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Myth-breaking and COVID-19 (Coronavirus) – Manhattanville Expert Answers Your Questions
Information, news stories, articles and advice are coming at Americans from all sides these days when it comes to COVID-19, its spread, prevention, those vulnerable, and whether America should continue to shut down or carry on carefully. There’s a lot to know and it is vitally important that accurate, credible and reliable information is what’s being shared. That’s where the experts from Manhattanville College can help. Orhan Hakli, RN, MS-FNP-C, is an administrator in the School of Nursing and Health Sciences at Manhattanville College. He is a certified Family Nurse Practitioner in private practice who has worked in various areas of health care including medical-surgical nursing, cardiology, geriatrics, wound care, hyperbaric medicine, and primary care. Here are a few of the questions he has been facing in recent days from patients. Below, he breaks down some of the myths that are surfacing with facts. I heard drinking alcohol- especially Vodka- decreases my risk of getting COVID-19. MYTH- There is no credible evidence to support that alcohol consumption decreases the risk of COVID-19. Using hand sanitizers that contain at least 60% alcohol to clean your hands can be helpful. So, using hand sanitizers with 60% alcohol yes, drinking to prevent COVID-19 is a hard no. I heard coronavirus comes from animals. I have a dog at home. Should I get rid of him/her? MYTH- It is true that Coronavirus is common in animals but not in household pets, so cuddle away but wash your hands afterwards for personal hygiene purposes. If I go out, I will get sick MYTH- We recommend social distance, not social isolation. As long as you keep 6 feet from people, do not touch your mouth, nose, or eyes and wash your hands frequently, you should be fine. If I was in contact with someone who had the coronavirus, I should start taking antibiotics immediately. MYTH- This is a viral disease; antibiotics have no effects on viral diseases. They are effective only on bacterial infections. Getting products in the mail from China will make people sick. MYTH- The Centers for Disease Control and Prevention (CDC) tells us that Coronavirus, like many other viruses, do not stay alive for very long especially on the product surfaces that are in transit for days. There are two major ways that the virus can spread. Either people who are in close contact (within about 6 feet) through respiratory droplets produced when an infected person coughs or sneezes (which is the main way) or touching a surface or object that is contaminated with the virus then touching your mouth, nose, or eyes. The second way is not thought to be the main way the virus spreads. Coronavirus can live up to two days on surfaces but loses its effect as time passes. Takeaway point - keep your 6-foot distance from people and do not touch your mouth, nose, or eyes after touching objects. I heard African-American people cannot get coronavirus. MYTH- The CDC clearly indicates that this is a virus that affects the respiratory system regardless of race. Everyone is at equal risk of getting COVID-19. If I have Coronavirus I will likely end up in the ICU and die. MYTH- The World Health Organization (WHO) indicates that most people- in fact up to 80%- will recover on their own having mild to no symptoms at all. How the disease will affect you depends on age and other comorbidities you may have. Orhan Hakli is available to speak with media about the virus as a contagious disease, prevention, myths, strains on the health care system and public health measures. He has recently been advising the food service industry on measures they can take to prevent the spread of Coronavirus. To book an interview – simply click on his icon to arrange a time.
While a huge focus is on health and mortality during the coronavirus outbreak, not to be forgotten are those who are grappling with death from natural causes, diseases, accidents and crime. Funerals and visitations are the customary means of support friends and loved ones — but restricted travel and social distancing poses challenges. Here are suggestions about grieving from Candi Cann, Ph.D., associate professor in the Baylor Interdisciplinary Core of the Honors College and author of “Virtual Afterlives: Grieving the Dead in the Twenty-first Century”; and Bill Hoy, clinical professor of medical humanities and author of “Do Funerals Matter: The Purposes and Practices of Death Rituals in Global Perspective.” Q: Funerals and visitations are such a time of hugs, hand-holding, prayers, closeness — simply being there. How might travel restrictions, social distancing and concerns for personal health interfere — and how can family and friends be supportive? CANN: I think live-streaming of funerals is a great option and allows people to be present from a distance. Most companies also offer virtual guestbooks where one can leave a teddy bear or flowers, light candles, etc., online in honor of the person. Many cemeteries are also moving online so that each gravestone will have a corresponding virtual memorial, filled with the deceased person's playlist, videos, pictures and memories. Of course, as with all technology, the capability of funeral homes varies from business to business, but my guess is that from an industry perspective, we are going to see a jump in virtual and online offerings as the funeral industry tries to stay relevant and contemporaneous. Also, if presence is important, one can choose disposal options that allow for the return of the deceased into the home, such as being cremated into cremains, or made into a diamond that one wears, or a record that one plays. You can insert cremains into the vinyl and make a record, or a glass sculpture with the cremains mixed into the glass. So, you don't have to be separated from the dead. HOY: I agree that live-streaming may have to suffice, but our experience shows it is a poor second choice. From time immemorial, we have seen that physical presence is vital, and I think that is what is so alarming to me about some of the current discussion in our culture. I was taking care of AIDS patients in Los Angeles in the 1980s when we saw some of the same disenfranchisement of grief, requiring direct cremation of the body and in some cases, forbidding the gathering of people in funeral rituals. It did not turn out to be a psychosocially sound practice and is creating a high level of concern on the part of my clinical colleagues. Q: Have there been times in history when this has been an issue as well when it comes to contagious disease? Have people taken safeguards before? HOY: Two notable examples were the 1918-19 Influenza Epidemic — unfortunately misnamed Spanish Flu — and the 2014-15 Ebola crisis in West Africa. In both cases, high numbers of dead coupled with high levels of contagion caused health authorities to create quarantines and eliminate gatherings such as funerals. Recent research out of the Ebola epidemic indicates that at least in some cases, these measures were counterproductive in that “secret” burials took place and those who had money were able to bribe officials to look the other