The Mental Health Impact of Quarantine | Life Hacks for Mental Health with Dr. Dawn-Elise Snipes

The Mental Health Impact of Quarantine | Life Hacks for Mental Health with Dr. Dawn-Elise Snipes


this episode was pre-recorded as part of
a live continuing education webinar on demand CEUs are still available for this
presentation through all CEUs register at allCEUs comm slash counselor toolbox hey there everybody and welcome to
today’s presentation on the psychological impact of quarantine and
what we can do to reduce it I am your host dr. Donnelly Snipes this
presentation is based on the psychological impact of quarantine and
how to reduce it a rapid review of the literature put out by The Lancet today
so this is new news that you’re getting as it breaks in this presentation we’re
going to review the effects of quarantine and explore ways to mitigate
these effects so what are we talking about here well typically quarantine
means the separation and restriction of movement of people who have potentially
been exposed to a contagious disease so that’s going to affect potentially or
effecting right now a very very small aspect of the population however during
the contagious outbreak like influenza SARS h1n1 Ebola etc and that’s where all
these studies were drawn from many people choose to voluntarily restrict
their movement to prevent getting ill so there on what we might consider a
self-imposed quarantine they may not even have any symptoms but they don’t
want to get in contact with people who might be carriers or who might have
symptoms and that’s one of the scary things about kovat right now is people
can be carriers without having symptoms so I think that’s partially contributing
to some of the panic many of the principles we will discuss here also
apply to extended sheltering in place which people experience after hurricanes
or blizzards or other things where they may not know what happened on the on the
outside so to speak people who are quarantined or who have
to shelter in place for more than 10 days often show significantly higher
post-traumatic stress symptoms fears about their own health or getting sick
and infecting others may continue for several months post quarantine that’s
really important to recognize that as soon as the problem is over as soon as
they’ve tested negative for the virus or for the illness or whatever that doesn’t
mean that their fears aren’t going to continue usually the continued fear goes
on for months there’s hyper-vigilance – any symptoms
of the illness now think about how you are just during a regular day or week or
whatever especially during flu season when you start washing your hands more
diligently and being alert every time you get a little sniffle you’re like oh
I hope this isn’t the flu part of that’s because we know if you can get some of
the flu medications within I think it’s first 48 or 72 hours that it greatly
reduces the severity and duration of the flu so you want to catch it quick which
means people are more hyper vigilant to every little eight pain sniffle sneeze
whatever and that can cause people to focus too much on illnesses and even
create some somatic symptoms because of their stress that stress that they
experience as a result of this hyper vigilance also has the unfortunate side
effect of reducing their immune system we really want to help people reduce
their stress to keep their immune system up in the case of outbreaks especially
and there’s high-risk populations like pregnant women parents of young children
and the elderly also show more distress and more negative rumination or more
thinking about the disastrous consequences or fear about what could
happen and that totally makes sense which is why it’s important to provide
them with accurate clear consistent information transparency is so key and
in today’s world of the internet you can go on to multiple news sites and I can
tell you with this current outbreak you can go onto multiple news sites and
multiple agency sites and get multiple different accounts of what’s going on
how bad it is how bad it’s going to get you know there are some that are more
fear mongering and there are others that are saying we got this and it’s very
confusing and it makes you wonder who’s telling the truth which creates a
general sense of anxiety and unease is really important and I think the
government at this point in time is doing a really good job by appointing
Mike Pence as the sort of lead person to make sure that all the information that
is being disseminated is consistent across places and we’re going to talk
about some more interventions later but information is so key in the short term
during quarantine whether your mandatory quarantined at a hospital or a shelter
of some sort or you’re voluntarily quarantine eing or self sheltering in
place there can be separation from loved ones you may not be able to visit as you
would the beauty with technology now is that as long as people have access to
Wi-Fi internet mobile devices so they can connect with their loved ones and
keep tabs on them you know if you have parents who are elderly who are three
states away the internet allows you to continue even if you’re sheltering in
place and they’re sheltering in place you can continue to connect check in on
and make sure they’re doing okay so separation from loved one is one loved
