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Chapter 4 explores reactions to the Provençal plague in Spain with a focus on the port city of Cádiz. It examines the centralization of disaster management during the reign of Philip V, as well as the 1720 plague’s long-term influence on Spain’s public health policy. What emerges in this chapter is an understanding of how Spanish authorities exploited the epidemic by ignoring the terms of treaties and tightening control over its borders, people, and commercial activities. Ultimately, they hoped to reap the advantages of excluding their primary competitors, France and Great Britain, from the hypercompetitive arena of Atlantic commerce. When official news of the plague in Marseilles reached Madrid, the Spanish Crown introduced regulations and supervisory committees that sought to extend the state’s control over commercial activities, both domestic and international, and that meant to exclude its greatest competitors from its commercial market. In the end, much of the new centralized system for disease prevention in Spain followed from reactions to the plague in Provence and remained into the following century, resulting in major changes in the management of both public health and customs inspections.
Chapter 2 explores reactions to the Plague of Provence in Italy with a focus on the port city of Genoa, considered by some to be “l’état le plus exposé,” or “the most exposed” to the threat of plague by its proximity to Marseilles. The chapter begins with a brief introduction to Genoa’s rich history of quarantine and public health. It then examines how a campaign of misinformation perpetuated by officials in Marseilles affected the reception of news about the plague outside of France. Claims that the disease was merely a malignant fever, or that the outbreak had ended (when it had not) caused confusion in the first months of the outbreak. Nevertheless, the inevitable truth that plague was in France began to arrive in cities across Europe via envoys, ambassadors, and especially via consuls, who reported back to their respective states from Provence. From there, word traveled rapidly as these accounts were copied in letters and printed in newspapers across Europe and the colonies, creating what I term an “invisible commonwealth” based in contemporary communication networks. The chapter then examines responses to the Provençal plague in Genoa and how they influenced, or were influenced by, Italian trade and diplomacy.
From 1720 to 1722, the French region of Provence and surrounding areas experienced one of the last major epidemics of plague to strike Western Europe. The Plague of Provence (or Great Plague of Marseilles) was a major disaster that left in its wake as many as 126,000 deaths, as well as new understandings about the nature of contagion and how best to manage its threat. Although the infection never left southeastern France, all of Europe, the Mediterranean, the Atlantic, and parts of Asia mobilized against its threat, and experienced its social, commercial, and diplomatic repercussions. Accordingly, this transnational study explores responses to this biological threat in some of the foremost port cities of the eighteenth-century world, including Marseilles, Genoa, London, Cádiz—the principal port for the Carrera de Indias or Route to the Indies – as well as some of the principal colonial towns with which these cities were most closely associated. In this way, this book reveals the ways in which a crisis in one part of the globe can yet transcend geographic and temporal boundaries to influence society, politics, and public health policy in regions far removed from the epicenter of disaster.
From 1720 to 1722, the French region of Provence and surrounding areas experienced one of the last major epidemics of plague to strike Western Europe. The Plague of Provence (or Great Plague of Marseilles) was a major disaster that left in its wake as many as 126,000 deaths, as well as new understandings about the nature of contagion and how best to manage its threat. Although the infection never left southeastern France, all of Europe, the Mediterranean, the Atlantic, and parts of Asia mobilized against its threat, and experienced its social, commercial, and diplomatic repercussions. Accordingly, this transnational study explores responses to this biological threat in some of the foremost port cities of the eighteenth-century world, including Marseilles, Genoa, London, Cádiz—the principal port for the Carrera de Indias or Route to the Indies – as well as some of the principal colonial towns with which these cities were most closely associated. In this way, this book reveals the ways in which a crisis in one part of the globe can yet transcend geographic and temporal boundaries to influence society, politics, and public health policy in regions far removed from the epicenter of disaster.
