Anxiety and fear felt by people around the world regarding the coronavirus pandemic is real and can be overwhelming, resulting in strong emotional reactions in adults and children. With depressive and anxiety disorders already highly prevalent in the general population (300 million worldwide), depression and/or anxiety specifically because of the pandemic response is likely. Moreover, the current state of panic in the face of uncertainty is apt to produce significant amounts of stress. While this situation has the potential to cause psychological disorders in previously unaffected populations, perhaps more impactful is the exacerbation of symptoms of many existing disorders including anxiety, depression, post-traumatic stress disorder (PTSD), obsessive-compulsive disorder (OCD) and hoarding disorder.

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Introduction: Climate change affects people, not only through environmental exposures and health outcomes, but how they live their lives. Consequences will affect various sectors, ranging from tourism to water to energy development—areas where people live, work, and enjoy. Because of these forced changes, people must adapt. Methods: A scoping review was created to understand climate change vulnerability alongside adaption and resiliency measures that are being implemented in each continent of the world; this review is a subset of information from Zolnikov, T. R. (2019). Global Adaptation and Resilience to Climate Change. In: T. R. Zolnikov (Ed.). Cham, Switzerland; Springer International Publishing. Results: It was determined that adaptive capacity differs worldwide. This is likely because the capacity to adapt and change is linked to both social and economic development; some regions in the world may not be sufficiently equipped and thus, may not be able to mitigate or adapt to changes. Such was the case in Australia, Europe, and North and South America, where economic resources were more available, and the general culture of climate change appeared to be more developed through various policies. Whereas, for example, Asia and Africa were less economically developed and focused less on individual changes, but joined larger climate change agreements, such as the Kyoto Protocol. Conclusions: The objective of this review was to understand the differences that may help or hinder progress under the new world set forth by climate change. The information provided evidence that a “one size fits all” approach does not work to promote climate change resiliency. In fact, each continent in the world suffers from some barriers to change, while also offering elements of success that can be shared. It is these types of lessons learned that can help pull the world together to learn from each other and promote the effectiveness of measures as well as the capacity for populations to adapt. Keywords: Climate Change, Environmental Health, Global Health

Patient care often refers to the broad spectrum of care, prevention, and treatment that a provider delivers, while the point of a differential diagnosis is to make a distinction between 2 or more conditions that share similar signs or symptoms. A broad differential should be considered for every single patient who is currently ill (eg, all patients with respiratory illnesses); without it, there will likely be an increase of misdiagnosis, unnecessary patient suffering, and an influx of patients to the emergency department. The COVID-19 response has forced many of these basic medical values aside, like providing differential diagnosis or practicing bedside manner through social interaction, while physicians struggle to continue care for patients. As a result, newly formed hospital and clinical policies may have dangerously traded everyday diagnosis and treatment of patients for the pandemic and quarantine recommendations. This type of assumptive medicine is based on a singular differential that can be detrimental to patients, who are more likely affected with more common illnesses, like bronchitis or pneumonia—or perhaps, even more threatening illnesses, like a pulmonary embolism, COPD exacerbation, congestive heart failure and even lung cancer. Although these new policies and reactions to COVID-19 are proactive, these actions could be at the cost of providing quality patient care for people who have not contracted COVID-19.