essay life lessons learned in times of pandemic

I Thought We’d Learned Nothing From the Pandemic. I Wasn’t Seeing the Full Picture

M y first home had a back door that opened to a concrete patio with a giant crack down the middle. When my sister and I played, I made sure to stay on the same side of the divide as her, just in case. The 1988 film The Land Before Time was one of the first movies I ever saw, and the image of the earth splintering into pieces planted its roots in my brain. I believed that, even in my own backyard, I could easily become the tiny Triceratops separated from her family, on the other side of the chasm, as everything crumbled into chaos.

Some 30 years later, I marvel at the eerie, unexpected ways that cartoonish nightmare came to life – not just for me and my family, but for all of us. The landscape was already covered in fissures well before COVID-19 made its way across the planet, but the pandemic applied pressure, and the cracks broke wide open, separating us from each other physically and ideologically. Under the weight of the crisis, we scattered and landed on such different patches of earth we could barely see each other’s faces, even when we squinted. We disagreed viciously with each other, about how to respond, but also about what was true.

Recently, someone asked me if we’ve learned anything from the pandemic, and my first thought was a flat no. Nothing. There was a time when I thought it would be the very thing to draw us together and catapult us – as a capital “S” Society – into a kinder future. It’s surreal to remember those early days when people rallied together, sewing masks for health care workers during critical shortages and gathering on balconies in cities from Dallas to New York City to clap and sing songs like “Yellow Submarine.” It felt like a giant lightning bolt shot across the sky, and for one breath, we all saw something that had been hidden in the dark – the inherent vulnerability in being human or maybe our inescapable connectedness .

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But it turns out, it was just a flash. The goodwill vanished as quickly as it appeared. A couple of years later, people feel lied to, abandoned, and all on their own. I’ve felt my own curiosity shrinking, my willingness to reach out waning , my ability to keep my hands open dwindling. I look out across the landscape and see selfishness and rage, burnt earth and so many dead bodies. Game over. We lost. And if we’ve already lost, why try?

Still, the question kept nagging me. I wondered, am I seeing the full picture? What happens when we focus not on the collective society but at one face, one story at a time? I’m not asking for a bow to minimize the suffering – a pretty flourish to put on top and make the whole thing “worth it.” Yuck. That’s not what we need. But I wondered about deep, quiet growth. The kind we feel in our bodies, relationships, homes, places of work, neighborhoods.

Like a walkie-talkie message sent to my allies on the ground, I posted a call on my Instagram. What do you see? What do you hear? What feels possible? Is there life out here? Sprouting up among the rubble? I heard human voices calling back – reports of life, personal and specific. I heard one story at a time – stories of grief and distrust, fury and disappointment. Also gratitude. Discovery. Determination.

Among the most prevalent were the stories of self-revelation. Almost as if machines were given the chance to live as humans, people described blossoming into fuller selves. They listened to their bodies’ cues, recognized their desires and comforts, tuned into their gut instincts, and honored the intuition they hadn’t realized belonged to them. Alex, a writer and fellow disabled parent, found the freedom to explore a fuller version of herself in the privacy the pandemic provided. “The way I dress, the way I love, and the way I carry myself have both shrunk and expanded,” she shared. “I don’t love myself very well with an audience.” Without the daily ritual of trying to pass as “normal” in public, Tamar, a queer mom in the Netherlands, realized she’s autistic. “I think the pandemic helped me to recognize the mask,” she wrote. “Not that unmasking is easy now. But at least I know it’s there.” In a time of widespread suffering that none of us could solve on our own, many tended to our internal wounds and misalignments, large and small, and found clarity.

Read More: A Tool for Staying Grounded in This Era of Constant Uncertainty

I wonder if this flourishing of self-awareness is at least partially responsible for the life alterations people pursued. The pandemic broke open our personal notions of work and pushed us to reevaluate things like time and money. Lucy, a disabled writer in the U.K., made the hard decision to leave her job as a journalist covering Westminster to write freelance about her beloved disability community. “This work feels important in a way nothing else has ever felt,” she wrote. “I don’t think I’d have realized this was what I should be doing without the pandemic.” And she wasn’t alone – many people changed jobs , moved, learned new skills and hobbies, became politically engaged.

Perhaps more than any other shifts, people described a significant reassessment of their relationships. They set boundaries, said no, had challenging conversations. They also reconnected, fell in love, and learned to trust. Jeanne, a quilter in Indiana, got to know relatives she wouldn’t have connected with if lockdowns hadn’t prompted weekly family Zooms. “We are all over the map as regards to our belief systems,” she emphasized, “but it is possible to love people you don’t see eye to eye with on every issue.” Anna, an anti-violence advocate in Maine, learned she could trust her new marriage: “Life was not a honeymoon. But we still chose to turn to each other with kindness and curiosity.” So many bonds forged and broken, strengthened and strained.

Instead of relying on default relationships or institutional structures, widespread recalibrations allowed for going off script and fortifying smaller communities. Mara from Idyllwild, Calif., described the tangible plan for care enacted in her town. “We started a mutual-aid group at the beginning of the pandemic,” she wrote, “and it grew so quickly before we knew it we were feeding 400 of the 4000 residents.” She didn’t pretend the conditions were ideal. In fact, she expressed immense frustration with our collective response to the pandemic. Even so, the local group rallied and continues to offer assistance to their community with help from donations and volunteers (many of whom were originally on the receiving end of support). “I’ve learned that people thrive when they feel their connection to others,” she wrote. Clare, a teacher from the U.K., voiced similar conviction as she described a giant scarf she’s woven out of ribbons, each representing a single person. The scarf is “a collection of stories, moments and wisdom we are sharing with each other,” she wrote. It now stretches well over 1,000 feet.

A few hours into reading the comments, I lay back on my bed, phone held against my chest. The room was quiet, but my internal world was lighting up with firefly flickers. What felt different? Surely part of it was receiving personal accounts of deep-rooted growth. And also, there was something to the mere act of asking and listening. Maybe it connected me to humans before battle cries. Maybe it was the chance to be in conversation with others who were also trying to understand – what is happening to us? Underneath it all, an undeniable thread remained; I saw people peering into the mess and narrating their findings onto the shared frequency. Every comment was like a flare into the sky. I’m here! And if the sky is full of flares, we aren’t alone.

I recognized my own pandemic discoveries – some minor, others massive. Like washing off thick eyeliner and mascara every night is more effort than it’s worth; I can transform the mundane into the magical with a bedsheet, a movie projector, and twinkle lights; my paralyzed body can mother an infant in ways I’d never seen modeled for me. I remembered disappointing, bewildering conversations within my own family of origin and our imperfect attempts to remain close while also seeing things so differently. I realized that every time I get the weekly invite to my virtual “Find the Mumsies” call, with a tiny group of moms living hundreds of miles apart, I’m being welcomed into a pocket of unexpected community. Even though we’ve never been in one room all together, I’ve felt an uncommon kind of solace in their now-familiar faces.