Chapter 3 looks at the port city of London, where the Plague of Provence caused waves of fear, opposition, and intellectual inquiry. Taking place against the backdrop of the recent South Sea Bubble, the epidemic became a major topic of discussion among politicians, journalists, scholars, physicians, grocers, and merchants as they protested perceived infringements on their civil liberties, or debated the nature of contagion and the usefulness of quarantine. In 1720, just as plague cases emerged in the south of France, the bursting of the South Sea Bubble unleashed a wave of anxiety and suspicion. Passionate attacks against the perceived injustices of the Crown as it attempted to enact quarantines and impede illicit commerce were filled with accusations that government authorities and “South Sea scheme men” meant to take away the inviolable rights of the people under the pretext of a foreign plague. Meanwhile, debates between contagionists and anti-contagionists about the transmission of infectious disease also erupted with special force in the wake of the 1720 plague. This chapter explores these reactions within the larger historical context of early-eighteenth-century politics and diplomacy and considers the various factors that came into play as England designed its new public health policy.
From 1720 to 1722, the French region of Provence and surrounding areas experienced one of the last major epidemics of plague to strike Western Europe. The Plague of Provence was a major disaster that left in its wake as many as 126,000 deaths, as well as new understandings about the nature of contagion and the best ways to manage its threat. In this transnational study, Cindy Ermus focuses on the social, commercial, and diplomatic impact of the epidemic beyond French borders, examining reactions to this public health crisis from Italy to Great Britain to Spain and the overseas colonies. She reveals how a crisis in one part of the globe can transcend geographic boundaries and influence society, politics, and public health policy in regions far from the epicentre of disaster.
Taiwan’s record of preventing infections and deaths from COVID-19 outshines that of almost every other nation, far outstripping the performance of the US, all European countries, and almost all Asian countries. Yet Taiwan is the nation closest to Wuhan, font of the pandemic. Equally importantly, Taiwan’s public health achievement has occurred without the government dictates such as business and residential lockdowns that have aroused controversy and caused economic and psychological distress around the globe. This essay relates the story of Taiwan’s actions during the crucial early months of 2020 and explores the factors—historical, geographical, legal, institutional, strategic, and cultural—accounting for Taiwan’s remarkable success. Prominent among those factors are the legal and institutional infrastructure of preparedness that Taiwan constructed following its unhappy experience with the 2003 SARS outbreak, and the prompt and decisive measures taken upon discovery of the Wuhan outbreak on 31 December 2019. A dialogue between the judiciary and the legislative and executive branches of government following the SARS episode enabled the infrastructure of preparedness to be created through a process consonant with democratic government, respecting principles of individual liberty and fairness. Risk communication techniques were skilfully employed to build public trust in expert advice about measures for infection prevention. Persuasion, not compulsion, was the norm. Cultural factors including customary acceptance of mask-wearing and authoritative advice, and perhaps a high level of risk-aversity, also played an important part. Taiwan’s pandemic control policies have drawn criticism of government overreach. Some recommendations, such as for outdoor masking, bear little rational relation to infection prevention and are best characterized as mere “hygiene theatre.” Nevertheless, early-2020 government measures received a high level of public approval. Taiwan’s successful response to the pandemic illustrates the nation’s nature: a disciplined democracy.
The pandemic that broke out by the new coronavirus SARS-CoV-2 and the imposition of restrictive measures to reduce the dispersion, affects both the physical and mental health of all population groups.
Objectives
The main objective of the study was to investigate how these measures have impacted the students during the first quarantine period (Spring 2020). Also we wanted to know what they lacked most after the six-weeks-lockdown.
Methods
More than 2,000 students from all Schools of the University of Patras participated in the research, completing an online questionnaire. Emphasis was placed on the question “What is the FIRST thing you will do immediately after lifting the measures”. The open last option ‘Other’ was qualitative investigated with thematic analysis by gender.
Results
The answer options of the evaluated question were to ‘Go out for coffee/food/drink/fun with friends’ (58%) or ‘with family’ (5%), to ‘Visit beauty and hair salons’ (16%), to ‘Travel’ (6%), or to ‘Go shopping’ (2%). The option ‘Other’ was answered by 246 (13%) students. The thematic analysis revealed 13 categories, with first place ‘Restoring immediately social life without restrictions’, followed by ‘Seeing and being together with boyfriend/girlfriend’, but at the same time ‘Continue to be careful and take self-restraining measures after the end of the quarantine’.
