Social Hygiene Research Articles

Perceptions, concerns and reported behaviours in response to the first wave of the coronavirus disease 2019 pandemic across metropolitan, regional, rural and remote Australian communities.

ObjectiveTo investigate coronavirus disease 2019 community transmission concerns and adherence to social distancing and hygiene practices across metropolitan, regional, rural and remote areas in Australia.DesignCross‐sectional online survey of Australian adults conducted between April and May 2020 through convenience snowball sampling.SettingA range of locations across all states and territories of Australia.ParticipantsSix hundred and seventy‐seven Australian adults, of which 78.8% lived outside of a metropolitan area.Main outcome measuresPerceived threat of coronavirus disease 2019; social distancing guidelines and adherence; infection concerns; hygiene practices; frequency of leaving the house; impact of coronavirus disease 2019 on day‐to‐day life.ResultsAlmost all respondents perceived the threat of the coronavirus disease 2019 pandemic was serious. There were high levels of support for the Australian Government's social distancing guidelines, although the perception that social distancing guidelines in participants’ communities were ‘too strict’ increased with remoteness area classification. Most respondents reported adherence with Australian Government social distancing guidelines. There was an association between remoteness and risk perception, with non‐metropolitan respondents more likely to feel safe when leaving the house. However, there was no association between geographical remoteness and self‐reported adherence with Australian Government social distancing guidelines.ConclusionsThis study provides an important initial insight into Australian perceptions and behaviours relating to the coronavirus disease 2019 pandemic, and how perceptions and behaviours varied by geographical remoteness. The geographical remoteness of communities should be considered by policy makers to ensure effective communication with the Australian public regarding coronavirus disease 2019 and ongoing adherence with preventative health behaviours.

Nurturing a “Great Social Organism”: School Hygiene, Body Politics, and the State in Late Imperial Russia

AbstractBy the end of the nineteenth century, social hygiene was a topic of great importance for states experiencing fears of national degeneration. The health of children was of particular concern, as it was thought to reflect the future health of the nation. Although this prompted nation-states like France, Germany, the United Kingdom, and the United States to develop intricate theories about the prevention and treatment of childhood illnesses, it was imperial Russia that became an unacknowledged trailblazer in the institutionalization and implementation of school hygiene measures. As this article will show, autocratic Russia's institutions and ideology allowed the tsarist state to surpass its Western neighbors in the drawing up and application of school hygiene measures.

Celebrating 100 Years of California History

Celebrating 100 Years of <i>California History</i>

Side effects of COVID-19 vaccines: a systematic review and meta-analysis protocol of randomised trials

IntroductionSARS-CoV-2 is responsible for a large number of global COVID-19 cases. Strategies such as social isolation, personal hygiene and frequent hand washing have been implemented; however, a protective vaccine is...

Business Model Development Strategy for Frozen Food Micro-Businesses in The New Normal Era (Case Study: CV XYZ)

The limitation of community movement in the new normal era has changed consumer behaviour to frozen food products, and digital marketing has been used to carry out a transaction. CV XYZ, a company that produces frozen food, must optimize the existing opportunities and utilize its strengths. The high level of social hygiene and the increasing demand for food integrity has become a challenge the company is facing today. Other than that, the company is now facing several obstacles on product development and channel limitation. Therefore, this research is aimed to identify the business model available, develop an alternative business strategy and create a new business model innovation. The data sources are from primary and secondary data; the primary data are observation, interview, FGD with the research experts, businessmen, and consumer survey. The secondary data used are literature studies such as journals, thesis, dissertation, economic data, and textbooks. Data processing techniques are carried out by analyzing business model canvas, SWOT, internal factor evaluation, and external factor evaluation , grand strategy, and 360° business model innovation. The result of SWOT analysis maps the company in quadrant one, which indicates the company is in high market growth and strong competitive position, so the company needs to improve its business model through BMI 360° analysis model. This model is used to help see the business activity process from creating value in the upstream until it can become the core competition downstream of a business process. Keywords: 360° business model innovation, business model canvas, small and medium enterprise (SMEs), SWOT, value