Hope is a slippery thing. I desperately want to hold onto it, but everywhere I look there are real, weighty reasons to despair. The pandemic marks a stretch on the timeline that tangles with a teetering democracy, a deteriorating planet , the loss of human rights that once felt unshakable . When the world is falling apart Land Before Time style, it can feel trite, sniffing out the beauty – useless, firing off flares to anyone looking for signs of life. But, while I’m under no delusions that if we just keep trudging forward we’ll find our own oasis of waterfalls and grassy meadows glistening in the sunshine beneath a heavenly chorus, I wonder if trivializing small acts of beauty, connection, and hope actually cuts us off from resources essential to our survival. The group of abandoned dinosaurs were keeping each other alive and making each other laugh well before they made it to their fantasy ending.

Read More: How Ice Cream Became My Own Personal Act of Resistance

After the monarch butterfly went on the endangered-species list, my friend and fellow writer Hannah Soyer sent me wildflower seeds to plant in my yard. A simple act of big hope – that I will actually plant them, that they will grow, that a monarch butterfly will receive nourishment from whatever blossoms are able to push their way through the dirt. There are so many ways that could fail. But maybe the outcome wasn’t exactly the point. Maybe hope is the dogged insistence – the stubborn defiance – to continue cultivating moments of beauty regardless. There is value in the planting apart from the harvest.

I can’t point out a single collective lesson from the pandemic. It’s hard to see any great “we.” Still, I see the faces in my moms’ group, making pancakes for their kids and popping on between strings of meetings while we try to figure out how to raise these small people in this chaotic world. I think of my friends on Instagram tending to the selves they discovered when no one was watching and the scarf of ribbons stretching the length of more than three football fields. I remember my family of three, holding hands on the way up the ramp to the library. These bits of growth and rings of support might not be loud or right on the surface, but that’s not the same thing as nothing. If we only cared about the bottom-line defeats or sweeping successes of the big picture, we’d never plant flowers at all.

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8 Lessons We Can Learn From the COVID-19 Pandemic

BY KATHY KATELLA May 14, 2021

Note: Information in this article was accurate at the time of original publication. Because information about COVID-19 changes rapidly, we encourage you to visit the websites of the Centers for Disease Control & Prevention (CDC), World Health Organization (WHO), and your state and local government for the latest information.

The COVID-19 pandemic changed life as we know it—and it may have changed us individually as well, from our morning routines to our life goals and priorities. Many say the world has changed forever. But this coming year, if the vaccines drive down infections and variants are kept at bay, life could return to some form of normal. At that point, what will we glean from the past year? Are there silver linings or lessons learned?

“Humanity's memory is short, and what is not ever-present fades quickly,” says Manisha Juthani, MD , a Yale Medicine infectious diseases specialist. The bubonic plague, for example, ravaged Europe in the Middle Ages—resurfacing again and again—but once it was under control, people started to forget about it, she says. “So, I would say one major lesson from a public health or infectious disease perspective is that it’s important to remember and recognize our history. This is a period we must remember.”

We asked our Yale Medicine experts to weigh in on what they think are lessons worth remembering, including those that might help us survive a future virus or nurture a resilience that could help with life in general.

Lesson 1: Masks are useful tools

What happened: The Centers for Disease Control and Prevention (CDC) relaxed its masking guidance for those who have been fully vaccinated. But when the pandemic began, it necessitated a global effort to ensure that everyone practiced behaviors to keep themselves healthy and safe—and keep others healthy as well. This included the widespread wearing of masks indoors and outside.

What we’ve learned: Not everyone practiced preventive measures such as mask wearing, maintaining a 6-foot distance, and washing hands frequently. But, Dr. Juthani says, “I do think many people have learned a whole lot about respiratory pathogens and viruses, and how they spread from one person to another, and that sort of old-school common sense—you know, if you don’t feel well—whether it’s COVID-19 or not—you don’t go to the party. You stay home.”

Masks are a case in point. They are a key COVID-19 prevention strategy because they provide a barrier that can keep respiratory droplets from spreading. Mask-wearing became more common across East Asia after the 2003 SARS outbreak in that part of the world. “There are many East Asian cultures where the practice is still that if you have a cold or a runny nose, you put on a mask,” Dr. Juthani says.

She hopes attitudes in the U.S. will shift in that direction after COVID-19. “I have heard from a number of people who are amazed that we've had no flu this year—and they know masks are one of the reasons,” she says. “They’ve told me, ‘When the winter comes around, if I'm going out to the grocery store, I may just put on a mask.’”

Lesson 2: Telehealth might become the new normal

What happened: Doctors and patients who have used telehealth (technology that allows them to conduct medical care remotely), found it can work well for certain appointments, ranging from cardiology check-ups to therapy for a mental health condition. Many patients who needed a medical test have also discovered it may be possible to substitute a home version.

What we’ve learned: While there are still problems for which you need to see a doctor in person, the pandemic introduced a new urgency to what had been a gradual switchover to platforms like Zoom for remote patient visits. 

More doctors also encouraged patients to track their blood pressure at home , and to use at-home equipment for such purposes as diagnosing sleep apnea and even testing for colon cancer . Doctors also can fine-tune cochlear implants remotely .

“It happened very quickly,” says Sharon Stoll, DO, a neurologist. One group that has benefitted is patients who live far away, sometimes in other parts of the country—or even the world, she says. “I always like to see my patients at least twice a year. Now, we can see each other in person once a year, and if issues come up, we can schedule a telehealth visit in-between,” Dr. Stoll says. “This way I may hear about an issue before it becomes a problem, because my patients have easier access to me, and I have easier access to them.”

Meanwhile, insurers are becoming more likely to cover telehealth, Dr. Stoll adds. “That is a silver lining that will hopefully continue.”

Lesson 3: Vaccines are powerful tools

What happened: Given the recent positive results from vaccine trials, once again vaccines are proving to be powerful for preventing disease.

What we’ve learned: Vaccines really are worth getting, says Dr. Stoll, who had COVID-19 and experienced lingering symptoms, including chronic headaches . “I have lots of conversations—and sometimes arguments—with people about vaccines,” she says. Some don’t like the idea of side effects. “I had vaccine side effects and I’ve had COVID-19 side effects, and I say nothing compares to the actual illness. Unfortunately, I speak from experience.”

Dr. Juthani hopes the COVID-19 vaccine spotlight will motivate people to keep up with all of their vaccines, including childhood and adult vaccines for such diseases as measles , chicken pox, shingles , and other viruses. She says people have told her they got the flu vaccine this year after skipping it in previous years. (The CDC has reported distributing an exceptionally high number of doses this past season.)  

But, she cautions that a vaccine is not a magic bullet—and points out that scientists can’t always produce one that works. “As advanced as science is, there have been multiple failed efforts to develop a vaccine against the HIV virus,” she says. “This time, we were lucky that we were able build on the strengths that we've learned from many other vaccine development strategies to develop multiple vaccines for COVID-19 .” 

Lesson 4: Everyone is not treated equally, especially in a pandemic

What happened: COVID-19 magnified disparities that have long been an issue for a variety of people.