Conclusions
Students of both genders lacked mainly social life and companionship. The need to return to a new daily routine with protection measures that limit both exposure to the new virus and the spontaneity, is obvious.
Imposing quarantine as a measure to manage the coronavirus pandemic is a stressful event that is often associated with negative psychological effects. Eating habits seemed to be significantly affected during the quarantine, while strong negative emotions were triggered as the feeling of loneliness increased at the same time.
Objectives
This study aims to investigate the eating habits of individuals during quarantine and the role of positive and negative emotions and loneliness in shaping these habits.
Methods
An online cross-sectional study was performed using 3 validated scales, EAT-26 (3 subscales: Dieting, Bulimia and Food Preoccupation, Oral Control), Modified Differential Emotions Scale and UCLA Loneliness Scale. Data was collected between April and May 2021 mainly from social media platforms. Statistical analyses included linear regression and mediation analyses.
Results
Abnormal eating habits were detected in 25% of the participants (N= 450, ages 18-74) while the majority reported medium rates of negative/positive emotions and loneliness. Female sex is associated with abnormal eating habits (p=0.010) and mainly dietary behaviors (p=0.029). Negative emotions (p=0.032) and loneliness (p=0.001) seem to be predictive factors of eating habits in general and bulimic behaviors. Negative emotions correlate directly with eating habits. However, we found a significant mediation of loneliness (p=0.032). Furthermore, the observed association between negative emotions and bulimia is partly mediated by loneliness (p=0.018).
Conclusions
Negative emotions and loneliness seemed to play an important role in shaping eating habits during quarantine. Multilevel public health interventions are needed to address the negative effects of quarantine and pandemic in general.
One of the negative consequences of the COVID-19 pandemic may be an increase in somatization.
Objectives
identification of implicit characteristics of texts indicating the peculiarities of the opinion about the pandemic by people with high somatization level.
Methods
Survey (03/23/2020–01/29/2021, N=1188). Used: SCL-90-R, COPE, Constructive Thinking Inventory (CTI). It was offered to express an opinion on the pandemic. The statements were divided into the two text arrays - “high somatization” and “low somatization” (based on the parameter “somatization” SCL-90R). The frequency of words in these text arrays was estimated (LIWC).
Results
The analysis showed an increase in somatization as the pandemic developed (Std.J-T Statistic=4,327). The relationship between somatization and anxiety, sleep disturbances, and depression was revealed. Higher rates of somatization are associated with a decrease in emotional coping, «global constructive thinking» and «personal superstitious thinking», an increase in «categorical thinking». The connection between somatization and a number of non-constructive copings is shown. Texts associated with high somatization demonstrate higher number of pronouns of the first person (30.77%, 17.19%), a decrease in the tonality of words, a vocabulary (LIWC) of suffering, negative sthenic emotions (1,53%, 0,93%), a decrease in the vocabulary of motivation and resistance (0,93%, 1,49%), a decrease in vocabulary associated with the body (0,20%, 0,32%).
Conclusions
The connection between somatization and high emotional distress, which manifests itself in negative emotional vocabulary and is associated with a low level of emotional coping, is shown. The “representation” of the pandemic, presented in the text, is “divorced” from somatic manifestations, fear of illness and death.
Nations thorughout the world are imposing mandatory quarantine on those entering the country. While such measures may be effective in reducing the importation of COVID-19, the mental health implications remain unclear.
Objectives
This study sought to assess mental well-being and factors associated with changes in mental health in individuals subject to mandatory quarantine following travel.
Methods
Travellers arriving at a large urban international airport completed online questionnaires on arrival and days 7 and 14 of mandated quarantine. Questionnaire items such as travel history, mental health, attitudes towards COVID-19, and protection behaviours were drawn from the World Health Organization Survey Tool for COVID-19.
Results
There was a clinically significant decline in mental health over the course of quarantine among the 10,965 eligible participants. Poor mental health was reported by 5.1% of participants on arrival and 26% on day 7 of quarantine. Factors associated with greater decline in mental health were younger age, female gender, negative views towards quarantine measures, and engaging in fewer COVID-19 prevention behaviours.
