To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Culture and emotion are two of the fundamental mechanisms for human adaptation to the natural and social environment. Culture provides informational resources that help a human population adapt to environmental regularities, whereas emotion provides informational resources that help adaptation to environmental perturbations. In this chapter, we speculate on micro-to-macro cultural dynamics under societal threats, namely, when a population experiences recurrent large-scale perturbations. We first piece together individual-level micro-cultural dynamics under societal threat – encoding, storage, and transmission of cultural information when a large proportion of a population is threatened with potential adverse effects by natural challenges, such as extreme weather events and pandemics, or by social challenges, such as wars and conflicts. We then speculate how these processes may give rise to macro-level cultural dynamics under recurrent societal threats by transforming cultural scripts to cope with societal challenges.
Infectious diseases are caused by pathogenic agents, such as bacteria, viruses, fungi or parasites. These agents may infect a human directly from contaminated air, water, or food. The agents may also be spread from infected animals or infected humans, called vectors, to a healthy human. An epidemic is a major increase or upswing of an infectious disease in an area that results in a large number of cases, followed then by a decline. Many infections and contagious diseases have become epidemic, including scarlet fever, chicken pox, measles, influenza, and cholera, among others.
The COVID-19 pandemic has been described as a prolonged societal trauma providing new understanding of long-term post-traumatic stress reactions, both generally and in specific at-risk populations.
Aims
The present study examined the longitudinal course of post-traumatic stress disorder (PTSD) symptoms within one of the most high-profile risk groups (i.e. healthcare staff).
Method
The sample comprised 439 healthcare staff who completed the Northern Ireland longitudinal COVID-19 Staff Wellbeing Survey on a minimum of 3 out of 4 distribution time points. The survey was administered repeatedly over 4 years, spanning both peri- and post-pandemic periods (2020–2023), and contained the Impact of Event Scale-Revised, as well as bespoke items on COVID-19, demographics, occupational issues and support factors.
Results
Three distinct classes emerged from a three-class, latent class growth analysis model. A ‘resilient’ group (74%) displayed symptoms that remained below cut-offs for clinically significant moderate–severe post-traumatic stress throughout the pandemic, whereas a ‘recovering’ group (23%) exhibited moderate–severe symptoms during the pandemic, which then decreased to subthreshold levels post-pandemic. A key at-risk group was the ‘chronic’ class (4%), which had moderate–severe post-traumatic stress symptoms peri-pandemic that continued to increase post-pandemic. Significant predictors of the ‘recovering’ and ‘chronic’ classes included perception of poor communication within the healthcare organisation; increased exposure to COVID-19 outside their work; and increased personal health risk factors for COVID-19.
Conclusions
Post-pandemic PTSD monitoring and support for healthcare staff may be warranted alongside the development of internal communication strategies within healthcare systems to protect staff and services going forward.
The Spanish influenza pandemic of 1918 caused well over fifty million deaths. The epicentre undoubtedly was China, where gene mixing of different virus strains occurred amongst aquatic, migrant birds. But where and when did the virus first infect (or spill over to) a human being? We take, as our starting point, a paper demonstrating that an infection causing the same symptoms as the influenza virus was widespread in New York during the winter of 1917–1918. The authors of that paper went on to suggest that the virus had probably reached North America from Europe, in the context of troop movement during World War I. Our own researches have focussed on this point. We show that outbreaks of serious respiratory disease, local in nature but causing unusual patterns of mortality, were indeed reported by scientists and doctors in army hospitals in England and in France, well before the first wave of the pandemic had arrived. We use the records of these hospitals, now held in the National Archives, to trace the progress of this disease amongst the individuals who fell ill. We examine contemporary reactions to this minor epidemic – an epidemic, we suggest, which acted as a herald wave of the pandemic yet to come. The latter part of our paper addresses the second question, as to how troop movement across the North Atlantic, once the United States had entered into war, may well have enabled the virus to spread from Europe to North America.