What we’ve learned: Racial and ethnic minority groups especially have had disproportionately higher rates of hospitalization for COVID-19 than non-Hispanic white people in every age group, and many other groups faced higher levels of risk or stress. These groups ranged from working mothers who also have primary responsibility for children, to people who have essential jobs, to those who live in rural areas where there is less access to health care.

“One thing that has been recognized is that when people were told to work from home, you needed to have a job that you could do in your house on a computer,” says Dr. Juthani. “Many people who were well off were able do that, but they still needed to have food, which requires grocery store workers and truck drivers. Nursing home residents still needed certified nursing assistants coming to work every day to care for them and to bathe them.”  

As far as racial inequities, Dr. Juthani cites President Biden’s appointment of Yale Medicine’s Marcella Nunez-Smith, MD, MHS , as inaugural chair of a federal COVID-19 Health Equity Task Force. “Hopefully the new focus is a first step,” Dr. Juthani says.

Lesson 5: We need to take mental health seriously

What happened: There was a rise in reported mental health problems that have been described as “a second pandemic,” highlighting mental health as an issue that needs to be addressed.

What we’ve learned: Arman Fesharaki-Zadeh, MD, PhD , a behavioral neurologist and neuropsychiatrist, believes the number of mental health disorders that were on the rise before the pandemic is surging as people grapple with such matters as juggling work and childcare, job loss, isolation, and losing a loved one to COVID-19.

The CDC reports that the percentage of adults who reported symptoms of anxiety of depression in the past 7 days increased from 36.4 to 41.5 % from August 2020 to February 2021. Other reports show that having COVID-19 may contribute, too, with its lingering or long COVID symptoms, which can include “foggy mind,” anxiety , depression, and post-traumatic stress disorder .

 “We’re seeing these problems in our clinical setting very, very often,” Dr. Fesharaki-Zadeh says. “By virtue of necessity, we can no longer ignore this. We're seeing these folks, and we have to take them seriously.”

Lesson 6: We have the capacity for resilience

What happened: While everyone’s situation is different­­ (and some people have experienced tremendous difficulties), many have seen that it’s possible to be resilient in a crisis.

What we’ve learned: People have practiced self-care in a multitude of ways during the pandemic as they were forced to adjust to new work schedules, change their gym routines, and cut back on socializing. Many started seeking out new strategies to counter the stress.

“I absolutely believe in the concept of resilience, because we have this effective reservoir inherent in all of us—be it the product of evolution, or our ancestors going through catastrophes, including wars, famines, and plagues,” Dr. Fesharaki-Zadeh says. “I think inherently, we have the means to deal with crisis. The fact that you and I are speaking right now is the result of our ancestors surviving hardship. I think resilience is part of our psyche. It's part of our DNA, essentially.”

Dr. Fesharaki-Zadeh believes that even small changes are highly effective tools for creating resilience. The changes he suggests may sound like the same old advice: exercise more, eat healthy food, cut back on alcohol, start a meditation practice, keep up with friends and family. “But this is evidence-based advice—there has been research behind every one of these measures,” he says.

But we have to also be practical, he notes. “If you feel overwhelmed by doing too many things, you can set a modest goal with one new habit—it could be getting organized around your sleep. Once you’ve succeeded, move on to another one. Then you’re building momentum.”

Lesson 7: Community is essential—and technology is too

What happened: People who were part of a community during the pandemic realized the importance of human connection, and those who didn’t have that kind of support realized they need it.

What we’ve learned: Many of us have become aware of how much we need other people—many have managed to maintain their social connections, even if they had to use technology to keep in touch, Dr. Juthani says. “There's no doubt that it's not enough, but even that type of community has helped people.”

Even people who aren’t necessarily friends or family are important. Dr. Juthani recalled how she encouraged her mail carrier to sign up for the vaccine, soon learning that the woman’s mother and husband hadn’t gotten it either. “They are all vaccinated now,” Dr. Juthani says. “So, even by word of mouth, community is a way to make things happen.”

It’s important to note that some people are naturally introverted and may have enjoyed having more solitude when they were forced to stay at home—and they should feel comfortable with that, Dr. Fesharaki-Zadeh says. “I think one has to keep temperamental tendencies like this in mind.”

But loneliness has been found to suppress the immune system and be a precursor to some diseases, he adds. “Even for introverted folks, the smallest circle is preferable to no circle at all,” he says.

Lesson 8: Sometimes you need a dose of humility

What happened: Scientists and nonscientists alike learned that a virus can be more powerful than they are. This was evident in the way knowledge about the virus changed over time in the past year as scientific investigation of it evolved.

What we’ve learned: “As infectious disease doctors, we were resident experts at the beginning of the pandemic because we understand pathogens in general, and based on what we’ve seen in the past, we might say there are certain things that are likely to be true,” Dr. Juthani says. “But we’ve seen that we have to take these pathogens seriously. We know that COVID-19 is not the flu. All these strokes and clots, and the loss of smell and taste that have gone on for months are things that we could have never known or predicted. So, you have to have respect for the unknown and respect science, but also try to give scientists the benefit of the doubt,” she says.

“We have been doing the best we can with the knowledge we have, in the time that we have it,” Dr. Juthani says. “I think most of us have had to have the humility to sometimes say, ‘I don't know. We're learning as we go.’"

Information provided in Yale Medicine articles is for general informational purposes only. No content in the articles should ever be used as a substitute for medical advice from your doctor or other qualified clinician. Always seek the individual advice of your health care provider with any questions you have regarding a medical condition.

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We’re not going to lie: It’s been a little hard to find the silver lining at times this past year.

With so much stress, loss, and pain at the forefront of our minds, it sometimes feels like we’re in a constant waiting game, counting down the minutes until our “normal” lives are back. But after a year like this, there’s no going back to normal because we’ve all been changed forever in one way or another. We’ve lived 12 years in the past 12 months, and we’ve grown in the process – and that is a silver lining to be proud of!

So we decided the best way to acknowledge and appreciate the growth we’ve experienced is by taking a second to reflect on this past year and find the positives that were woven through each day.

To see the good that has come from these hard times, we adopted a lens of learning and growing, and it empowered us to do just that! Here are nine important lessons we’ve learned in the midst of COVID-19.

1. Family is nonnegotiable.

For many of us, this year brought with it quality family time that we never expected and, honestly, might never have had otherwise. It’s reminded us just how much family matters. And I don’t just mean blood relatives, I mean chosen family, too. 

We were encouraged to take a step out of the craziness of our former lives and deeply invest in those relationships again, whether it was face-to-face or not.

We’ve had the opportunity to not just catch up on life, but to also spend priceless time with our loved ones, asking personal questions, being there for the important moments, leaning on each other for support, and growing together. As a result, we remembered just how much we need each other! 

2. Prioritize health and wellness .

When the pandemic first began, the world started paying attention to health, wellness, and hygiene like never before. We realized just how effective our handwashing wasn’t , how much we shouldn’t be touching our faces, and the beauty of both modern and natural medicine. These are all crucial practices and levels of care that will hopefully stick with us in the future.