way. I think we want to be especially vigilant to make sure we are being economically and socially just in the policies we put in place. Fortunately, we do have media to help bridge those gaps now that were not available in those other events, so that will almost certainly help. I am going to stop far short, however, of suggesting that media even approaches a point of providing the same psycho-social-spiritual benefit that sharing a space, rubbing shoulders and sharing tears do. CANN: The most recent epidemic in the United States was the AIDS epidemic in the 1980s and 1990s. By October of 1995, there were over half a million cases of people with AIDS, and many people did not know how to treat or interact with those who were infected. And just this month, a second person was cured of HIV with a stem cell transplant. I have lots of faith in our scientists and that they will be able to create an effective vaccination or cure for COVID-19. Q: Besides finding new or different ways to express support and love to others, what about oneself? We hear about self-isolation – what about self-comfort and self-care in other ways? HOY: This is a great time for self-reflection. What I am doing for myself are the things I recommend to others. Besides being vigilant about what I eat and getting out in the fresh air, I am taking care of myself by limiting my exposure to media. I have not been a big user of social media anyway, but I recommend to folks to be very careful about that because the COVID-19 misinformation is rampant. Instead, I check the National Institutes of Health website once each day for scientific updates, and I have taken all the news update alerts off my phone. Instead, I am trying to give more time to talking with family and friends by phone and video conferencing, journaling and reading. Of course, like other professors, I am spending time talking with students and getting ready to take my classes online next week. In my personal Bible study time, I decided I would spend some time looking at Scripture passages that address fear and have particularly enjoyed hearing God’s perspective on this. CANN: I think one of the hardest things about death is that life goes on without the dead. The birds keep chirping, the flowers keep blooming, people keep being worried about the most mundane matters — and that's difficult when a part of our world has stopped. But this is also what is beautiful about death. It forces us to see life all around us — its fragility, its constancy and its beauty. So, for me, self-care in grief is talking about death, talking with others about the one we lost and living again — in honor of the person who died who doesn't get to be here living anymore. As we embrace life, I strongly recommend that people reach out to friends and family. Social distancing does not need to mean social isolation. I'm also going on regular walks and spending time outside. We need to stay healthy and in shape during this time. Some people are finding it fun to do group-gaming and discovering new ways to spend time with family and friends either virtually in games or via video. Catholic churches are offering drive-through Eucharist and confession, Protestant churches are live-streaming their services and youth groups, Islamic mosques are live-streaming prayers and Buddhist temples are live-streaming meditation sessions. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions.
Public health crises such as COVID-19 — in which people may feel powerless and receive conflicting information — can lead to a flare-up of unsafe religious sentiments, says Baylor University epidemiologist Jeff Levin, Ph.D., who cites past persecution of religious and ethnic minorities who were blamed unfairly for spreading disease. While some possibly unreliable projections about COVID-19 are being spread, containment — and common sense — are key, Levin says. In addition, research shows that maintaining one’s spiritual life can help people remain strong in the face of health challenges and encourage them to reach out to help others. Levin is University Professor of Epidemiology and Population Health, director of the Program on Religion and Population Health in Baylor University’s Institute for Studies of Religion and adjunct professor of psychiatry and behavioral sciences at Duke University School of Medicine. He recently lectured at Duke about the COVID-19 outbreak, on infectious disease pandemics in general and on religious dimensions of the present crisis. In this Q&A, he speaks about these issues. Q. What do you feel is the most important message that needs to get out about the coronavirus outbreak? LEVIN: There are still folks out there saying, “Ah, this is nothing” or “It's all hype.” I'm not that guy. This is very serious. Still, I believe that some misinformation is getting out there that's scaring people, and that's not a helpful thing. I have some concerns about how the facts and nuances of this outbreak have been communicated to the public. In the past few weeks, the news and internet and social media have been inundated with some very alarming projections, some of which in my opinion may be off perhaps by an order of magnitude. This is due in part to mistaken calculations being made by people, including M.D.s who don't understand the parameters of disease transmission or the concepts that epidemiologists use to track outbreaks. This also includes some government officials who are miscommunicating issues regarding risk, pathogenesis and prognosis, and this information is then being picked up by the media and projected out to the general public. Suddenly, even laypeople people are throwing around very technical epidemiologic jargon — exposure, infectivity, case fatality, herd immunity, transmission, incubation period, flattening the curve — without knowing exactly what these words mean or how they’re used, and some faulty messages are getting out. There’s a pressing need for responsible public voices who can help separate the signal from the noise, but those voices seem to be scarce. But regardless, whatever the projections are — good, bad, or ugly — so much hinges on containment. If we manage that properly, such as through all the good advice we’ve been given about social distancing, washing our hands, disinfecting surfaces and so on, we'll get through this with minimal — a relative term — casualties. If we ignore this advice, things can go south in a hurry. It only takes one clinical case getting loose in the community to create a secondary outbreak. Noncompliance can easily create an army of “Typhoid Marys” in communities across the country. In any outbreak due to any pathogenic agent, such as the SARS-CoV-2 virus, there are things we can do, one, to break the chain of transmission and, two, to minimize the damage to ourselves. There’s a public health response and a personal response. The public health effort is focused on how to limit exposure and transmission, which is exactly what needs to happen. There are policies that we should follow as far as our own behavior and social interactions and as far as the environment we live in where the virus is circulating. We’ve all become familiar with what these things are. But there’s the other side