SARS and New York's Chinatown: the politics of risk and blame during an epidemic of fear

The Effect of Information Exposure on Stigma Toward the COVID-19 Patient Mediated by Perceived Risk, Attribution of Blame and Protection Norm Conformity

This study employed the model of stigma communication (MSC) to analyze how exposure to COVID-19-related information affected stigma-related information sharing about people who contracted COVID-19 during the pandemic and examined the cognitive process of the MSC in a collectivist culture. Based on a survey of 526 social media users during the COVID-19 pandemic in China, the study found that exposure to contact tracing information and pandemic control information had different impact on stigma-related information sharing through a series of cognitive variables. A dual-path model showed that perceived personal risk influenced stigma-related information sharing through attribution of blame toward the infected (the personal path), while perceived social risk influenced stigma-related information sharing through protection norm conformity (the social path). Compared to the personal path, the social path is more salient in shaping stigmatized attitudes and behaviors. The findings and discussions added to our understanding of the intricate stigma communication process in a collectivist culture.

Disease, Scapegoating, and Social Contexts: Examining Social Contexts of the Support for Racist Naming of COVID-19 on Twitter

In early 2020, when COVID-19 began to spread in the United States, many Twitter users called it the "Chinese virus," blaming racial outgroups for the pandemic. I collected tweets containing the "Chinese virus" derivatives posted from March to August 2020 by users within the United States and created a data set with 141,290 tweets published by 50,695 users. I calculated the ratio of users who supported the racist naming of COVID-19 per county and merged Twitter data with the county-level census. Multilevel regression models show that counties with higher COVID-19 mortality or infection rates have more support for the racist naming. Second, the mortality and infection rates effects are stronger in counties with faster minority growth. Moreover, it is mainly in poor counties that minority growth enlarges the effects of infection and mortality rates. These findings relate to the theories on disease-induced xenophobia and the debate between conflict and contact theories.

Social Statuses, Perceived Everyday Discrimination and Health and Well-being Before and After COVID-19 Pandemic

This study investigates the impact of COVID-19 pandemic on perceived everyday discrimination using data from the 2018 and 2021 General Social Survey. The study included representative samples of 1,499 adults in 2018 and 2,361 adults in 2021 in the United States. The study found that the overall level of perceived everyday discrimination had a slight decline from 2018 to 2021. However, frequency of being threatened/harassed increased in all racial/ethnic groups and more substantially among Asian Americans and people in the "other race" category. Most social statuses had a similar association with perceived everyday discrimination in 2018 and 2021 (e.g., higher among younger age, homo/bisexual, non-Hispanic Black, U.S. born, divorced/separated). In 2018, perceived discrimination was also higher among Hispanics, people of multiple races, Jews and people of "other religions." In 2021, it was also higher among "other races" and parents who were never married. Perceived everyday discrimination was associated with all health and well-being outcomes. Also, the negative association between perceived discrimination and health and well-being appears to be stronger in 2021 than in 2018. These findings suggest that the pandemic intensified the relationship between perceived everyday discrimination and health and well-being. They point to an urgent need to develop effective efforts to mitigate the harmful impact of discrimination.

Does social empathy moderate fear-induced minority blaming during the COVID-19 pandemic?

This study investigated the minority-blaming phenomenon in South Korea during the COVID-19 pandemic. The pandemic amplified fear, discrimination, and structural inequalities among minoritized groups during the COVID-19 pandemic. This study identified who was blamed for the spread of COVID-19 and the sociodemographic characteristics associated with this blame. Additionally, it examines the roles of individual and interpersonal fear and social empathy in minority blaming. We measured the fear of COVID-19 at both individual and interpersonal levels. Individual fear was assessed through personal health concerns, while the fear of transmitting the virus to others was measured as interpersonal fear. Social empathy was defined by macro perspective-taking, cognitive empathy, self-other awareness, and affective responses. The study was conducted through an online survey involving a quota sample of 1,500 South Korean participants aged 19-69 years, based on age, gender, and residential area. The response was collected in December 2020, when mass infections in specific communities received attention from mass and social media before the national spread of the COVID-19 pandemic. Analytical strategies, including OLS and hierarchical regression models, were employed to examine the roles of socioeconomic factors, individual and interpersonal fear, and social empathy in minority blaming. This study found varying correlations between sociodemographic factors and attitudes toward ethnic, religious, sexual, economic, and age-minority groups. Individual fear of contracting COVID-19 was associated with increased blame across all minority groups. In contrast, interpersonal fear was associated with increased blame only for ethnic and religious minority groups. Similarly, social empathy presented mixed associations, as it displayed a buffering role on blaming ethnic, religious, and sexual minorities when considered alongside interpersonal fear, yet mildly intensified blame for economic and age minorities. These findings provide an understanding on fear-induced minority blaming during the pandemic and the potential role of social empathy in mitigating blame.

Intensified discrimination against tenants and its health effects during the COVID-19 pandemic in large Chinese cities

The COVID-19 pandemic in many senses reconstructs social norms and reshapes social behaviour, which typically assumes a close correlation between mobility with a higher risk of COVID-19 infection. This may intensify the pre-existing discrimination against tenants and widen tenure-based health inequalities. Drawing on an online questionnaire survey conducted in five major cities in China in 2020, we employ multi-level regression models to examine the intensified discrimination against tenants during COVID-19 and its impacts on residents' physical and mental health inequalities. Results show that the pre-existing inequalities have been intensified during COVID-19 and the perceived discrimination has rendered worsened self-rated health and mental health and enlarged health inequalities. The discrimination particularly affected tenants with better economic profiles or worse health conditions; by contrast, despite being exposed to more tenant-related discriminatory experiences, rural hukou holders suffered from less severe health inequalities. A clear linkage is found between renting in poorly-managed and larger health gaps generated by discrimination. The negative health impact of intensified discrimination is found to be more significant in communities with lower infection risk, which points to the necessity of understanding the long-term health impact of discrimination against tenants in a more holistic way. In terms of community environment, we discover a positive effect of community social capital, i.e., higher level social capital helps mitigate the health threat of discrimination against tenants during COVID-19. Besides, public housing tenants reported better health outcomes and were less exposed to intensified discrimination during COVID-19 than private housing tenants. These findings provide a nuanced understanding of variations determined by individual and territorial factors, thus present timely policy implications for promoting healthy and inclusive urban development in the post-pandemic era.

Exploring perceptions and experiences of stigma in Canada during the COVID-19 pandemic: a qualitative study

Background

The COVID-19 pandemic fueled stigmatization and discrimination, particularly towards individuals of Chinese or East Asian ethnicity. We conducted interviews with members of the public in Canada in order to describe and understand stigma perceptions and experiences during the COVID-19 pandemic.

Methods

We used a phenomenological approach to describe stigma experiences of Canadian residents during the COVID-19 pandemic and compared the stigma perceptions and experiences of East Asian and non-East Asian individuals. Participants were invited to take part in a single, semi-structured interview. The interview guide was rooted in the Health Stigma and Discrimination Framework (HSDF). Interviews were conducted in English, Mandarin, and Cantonese. Following participant consent, interviews were audio recorded and transcribed verbatim. Data were double coded and analyzed using qualitative content analysis guided by a framework approach.