Not only that, but without the usual benefits of daily activity, in-person workouts, and restaurant dining, a microscope was placed on just how willing we were to maintain our wellness all on our own.

With the pandemic came a myriad of free cooking and workout classes on social media and a realization that, particularly when we’re stuck inside, our bodies really do need nutrients and activity to survive. 

3. We can get by on less. Much less.

The road to discovering how little we need was paved with uncertainty. With the overwhelming job loss that came with the pandemic, people had to learn how to pinch pennies, clip coupons, and trim excess like never before. 

Even for those who kept their jobs, without indoor dining, salons, gyms, and a wealth of other standard social activities, saving money actually became easier to do. Even though we’ll all be lining the doors when things are back to normal, we realized in the process that we actually can live on a lot less and still be content.

4. Build that nest egg.

In addition to pinching those pennies, we learned the endless value of having a rainy day fund – or more appropriately, an emergency fund. An emergency fund is one that is set aside for the most essential of needs, including rent, medical expenses, childcare, and food. 

As we’ve all heard over and over again, these are unprecedented times. The nature of unprecedented times is that we don’t see them coming, so we don’t plan for them.

If this year has taught us anything, it’s the importance of setting aside a little extra money and leaving it there until the day comes when we might need it. 

5. Slow down.

We’ve realized that not only is it OK to slow down, but it’s actually essential. 

When the pandemic hit, it was as if the whole world was running on overdrive and then, all at once, it crashed. We allowed it to get this way because we have a tendency to align our worth with our busyness. But luckily, this past year has shown us just how unbalanced that meter is. 

There are a few key points to remember moving forward. First of all, self-care is not self-indulgent; it’s one way that we keep ourselves healthy, both physically and mentally. Second, slowing down is what helps us truly live in the present and find contentment in our circumstances. 

6. We should be talking about mental health.

One of the best silver linings of this year is that we learned just how valuable mental health is. Studies show that ever since the pandemic hit, close to 40 percent of Americans now suffer from anxiety and depression. The causes are endless: financial stress, difficult home lives, boredom, loss, fear, and, perhaps the heaviest of all, loneliness. 

These universal mental health issues truly are a “second wave” of this global crisis, and the greatest benefit has been the light shed on their gravity.

People are being more vocal than ever about the importance of honesty and vulnerability when it comes to our mental health, just like we would a physical ailment. By doing so, we can get the love and support we need. 

7. Our thoughts on people have changed.

The more closed off we’ve had to become socially and the more we’ve noticed the deep need around us, the more we’ve realized whom we consider to be truly essential.

In our own lives, we’ve learned which friends we want close to us in times of trouble – and maybe even some relationships we’ve been needing freedom from. 

In our communities, we’ve finally realized the overwhelming value of our essential workers: in health care, education, food service, and the most underappreciated segments of our workforce. May we never forget how brave and resilient they have been for all of us these past 12 months. 

8. Becoming comfortable with uncertainty.

“The one thing that’s certain about this current crisis is the massive amount of uncertainty,” Paul Knopp, U.S. Chair and CEO of KPMG LLP, told Accounting Today . “In order to succeed, you must execute on the activities and behaviors that are within your control.”

We have definitely learned flexibility this year. From working and schooling from home, to rerouting our careers, to finding new ways to stay connected, to moving back in with our parents, our flexibility has been award-winning and record-breaking. 

A benefit of this growing pain is that it’s made us more comfortable with uncertainty. There’s so much about the future that we can’t possibly know or predict right now, so ultimately all we can do is be OK with it – and choose to find the wonder and joy in our present circumstances. 

9. We are deeply resilient.

We are capable of so much more than we ever knew. This year has been rife with chaos, unrest, injustice, loss, and pain – but we’ve survived. We’re still standing. Even in the darkest time, we’ve been able to look outside ourselves and pull through for those in need in remarkable ways. It’s helped us realize the stuff we’re made of . 

More than that, we’ve done it together. We’ve all been in isolation together, and we’ve survived together. It’s reminded us that at the end of the day, we are all just human beings, and we need each other.

And now we know with certainty that we can handle anything!

After the levels of stress we’ve lived through this past year, the best we can do is make sure it wasn’t for nothing. We can search for the good, continue to grow, and allow our circumstances to change us for the better. Only then will we continue to come out on the other side stronger, more resilient, more compassionate, and more hopeful than ever!

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Our most valuable lessons from 2 pandemic years

Andee Tagle

It's been two years since the world as we knew it was forever changed by the coronavirus pandemic .

We know you probably don't need that reminder, and there are probably a lot of people out there who don't want one.

This essay first appeared in NPR's Life Kit newsletter. Subscribe to the newsletter so you don't miss the next one, plus weekly tips that can help make life a little easier.

But if you're reading this, it means you've been through a lot:

Through unemployment and essential work; lockdowns and empty grocery store shelves and social distancing or even isolation; Zoom rooms and tiger kings and sourdough starters and all the sweatpants ; mask mandates and police brutality; a presidential election and an insurrection ; vaccines and boosters and masks off and on and off and on again .

It's been a revolving door of fear and fatigue and anger and uncertainty and suffering and loss . But we've also experienced a surprising amount of joy , and kindness, and new discovery, and delight , even.

Mental Health

Feeling blah take a joy break.

All of this to say: it feels all but impossible to qualify two years of pandemic living in any one way, but one thing is certain: we're still here – and we're changed.

The Life Kit team looked back on some of the most valuable lessons from the last two years that can help you look forward. Here are moments that helped change our mindsets and kept us moving through the past two years:

How to let more joy into your life

Producer Janet W. Lee grew to appreciate the small things:

While recent years have made it harder for me to look at the world with a more positive outlook, poet Ross Gay taught me to let more joy into my life . Gay is the author of The Book of Delights , where he shares the practice of calling out the delights in his everyday. This practice of taking a second to say the smell of coffee is lovely or to smile at the sound of my cat purring has brightened up my life.

Laziness does not exist

Managing producer Meghan Keane thanks Dumptruck for finding worth beyond productivity:

Dumptruck the chinchilla Devon Price hide caption

Dumptruck the chinchilla

Before the pandemic, I was all about hustle culture: get to work early, leave late, ignore any signs that I might need to slow down. But then a chinchilla named Dumptruck changed everything. We interviewed social psychologist (and owner of Dumptruck) Devon Price about his book Laziness Does Not Exist . Price says he never questions Dumptruck's worth because he lies around all day, but we're extra hard on ourselves when we aren't being productive. He says what we often see as laziness is actually a signal from our bodies to rest – we all still have worth when we are simply breathing on the couch.

Time is the building block of life

Producer Clare Marie Schneider learned the value of time:

Four Thousand Weeks author Oliver Burkeman says he's in recovery from productivity. Now, he thinks of time as a precious resource – the building block of our lives. When we interviewed him, he said, "The sum total of all the things you paid attention to will have been your life." To me, this way of looking at time leaves a little more room to embrace taking out the trash, over and over again, and to move towards what feels most exciting in life.

