponement, accommodation expulsion and graduation cancellations contributing. Furthermore, there has been a significant detrimental impact to those suffering from ongoing mental health conditions, due to decreased access to support and resources. The COVID-19 pandemic has seen the incidence of domestic abuse dramatically increase globally because of reduced options for support, increased exposure to exploitative relationships and disaster-related instability within the household. Consequently, there has been a 32–36% increase in domestic abuse incidents in France, 21–35% increase across the USA, 25% increase in UK domestic abuse hotline calls and a 75% increase in Google searches relating to domestic abuse support. The social-distancing and sheltering-in-place measures are essential to minimising the spread of COVID-19; however, they are likely to dramatically increase the risk of domestic and inter-family violence [3,4].
The COVID-19 pandemic is posing unprecedented challenges to the mental well-being of healthcare workers due to various factors including increased societal pressure, lack of adequate safety provisions such as personal protective equipment (PPE) and being in an emotionally strenuous environment with numerous patients dying suddenly, alone and scared. A recent survey from YouGov, an international journal, involving 996 healthcare workers in the UK, for the Institute for Public Policy Research (IPPR), saw 50% of them admitting to being in a deteriorating mental state, with further questioning highlighting 21% of healthcare staff being more likely to quit as a consequence to the COVID-19 outbreak. This could result in the significant loss of approximately 300,000 healthcare workers in England alone [5]. The rise in anxiety, depression and self-reported stress are associated with sleep disturbance which catastrophically impacts the well-being of workers even further, especially whilst on ever-longer, more draining, shifts. Hence, coping strategies must be optimised to support frontline health and social care staff to mitigate symptoms of stress [3].
The COVID-19 pandemic is having far reaching effects into the mental well-being of individuals in society. Authorities must take into account not only the economic effects of social isolation, but the mental impact on the community also, implementing appropriate measures such as expansion of the “safe spaces” model, to help those suffering domestic abuse and the most vulnerable, preventing further detriment.
Provenance and peer review
Not Commissioned, internally reviewed.
Ethical approval
Ethical approval was not required for this letter.
Sources of funding
No funding received.
Author contribution
Mohammad Alradhawi was lead author on this letter.
Nour Shubber, Jack Sheppard and Yousif Ali contributed equally to the preparation of the manuscript.
Research registration unique identifying number (UIN)
N/A.
Guarantor
Mohammad Alradhawi.
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Answer:
Different hardships
The interview with G.V.S. Murthy of the Indian Institute of Public Health, Hyderabad, on COVID-19 and people with disabilities, has shown the importance in providing preventive messages in an accessible format to this section of the population (Inside pages, “‘People with disabilities have special issues during virus outbreak”, April 13). During a crisis, it is very important to ensure that containment and mitigation activities do reach all sections in society. While international agencies and various governments are developing innovative guidelines to manage the pandemic among the elderly, people with chronic diseases and pregnant women, people with disabilities appear to be alone. This is all the more important as the visually handicapped depend upon touch for most of their activities. Many of the curent dos and don’ts of safe practices in the pandemic affect the handicapped in numerous ways. International and national agencies working for disability rights should coordinate with the Indian government to overcome the hurdles and reach out to the disabled.
Made useful
As the pandemic wreaks havoc around the globe, no one is safe — the rich or the poor, the haves or the have-nots. The underprivileged are the worst hit especially in India. The migrant labour population has taken a beating in our country, with stories of men and women and even children walking miles to go home across States. They have lost their jobs and their livelihoods and governments are extending help with doles which are grossly inadequate. Cannot authorities use their labour locally by employing them in conservancy work, unskilled maintenance work in hospitals (if they are willing) and other locally available government-supervised work temporarily and with all the safety precautions? They can even be diverted to help agricultural operations where there is no ban, so that they will get their wages and will not go hungry. This will help ease inter-State migration pressure and the risk of disease spread. This will also lighten the financial burden of government.
Lockdown and studies