Results

A total of 55 interviews were conducted between May and December 2020. Fifty-five percent of the sample identified as East Asian, 67.3% identified as women, and mean age was 52 years (range 20-76). Fear of infection, fear of social and economic ramifications, and blame for COVID-19 were reported drivers of stigma. Participants described preexisting perceptions on cultural norms and media influence as facilitators of stigma that propagated harmful stereotypes, particularly against Chinese and East Asian individuals. Participants observed or experienced stigmatization towards place of residence, race/ethnicity, culture, language, occupation, and age. Stigma manifestations present in the public and media had direct negative impacts on East Asian, particularly Chinese, participants, regardless of whether or not they personally experienced discrimination.

Conclusions

We used the HSDF as a rooting framework to describe perceptions and impact of stigma, particularly as they related to race/ethnicity-based stigmatization in Canada. Participants reported a number of drivers and facilitators of stigma that impacted perceptions and experiences. These findings should be used to develop sustained strategies to mitigate stigma during public health emergencies or other major crises.

Supplementary Information

The online version contains supplementary material available at 10.1186/s44263-023-00020-7.

Stigmatising and Racialising COVID-19: Asian People's Experience in New Zealand

The Asian community - the second largest non-European ethnic community in New Zealand - plays an important role in combatting the COVID-19 pandemic, evidenced by their active advocation for border control and mass masking. Despite the long history of racial discrimination against the Asian population, the Asian community has experienced certain degrees of racial discrimination associated with the stigmatisation as the cause of the COVID-19 outbreak in New Zealand. Based on data from a quantitative online survey with 402 valid responses within the Asian communities across New Zealand and the in-depth interviews with 19 Asian people in Auckland, New Zealand, this paper will illustrate Asian people's experience of racial discrimination and stigmatisation during the pandemic in the country. The survey shows that since the outbreak of COVID-19, under a quarter of the participants reported experiencing discrimination, and a third reported knowing an immediate contact who had experienced discrimination. However, when looking beyond their immediate social circle, an even higher proportion reported noticing racism and stigmatisation through the traditional or social media due to COVID-19. Major variations of the degree of racial discrimination experienced are determined by three demographic variables: ethnicity, age, and region. The in-depth interviews largely echoed the survey findings and highlighted a strong correlation between the perceived racial discrimination among the local Asian community and the stigmatisation associated with COVID-19. These findings are important for improving the way we manage future pandemics and other disasters within the context of the UN Sendai Framework for Disaster Risk Reduction.

Quantifying Health Policy Uncertainty in China Using Newspapers: Text Mining Study

BACKGROUND

From the severe acute respiratory syndrome (SARS) outbreak in 2003 to the COVID-19 pandemic in 2019, a series of health measures and policies have been introduced from the central to the local level in China. However, no study has constructed an uncertainty index that can reflect the volatility, risk, and policy characteristics of the health environment.

OBJECTIVE

We used text mining analysis on mainstream newspapers to quantify the volume of reports about health policy and the total number of news articles and to construct a series of indexes that could reflect the uncertainty of health policy in China.

METHODS

Using the Wisenews database, 11 of the most influential newspapers in mainland China were selected to obtain the sample articles. The health policy uncertainty (HPU) index for each month from 2003 to 2022 was constructed by searching articles containing the specified keywords and calculating their frequency. Robustness tests were conducted through correlation analysis. The HPU index was plotted using STATA (version 16.0), and a comparative analysis of the China and US HPU indexes was then performed.

RESULTS

We retrieved 6482 sample articles from 7.49 million news articles in 11 newspapers. The China HPU index was constructed, and the robustness test showed a correlation coefficient greater than 0.74, which indicates good robustness. Key health events can cause index fluctuations. At the beginning of COVID-19 (May 2020), the HPU index climbed to 502.0. In December 2022, China's HPU index reached its highest value of 613.8 after the release of the "New Ten Rules" pandemic prevention and control policy. There were significant differences in HPU index fluctuations between China and the United States during SARS and COVID-19, as well as during the Affordable Care Act period.

CONCLUSIONS

National health policy is a guide for health development, and uncertainty in health policy can affect not only the implementation of policy by managers but also the health-seeking behavior of the people. Here, we conclude that changes in critical health policies, major national or international events, and infectious diseases with widespread impact can create significant uncertainty in China's health policies. The uncertainty of health policies in China and the United States is quite different due to different political systems and news environments. What is the same is that COVID-19 has brought great policy volatility to both countries. To the best of our knowledge, our work is the first systematic text mining study of HPU in China.

The effects of COVID-19 on domestic and international security in democratic and authoritarian regimes

While numerous studies have examined how the COVID-19 pandemic has affected health care systems, supply chains, and economies, we do not understand how the pandemic has impacted the security of democratic and authoritarian states from a global standpoint. Thus, this study examines how COVID-19 has affected the security of democratic and authoritarian regimes. In conducting a historical, qualitative review of the security effects of the pandemic, we find that COVID-19 significantly affected domestic and international security for democratic and authoritarian states in both similar and varied ways. Additionally, the manner in which states responded to the pandemic was often conditioned by their regime type and by the nature of the governing leadership during the pandemic. These findings have important implications in considering how COVID-19 affected the security of democratic and authoritarian states, how regime type shapes government responses to infectious disease outbreaks, and how democratic and authoritarian states may respond to future pandemics.

A systematic review of fear, stigma, and mental health outcomes of pandemics

BACKGROUND

The COVID-19 pandemic has negatively affected the mental health of people globally. Despite substantial research on the short-term psychological impact of COVID-19, its long-term consequences on mental health remain relatively unexplored.

AIMS

We aimed to examine mental health literature on prior outbreaks to provide recommendations for developing effective strategies to mitigate the short- and long-term psychological impact of the current pandemic.

METHODS

We conducted a narrative review of 41 studies to analyze the adverse impact of the following epidemics and pandemics on the mental health of individuals, groups, and communities: Middle East Respiratory Syndrome, Severe Acute Respiratory Syndrome, Influenza A/H1N1, and Ebola Virus Disease.

RESULTS

We noted that these past epidemics and pandemics escalated stress, distress, anxiety, fear, and stigma that persisted in countries and communities. We also identified the role of misinformation in propagating discrimination and prejudice towards certain groups.

CONCLUSIONS

We discuss how the mental health outcomes of previous pandemics differed from the COVID-19 outbreak. We believe that strategies that reduce misinformation, educational initiatives, and mental health programs when introduced at the individual and community level have the potential to effectively diminish the negative psychological impact of COVID-19.

PRISMA

This study followed the PRISMA guidance and was not registered in PROSPERO. This is a narrative review that used qualitative thematic analysis. Publishing a protocol on a protocol repository for such reviews is not the standard of practice.

