Coronavirus Disease 2019 Lockdown Research Articles

Impact of Lockdowns on Air Pollution: Case Studies of Two Periods in 2022 in Guangzhou, China

The photochemical mechanisms of ozone (O3) formation are complex, and simply reducing nitrogen oxide (NOx) emissions is insufficient to reduce O3 concentrations. The lockdown due to the Coronavirus Disease 2019 (COVID-19) pandemic provided a rare opportunity to explore the mechanisms of O3 formation and evaluate the performance of NOx emission control strategies through practical observations. This study integrates data from ground stations with observations from the TROPOMI sensor on the Sentinel-5P satellite to analyze air quality changes during the two one-month lockdown periods in Guangzhou, China, in March and November 2022. Our analysis particularly focuses on the impact of these lockdowns on O3 and NO2 concentrations, along with shifts in the sensitivity of ozone formation. Furthermore, we have assessed concentration changes of four major pollutants: PM2.5, PM10, SO2, and CO. The results show that the average O3 concentration in Guangzhou decreased during the March lockdown, while the average O3 concentration at three stations in the western part of Guangzhou increased during the November lockdown. The western part of Guangzhou is a VOCs (volatile organic compounds)-limited zone, and the NO2 emission reduction from the lockdown reduced the titration effect on O3, which led to the increase in O3 concentration. Overall, the impact of COVID-19 lockdowns on O3 concentrations depended on the local O3 producing sensitive system, and emissions of other major pollutants were reduced substantially, as reported in many other cities around the world.

Cluster sampling methodology to evaluate immunization coverage.

Immunization is a key component of primary health care and an indisputable human right. Vaccines are critical to the prevention and control of infectious disease outbreaks. The coronavirus disease 2019 (COVID-19) pandemic and associated disruptions over the past two years have strained the health systems, with many children missing out on essential childhood vaccines. To evaluate the immunization coverage among 12-23-month-old children in the rural areas of Community Health Centre (CHC) Dighal and to determine the factors influencing the existing immunization coverage. A coverage evaluation survey was conducted according to the 30-cluster sampling technique, which is the standard methodology for such surveys devised by World Health Organization. A total of 300 children aged 12-23 months were included, whose immunization details were noted from their immunization cards. Full immunization rate was noted in 86.7% of the children, with partial and non-immunized children accounting for 9% and 4.3% respectively. The full immunization dropout rate was 4.2%. The common reasons for partial or non-immunization were family problem including illness of mother, vaccine not being available and child being ill. Place of birth (P = 0.014) and availability of immunization card (P < 0.001) were significant predictors of the immunization status. Since the study was conducted in 2020/2021, health services were disrupted due to the COVID-19 lockdown. Due to the coverage being higher than the national average, it was concluded that the immunization coverage was optimal and not affected by the COVID-19 pandemic.

Dual isotope analysis reveals the COVID-19 lockdown impact on nitrate aerosol sources and formation pathways in Shanghai

Nitrate (NO3−) is an important contributor to PM2.5 which can adversely affect the environment and human health. A noticeable decrease in NOx concentrations has been reported due to the lockdown measures implemented to curb the spread of Corona Virus Disease 2019 (COVID-19). However, questions remain, regarding the nonlinear relationship between NOx and NO3−. Here, we collected PM2.5 samples in two periods, before and during the lockdown of COVID-19 in Shanghai. Dual isotopes (δ18O-NO3− and δ15N-NO3−) of NO3− were measured to investigate the formation pathways and potential sources of NO3−. The results showed that the concentration of NO3− decreased significantly during the lockdown period compared to the period before the lockdown. Additionally, the hydroxyl pathway was the dominant contributor to NO3− production during the lockdown period, while N2O5 hydrolyses dominated the formation of NO3− before the lockdown. This change is largely attributable to alterations in the oxidative potential of the environment. In comparison to the period preceding the lockdown, the relative contributions of each NOx source remained largely unchanged throughout the lockdown periods. Nevertheless, the concentration of NO3− contributed by each NOx source exhibited a notable decline, particularly the mobile sources and coal combustion. Furthermore, the reduction extent of NO3− due to the lockdown period was also greater than the reduction during the Clean Air Actions (2013–2017). Our findings provide evidence that the COVID-19 lockdown led to a decrease in NO3− concentration due to changes in the formation pathway and reductions in NOx emissions from various sources.