of the coin. In epidemiologic terms, exposure does not imply infectivity. Not everyone who is exposed to the virus will become infected. Infectivity in turn does not imply pathogenicity. Not everyone who is infected, who receives a positive test, will become a clinical case, will become sick. And finally, not everyone who comes down with COVID-19 and manifests signs and symptoms of disease will have a virulent enough case that will require intensive medical care or hospitalization, and only a minority of those will lose their life. Most, we believe, will recover just fine. So the folks who are at risk of a very serious outcome are a subset of a subset of a subset of folks who are exposed to the virus. The problem right now is that we don’t have a definitive grasp on these percentages. So we all need to do everything that we can not just to limit exposure and transmission but to strengthen ourselves to withstand the natural course of infection and disease. Epidemiologists call this “host resistance.” Q. What can we do to strengthen our resistance to the infection and the disease? How does faith figure into this? LEVIN: We know from decades of research that so many things that we can do in our daily lives can help us to withstand and recover from illness. We can eat right — avoid junk food and overeating and consuming toxins. We should avoid smoking and abusing alcohol, we need to get enough sleep and manage our stress, we need to get some exercise and fresh air. We all know all of this, but in difficult times it’s easy to fall into inaction and depression, which itself can depress the immune system and impair our ability to stay healthy or to recover. One of the important things that we can do, and decades of research support this, is to maintain continuity in our spiritual life. Studies show that people with a strong ongoing faith commitment can marshal an ability to remain resilient and deal with stress and even have better medical outcomes. There is a longstanding research literature on the physical and mental health benefits of hope and optimism and positive attitudes, including in the context of one’s spiritual life, and including due to the tangible and emotional support that faith and being a part of faith communities give us. Faith matters. But this isn’t a magic bullet, and I want to be careful about overstating things. Folks who expect that by being a diligent Christian or Jew, believing in God, going to religious services — in person or online — showing strong faith, studying Scriptures regularly, that by doing all this somehow a pathogenic agent won’t enter their body or won’t cause signs or symptoms of disease — I think they’re laboring under some false expectations. They’re asking belief or faith to do things that are very difficult for me to envision. Maybe that’s just the scientist in me talking, although I too am a person of faith. On the other hand, our faith can indeed be part of keeping us strong and helping us to recover. But we ought to combine expressions of faith with careful efforts to limit our exposure and contain the outbreak, and to wisely seek medical care if we start to not feel well. The Bible encourages us with verses like “put on the full armor of God,” but at the same time if you stand out in the pouring rain you can’t sanely expect not to get rained on. Q. Will this outbreak lead to a resurgence of religious belief? Are there examples of this from history? LEVIN: Yes, there are, but not necessarily in a positive way. Times of crisis like this, especially when people feel powerless and are receiving conflicting information, can lead to a dangerous flare-up of unwholesome religious sentiments, including scapegoating. Look at the Black Plague of the 14th century. From a third to over one half of Europe perished, and the one constant in every country affected by the epidemic, besides the millions of bodies piling up, was a consistent and organized effort to massacre Jews, who were blamed for the disease. Lest we think those days are behind us, look at how we responded to the brief Ebola crisis in the U.S. in 2014, which ramped up hatred toward Mexican immigrants. Or consider the present outbreak, and the terrible animosity directed at Asian Americans. We aren’t immune to this kind of behavior, especially when we feel a sense of dread or hopelessness or a sense that our prayers to God have failed and that we are receiving a divine chastisement or punishment. It’s easy then to lash out and try to identify a “demonic” source for our travail and try to seek vengeance. There is also precedent for waves of apocalypticism, fear that the end of the world is nigh. We saw this during the 1918 influenza pandemic, and it gave rise to much of the end-times thinking that persists to the present day. So faith can sustain us, even benefit us physiologically, but it can also embitter us and make us do evil or drive us to become obsessed or crazy. Q. Are there other more positive ways that faith or spirituality come into play here? LEVIN: Sure, I can think of a few. There’s a bioethical dimension. Our faith traditions remind us of our obligations to others, especially those in grave need who lack the requisite material or social resources to care for themselves. This outbreak is a social-justice teaching moment for us as a society, and along with the medical and public health dimensions there are profound lessons in moral theology to learn and act on. Will we slip into a xenophobic fear-based response, self-absorbed with our own personal needs, or will we use this time, this enforced vacation for so many of us, to reach out to those in need? I have strong opinions about this. We have been given an opportunity to be selfless and act lovingly toward others, to represent the best of what faith has to offer. Or we can choose to reinforce the most selfish and hateful and ungodly aspects of what humans are capable of. This is a choice facing every one of us. There’s also a pastoral dimension here. Each of us, not just clergy or healthcare chaplains or pastoral counselors, has a role to play in offering consolation and reassurance to our fellow brothers and sisters. And also real, tangible assistance. Our family is Jewish, and we’re reminded in Exodus that we’ve been called to be “a nation of priests.” I think the same can be said for all of us, in our respective communities. We can also be thought of as a nation, or a community, of pastors. And in that role there is much for us to do. We can be a source of accurate information to counter the insidious memes circulating on social media. We can organize our neighbors and fellow congregants to provide help to people and families who need it. We can become leaders in our faith communities to help maintain study, prayer and worship activities while we are unable to attend church or synagogue. We can love and support those who are suffering and remind them of God’s love for us. These messages matter. Maybe it’s not realistic to expect them to cause a virus to not take hold or to become less virulent, but they can strengthen our ability to recover from this outbreak, both individually and as a community of people. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions.
