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Did Governments Around The World Initially Over-React To The COVID-19 Pandemic?

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Omicron Forces Shanghai To Impose Two-Part Lockdown


The COVID-19 pandemic and concerns about the dangers of the virus have diverted attention from the primary response to the crisis — the decision to lock down entire populations.

Yet there are important questions to ask. Why did the world go into major lockdown for this infection and not for other coronaviruses, including SARS-CoV-1, which most experts considered more life-threatening, although the number of cases worldwide was much lower.

Why has there been so little debate globally about what to do in the event of a major emergency like another pandemic? Why did countries follow each other’s actions on containing COVID-19 without considering local idiosyncrasies and cultural characteristics?

The answers to these questions could explain the divide in most western industrialized countries between those who defend the freedom to protect themselves as they see fit in the face of a highly infectious disease and those who prioritize the general population’s health and the protection of vulnerable people.

In a recently published article entitled “Exploring the Process of Policy Overreaction: The COVID-19 Lockdown Decisions,” we examine policy over-reaction.

We do not pass judgment in our research on the overall management of the COVID-19 pandemic by governments. We focus only on the initial response to the pandemic — in particular, widespread lockdowns. We analyze the responses to the COVID-19 pandemic in several countries that took different approaches to managing the crisis.

We are strategic management professors and conducted this analysis as experts in theories of organizations and how they function, with a focus on strategic and decision-making processes.

Political over-reaction?

Early policy decisions to massively confine entire populations were made because COVID-19 was perceived as very dangerous. At first, these lockdowns elicited little public outcry almost anywhere globally, even though they profoundly affected the daily lives and well-being of the populations affected.

When the first decision in response to a major threat is large and extreme, it becomes increasingly challenging for authorities to reconsider or correct. Yet these decisions, often made in a hurry, can lead to human and economic upheaval. Their effects are usually felt over the long term, and they are not given much attention given the real or perceived urgency of the crisis.

Policy over-reaction has been documented in academic research. For example, George W. Bush’s catastrophic decision to invade Iraq in 2003 has been presented as a typical example of policy over-reaction, this one in response to the 9/11 terrorist attacks.

In contrast, during the Cuban Missile Crisis in 1962, John F. Kennedy resisted his advisers’ call to arms. His actions probably prevented a nuclear confrontation with the Soviet Union.

In general, initial responses to what appears to be an alarming threat — whether military, strategic or health-related — are crucial to the peace and prosperity of nations. These initial decisions create “path dependency,” as explained by American management studies expert Ian Greener, when past events or decisions influence subsequent behaviour and perceptions.

Reaction to COVID-19

The French COVID-19 containment measures were extreme. France’s response attracted worldwide attention, and people around the globe were struck by the image of deserted Paris streets at the onset of the pandemic.

Sweden was one of the first countries to take an opposite approach, resisting the idea of confining its entire population despite a storm of criticism from the international media and a subsequent internal reconsideration within the Swedish government. Despite this, a commission concluded in February 2022 that “Sweden’s no-lockdown COVID strategy was broadly correct.”

Swedish authorities acted quickly to protect the most vulnerable population segments, but refrained from widespread lockdowns, although the country has had major outbreaks in its retirement residences.

 

They provided constant information to the public, seeking both co-operation and social approval. The Swedish response has generally been neither better nor worse from a health perspective — as of February 2022, Johns Hopkins University estimated coronavirus-related mortality as 0.6 per cent in France, 0.7 per cent in Sweden, 0.9 per cent in Germany, 1.1 per cent in Canada and 1.2 per cent in the United States.

But Swedish authorities spared Swedes the excesses of mass confinement.

Decision-making during crises

The 1960 behavioural sciences theory known as “disjointed incrementalism” holds that when cause-and-effect relationships are uncertain or unknown — when there’s no way of knowing how decisions will affect behaviour — broad policies are more appropriate when they first consist of small decisions, made in sequence, step by step, to facilitate learning, adjustment and avoid over-commitment. It also argues decisions should involve input from all interested groups to benefit from collective experience.

Our research suggests emotions, particularly fear, can derail rational decision-making, a phenomenon widely documented in psychological literature. When it affects entire populations, fear can fuel “crowd behaviour.”

In his book Crowds and Power, the British-German writer Elias Canetti, a Nobel Prize winner for literature, argued that people devolve into pack behaviour when frightened, and they become easy to manipulate. Irrational behaviour that would not normally occur individually is common in crowds, according to Canetti.

In the case of COVID-19, fear likely influenced crowd behaviour. Anxiety about the coronavirus among citizens was likely one of the factors that helped prevent any policy adjustment or correction. Instead it led to further tightening of rules.

What’s known as institutional isomorphism may have also contributed to lockdown decisions. That’s when the institutional environment — laws, norms, culture and practices — pushes people and organizations into similar behaviour to justify their actions.