Relationship between GPS-based community mobility data and orthopedic trauma admissions during the COVID-19 pandemic in Austria: amulticenter analysis.

The main objective of this study was to examine the relationship between mobility patterns during the coronavirus disease 2019 (COVID-19) pandemic and orthopedic trauma patients in Austria. Utilizing global positioning system (GPS)-based mobility data, the attempt was to assess both the impact of COVID-19 lockdowns on reducing orthopedic trauma patients and the degree of compliance to the imposed movement restrictions. This retrospective analysis included all patients (283,501) treated at 3 major levelI trauma centers in Austria. Analyzed time periods were 1 January 2019 to 8 February 2021. Freely available GPS-based mobility data from Google and Apple Inc. was gathered. Amoderate to strong correlation between the cumulative average outpatients and the assessed mobility index was observed for all cities (Google: r = 0.70 p < 0.001, 95% confidence interval, CI: 0.67-0.73; Apple: r = 0.64 p < 0.001, 95% CI: 0.61-0.67). Asignificant linear regression equation was found for Vienna (adjusted r2 = 0.48; F(1, 350) = 328,05; p < 0.01). During the first lockdown there was adrastic decline in mobility (up to -75.36%) and in numbers of orthopedic trauma outpatients (up to -64%, from 153 patients/day 2019 to 55patients/day 2020) in comparison to the prepandemic era. The decline diminished as time passed. Analyses of GPS-based mobility patterns show acorrelation with trauma patient numbers. These findings can be used to develop prediction models, leading to better resource planning and public health policy, enhancing patient care and cost-effectiveness, especially in the event of future pandemics. Furthermore, the results suggest that compliance to mobility restrictions decreased over time during the COVID-19 pandemic, resulting in increased mobility and trauma patients.

A nationwide Guillain-Barré syndrome epidemiological study in Spain during the COVID-19 years.

The purpose was to perform a nationwide epidemiological study of Guillain-Barré syndrome (GBS) in Spain, analysing background incidences and seasonal variation and trying to identify incidence changes during the coronavirus disease 2019 (COVID-19) years. This was an observational study collecting all GBS diagnoses from the National Epidemiological Surveillance Network collected by the Ministry of Health. Patients discharged with GBS as the main diagnosis and admitted during 2018-2021 were included. Data on the incidence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections were obtained from the National Epidemiology Centre. In total, 3147 cases were included, 832 in 2018, 861 in 2019, 670 in 2020 and 784 in 2021. Nationwide hospital incidence was 1.78 in 2018, 1.71 in 2019, 1.41 in 2020 and 1.66 in 2021, with an increased frequency in males, the elderly population and in the winter season. Eleven per cent of GBS patients needed ventilatory support. GBS and SARS-CoV-2 incidences did not correlate with one another (r = -0.29, p = 0.36). GBS incidence decreased during 2020 and during the COVID-19 lockdown period in comparison to the same months of 2018-2019. The incidence of GBS in Spain is similar to that of other countries. Despite prior reports describing a significant increase in COVID-19-associated GBS in Spain, a significant drop of GBS incidence during the SARS-CoV-2 pandemic was detected, probably due to prevention measures.

Anthropogenic impacts on polycyclic aromatic hydrocarbons in surface water: Evidence from the COVID-19 lockdown