Relation of Hysterectomy with Urinary Incontinence

Urinary incontinence is defined by international continence society as “a condition in which involuntary loss of urine is objectively demonstrable and is a social hygiene problem “It refers to the involuntary leakage of urine can be associated with a systemic complication. Its prevalence is higher in women than in men thought it can affect men and women equally. It has the high prevalence due to its impact on the quality of life. The presence of urinary incontinence can be associated with anger; embarrassment related to any clinical condition, with loss of self-esteem and decrease motivation and decrease social, physical quality of life. Moment plausibility is that the bladder is presently overactive because of the surgery or changes in the pelvic floor musculature related with hysterectomy. Urge incontinence causes spillage of urine all of a sudden, related with critical ness and the powerlessness to smother such inclinations. Objective: Aim of this study is to determine urinary incontinence in women with hysterectomy. To assess the impact of urinary incontinence on quality of life of women undergone hysterectomy. Background: Furthermore, this study highlighted the presence of pain, discomfort, alteration of Quality of life and functional limitation due to incontinence of urine associated after Hysterectomy. An observational survey from different hospitals of Rawalpindi and Islamabad was conducted to collect relevant information. Methods: Standard questionnaire tools (UDI-6) and (KHQ) was used to collect data from 100 women using convenient random sampling technique in different hospitals of Rawalpindi and Islamabad. Results: The result revealed that urinary incontinence in women with hysterectomies strongly associated with altered quality of life causing loss of self-esteem leading to an impairment. Conclusion: This study concluded urinary incontinence associated with hysterectomy had pronounced effects on quality of life of women causing physical, social and psychological role limitations and participation restriction.

Perceptions of teachers towards COVID appropriate behaviors for school children in coastal South India

COVID appropriate behavioral measures need to be followed once school reopens. School teachers being in the forefront could substantiate the feasibility of suggested safety measures. This study aimed to assess teachers’ perceptions towards COVID appropriate behaviors for children with school reopening and compare their mean scores between public versus private schools and across school boards. We conducted an observational school-based study of teachers over two months. Perceptions were scored using a five-point Likert symmetric agree to disagree scale. Results were expressed as proportions and analyzed using an independent sample t-test. Of the 547 teachers surveyed, most (> 90%) agreed to the suggested social distancing and hygiene measures. There was a significant difference in perception scores between private versus public schools and across boards regarding i) reducing the academic syllabus, ii) adopting a cloud-based system to integrate online-offline learning, and iii) conducting meetings online. In addition, measures such as i) teaching classes on alternate days with a limited number of children, ii) arranging benches/desks to maintain six feet distance between students, iii) dealing with psychological stress by counselors, and iv) arrangement with local hospitals for medical services were significant statistically across school boards. To conclude, most schoolteachers agreed with the need for social distancing and hygiene measures for children. There was a significant difference in perceptions between public versus private schools and across boards regarding academic syllabus, integration of online-offline student learning, number of children per class, the timing of classes, student seating arrangement, and medical/psychological guidance availability.

Why were COVID-19 infections lower than expected amongst people who are homeless in London, UK in 2020? Exploring community perspectives and the multiple pathways of health inequalities in pandemics

High rates of COVID-19 infections and deaths amongst people who are homeless in London, UK were feared. Rates however stayed much lower than expected throughout 2020; an experience that compares to other settings globally. This study sought a community level perspective to explore this rate of infections, and through this explore relationships between COVID-19 and existing health inequalities. Analyses are reported from ongoing qualitative studies on COVID-19 and homeless health service evaluation in London, UK. Repeated in-depth telephone interviews were implemented with people experiencing homelessness in London (n=17; 32 interviews in total) as well as street outreach workers, nurses and hostel staff (n=10) from September 2020 to early 2021. Thematic analysis generated three themes to explore peoples’ experiences of, and perspectives on, low infections: people experiencing homelessness following, creating and breaking social distancing and hygiene measures; social distancing in the form of social exclusion as a long-running feature of life; and a narrative of ‘street immunity’ resulting from harsh living conditions. Further study is needed to understand how these factors combine to prevent COVID-19 and how they relate to different experiences of homelessness. This community perspective can ensure that emerging narratives of COVID-19 prevention success don’t ignore longer running causes of homelessness and reinforce stigmatising notions of people who are homeless as lacking agency. Our findings aid theorisation of how health inequalities shape pandemic progression: severe exclusion may substantially delay epidemics in some communities, although with considerable other non-COVID-19 impacts.