The COVID-19 pandemic overwhelmed New York City’s healthcare infrastructure, prompting rapid adaptations to expand critical care capacity. Montefiore Medical Center’s Hutchinson Metro Center (the Hutch), a standalone ambulatory surgical center (ASC), was converted into an ICU within 5 days to address the surge in COVID-19 cases. This was done by repurposing 16 operating rooms and 60 post-anesthesia care unit beds into 14 ICU and 60 floor beds. A 5-step framework guided the conversion process, including: (1) feasibility of conversion, (2) critical structural logistics, (3) essential supplies and technology, (4) Clinical criteria, and (5) staffing. Key challenges were oxygen supply limitations, staffing shortages, and logistical hurdles such as medication and equipment procurement. This report highlights the potential of ASCs as adaptable overflow facilities during public health crises and provides a blueprint for future pandemic preparedness.
Despite the neoliberal wave solidarity capitalism has remained important in Europe. Since it was impossible to tame capitalism globally, promoters of solidarity turned to the European Union, and strove to strengthen its ‘flanking’ welfare state. The early 1990s brought a first peak of international awareness regarding environmental protection and interest in social Europe, but that was shattered by a neoliberal reaction from the mid-1990s to the mid-2010s. Since then, social and environmental policies have been on the rise again, only to be challenged by the Russo-Ukrainian War. Three expressions of solidarity will be examined. The first deals with the legal regulation of globalisation through social legislation and trade regulation. The second involves financial redistribution towards the neediest, with transfers to poor regions (cohesion policy), and later with specific measures during the Covid-19 crisis (2020–21). The third addresses the rising importance of environmental regulation in general (air and water pollution, biodiversity, etc.), especially with regard to climate change (Kyoto Protocol, 2015 Paris Agreement), despite the lobbying of the ‘Merchants of Doubts’.
This case study presents a scenario where a small community hospital faces a surge of patients during the early stages of the SARS-COVID pandemic. The hospital, located near a cruise ship port, has limited resources, including a 10-bed emergency department (ED) and a two-bed ICU. Several patients from a cruise ship, who are all part of the same family, present with worsening respiratory symptoms, including cough, fever, and shortness of breath. As more patients arrive, the ED staff must manage the influx while facing limited ventilators and critical care equipment. The scenario challenges participants to perform emergency triage, prioritize treatment for respiratory distress, manage limited resources, and follow pandemic protocols to prevent the spread of infection. Through these events, healthcare providers must transition from conventional operations to crisis standards of care while managing an overwhelmed system, making difficult decisions regarding resource allocation and patient survival.
Negative out-group attitudes are often attributed to perceptions of competition or threat. We propose an alternative source: culture, conceptualized as cultural scripts—interconnected networks of meanings that link particular group identities to negatively connoted phenomena. Evidence comes from three studies on the reactivation of the cultural script of traditional antisemitism in Germany. We begin our analysis by isolating the cultural script through automated analysis of a corpus of antisemitic texts. Next, using survey data collected during the COVID-19 pandemic (n = 17,800), we document an increase in antisemitism among Christian believers. This, we argue, is due to the pandemic activating the cultural script of traditional antisemitism, which links Judaism with the spread of disease. By means of an additional survey (n = 2,000) and a concept association task, we demonstrate the presence of the cultural script in the minds of Christian believers. Two priming experiments explore how elements of the script can be triggered. Our work demonstrates the deep cultural roots of negative out-group attitudes and suggests a novel set of methods for studying them.
While previous chapters have focused on the deaths of Christians under roughly ordinary circumstances, this chapter turns to deaths precipitated by pandemics and natural disaster. The necrosima accordingly features a number of poems that address instances of mass death due to pandemic and pestilence. In both form and context of preservation, these hymns were manifestly part of their communities’ ritual repertoire. At the same time, however, they witness to periods in which ordinary ritual pathways had broken down. In the midst of sickness and bereavement, the hymns suggest, churches stood empty, clergy mourned the loss of their brothers, even burials had ceased in light of death’s relentless onslaught. This chapter examines the madrāshê in question as spaces for reconfiguring communities’ ritual practices. The necrosima’s pandemic hymns and other, roughly contemporaneous liturgical sources thus point to communities’ embrace of lament, petition, and penance as models for engaging the divine.