The lockdown restrictions against coronavirus disease 2019 (COVID-19) have led to unprecedented reductions in global anthropogenic activities. Polycyclic aromatic hydrocarbons (PAHs) are carcinogenic combustion-induced pollutants, but the influence of anthropogenic responses to COVID-19 on PAH contamination remains largely unknown. Here we quantified the impacts of lockdown restrictions on 16PAH pollution based on the data in concentrations dissolved in the water phase and absorbed on the suspended particulate matter (SPM) in the Elbe River from 2015 to 2021 and determined the changes in source contributions classified by individual years and stations. Results show that the annual average PAH concentrations in water and SPM were determined as 0.055 μg·L-1 and 3.77 mg·kg-1 from 2015 to 2021, respectively. Pronounced declines in PAH on SPM (up to -18 %) were observed during the three lockdowns in Germany from 2020 to 2021. However, dramatic rebounds of anthropogenic activities during the removal of the lockdown led to increases (up to 29 %) in ∑16PAH concentrations compared to the same period in previous years. Through the source apportionment method, vehicle and coal emissions were the two most predominant sources of PAHs in the river. Vehicle contribution decreased during the lockdown, while coal emissions increased by 5 %. Health risks for three age groups were assessed as potential low risk and decreased by 18 % from 1.54 × 10–4 in 2015 to 1.27 × 10–4 in 2019, and rebounded to 1.40 × 10–4 in 2020–2021. The findings of this study highlight the strong consistency between PAH concentrations and anthropogenic intensity, implying that source control from improved cleaner production is an effective pathway for mitigating PAH contamination in the aquatic environment.

Changes in wild meat hunting and use by rural communities during the COVID‐19 socio‐economic shock

AbstractThere is limited quantitative evidence of the effects of socio‐economic shocks on biological resource use. Focusing on wild meat hunting, a substantial livelihood and food source in tropical regions, we evaluated the impacts of the shock from Nigeria's coronavirus disease (COVID‐19) lockdown on species exploitation around a global biodiversity hotspot. Using a 3‐year quantitative dataset collected during and after the lockdown (covering 1008 hunter‐months) and matching by time of year, we found that successful hunting trip rates were more frequent during the lockdown, with a corresponding increase in the monthly number, mass, and value of animals caught. Moreover, hunters consumed a larger proportion of wild meat and sold less during lockdown, compared to non‐lockdown periods. These results suggest that local communities relied on wild meat to supplement reduced food and income during the lockdown, buffering the COVID‐19's socio‐economic shock. Our findings also indicate that wild species may be especially vulnerable to increased hunting pressure during socio‐economic shocks.

Assessment of lifestyle and health-related behaviors and correlates during the COVID-19 pandemic among Lebanese adults

IntroductionThe novel coronavirus disease 2019 (COVID-19) has quickly become a worldwide threat to human health and has significantly impacted people’s lives and changed their lifestyles and health behaviors. This study aims to assess lifestyle and health-related behaviors (LHBs) and associated factors among the general population in Lebanon during the COVID-19 pandemic.MethodsAn online cross-sectional study was conducted among 403 Lebanese adults. The study questionnaire was developed on Google Forms in English and Arabic. It included self-reported questions about sociodemographic characteristics, COVID-19, and perceived behavioral changes (smoking, alcohol consumption, sexual and hygiene behaviors, and intake of nutritional supplements and immunity-boosting foods). It also comprised three scales, i.e., the Lifestyle and Health Behaviors questionnaire (LHB-17), the WHO-5 Well-being Index, and the Fear of COVID-19 scale (FCV-19S).ResultsThe mean age of participants was 29.74 ± 10.81 years, with 51.2% females. Most participants reported that COVID-19 negatively affected their LHBs, mainly diet, sleep, and psychological well-being, while physical activity aspects remained unaffected. Female gender (Unstandardized Beta (ß) = − 2.336), living in Lebanon (ß = − 7.502), nargileh smoking (ß = − 3.433), high BMI (ß = − 0.263), and increased daily usage of electronic devices during the COVID-19 lockdown (ß = − 0.853) were significantly associated with lower LHB-17 scores, indicating worsened LHB. However, living in urban areas (ß = 2.464), employment status (ß = 1.920), good overall health (ß = 3.543), a higher quality of life (ß = 0.204), and unaffected physical (ß = 2.101) and mental (ß = 1.586) health during the COVID-19 lockdown were all significantly associated with higher LHB-17 scores, reflecting positive LHB.ConclusionLebanese adults reported several unfavorable lifestyle changes and psychological problems during the lockdown due to COVID-19, particularly affecting women, non-workers, waterpipe smokers, electronic device heavy users, people of lower socioeconomic status, and those with chronic diseases. Health promotion strategies are needed to assess negative changes both in physical and mental health and maintain as many positive health-related behaviors as possible among the Lebanese population.