The 1927 Soviet Manual on Social Hygiene: The Transfer of Ideas and a New Methodology

The article analyzes the first original Soviet (Marxist) textbook of social hygiene, “Social Hygiene: Manual for Medical Students and Doctors”, edited by A. V. Molkov and published in 1927. This textbook is compared on with the German books on social hygiene, whose translations into Russian were published in the 1920s. The examination of the evolution of Soviet social hygiene in regard to the curriculum structure and the content of textbooks in the context of the history of social health in Europe and North America leads to a conclusion that, in the early 1920s, the Soviet agenda of social hygiene was brought into line with the European agenda. The textbook edited by Molkov can be regarded as the culmination of this process of Soviet social hygiene modernization modeled after the German social hygiene: the content of Molkov’s textbook is almost fully consistent with B. Chajes’ “Kompendium der sozialen Hygiene” (1923). It had finalized the departure from the prerevolutionary tradition of “public medicine” and adoption of the agenda of society health problems and their solutions that was then widespread in Europe and America. The most significant difference between the Soviet manual and German books is scientific methods. One of the ideologists of German social hygiene, A. Grotjahn, described this discipline as a fusion of hygiene and social sciences (economics, law, political science, sociology, etc.). In the Soviet version of social hygiene, the methodology of social sciences was substituted with the dogmata of communist ideology and Soviet regulatory legal acts. However, the attempt to substitute social scientific methodology in the study of social hygiene with the Marxist approach failed and, while in the 1920s it appeared like an innovation in the spirit of the time, as years went by, the inherent contradictions between the two approaches only got deeper.

Метаногенез відходів у технічних системах як фактор енергозбереження

Waste is a chemical ecological factor affecting sanitary sustainability of the environment, health of the population and social hygiene. Low capacity, insufficient funding and lack of environmentally friendly technologies in waste disposal and recycling may entail irreversible environmental changes. Waste is increasingly used not only as the secondary material resource, but also as the energy resource for obtaining the biogas with 80% methane content. The research encompasses recycling of food waste, outlines the rational waste recycling method with use of the biogas machine, describes the qualitative and quantitative characteristics of commercial biogas obtained from sugar industry waste, and identifies the general stages of methane formation in the sugar industry byproducts.The microbiological and biochemical regularities of the biogas formation process were studied. We analyzed the known information on biomethanogenesis stages and methanogenesis-supporting bacterial strains in sugar by-product biomass.The best conditions for the release of biomethane in a system with an organic substrate of sugar by-products have been studied. It has been established that the temperature and pH of the environment play a great role in the methanogenesis efficiency.The possibility of using biogas production for the purpose of generating ecologically clean renewable energy sources has been studied.

Health beliefs and health anxiety as predictors of COVID-19 health behavior: Data from Serbia

The end of 2019 and the beginning of 2020 were marked by the appearance of the virus SARS-CoV-2, which led to a health crisis around the world. Health preventive behavior was highlighted as, at that time, the only form of prevention of the spread of the disease. Factors that will lead people to adhere to the recommended forms of behavior have become the subject of research in various scientific disciplines. The Model of Health Belief is one of the dominant frameworks for studying health behaviors, and thus behaviors related to COVID-19. Health anxiety and beliefs about illness and preventive behavior are the starting point for considering the level at which individuals adhere to the recommended measures. The main goal of this research was to examine a model in which health anxiety and health beliefs are predictors of preventive health behavior in relation to COVID-19. The sample consisted of 420 respondents, 66.3% of whom were women. They completed an online questionnaire comprising the following instruments: Short Health Anxiety Inventory, COVID-19 Health Belief Scale, and COVID-19 Health Behavior Scale with two subscales-Protection in Social Contacts and Hygiene. After controlling for effects of gender and presence of chronic disease, perceived benefit of preventive behavior and the observed barrier can predict protection in social contacts. Hygiene can be predicted by the perceived benefit of preventive behavior and the perceived barrier. Health anxiety has not been shown to be a significant predictor of health behavior. The paper discusses the theoretical and practical implications of the obtained results. The obtained results partially support the Model of Health Beliefs. In order to increase the degree to which individuals adhere to health behaviors, the benefits of preventive behaviors should be emphasized while the barriers should be reduced.