Health-only advice

Faced with uncertainty, pressure from the media and frightened populations, national leaders sometimes follow each other’s lead, cementing an over-reaction and taking more action — sometimes questionable — to justify and enforce their decisions. But in the case of COVID-19, the process of justification and implementation often relied on health-only advice and group think, while disregarding social sciences.

It’s not wise, in our opinion, when making decisions about the well-being of entire populations, to neglect the views of psychologists, sociologists, historians, organizational theorists and other scientists.

We highlight five measures to limit the effects of negative emotions and institutional isomorphism in emergency crisis management:

  1. Adopt an incremental decision-making approach to allow for learning;
  2. Decentralize response decision-making;
  3. Ensure open communication and listen to civil society input;
  4. Build balanced decision-making structures, involving a wide range of scientific experts, but also concerned societal leaders;
  5. Ensure true evidence-based management, taking into account the various aspects of an emergency crisis.

COVID-19 has undoubtedly been a significant threat for countries around the world.

But large-scale crises are difficult to manage precisely because people can react emotionally. To maintain control, it’s essential to guard against extreme policy decisions that are difficult to assess and implement.

Minimizing the negative emotions, especially fear, that are generated by these crises — and providing reassurance — help control behaviour, earn public support and improve the decision-making process.

That said, in no way do we minimize the difficulty of managing such a crisis. In this vein, we recognize that governments have handled the pandemic not only to reduce the number of deaths, but also to avoid the saturation of health systems, weakened by the surge of COVID-19 cases.

Sofiane Baba, Professeur adjoint en management stratégique, Université de Sherbrooke and Taïeb Hafsi, Professeur en management stratégique et théorie des organisations, HEC Montréal

This article is republished from The Conversation under a Creative Commons license. Read the original article.





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Feeling Tired All The Time? Possible Causes And Solutions

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Long days of work, lack of sleep, and stress at the office can be the most common factors that make you feel tired. However, feeling “tired all the time” (TATT) without known reasons can be an indication of an underlying health issue that needs immediate attention.

Finding the exact cause of the lingering tiredness can be the first step toward solving the symptom.

Health conditions that cause fatigue:

1. Anemia – Anemia is one of the most common causes of fatigue. A person who has anemia does not have enough red blood cells in the body, causing symptoms such as tiredness, dizziness, feeling cold and crankiness.

Most often, anemia is caused by iron deficiency. Hence, the condition can be best resolved by including iron-rich foods in the diet and use of iron supplements.

2. Sleep Apnea – It causes the body to stop breathing momentarily during sleep. The condition can affect the quality of sleep and hence make you feel fatigued.

For milder cases of sleep apnea, lifestyle changes such as losing weight or quitting smoking can help solve the sleep disorder. In more severe cases where there is an obstruction in breathing, surgeries and therapies can help.

3. Diabetes – A person who has diabetes has changes in blood sugar level, which can cause fatigue. A patient who is already on diabetic medication can also experience tiredness as a side effect of the medication.

Early identification and taking the correct treatment is the key to managing diabetes. Losing extra weight and having a healthy diet also help in the treatment.

4. Thyroid – Thyroid diseases can be due to an overactive or an underactive thyroid gland. In people who have an underactive thyroid (hypothyroidism), the metabolism slows down leading to symptoms such as lethargy and fatigue. In people with an overactive thyroid (hyperthyroidism), the metabolism speeds up leading to fatigue and difficulty sleeping.

Right diet and lifestyle choices, along with medications, can help in thyroid management.

5. Infections – A person can show symptoms of fatigue when the body is fighting a viral or bacterial infection. Infections ranging from the flu to HIV can cause tiredness.

Along with fatigue, other symptoms such as fever, headache, body aches, shortness of breath and appetite loss can also accompany the infection. Treating the symptoms and taking adequate rest helps in faster recovery.

6. Food allergies – Fatigue may be an early warning sign of hidden food allergies and autoimmune disorders such as celiac disease. Identifying the allergen using a food allergy test or through an elimination diet can help in allergy treatment.

7. Heart disease – If you feel exhausted from an activity that used to be easy, then it is good to check your heart health, as fatigue can be an indication of underlying heart disease.

8. Depression/ anxiety – Fatigue can also be an indicator of a mental health disorder such as depression or anxiety. A combination of medication and psychotherapy can help relieve symptoms.

Lifestyle causes

Apart from serious health conditions, certain lifestyle habits such as dehydration, poor diet, stress and insufficient sleep can cause exhaustion. Having a well-balanced diet, regular exercise and routine sleep can help solve fatigue caused by lifestyle habits.