Associations of insulin sensitivity and immune inflammatory responses with child blood lead (Pb) and PM2.5 exposure at an e-waste recycling area during the COVID-19 lockdown.

Fine particular matter (PM2.5) and lead (Pb) exposure can induce insulin resistance, elevating the likelihood of diabetes onset. Nonetheless, the underlying mechanism remains ambiguous. Consequently, we assessed the association of PM2.5 and Pb exposure with insulin resistance and inflammation biomarkers in children. A total of 235 children aged 3-7years in a kindergarten in e-waste recycling areas were enrolled before and during the Corona Virus Disease 2019 (COVID-19) lockdown. Daily PM2.5 data was collected and used to calculate the individual PM2.5 daily exposure dose (DED-PM2.5). Concentrations of whole blood Pb, fasting blood glucose, serum insulin, and high mobility group box 1 (HMGB1) in serum were measured. Compared with that before COVID-19, the COVID-19 lockdown group had lower DED-PM2.5 and blood Pb, higher serum HMGB1, and lower blood glucose and homeostasis model assessment of insulin resistance (HOMA-IR) index. Decreased DED-PM2.5 and blood Pb levels were linked to decreased levels of fasting blood glucose and increased serum HMGB1 in all children. Increased serum HMGB1 levels were linked to reduced levels of blood glucose and HOMA-IR. Due to the implementation of COVID-19 prevention and control measures, e-waste dismantling activities and exposure levels of PM2.5 and Pb declined, which probably reduced the association of PM2.5 and Pb on insulin sensitivity and diabetes risk, but a high level of risk of chronic low-grade inflammation remained. Our findings add new evidence for the associations among PM2.5 and Pb exposure, systemic inflammation and insulin resistance, which could be a possible explanation for diabetes related to environmental exposure.

Shift in emergency department utilization by frequent attendees with sickle cell disease during the COVID-19 pandemic: Amulticentre cohort study.

While the coronavirus disease-2019 (COVID-19) might have increased acute episodes in people living with sickle cell disease (SCD), it may also have changed their reliance on emergency department (ED) services. We assessed the impact of the COVID-19 pandemic and lockdowns on ED visits in adult SCD people followed in five French reference centres, with a special focus on 'high users' (≥10 visits in 2019). We analysed the rate of ED visits from 1 January 2015 to 31 December 2021, using a self-controlled case series. Among 1530 people (17 829 ED visits), we observed a significant reduction in ED visits during and after lockdowns, but the effect vanished over time. Compared to pre-pandemic, incidence rate ratios for ED visits were 0.59 [95% CI 0.52-0.67] for the first lockdown, 0.66 [95% CI 0.58-0.75] for the second and 0.85 [95% CI 0.73-0.99] for the third. High users (4% of people but 33.7% of visits) mainly drove the reductions after the first lockdown. COVID-19 lockdowns were associated with reduced ED visits. While most people returned to their baseline utilization by April 2021, high users had a lasting decrease in ED visits. Understanding the factors driving the drop in ED utilization among high users might inform clinical practice and health policy.

Global changes in aerosol single scattering albedo during COVID-19

A comprehensive global investigation on the impact of reduction (changes) in aerosol emissions due to Coronavirus disease-2019 (COVID-19) lockdowns on aerosol single scattering albedo (SSA) utilizing satellite observations and model simulations is conducted for the first time. The absolute change in Ozone Monitoring Instrument (OMI) retrieved, and two highly-spatially resolved models (Modern-Era Retrospective Analysis for Research and Applications-2 (MERRA-2) and Copernicus Atmosphere Monitoring Service (CAMS)) simulated SSA is <4% (<0.04–0.05) globally during COVID (2020) compared to normal (2015–2019) period. Change in SSA during COVID is not significantly different from long-term and year-to-year variability in SSA. A small change in SSA indicates that significant reduction in anthropogenic aerosol emissions during COVID-19 induced lockdowns has a negligible effect in changing the net contribution of aerosol scattering and/or absorption to total aerosol extinction. The changes in species-wise aerosol optical depth (AOD) are examined in detail to explain the observed changes in SSA. Model simulations show that total AOD decreased during COVID-19 lockdowns, consistent with satellite observations. The respective contributions of sulfate and black carbon (BC) to total AOD increased, which resulted in a negligible change in SSA during the spring and summer seasons of COVID over South Asia. Europe and North America experience a small increase in SSA (<2%) during the summer season of COVID due to a decrease in BC contribution. The change in SSA (2%) is the same for a small change in BC AOD contribution (3%), and for a significant change in sulfate AOD contribution (20%) to total AOD. Since, BC SSA is 5-times lower (higher absorption) than that of sulfate SSA, the change in SSA remains the same. For a significant change in SSA to occur, the BC AOD contribution needs to be changed significantly (4–5 times) compared to other aerosol species. A sensitivity analysis reveals that change in aerosol radiative forcing during COVID is primarily dependent on change in AOD rather than SSA. These quantitative findings can be useful to devise more suitable future global and regional mitigation strategies aimed at regulating aerosol emissions to reduce environmental impacts, air pollution, and public health risks.

