Change in profile of COVID-19 deaths in the Western Cape during the fourth wave

Fewer COVID-19 deaths have been reported in this fourth wave, with clinicians reporting less admissions due to severe COVID-19 pneumonia when compared to previous waves. We therefore aimed to rapidly compare the profile of deaths in wave 4 with wave 3 using routinely collected data on admissions to public sector hospitals in the Western Cape province of South Africa. Findings show that there have been fewer COVID-19 pneumonia deaths in the Omicron-driven fourth wave compared to the third wave, which confirms anecdotal reports and lower bulk oxygen consumption by hospitals in the province.

Outcomes of laboratory-confirmed SARS-CoV-2 infection in the Omicron-driven fourth wave compared with previous waves in the Western Cape Province, South Africa

Objectives: We aimed to compare COVID-19 outcomes in the Omicron-driven fourth wave with prior waves in the Western Cape, the contribution of undiagnosed prior infection to differences in outcomes in a context of high seroprevalence due to prior infection, and whether protection against severe disease conferred by prior infection and/or vaccination was maintained. Methods: In this cohort study, we included public sector patients aged ≥20 years with a laboratory confirmed COVID-19 diagnosis between 14 November-11 December 2021 (wave four) and equivalent prior wave periods. We compared the risk between waves of the following outcomes using Cox regression: death, severe hospitalization or death and any hospitalization or death (all ≤14 days after diagnosis) adjusted for age, sex, comorbidities, geography, vaccination and prior infection. Results: We included 5,144 patients from wave four and 11,609 from prior waves. Risk of all outcomes was lower in wave four compared to the Delta-driven wave three (adjusted Hazard Ratio (aHR) [95% confidence interval (CI)] for death 0.27 [0.19; 0.38]. Risk reduction was lower when adjusting for vaccination and prior diagnosed infection (aHR:0.41, 95% CI: 0.29; 0.59) and reduced further when accounting for unascertained prior infections (aHR: 0.72). Vaccine protection was maintained in wave four (aHR for outcome of death: 0.24; 95% CI: 0.10; 0.58). Conclusions: In the Omicron-driven wave, severe COVID-19 outcomes were reduced mostly due to protection conferred by prior infection and/or vaccination, but intrinsically reduced virulence may account for an approximately 25% reduced risk of severe hospitalization or death compared to Delta.

Linking maternal involvement in child online learning to child adjustment during the COVID-19 pandemic: The moderating role of maternal mindfulness

In the face of COVID-19, many schools have to educate their students using online activities. During this time, whether and how parents are involved may be of particular importance for young children—who are less able to learn independently via the Internet due to their developmental immaturity. Therefore, this study examined the cross-sectional association of maternal involvement in child online learning with child adjustment during the COVID-19 pandemic and tested maternal mindfulness as a moderator. Data were collected from 236 mothers of kindergarten-aged children (mean age = 55.91 months; 75% of them were girls) during the fourth wave of COVID-19 outbreak in Hong Kong, China. Using paper-and-pencil questionnaires, mothers rated their involvement and mindfulness and their children’s pre-academic ability and internalizing and externalizing behaviors and provide demographic information. Regression models revealed that maternal involvement was associated positively with child pre-academic ability and negatively with child internalizing behaviors, but such associations were only significant for children with more mindful mothers. Maternal mindfulness did not moderate the negative association between maternal involvement and child externalizing behaviors. Findings highlighted the role of maternal mindfulness in child development, suggesting that it may be crucial to promote maternal involvement and mindfulness during the pandemic and perhaps beyond.

