The Pandemic Is Not Occurring in a Vacuum: The Impact of COVID-19 and Other Disasters on Workforce Mental Health in Australia

A proposed One Health approach to control yellow fever outbreaks in Uganda

Yellow Fever (YF) is an acute viral hemorrhagic disease. Uganda is located within the Africa YF belt. Between 2019 and 2022, the Ugandan Health Authorities reported at least one outbreak of YF annually with an estimated 892 suspected cases, on average per year. The persistent recurrence of this disease raises significant concerns about the efficacy of current response strategies and prevention approaches. YF has been recognized as a One Health issue due to its interrelatedness with the animal and environmental domains. Monkeys have been recognized as the virus primary reservoir. The YF virus is transmitted through bites of infected Aedes or Haemagogus species mosquitoes between monkeys and humans. Human activities, monkey health, and environmental health issues (e.g., climate change and land use) impact YF incidence in Uganda. Additionally, disease control programs for other tropical diseases, such as mosquitoes control programs for malaria, impact YF incidence.This review adopts the One Health approach to highlight the limitations in the existing segmented YF control and prevention strategies in Uganda, including the limited health sector surveillance, the geographically localized outbreak response efforts, the lack of a comprehensive vaccination program, the limited collaboration and communication among relevant national and international agencies, and the inadequate vector control practices. Through a One Health approach, we propose establishing a YF elimination taskforce. This taskforce would oversee coordination of YF elimination initiatives, including implementing a comprehensive surveillance system, conducting mass YF vaccination campaigns, integrating mosquito management strategies, and enhancing risk communication. It is anticipated that adopting the One Health approach will reduce the risk of YF incidence and outbreaks.

Navigating a Context of Severe Uncertainty: The Effect of Industry Unsafety Signals on Employee Well-being During the COVID-19 Crisis

Complex disaster situations like the 2019 novel coronavirus (COVID-19) create macro-level contexts of severe uncertainty that disrupt industries across the globe in unprecedented ways. While occupational health research has made important advances in understanding the effects of occupational stressors on employee well-being, there is a need to better understand the employee well-being implications of severe uncertainty stemming from macro-level disruption. We draw from the Generalized Unsafety Theory of Stress (GUTS) to explain how a context of severe uncertainty can create signals of economic and health unsafety at the industry level, leading to emotional exhaustion through paths of economic and health anxiety. We integrate recent disaster scholarship that classifies COVID-19 as a transboundary disaster and use this interdisciplinary perspective to explain how COVID-19 created a context of severe uncertainty from which these effects unfold. To test our proposed model, we pair objective industry data with time-lagged quantitative and qualitative survey responses from 212 employees across industries collected during the height of the initial COVID-19 response in the United States. Structural equation modeling results indicate a significant indirect effect of industry COVID-19 unsafety signals on emotional exhaustion through the health, but not economic, unsafety path. Qualitative analyses provide further insights into these dynamics. Theoretical and practical implications for employee well-being in a context of severe uncertainty are discussed.

Psychological and financial impacts of COVID-19-related travel measures: An international cross-sectional study

Background

The impact of COVID-19 international travel restrictions has to date, not been fully explored, and with the ongoing threat that new variants could potentially restrict movement further, it is important to consider the impacts that travel restrictions have on community members. This study aimed to evaluate the psychological and financial impact of COVID-19 travel restrictions on those separated from their partners or immediate families, as well as temporary visa holders who were unable to migrate.

Methods

Between 4 November 2021 to 1 December 2021, we executed a cross-sectional online survey targeting three specific groups; (1) those stranded from their partners; (2) those stranded from immediate families; and (3) temporary visa holders unable to migrate or cross international borders. We collected data on respondents’ demographic profile; the nature of COVID-19-related travel impacts; depression, anxiety, and stress levels (using the validated DASS-21); and finally, data on respondents financial, employment and accommodation situation.

Results

1363 respondents located globally completed the survey. 71.2% reported financial stress, 76.8% (x¯=11.57, SD = 5.94) reported moderate-to-extremely severe depression, 51.6% (x¯=6.80, SD = 5.49) moderate-to-extremely severe anxiety, and 62.6% (x¯=11.52, SD = 5.55) moderate-to-extremely severe stress levels. Statistically significant factors associated with moderate-to-extremely severe depression, anxiety, and stress included being female, chronic illness, and experiencing financial stress. Employment during COVID-19 –specifically essential services workers or unemployed—was associated with higher levels of anxiety and stress, with only essential workers being a predictor of higher stress severity. Factors that provided psychological protection included being older and having children.

Conclusion

This study is one of the first to explore the impact COVID-19-related international travel restrictions have had on the financial status and psychological health of affected individuals. It highlights the significant human cost associated with the restrictions and identifies psychologically vulnerable populations. These results will help the design of targeted health and social policy responses.