Baylor Expert Shares Tips to Help Kids Maintain, Improve Fitness During Time Out of School
Millions of children and teens throughout the United States are relegated to their homes in attempt to help “flatten the curve” and spread of COVID-19. As parents struggle to carve out a new normal for themselves and their children, a Baylor University professor says physical fitness should still be a priority. Paul Gordon, Ph.D., professor and chair of Baylor University’s department of health, human performance and recreation, is recognized nationally as a top expert in muscular fitness and health outcomes. His areas of expertise include physical activity and lifestyle-based research related to obesity. “Beyond improving your health, physical activity will also improve your mental state,” Gordon said. “A sense of accomplishment and satisfaction is often felt after exercise. Consequently, when you need a mood lift either from ‘cabin fever’ as a result of being shut in or the stress of our current health crisis, take an exercise break. It will help you keep your spirits up.” In the following Q&A, Gordon shares tips to help parents and children stay fit during the coronavirus pandemic. Q: With millions of kids now out of school due to coronavirus – and without the benefits of a gym class – what advice would you give parents and guardians about helping those kids maintain or improve fitness? A: With the onset of school closures and recommendations to limit groups, parents do find themselves challenged to figure out a new routine that encourages healthy living such as opportunities for exercise. Given the current challenges we are facing to prevent the spread of this dangerous disease, parents need to step up and actively oversee their children’s activities. The following points are important considerations: Engage in Active Parenting. Many children/adolescents will be engaging in remote learning formats through much, if not all, of the remaining school year. Consequently, parents will need to assist their kids, particularly the younger children, with access and supervise their work. We cannot expect teachers to have the same control as when they are in class. Similarly, opportunities for engaging in physical activity need to be planned and encouraged and where possible supervised. Some exercise is better than none. This concept is true for adults and kids alike. Don’t give up on getting exercise completely if you can’t plan a full workout. A little is good, and more is better. Remember, exercise is helpful for more than weight control. It improves cardiovascular and skeletal health as well. It can even bolster your immunity response. Q: Are there exercises that kids from kindergarten on up can do? What would you recommend in terms of time and style of exercise? A: Younger children are more likely to engage in activity if they have someone to play with. Parents should engage in active games with their children. If the parent is working from home, take short breaks and play with your child. Active games that involve running, skipping, jumping and climbing are perfect types of activities. Take them for walks in the park or neighborhood. Once children hit adolescence, they are more inclined to perform limited stationary exercises such as on a stationary bicycle or cross trainer. Throwing the ball and playing controlled games (tag, kickball, etc.) can be effective. Playing with your child is an excellent way to spend time and build memories that last a lifetime. Older children can also engage in regular calisthenics such as push-ups, jumping jacks, wall sits, etc. Make it a game or contest and you’ll likely get their involvement. Q: Do you recommend any online plans or resources for parents to follow? A: There are a number of online resources available. A few examples are listed below: GoNoodle KidsHealth.org BeActiveKids.org Q: What are the negatives associated with being sedentary – whether it’s in front of a television or sitting and spending too much time in front of a screen? A: A sedentary lifestyle has numerous untoward effects on health. In fact, even individuals who are meeting basic activity levels can be at increased risk for diseases if they are overly sedentary. Increased risk for cancer, cardiovascular disease and metabolic abnormalities (i.e., diabetes) occur from sedentary living. Obesity has reached epidemic levels in our society, and a primary factor is sedentariness. It’s important to take breaks from sitting and get up and walk around. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 18,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT ROBBINS COLLEGE OF HEALTH AND HUMAN SCIENCES AT BAYLOR UNIVERSITY The Robbins College of Health and Human Sciences at Baylor University was established in 2014, a result of identified priorities for strengthening the health sciences through Baylor’s strategic vision, Pro Futuris, and the University’s Illuminate strategic plan. The anchor academic units that form Robbins College – Communication Sciences and Disorders; Family and Consumer Sciences; Health, Human Performance and Recreation; Public Health; and Division of Health Professions – share a common purpose: improving health and quality of life. The College’s curricula promotes a team-based approach to transformational education and research that has established interdisciplinary research collaborations to advance solutions for improving quality of life for individuals, families and communities. For more information, visit www.baylor.edu/chhs.
