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The global community needs to be aware of the potential psychosocial consequences that may be experienced by health care workers who are actively managing patients with coronavirus disease (COVID-19). These health care workers are at increased risk for experiencing mood and trauma-related disorders, including posttraumatic stress disorder (PTSD). In this concept article, strategies are recommended for individual health care workers and hospital leadership to aid in mitigating the risk of PTSD, as well as to build resilience in light of a potential second surge of COVID-19.
To readers familiar with the history of American conservationism, the fate of the Russian and Soviet movement offers both striking parallels as well as some notable divergences. Who could fail to appreciate, for example, the similar upwellings of national indignation among Soviets and Americans during the 1960s when such national treasures as Lake Baikal and the Grand Canyon became the objects of development schemes? Indeed, the decades-long struggle between Soviet preservationists and logging, agricultural, and other economic interests echoes our own continuing war between the children of John Muir and those of Gifford Pinchot. Recent Soviet interest in outdoor recreation and national parks has also been a feature of modern American life, especially among our urban-educated population.
Yet, the differences in our two national experiences stand out just as dramatically. Where the American conservation movement's attention early became firmly focused on the protection of recreational amenities, preeminently national parks and game resources, the efforts of its Soviet counterpart were long directed at advancing a program for the ecological study of nature in order to guide economic development scientifically. Correspondingly, the Soviet conservation movement for most of its existence has been dominated to a far greater extent than the American by professional scientists, and its fate has been more closely linked to that of ecology as a science. The reasons for these significant differences lie in the realms of politics, culture, and social structure, and will be explored in this essay.