Debates Paper: COVID-19 and urban informality: Exploring the implications of the pandemic for the politics of planning and inequality

The COVID-19 pandemic has highlighted a major contradiction in contemporary urban planning. This is the relationship between the entrepreneurial modes of urban politics that shape contemporary planning practice and the interrelated dynamics of economic precarity and informalisation of low-income communities that exacerbate contagion, and therefore enable pandemic spread. Through a review of literature on the urban dimensions of COVID-19, and on the historical relationship between pandemics and urban planning, we develop a framework for analysing the debates that are emerging around planning approaches to addressing contemporary pandemic risk in low-income, informalised communities. We argue that post-pandemic debates about urban planning responses are likely to take shape around three discourses that have framed approaches to addressing informalised communities under entrepreneurial urbanism - a revanchist approach based on territorial stigmatisation of spaces of the poor, an incrementalist approach premised on addressing the most immediate drivers of contagion, and a reformist approach that seeks to address the structural conditions that have produced economic precarity and shelter informality. We further argue that any effort to assess the political outfall of the COVID-19 pandemic in a given context needs to take an inter-scalar approach, analysing how debates over informality take shape at the urban and national scales.

Stigma and health inequality experienced by ethnic minorities during the COVID-19 pandemic in a Chinese community: an implication to health policymakers

Introduction

Ethnic minorities are considered one of the most vulnerable groups during the COVID-19 pandemic. However, the explanatory pathway of how their disadvantaged experiences during epidemics are related to the embedded and longstanding stigmas against them and how these embedded stigmas can affect their resilience in disease outbreaks are not well understood. This study investigated the experiences of ethnic minorities in the COVID-19 pandemic, and how their experiences were related to the embedded stigma toward them.

Methods

This study adopted a qualitative approach, interviewed 25 individuals (13 women and 12 men) from ethnic minority groups residing in Hong Kong from August 2021 to February 2022 in a semi-structured format. Thematic analysis was conducted to analyze the data.

Results

The participants were isolated and stereotyped as infectious during the COVID-19 pandemic at community and institutional levels. Their experiences did not occur suddenly during the pandemic but were embedded in the longstanding segregation and negative stereotypes toward ethnic minorities in different aspects of life before the pandemic. These negative stereotypes affected their resilience in living and coping with the pandemic.

Conclusion

The participants' experiences during the COVID-19 pandemic were mostly disadvantageous and predominantly initiated by the mainstream stigmatization toward them by the local Chinese residents and government. Their disadvantaged experiences in the pandemic should be traced to the embedded social systems, imposing structural disparities for ethnic minorities when accessing social and medical resources during a pandemic. Because of the preexisting stigmatization and social seclusion of ethnic minorities in Hong Kong, the participants experienced health inequality, which stemmed from social inequality and the power differential between them and the Chinese locals. The disadvantaged situation of the participants negatively affected their resilience to the pandemic. To enable ethnic minorities better cope with future epidemics, merely providing assistance to them during an epidemic is barely adequate, but a more supportive and inclusive social system should be established for them in the long run.

Understanding and addressing populations whose prior experience has led to mistrust in healthcare

BACKGROUND

Policy makers need to maintain public trust in healthcare systems in order to foster citizen engagement in recommended behaviors and treatments. The importance of such commitment has been highlighted by the recent COVID-19 pandemic. Central to public trust is the extent of the accountability of health authorities held responsible for long-term effects of past treatments. This paper addresses the topic of manifestations of trust among patients damaged by radiation treatments for ringworm.

METHODS

For this mixed-methods case study (quan/qual), we sampled 600 files of Israeli patients submitting claims to the National Center for Compensation of Scalp Ringworm Victims in the years 1995-2014, following damage from radiation treatments received between 1946 and 1960 in Israel and/or abroad. Qualitative data were analyzed with descriptive statistics, and correlations were analyzed with chi-square tests. Verbal data were analyzed by the use of systematic content analysis.

RESULTS

Among 527 patients whose files were included in the final analysis, 42% held authorities responsible. Assigning responsibility to authorities was more prevalent among claimants born in Israel than among those born and treated abroad (χ² = 6.613, df = 1, p = 0.01), claimants reporting trauma (χ² = 4.864, df = 1, p = 0.027), and claimants living in central cities compared with those in suburban areas (χ² = 18.859, df = 6, p < 0.01). Men, younger claimants, patients with a psychiatric diagnosis, and patients from minority populations expressed mistrust in health regulators.

CONCLUSIONS

Examining populations' perceived trust in healthcare institutions and tailoring health messages to vulnerable populations can promote public trust in healthcare systems.

PHYSICIANS’ MORAL DUTIES DURING PANDEMICS

Background

Pandemics with devastating morbidity and mortality have occurred repeatedly throughout recorded history. Each new scourge seems to surprise governments, medical experts, and the public. The SARS CoV-2 (COVID-19) pandemic, for example, arrived as an unwelcome surprise to an unprepared world.

Discussion

Despite humanity's extensive experience with pandemics and their associated ethical dilemmas, no consensus has emerged on preferred normative standards to deal with them. In this article, we consider the ethical dilemmas faced by physicians who work in these risk-prone situations and propose a set of ethical norms for current and future pandemics. As front-line clinicians for critically ill patients during pandemics, emergency physicians will play a substantial role in making and implementing treatment allocation decisions.

Conclusion

Our proposed ethical norms should help future physicians make morally challenging choices during pandemics.

A systematic review on the cultural factors associated with stigma during pandemics

Both public stigma and perceived self-stigma are prevalent during pandemics threatening a divide among the global community. This systematic review examined the cultural factors associated with viral respiratory-related pandemic stigma. Following PRISMA guidelines, the keywords, "culture, stigma, and pandemic" were searched across relevant databases for empirical papers between January 2000 to March 2022. Quality assessment and coding were adopted in the screening process. Thirty-one articles were included in the final analysis. Themes revealed that collectivistic values, cultural identities, and non-western regions were associated with public (others) stigma; mismatch of cultural values, minority groups, and North America, Asia, Oceania, and African regions were associated with higher perceived and self-stigma. We further mapped the themes into a proposed systemic cultural stigma model to integrate the dynamic intersection of cultural values, identity, and ecology. The cultural factors and their influence on stigma were then explained by drawing on two evolutionary theories: Cultural rationality theory and scapegoating theory. Lastly, we proposed culturally sensitive and responsive practices for stigma management at the community level, especially in non-Western regions during the pandemic recovery phase.