Conclusions
While the widespread use of quarantine may be effective in limiting the spread of COVID-19, the mental health implications are profound and have largely been ignored in public policy decision-making. Psychiatry has a role to play in contributing to the public policy debate to ensure that all aspects of health and well-being are reflected in decisions to isolate people from others.
Written at the outset of the Covid-19 pandemic, the epilogue considers what lessons may be drawn from Botswana’s experience with AIDS for the new crisis. It describes Botswana’s initial response to the coronavirus, anticipates the innovations that will emerge among kin, and reflects on the risks of quarantine ideologies that develop in times of widespread pandemic disease.
Due to the coronavirus disease 2019 (COVID-19) different countries implemented quarantine measures to limit the spread of the virus. Many studies analysed the mental health consequences of restrictive confinement, some of which focused their attention on specific populations. The general public's mental health also requires significant attention, however. This study aimed to evaluate the effects of the COVID-19 quarantine on the general population's mental health in different European countries. Risk and protective factors associated with the psychological symptoms were analysed.
Methods
A systematic search was conducted on four electronic databases (PubMed, PsycINFO, Scopus and Google Scholar). Studies published up until 20th April 2021, and following eligibility criteria were selected for this review. One thousand three hundred thirty-five (1335) studies were screened, 105 of which were included. Via network analysis, the current study investigated the pathways that underlie possible risk factors for mental health outcomes.
Results
Anxiety, depression, distress and post-traumatic symptoms are frequently experienced during the COVID-19 quarantine and are often associated with changes in sleeping and eating habits. Some socio-demographic and COVID-19-related variables were found to be risk factors for an individual's wellbeing. In particular, being female, young, having a low income, being unemployed and having COVID-19-like symptoms or chronic disorders, were found to be the most common risk factors for mental health symptoms.
Conclusions
The COVID-19 pandemic represented an unprecedented threat to mental health globally. In order to prevent psychological morbidity and offer support tailored to short-, medium- and long-term negative outcomes, it is essential to identify the direct and indirect psychosocial effects of the lockdown and quarantine measures, especially in certain vulnerable groups. In addition to measures to reduce the curve of viral transmission, policy makers should urgently take into consideration provisions to alleviate hazards to mental health.
The purpose of the current study was to cross-culturally adapt and validate an online questionnaire to assess eating habits and physical activity of university students under confinement due to coronavirus disease (COVID-19).
Design:
Generation of a cross-sectional online survey to university students conducted during confinement due to COVID-19. The study was divided into two phases.
Settings:
Students, Chile.
Participants:
Phase 1 considered the process of translation and back translation, expert panel, cultural adaptation and the generation of a pilot to validate a preliminary format of the questionnaire. In Phase 2, information from the instrument was collected from two hundred and sixty-eight university students, ages 16 to 30 years old, with a mean age of 21·6 (3·3) The major proportion of participants were female (82 %).
Results:
The adapted questionnaire was statistically validated in three dimensions: (A) eating habits and behaviours during quarantine, (B) perception of risk and (C) physical activity changes during the quarantine. The reliability of Cronbach’s α for dimensions A, B and C was 0·59, 0·85 and 0·97, respectively. The complete questionnaire obtained 0·61 in internal consistency and 0·61 (0·58–0·67) ICC reliability. A statistically significant positive correlation matrix was observed.
Conclusions:
This questionnaire is a practical tool to obtain accurate information about the relation of COVID-19 confinement on people’s eating habits and physical activity. Therefore, it could contribute to establishing appropriate strategies to prevent negative effects on people’s health.
The aim of this study was to develop and evaluate a pre-deployment sequestration (PDS) protocol to prevent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cases on board the USS Ronald Reagan (CVN-76).
Methods:
The USS Ronald Reagan includes a crew of approximately 3000 Sailors and an embarked Air Wing of 2000 personnel. The PDS was conducted in 3 waves of 14-day strict quarantines during the months of April and May 2020. Sailors were cleared to board the ship with 2 negative reverse transcriptase polymerase chain reaction (rtPCR) tests at days 14 and 16. The ship was sanitized before Wave 1 boarding.
