COVID-19 Pandemic in a Vulnerable Population: Prevalence and Correlates of Anxiety

Background: The COVID-19 pandemic has produced negative mental health outcomes. These effects were more prominent in vulnerable communities that experienced prior similar disasters. The study aimed to examine the likelihood and correlates of anxiety symptoms among Fort McMurray (FMM) residents, during the COVID-19 pandemic. Methods: A cross-sectional online survey questionnaire was applied between 24 April and 2 June 2021, at FMM, to gather sociodemographic, COVID-19, and clinical information, including generalized anxiety disorder (using GAD-7 scale). Results: Overall, 186 individuals completed the survey (response rate 74.7%). Most of the respondents were females (159, 85.5%); above 40 years (98, 52.7%); employed (175, 94.1%); and in relationship (132, 71%). The prevalence of moderate-to-severe anxiety was (42.5%, 71) on GAD-7 self-reported scale. Subscribers who reported that they would like to receive mental health support; have received no family support since COVID-19 declaration; and have lost their job during the pandemic were all more likely to report moderate-to-severe anxiety (OR = 3.39; 95% CI: 1.29–8.88), (OR = 4.85; 95% CI: 1.56–15.03), and (OR = 4.40; 95% CI: 1.01–19.24), respectively. Conclusions: Anxiety levels were high among FMM residents, compared to levels before COVID-19. Clinical and social factors significantly predicted likely anxiety in the Fort McMurray population, during the COVID-19 pandemic. It is imperative that resources are mobilized to support vulnerable communities during the COVID-19 pandemic.

The Great Lockdown in the Wake of COVID-19 and Its Implications: Lessons for Low and Middle-Income Countries

Concern for public health has been growing with the increasing volume of cases of COVID-19 in India. To combat this pandemic, India has implemented nationwide lockdowns, and unlocking phases continue with certain restrictions in different parts of the country. The lockdown has required people to adopt social-distance measures to minimize contacts in order to reduce the risks of additional infection. Nevertheless, the lockdown has already impacted economic activities and other dimensions of the health of individuals and society. Although many countries have helped their people through advanced welfare protection networks and numerous support aids, several emerging economies face specific difficulties to adapt to the pandemic due to vulnerable communities and scarce resources. However, certain lower-income countries need more rigorous analysis to implement more effective strategies to combat COVID-19. Accordingly, the current systematic review addresses the impacts of the COVID-19 pandemic and lockdowns in India in relation to health and the economy. This work also provides further information on health inequalities, eco-nomic and social disparities in the country due to the COVID-19 pandemic and lockdowns and also contributes pragmatic suggestions for overcoming these challenges. These observations will be useful to the relevant local and national officials for improving and adopting novel strategies to face lockdown challenges

Determinants of Access and Utilization of Climate Services Among Vulnerable Communities

Changes in climate have caused impacts on natural and human systems. These impacts affect poor people's lives through impacts on livelihoods and the destruction of homes. In Delta State, Nigeria, the impacts of climate change are real. Adaptation has been identified as the key to reducing the impacts of climate change. However, successful adaptation depends on use of climate services. While climate services are essential to adaptation, the services do not always reach the users who need it most. This chapter analyzes factors influencing access and utilization of climate services in Delta State. The chapter utilizes the survey research while data were analyzed using both descriptive and inferential statistics. Findings show a low utilization of climate service. The determinants of access and utilization of climate services include income, educational attainments, access to ICT facilities, extension agents, and the level of local climate variability. The chapter calls for awareness creation on the importance of climate services.

Mining and Water Supply in Marginalised Communities

The extractive industry and water security nexus for vulnerable communities that surround a mine has been a subject of debate in the Global South. The study aimed to identify and explain the impact of mining on the ability of vulnerable and marginalized communities to secure adequate and safe water. The study focused on Anglo-Platinum Mogalakwena Platinum on Ga-Molekana Village in Mogalakwena Municipality, Limpopo Province of South Africa. Key informant interviews were administered with community leaders, local community-based organizations, local councilors, and public officials at the national level. Focus group discussions were also conducted for older women and youth to share current experiences. The Mogalakwena Municipality provides water to the Ga-Molekane Community and the Mogalakwena Platinum Mine also intervenes by providing support in this regard. Perceptions about the adequacy of water to meet their household needs were varied, with some being positive considering their situation to be better than others, while some said water had become inadequate.