The unsanitary other and racism during the pandemic: analysis of purity discourses on social media in India, France and United States of America during the COVID-19 pandemic

The global rise of populism and concomitant polarizations across disenfranchised and marginalized groups has been magnified by so-called echo chambers, and a major public health crisis like the COVID-19 pandemic has only served to fuel these intergroup tensions. Media institutions disseminating information on ways to prevent the propagation of the virus have reactivated a specific discursive phenomenon previously observed in many epidemics: the construction of a defiled 'Other'. With anthropological lenses, discourse on defilement is an interesting path to understand the continuous emergence of pseudo-scientific forms of racism. In this paper, the authors focus on 'borderline racism', that is the use of an institutionally 'impartial' discourse to reaffirm the inferiority of another race. The authors employed inductive thematic analysis of 1200 social media comments reacting to articles and videos published by six media in three different countries (France, United States and India). Results delineate four major themes structuring defilement discourses: food (and the relationship to animals), religion, nationalism and gender. Media articles and videos portrayed Western and Eastern countries through contrasting images and elicited a range of reaction in readers and viewers. The discussion reflects on how borderline racism can be an appropriate concept to understand the appearance of hygienic othering of specific subgroups on social media. Theoretical implications and recommendations on a more culturally sensitive approach of media coverage of epidemics and pandemics are discussed.

COVID-19, Framing and Naming a Pandemic: How What Is Not in a Disease Name May Be More Important than What Is

While the disease name and acronym COVID-19, where 'CO' refers to 'corona', 'VI' to virus, 'D' to disease, and '19' the detection year, represents a rational, historically informed, and even culturally sensitive name choice by the World Health Organization, from the perspective of an ethnography of disease framing and naming, this study finds that it does not, however, readily communicate a public health message. This observation, based on linguistic and medical anthropological research and analyses, raises a critically important question: Can or should official disease names, beyond labeling medical conditions, also be designed to function as public health messages? As the ethnography of the term COVID-19 and its 'framing' demonstrates, using acronyms for disease names in public health can not only reduce their intelligibility but may also lower emerging public perceptions of risk, inadvertently, increasing the public's vulnerability. This study argues that the ongoing messaging and communication challenges surrounding the framing of COVID-19 and its variants represent an important opportunity for public health to engage social science research on language and risk communication to critically rethink disease naming and framing and how what they are called can prefigure and inform the public's uptake of science, understandings of risk, and the perceived importance of public health guidelines.

Anti-Asian Xenophobia, Hate Crime Victimization, and Fear of Victimization During the COVID-19 Pandemic

While the World Health Organization advised against referring to COVID-19 using racial overtones, as the COVID-19 pandemic spread, many disparagingly called it the "Wuhan virus," the "Chinese virus," and other terms. In this context, the FBI warned police agencies about an expected increase in anti-Asian hate crimes during the early months of the pandemic. But, while some researchers and media outlets discussed these potential increases at length, very few studies have been able to directly assess the nature of anti-Asian hate and bias victimization during the pandemic. Following this, the current study directly examines variation in anti-Asian bias and victimization in the United States during the COVID-19 pandemic. Specifically, this research presents results from two studies using a survey of 3,163 non-Asian and 575 Asian American and Pacific Islander respondents, respectively. The first study examines the prevalence of anti-Asian xenophobia among the non-Asian sample and assesses differences in these prejudicial attitudes across respondent characteristics, while the second study examines variation in experiences with bias during the pandemic among the Asian sample. The results illustrate the ubiquity of anti-Asian sentiment, suggesting that those who indicate greater fear of the pandemic report more prejudicial attitudes, as well as important racial differences in these patterns. The results also demonstrate the extent to which the pandemic has impacted individual experiences with anti-Asian bias victimization, such that more than one-third of Asian respondents report bias victimization during the pandemic, and more than half of Asian respondents report that they know someone who has been victimized. These patterns have important implications for addressing COVID-19-related hate crime moving forward.

The experience of hate incidents across racial and ethnic groups during the COVID-19 pandemic

Introduction

Racism is a root cause of ill health for communities of color, and hate incidents are one manifestation of racism. Marginalized racial and ethnic groups, including but not limited to Asian Americans, have been the target of highly publicized violence, hate, and discrimination which has been amplified during the COVID-19 pandemic.

Objectives

This paper investigates (1) the prevalence of hate incidents across racial and ethnic groups, and (2) the relationship between race and ethnicity and hate incidents during the first year of the COVID-19 pandemic. We also seek to (3) situate study findings within theories of racism.

Methods

This study utilizes national data from the Understanding America Study (UAS) COVID-19 Longitudinal Survey from June 10, 2020 to March 30, 2021 (n = 8,436). Hate incidents in six categories were examined: being treated with less courtesy, receiving poorer service, others acting as if they were not smart, others acting as if they were afraid of them, being threatened or harassed, and experiencing any of the previous categories of hate incidents. Main analyses were conducted via population averaged logistic panel regression.

Results

The majority of members of all six marginalized racial and ethnic groups reported at least one hate incident during the first year of the COVID-19 pandemic. In addition, all marginalized racial or ethnic groups had statistically significant higher odds of experiencing at least two categories of hate incidents compared to white individuals. Asian, AI/AN, Black, and Multiracial groups had significantly higher odds of experiencing each category of hate incident. All marginalized racial and ethnic groups had significantly higher odds of receiving poorer service and others acting as if they were afraid of them.

Conclusion

All marginalized racial and ethnic groups experienced significant levels of hate incidents within the first year of the COVID-19 pandemic. The public health community must continue to research, monitor, treat, and prevent hate incidents as a public health issue while recognizing the social and historical contexts of structural and interpersonal racism in the US.

Biopolitics of othering during the COVID-19 pandemic

The COVID-19 pandemic as a global threat caused the introduction of different biopolitical measures accompanied by discourses on otherness, including xenophobic, racist, nationalist, or new orientalist discourses. The aim of this research is to map discourses on otherness during the COVID-19 pandemic. Our general hypothesis is that, despite the differences in social and cultural contexts, discourses on otherness generated during the pandemic legitimized biopolitical actions and/or measures in addition to exacerbating social, political and cultural differences. The research is based on a semi-systematic approach to literature review using Situational Analysis and Sociology of Knowledge Approach to Discourse. In conclusion, we discuss the impact of discourse studies in the context of the global emergency.

Evolving discourses of COVID-19 and implications for medical education: a critical discourse analysis

BACKGROUND

The othering of individuals has been identified as a concern during the COVID-19 pandemic. The purpose of this study was to examine public commentary during early stages of the pandemic for: 1) emerging discourses that highlighted population-level inequities, and 2) the implications these discourses may have for medical education.

METHODS

Using a critical discourse analysis (CDA) approach, an archive of texts available in the public domain discussing COVID-19 was iteratively created, reviewed, and coded. We used an intersectional framework to analyze how COVID-19 highlighted structural and institutional inequity at the population level.

RESULTS

We found 86 representative texts published from March to June 2020. We focused our analysis on implications within Ontario. The two major discourses that emerged were "COVID-19 as Equalizer" and "COVID-19 as Discriminator." The former emerged in the early stages of the pandemic to mobilize public health recommendations and describe near-universal impacts on the public. The latter followed to highlight new and pre-existing forms of marginalization exacerbated by the pandemic.

CONCLUSIONS

This study provides a unique perspective on how structural and systemic responses to COVID-19 were shaped through analysis of public discourse, and therefore, has implications for how the COVID-19 pandemic and future pandemics are framed for future medical learners.