Association of the COVID-19 lockdown with health risk behaviors in South Korean adolescents.

Since there is no certainty about when the coronavirus disease 2019 (COVID-19) lockdown will be affected by health risk behaviors, so we investigate the effect of COVID-19-related health risk behavior changes using school-based self-reported data from a nationally representative South Korean adolescent population. We analyzed web-based self-reported data from the Korea Youth Risk Behavior Web-based Survey in 111,878 participants (57,069 in COVID-19 prepandemic); 54,809 in during the COVID-19 pandemic. This study included 12 to 18-year-olds. Self-report questionnaires were used to assess socioeconomic status, health risk behaviors, and psychological factors. Health risk behaviors such as alcohol consumption, substance use, and sexual experience significantly decreased in COVID-19 pandemic than in COVID-19 prepandemic. Psychosomatic changes such as stress levels, violence experience, depression, suicidal ideation, suicidal plans, and suicide attempts were significantly lower in COVID-19 pandemic compared to COVID-19 prepandemic (P < .001). After adjusting for multiple confounding variables, less alcohol consumption (odds ratio [OR] = 0.98; 95% confidence interval [CI] = 0.88-0.93), less exercise (OR = 0.92; 95% CI = 0.89-0.94), less sexual experience (OR = 0.82; 95% CI = 0.77-0.86), less violence experience (OR = 0.61; 95% CI = 0.55-0.67), less stress (OR = 0.86; 95% CI = 0.84-0.88), less depression (OR = 0.85; 95% CI = 0.83-0.88), less suicidal ideation (OR = 0.93; 95% CI = 0.89-0.97), plans (OR = 0.82; 95% CI = 0.76-0.88), attempts (OR = 0.78; 95% CI = 0.71-0.85) were significantly associated with the COVID-19 pandemic compared to COVID-19 prepandemic. The COVID-19 pandemic was associated with changes in health risk behaviors among Korean adolescents, resulting in alcohol drinking, sexual experience, drug use, violence experience, and suicidal behaviors (idea, plan, and attempts) being decreased during the lockdown period.

Effect of COVID-19 lockdown on glycated haemoglobin testing and utilisation in KwaZulu-Natal, South Africa.

Diabetic monitoring and treatment guidelines are easily accessible, but compliance is poor in KwaZulu-Natal. The coronavirus disease 2019 (COVID-19) pandemic had a devastating impact on diabetic healthcare, both directly and through public health interventions. This study aimed to close the gaps in knowledge concerning glycated haemoglobin (HbA1c) test utilisation and how this was affected by the COVID-19 lockdown in KwaZulu-Natal. We reviewed HbA1c test volumes and results from public health facilities in the 11 health districts in KwaZulu-Natal, South Africa. We compared testing trends and glycaemic control between two 10-month study periods before (March 2019 - December 2019) and during (March 2020 - December 2020) the COVID-19 pandemic. The number of HbA1c tests performed decreased 6.1% during the pandemic period, with 173 760 HbA1c tests performed in 2019 and 163 236 HbA1c tests performed in 2020. There was a statistically significant increase in the average HbA1c level during the pandemic (mean HbA1c level in the pre-pandemic period: 70.5 mmol/mol [8.6%] versus mean HbA1c level in the pandemic period: 72.7 mmol/mol [8.8%]; p-value < 0.001). Of patients with suboptimal HbA1c results (83 421 in 2019, 83 259 in 2020), 11 656 (14.0%) in 2019 and 10 086 (12.1%) in 2020 had more than one HbA1c test performed during the study period. The COVID-19 pandemic impacted glycaemic monitoring in KwaZulu-Natal with lower HbA1c test volumes and worse glycaemic control seen during the pandemic. HbA1c testing practices are not in keeping with recommended guidelines. The study demonstrates that the COVID-19 pandemic impacted HbA1c utilisation in KwaZulu-Natal. Importantly, HbA1c testing practices in KwaZulu-Natal are not in keeping with Society for Endocrinology, Metabolism and Diabetes of South Africa guidelines regarding the monitoring of diabetic patients, and this requires more attention for future diabetic healthcare interventions.