Baylor Gerontology Expert Shares Tips to Care for Aging Population During Coronavirus Pandemic
“This is not a vacation from caring; it is a time when caring is needed most of all,” social work professor says The Center for Disease Control and Prevention (CDC) has announced that older adults and people who have serious chronic medical conditions such as heart disease, diabetes and lung disease are at a high risk for the coronavirus. The virus hit hard in late January at a nursing facility in the state of Washington, where a number of residents died. As a result, the CDC has recommended strong restrictions on visitors to long-term care facilities, and the health organization continues to preach limited physical contact and “social distancing” – creating intentional space of six feet or more between each person – to stem the spread of the virus. James Ellor, Ph.D., The Dorothy Barfield Kronzer Endowed Professor in Baylor University’s Diana R. Garland School of Social Work, is an expert on working with older adults as well as disaster behavioral health. He said it’s important in this time of uncertainty to continue to support and minister to those older adults who are self-isolating in their homes and those in long-term care facilities. “Remember, no one stops caring about others just because germs are in the way,” Ellor said. “Express your caring in appropriate ways. This is not a vacation from caring; it is a time when caring is needed most of all. We also know that prayer is very important. Hold the person in prayer and let them know you are doing so.” In the following Q&A, Ellor shares tips on how to care for this population during this time. Q: What are some ways we can check on older relatives and neighbors without using physical touch and interaction? A: There is a fine line in this unknown time between caution and paranoia. Respect for each other’s boundaries is the critical value. It seems very awkward to want to affirm someone, yet not shake their hand. However, we need to use our words and ask what the other person is comfortable with, and by the same measure, let them know what you are comfortable with. At this point, the most obvious ways to check on people is through social media or paper and pencil. Drop them a note, call them on a phone, use other social media devices as appropriate. I would suggest that if you normally visit them, say on Fridays, be sure to continue to do that, albeit by phone or even just drop them a card. Q: If people have chosen to self-isolate or if they’re scared to venture out due to this health crisis, what are some ways people can help? A: Be consistent. If you have a pattern, continue the pattern. Remember the principles above. If the person is feeling out of control, talk quietly with them and offer them a card or other gesture of caring. Q: Can you explain the importance of personal interaction for people who are shut in? A: People with human contact simply live longer than those completely cut off from the world, with few exceptions. While about 15 percent of older adults are “shut in,” only about 5 percent are bed bound. That means that persons who are dependent on oxygen, for example, will be in their house, but not in bed. They depend on all of their outside contacts. Keep your normal visiting pattern, albeit with a card in the mail or phone call. If you are a member of a church, have the youth group use some of their extra “stay at home” time to make greeting cards intended to cheer up a person in your church or group that is home bound. Older adults like tactile things, particularly if they are sensory-impaired. If you make a card, put a feather in it, or some other feel-good item. If you are purchasing a card, there are some that have things in them that you can feel, or even hear. Some cards will allow you to record a short message. Q: Since so many long-term care facilities now have strict rules about visitors, are there any ways that people can interact or show support to residents in a safe manner? A: Most facilities are cutting off all contact from the outside. Only their own staff, physicians and hospice nurses are being allowed in. Even social workers, chaplains and other clergy are being kept out. In the Waco area, physicians are being screened for a fever or cough and could be turned away. As such, phone calls, cards and letters are all important. Several facilities in this area have begun to put room numbers on the windows of their facility, so that family can come by and wave through the window. Persons in long-term care facilities, even those with dementia, will pick up on the anxiety of the staff and especially the TV, which is often on all the time. A person with dementia may not be able to understand the anxiety but will be anxious when others are anxious. This makes the job of staff that much harder. Q: Anything else you’d like to share? A: The workers at these homes have a much harder job now. Don’t hesitate to send them a card or a treat if it can be obtained safely. Staff, even the people at the door telling you that you can’t come in to see your loved one, have a tough job now and need extra support from everyone. ABOUT JAMES ELLOR, PH.D. James Ellor, Ph.D., serves as professor and The Dorothy Barfield Kronzer Endowed Professor in Family Studies in Baylor University’s Diana R. Garland School of Social Work. works with older adults around issues of mental and spiritual health. He has served on the executive committee of the Midwestern Geriatric Education Center and provided education, counseling, and planning for individuals and groups who work with seniors. His research includes work in entrostomal therapy, hunger, the church as service provider, spiritual assessment, and intervention techniques with cognitively impaired older adults. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 18,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT THE DIANA R. GARLAND SCHOOL OF SOCIAL WORK AT BAYLOR UNIVERSITY Baylor University’s Diana R. Garland School of Social Work is home to one of the leading graduate social work programs in the nation with a research agenda focused on the integration of faith and practice. Upholding its mission of preparing social workers in a Christian context for worldwide service and leadership, the School offers a baccalaureate degree (B.S.W.); a Master of Social Work (M.S.W.) degree available on the Waco or Houston campuses or online; three joint-degree options, M.S.W./M.B.A., M.S.W./M.Div. and M.S.W./M.T.S., through a partnership with Baylor’s Hankamer School of Business and George W. Truett Theological Seminary; and an online Ph.D. program. Visit www.baylor.edu/social_work to learn more.