White as milk: Biocentric bias in the framing of lactose intolerance and lactase persistence

The majority of the world population is lactose intolerant, as 65%-70% of people lose the enzymes to digest lactose after infancy. Yet, in the United States, where lactose intolerance is predicted to affect only 36% of people, this phenomenon is often framed as a deficiency as opposed to the norm. This is because the United States has a higher prevalence of people who are lactase persistent. Lactase persistence is a genetic trait most common among Europeans and some African, Middle Eastern and southern Asian groups with a history of animal domestication and milk consumption. In this study, we take the case of lactose intolerance to examine how popular media maintains biocentric biases. Analysing relevant articles published in The New York Times and Scientific American between 1971 and 2020, we document how ideas about milk, health and race evolve over time. Over this fifty-year period, writers shifted from framing lactose intolerance as racial difference to lactase persistence as evolutionary genetics. Yet, articles on the osteoporosis 'epidemic' and vitamin D deficiency worked to perpetuate lactose intolerance as a health concern and standardise the dairy-heavy American diet. Studying media portrayals of lactose intolerance and lactase persistence, we argue that popular discourses normalise biocentric biases through messages about eating behaviours and health.

Media framing and expression of anti-China sentiment in COVID-19-related news discourse: An analysis using deep learning methods

This study focuses on news content related to China and COVID-19 during the COVID-19 pandemic and investigates how media frame, affected the emergence of anti-China sentiments through a case study of Japanese online news discourse. We collected large-scale digital trace data including online news and comments during the COVID-19 pandemic. By employing deep learning-based sentiment classifications, we were able to measure the extent of anti-China sentiments expressed through comments during the pandemic's different phases and on different types of news content. Our results provide empirical evidence that the news media's negative depictions of China and coverage related to political and international relations issues increased as the prevalence of COVID-19 in Japan increased. Importantly, since this coverage can prompt the expression of anti-China sentiment, we argue that the framing used by the media can provide discursive contexts that escalate COVID-19 issues into a broader expression of anti-China sentiment. This study not only identifies the impact of media frames on the expression of anti-China sentiment but also contributes to the development of methods for detecting public opinion and measuring the framing effect with big data and advanced computational tools.

The impact of perceived racism on walking behavior during the COVID-19 lockdown

The COVID-19 pandemic lockdown has had a significant impact on people's travel behavior. The level of this impact has been unevenly distributed among different population groups. The recent rise in anti-Asian racism implies that Asians have faced increased stress during the pandemic. As a result, the impact on their travel behavior is likely to differ from other ethnic groups. We examined this hypothesis by focusing on the impact of the pandemic on walking behavior. We collected survey data in Melbourne, Australia, during the pandemic lockdown, and analyzed the data using a Structural Equation Model approach. The results suggest that Asians experienced a significantly higher level of discrimination than other racial groups and were less likely to increase walking than White people. We also found that neighborhood cohesion helped alleviate perceived discrimination and promote walking. This study offers new insights into the role of racism in travel behavior.

How are we going to treat Chinese people during the pandemic? Media cultivation of intergroup threat and blame

This study integrates cultivation and intergroup threat theories to examine media cultivation effects during the COVID-19 pandemic. We argue that U.S. media have consistently portrayed China as a threat and target of blame. The cultivation of media has thus resulted in perceived threat of and blame on Chinese people for the COVID-19 pandemic. Results of a cross-sectional survey in two samples (MTurk: N = 375; college: N = 566) showed that the amount of media consumption predicted stronger perceptions that Chinese people were a health threat, and also predicted blame on Chinese people for the COVID-19 outbreak. Threat perception and blame were further associated with support of media content that derogated China, stronger intentions to attack, and weaker intentions to help Chinese people. The findings have profound implications for intergroup threat and cultivation research, and practical importance for intergroup relations, especially when the global community finds itself in a public crisis.

"Spat On and Coughed At": Co-Cultural Understanding of Chinese International Students' Experiences with Stigmatization during the COVID-19 Pandemic

This paper examines Chinese international students' lived experiences of being stigmatized during the early onset of the COVID-19 pandemic in the United States. To understand their dual-marginalization due to Othered Chinese-ness (e.g. racialized immigrant Others and foreigner Asians) and presumed contagiousness (e.g. suspected, diseased, and infectious), we adopt co-cultural theory to centralize their experiences of coping with COVID-related stigmatization. Semi-structured interviews and thematic analysis demonstrate how Chinese students in this study heightened their sensitivity to ambiguous yet hostile stigmatization and how they often opted for nonassertive, non-confrontational, and threat-avoiding coping strategies. We reflect on how current health and racism crises further marginalize immigrant Others in general and Chinese immigrants in particular. We conclude with discussing theoretical application of co-cultural theory to understand stigmatizing and stigmatized health communication.

Immigrants in Norway: Resilience, challenges and vulnerabilities in times of COVID-19

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Immigrants experience social, economic and structural challenges during the pandemic.

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Pre-existing vulnerabilities may be further exacerbated during crisis.

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Need for better support in navigating healthcare and welfare services during COVID-19.

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Important to consider both short-term and long-term impacts of the pandemic.

Immigrants have been found to be disproportionately impacted during the COVID-19 pandemic across the world. Our study, exploring the experiences of immigrants in Norway during the pandemic, is based on interviews and focus group discussions with 10 and 21 immigrants, respectively. Our analysis showed that participants perceived the circumstances induced by the pandemic to be difficult and voiced the challenges experienced. Their experiences encompassed social, economic, and the public sphere, where immigrants felt themselves to be in more vulnerable positions than before the pandemic. Our analysis identified four main themes: 1) Feeling stagnated, 2) Perceptions towards government and health authorities, 3) Boundaries of us vs them, and 4) Coping. We conclude our paper by stating that government and health authorities should consider both short-term and long-term consequence of the pandemic to mitigate impact on communities at risk.

How Fear of COVID-19 Affects Service Experience and Recommendation Intention in Theme Parks: An Approach of Integrating Protection Motivation Theory and Experience Economy Theory

The unprecedented public panic caused by COVID-19 will affect the recovery of tourism, especially the theme parks, which are generally crowded due to high visitor volume. The purpose of this study is to discuss the effect of the COVID-19 on the theme park industry. This study aims to predict recommendation intentions of theme park visitors by exploring the complicated mechanism derived from the fear of COVID-19. This study uses a quantitative research method, and SPSS 20.0 and AMOS 22.0 were used for data analysis. An online survey was conducted with 420 Chinese respondents who visited Shanghai Disneyland after its reopening. The study explored the relationship between Fear of COVID-19, perceived risk, participation, service experience, and revisit intention. Results indicated the perceived risk of theme park visitors will not directly ruin their recommendation intention. Visitors' fear of COVID-19 enhanced their perceived risk, reduced their desire for active participation and impaired their service experience, which consequently affected their recommendation intention. We provide theoretical and managerial implications.