ones is one that can easily be mitigated by making sure people have access to
technology detachment from others is another short-term problem sometimes
people are so stressed about getting sick in the case of illnesses and
pandemics that they don’t even want to deal with other people they can’t deal
with any more input about the pandemic they can’t deal with any more input from
others they can’t deal with the stress of potentially being exposed to someone
who might be ill they just don’t want to be around other people and
that can be a problem and again good effective education and communication
about what’s really going on and how to protect yourself is essential the loss
of freedoms can cause irritability and frustration if you are not able to
maintain and we’re gonna the next one is loss of routine if you’re not able to
maintain your routine I go to the gym every morning and if I’m not able to go
to the gym every morning then I am going to start to get a little bit edgy if I
am stuck at home even after you know in Nashville if we
get half an inch of snow the the entire city shuts down and shelves are cleared
you would think that there was something horrible going on and a few years ago we
had several in stays where we were having to shelter in place because we
couldn’t get in and out of our neighborhood we don’t have the kind of
snowplows and stuff that they have in Michigan and stuff so we were stuck I
think it was nine days before we could go out and that is very very minimal
compared to some of the things that we’re talking about now with quarantines
of two weeks four weeks things like that and maybe self quarantines for longer
than that because people don’t want to go out until the pandemic is subsiding
which could be months from now so the loss of freedom that is imposed either
by government or by the condition itself whether it’s you know a storm that keeps
you stuck at home or illnesses that keep you from wanting to go out and be around
anybody can cause a lot of frustration and anger and you can just get irritable
at the people that you’re sheltering with as well as at the situation and
it’s it’s okay to be angry at the situation as long as you recognize it
and figure out how to deal with it maintaining routine is so essential to
maintain your circadian rhythms once your circadian rhythms start to get out
of whack you’re gonna start experiencing or have a much higher risk of
experiencing mood simple it’s important to keep getting up about
the same time each day going to bed about the same time each day eating
about the same time each day making sure that you’re not sitting in the dark all
day long get out get some sunshine even in Florida when we would have hurricanes
come through and we would lose power for weeks at a time it’s dark in the house
but we could go outside and get exposure to sunlight which would help set our
circadian rhythms it is really important if you are a family for example it’s
parents can develop and maintain a routine if kids are not able to go to
school for a week or two weeks or whatever it is making sure they’re still
getting up about the same time making sure that they’re reading or doing
something that is semi school oriented during that period of time can be
helpful you know make it fun it doesn’t have to be sitting down and doing their
actual work from textbooks or something you know encourage them to have fun with
it so they don’t think that oh my gosh this is horrible I’m stuck at home and
I’m still having to do do all my schoolwork but it’s important that they
keep those mental juices kind of flowing lack of access to basic supplies is
another short-term problem whether it’s because you can’t get them because the
shelves are clear and their supply chain disruptions or you can’t leave the house
to get them that is a big issue people need to make sure that they have two
weeks to a month or more of basic supplies you know scrolled away it may
not be the greatest stuff you may not be able to have steak every night or
whatever it is you eat but plenty of food so you’re not hungry because hunger
is gonna contribute to irritability and mood issues and all kinds of things make
sure you have plenty of food that you can eat make sure that you have any
medicines that you need at least a month supply preferably a 90-day supply of
those medications and anything like electrolyte drinks and over-the-counter
pain medications and things that you regularly use may
sure you have a stash of those ahead of time before any pandemic or hurricane or
blizzard or anything be prepared have that you know we have a stocke if you will we have a stash that
we keep in case there is something that happens to happen and we rotate the food
through there every six months or so you know if we haven’t had anything go on in
six months then we pulled the rice out and we start using that and replenish it
with newer rice so if there is a problem we’ve got fresh food we don’t want
something that’s like stale but those are preventative techniques that you can
have in place ahead of time if there’s uncertainty over the status of the
situation that just creates a lot of anxiety and it’s important for people to
not get stressed out over small changes here and there we want to look at the
big trendline okay a new case was found today or five new
people were put in quarantine today okay that’s unfortunate but is the trend line