How to Find Quality Family Time During the Coronavirus Pandemic
Planning schedules, screen time and social connectedness during the coronavirus crisis can parents and children reduce stress, be productive and create meaningful family moments With many schools closed as a measure against the spread of coronavirus, and many parents working remotely, families can incorporate a variety of activities — including educational ones — to keep kids engaged and ready to continue learning when they return to school, say family experts at Baylor University. “Life will look a little different over the next few weeks” amid the social distancing recommend by the Centers for Disease Control and Prevention, said Karen K. Melton, Ph.D., assistant professor of child and family studies in Baylor’s Robbins College of Health and Human Sciences. “For the next few weeks, we are going to get to spend extra quality time with our loved ones at home, likely resulting in more laughs and tears. “A sense of routine can help us stay calm and keep moving forward,” she said. “As we all lean into the changes that surround us, we offer three S’s for being intentional while kids are home: schedules, screen time and social connectedness.” SCHEDULES Schedules can take time and effort to create, but once established, they will help reduce stress, Melton said. “You can create a full-day schedule or just a morning/afternoon schedule when you need to get other work done. By providing a family’s schedule, you will reduce boredom and anxiety while increasing a sense of belonging and competency. Some families may allow kids to watch TV in the morning and then work through their schedule. If they complete all their activities, then they can earn additional screen time in the late afternoon.” Some schedule suggestions: Art and/or music Outdoor play Free play Learning activities/educational worksheets Reading Chores Board games Screen time SCREEN TIME “Your kids will likely have more screen time than usual,” Melton said. “For older children, limit screen time so that it does not replace physical activity, sleep or other healthy behaviors. Parents also may want to consider that all screen time is not equal, not only by the ways we interact — smartphones, tablets, computers, gaming devices and televisions — but by different categories for screen time use.” Among those: Watching educational shows versus watching entertaining shows Playing educational games versus playing entertainment games Constructive social media versus destructive social media use SOCIAL CONNECTEDNESS Apps and other technology offer ways to stay connected with those outside the home. But each day of the week also provides opportunities for meaningful moments with family at home, said Nicole McAninch, Ph.D., clinical associate professor of child and family studies at Baylor, who co-directors the Intentional Family Project at Baylor. Some ideas: Dust off the board games. Teach your kids a family recipe. Have a family dance party. Play a video game as a family. Have a family movie night. “Life will be a little crazier than usual over the next few weeks,” Melton said. “Remember, we are all in this together. We will all need to sacrifice and be more flexible. If we spend a little time being intentional with schedules, screen time and social connections, then we can look back at this time, having created meaningful moments that help our family thrive.” ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions.
Professor Barry Branch, Ledbetter Professor of the Practice at Scheller College of Business was a featured author in the article “National Rent Report for January 2020 Shows Growing Number of Renters” in the online magazine RENTCafe. Branch discussesd national trends that are leading more young people to rent rather than purchase a single-family home. “Young professionals are increasingly attracted to multifamily projects near their jobs. These buildings are attractive if they offer cutting edge technology that enables residents to work from home; attractive amenities that provide a healthy lifestyle and greater interaction with others; proximity to a variety of retail, food and entertainment attractions as well as public greenspaces; a significant reduction in their reliance on automobiles and access to public transportation; and greater flexibility to adjust to job changes and changes in their personal circumstances,” he said. In the piece he acknowledges the stable economy but notes that increased uncertainty in national, political, and economic environments may lead many people to resist the commitment to purchase a home. However, Branch points to the possibility that a larger demand for rental units may provide less inventory and therefore, an increase in rent prices. He states that “an offsetting factor among renters is the current trend towards rapidly increasing rental rates in many markets, which threatens their ability to manage their cost of living.” To offset these adverse factors, he cites low-interest rates that will incentivize developers to build more units and government programs for creating affordable housing as just a few factors that will continue to keep the rental market thriving. Are you a journalist looking to know more about this topic? Then let our experts help. Barry Branch is Sr. Professor of the Practice of Real Estate Development at Scheller College of Business, Georgia Institute of Technology. He is co-founder of The Branch-Shelton Company, LLC, a private investment management and financial advisory firm. Barry is available to speak with media regarding this important topic – simply click on his icon to arrange an interview.