Swedish Policy of Сountering the COVID-19 Pandemic

Statement and relevance of the problem. In early 2020, the outbreak of coronavirus disease came as a surprise to the whole world. The need for effective counteraction at the global and regional levels required decisive action from international organisations and state governments. The World Health Organization has announced the pandemic and the need for a thorough and urgent fight against it. European countries have introduced strict restrictive measures, in particular, mass self-isolation, restrictions on economic and trade activities, termination of the educational process with its subsequent transfer to distance learning, etc. Sweden was the only EU member state to pursue a much softer and more liberal policy in the context of the coronavirus pandemic. The purpose of the study is primarily to investigate features of the Swedish model of countering the spread of COVID-19. Scientific research is based on the use of comparative historical and statistical methods, and elements of retrospective and prospective factor analysis. Conclusions and prospects of the study. Based on the investigation of the Swedish government's policy on the COVID-19 pandemic, a number of features of the measures applied were highlighted. The Swedish model was based on the principle of public responsibility and reliance on a highly developed national health system. The basic course was to develop collective immunity in society. An important role was played by the principle of voluntariness, which did not provide for the introduction of a nationwide quarantine. Therefore, (especially at the initial stage) restrictive measures in Sweden were mild and mostly advisory in nature. Additionally, the need to maintain social distance and personal hygiene was emphasised. No strict measures or restrictions were introduced for the economy; businesses and institutions were advised to switch to remote work. Sweden has become the only EU country that has not implemented a lockdown in the midst of the coronavirus pandemic. Swedish counteraction policy, as a response to the COVID-19 pandemic, was based on the principle of situational response: the authorities implemented certain measures in accordance with their timeliness and effectiveness. All this suggests a special Swedish model of state policy aimed at effectively overcoming the manifestations and consequences of the coronavirus pandemic. The generalisation of Sweden's experience would allow developing approaches for creating effective measures to prevent and quickly counter such threats

Automatic Real-Time Medical Mask Detection Using Deep Learning to Fight COVID-19

The COVID-19 pandemic is a virus that has disastrous effects on human lives globally; still spreading like wildfire causing huge losses to humanity and economies. There is a need to follow few constraints like social distancing norms, personal hygiene, and masking up to effectively control the virus spread. The proposal is to detect the face frame and confirm the faces are properly covered with masks. By applying the concepts of Deep learning, the results obtained for mask detection are found to be effective. The system is trained using 4500 images to accurately judge and justify its accuracy. The aim is to develop an algorithm to automatically detect a mask, but the approach does not facilitate the percentage of improper usage. Accuracy levels are as low as 50% if the mask is improperly covered and an alert is raised for improper placement. It can be used at traffic places and social gatherings for the prevention of virus transmission. It works by first locating the region of interest by creating a frame boundary, then facial points are picked up to detect and concentrate on specific features. The training on the input images is performed using different epochs until the artificial face mask detection dataset is created. The system is implemented using TensorFlow with OpenCV and Python using a Jupyter Notebook simulation environment. The training dataset used is collected from a set of diverse open-source datasets with filtered images available at Kaggle Medical Mask Dataset by Mikolaj Witkowski, Kera, and Prajna Bhandary. To simulate MobilNetV2 classifier is used to load and pre-process the image dataset for building a fully connected head. The objective is to assess the accuracy of the identification, measuring the efficiency and effectiveness of algorithms for precision, recall, and F1 score.

Profile of the Blood Count among People Living with HIV Monitored at the Institute of Social Hygiene and the Aristide Le Dantec Hospital in Dakar

Introduction: The human immunodeficiency virus (HIV) is a pandemic of concern to the World Health Organization. It is all the more worrisome because if not properly managed, it can be responsible for several complications, including abnormal blood counts. These abnormalities may also be related to treatment. Objectives: The main objective of this study is to show that adequate antiretroviral therapy can correct various abnormalities exerted by HIV on patients’ blood counts. The specific objective is to determine all the abnormalities we can see in blood count before and during HIV treatment. Materials and Methods: Our study was conducted in the hematology laboratory and the dermatology departments of the Aristide Le Dantec Hospital and the Institute of Social Hygiene. It took place from December 2009 to October 2011. It is a retrospective descriptive and analytical study involving HIV-positive patients (HIV 1 and 2) and under antiretroviral treatment (at least six months of treatment). We included 110 patients in the study. Blood counts were performed at the hematology laboratory of the Aristide le Dantec hospital using a KX21 automaton. Each patient received three blood counts during the first six months of treatment (M0, M3 and M6). A univariate analysis was performed to determine the profile of the abnormalities of the blood count and the chi 2 test was used and a threshold of p 0.05 was considered significant. Results: The mean age of the patients was 38.6 ± 8.6 years (extremes of 18 and 64 years) with a sex ratio of 0.42 (77 females and 33 males). The prevalence of anemia was 80% (n = 88) at M0, 53, 63% at M3 (n = 59), and 38.20% at M6 (n = 42) (p = 0.02). We noted a favorable evolution with treatment. For the other abnormalities, the evolution was favorable for leukopenia (p = 0.011) and thrombocytopenia (p = 0.007). Conclusion: Our study showed a correction of blood count abnormalities in PLHIV with antiretroviral treatment.