Finding passion outside of work

Producer Audrey Nguyen shifted her energy to find what she loves outside of her work:

A Field Guide for Fledgling Birders

I've struggled with pouring too much of myself into my work, and not leaving enough gas in the tank for my life outside of the 9-to-5. One of the most useful lessons I learned came from our interview with sociology professor Erin Cech , author of The Trouble With Passion: How Searching For Fulfillment At Work Fosters Inequality . She recommends finding ways to "diversify your meaning-making portfolio." Taking a step back and figuring out how to make room for passion outside of work has been really helpful for my mental health. I've been birding , and I'm currently taking a pottery class with my partner at our local community college!

Find your "resilience circle"

Visual and digital editor Beck Harlan built community in a time of isolation:

The last two years have felt particularly uncertain. That makes it hard to plan, hard to dream and hard to cope. Author Elizabeth White faced some uncertainty of her own during the Great Recession, and she has a piece of advice: don't go it alone. White found support in a "resilience circle" – essentially, "a few people that I could tell the truth to." Having those folks who'll be a sounding board and a cheer squad in your corner, can get you through a lot. It doesn't matter how you connect — Whatsapp, Marco Polo, postcards, a weekly walk — just that you DO.

From all of us to you: we're grateful for the time you've spent with us today and throughout the pandemic. We're still here.

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Lessons we will learn from this pandemic, unicef young reporters shed light on the lessons they have learned during the covid-19 pandemic.

There is no rainbow without rain

Eva Hadzipetrova (15), UNICEF Young Reporter

I’ve been thinking a lot - what is it that will come out of all this? Equality! This situation has shown us that we are all the same regardless of our religion, culture, customs, whether we are poor or rich. The virus simply does not choose. It connected us in a way, it showed us that we should all stick together. During this chaos, while many of us in a panic, it showed us the weight of humanity. It reminded us who we are. Maybe the world will finally change.

We humans are fragile by ourselves. Our strength lies in being part of a community.

We do not live without relationships and we should never forget that. We have a very caring and shared connection between us and it’s amazing to see how we stick together at times. Sharing is caring. Sometimes we need to remember how important kindness is. We need to remember that we have been given a gift called life and that we should appreciate it.

Everything can end tomorrow. Focus on what is important to us. When all this is over, Earth will continue to spin, and life will flow again. The question is whether by then we will have learned our lesson. Let us be mindful of our Earth and it will be kind to us. There is no rainbow without rain. Remember that.

There is good in every evil

Maria Mitrikeska (15), UNICEF Young Reporter

There is an old saying ‘there is good in every evil’ that I will now use as a tiny consolation in this difficult, unexpected time. As a young teenager, believe me it is hard dealing with this situation, and to everyone who is reading this and feeling helpless, I just want to tell you that you are not alone, and it will be better!

I am aware of everything that has been taken away from us due to this situation, of all the unrealized plans, be it birthdays, travels, weddings ... and sadly, we cannot do anything about it. But we are not powerless! On the contrary, it is all of us together that can make the world a better place. If each of us respects the measures imposed by authorities, the situation will get better and it will pass much faster than expected.

I can single out isolation - staying at home – as one of the most important measures. I know it sounds difficult and believe me, at first this sounded impossible to me, just unfeasible. I found it hard and boring, I wasn’t used to sitting in the same closed place for so long. But over time, I started to find hobbies. I tried things I had never tried before. I spent a lot more time with my parents than before, and even though I didn’t go out, I exercised at home. I found I had the time to watch the TV series and read books I never had the time for! Also, I have to admit that for me, online learning is much easier, more flexible and stress-free.

One of the most important things I’ve learned while we’re in isolation is to take care of myself and to devote more time to myself.

Taking care of yourself is something so underestimated nowadays. Whether due to a lack of time or due to too much stress in everyday life or for a whatever reason, people don’t devote enough time to themselves. While in isolation, I’ve had a lot of time to think and realize that actually taking care of myself is one of the things that makes me happy. I mean little things that I believe are available to everyone. These little things are actually the ones that help me find myself.

Let’s go back to the sentence “There is good in every evil”. A simple short sentence, but still so powerful! This is just one perspective of a young girl who is going through the same thing as many others. So don’t forget, you’re never alone!

A pandemic that taught me to love

Branislav Maksimovski (15), UNICEF Young Reporter

It’ll take just a little patience and support for us to master this crisis, but together can we do it. We only need to respect the recommendations and measures issued by the state, to protect ourselves, the people closest to us, and others who live in our community. We all know that it is not easy to stay at home but taking a break to stop and reflect has its own virtues.

If someone asks me how I’m dealing with the pandemic and how it influences me I would say:

I know that is not easy for us, I know it’s not easy for those lying in the hospitals, I know it’s not easy for those who lost someone. Life takes us in different directions. That’s why it’s important to live the moment, without thinking of the past or the future. I sit at home, do my school assignments, go out on the balcony, have a tee or coffee, listen to good music. I can’t count all the activities I do to stay positive. It matters to me that my brother, my parents and grandparents are safe and for them I do my best. I write essays, I paint, I read.  This situation has taught me many things.

It taught me to love, to listen, to care, to respect and to help.

Help - that’s the word I’m looking for. What does it mean “to help someone”? Help someone to teach them something. Help someone by having a conversation with them. We should use this word in our vocabulary more often, so we can see a smile on people’s faces more often. This situation taught me to love. Not only to love a person, but also to love the little things in life.

Life is a lesson, we learn and continue to learn every day

Andrijana Kamcheva (25), UNICEF Young Reporter

Humans are very complex beings; they spend their whole life learning. But why wait for something bad to happen so that we learn how to appreciate the good? Why can’t we appreciate the little things that actually make us happy?

I never had a chance to think about the things that have happened to me. I wasn’t appreciating many things and I have given importance to so many things, which weren’t important at all. I didn’t know that the rain makes me happy or that the coffee I have on the balcony is tastier than the coffee in a coffee shop. I realize that reading books makes me happy. Playing cards and monopoly at home wasn’t that bad at all and working out at home is better that at a gym.  I realized that I’m a philanthropist and have a great sense of empathy, which makes me very happy.

We learn how to live every day. We choose the path we will take.

Just think about everything you dream of? It is good that we dream and work towards achieving a goal. Don’t be afraid to work miracles on yourself, don’t be afraid to live as you deserve. Its normal to come across obstacles, that’s how we learn when we overcome challenges.

Life is a lesson; we learn every day and we will continue learning every day. Everything doesn’t have to be perfect in life for us to be happy and to appreciate ourselves and everything around us.  We just have to be greatful. Remember that the best life lesson is learned during hard times and when we make mistakes.

Enjoy your life and appreciate what you have. Just think about the fact that there are people in the world with less. Be happy and positive for everything around you and you will become a stonger person.

Blogs written by UNICEF Young Reporters are part of a UNICEF volunteer initiative to give young people the space to share their own views on topics important to them. The work of the Young Reporters during COVID-19 pandemic is partly funded by USAID.