Spatial evolution patterns of public panic on Chinese social networks amidst the COVID-19 pandemic

Novel coronavirus pneumonia has had a significant impact on people's lives and psychological health. We developed a stage model to analyse the spatial and temporal distribution of public panic during the two waves of the coronavirus disease 2019 (COVID-19) pandemic. We used tweets with geographic location data from the popular hashtag 'Lockdown Diary' recorded from 23 January to April 8, 2020, and 'Nanjing Outbreak' recorded from 21 July to 1 September 2021 on Weibo. Combining the lexicon-based sentiment analysis and the grounded theory approach, this panic model could explain people's panic and behavioural responses in different areas at different stages of the pandemic. Next, we used the latent Dirichlet allocation topic model to reconfirm the panic model. The results showed that public sentiments fluctuated strongly in the early stages; in this case, panic and prayers were the dominant sentiments. In terms of spatial distribution, public panic showed hierarchical and neighbourhood diffusion, with highly assertive expressions of sentiment at the outbreak sites, economically developed areas, and areas surrounding the outbreak. Most importantly, we considered that public panic was affected by the 17 specific topics extracted based on the perceived and actual distance of the pandemic, thus stimulating the process of panic from minimal, acute, and mild panic to perceived rationality. Consequently, the public's behavioural responses shifted from delayed, negative, and positive, to rational behavioural responses. This study presents a novel approach to explore public panic from both a time and space perspective and provides some suggestions in response to future pandemics.

Mask Wearing and Perceived Discrimination Associated With COVID-19 in the United States From March 2020 to May 2021: Three-Level Longitudinal Analyses

Although mask wearing has been demonstrated to be an effective strategy to combat the COVID-19 pandemic, it has become a contentious issue. This is evident in the policy shift regarding mask wearing during the pandemic and the varying mask mandates across different states in the United States. This study investigates the relationship between mask wearing and COVID-19-associated discrimination (CAD) over the course of the pandemic (March 2020 through May 2021), and differences between states with and without mask mandates. This study utilized three-level longitudinal analyses to analyze a longitudinal panel data from a nationally representative sample of U.S. adults enrolled in the Understanding America Study (UAS). The experiences of CAD were much higher for those wearing a mask than those not wearing a mask before August 2020, but this pattern was reversed afterward. Another notable finding was that mask wearers reported greater CAD in states with no mask-wearing mandate than the ones in states with mask mandates. In contrast, the pattern was reversed for nonmask wearers. The findings highlight the importance of inclusiveness and openness when relatively new health practice is introduced during a public health crisis.

It is your fault: workplace consequences of anti-Asian stigma during COVID-19

Purpose

As COVID-19 cases rose in the US, so too did instances of discrimination against Asians. The current research seeks to understand and document discrimination toward Asians in the US specifically linked to the global pandemic (study 1). The authors test hypotheses based in social categorization and intergroup contact theories, demonstrating perceived pandemic blame is a mechanism for discrimination (study 2).

Design/methodology/approach

In study 1, the authors survey Asians living in the US regarding experiences and perceptions of COVID-19-related discrimination. In study 2, a two-time point survey examined whether participant perceptions of pandemic blame toward China predict discriminatory behavior toward Asians.

Findings

Study 1 demonstrated that 22.5% of US-residing Asians report personally encountering pandemic-related discrimination. Study 2 indicated that COVID-19 blame attributions toward China predicted anticipated hiring bias and increased physical distancing of Asians at work, associated with higher levels of US identification.

Research limitations/implications

The findings have theoretical implications for research on blame and stigmatization, as well as practical implications regarding bias mitigation.

Originality/value

The present studies advance understanding of event-based blame as a driver of prejudice and discrimination at work and suggest organizations attend to bias mitigation in conjunction with uncertainty reduction communications in challenging times.

Coethnic Concentration and Asians’ Perceived Discrimination across U.S. Counties during COVID-19

Aggregate figures unequivocally depict an increase in anti-Asian sentiment in the United States and other Western countries since the start of the COVID-19 pandemic, but there is limited understanding of the contexts under which Asians encounter discrimination. The authors examine how coethnic concentration shapes Asians’ experiences of discrimination across U.S. counties during COVID-19 and also assess whether county-level context (e.g., COVID-19 infection rates, unemployment rates) could help explain this relationship. The authors analyze the Understanding Coronavirus in America tracking survey, a nationally representative panel of American households, along with county-level contextual data. The authors find an n-shaped relationship between coethnic concentration and Asians’ perceived discrimination. This relationship is explained largely by county-level COVID-19 infection rates. Together, the context of medium Asian concentration and high COVID-19 cases created a particularly hostile environment for Asians during COVID-19.

Profiling racial prejudice during COVID-19: Who exhibits anti-Asian sentiment in Australia and the United States?

Following the COVID-19 outbreak, anti-Asian racism increased around the world, as exhibited through greater instances of abuse and hate crimes. To better understand the scale of anti-Asian racism and the characteristics of people who may be expressing racial prejudice, we sampled respondents in Australia and the United States over 31 August-9 September 2020 (1375 Australians and 1060 Americans aged 18 or above; source YouGov). To address potential social desirability bias, we use both direct and indirect (list experiment) questions to measure anti-Asian sentiment and link these variables to key socioeconomic factors. We find that, instead of being universal among general populations, anti-Asian sentiment is patterned differently across both country contexts and socioeconomic groups. In the United States, the most significant predictor of anti-Asian bias is political affiliation. By contrast, in Australia, anti-Asian bias is closely linked to a wide range of socioeconomic factors including political affiliation, age, gender, employment status and income.

Stigma toward Wuhan people during the COVID-19 epidemic: an exploratory study based on social media

Background

Stigma associated with infectious diseases is common and causes various negative effects on stigmatized people. With Wuhan as the center of the COVID-19 outbreak in China, its people were likely to be the target of stigmatization. To evaluate the severity of stigmatization toward Wuhan people and provide necessary information for stigma mitigation, this study aimed to identify the stigmatizing attitudes toward Wuhan people and trace their changes as COVID-19 progresses in China by analyzing related posts on social media.

Methods

We collected 19,780 Weibo posts containing the keyword ‘Wuhan people’ and performed a content analysis to identify stigmatizing attitudes in the posts. Then, we divided our observation time into three periods and performed repeated-measures ANOVA to compare the differences in attitudes during the three periods.

Results

The results showed that stigma was mild, with 2.46% of related posts being stigmatizing. The percentages of stigmatizing posts differed significantly during the three periods. The percentages of ‘Infectious’ posts and ‘Stupid’ posts were significantly different for the three periods. The percentage of ‘Irresponsible’ posts was not significantly different for the three periods. After government interventions, stigma did not decrease significantly, and stigma with the ‘Infectious’ attitude even increased. It was not until the government interventions took effect that stigma significantly reduced.

Conclusions

This study found that stigma toward Wuhan people included diverse attitudes and changed at different periods. After government interventions but before they took effect, stigma with the ‘Infectious’ attitude increased. After government interventions took effect, general stigma and stigmas with ‘Infectious’ and ‘Stupid’ attitudes decreased. This study constituted an important endeavor to understand the stigma toward Wuhan people in China during the COVID-19 epidemic. Implications for stigma reduction and improvement of the public’s perception during different periods of epidemic control are discussed.

