Coronavirus disease 2019 (COVID-19) and homelessness: Global perspectives on the 'dual pandemic

Homelessness has been identified as a 'social evil' worldwide, a growing social pandemic in itself. Unfortunately, it needs a large-scale infectious outbreak like COVID-19 to alarm us about the possible health risks to the homeless. As COVID-19 strikes the world hard, and societies appear concerned about economies and international relations, millions of homeless globally suffer from their unique vulnerabilities, either on open streets or temporary shelters. When pandemics cross paths with homelessness, a critical zone of unmet needs is created, that needs urgent attention from stakeholders at all levels. Accountability, empathy, understanding, awareness, and research can help influence policy reforms. COVID-19 will surely modify pandemic legislation all across the world. It remains to be seen whether the challenges of the homeless and their special subgroups (such as the mentally ill) get addressed or not. The societal blind eye turned towards them, enhanced by socioeconomic class difference and capitalism, can be counterproductive, to eventually boomerang the larger community as the viral spread will not respect these arbitrary human-made classes. Keeping that in context, this chapter summarizes the global problems of homelessness and the ongoing pandemic, their special needs, the policy implications so far, and the possible way forward. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Impacts of COVID-19-induced lockdown and key reforms in the Indian fisheries sector-a stakeholders' perspective.

The COVID-19 pandemic-induced lockdown has indisputably affected the aquaculture industry across the globe. India imposed a nationwide lockdown to contain the outbreak of COVID-19 that disrupted normalcy and economic activities. The fisheries sector was also highly affected. Hence, a study was conducted from July to December 2020 to understand the stakeholders' perception of the impact of COVID-19 lockdown, wherein 517 stakeholders participated (online) in the first stage. The policy reforms suggested by the stakeholders were referred to the fisheries experts in the second stage for prioritization towards implementation. Data analysis depicted that a majority (81%) of the stakeholders were aware of COVID-19 lockdown impacts on their businesses. Due to this unprecedented lockdown, labour availability was hampered, transport facilities were fully halted and access to inputs like seed, feed, and advisory were largely affected. Importantly, all stakeholders unanimously adduced to the uncertainty over the future of the fisheries sector. Moreover, fishery experts feel that enabling policies for the promotion of awareness, appropriate training, and transparency in the implementation of schemes, credit facilities, and price regulation can have a massive positive impact. Furthermore, the study also recommends utilizing the potential of e-resources (ICTs and IoT) to digitize the business networking of fishery sector stakeholders.

COVID-19 pandemic and telemental health policy reforms.

Many patients with mental disorders lack access to care mainly due to provider shortages. Coronavirus disease 2019 (COVID-19) pandemic significantly raised the prevalence of anxiety, depression, substance use disorder and suicidal thoughts among people. Mandated social distancing, and higher incidence of mental disorders increased the demand for Telemental Health (TMH). TMH expands access to care and can be an effective alternative to the costly conventional mental health care. However, there are barriers to the adoption of TMH such as reimbursement challenges, and licensure restrictions. During the COVID-19 pandemic, some policies and regulations changed to address the increase in TMH demand. The federal government increased funding for the new telehealth initiatives and more states legalized the interstate practice for psychologists. Medicare waived telehealth co-payments, reimbursed audio-only visits, and required payment parities between virtual and in-person visits. Nevertheless, Medicare maintained in-person visit prerequisite within the six months prior to the first time only for mental health treatments which can act as a hindrance. Additionally, four more states required telehealth coverage, 33 states required Medicaid plans, and 21 states required private insurers to cover TMH services. Ten states mandated payment parity for private insurers, and four states eliminated cost-sharing for telehealth services. Currently, 21 states are implementing payment parity on a permanent basis. During the pandemic, 78% of Mental health providers integrated TMH services into their practice. Despite the decline in use of telehealth for other health conditions after the pandemic peak, TMH use has remained strong representing 36% of outpatient visits. TMH is beneficial to patients in terms of cost and time saving; thus, the beneficiary regulatory changes should be sustained. Further well-designed studies are needed on the cost-effectiveness of telehealth interventions, and policymakers need to collect more data to decide whether and how to keep these changes permanently for TMH.

Immediate effects of COVID-19 on the global dairy sector.

CONTEXT: The emergence and rapid spread of the coronavirus disease (COVID-19) has posed an unprecedented threat to both societies and economies. The dairy sector is an example of the challenges that food supply chains have faced due to the pandemic. OBJECTIVE: This study aims to provide primary evidence of the immediate effects of COVID-19 on the global dairy sector, particularly focusing on the outcome of the implemented response mechanisms, and the potential medium and long-term implications of the pandemic on the sector. METHODS: We employed a longitudinal qualitative analysis framework that combines the use of questionnaires, media-search, focus-group discussions, semi-structured interviews, and secondary evidence reviews. Information was gathered at two points in time: three months after the beginning of the outbreak and one year later. We applied this framework in five different geographical regions: Africa, Asia, Europe, Latin America, and North America. RESULTS AND CONCLUSIONS: Our study indicates that the pandemic has been perceived as a series of episodes affecting the sector from both demand and supply sides. These waves have impacted the sector differently depending on regions and countries' trade profiles, relative resource scarcity, per capita income, and market structure. Although in one year the sector has mostly recovered from the shock, the analysis concludes that the pandemic has accelerated on-going structural changes taking place in the dairy sector. SIGNIFICANCE: The study expands existing knowledge about the effects of the pandemic on the dairy sector and adds to the newly evolving literature about the medium and long-term effects of the COVID-19 on food systems across the globe. Despite the preliminary nature of the results, they provide important insights to inform sectorial policy discussions.