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Open AccessJournal ArticleDOI

"Celebrating old age": an obsolete expression during the COVID-19 pandemic? Medical, social, psychological, and religious consequences of home isolation and loneliness among the elderly

TLDR
Higher levels of mortality/morbidity due to “CO VID-19 versus non-COVID-19” polarisation oblige the healthcare community to find ways to provide proper care for its elders, and various religious practices provide resources for coping with isolation/overcoming loneliness.
Abstract
Since epidemiological arguments favouring self-isolation during the COVID-19 pandemic are widely recommended, the consequences of social isolation/loneliness of older people considered to be at higher risk for severe illness are neglected. We identified and described medical, social, psychological, and religious issues, indirectly generated by the COVID-19 lockdown. Mortality induced by SARS-CoV-2 and death from other "neglected" issues were put in balance. Arguments for strict lockdown from most European countries are compared with a relaxed approach, as has been applied in Sweden. Social isolation affects disproportionally the elderly, transforming it into a public health concern. One witnesses openly ageist discourse, while painful decisions to prioritising ventilation for younger patients deepens the sense of hopelessness. Fear has led to anxiety disorders and depression. Various religious practices provide resources for coping with isolation/overcoming loneliness. Higher levels of mortality/morbidity due to "COVID-19 versus non-COVID-19" polarisation oblige the healthcare community to find ways to provide proper care for its elders.

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Citations
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A Polish and German Population Study of Quality of Life, Well-Being, and Life Satisfaction in Older Adults During the COVID-19 Pandemic.

TL;DR: Quality of life, life satisfaction, and well-being during the pandemic is affected by age, trait anxiety, and Coronavirus threat.
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Psychological impacts and online interventions of social isolation amongst older adults during COVID-19 pandemic: A scoping review.

TL;DR: Wang et al. as discussed by the authors summarized the psychological impacts of social isolation among older adults during COVID-19 and reviewed the benefits and limitations of online interventions used to combat social isolation.
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COVID-19 in Poland: potential associations with epidemiology, population and healthcare quality

TL;DR: The positive correlation between DCI and both mortality and case fatality suggests that DCI could be considered as an indirect indicator of healthcare burden, compared to incidence rate alone.
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Big data driven COVID-19 pandemic crisis management: potential approach for global health

TL;DR: The potential of big data technologies for controlling COVID-19 transmission and managing it effectively and several limitations ofbig data usage including unethical use, privacy, and exploitative use of data are explored.
References
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Journal ArticleDOI

Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China.

TL;DR: The findings identify factors associated with a lower level of psychological impact and better mental health status that can be used to formulate psychological interventions to improve the mental health of vulnerable groups during the COVID-19 epidemic.
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Social Relationships and Mortality Risk: A Meta-analytic Review

TL;DR: In a meta-analysis, Julianne Holt-Lunstad and colleagues find that individuals' social relationships have as much influence on mortality risk as other well-established risk factors for mortality, such as smoking.
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Case-Fatality Rate and Characteristics of Patients Dying in Relation to COVID-19 in Italy.

TL;DR: Since then, the number of cases identified in Italy has rapidly increased, mainly in northern Italy, but all regions of the country have reported having patients with COVID-19, and Italy now has the second largest number of CO VID-19 cases and also has a very high case-fatality rate.
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Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV-2)

TL;DR: It is estimated that 86% of all infections were undocumented before the 23 January 2020 travel restrictions, which explains the rapid geographic spread of SARS-CoV-2 and indicates that containment of this virus will be particularly challenging.
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