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15 Lessons the Coronavirus Pandemic Has Taught Us

What we've learned over the past 12 months could pay off for years to come.

For the past year, our country has been mired in not one deep crisis but three: a pandemic , an economic meltdown and one of the most fraught political transitions in our history. Interwoven in all three have been challenging issues of racial disparity and fairness. Dealing with all of this has dominated much of our energy, attention and, for many Americans, even our emotions.

But spring is nearly here, and we are, by and large, moving past the worst moments as a nation — which makes it a good time to take a deep breath and assess the changes that have occurred. While no one would be displeased if we could magically erase this whole pandemic experience, it's been the crucible of our lives for a year, and we have much to learn from it — and even much to gain.

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AARP asked dozens of experts to go beyond the headlines and to share the deeper lessons of the past year that have had a particular impact on older Americans. More importantly, we asked them to share how we can use these learnings to make life better for us as we recover and move forward. Here is what they told us.

Lesson 1: Family Matters More Than We Realized

"The indelible image of the older person living alone and having to struggle — we need to change that. You're going to see more older people home-sharing within families and cohousing across communities to avoid future situations of tragedy."

—Marc Freedman, CEO and president of Encore.org and author of  How to Live Forever: The Enduring Power of Connecting the Generations

Norman Rockwell would have needed miles of canvas to portray the American family this past year. You can imagine the titles: The Family That Zooms Together. Generations Under One Roof. Grandkids Outside My Window. The Shared Office . “Beneath the warts and complexities of all that went wrong, we rediscovered the interdependence of generations and how much we need each other,” Freedman says. Among the lessons:

Adult kids are OK. A Pew Research Center survey last summer found that 52 percent of the American population between ages 18 and 29 were living with parents, a figure unmatched since the Great Depression. From February to July 2020, 2.6 million young adults moved back with one or both parents. That's a lot of shared Netflix accounts. It's also a culture shift, says Karen Fingerman, director of the Texas Aging & Longevity Center at the University of Texas at Austin. “After the family dinners together, grandparents filling in for childcare, and the wise economic sense, it's going to be acceptable for adult family members to co-reside,” Fingerman says. “At least for a while.”

What We've Learned From the Pandemic

•  Lesson 1: Family Matters •  Lesson 2: Medical Breakthroughs •  Lesson 3: Self-Care Matters •  Lesson 4: Be Financially Prepared •  Lesson 5: Age Is Just a Number •  Lesson 6: Getting Online for Good •  Lesson 7: Working Anywhere •  Lesson 8: Restoring Trust •  Lesson 9: Gathering Carefully •  Lesson 10: Isolation's Health Toll •  Lesson 11: Getting Outside •  Lesson 12: Wealth Disparities’ Toll •  Lesson 13: Preparing for the Future •  Lesson 14: Tapping Telemedicine •  Lesson 15: Cities Are Changing

Spouses and partners are critical to well-being . “The ones who've done exceptionally well are couples in long-term relationships who felt renewed intimacy and reconnection to each other,” says social psychologist Richard Slatcher, who runs the Close Relationships Laboratory at the University of Georgia.

Difficult caregiving can morph into good-for-all home-sharing.  To get older Americans out of nursing homes and into a loved one's home — a priority that has gained in importance and urgency due to the pandemic — will take more than just a willing child or grandchild. New resources could help, like expanding Medicaid programs to pay family caregivers, such as an adult child, or initiatives like the Program of All-Inclusive Care for the Elderly, a Medicare-backed benefit currently helping 50,000 “community dwelling” seniors with medical services, home care and transportation.

"A positive piece this year has been the pause to reflect on how we can help people stay in their homes as they age, which is what everyone wants,” says Nancy LeaMond, AARP's chief advocacy and engagement officer. “If you're taking care of a parent, grandparent, aging partner or yourself, you see more than ever the need for community and government support, of having technology to communicate with your doctor and of getting paid leave for family caregivers. The pandemic has forced us to think about all these things, and that's very positive.”

Family may be the best medicine of all . “Now we know if you can't hug your 18-month-old granddaughter in person, you can read to her on FaceTime,” says Jane Isay, author of several books about family relationships. “You can send your adult kids snail mail. You can share your life's wisdom even from a distance. These coping skills may be the greatest gifts of COVID” — to an older generation that deeply and rightly fears isolation.

Lesson 2: We Have Unleashed a Revolution in Medicine

" One of the biggest lessons we've learned from COVID is that the scientific community working together can do some pretty amazing things."

—John Cooke, M.D., medical director of the RNA Therapeutics Program at Houston Methodist Hospital's DeBakey Heart and Vascular Center

In the past it's taken four to 20 years to create conventional vaccines. For the new messenger RNA (mRNA) vaccines from Pfizer-BioNTech and Moderna, it was a record-setting 11 months. The process may have changed forever the way drugs are developed.

"Breakthroughs” come after years of research . Supporting the development of the COVID-19 vaccines was more than a decade of research into mRNA vaccines, which teach human cells how to make a protein that triggers a specific immune response. The research had already overcome many challenging hurdles, such as making sure that mRNA wouldn't provoke inflammation in the body, says Lynne E. Maquat, director of the University of Rochester's Center for RNA Biology: From Genome to Therapeutics.

Vaccines may one day treat heart disease and more. In the near future, mRNA technology could lead to better flu vaccines that could be updated quickly as flu viruses mutate with the season, Maquat says, or the development of a “universal” flu shot that might be effective for several years. Drug developers are looking at vaccines for rabies, Zika virus and HIV. “I expect to see the approval of more mRNA-based vaccines in the next several years,” says mRNA researcher Norbert Pardi, a research assistant professor of medicine at the University of Pennsylvania.

"We could use mRNA for diseases and conditions that can't be treated with drugs,” Cooke explains.

It may also target our biggest killers . Future mRNA therapies could help regenerate muscle in failing hearts and target the unique genetics of individual cancers with personalized cancer vaccines. “Every case of cancer is unique, with its own genetics,” Cooke says. “Doctors will be able to sequence your tumor and use it to make a vaccine that awakens your immune system to fight it.” Such mRNA vaccines will also prepare us for future pandemics, Maquat says.

In the meantime, use the vaccines we have available. Don't skip recommended conventional vaccines now available to older adults for the flu, pneumonia, shingles and more, Pardi says. The flu vaccine alone, which 1 in 3 older adults skipped in the winter 2019 season, saves up to tens of thousands of lives a year and lowers your risk for hospitalization with the flu by 28 percent and for needing a ventilator to breathe by 46 percent.

Lesson 3: Self Care Is Not Self-Indulgence

"Not only does self-care have positive outcomes for you, but it also sets an example to younger generations as something to establish and maintain for your entire life."

—Richelle Concepcion, clinical psychologist and president of the Asian American Psychological Association

As the virus upended life last spring, America became hibernation nation. Canned, dry and instant soup sales have risen 37 percent since last April. Premium chocolate sales grew by 21 percent in the first six months of the pandemic. The athleisure market that includes sweatpants and yoga wear saw its 2020 U.S. revenue push past an estimated $105 billion.