Post-COVID condition (PCC) describes new or worsening symptoms that develop after initial SARS-CoV-2 infection and are persistent for months without alternative explanations. Common PCC symptoms include post-exertional malaise, fatigue, breathlessness, cough, dizziness, “brain fog,” and gastrointestinal symptoms, and they may occur in upwards of 10% of patients infected with SARS-CoV-2. The physical, cognitive, and mental health sequalae seen in post-intensive care syndrome (PICS) are also common in PCC, particularly in COVID-19 patients that have survived critical illness. The pathophysiology of PCC remains poorly understood. Patients’ symptoms should be managed aggressively; management has significant overlap with the treatment approach to PICS patients. Dedicated PCC clinics or combined PICS/PCC clinics should include specific expertise in the diagnosis and management of symptoms relating to COVID-19, including fatigue, dyspnea, exertional intolerance, GI discomfort, psychological sequelae, and cognitive dysfunction, and actively collaborate with an interdisciplinary team of clinicians and staff with PCC expertise.
In March 2020, nine EU heads of state co-signed a letter demanding a coordinated response to the pandemic and the adoption of common debt. Recent literature has shown the relevance of the European Council in the response to the pandemic, as well as the rising importance of interstate coalitions in EU policymaking. Yet, empirical understanding of these coalitions is limited, and the literature largely assumes their constitution along ‘structuralist’ logics (e.g., ‘debtors’ vs. ‘creditors’). The emergence of a ‘solidarity coalition’ proposing the ‘coronabond’ is puzzling for its contrast with the euro crisis. The aim of this paper is to explain how these countries coalesced and to understand how that relates and informs a shift in the imperatives of ‘responsible government’ in the EU. Tracing the negotiation of the letter, through interviews and discourse analysis, the paper makes a critical contribution to our understanding of the evolution in EU economic governance.
The introduction and use of digital contact tracing apps as part of pandemic management have notably raised many legal and ethical challenges, ranging from determinations of public interest in using gathered data to privacy protections for app users and broader considerations of national socio-economic priorities. As the use of these digital contact tracing apps is supported by laws, legal preparedness is essential in determining appropriate legal authority that considers necessary trade-offs such as temporary privacy infringements, proportional data gathering and collective public health benefits. This paper examines the extent of legal preparedness in addressing competing interests between public health and individuals in the use of digital contact tracing apps. It does so through two main lenses: (1) an analysis of Singapore’s legal framework pertaining to data protection, privacy and contact tracing apps and (2) an analysis of the domestic social and political influences that explain why Singapore’s approach to digital contact tracing was viable, and assess its potential or limits for broader applicability.
What is the association between partisanship, individual views and behaviours towards the pandemic? This research note explores this question empirically using two datasets collected before and during the Covid‐19 pandemic: a daily survey covering nearly 100,000 individuals and county level mobility matched to UK 2019 general election results. At the individual level, our findings show that partisanship is strongly correlated with differences in both views and behaviours. Conservative voters were less likely to perceive Covid‐19 as dangerous and less likely to stay home during the national lockdown. At the county level, the effect of the national lockdown on mobility was negative and statistically significant only in less Conservative counties. Thus, partisanship is associated with different individual views and behaviours towards the pandemic even when there is broad consensus among the main political parties and the government about the nature of a public health problem and the appropriate policy response.