going up or is the trend line going down and we tend to be more comfortable with
these sorts of things when it happens with the flu for example because we have
the flu every year and the flu kills thousands and thousands of people every
single year but we don’t get nearly as fired up about it because we’re used to
it we know what to expect give or take we know that there are some
medications that can help we know that when it starts to warm up the flu is
going to go away we have more certainty over the status of the situation
financial losses due to inability to work and the stock market can also cause
a lot of stress for a lot of people in this particular situation that’s going
on today you’re seeing the stock market is just plummeting and correcting itself
as some of the people on TV would say but and that’s causing a lot of angst
among people who are close to retirement because they’ve seen you know 20 or 30
percent of their retirement suddenly disappear and they’re thinking oh my
gosh you know I worked so many years to save that money so they’re angry they’re
anxious they don’t know where the bottom is and that
another area where we need open and transparent communication and really
strong leadership in order to help control panic and fear in some
situations like SARS the research has shown that people especially those who
live at or below 300 percent of the poverty level may end up having
dependence on family members to provide financial assistance during quarantine
and that may cause conflicts among family members there having to have
money wired to them or something and that can be really challenging we see
the same thing after hurricanes when people are homeless or displaced and
they have to go live with family members it can cause a lot of stress especially
if those family relations were already kind of tenuous but even if they weren’t
you take people who are stressed and force them to be together or force them
to support one another and there can be conflicts and disagreements about how
different people are handling things the third aspect of financial loss that was
discussed in the article was inability to work if you are sheltered and you are
in one of those positions where you got to go to work to get paid if you work in
as a waiter or a waitress or a hostess or host or I’m making restaurants right
now obviously because I’m hungry but if you work in one of those jobs where you
can’t do it virtually then you may not have a job you may lose your job you may
not be able to go to work if you are quarantined which means you’re not gonna
you may not be getting paid which can contribute to significant financial
losses for the individual now some people again through the advent of
technology are able to maintain their jobs fast-food places and restaurants
potentially may be able to keep a skeleton staff to run the kitchen and do
a lot of delivery delivery procedures would have to be altered to minimize
contact between the person who’s ordering the
person who’s delivering so you know they don’t expose each other and lots of hand
washing and stuff but I can see ways that protocols can be put in place where
delivery could happen that would mean that things like Amazon and Walmart and
Kroger and other stores that have a big online presence could still create
protocols where they could deliver basic non-perishable necessities and in the
case of local grocery stores if they were able to keep their shelves stocked
then they may be able to even deliver perishables which a lot of big cities
grocery stores are starting to deliver perishables which is awesome for people
who are homebound but that’s a whole different issue so be creative and don’t
start freaking out initially that everything’s going to close down but do
recognize that people who are dependent on a job that they can’t do virtually
may start losing a lot of work hours start losing a lot of money which is
going to impact their ability to pay their bills pay their mortgage those
sorts of things the government may have to put in some stopgaps in order to
assist those people if the quarantine goes on if a mandatory quarantine goes
on for a long period of time now if it is a voluntary sheltering in place the
person just doesn’t want to go out that’s a whole different thing and
they’re probably not going to be able to access any sort of government relief or
benefits if it wasn’t a government mandated quarantine other short-term
reactions in the case of potential exposure to whatever it is the acute
stress disorder is found to be about 34 percent for people who are under
mandatory quarantine versus 12 percent for those in the general population so
thinking about the current kovat outbreak people who are under mandatory
quarantine are much more likely to develop symptoms of acute stress
disorder than the quote general public like us who are out here
and still trying to figure out what’s going on with this with this illness
exhaustion when you’re stressed and I’m your HPA axis or your threat response
system ramps up and that tells your body there is a problem there may be a
problem we need to gear up in case we need to fight or flee so you are running
hot if you will it’s kind of like revving the engine on the car and
getting ready to take off from the line your body is primed well doing that for
too long leads to exhaustion and irritability