With 7 in 10 American workers doing their jobs from home, “COVID turned the focus, for all ages, on the small, simple pleasures that soothe and give us meaning,” says Isabel Gillies, author of  Cozy: The Art of Arranging Yourself in the World.

Why care about self-care? Pampering is vital to well-being — for yourself and for those around you. Activities that once felt indulgent became essential to our health and equilibrium, and that self-care mindset is likely to endure. Whether it is permission to take long bubble baths, tinkering in the backyard “she shed,” enjoying herbal tea or seeing noon come while still in your robe, “being good to yourself offers a necessary reprieve from whatever horrors threaten us from out there,” Gillies says. Being good to yourself is good for others, too. A recent European survey found that 77 percent of British respondents 75 and younger consider it important to take their health into their own hands in order not to burden the health care system.

Nostalgia TV, daytime PJs. It's OK to use comfort as a crutch. Comfort will help us ease back to life. Some companies are already hawking pajamas you can wear in public. Old-fashioned drive-ins and virtual cast reunions for shows like  Taxi, Seinfeld  and  Happy Days  will likely continue as long as the craving is there. (More than half the consumers in a 2020 survey reported finding comfort in revisiting TV and music from their childhood.) Even the iconic “Got Milk?” ads are back, after dairy sales started to show some big upticks.

So, cut yourself some slack. Learn a new skill; adopt a pet; limit your news diet; ask for help if you need it. You've lived long enough to see the value of prioritizing number one. “Not only does self-care have positive outcomes for you,” Concepcion says, “but it also sets an example to younger generations as something to establish and maintain for your entire life."

Lesson 4: Have a Stash Ready for the Next Crisis

"The need to augment our retirement savings system to help people put away emergency savings is crucial."

—J. Mark Iwry, a senior fellow at the Brookings Institution and former senior adviser to the U.S. secretary of the Treasury

Before the pandemic, nearly 4 in 10 households did not have the cash on hand to cover an unexpected $400 expense, according to a Federal Reserve report. Then the economic downturn hit. By last October, 52 percent of workers were reporting reduced hours, lower pay, a layoff or other hits to their employment situation. A third had taken a loan or early withdrawal from a retirement plan , or intended to. “Alarm bells were already ringing, but many workers were caught off guard without emergency savings,” says Catherine Collinson, CEO and president of the Transamerica Institute. “The pandemic has laid bare so many weaknesses in our safety net."

Companies can help . One solution could be a workplace innovation that's just beginning to catch on: an employee-sponsored rainy-day savings account funded with payroll deductions. By creating a dedicated pot of savings, the thinking goes, workers are less likely to tap retirement accounts in an emergency. “It's much better from a behavioral standpoint to separate short-term savings from long-term savings,” Iwry says. (AARP has been working to make these accounts easier to create and use and is already offering them to its employees.)

Funding that emergency savings account with automatic payroll deductions is a key to the program's success. “Sometimes you think you don't have the money to save, but if a little is put away for you each pay period, you don't feel the pinch,” Iwry notes.

We're off to a good start . Thanks to quarantines and forced frugality, Americans’ savings rate — the average percentage of people's income left over after taxes and personal spending — skyrocketed last spring, peaking at an unprecedented 33.7 percent. On the decline since then, most recently at 13.7 percent, it's still above the single-digit rates characterizing much of the past 35 years. Where it will ultimately settle is unclear; currently, it's in league with high-saving countries Mexico and Sweden. The real model of thriftiness: China, where, according to the latest available figures, the household savings rate averaged at least 30 percent for 14 years straight.

Lesson 5: The Adage ‘Age Is Just a Number’ Has New Meaning

"This isn't just about the pandemic. Your health is directly related to lifestyle — nutrition, physical activity, a healthy weight and restorative sleep."

—Jacob Mirsky, M.D., primary care physician at the Massachusetts General Hospital Revere HealthCare Center and an instructor at Harvard Medical School

Just a few months ago, researchers at Scotland's University of Glasgow asked a big question: If you're healthy, how much does older age matter for risk of death from COVID? The health records of 470,034 women and men revealed some intriguing answers.

Age accounted for a higher risk, but comorbidities (essentially, having two or more health issues simultaneously) mattered much more. Specifically, risk for a fatal infection was four times higher for healthy people 75 and older than for all participants younger than 65. But if you compared all those 75 and older — including those with chronic health condition s like high blood pressure, obesity or lung problems — that shoved the grim odds up thirteenfold.

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Live healthfully, live long . More insights from the study: A healthy 75-year-old was one-third as likely to die from the coronavirus as a 65-year-old with multiple chronic health issues. The bottom line: Age affects your risk of severe illness with COVID, but you should be far more focused on avoiding chronic health conditions. “Coronavirus highlighted yet another reason it's so important to attend to health factors like poor diet and lack of exercise that cause so much preventable illness and death,” says Massachusetts General's Mirsky. “Lifestyle changes can improve your overall health, which will likely directly reduce your risk of developing severe COVID or dying of COVID."

Exercise remains critical . In May 2020 a British study of 387,109 adults in their 40s through 60s found a 38 percent higher risk for severe COVID in people who avoided physical activity. “Mobility should be considered one of the vital signs of health,” concludes exercise psychologist David Marquez, a professor in the department of kinesiology and nutrition at the University of Illinois at Chicago.

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Lesson 6: We Befriended Technology, and There's No Going Back

"Folks who have tried online banking will stay with it. It won't mean they won't go back to branches, but they might go back for a different purpose."

—Theodora Lau, founder of financial technology consulting firm Unconventional Ventures

Of course, the world has long been going digital . But before the pandemic, standard operating procedure for most older Americans was to buy apples at the grocery, try the shoes on first before buying, have your doctor measure your blood pressure and see that hot new movie at the theater.

Arguably the biggest long-term societal effect of the pandemic will be a grand flipping of the switch that makes the digital solution the first choice of many Americans for handling life's tasks. We still may cling to a few IRL (in real life) experiences, but it is increasingly apparent that easy-to-use modern virtual tools are the new default.

"If nothing else, COVID has shown us how resilient and adaptable humans are as a society when forced to change,” says Joseph Huang, CEO of StartX, a nonprofit that helps tech companies get off the ground. “We've been forced to learn new technologies that, in many cases, have been the only safe way to continue to live our lives and stay connected to our loved ones during the pandemic.”

The tech boom wasn't just video calls and streaming TV. Popular food delivery apps more than doubled their earnings last year. Weddings and memorial services were held over videoconferences (yes, we'll go back to in-person ones but probably with cameras and live feeds now to include remote participants). In the financial sector, PayPal reported that its fastest-growing user group was people over 50; Chase said about half of its new online users were 50-plus. In telehealth, more doctors conducted routine exams via webcam than ever before — and, in response, insurance coverage expanded for these remote appointments. “It quickly became the only way to operate at scale in today's world,” Huang says, “both for us as patients and for the doctors and nurses who treat us. Telemedicine will turn out to be a better and more effective experience in many cases, even after COVID ends."