Race, Ethnicity, Nativity and Perceptions of Health Risk during the COVID-19 Pandemic in the US

Previous research demonstrates that pandemics, including COVID-19, have disproportionate effects on communities of color, further exacerbating existing healthcare inequities. While increasing evidence points to the greater threat posed by COVID-19 to Latinx communities, less remains known about how identification as Latinx and migration status influence their perception of risk and harm. In this article, we use cross-sectional data from a large national probability sample to demonstrate a large positive association between ethnic identity and migration status and perceptions of harm from COVID-19 in the US. We find that individuals identifying as Hispanic/Latinx and first-generation immigrants report significantly greater risks of becoming infected by COVID-19 in the next three months, and dying from the virus if they do contract it. Further, subgroup analysis reveals that health risks are especially felt by individuals of Mexican descent, who represent the largest share of US Latinxs. Collectively, our results provide evidence about how the pandemic places increased stress on people from Latinx and immigrant communities relative to White non-Hispanic individuals in the US.

Pandemic-related racial discrimination and its health impact among non-Indigenous racially minoritized peoples in high-income contexts: a systematic review

This study aims to review articles reporting the perspectives and experiences of pandemic-related discrimination among racially minoritized peoples in high-income contexts. We searched online databases (Medline, EMBASE, PsycINFO, Web of Science, and ProQuest) for peer-reviewed articles published between January 2002 and October 2020. Eligible studies reported either quantitative or qualitative accounts of pandemic-related discrimination from the perspectives of racially minoritized peoples in high-income contexts. Two authors screened 30% of titles/abstracts, and all full-text articles. Each article included for extraction underwent a quality assessment by two reviewers. Data were extracted and categorized thematically using NVivo 12, followed by a secondary analysis informed by critical race theory. Of the 1289 articles screened, 16 articles from five countries met the inclusion criteria. Racial discrimination is heightened during pandemic periods, due to the social association of specific racial groups with pandemic diseases including COVID-19, SARS (Asian), H1N1 (Hispanic) and Ebola (African). Fear based responses to racially minoritized peoples during pandemic periods included verbal/physical abuse, hypersurveillance, and avoidance, often occurring in public spaces. Pandemic-related racism had subsequent impacts on mental health and health care accessibility. Various coping strategies, including community support, avoidance, and problem solving, were documented in response to racial discrimination. Racialized discrimination and violence is a serious threat to the health and wellbeing of racially minoritized peoples, particularly due to its increase during pandemic periods. Racism must be recognized as a public health issue, and efforts to address its increased impact in pandemic contexts should be made, including ensuring that adequate representation of racially minoritized groups is present in policy, planning, and implementation.

Communication strategies and media discourses in the age of COVID-19: an urgent need for action

Identified in December 2019 in China, the coronavirus 2019 (COVID-19) has been declared a Public Health Emergency of International Concern (PHEIC). Pandemics share features that increase fear. While some fear can stimulate preventive health behaviors, extreme fear can lead to adverse psychological and behavioral response. The media play a major role shaping these responses. When dealing with a PHEIC, the authorities' communication strategies are embedded in a multilevel governance and a highly hierarchal system, which adds another layer of complexity. Carrying out more 'real-world research' is crucial to generate evidence relating to the psychosocial and behavioral aspects involved during the COVID-19 pandemic and how it is shaped by authorities and media discourses. Interdisciplinary research and international collaborations could contribute to improve our understanding and management of risk information. Emerging from a socio-ecological perspective, future research must integrate multilevel analytical elements, to ensure triangulation of evidence and co-constructing robust recommendations. A mixed-method approach should be privileged to address these issues. At the micro-level, a population-based survey could be conducted in various jurisdictions to assess and compare psychosocial issues according to sociocultural groups. Then, a quantitative/qualitative discourse analysis of the media could be performed. Finally, a network analysis could allow assessing how official information flows and circulates across levels of governance. The COVID-19 represents an opportunity to evaluate the impacts of information/communication strategy and misinformation on various cultural and socioeconomic groups, providing important lessons that could be applied to future health emergencies and disasters.

The Allure of Scapegoating Return Migrants during a Pandemic

The stigmatization of Senegalese return migrants as COVID-19 vectors by fellow Senegalese during the early days of the COVID-19 pandemic troubles the self/other distinction that underpins the scholarly focus on epidemics and xenophobia and encourages the broader task of exploring epidemics and phobia. The casting of return migrants as COVID-19 vectors was influenced by longstanding ambivalence toward these migrants that had encouraged some Senegalese to seek to "confine" them to Europe long before the pandemic. Old preoccupations help us understand how Senegalese interpreted and deployed COVID-19 control and prevention measures like "confinement," lockdowns, and border closures.

Embedding race equality into nursing programmes: Hearing the student voice

There is an abundance of evidence that nursing programmes across the UK have been criticised for not 'decolonising' their curriculum content to prepare students to partake in a diverse workplace. Nursing programmes have been developed in line with the requirements of the Nursing and Midwifery Council (NMC) to deliver safe and effective care to patients, yet the literature records that Black and Minority Ethnic (BAME) nursing students face discrimination and experience a lack of role models in academia. In this article the term BAME will be used as it is recognised within a wide range of literature, however the authors wish to acknowledge that this term and other terms used when defining ethnicity is contested. In considering Stephen Lawrence Day, celebrated on the 22 nd April 2021 for the first time since his death in 1993, our students have embarked on a challenge to ensure that Race Equality is the first protected characteristic consideration in developing a 'Student Led Equality Charter' within the School of Health and Social Care at Staffordshire University. There is a commitment from colleagues at the School including senior leaders to further the wider University agenda to ensure equality, diversity and inclusion are embraced. 'At Staffordshire University we recognise the need to really focus on EDI in order to create an inclusive and welcoming environment for all our students, staff and visitors, and we hold ourselves accountable through our Access and Participation Plan, Inclusion Framework and Race Equality Action Plan. The work started by the students in Health and Social Care on an EDI Charter is a really good example of how working with our students as co-creators and partners will help to ensure inclusion throughout our university.' (Gill Grainger- Head of Equality and Diversity, Staffordshire University, March 2021).

Interactive, Hands-On Training for Hospital Workers Increases Level of Special Pathogen Preparedness

The purpose of this evaluation was to determine the effect of intensive, interactive training on hospital workers’ preparedness for special pathogen cases by utilizing the Frontline Facility Special Pathogens Training Course created by the Systemwide Special Pathogens Program at New York City Health + Hospitals (NYC H+H). An 8 h course was offered in 2018 and 2019 to healthcare employees throughout the Department of Health and Human Services Region 2, mostly from NYC H+H. Evaluation included multiple-choice pre and post exams, a 26-question survey about level of preparedness before and after the training, and follow-up interviews focused on changes in facility protocols. As a result, 61% of survey respondents indicated that they had never previously attended a hospital-sponsored special pathogen training. After the training, there was a 53.3% report rate of feeling “very prepared,” compared to 14.6% before the training. Additionally, there was an 11% improvement in test scores. Furthermore, 77% of respondents reported that their facility had changed protocols relating to topics of the course after their training date. Survey participants reported general satisfaction with the course, as well as an increased level of preparedness for special pathogen cases. Together, the results of the exams, survey, and interviews suggest that this interactive, mixed-method training increases special pathogen preparedness across different healthcare sectors. With the ongoing threat of special pathogens, the need for continued training and maintaining a state of readiness is paramount in healthcare.