anger insomnia if you are telling yourself there’s a threat if you’re
constantly having threat related thoughts it’s gonna be hard to relax and
wind down and get good sleep worried may keep you up you’ll have difficulty
concentrating and indecisiveness all of these are the result of a overactive HPA
axis which can contribute to simple development of symptoms of anxiety or
depression you may also have anxiety when around
people who are sick I just came back from Chicago and going through the
airport you know I was much more vigilant to notice people who were
coughing who were wearing masks those sorts of things where I’m not really
concerned or at least at that point I wasn’t really concerned about the virus
in the u.s. I was more concerned about the flu seeing people and being around I
was more noticing of people who were displaying symptoms of having something
like the flu deteriorating work performance can happen for people who
are still working despite you know sheltering or despite what’s going on
because they are exhausted because their anxiety is running higher because
they’re so distracted by the potential of the illness that they can’t focus at
work and reluctance to go into public and consideration of resignation from
work are also things that happen and viruses when illnesses become a
pandemic become super problematic people may start considering what to do think
back to h1n1 or the SARS or Ebola there were a lot of people who got freaked out
who got really stressed out because they were not getting enough information and
there wasn’t enough information and so they started thinking you know what the
government’s not you know protecting me I need to protect myself I need to stay
home and they started considering resigning from work they didn’t want to
go into public and that in and of itself starts having major negative effects on
the economy as well as on their self-esteem and on their feelings of
hope and empowerment because they feel helpless powerless and trapped we want
to make sure we start addressing those things early and make sure people feel
comfortable doing what they need to do and make sure people know that they’re
going to have access to resources confusion and a perception of lack of
transparency about the severity of the problem can be created due to
differences in style approach and content of the various public health
messages because of poor coordination between multiple jurisdictions and
levels of government involved we’ve seen that with every single illness that has
come out from h1n1 to Ebola to the current corona virus you go to one news
outlet and you get this information you go to the CDC and you get this
information you go somewhere else you get some more information and nobody
seems like they’re telling you the whole picture and it’s very unnerving to think
that you know you’re only getting bits and pieces of it and you wonder what
you’re missing lack of clarity about the different
levels of risk causes people to fear and ruminate on the worst you know we don’t
know how much risk we have we’ve heard that you can be a carrier without having
symptoms so that makes people nervous we’ve heard that
you know there was this outbreak had started occurring and millions of people
had fled the central outbreak area before quarantined
were put in place so we don’t know necessarily who actually was there and
whether they’ve all been quarantined and who they came in contact with on the on
cruise ships on airplanes and airports those sorts of things so there’s a lot
of uncertainty about what has happened but we can’t change the past all we can
do right now is focus on what’s going on right now and what does the picture look
like and notice the positives such as there are a couple of different
companies that believe that they are going to have a vaccine or a treatment
for this particular outbreak in short order you know one says anywhere from
from ninety days to you know six months another one says anywhere from 12 months
to 18 months but still that is an end in sight it’s not like you’re thinking well
this could go on for years no it’s very likely that there are going to be
interventions in in very short order another issue that people face is
continued stigma long after the outbreak has been contained for those perceived
to be at high risk those who admit who had been sick or those who had been
exposed even if they didn’t get sick a lot of times the public their friends
their family who wasn’t weren’t quarantined or whatever may avoid them
withdraw social invitations treat them with fear and suspicion or make critical
comments and that can be very hurtful leading to their sense of isolation
additionally this stigma can lead to disenfranchisement of minority groups
and families under quarantine who may belong to different ethnic groups tribes
or religions this was particularly paramount during the Ebola crisis some
years ago but we do want to recognize that there are similar messages whether
they’re accurate or not I don’t know but there are similar messages being floated
out there in mainstream media about the current coronavirus which is
contributing to stigma of certain populations and
certain people and again those who have you know traveled may be seen as being
at higher risk and may be disinvited to a lot of things general education about