Spatial Clustering Analysis of the COVID-19 Pandemic: A Case Study of the Fourth Wave in Vietnam

An outbreak of the 2019 Novel Coronavirus Disease (COVID-19) in China caused by the emergence of Severe Acute Respiratory Syndrome CoronaVirus 2 (SARSCoV2) spreads rapidly across the world and has negatively affected almost all countries including such the developing country as Vietnam. This study aimed to analyze the spatial clustering of the COVID-19 pandemic using spatial auto-correlation analysis. The spatial clustering including spatial clusters (high-high and low-low), spatial outliers (low-high and high-low), and hotspots of the COVID-19 pandemic were explored using the local Moran’s I and Getis-Ord’s G* i statistics. The local Moran’s I and Moran scatterplot were first employed to identify spatial clusters and spatial outliers of COVID-19. The Getis-Ord’s G* i statistic was then used to detect hotspots of COVID-19. The method has been illustrated using a dataset of 86,277 locally transmitted cases confirmed in two phases of the fourth COVID-19 wave in Vietnam. It was shown that significant low-high spatial outliers and hotspots of COVID-19 were first detected in the NorthEastern region in the first phase, whereas, high-high clusters and low-high outliers and hotspots were then detected in the Southern region of Vietnam. The present findings confirm the effectiveness of spatial auto-correlation in the fight against the COVID-19 pandemic, especially in the study of spatial clustering of COVID-19. The insights gained from this study may be of assistance to mitigate the health, economic, environmental, and social impacts of the COVID-19 pandemic.

Vaccination Strategy for the COVID-19 Pandemic in Early 2021 Based on Differences in People's Behavior Between Tokyo and Osaka, Japan

Background: During the fourth COVID-19 wave in Japan, a marked difference was apparent in the scale of the epidemic between Metropolitan Tokyo in eastern Japan and Osaka prefecture in western Japan.Methods: Public epidemic data were analyzed, with performance of mathematical simulations using simplified SEIR models.Results: The increase in the number of infected persons per 100,000 population during the fourth wave of expansion was greater in Osaka than in Tokyo. The basic reproduction number in Osaka was greater than in Tokyo. Particularly, the number of infected people in their 20s increased during the fourth wave: the generation-specific reproduction number of people in their 20s was higher than people of other generations. Both Tokyo and Osaka had strong correlation between the increase in the number of infected people and the average number of people using the main downtown stations at night. Simulations showed vaccination of people in their 60s and older reduced the number of infected people among the high-risk elderly population in the fourth wave. However, age-specific vaccination of people in their 20s reduced the number of infected people more than vaccination of people in their 60s and older.Conclusions: Differences in the epidemic between Tokyo and Osaka are explainable by different behaviors of the most socially active generation. When vaccine supplies are adequate, priority should be assigned to high-risk older adults, but if vaccine supplies are scarce, simulation results suggest consideration of vaccinating specific groups among whom the epidemic is spreading rapidly.

Identity as an Organizing Idea of New Vocabulary and Phraseology

The vocabulary and phraseology are considered from the standpoint of embodying the idea of identity in them. The relevance of the study is due to the need to assess the dynamics of the vocabulary of the language. It is shown that the idea of identity is verbalized in the nominations of a person according to belonging to a certain social community, which has professional status, generational, class and other characteristics. It is noticed that new phraseological units appear in the language in open groups. The novelty of the research lies in the identification of new phraseological groups, which can be partially or completely subject to lexicography. It is noted that online communication has greatly increased attention to the words group, community and the idea of a publicly represented identity. It is shown that the analytical attitude of modern media has led to an orientation towards reflection and the construction of expert assessments in the form of bright, memorable idioms, the creative class, sofa fighters, etc. The intensification of the processes of the language game is shown by the example of expressions with the word collars, releasing a color code (white, gold, platinum collars, etc.). The Internet is said to have provided opportunities to show multiplying identities. The “fourth wave of words” (after the gangster, professional, glamorous) is proposed to be considered the youth, which is formed in Internet communication and expresses the desire of this age category (youth) to know themselves, their values, belonging, purpose and place in the world.

