The world is experiencing pandemic of the COVID-19 now, a RNA virus that spread out from Wuhan, China. Two countries, China first and later Italy, have gone to full lock down due to rapid spread of this virus. Till to date, no epidemiological data on mental health problems due to outbreak of the COVID-19 and mass isolation were not available. To meet this need, the present study was undertaken to assess the mental health status of Chinese people. An online survey was conducted on a sample of 1074 Chinese people, majority of whom from Hubei province. Lack of adequate opportunities to conduct face to face interview, anxiety, depression, mental wellbeing and alcohol consumption behavior were assessed via self-reported measures. Results showed higher rate of anxiety, depression, hazardous and harmful alcohol use, and lower mental wellbeing than usual ratio. Results also revealed that young people aged 21-40 years are in more vulnerable position in terms of their mental health conditions and alcohol use. To address mental health crisis during this epidemic, it is high time to implement multi-faceted approach (i.e. forming multidisciplinary mental health team, providing psychiatric treatments and other mental health services, utilizing online counseling platforms, rehabilitation program, ensuring certain care for vulnerable groups, etc.). 19 cases found in China, where 64117 recovered and discharged from hospital where total death tolls reached 3177 (Worldometers, 2020, March 13). The COVID-19 is spread all across the world very rapidly (total affected cases 134769 and death 4983, Worldometers, 2020, March 13, 2020). The outbreak of COVID-19 spread over a very fast period, due to the Chinese Lunar New Year, which is the biggest temporary migration of the earth (Belluz, 2020). During this occasion under normal circumstances, around 3 billion domestic trips are made where 15 million are made only from the epicenter of COVID-19 Wuhan. In contemplation of curbing the outbreak, the Chinese government imposed the lockdown and restricted transportation. Chinese nationals confined themselves for an indefinite period as the part of the first level measure to major hazards public health emergency.
A substantial proportion of people with learning disability prescribed antipsychotic medications for behavioural purposes rather than for treating psychotic illness can have their drugs reduced or withdrawn.
Bangladesh is now experiencing the COVID-19 outbreak; however, there has been minimal focus on mental health over physical health problems during this pandemic in Bangladesh. The present study was conducted using self-rated scales on a sample of 500 Bangladeshi people to address this gap. Results suggested two-fifths of the participants had depression and anxiety symptoms, and one-third were highly worried and felt stressed. Females, students, unmarried, and 18-30-year-olds were in more vulnerable positions in terms of their mental health. These findings would be helpful to assess and formulate psychological interventions to improve the mental health of vulnerable groups.
Objectives-To examine the relation between social deprivation and the prevalence of epilepsy and associated morbidity using hospital activity data as a proxy. Methods-The study was conducted in the health district of South Glamorgan, United Kingdom (population 434 000). Routinely available hospital data (inpatient and outpatient), an epilepsy clinic database, and mortality data underwent a process of record linkage to identify records relating to the same patient and to identify patients with epilepsy. Each patient was allocated a Townsend index deprivation score on the basis of their ward of residence. Age standardised correlations were calculated between deprivation score and prevalence of epilepsy, inpatient admissions, and outpatient appointments. Standardised mortality ratios (SMR) were also calculated. All analyses were performed on two cohorts: (1) all patients with epilepsy and (2) those patients with epilepsy without any underlying psychiatric illness or learning disability. Results-The prevalence of epilepsy ranged between 2.0 and 13.4 per 1000 with a median of 6.7. There were positive correlations between social deprivation and prevalence in both populations: (1) r=0.75 (p<0.001) and (2) r=0.70 (p<0.001). After standardising for underlying prevalence there were also correlations for mean inpatient admissions: (1) r=0.62 (p<0.001), (2) r=0.59, (p<0.001) and for outpatient appointments: (1) r=0.53, (p=0.001) and (2) r=0.51 (p=0.001). The SMR for those deprived was (1) 1.66 (95% confidence interval (95% CI) 1.27-2.05) and (2) 1.80 (95% CI 0.71-1.67). For the population as a whole (with and without epilepsy) the SMR was 1.25 (95% CI 1.27-2.32). Conclusion-This study shows a strong correlation between the prevalence of epilepsy and social deprivation and weaker correlations between social deprivation and mean hospital activity. (J Neurol Neurosurg Psychiatry 2000;69:13-17)
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