the disease and the rationale for quarantine and public health information
provided to the general public can be greatly beneficial to reduce stigma we
keep coming back to this education piece but we need to get it out detailed
information targeted at schools and workplaces might also be useful needing
to remember to target it to the appropriate age level and the
appropriate comprehension level of the people that you’re targeting if you’re
talking to middle school students high school students college students doctors
you’re gonna have different approaches to conveying your message and helping
people feel safe and knowing what they need to do to stay safe media reporting
and this came from the article itself media reporting contributes to the
stigma and trauma due to their dramatic headlines and fear-mongering there is
research that shows that mainstream media actually contributes to people’s
traumatic reactions because of their headlines and fear mongering so let’s
encourage the media to start putting out positive stories about what we can do
instead of what the possible catastrophe is let’s look at what can we do to
protect ourselves let’s look at what can we do to help ourselves let’s look at
something besides the virus because you know what there’s other stuff going on
in the world hopefully they can find something positive to report on public
health officials need to provide rapid clear messages delivered effectively for
the entire affected population that includes people who haven’t been exposed
you know like everybody in well pretty much all over the world right now to
promote accurate understanding of the situation it would be great if who the
World Health Organization you know was really able to take the lead and make
sure that everybody in every country had the most up-to-date accurate information
instead of having to you know spot check and try to figure out what information
we’re getting completely what information is right when information is
wrong let’s have somewhere where we can go that we know it’s accurate another
way another issue is getting the information to the public I was so angry
so angry a couple of days ago when President Trump did his 6 o’clock
broadcast it was 6:00 p.m. est it was right in the middle of the news so you
know it wasn’t even taken off good shows sorry um but it was right in the middle
of the news and none of the stations that we got you know the mainstream
media CBS NBC ABC and even the Fox local Fox News Channel did not hold his
broadcast you wouldn’t have even known that he spent almost an hour talking
about the status of the coronavirus and what we’re doing and what he’s doing to
protect the country you wouldn’t have even known that and even the next day it
didn’t hardly show up as a blip in the media because the media chose not to
inform the public it would be wonderful if the government somewhere could choose
during times of crisis like this to do things like they did back you know when
I was younger and we only had three channels if the president was on the
president was on and there was no getting around it he was going to be on
every single channel and it would be great if we could go back to that so
when there is something that everybody in the country really needs to know that
they have access to it if they’re able to turn on a TV social media is another
way to push the message out twitter facebook instagram letting people know
you know the basics you can only communicate so much in Instagram
it’s important to make sure that people have links to those websites that have
the credible information like the World Health Organization and making sure that
there is a single point of contact website I already kind of talked about
that would love to see it be the World Health Organization in partnership with
CDC combining to create this unified message that lets us know hey this is
what’s going on with this particular outbreak and it could be influenza it
could be corona virus it could be any of the things that we’ve dealt with or
anything that we made to deal with in the future
but that way we know there’s one go-to place where we can get that accurate
information and journalists know that there’s one go-to place that they can
get accurate information longer-term effects when the outbreak is over
doesn’t mean the crisis is over three years after the SARS outbreak alcohol
abuse or dependency symptoms were positively associated with having been
quarantined or worked with high-risk populations so those people who were in
law enforcement military what whoever they used to control the SARS outbreak
and enforce quarantine the medical professionals anyone who came into
contact had a much higher risk of substance dependence after quarantine
many participants continued to engage in avoidance behaviors such as minimizing
direct contact with patients or just not reporting for work 54% of people who’d
been quarantined continued to avoid those who may be coughing or sneezing
and tended to have higher anxiety whenever they were around somebody who
was coughing or sneezing it triggered that stress reaction even if it was just
you know allergies that particular behavior of sneezing will say would
trigger a stress reaction in them 26 percent of people after a pandemic
avoided crowded crowded places especially those that are enclosed like
movie theaters concerts you know to some extent