Food safety knowledge, attitudes, and eating behavior in the advent of the global coronavirus pandemic.

The objective of this study was to evaluate the relationships of food safety knowledge, attitude and eating behavior of consumers during national lockdowns in the advent of the COVID-19 pandemic. A total of 157 respondents completed the online survey using a structured questionnaire worldwide. Overall, the respondents exhibited good attitude and good knowledge towards public health including food safety especially on the importance of social distancing, mask wearing, well-balanced diet, physical exercise and personal hygiene, such as hand washing during the pandemic lockdowns. A Structural Equation Modeling (SEM) was used to test the relationships among food safety knowledge, attitude and behavior under the pandemic conditions. Results showed that attitude towards food safety under the coronavirus pandemic and lockdowns positively affected the eating behavior of the respondents, which exhibited a high β (0.686) among the variables tested (p<0.05). Food safety knowledge was apparently not affected by the food safety behavior of the respondents.

Impact of Covid 19 preventive measures on hospital admission due to respiratory illness in children at Professorial Paediatric unit Teaching Hospital Jaffna

Respiratory diseases are common causes of hospital admission in children. Droplet transmission is the primary route of transmition in respiratory infections. The objective was to assess the burden of respiratory diseases on hospital admission of children during this Covid 19 pandemic and to assess the impact of Covid 19 preventive measures on it. An institutional based retrospective descriptive study based on secondary data was carried out at Professorial Paediatric unit Teaching hospital Jaffna. The data was extracted from the electronic patient management system. All the records of children who were primarily diagnosed with respiratory disease during the period of June 2020 to May 2021 were extracted. This data was compared with that of 2017. The total hospital admission has reduced from 4127 to 1049 during the pandemic. There was a significant decrease in total hospital admission during the covid 19 pandemic compared to before the pandemic {t (11.488) = 8.015 p&lt;0.001}. Similarly, there was a significance decrease in the admissions due to respiratory diseases during the covid 19 pandemic {t(11.355) =5.982 p&lt;0.001}. The percentage of respiratory admission has significantly reduced during the pandemic {t(21.997) =5.173 p&lt;0.001}. Hospital admission due to respiratory illness has significantly reduced when compared to total admission during this pandemic. This may be attributed to social distancing, wearing mask and good hand hygiene.

Activities of the Department of social hygiene and organization of healthcare of the Central Institute for Advanced Training of Physicians in training and improving management personnel in health care in the 30–80th of the XX century

Introduction. The training of management personnel is a priority task of the state policy in health care since the effectiveness and efficiency of the health care system depends on the level of competence of these specialists, both at the level of a particular territory entire state as a whole. In improving the potential of the leading personnel in the industry, the activities of Department of social hygiene and organization of healthcare of the Central Institute for Advanced Training of Physicians were of particular importance. Having this information will help understand the origins of the development of the foundations of the training health management personnel system. The purpose of the study is to identify the main features of the activity and the contribution of the Department of social hygiene and organization of healthcare of the Central Institute for Advanced Training of Physicians in the 30-80th of the XX century in the formation and development of the system of training health management personnel. Material and methods.Based on the scientific principles of historicism, consistency and objectivity, content analysis, comparative-historical, problem-chronological, typological research methods were used, which made it possible to establish cause-and-effect relationships connecting the identified individual historical events and facts. Results.The diligent work of the department contributed to the development of the basic principles and mechanisms for raising the level of professional qualifications of management personnel aimed at optimizing the activities of health authorities and institutions, improving health protection and improving the quality of medical care for the population, increasing the personal responsibility of medical workers for work results, the ability to work with personnel in conditions. Conclusion. The obtained results of the study, based on the context of the historical reconstruction of activities, indicate the significant contribution of the department to the creation of the fundamental foundations and a robust base for the training of health management personnel. The variety of completed forms and terms of training contributed to the prompt and flexible solution of problems related to territorial characteristics, conditions of professional activity, training needs, the formation of a school of advanced experience in training leading personnel in the industry.