Prioritizing COVID-19 Contact Tracing During a Surge Using Chatbot Technology

When COVID-19 cases surge, identifying ways to improve the efficiency of contact tracing and prioritize vulnerable communities for isolation and quarantine support services is critical. During a fall 2020 COVID-19 resurgence in San Francisco, California, prioritization of telephone-based case investigation by zip code and using a chatbot to screen for case participants who needed isolation support reduced the number of case participants who would have been assigned for a telephone interview by 31.5% and likely contributed to 87.5% of Latinx case participants being successfully interviewed. (Am J Public Health. 2022;112(1):43–47. https://doi.org/10.2105/AJPH.2021.306563 )

Winter Storm Uri: A Test of Texas’ Water Infrastructure and Water Resource Resilience to Extreme Winter Weather Events

We synthesize the interconnected impacts of Texas’ water and energy resources and infrastructure including the cascading effects due to Winter Storm Uri. The government’s preparedness, communication, policies, and response as well as storm impacts on vulnerable communities are evaluated using available information and data. Where knowledge gaps exist, we propose potential research to elucidate health, environmental, policy, and economic impacts of the extreme weather event. We expect that recommendations made here — while specific to the situation and outcomes of Winter Storm Uri — will increase Texas’ resilience to other extreme weather events not discussed in this paper. We found that out of 14 million residents who were on boil water notices, those who were served by very small water systems went, on average, a minimum of three days longer without potable water. Available county-level data do not indicate vulnerable communities went longer periods of time without power or water during the event. More resolved data are required to understand who was most heavily impacted at the community or neighborhood level. Gaps in government communication, response, and policy are discussed, including issues with identifying — and securing power to — critical infrastructure and the fact that the state’s Emergency Alert System was not used consistently to update Texans during the crisis. Finally, research recommendations are made to bolster weaknesses discovered during and after the storm including (1) reliable communication strategies, (2) reducing disproportionate impacts to vulnerable communities, (3) human health impacts, (4) increasing water infrastructure resilience, and (5) how climate change could impact infrastructure resilience into the future.

Build Back Better': Building School-Community Partnerships for Vulnerable Students During the COVID-19 Pandemic

The COVID-19 pandemic has affected many students around the world. The Indonesian government responded with school closures and the transition into distance learning. However, the Ministry of Communication and Information announced that there were 12,548 villages which did not have internet access and that electronic devices were unavailable for students from less well-off families. This study aimed to employ a non-empirical research methodology to highlight the importance of carrying out non-technological educational strategies by forming partnerships between schools and communities in vulnerable communities. The model of school-community partnership was carried out by forming small study groups in a neighborhood. Learning was assisted by teachers and volunteer tutors. This learning innovation was formed to provide equal opportunities for vulnerable students who were unable to perform online learning. Through such approaches we can rebuild education for those who were left behind as a result of the COVID-19 pandemic. Keywords: community engagement, COVID-19, school partnership, vulnerable student

Advancing Healthcare for COVID-19 by Strengthening Providers’ Capacity for Best Practices in African, Caribbean and Black Community Service Provision in Ontario: A Multisite Mixed-Method Study Protocol

BACKGROUND: The ongoing COVID-19 pandemic has emerged as an unprecedented challenge for public and private life, and healthcare systems worldwide. African, Caribbean, and Black communities (ACB) represent some of the most vulnerable populations in terms of their susceptibility to health hazards, difficulty receiving adequate health care and relatively lower chances of recovery. OBJECTIVES: The main aim of this study is to improve the health system’s response during and after the COVID-19 pandemic by developing evidence-based models to inform policy and collaborative best practices to mitigate its spread and ameliorate related health consequences in vulnerable communities. METHODS: This is a mixed-method, multisite study based in Ottawa and Toronto that will involve in-depth qualitative interviews and surveys using a structured questionnaire. Data will be analyzed using NVivo for qualitative interviews, Stata 16 and IBM SPSS version 26 for statistical analyses. DISCUSSION: The findings of this study gained from highly professional health practitioners will produce strong evidence on current gaps in knowledge and practice in the healthcare system’s capacity to meet the health needs of ACB population. The distinct insights and perspectives will be disseminated with policymakers and researchers at all levels which will facilitate strategic policy making with the goal of addressing the unique challenges for health

Tornadoes, poverty and race in the USA: A five-decade analysis

PurposeThe study aims to analyze the roles of poverty and African American status in terms of vulnerability to tornado damages and barriers to recovery afterward.Design/methodology/approachUsing five decades of county-level data on tornadoes, the authors test whether economic damages from tornadoes are correlated with vulnerability (proxied by poverty and African American status) and wealth (proxied by median income and educational attainment), controlling for tornado risk. A multinomial logistic difference-in-difference (DID) estimator is used to analyze long-run effects of tornadoes in terms of displacement (reduced proportions of the poor and African Americans), abandonment (increased proportions of those groups) and neither or both.FindingsControlling for tornado risk, poverty and African American status are linked to greater tornado damages, as is wealth. Absent tornadoes, displacement and abandonment are both more likely to occur in urban settings and communities with high levels of vulnerability, while abandonment is more likely to occur in wealthy communities, consistent with on-going forces of segregation. Tornado damages significantly increase abandonment in vulnerable communities, thereby increasing the prevalence of poor African Americans in those communities. Therefore, the authors conclude that tornadoes contribute to on-going processes generating inequality by poverty/race.Originality/valueThe current paper is the first study connecting tornado damages to race and poverty. It is also the first study finding that tornadoes contribute to long-term processes of segregation and inequality.