Exploring the health and ocular hazards of gadget usage in optometry students after COVID-19 lockdown: A qualitative study.

Prolonged screen time and abnormal postures can cause backache, neck pain, headache, and finger pain. Studies have shown that excessive usage of gadgets has increased during the coronavirus disease 2019 (COVID-19) pandemic, causing health and ocular hazards. This study used qualitative research methods to understand the health and ocular effects of gadget usage following the COVID-19 postlockdown in optometry students. A qualitative study using a semi-structured face-to-face interview was conducted for undergraduate and postgraduate students in different optometry institutes who underwent at least 3 months of online teaching learning during the pandemic after obtaining informed consent. The interviews were conducted online; the sessions were audio-recorded, transcribed, and analyzed. Thematic analyses were conducted to understand the challenges faced. Twenty participants were interviewed, of which 70% (n = 14) were females. Thematic analysis identified seven major themes: gadget usage (frequency of usage, type of device, and time spent), challenges during online classes (comprehension, distraction, and network issues), ocular effects (asthenopic symptoms and ocular symptoms), health effects (musculoskeletal disorders), ways to relieve symptoms, recreational activities (breaks and entertainment), and environment and ergonomics (posture and study area and preferred lighting). All the participants reported ocular/health-related symptoms, including eye strain, burning sensation, headache, back pain, finger pain, and neck pain post the lockdown period due to prolonged gadget usage and poor ergonomic postures. Given the significant increase in digital usage following the pandemic, the study's findings are currently relevant. The prolonged usage of gadgets and poor ergonomic postures have led to ocular and musculoskeletal problems among optometry students. To improve gadget usage without any health-related consequences, students should have access to information regarding ergonomics, increasing the blink rate, and taking regular digital breaks.

Impact of COVID-19 Pandemic on Treatment with Conventional Fixed Orthodontic Appliances Versus Clear Aligners in Saudi Arabia: A Multi-Center Cross-sectional Study

Background: This study aimed to compare the treatment progress and complications between patients receiving conventional orthodontic treatment and clear aligners during the coronavirus disease-2019 (COVID-19) pandemic. Methods: An electronic survey was distributed randomly among orthodontic patients in Saudi Arabia to understand how the global health crisis caused by COVID-19 affected orthodontic patients. The survey questions were structured into four sections, including demographic data, continuation of orthodontic follow-up appointments during the COVID-19, reasons for missed appointments, and problems of orthodontic patients. Data analysis consisted of simple descriptive statistics presented in frequency tables and percentages. Statistical significance was set at P≤0.05. Results: A total of 512 electronic responses were received. Sixty-two (12.11%) participants missed no orthodontic follow-up appointment during the COVID-19 lockdown. Hence, the study included 450 (87.89%) participants to evaluate the impact of COVID-19 pandemic on sustained orthodontic treatment. The proportion of patients in the fixed appliance group (35.2%, 86 patients) who responded that “they had not even once tried to communicate with their orthodontists” was significantly higher than that in the clear aligner group (9.2%, 19 patients) (P&lt;0.001). The proportion of participants who received fixed appliances (62.3%, 152 patients) and disagreed with the lockdown of orthodontic clinics during the COVID-19 was significantly higher than that in clear aligner users (19.4%, 40 patients) (P&lt;0.001). Conclusion: The results indicated that most issues were reported by patients who had fixed appliances. Thus, tele-orthodontics could provide a solution to continue dental practice during the COVID-19, and clear aligners are preferable to traditional orthodontic treatment methods.