This is typically the busiest travel period in China—if not the world—as millions of people make their way home to celebrate the Chinese New Year, clogging highways, airports, and train stations in the process. As described by Forbes, the country goes into radio silence as more than 1.3 billion Chinese go on vacation at the same time. “It’s been called the largest mammalian migration on the planet, and it always takes place at the Chinese New Year,” says John Osburg, a University of Rochester associate professor in the Department of Anthropology. This year’s celebration may be less than typical, as the country is faced with an outbreak of coronavirus, which has forced the closure of Wuhan, a major port in China, and several other cities. Osburg says, “While I’ve heard from friends in China who are cancelling travel plans, I also have friends who are mostly unconcerned with the threat of the virus.” Osburg spent three years conducting ethnographic research in China, which culminated with his 2013 book, Anxious Wealth: Money and Morality Among China’s New Rich (Stanford University Press). He has also written numerous articles related to China, on such topics as masculinity, consumerism, and state capitalism. His work has provided him the opportunity to observe and understand the week-long Chinese New Year—also known as the Lunar New Year or Spring Festival—which begins this year on January 25. As Osburg explains, it’s a time for families to come together, which accounts for all the travel headaches. And typically, it’s children traveling to see their parents. “One of the more important cultural values in China is filial piety—caring for your parents,” says Osburg. “In order for a lot of young people to make enough money to support themselves, their own families, and their parents, they have to leave their homes in the smaller towns to find better-paying work in big cities.”
Social Media Spaces Can Be Instruments of God’s Unconditional Love, Theologian Says
Being 'always on' can be a source of anxiety or sorrow, but it also can be a way to strengthen faith, Baylor author says Many of us are “always on” — scrolling through social media, checking email or searching the web, says author Angela Gorrell, Ph.D., assistant professor of practical theology at Baylor University’s George W. Truett Theological Seminary. In her book “Always On,” she writes about how social media spaces can be instruments of God’s unconditional love — but also sources of anxiety, jealousy and depression. With the arrival of 2020 — and its potential for change for the better — she discusses in this Q&A some tools for understanding social media and enabling Christian communities to address its use in constructive ways. Q: From your perspective as a practical theologian, are the social media strategies you recommend aimed solely at people of faith? Dr. Gorrell: Practical theology takes different forms. Ultimately, I aim to write about issues — like social media — that matter to people and shine the light of the Gospel on them. I also research and write about theology and faith in practice, how people express and perform their values, hopes and beliefs through practices, rituals, disciplines, activities, relationships, work—through their way of life. While I write about social media from a Christian perspective, much of what I have written about using social media mindfully and having “interested conversation” about media is applicable to people from a variety of religious and philosophical perspectives. Q: There is much talk about how people spend too much time on social media, to the point of ignoring family and friends when in their presence. How much is too much? And what problems can this create for people? Dr. Gorrell: The most important thing for people to realize is that how you spend time online is more important than how much time you spend online. There are a variety of issues that “passive,” unintentional, unregulated, time online can extend and nurture. I say extend because all of these issues can also be in-person issues. For example, empathy burnout, depression, anxiety and jealousy. We often encounter an enormous amount of suffering online. The amount of suffering and the velocity of these encounters — and rapidly seeing multiple examples back to back in articles or our newsfeeds — can nurture empathy burnout. We can become numb to the suffering we see online and take in but do nothing about it or think very little of it. Likewise, being on social media and passively scrolling through people’s status updates, tweets and stories for unbounded sets of time and looking at copious amounts of content but never replying, messaging, posting or sharing has been linked to depression and anxiety. Similarly, passive following, which is following people closely that we do not know (e.g., celebrities) or people we do not see regularly in person (e.g., high school friends) has been linked to jealousy, which can negatively impact how we perceive ourselves and our lives . . . When we see someone a lot in person or talk to them regularly by phone, we know that their lives have a lot more going on than what they are sharing online. Q: What strategies do you suggest help people use social media wisely? Dr. Gorrell: The goal is meaningful participation. I encourage people to limit passive scrolling and following as much as possible. Create something and share it online. Join conversations. Reply to people’s statuses rather than just clicking emojis. When you see that someone is celebrating, share their joy in a significant way. Share it as your status with a note of congratulations or text them or call them. When you notice someone is mourning, message them. When you encounter suffering online, stop scrolling and do something in response. Get offline, take a walk and pray about this suffering. Give money to an organization that is relieving this suffering. Find other articles and educate yourself on the issue. Learn more about how to help or how to invite other people to care. Q: Any suggestions as to how and where people might create a space to ask and answer questions about social media use? Dr. Gorrell: Asking powerful questions about people’s online experiences that encourage storytelling and helping each other think about new media can happen around the dinner table, in a church small group or on a road trip in the car. When family and friends ask each other about one another’s lives, we can include asking questions about and discussing social media experiences. We can ask curious, open-ended questions without simple yes or no answers like: 1. How do you make decisions about what to respond to online? 2. Have you ever been frustrated or sad about new forms of technology? What causes frustration or sadness for you? 3. When have you had a joyful experience online? Could you describe a time when you felt heard, affirmed or understood online? 4. How does social media help you love God and others and/or prevent you from loving God and others? 