COVID-19 resources on Infection control

Results 401 - 410 of 662

Order by    Date Title

Lockdown fathers: the untold story: full report

Fatherhood Institute

This report presents the findings of a nationally representative sample of 2,045 fathers of under-12 children, surveyed in June 2020 following the first UK lockdown. Subgroups of the full survey sample have been analysed separately: Partnered Fathers in Father-Mother households with at least one under-12 child living with them full-time; involved Own Household Fathers (iOHFs) not living full-time with their child but seeing them regularly before lockdown (commonly called ‘nonresident’), Fathers of Colour (mainly Asian, Black and Mixed Heritage); Fathers in Two-Father households with at least one under-12 child living with them full-time. 78% partnered fathers reported spending more time with their children overall; 68% more time on home schooling and helping with homework; and 59% more time on cleaning, laundry and cooking. Fathers of Colour were more likely (29%) than White Fathers (19%) to report a positive impact of lockdown on their mental wellbeing, to report increased closeness with their children (79% v. 61%) and to report improvement in their couple relationship from before to after lockdown. Fathers in Two-Father households were less likely (69%) than fathers in Father-Mother households (78%) to report more time with children during lockdown or an improved father-child relationship afterwards (58% v. 65%). They more often reported a poor couple relationship (8% v. 3%). Many more (43% v. 18%) were ‘main’ rather than ‘secondary’ caregivers. This may have affected their perspective. The report calls on employers to acknowledge fathers’ aspirations to work more flexibly and/or work from home; on trade unions to support fathers (including in low-paid work and the ‘gig economy’) to negotiate family-friendly work patterns; and on the Government to legislate for employers to detail flexibility options in job advertisements.

Last updated on hub: 18 May 2021

Lockdown loneliness and anxiety across the generations

The Nuffield Trust

An examination of the impact of lockdown on emotional wellbeing and mental health, by age group, finding that young people tended to fare worse.

Last updated on hub: 19 October 2020

Lockdown. Rundown. Breakdown. The COVID-19 lockdown and the impact of poor-quality housing on occupants in the North of England

Northern Housing Consortium

This report has been produced to document the experiences of households living in poor-quality, ‘non-decent’ accommodation in the UK – with a specific focus on households in the North of England – during the height of the UK lockdown. It draws on rapidly produced primary research undertaken between May and July 2020. It involved semi-structured interviews with 40 residents from privately rented housing, ten residents from owner-occupied housing and eight key actors/professionals. The study also used a short survey to capture the views and experiences of people who preferred not to be interviewed. The findings reveal that: households were living with longstanding repair and quality issues – lockdown had ultimately worsened such conditions and impaired people’s ability to live with those conditions; many longstanding repair and quality issues were described as worsening throughout lockdown because social distancing measures prohibited contractors from entering the home; renters were having to draw on their own incomes, savings and credit to cope with the costs associated with their poor conditions, which further entrenched people in the private rented sector; the vast majority of renters had not considered the possibility of asking landlords for rent reductions when questioned during interviews; private renters were under-reporting the repairs that were needed to their homes; overcrowding was an issue most households were experiencing, with entire households living, working and spending time in the same housing space; conversely, people who lived by themselves discussed feeling isolated and lonely in the weeks when contact with family and friends was restricted to online video call facilities. There is an opportunity to learn from the first few months of the COVID-19 lockdown and take urgent action for the short, medium and long term to ensure that the housing crisis, which has been so frequently identified, does not lead to systemic or personal breakdown.

Last updated on hub: 10 November 2020

Lockdown’s side effect: mental health deterioration of people affected by dementia, with third ‘giving up’

Alzheimer's Society

Sets out findings from a survey of around 2,000 people affected by dementia revealing the devastating impact coronavirus has had on their mental health, with a third living with dementia reporting apathy or a sense of ‘giving up’. Nearly half of respondents said that lockdown has had a ‘negative impact’ on their mental health. Around half of unpaid carers also reported that loved ones with the condition have experienced stress, anxiety or depression.

Last updated on hub: 21 July 2020

Lonely and left behind: tackling loneliness at a time of crisis

British Red Cross

Findings from an in-depth qualitative research, exploring the experience of loneliness among people who had been isolating or shielding as a result of the pandemic. The research took a longitudinal, case study approach, engaging 16 participants from a range of backgrounds through a series of in-depth telephone interviews and written diary tasks between July and September 2020. Each of the participants had been, at the time of the research, isolating or shielding, with some starting to reintegrate throughout the period. The study reveals that: many participants were feeling lonely or isolated before the pandemic, often due to experiencing a degree of turbulence in their lives, and this has been compounded by the impacts of the pandemic and being less able to utilise previous coping strategies during lockdown; all participants reported experiencing loneliness more often as a result of the pandemic and lockdown; for participants who continue to shield as lockdown restrictions eased, feelings of loneliness either stayed the same or worsened as they watched others resume their social lives, and they reported feeling ‘left behind’; participants pointed to the heightened importance of technology and entertainment to try to cope with loneliness, rather than the physical social interactions that they would have been able to turn to prior to the pandemic; of the policy and practice solutions tested with participants, the most popular solution was investing in remote mental health and emotional support. It was felt any type of support would need to be delivered remotely, due to fear of COVID-19 and reluctance to access options that would require physical travel or mixing with others in person.