As countries around the world went into lockdown, we turned to 32 leading scholars working on different aspects of democracy and asked them what they think about how the COVID-19 pandemic has impacted democracy. In this article, we synthesize the reflections of these scholars and present five key insights about the prospects and challenges of enacting democracy both during and after the pandemic: (1) COVID-19 has had corrosive effects on already endangered democratic institutions, (2) COVID-19 has revealed alternative possibilities for democratic politics in the state of emergency, (3) COVID-19 has amplified the inequalities and injustices within democracies, (4) COVID-19 has demonstrated the need for institutional infrastructure for prolonged solidarity, and (5) COVID-19 has highlighted the predominance of the nation-state and its limitations. Collectively, these insights open up important normative and practical questions about what democracy should look like in the face of an emergency and what we might expect it to achieve under such circumstances.
That the present moment ties multiple crises together—not least because each is a future of pasts that wound(ed) through each other—must be factored into our intercessions and visions. If every crisis is also a call to order, then what order, old or new, does the pandemic call us to? Its literality provokes us to keep both the pan and the demos in sight, just as they are being extinguished through borders, disease, poverty, insecurity, hatred, and disposability in the global postcolony. We are asked to remember that capital and colony are inseparable, that the nation-state is too suspicious a source of comfort, that the eroding claims of citizenship across the postcolonial and post-democratic fascist failed states are instructive and prophetic, and that the assumptions of place and movement in our frames of the democratic political need revisiting.
This article provides a new perspective on EU exit as an exemplary form of disruptive dissensus or extreme Euroscepticism by examining how it is shaped by people’s attitudes towards the Union’s actions during the COVID-19 pandemic. We test how the dissatisfaction about how the EU handled the pandemic limited the trust in how it would manage it in the future, and influences a preference to exit the EU. We use a multi-level statistical model which combines individual-level data from a Eurobarometer survey and country-level characteristics from all 27 EU member states. The results indicate that disruptive dissensus is linked to both the retrospective and prospective attitudes towards the EU policy initiatives, even when controlling for the severity of the pandemic as well as the populists in government at the country level. We also find that the link between specific and diffuse support at the EU level holds during crises.
That effective leadership is crucial during global emergencies is uncontested. However what that leadership looks like, and how it plays out in different contexts is less straightforward. In representative democracy, diversity is considered to be a key element for true representation of the society. In addition, previous research has unequivocally demonstrated the positive impacts of gender equality in leadership. The COVID-19 pandemic has laid bare some of the real world implications of gender inequalities in the leadership context. In this article, we examine the differential impacts of COVID-19 on women, and reflect on potential pathways for women's active participation.
The COVID-19 pandemic has had devastating effects across the world, yet different countries have had varying degrees of success in their attempts to manage it. One of the reasons behind the different outcomes observed so far lies in the strengths and weaknesses of different governance arrangements leveraged to tackle the crisis. In this article we examine what we can learn about the operational capacity of different democracies through their early responses to the crisis. We provide a framework of four positive qualities of multilevel governance that might lead to greater chances of positive practical outcomes and present an illustrative case study of the experiences of Switzerland and the United Kingdom (UK). We conclude with some areas for further research and investigation.
The response to the COVID-19 pandemic has revealed how public health decisions in mass liberal democracies always reflect a political trade-off between protecting privileged groups and leaving more marginalized groups precariously exposed. Examining the “political epidemiology” of COVID-19, I focus on the ways that the lives and well-being of children are sacrificed to secure adult interests. I argue that in our efforts to protect older adults we have endangered children and abandoned the future of today's youth. This, I conclude, is indicative of a liberal preoccupation with adults and adult forms of agency, a defect that can only be adequately challenged by working toward more robust forms of democratic inclusion that include children and youth.
The COVID-19 pandemic raises questions about the future of democracy and civil society. Some recent predictions seem to use the suffering to score points in ongoing political arguments. As a better example of how to describe the future during a crisis, I cite the prophetic voice of Martin Luther King, Jr. King does not merely predict: he calls for action, joins the action, and makes himself responsible for its success or failure. With these cautions about prediction in mind, I venture two that may guide immediate responses. First, communities may erect or strengthen unjustifiable barriers to outsiders, because boundaries enhance collective action. Second, although the pandemic may not directly change civic behavior, an economic recession will bankrupt some organizations through which people engage.