5. When have you had a painful experience online? Could you describe a time when you felt unheard, bullied, left out or misunderstood online? 6. What are the top two feelings you experience when using social media, and why do you think this is so? Q: How can we do a better job of using social media? Dr. Gorrell: Develop a rhythm for life with your friends or family that specifically addresses technology — when you will use it and for what purposes, when you will not use it, what boundaries you will have. Using social media constructively requires intentionality. I encourage people to find times in their week or month or year to not use devices and social media and to write down their plan on a calendar. A college student told me that he and his friends put all their phones in the center of the table at restaurants and say that the first person to pick up their phone during dinner pays the entire bill. Since they started this ritual, no one has picked up a phone during dinner. Practices like these help people to be present to people they are with in person. It is a great idea to put all devices away at night one to two hours before bed so minds and bodies can get prepared for sleep. I know families that have a basket for this purpose in their homes. I especially encourage parents to make sure children under 18 do not have a device in their room during sleeping hours so they can get adequate rest. I invite people to consider turning off notifications from all social media platforms and email and only check apps and email at a certain time each day. It is also important to have a plan for difficult moments and conversations online. What will you do when you get angry, disagree with someone else or feel depressed about your life or feel left out? What will you do next? It is equally important to think about what you will use social media for. How can you use social media to love people well, truly stay connected to people, expand your thinking on certain subjects, remain humble and open to being corrected, and nurture your creativity and increase your compassion? How might meaningful participation online support goals like these? ABOUT ANGELA GORRELL Angela Gorrell, Ph.D., assistant professor of practical theology at Baylor’s Truett Seminary, is the author of “Always On: Practicing Faith in a New Media Landscape,” which addresses the perils and possibilities of Christian faith in an era of massive technological change. She also is writing a book that addresses America’s crisis of despair, illuminated by its suicide rates and opioid addiction, and describes joy as the counteragent to despair. Gorrell earned a bachelor’s degree in youth ministry from Azusa Pacific University and an M.Div. and Ph.D. from Fuller Theological Seminary. She came to Baylor from the Yale Center for Faith and Culture at Yale Divinity School, where she developed relationships with more than 250 scholars from roughly 150 institutions on four continents while managing metrics and evaluation for the project. She has more than 14 years of experience in congregational and parachurch ministry, including serving as a chaplain at a women’s maximum-security prison. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 90 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT GEORGE W. TRUETT THEOLOGICAL SEMINARY AT BAYLOR UNIVERSITY Baylor University’s George W. Truett Theological Seminary is an orthodox, evangelical school in the historic Baptist tradition that equips God-called people for gospel ministry in and alongside Christ’s Church by the power of the Holy Spirit. Accredited by the Association of Theological Schools, Truett Seminary provides theological education leading to the Master of Divinity, Master of Arts in Christian Ministry, Master of Theological Studies, Doctor of Ministry and Ph.D. in Preaching. The MACM and MTS degrees also can be completed at the seminary’s Houston campus. In addition, Truett Seminary offers joint degrees: M.Div./M.S.W. and M.T.S./M.S.W. with the Diana R. Garland School of Social Work, M.Div./M.B.A. with the Hankamer School of Business, M.Div./J.D. with Baylor Law School, M.Div./M.M. with the School of Music and M.Div./M.S.Ed. or M.Div./M.A. with the School of Education. Visit www.baylor.edu/truett to learn more.
MEDIA RELEASE: Changes to Out-of-Country Medical Coverage Now in Effect
CAA South Central Ontario (CAA SCO) is reminding travellers that changes to out-of-country medical coverage in Ontario are now in effect, prompting the need to review travel insurance coverage. “We are working to educate travellers to make sure they know what they are buying. We are an organization founded to help keep our members safe, and coverage while travelling abroad is a big part of that,” said Elliott Silverstein, director, government relations, CAA Insurance. “Travel insurance protects from unexpected and costly emergencies and it’s important to evaluate available coverage, based on personal needs, to determine how to best safeguard you and your family. This is even more important now that there is no coverage through OHIP.” Some of the key things to consider when it comes to buying travel insurance are how many trips you are taking a year; if you want comprehensive coverage or medical-only insurance; and whether or not the insurance provider offers additional assistance such as interpreters, hospital recommendations and other coordination services. Additional tips to consider when buying travel insurance Ask questions. Speak to a knowledgeable travel insurance advisor that understands your needs. Be honest. It is important that you answer any questionnaire accurately to disclose any pre-existing conditions, and ensure you have the proper coverage suited specifically for you, so you can travel with peace of mind. Build travel insurance into your travel plans. Purchasing travel insurance must be done in your home province. As you begin to consider your next destination, add travel insurance to your “to do” list. Don’t base your decision on price alone. Look at what coverage is most appropriate for your circumstances and consider all different types of plans and levels of protection. Questions to ask: What are the eligibility and exclusions? What is the pre-existing and stability clause? What are the benefit limits? How many days am I covered? Is there a deductible? Do they offer upfront payment if a claim occurs? It’s important to remember that the intent of travel medical insurance is to treat emergency conditions, and return you to your home province for ongoing treatment once your medical condition is stabilized. Emergency travel medical insurance may require completion of a medical health questionnaire depending on age. Medical questionnaires determine premium, NOT coverage. Always answer questions related to your health accurately If you aren’t sure how to answer, ask your physician to help you. For more information resources on travel insurance and what you need to know before you travel, go to: https://www.caasco.com/insurance/resource-centre/travel.
