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This chapter addresses challenges to the KWV system as the overall surplus spiralled in the 1980s and cooperatives began offloading cheap wine onto the market in minimalist packaging. Independent producers and the SFW became increasingly critical of the KWV’s performance of its regulatory functions. The chapter provides an account of Tim Hamilton-Russell’s dogged campaign for the right to produce wine in the Hemel-en-Aarde and to market it as he saw fit. It also addresses the vine-smuggling scandal that broke in 1986, which culminated in the loosening of quarantine controls. The chapter then details how the end of white rule led to government scrutiny of the KWV. After a bitter struggle over the demands of the KWV to hold onto its assets as it converted to a private company, a political deal was struck that enabled part of them be reycled in support of a black empowerment agenda in the industry. The residual control functions were taken over by a set of new bodies. The chapter closes with a brief account of the arrival of international drinks companies and the full merger between Distillers and SFW to create Distell, in an effort to ward off potentially hostile competition.
With the introduction of wine to the Cape Colony, it became associated locally with social extremes: with the material trappings of privilege and taste, on the one side, and the stark realities of human bondage, on the other. By examining the history of Cape wine, Paul Nugent offers a detailed history of how, in South Africa, race has shaped patterns of consumption. The book takes us through the Liquor Act of 1928, which restricted access along racial lines, intervention to address overproduction from the 1960s, and then latterly, in the wake of the fall of the Apartheid regime, deregulation in the 1990s and South Africa's re-entry into global markets. We see how the industry struggled to embrace Black Economic Empowerment, environmental diversity and the consumer market. This book is an essential read for those interested in the history of wine, and how it intersects with both South African and global history.
Aviation passenger screening has been used worldwide to mitigate the translocation risk of SARS-CoV-2. We present a model that evaluates factors in screening strategies used in air travel and assess their relative sensitivity and importance in identifying infectious passengers. We use adapted Monte Carlo simulations to produce hypothetical disease timelines for the Omicron variant of SARS-CoV-2 for travelling passengers. Screening strategy factors assessed include having one or two RT-PCR and/or antigen tests prior to departure and/or post-arrival, and quarantine length and compliance upon arrival. One or more post-arrival tests and high quarantine compliance were the most important factors in reducing pathogen translocation. Screening that combines quarantine and post-arrival testing can shorten the length of quarantine for travelers, and variability and mean testing sensitivity in post-arrival RT-PCR and antigen tests decrease and increase with the greater time between the first and second post-arrival test, respectively. This study provides insight into the role various screening strategy factors have in preventing the translocation of infectious diseases and a flexible framework adaptable to other existing or emerging diseases. Such findings may help in public health policy and decision-making in present and future evidence-based practices for passenger screening and pandemic preparedness.
Edited by
Richard Williams, University of South Wales,Verity Kemp, Independent Health Emergency Planning Consultant,Keith Porter, University of Birmingham,Tim Healing, Worshipful Society of Apothecaries of London,John Drury, University of Sussex
This chapter considers the potential psychological impact of the quarantines, lockdowns, and isolation that have affected almost every country in the world as a result of the SARS-CoV-2 (COVID-19) outbreak. It describes the published literature on the short-term and long-term psychological impact of other (pre-2020) pandemic-related quarantines, identifies factors associated with this psychological impact pre-quarantine, during quarantine, and in the long term, discusses how this applies to the COVID-19 pandemic, and suggests how the psychological impact of quarantine and isolation might be reduced.
Edited by
Richard Williams, University of South Wales,Verity Kemp, Independent Health Emergency Planning Consultant,Keith Porter, University of Birmingham,Tim Healing, Worshipful Society of Apothecaries of London,John Drury, University of Sussex
This chapter describes the approach of one mental health service to addressing the needs of inpatients who subsequently developed COVID-19. It describes the methods used to assess the needs of patients, including changes necessary to allow for their physical healthcare as well as their mental healthcare, and the difficulties encountered in ensuring an appropriate balance that protected patients and their healthcarers. The need for ongoing assessment and adaptation of responses and for consideration of long-term impacts is also discussed.
A local COVID-19 outbreak with two community clusters occurred in a large industrial city, Shaoxing, China, in December 2021 after serial interventions were imposed. We aimed to understand the reason by analysing the characteristics of the outbreak and evaluating the effects of phase-adjusted interventions. Publicly available data from 7 December 2021 to 25 January 2022 were collected to analyse the epidemiological characteristics of this outbreak. The incubation period was estimated using Hamiltonian Monte Carlo method. A well-fitted extended susceptible-exposed-infectious-recovered model was used to simulate the impact of different interventions under various combination of scenarios. There were 387 SARS-CoV-2-infected cases identified, and 8.3% of them were initially diagnosed as asymptomatic cases. The estimated incubation period was 5.4 (95% CI 5.2–5.7) days for all patients. Strengthened measures of comprehensive quarantine based on tracing led to less infections and a shorter duration of epidemic. With a same period of incubation, comprehensive quarantine was more effective in containing the transmission than other interventions. Our findings reveal an important role of tracing and comprehensive quarantine in blocking community spread when a cluster occurred. Regions with tense resources can adopt home quarantine as a relatively affordable and low-impact intervention measure compared with centralized quarantine.
Stress associated with the COVID-19 pandemic can threaten the ability to successfully maintain established romantic relationships as well as navigate the initiation and development of new relationships. Drawing on the vulnerability-stress-adaptation (VSA) model, we propose that the extent to which pandemic-related stress will undermine couples’ relationships, as well as the initiation of new relationships, will depend on the amount and severity of pandemic-related and preexisting levels of stress combined with enduring personal vulnerabilities such as attachment insecurity. We review a growing body of research examining relationship processes and functioning prior to and during the initial stages of the pandemic that provides evidence consistent with this framework and draws on related research suggesting routes to minimize relationship disruptions and promote resilience. In addition, we review newly emerging research examining how pandemic-related stress might impact the initiation of relationships. Finally, we discuss several directions for future research to facilitate an understanding of the longer-term implications of the pandemic for ongoing and newly developing romantic relationships.
Introduction: The aim of this study was to analyze the network structure of physical activity, frequency, depressive, and affective symptoms in people under home isolation due to COVID-19. Method: A longitudinal study was conducted in two phases (beginning (March 19, 2020) and end of home confinement (April 8, 2020)). The sample consisted of 579 participants from Spain (250 men and 329 women) aged 16 to 92 years (overall sample: M = 47.06, SD = 14.52). A network analysis was performed. Results: Four clusters emerged (PA, depressive symptoms, positive affect, and negative affect). A higher frequency of physical activity was related to better-sustained attention, increased alertness, and enthusiasm. In addition, feelings of guilt and shame were mitigated, and confinement distress and irritability were reduced. Physical activity also mitigated fatigue in women, whereas feelings of unhappiness were reduced in men. Conclusion: Physical activity seems to be an effective option for mitigating the negative effects of the COVID-19 pandemic. Public health policymakers should develop programs to promote physical activity in order to be able to cope with confinement or similar scenarios in the future.
As elsewhere in the global history of colonial health, public health and the control of infectious diseases turned Indigenous bodies and lands into sites where the state sought to assert greater control – and met significant resistance. This chapter considers these dynamics through a focus on vaccines, quarantines, and efforts to forcibly relocate sick northerners between 1900 and 1920. Particular attention is given to smallpox epidemics that spread widely and were a main vehicle for public health measures, but caused few deaths.
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.