Gender-based violence perpetrated against migrant women during lockdowns: A pastoral care challenge

Background: The article unpacks the complexities of gender-based violence (GBV) against illegal migrant women during lockdowns and contributes to the broader discourse on gender equality, human rights and social justice within the Pentecostal or Charismatic pastoral praxis. The geographical demography was a semi-formal area located between South Africa’s Gauteng and Northwest provinces. The period for the inquiry was South Africa’s coronavirus disease 2019 (COVID-19) induced lockdowns that began on 27 March 2020 until 05 April 2022.Objectives: The study aimed to shed light on the unique challenges faced by this vulnerable population, exploring the intersectionality of their undocumented status, gender and the socio-economic impacts of restrictive measures and the challenges to pastorally care for them.Method: The qualitative approach and case study were used to select two sets of participants; 13 illegal Zimbabwean Migrant Women (ZMW) and 3 Pentecostal or Charismatic clergy.Results: There was a disturbing prevalence of GBV incidents, ranging from physical, sexual to psychological abuse. The illegal status of migrant women exacerbated their vulnerability and reluctance to seek help due to fear of deportation and societal stigmatisation. The lockdown-induced economic strain further compounded their susceptibility to GBV.Conclusion: There was nonexistent pastoral care policy or praxis within the Pentecostal or Charismatic church for illegal ZMW who were victims of GBV during the lockdowns. These themes emerged: (1) high incidents of GBV perpetrated against illegal ZMW during lockdowns; (2) barriers to seeking pastoral care were lack of trust, migration status, fear of deportation, fear of infection and (3) no physical virtual pastoral care.Contribution: This article is embedded in the Pentecostal or Charismatic practice of care; postmodern, using the interpretive narrative framework to highlight the narratives of illegal Zimbabwean Migrant Women (ZMW) who were victims of gender-based violence (GBV) during South Africa’s COVID-19 lockdowns and the challenges of pastorally caring for them.

Self-management challenges of adults with type 2 diabetes mellitus in Ekurhuleni district primary health care facilities amid COVID-19 lockdown.

Self-management is highly recommended in managing type 2 diabetes mellitus (T2DM). Amid the coronavirus disease 2019 (COVID-19) lockdown, many restrictions were imposed, which might have affected the continuum of care and self-management. However, little is known about how people with T2DM experienced self-management during COVID-19 lockdown within the primary health care (PHC) facilities. The study explored and described the self-management challenges of adults with T2DM in Ekurhuleni PHC facilities amid COVID-19 level 5 and 4 lockdowns. The study was conducted in three community health centres in Ekurhuleni which are rendering PHC services. A phenomenological, qualitative, exploratory, and descriptive design was utilised. Purposive sampling was used to select adult patients with T2DM. Data were collected telephonically between July 2022 and August 2022 using semi-structured interviews. Inductive content analysis was used to analyse data. Two themes emerged from the interviews, namely, uncontrolled blood glucose levels and financial challenges. The patients with T2DM experienced uncontrolled blood glucose levels and financial challenges during the COVID-19 lockdown. Guidelines to improve self-management programmes during restrictions are needed to promote good health during future pandemics to prevent complications and mortality. The telehealth model can be designed to monitor chronic patients at home during lockdown as a two-way communication.Contribution:More knowledge and insight into self-management and health promotion of patients with T2DM was provided by this study. Increased training needs arose for PHC nurses in managing and monitoring patients.

COVID-19 experience of people with severe mental health conditions and families in South Africa.