TIME to Change: Rethinking Humanitarian Energy Access

Achieving Sustainable Development Goal 7 - universal access to affordable, reliable and modern energy services by 2030 – represents a considerable challenge. Currently, 40% of the global population do not have access to sustainable energy sources, and instead rely on burning biomass to satisfy their energy needs. Despite a long history of energy technology for poverty-alleviation initiatives across the globe, many interventions fail at persuading end-users to continue using these technologies beyond an initial adoption phase. Whilst many champion sustainable energy solutions, most evaluation approaches do not consider long term sustained use. As a result, many end-user-orientated energy solutions, such as Improved Cookstoves (ICS), fall out of use once project partners depart. These failures are often due to emphasis on ever-more-complex technologies rather than social methodologies such as understanding end-user priorities and the complex contextual barriers to sustained use.In this paper, we present a novel interdisciplinary formative and evaluative implementation or delivery model, the qualitative Technology Implementation Model for Energy (TIME), for practitioners and policymakers. TIME focuses on refining three core areas of energy technology implementation; to rethink how impact is defined, to understand differences between practitioner perception and end-user reality, and to champion a co-produced approach with all key stakeholders in the energy system. TIME is the first energy implementation model to blend Social Enterprise, Appropriate Technology, Water, Hygiene and Sanitation behavioural change models as well as International Development planning tools whilst advocating an approach centred around co-production, ownership, use of resources and equality.

Age and Gender Demographics Predict Compliance with COVID-19 Public Health Measures: Data from a Global Sample

The COVID-19 global pandemic has brought far-reaching consequences on individual and societal levels. Social distancing and physical hygiene constitute effective public health measures to limit the spread of the virus. The current study investigates individual age and gender demographics, in interaction with a country’s human development index (HDI), as crucial factors influencing compliance with public health measures in a large multi-national adult lifespan sample. This report leverages data from a large-scale international collaboration (Van Bavel et al., 2020; https://psyarxiv.com/ydt95/) comprising 45,576 individuals from 66 countries/territories. Participants provided self-reports of their compliance/agreement with three public health measures (i.e., spatial distancing, physical hygiene, policy support). Older age, female gender, and lower HDI were independently associated with greater compliance with public health measures. In addition, a significant three-way interaction between participant age, participant gender, and a country’s HDI revealed that compliance was lowest in younger adults from well-developed countries, while compliance was highest among females across all ages from less-developed countries. Compliance with public health measures is crucial in effectively reducing coronavirus spread. Our findings suggest that age and gender as individual-level demographics, in tandem with HDI as a country-level predictor, affect individuals’ willingness to comply with public health measures. These results highlight the potential of data-driven, tailored (i.e., towards specific demographics) health campaigns and public policies in the fight against a global pandemic.

‘Maslow before Bloom’: Implementing a caring pedagogy during Covid-19

The speed at which the novel coronavirus, known as Covid-19, spread around the world in early 2020, has been well-documented. Countries closed their borders, cities and regions went into lockdown, schools and businesses closed and hospital geared up for an influx of patients (Cameron, 2020; OECD, 2021; UNESCO, 2020). On March 25, New Zealand went into Level 4 lockdown, the most restrictive of the government’s alert level system. The school holidays, due to start on April 9, were brought forward two weeks to give the Ministry of Education and schools a chance to prepare for school-led home learning. A survey of schools highlighted that only half the schools in the country felt they could deliver learning fully online, with lack of devices and limited Internet connectivity being the major problems (New Zealand Government, 2020). Most schools moved into home learning on April 15 and continued until after May 18, when the country moved down to Level 2. On return, schools needed to alter their approaches to comply with social distancing and hygiene requirements until the country returned to Level 1 in June. In August 2020, Auckland schools closed again and yet again several times in 2021 (Author, 2020; Cameron, 2020; Education Review Office [ERO], 2021; Henrickson, 2020; Ministry of Education, 2020). The arrival of the Delta variant in Auckland communities, in late August 2021, led to further regional lockdowns, some of which are still in place at the time of writing.&#x0D; This article draws on in-depth qualitative interviews with 20 teachers in either late 2020 or mid-2021, as part of a larger study of New Zealand schools’ responses to Covid-19. The article begins with a short synthesis of research literature on teachers’ responses to lockdowns overseas and in New Zealand. The methodology for our study is briefly outlined before describing the ‘caring pedagogy’ theoretical framework that underpins the approach to this article. The findings are presented in a semi-chronological order, from teachers’ preparation, to implementation, to returning to school. The findings are interspersed with ‘found poems’ created from verbatim transcripts to highlight teachers’ voices. The discussion section revisits the concepts in the article’s title, that is, ‘Maslow before Bloom.’ The overall purpose of our article is to portray the tension between teachers’ willingness to adopt a caring pedagogy and the toll that it took on them, personally and professionally.