Last updated on hub: 17 December 2020

Long-stay mental health care institutions and the COVID-19 crisis: identifying and addressing the challenges for better response and preparedness

World Health Organization

This report presents the results of a survey with 169 long-stay institutions to assess the impact of the COVID-19 pandemic on services, staff, service users and residents with psychosocial and intellectual disabilities. Specific themes explored in this report are how well the institutions were prepared for the crisis by authorities, the quality of communications, the availability of personal protective equipment, and the impact of the risk of infection and protective measures on staff and residents. The report finds that there were significant differences between the types of institution reporting, which included psychiatric hospitals; care homes; and other settings for mental health care. Responses from psychiatric, intellectual disability and autism services were broadly consistent with those from social care homes, except for the following significant areas of difference: social care homes were happier with information from the authorities and the information they provided for residents in accessible formats; care home staff reported challenges with more workload, stress, frustration and burnout; care homes were less likely to use discharge to reduce numbers and manage the virus; and more likely to report an increase in the use of restrictive measures. The analysis highlights the need to put in place comprehensive and practical plans to facilitate management and day-to-day operations under crisis conditions. The keys to this are: having clear guidelines and tested systems in place; ensuring clarity of communication; implementing a comprehensive and facility-based infection prevention and control plan; establishing clear procedures and protocols to ensure safe environments; being able to increase staff capacities according to need; and having a clear focus on ensuring person-centred and human rights-based care in all decision-making.

Last updated on hub: 05 October 2020

Long-term care facilities (LTCFs) during the COVID-19 pandemic - lessons from the Asian approach: a narrative review

Journal of the American Medical Directors Association

Objectives: The COVID-19 pandemic put into question the organizational skills of LTCF. The containment measures implemented in several Asian countries avoided heavy death tolls in LTCF in contrast to other countries across the globe. The aim of this review is therefore to investigate and illustrate the measures that were undertaken in Asia to contain and prevent the spread of the COVID-19 pandemic in LTCF. Design: Narrative review. Setting and Participants: Asian older subjects institutionalized in LTCF. Methods: Broad literature research from July 2020–April 2021. The following search terms were used: “COVID-19 Nursing homes” AND the country of interest or “contact tracing.” Eligible categories for inclusion comprise editorials, reviews, government guidelines, letters to the editor, and perspectives. The COVID-19 measures were then subdivided into different sections and compiled into an evidence table. Results: Prompt measures were put into action since the beginning of the pandemic that avoided the spread of COVID-19 in LTCF. Examples range from simple acts of proper hand hygiene and environmental disinfection, swab testing, social distancing, preventive measures on health care workers, organizational measures such as quarantine, outbreak control, visitor restrictions, relationship with acute hospitals, and admission policy. Technology also played a fundamental role in promoting social distancing by using specific robots and in managing contact tracing. Conclusions and Implications: The Asian preventive control guidelines are similar to those recommended elsewhere. Difference in timing and past experience with prior outbreaks such as SARS and MERS might have favoured the Asian response. Furthermore, sociocultural values toward older persons by protecting and making sure that LTCF are part of the health care system could have also played a role.

Last updated on hub: 30 March 2022

Long-term care facilities and the coronavirus epidemic: practical guidelines for a population at highest risk

Journal of the American Medical Directors Association

Editorial. Considers why long-term care preparedness for COVID-19 is important. Comments on the practical considerations for reducing the risk of transmission in the workplace; ensuring protection of healthcare workers; maintaining health care infrastructure; the assisted living experience; the blame game and what next? Suggests that appropriate preparedness includes five key elements: 1) reduce morbidity and mortality among those infected; 2) minimize transmission; 3) ensure protection of health care workers; 4) maintain health care system functioning; and 5) maintain communication with worried residents and family members

Last updated on hub: 13 November 2020

LTCcovid International living report on Covid-19 and long-term care

London School of Economics and Political Science

This live report has been compiled collaboratively by researchers on Long-Term Care all over the world. It aims to: provide an overview of long-term care systems around the world; assess how the people who use and provide long-term care have been affected by the COVID-19 pandemic; describe the measures adopted to mitigate the impacts of the pandemic in the long-term care sector; compile actions and reforms that countries are adopting to strengthen their care systems and be better prepared for future pandemics and shocks. This report does not seek to provide detailed or comprehensive information for each country, but instead aims to summarise key reports and articles and point the reader towards those. It builds on the country reports previously published in this website, as well as other more recent sources. It is being developed collaboratively, by answering a list of questions for as many countries as possible and updating as new information and research become available.

Last updated on hub: 16 February 2022

Making evidence and policy in public health emergencies: lessons from COVID-19 for adaptive evidence-making and intervention

Evidence and Policy

Background: In public health emergencies, evidence, intervention, decisions and translation proceed simultaneously, in greatly compressed timeframes, with knowledge and advice constantly in flux. Idealised approaches to evidence-based policy and practice are ill equipped to deal with the uncertainties arising in evolving situations of need. Key points for discussion: There is much to learn from rapid assessment and outbreak science approaches. These emphasise methodological pluralism, adaptive knowledge generation, intervention pragmatism, and an understanding of health and intervention as situated in their practices of implementation. The unprecedented challenges of novel viral outbreaks like COVID-19 do not simply require us to speed up existing evidence-based approaches, but necessitate new ways of thinking about how a more emergent and adaptive evidence-making might be done. The COVID-19 pandemic requires us to appraise critically what constitutes ‘evidence-enough’ for iterative rapid decisions in-the-now. There are important lessons for how evidence and intervention co-emerge in social practices, and for how evidence-making and intervening proceeds through dialogue incorporating multiple forms of evidence and expertise. Conclusions and implications: Rather than treating adaptive evidence-making and decision making as a break from the routine, we argue that this should be a defining feature of an ‘evidence-making intervention’ approach to health.

Last updated on hub: 09 September 2020

Order by    Date Title