Published by Medicaldaily.com



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How To Overcome Your Sleep Debt And Reclaim Energy

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Picture this: you’re burning the midnight oil, studying or binge-watching your favorite shows, all at the expense of a good night’s sleep. Have you ever stopped to think about the toll it takes on your body and mind? The consequences can be more serious than you might realize.

Not getting enough sleep can translate into a multitude of issues, including weight gain, lack of focus, tiredness, a haze of confusion, and even depression. If you too are encountering similar issues lately then chances are you have a sleep debt.

Wondering what is sleep debt?

People from 13-18 years of age need 8 hours of sleep, whilst adults beyond that age will require at least 7 hours of snooze.

Sleep debt is a collection of the total hours you haven’t slept or traded your sleep for something else. Sleep debt keeps piling up as a person falls short of the total hours of sleep recommended for an adult, according to the Centers for Disease Control and Prevention.

And when you keep letting go of your sleep for other activities, the body adapts to the new normal and effects start to reflect on the energy levels, which deplete.

“However, like every other debt out there, this too has a repayment option,” Dr. Kunal Kumar, medical director of the Sleep Center at Einstein Medical Center in Philadelphia, told Livestrong.

Below are some expert-vetted ways you can pay back the sleep debt. (Courtesy: Livestrong and Sleepfoundation)

Just like financial debt, imagine sleep debt as a debt you owe to your body. It needs to be repaid. The good news is that catching up on sleep is indeed possible.

  • Maintain a set sleep schedule: Overhauling the sleep schedule is a pretty difficult task to achieve, and it’s best to do that gradually. Create a set sleep schedule by making some small changes to your routine. Instead of making abrupt shifts in your bedtime or wake-up time, adjust them gradually by 15 to 30-minute increments.
  • Minimize your gadget usage: Wind down activities and minimize electronic usage before bed to promote better sleep. Relax and prepare for quality sleep by dimming the lights and setting an alarm for 30 minutes to an hour before bed.
  • Reshuffle your sleeping arrangements: Are you finding it hard to get a good night’s sleep due to excessive sweating? Well, here’s a handy solution: consider upgrading to a cooling mattress or opting for cooling sheets. These innovative sleep essentials can help regulate your body temperature, and keep you comfortably cool throughout the night, ensuring a more blissful slumber. Memory foam pillows can work wonders in relieving neck and back discomfort in case you are struggling with backache.
  • Improve the bedroom environment: Create a sleep-friendly bedroom environment by adjusting the temperature for comfort, and blocking out disruptive lights, or noises that might disturb your restful slumber. And if your mattress, pillow, or sheets are worn out or no longer providing the support you need, consider treating yourself to new ones.

Published by Medicaldaily.com



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Omega-3 Fatty Acids Slow The Progression Of Amyotrophic Lateral Sclerosis: Study

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Omega-3 fatty acids are known for a range of health benefits, from promoting brain and heart health to reducing inflammation and protection against several chronic conditions.

In a new study, researchers found that omega-3 acids, especially the type found in foods like flaxseeds, walnuts, chia seeds, canola oil and soybean oil, can slow down the progression of amyotrophic lateral sclerosis (ALS).

It is a debilitating nervous system disease that gradually worsens over time and can be fatal. The condition results in a loss of muscle control and affects the nerve cells in the brain and spinal cord. It is also known as Lou Gehrig’s disease after the baseball player who was diagnosed with it.

The initial symptoms of the disease include muscle weakness, difficulty in walking and hand movements. The symptoms can slowly progress to difficulties with chewing, swallowing, speaking and breathing.

The exact cause of ALS is not known. However, around 10% of people get it from a risk gene passed down from a family member. It is estimated that more than 32,000 people in the U.S. live with the condition.

In the latest study, researchers from Harvard T.H. Chan School of Public Health in Massachusetts evaluated 449 people living with ALS in a clinical trial. The team assessed the severity of their symptoms, the progression of their disease, along with the levels of omega-3 fatty acids in their blood, for 18 months.

The study suggested that alpha-linolenic acid (ALA), a type of omega-3 found in plants, is particularly beneficial in slowing the progression of ALS. The participants with the highest levels of ALA had a 50% reduced risk of death during the study period compared to those with the lowest levels of ALA.

Researchers also found a reduction in death risk in participants who had eicosapentaenoic acid, the type of omega-3 fatty acid found in fatty fish and fish oil, and linoleic acid found in vegetable oils, nuts and seeds.

A previous study conducted by the same team suggested that a diet high in ALA and higher blood levels of the nutrient could reduce the risk of developing the condition.

“In this study, we found that among people living with ALS, higher blood levels of ALA were also associated with a slower disease progression and a lower risk of death within the study period. These findings, along with our previous research suggest that this fatty acid may have neuroprotective effects that could benefit people with ALS,” said Kjetil Bjornevik, the lead author of the study.

Published by Medicaldaily.com



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