Results:
From March 1, 2020, through May 31, 2020, a total of 51 SARS-CoV-2 positive cases were detected. During the 3 waves of PDS, 28 Sailors were found to be positive on exit testing (14, 11, and 3, respectively); no cases were found among the Air Wing. During the first 90 days at sea, no SARS-CoV-2 cases were detected among any of the embarked personnel.
Conclusions:
Although resource-intensive, the PDS protocol implemented for USS Ronald Reagan resulted in a coronavirus disease 2019 (COVID-19)-free ship during a global pandemic with unprecedented scope. Elements of this pandemic PDS protocol may be useful in other highly risk-averse environments with no tolerance for COVID-19 infections.
Chapter 3 discusses how the captive population of Germans, Italians and Japanese, their patriotism sharpened by group incarceration, railed against confinement in Australian and New Zealand’s camps. Using “escape” as its central theme, the chapter examines breakout attempts at camps in Murchison, Cowra and Featherston, offering insights into enforcement of 1929 Geneva Convention regulations for POW treatment. The chapter introduces the dodecagon-shaped POW camp as a unique design tested in Australia for the accommodation of racially different combatants and a continuation of a longer history of convictism. New Zealand’s wartime camps repurpose and adapt facilities associated with quarantine.
Our hospital experienced a hospital shutdown and 2 week quarantine after a case of COVID-19 was diagnosed during hospitalization. We analyzed the reopening process following hospital closure and possible factors that prevented hospital spread.
Methods:
We retrospectively reviewed the confirmed patient’s medical records and results of epidemiological survey available from the infection control team of our hospital.
Results:
A total of 117 hospital staff members were tested, 26 of whom were self-isolated. Of the 54 inpatients tested, 28 on the same floor, and 2 close contacts in the endoscopic room were quarantined in a single room. Finally, all quarantined hospital staff, inpatients and outpatients were tested for COVID-19 on the 14th day of close contact. The results were all negative, and the hospital work resumed completely.
Conclusion:
Although closing and isolating the hospital appeared to have played a useful role in preventing the spread of COVID-19 inside the hospital and to the local community, it is still debated whether or not the duration of hospital closure or quarantine was appropriate. The lessons from the 2-week hospital closure suggest that wearing a mask, hand hygiene and the ward environment are important factors in preventing nosocomial outbreaks of COVID-19.
This chapter provides a historic survey of pandemic responses over the last 650 years from when the plague first became endemic in Europe after 1347. It will show how the role of the state – initially Italian city-states and then the British and other nation-states – changed radically in response. Superseding the appeal to divine intervention for help, governments became involved in protecting and controlling their citizens at the most minute level. Across Europe and elsewhere the full range of tools of pandemic control from surveillance, tracking, quarantine, border patrols and economic support for those unable to work have in fact existed for hundreds of years.
It will argue that it is commerce, trade and war that historically have enabled pandemics to spread – they are not random events, but substantially man-made occurrences. By 2020, we had, in our quest for ever-expanding global markets and trade, created the perfect breeding ground for a new pandemic disease to emerge as we increasingly disturbed the habitats of other species. And we had also provided it with the perfect conditions to spread with our increasingly connected world. COVID-19 was always a matter of ‘when’ not ‘if’.
uses the biopolitical and socio-environmental perspectives on health constructed in the previous chapters to reinterpret municipal responses to plague. This chapter argues that when Netherlandish cities took action against epidemic spread, they applied pre-existing health policies. It challenges two scholarly biases, namely of crisis and of government. First, actions to prevent spread of the plague are often interpreted as radical innovations, yet many subjects targeted in plague ordinances were usual suspects and recurring problems; already regulated outside the context of plague because they were perceived as posing a (combined) threat to physical and moral communal well-being. Cities employed various strategies, from quarantine and street sanitation to spiritual measures and culling dogs. Secondly, there is a clear need to move beyond a top-down perspective and complicate the playing field of daily dealings with an epidemic through networks of plague care, which are discussed here by focusing on the role of hospitals, medical officials and confraternal caregivers, especially the Cellites.