Poverty is closely associated with common mental disorder which in turn is associated with deprivation and despair. Primary mental health care priorities in low-income countries need to shift from psychotic disorders which often need specialist care to common mental disorders. Health policy and development agencies need to acknowledge the intimate association of female gender and poverty with these disorders.

Psychological models may be acquired by patients as CMD becomes more chronic or severe, making them more likely to be detected by PHC physicians. Psychological symptoms are superior to somatic symptoms in detecting CMD. Shorter versions of the GHQ have comparable discriminating abilities to the 12-item version and offer the practical advantage of brevity, which may make them more acceptable to PHC physicians as a clinical screening tool.

Research databases using electronic clinical records are a useful way to track responses to emerging public health threats. Children receiving mental health care and patients with neurotic and somatoform disorders may be particularly psychologically vulnerable to infectious disease epidemics.

Background:Delirium is an organic mental disorder defined as a confusional state, attention deficit, and disorganised thinking, whit a fluctuating course and acute development. It is a common disorder occurring in general hospital patients. Underlying causes are multiple: medical, surgical, and drug related.Aims:Evaluation of one year requests in a Liaison Psychiatric Unit in a general Hospital due to Delirium/Agitation of inpatients.Methods:Retrospective study of requests due to delirium/agitation (inpatients) to Liaison Psychiatric Unit, during the year of 2006. Requests were made to the Unit through a screening questionnaire previously elaborated to hospital services. It contained information about: social demographic, requiring services, medical diagnostic/information, referral psychiatric symptoms. Evaluation of mismatch of initial referral and final diagnosis was made.Results:Delirium diagnoses accounted for 8,87% of the total patients attended in this Unit during 2006. The age average was 66,75 years. 56% were male. Majority of patients were referred by Medicine 3,94% and Surgery 4,93% (N=406) requests. In 75% of the cases of Delirium, the referral symptoms were psychomotor agitation. Psychopharmacologic procedures were made in 77,78% of cases; 55,56% used antipsychotic, 27,78% benzodiazepines. In 72,22% of all cases, there wasn't any previous psychiatric history.Conclusions:The number of requests for delirium was inferior to most of described series. Most of cases were characterized by psychomotor agitation. Psychopharmacologic procedures were necessary for most of cases. When request was made, diagnostic accuracy of medical practitioners was high. Data supports the statement that delirium is more frequent in Surgical patients.

Introduction‘Health‐related stigma’ is typically known as social rejection or exclusion of individuals and populations suffering from specific health problems. Results on previous infectious diseases showed that stigma can be experienced by survivors but also by health‐care workers (HCW). Several factors contribute to stigma associated with infectious diseases, such as people’s knowledge, myths and stories transmitted by the mass and social media and psychosocial variables, such as risk perception and fear of being infected. COVID‐19 is a new disease with many unknown aspects and, naturally, people are afraid of the unknown.ObjectivesTo reflect on infectious diseases and social stigma during covid-19 pandemics.MethodsPubmed and Google Scholar search.Results Stigmatization can considerably increase psychosomatic distress and disturbance and can negatively affect people with infection and those at risk of infection in seeking medical care. HCWs and volunteers working in the field may also become stigmatized, leading to higher rates of distress, stress, and burnout When people avoid groups or geographic areas related to infectious diseases, this can pose significant economic losses. Thus, stigma is more than a mere negative outcome of infectious diseases; it is both a factor that contributes to the epidemics and pandemics and a disease in itself.ConclusionsAnticipating disease‐related stigma during the COVID‐19 pandemic enables policy‐makers to address it, restricting its adverse effects. The hidden burden caused by this stigma can cause severe consequences for patients, HCW, and public health measures, so, coordinated psychological interventions to overcome this crisis seems essential.