People with severe mental health conditions, such as schizophrenia, and their family caregivers are underserved in low- and middle-income countries where structured psychosocial support in the community is often lacking. This can present challenges to recovery and for coping with additional strains, such as a pandemic. This study explored the experiences and coping strategies of people with lived experience of a severe mental health condition, and family caregivers, in South Africa during the initial stages of the coronavirus disease 2019 (COVID-19) pandemic. This qualitative study was conducted in the Nelson Mandela Bay District, Eastern Cape, South Africa, in the most restrictive period of the COVID-19 lockdown. Telephonic qualitative interviews were conducted with people with lived experience (n = 14) and caregivers (n = 15). Audio recordings were transcribed and translated to English from isiXhosa. Thematic analysis was conducted with NVivo 12. Participants described negative impacts including increased material hardship, intensified social isolation and heightened anxiety, particularly among caregivers who had multiple caregiving responsibilities. Coping strategies included finding ways to not only get support from others but also give support, engaging in productive activities and taking care of physical health. The main limitation was inclusion only of people with access to a telephone. Support needs for people with severe mental health conditions and their families should include opportunities for social interaction and sharing coping strategies as well as bolstering financial security. These findings indicate that current support for this vulnerable group is inadequate, and resource allocation for implementation of additional community-based, recovery-focused services for families must be prioritised.

Psychological status of residents at the onset of nationwide COVID-19 lockdown in low- and medium-risk areas of China.

The coronavirus disease 2019 (COVID-19), a dual threat to public physical and mental health, prompted an investigation into the psychological well-being of residents in low- to medium-risk areas of China during the initial stages of the pandemic. We administered WeChat-based questionnaire surveys and employed chi-square tests and multiple logistic regression to analyze correlations between residents' age, gender, education, symptoms, COVID-19 close contact history, information sources, and anxiety, depression, and attitudes toward lockdown measures. We received 10,433 valid questionnaires, revealing 26% anxiety and 19.5% depression. Support for lockdown measures reached 98.2%. Factors such as female gender, self-diagnosed pneumonia symptoms, close contact history, and higher education levels increased anxiety risk. Having a doctorate posed a severe anxiety risk, at 4.5 times (P = .019, 95% CI 1.29-15.73). Older age acted as a protective factor, reducing severe anxiety risk to 0.98 and 0.22 times (P < .001, 95% CI 0.14-0.34). Females with a master degree or below and those receiving COVID-19 information from multiple channels faced higher depression risk. Pneumonia symptoms were a risk for all anxiety and depression degrees. Attitudes toward lockdown measures had no significant impact on psychological status, nor did any of the analyzed factors affect residents' overall attitude toward lockdown. Our findings underscore the need for increased psychological counseling, particularly for young females with lower educational backgrounds or self-suspected infection symptoms, to mitigate mild to moderate anxiety and depression in future epidemics or pandemics. The public, especially those of working age with doctorates or higher education, bears the highest risk of severe anxiety. Lockdown measures enjoy strong support in low- to medium-risk areas of China.

Physical Activity and Psychological Wellbeing Among Healthcare Students During the COVID-19 Pandemic.

Regular physical activity (PA) contributes to physicaland mental wellbeing.Due to coronavirus disease 2019 (COVID-19)-related lockdowns in 2020, regular PA had been adjusted. Furthermore, students became accustomed to studying at home. Students in the healthcare field, in particular, have a better understanding of the link between PA and mental health. This study aimed to assess the association between psychological wellbeingand PA among healthcare studentsat one public university in Saudi Arabiaduring the COVID-19 pandemic period. This was a cross-sectional study conducted between November 2021 and February 2022. Healthcare students at one public university in Saudi Arabia were invited to participate in an online survey, consisting of three sections. The first section contained questions about demographic data. The second section was the International Physical Activity-Short Form (IPAQ-SF), which is composed of seven questions designed to assess the level of PA. The third part isThe Center for Epidemiological Studies Depression Scale (CES-D), which is a self-reported questionnaire comprising 20 questions that assessed depressive symptoms on a four-point scale. Descriptive statistics,Chi-square test, Mann-Whitney U test, and Kruskal Wallis test were used to analyze the collected data using IBM SPSS Statistics for Windows, Version 28.0 (Released 2021; IBM Corp., Armonk, New York, United States). The total responses received were 197 (response rate=60%). The majority of students in this sample were performing inadequate PA and reported depressive symptoms. No association was found between the amount of PA practiced and psychological wellbeing. There was a significant difference between specialties in relation to PA. The majority of students in this sample were performing inadequate PA and reported depressive symptoms during the COVID-19 lockdown. The importance of PA should be promoted among healthcare students.