Am I Part of the Cure or Am I Part of the Disease? Keeping Coronavirus Out When a Doctor Comes Home

Rose, Christian

doi:10.1056/nejmp2004768

Cited by 62 publications

(47 citation statements)

References 2 publications

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“…While healthcare workers may accept an increased risk of infection as part of their chosen profession, they may have considerable anxiety about spreading the virus to their children, families and friends, especially those who are elderly or have chronic medical conditions, and perhaps even their pets, despite the evidence for this being limited [37,38]. Healthcare workers may wish to have alternative accommodation to avoid the risk of household transmission.…”

Section: Securing the Mental Wellbeing Of Healthcare Workersmentioning

confidence: 99%

COVID-19 in Africa: care and protection for frontline healthcare workers

et al. 2020

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Section: Securing the Mental Wellbeing Of Healthcare Workersmentioning

confidence: 99%

COVID-19 in Africa: care and protection for frontline healthcare workers

et al. 2020

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“…Unfortunately, the most obvious exceptions to lock down restrictions who will facilitate continued transmission will be health service personnel, [104][105][106][107] notably those caring for those most vulnerable to the disease. However, all other essential workers in shops, markets, kitchens, food processing facilities, factories, banks, post offices, transport services and law enforcement agencies will also inevitably mediate more transmission than they would if they stayed at home.…”

Section: The Vital Importance Of Ambition and Rigour To Lockdown Outcmentioning

confidence: 99%

Why lockdown? Simplified arithmetic tools for decision-makers, health professionals, journalists and the general public to explore containment options for the novel coronavirus

Killeen

Kiware

2020

Preprint

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Half the world's population is already under lock-down and the remainder will have to follow if the ongoing novel coronavirus 2019 virus pandemic is to be contained. Faced with such brutally difficult decisions, it is essential that as many people as possible understand (1) why lockdown interventions represent the only realistic way for individual countries to contain their nationallevel epidemics before they turn into public health catastrophes, (2) why these need to be implemented so early, so aggressively and for such extended periods, and (3) why international cooperation to conditionally re-open trade and travel between countries that have successfully eliminated local transmission represents the only way to contain the pandemic at global level. Here we present simplified arithmetic models of COVID-19 transmission, control and elimination in userfriendly Shiny and Excel formats that allow non-specialists to explore, query, critique and understand the containment decisions facing their country and the world at large. Based on parameter values representative of the United Republic of Tanzania, which is still early enough in its epidemic cycle and response to avert a national catastrophe, national containment and elimination with less than 10 deaths is predicted for highly rigorous lock down within 5 weeks of the first confirmed cases and maintained for 15 weeks. However, elimination may only be sustained if case importation from outside the country is comprehensively contained by isolating for three weeks all incoming travellers, except those from countries certified as COVID-free in the future. Any substantive relaxation of these assumptions, specifically shortening the lock-down period, less rigorous lockdown or imperfect importation containment, may facilitate epidemic re-initiation, resulting in over half a million deaths unless rigorously contained a second time. Removing contact tracing and isolation has minimal impact on successful containment trajectories because high incidence of similar mild symptoms caused by other common pathogens attenuates detection success of COVID-19 testing. Nevertheless, contact tracing is recommended as an invaluable epidemiological surveillance platform for monitoring and characterizing the epidemic, and for understanding the influence of interventions on transmission dynamics.

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“…The nature of their roles mean that they may be more exposed to the disease leading to increased concern for their own health and the risk they may pose to others 12 . To mitigate becoming a vector for onward transmission, students and FiY1 doctors may choose to self-isolate 13 . In doing so, they may be less connected with their normal support structures, thereby increasing their risk of depression and anxiety 14,15 .…”

Section: Introductionmentioning

confidence: 99%

Medical students’ mood adversely affected by COVID-19 pandemic: An interim analysis from the SPICE-19 prospective cohort study of 2075 medical students and interim foundation doctors

Bandyopadhyay

Georgiou

Baykeens

et al. 2020

Preprint

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Abstract Background:Currently, we can only speculate on what the effects of the COVID-19 pandemic have been on medical students and interim foundation year doctors. In order to support them appropriately both now and, in the future, it is imperative that we understand the impact it has had upon them. This study assessed the effects of the COVID-19 pandemic on medical students and interim foundation year doctors across the United Kingdom (UK), and the support that they received and sought. Methods:A prospective, observational, multicentre study was conducted. All medical students and interim foundation year doctors were eligible to participate. The data analysis was carried out as detailed a priori in the protocol. Findings:A total of 2075 individuals participated in the SPICE-19 survey from 33 medical schools. There was a significant (p < 0.0001) decrease in participants’ mood when comparing their mood before the pandemic to during the pandemic. Social distancing and more time at home/with family were the factors that negatively and positively respectively impacted the mood of the greatest number of participants. All areas of life included in the survey were found to have been significantly more negatively impacted than positively impacted (p < 0.0001). 931 participants wanted more support from their university. Participants were mainly seeking support with exam preparation, course material, and financial guidance. Discussion:Medical and foundation schools need to prepare adequate and effective support. If no action is taken, there may be a knock-on effect on workforce planning and the health of our future workforce. When medical students return to their universities, there is likely to be need for enhanced wellbeing support, adaptations in the short-term and long-term strategies for medical education, and provision of financial guidance.

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Am I Part of the Cure or Am I Part of the Disease? Keeping Coronavirus Out When a Doctor Comes Home

Cited by 62 publications

References 2 publications

COVID-19 in Africa: care and protection for frontline healthcare workers

COVID-19 in Africa: care and protection for frontline healthcare workers

Why lockdown? Simplified arithmetic tools for decision-makers, health professionals, journalists and the general public to explore containment options for the novel coronavirus

Medical students’ mood adversely affected by COVID-19 pandemic: An interim analysis from the SPICE-19 prospective cohort study of 2075 medical students and interim foundation doctors

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