Perceptions of blame on social media during the coronavirus pandemic

The outbreak of the coronavirus (COVID-19) disease is overwhelming resources, economies and countries around the world. Millions of people have been infected and hundreds of thousands have succumbed to the virus. Research regarding the coronavirus pandemic is published every day. However, there is limited discourse regarding societal perception. Thus, this paper examines blame attribution concerning the origin and propagation of the coronavirus crisis according to public perception. Specifically, data were extracted from the social media platform Twitter concerning the coronavirus during the early stages of the outbreak and further investigated using thematic analysis. The findings revealed the public predominantly blames national governments for the coronavirus pandemic. In addition, the results documented the explosion of conspiracy theories among social media users regarding the virus' origin. In the early stages of the pandemic, the blame tendency was most frequent to conspiracy theories and restriction of information from the government, whilst in the later months, responsibility had shifted to political leaders and the media. The findings indicate an emerging government mistrust that may result in disregard of preventive health behaviours and the amplification of conspiracy theories, and an evolving dynamic of blame. This study argues for a transparent, continuing dialogue between governments and the public to stop the spread of the coronavirus.

COVID-19 Amid Rumors and Conspiracy Theories: The Interplay Between Local and Global Worlds

Stories and narratives are part of our human sociocultural history, which are always preserved in what I call "societal memory." We construct stories to weave meanings that help us make sense of our lifeworlds. Like stories, rumors and conspiracy theories can offer deep meanings when analyzed in specific contexts. Such narratives become most prominent in times of looming uncertainties, anxieties, and fears. Thus, the challenging coronavirus disease 2019 (COVID-19) pandemic has become surrounded by plentiful rumors and conspiracy theories. These narratives reveal geopolitics when they code the pandemic as "bioengineered." They also demonstrate local concerns, as in Pakistan, people started drinking "miraculous" tea as a form of prevention, shaving their heads, and/or praying to God to undo his "punishment." Some conceptualized the pandemic as an invented "plot." These narratives seem to empower individuals to make sense of this pandemic and to deal with its multidimensional effects: they allow them to feel confident enough to go outside and earn their livelihood. In this chapter, the author builds on his long-term ethnographic fieldwork on infectious diseases, recent telephone interviews, and content analysis of the media to discuss narratives revolving around COVID-19 in Pakistan. The author argues that these rumors and conspiracy theories are social phenomena pregnant with multiple meanings that deserve to be thoroughly explored, especially by anthropologists. A dearth of understanding about COVID-19 and narratives surrounding it would substantially impede the strategies to deal with this ongoing pandemic.

Sinophobic Stigma Going Viral: Addressing the Social Impact of COVID-19 in a Globalized World

This article critically examines the recent literature on stigma that addresses the overspread association among the COVID-19 pandemic and racial and ethnic groups (i.e., mainland Chinese and East Asian populations) assumed to be the source of the virus.The analysis begins by reviewing the way in which infectious diseases have historically been associated with developing countries and their citizens, which, in turn, are supposed to become prime vectors of contagion. The latter extends to the current labeling of COVID-19 as the "Chinese virus," that-along with a number of other terms-has fueled race-based stigma against Asian groups in the United States and overseas. This review further discusses the limitations of current COVID-19 antistigma initiatives that mostly focus on individual-based education campaigns as opposed to multisectorial programs informed by human rights and intersectional perspectives.Finally, the article ends with a call to the international public health community toward addressing the most recent outbreak of stigma, one that has revealed the enormous impact of words in amplifying racial bias against particular minority populations in the developed world.

Sinophobic Epidemics in America: Historical Discontinuity in Disease-related Yellow Peril Imaginaries of the Past and Present

Modern scholarship has drawn hasty and numerous parallels between the Yellow Peril discourses of the 19th- and 20th-century plagues and the recent racialization of infectious disease in the 21st-century. While highlighting these similarities is politically useful against Sinophobic epidemic narratives, Michel Foucault argues that truly understanding the past's continuity in the present requires a more rigorous genealogical approach. Employing this premise in a comparative analysis, this work demonstrates a critical discontinuity in the epidemic imaginary that framed the Chinese as pathogenic. Consequently, those seeking to prevent future disease racialization must understand modern Sinophobia as fundamentally distinct from that of the past.

When "model minorities" become "yellow peril"-Othering and the racialization of Asian Americans in the COVID-19 pandemic

Using the ongoing coronavirus disease 2019 (COVID-19) pandemic as a case study, this paper engages with debates on the assimilation of Asian Americans into the US mainstream. While a burgeoning scholarship holds that Asians are "entering into the dominant group" or becoming "White," the prevalent practices of othering Asians and surging anti-Asian discrimination since the pandemic outbreak present a challenge to the assimilation thesis. This paper explains how anger against China quickly expands to Asian American population more broadly. Our explanation focuses on different forms of othering practices, deep-seated stereotypes of Asians, and the role of politicians and media in activating or exacerbating anti-Asian hatred. Through this scrutiny, this paper augments the theses that Asian Americans are still treated as "forever foreigners" and race is still a prominent factor in the assimilation of Asians in the United States. This paper also sheds light on the limitations of current measures of assimilation. More broadly, the paper questions the notion of color-blindness or post-racial America.

An outbreak of xenophobia: Perceived discrimination and anxiety in Chinese American college students before and during the COVID-19 pandemic

Since the outbreak of the novel coronavirus (COVID‐19) pandemic, reports of xenophobic and racist incidents directed at Chinese Americans have escalated. The present study adds further understanding to potential psychosocial effects of the COVID‐19 pandemic by comparing self‐reported questionnaire data from two groups of Chinese students attending a public university in western United States: the group who participated in the study before the outbreak of COVID‐19 (Pre‐COVID, N = 134), and the group who participated at the beginning (during‐COVID, N = 64). The aim of the study was to: (a) compare mean differences in perceived discrimination and anxiety between the two groups, (b) test whether COVID‐19 moderated the link between perceived discrimination and anxiety, and (c) examine whether media exposure portraying Chinese individuals negatively mediated relations between COVID‐19 and discrimination. Results showed that the During‐COVID group reported higher perceived discrimination and anxiety than the Pre‐COVID group. The link between perceived discrimination and anxiety was stronger for the During‐COVID group. Mediation analyses suggested that negative Chinese media exposure partly accounted for the group difference in perceived discrimination. Results suggest that future studies on the psychosocial implications of the COVID‐19 pandemic should consider the role of discrimination in understanding the mental health of Chinese American college students.