and crowded restaurants Subway’s those sorts of things
21% avoided all public spaces in the months following the quarantine period
it is really vital for the economy of every country not just the u.s. that we
get a message out there once we get a hold on this virus about what to do to
stay safe and help get people out and back into public places and back
patronizing stores and going back to work to make the goods we need to stock
the shelves in the stores and supply the restaurants it is so important to
communicate effectively about what we need to do and the fact that you know
what we are safe and we do know what we’re doing we need to make sure that
the people who are communicating that message actually sound like they are
believable and they know what they’re talking about and this is goes back to
that transparency and unified message longer-term behavioral changes after the
quarantine period included continued vigilant hand-washing avoidance of
crowds and lack of access to basic supplies was associated with continued
anxiety and anger four to six months after release now this means during the
quarantine period if people lacked access to basic supplies then they were
constantly worried that it was going to happen again for four to six months
after the quarantine period they may have been stockpiling food and they may
have been anxious and worried that they weren’t going to be able to keep an
adequate supply of their medication supply chain disruption is a huge issue
especially for people who are on daily medication we need to put the message
out there about what we plan to do as a government as a country as a healthcare
provider to ensure that people can access the medications and supplies they
need to meet their basic needs that’s helped people feel a lot calmer other
interventions aside from providing a unified public message about what’s
happening safety measures that are being undertaken emergency plans and the
likelihood of deterioration of the situation we can provide meaningful
activities for people while in quarantine if they are quarantined at a
hospital or a shelter that may fall upon the staff at that hospital or shelter
and it’s important to keep people engaged keep them in their routine in a
routine and make sure that they have something to do
boredom is and when they’re just sitting around mulling things over is when
they’re gonna start focusing on what they’re upset about what they’re angry
about what they’re frustrated about what they’re afraid of and that’s going to
stir discontent and cause more problems the same thing is true if you’re
sheltering in place I use that term kind of broadly if your family has decided
not to go out it’s still important to make sure that everybody in your family
not just the kids have meaningful activities to engage in so they’re not
sitting around so they’re not feeling depressed withdrawn irritable we need to
ensure that basic supplies such as food water and medical supplies are available
part of this comes with proper prior planning when the authorities say make
sure you have two weeks or a month worth of food and water do it you may not need
it and if you don’t that’s fine when the crisis is over you can go through it
it’s not like it’s gonna spoil in in that short of a time but it’s important
to make sure that you have it available if you need it reinforce the sense of
altruism and safety helping one another what can we do to help one another
during these times making sure that we provide as much assistance to our fellow
neighbor person citizen as we can is going to be important in health care for
example again so awesome because we can do doctor
visits we can do mental health visits online we can do training online we can
do schooling online kids can go and and thousands of children do every single
day go to online public school so in the event of an extended quarantine or an
extended crisis it is possible for people to continue their education their
life doesn’t have to be put on hold and we need to have those processes in place
to switch to the quarantine protocol if you want to call it that
so in behavioral health organizations for example instead of seeing people in
clinic you’re seeing people via videoconferencing schools are providing
online education during that period in order to prevent the spread of the virus
I know around here in Middle Tennessee every single year that we’ve been here
there has been there have been school closings for a week or more because of
the flu and that’s a problem you know that is a big problem because that means
that the schools are basically petri dishes for that flu because they’re you
know protocols aren’t super strong you know a lot of teenagers are not great
about washing their hands or covering their mouth and nose when they sneeze
and things like that so considering it is important for school districts and
governments to consider offering online schooling for people who are sick or at
risk of being sick I know my children were both premature and they had much
lower immune systems so it was much more dangerous when flu and illnesses started
going around and eventually with my daughter I had to pull her out
completely of daycare because she kept ending up in the hospital
and because of her suppressed immune system so for people who are at high
risk because they have asthma or impaired immunity or their elderly or