Religion and the Political Process: the Fourth Wave of Democratization

The article analyzes the role of religion in socio-political processes in Europe, in the post-Soviet space, and more broadly in the Western world. The structural and functional approach, methods of sociological and political analysis of the religious factor as a political phenomenon are applied. The purpose of the study is to analyze the role of religion (mainly Christian churches) in democratic processes on the example of the EU member states and the post-Soviet space. Special attention is paid to the participation of various Christian churches in socio-political transformations, conflicts and “orange” revolutions, as well as to the opposition of religion to the ideology of modern liberal democracy from the standpoint of traditionalism (identity). It is concluded that religion has become an important marker of a global phenomenon that can be called the “fourth wave” of democratization (following the periodization of S. Huntington). If within the framework of the third wave, religion was one of the elements and at the same time objects of democratization, then since the 2000s religion is the main impulse factor of the entire process of traditionalist democratization in social, political and cultural dimensions. The civic activity of believers corrects liberal democracy, makes it more “moral,” and not archaic. The merit of religion is that it has clearly defined the boundaries beyond which the democracy of the future should not be transgressed: the recognition of the right to traditional moral foundations for entire societies and states along with the usual liberal freedoms, i.e., equality of all races and peoples, the value of every person, the freedom of speech.

Depression, Anxiety and Associated Factors among Frontline Hospital Healthcare Workers in the Fourth Wave of COVID-19: Empirical Findings from Vietnam

(1) Background: This study aims to assess the magnitude of, and factors associated with, depression and anxiety among Vietnamese frontline hospital healthcare workers in the fourth wave of COVID-19; (2) Methods: A hospital based cross-sectional study was carried out within two weeks, October 2020, at a central COVID-19 treatment hospital. Depression and anxiety were measured with PHQ-9 and GAD-7, respectively. Bivariate and multivariate logistic regression analysis were applied to recognize variables related to depression and anxiety, respectively; (3) Results: Among 208 frontline hospital healthcare workers, overall prevalence of depressive symptoms, anxiety symptoms, and both symptoms of depression and anxiety was 38.94%, 25.48% and 24.04%, respectively, in healthcare workers. In a reduced model after using multivariate stepwise logistic regression, age (OR = 0.9, p = 0.001), marital status (OR = 7.84, p = 0.027), profession (OR = 0.39, p = 0.028), having experienced traumatic stress following a work event (OR = 46.24, p < 0.001), feeling at very high risk for COVID-19 (OR = 0.02, p < 0.04), and affected by workplace conditions (OR = 5.36, p < 0.001) were associated with the symptoms of depression. With regard to symptoms of anxiety, single status (OR: 12.18, p = 0.002), being medical technician (OR: 68.89, p < 0.001), alcohol use (OR: 6.83, p = 0.014), using pain relief medications (OR: 25.50, p = 0.047), having experienced traumatic stress following a family event (OR: 130.32, p = 0.001), having experienced traumatic stress following a work event (OR: 181.55, p = 0.002), reporting at very high risk for COVID-19 (OR: 29.64, p = 0.011), treating moderate (OR: 6.46, p = 0.038) and severe (OR: 18.96, p = 0.004) COVID-19 patients, and being significantly affected by the community (OR: 6.33, p = 0.003) were increased risk factors for the symptoms of anxiety. Meanwhile, those living with 4–5 people (OR: 0.15, p = 0.011), specializing in infectious disease (OR: 0.13, p = 0.044)/resuscitation and emergency medicine (OR: 0.04, p = 0.046), and having knowledge preparation before participating in COVID-19 (OR: 0.008, p = 0.014) were less associated with the symptoms of anxiety; (4) Conclusions: There was a relatively high prevalence among Vietnamese hospital healthcare workers exhibiting symptoms of depression and anxiety during the ongoing pandemic. Greater attention to training in psychological skills should be suggested for those belonging to a younger age group, being single/widowed/divorced, treating moderate and severe COVID-19 patients, feeling at very high risk for COVID-19, being significantly affected a lot the community or workplace conditions, or experiencing traumatic stress following a family/work event in the past week.