their pregnant making sure that we offer alternatives
even every year when the flu comes around let alone when there’s some
unknown pandemic would be very helpful to promoting confidence because if we’re
practicing that every year then if a big pandemic happens which we hope it
doesn’t but if it ever does then we’ve already practiced the procedures for how
to handle something like that and we already have the stuff in place in order
to switch gears from face to face brick-and-mortar education for example
or face to face brick-and-mortar doctor’s appointments to online
appointments and online teaching those involved with public safety and health
care are in uniquely dangerous positions and require additional organizational
support and disaster planning to mitigate risk if you are working in an
emergency room for example and you are having to see people who are sick on a
day-to-day basis you may be afraid to go home to your family because you don’t
want it you don’t know if you’ve been exposed and you don’t want to risk
exposing your family so there’s more fear because you’re regularly being
exposed to something that might be the problem or might not be and you just
don’t know for other providers making sure like I said for doctors and
behavioral health care providers disaster plans to mitigate risk and
teachers disaster plans to mitigate risk can also mean switching to providing
services via technology to prevent that close contact
health officials charged with implementing quarantine who often have
reasonable job security need to remember that not everyone is in the same
situation even though you know some people may have job security may still
be getting a paycheck through all this there are a lot of people who won’t be
and it’s important to recognize and be sensitive and is altruistic as possible
to those people for example who work jobs that are hourly they’re there they
get paid they’re not there they don’t get paid and you know that’s that’s a
problem those of us who work salary we get paid for 40 hours a week pretty much
regardless that is a whole different thing there’s a whole set of comfort
that goes along with being a salaried employee and we need to have empathy for
those who are hourly information is key people who are quarantined need to
understand the situation understand what’s going on whether they are
mandatory quarantined or voluntarily sheltering in place effective and rapid
communication is essential and this is true whether it is a pandemic of some
sort of illness or after a natural disaster effective and rapid
communication is essential about what’s the status of things do we have water do
we have food is the supply chain disrupted even in hurricanes we have the
disruption of oil we have the disruption of power we have the disruption of food
being able to get into certain places after Katrina think about it or Andrew
or some Harvey there were huge sections of the country that were not able to get
food as or water or power as quickly as they needed it and there were shortages
and there was a lot of stress surrounding it
so it’s important that we make sure that people have information about what’s
going on and how how the government or the organizations are mitigating that
risk supplies both general and medical need to be provided or available online
shopping is a great thing the challenge comes in who packs the stuff because
people who are packing it in the distribution centers are gonna have to
be you know present to do it so we need to have people that are will
to show up and pack we have to be have people that are willing to show up and
deliver packages to individual doorsteps and you know that couldn’t be that could
be a problem even if there is the supply of goods having the people to
disseminate the goods may be a problem unless we have a really good plan for
how to keep them safe you know how are we going to keep those people safe that
are in the distribution center for example using a they have UV light
you’ve UV sterilizer lights that they use in a lot of hospitals that help
sterilize the air there are a lot of protocols that organizations can put in
place to help keep their staff safe as well as to help them feel like they’re
safe there’s you know we need to not only be safe but believe that we are
safe the quarantine period should be short and the duration should not be
changed unless there’s extreme circumstances they found that duration
of quarantine longer than 10 days is associated with much worse psychological
outcomes most of the adverse effects come from the imposition of restrictions
on freedom voluntary quarantine is associated with less distress and fewer
long-term complications but there is still a certain amount of anxiety in
those particular people public health officials should emphasize
the altruist altruistic choice of self isolating for people who think they may
have been exposed in order to help the government because the government can’t
be everywhere all the time in order to help the country contain whatever issue
might be going on if it is a infectious issue there was a lot of information in that
article and I encourage you to read it but I hope that summary provided you
some tools in order to know what you can do in your community in order to help
mitigate the psychological consequences of the current situation