Tech is for all . To financial technology expert Lau, the tech adoption rate by older people is no surprise. She never believed the myth that older people lack such knowledge. “There's a difference between knowing how to use something versus preferring to use it,” Lau says. “Sometimes we know how, but we prefer face-to-face interaction.” And now those preferences are shifting.

Lesson 7: Work Is Anywhere Now — a Shift That Bodes Well for Older Americans

"One of the major impacts of the new working-from-home focus is that more jobs are becoming non-location-specific."

—Carol Fishman Cohen, cofounder of iRelaunch, which works with employers to create mid-career return-to-work programs for older workers

Necessity is the mother of reinvention : Forced to work remotely since the onset of the pandemic, millions of workers — and their managers — have learned they could be just as productive as they were at the office, thanks to videoconferencing, high-speed internet and other technologies. “This has opened a lot of corporate eyes,” says Steven Allen, professor of economics at North Carolina State University's Poole College of Management. Twitter, outdoor-goods retailer REI and insurer Lincoln Financial Group are a few of the companies that have announced plans to shift toward more remote work on a permanent basis.

Face-lift your Face-Time . Yes, many workers are tied to a location: We will always need nurses, police, roofers, machine operators, farmers and countless other workers to show up. But if you are among the people who are now able to work remotely, you may be able to live in a less expensive area than where your employer is based — or work right away from the home you were planning to retire to later on, Cohen says. As remote hiring takes hold, how you project yourself on-screen becomes more of a factor. “This puts more pressure on you to make sure you show up well in a virtual setting,” Cohen notes. And don't assume being comfortable with Zoom is a feather in your cap; mentioning it is akin to listing “proficient in Microsoft Word” on your résumé.

Self-employed workers have suffered during the pandemic — nearly two-thirds report being hurt financially, according to the “State of Independence in America 2020” report from MBO Partners — but remote work could fuel their comeback. Before the pandemic, notes Steve King, partner at Emergent Research, businesses with a high percentage of remote workers used a high percentage of independent contractors. “Now that companies are used to workers not being as strongly attached physically to a workplace, they'll be more amenable to hiring independent workers,” he says.

Travel less, stay longer . Tired of sitting in traffic to and from work? Can't stand flying across country for a single meeting? Ridding yourself of these hassles with an internet connection and Zoom calls may be the incentive you need to work longer. People often quit jobs because of little frustrations, Allen says. But now, he adds, “the things that wear you down may be going by the wayside."

Ageism remains a threat . Older workers — who before the coronavirus enjoyed lower unemployment rates than mid-career workers — have been hit especially hard by the pandemic. In December, 45.5 percent of unemployed workers 55 and older had been out of work for 27 weeks or more, compared with 35.1 percent of younger job seekers. Some employers, according to reports this fall, are replacing laid-off older workers with younger, lower-cost ones, instead of recalling those older employees. Psychological studies, Allen says, indicate that older workers have better communication and interpersonal skills — both of which are critical for successful remote work. But whether those strengths can offset age discrimination in the workplace is unknown.

Lesson 8: Our Trust in One Another Has Frayed, but It Can Be Slowly Restored

"Truth matters, but it requires messaging and patience.”

—Historian John M. Barry, author of  The Great Influenza

Even before our views perforated along lines dotted by pandemic politics, race, class and whether Bill Gates is trying to save us or track us, we were losing faith in society. In 1997, 64 percent of Americans put a “very great or good deal of trust” in the political competence of their fellow citizens; today only a third of us feel that way. A 2019 Pew survey found that the majority of Americans say most people can't be trusted. It's even tougher to trust in the future. Only 13 percent of millennials say America is the greatest country in the world, compared with 45 percent of members of the silent generation. No wonder that by June of last year, “national pride” was lower than at any point since Gallup began measuring. To trust again:

As life returns, look beyond your familiar pod. “Distrust breeds distrust, but hope isn't lost for finding common ground, especially for older people,” says Encore.org's Freedman. “Even in the era of ‘OK, boomer’ and ‘OK, millennial’ — memes that dismiss entire generations with an eye roll — divides are bridgeable with what Freedman calls “proximity and purpose.” Rebuilding trust together, across generations, under shared priorities and common humanity.” He points to pandemic efforts like Good Neighbors from the home-sharing platform Nesterly, which pairs older and younger people to provide cross-generational support, and UCLA's Generation Xchange, which connects Gen X mentors with children in grades K-3 in South Los Angeles, where educational achievement is notoriously poor. “Engaging with people for a common goal makes you trust them,” he says.

Be patient but verify facts. History also provides a guide. In the wake of the 1918 influenza pandemic that killed between 50 million and 100 million people, trust in authority withered after local and national government officials played down the disease's threats in order to maintain wartime morale. Historian Barry points out that the head of the Army's’ division of communicable diseases was so worried about the collective failure of trust that he warned that “civilization could easily disappear ... from the face of the earth.” It didn't then, and it won't now, Barry says.

Verify facts and then decide. Check reliable, balanced news sources (such as Reuters and the Associated Press) and unbiased fact-checking sites (such as PolitiFact) before clamping down on an opinion.

Perhaps most important, be open to changing conditions and viewpoints. “As we see vaccines and therapeutic drugs slowly gain widespread success in fighting this virus, I think we'll start to overcome some of our siloed ways of thinking and find relief — together as one — that this public health menace is ending,” Barry adds. “We have to put our faith in other people to get through this together.”

Lesson 9: The Crowds Will Return, but We'll Gather Carefully

"Masks and sanitizers will be part of the norm for years, the way airport and transportation security measures are still in place from 9/11."

— Christopher McKnight Nichols, associate professor of history at Oregon State University and founder of the Citizenship and Crisis Initiative

The COVID-19 pandemic won't end with bells tolling or a ticker-tape parade . Instead, we'll slowly, cautiously ease back to familiar activities. For all our fears of the coronavirus, many of us can't wait to resume a public life: When 1,000 people 65 and older were asked which pursuits they were most eager to start anew post-pandemic, 78 percent said going out to dinner, 76 percent picked getting together with family and friends, 71 percent chose travel, and 30 percent cited going to the movies.

Seeing art , attending concerts, cheering in a stadium — even going to class reunions we might have once dreaded — we'll do them again. But how will we return to feeling comfortable in groups of tens, hundreds and thousands? And will these gatherings be different? How we come together:

Don't expect the same old, same old . Just as the rationing, isolation and economic crisis caused by World War I and the Spanish flu epidemic “led to a kind of awakening of how we assembled,” Nichols says, expect COVID to shake up the nature and personality of our public spaces. Back in the 1920s, it was the rise of jazz clubs, organized athletics, fraternal organizations and the golden age of the movie cinema. As the pandemic subsides, we'll probably see more temperature-controlled outdoor event and dining spaces, more pedestrian and bicycling options, more city parks and more hybrid events that give you the option to attend virtually.

Retrain your brain . Psychologists say the techniques of cognitive behavioral therapy can help people at any age regain the certainty and confidence they need to venture into the public space post-pandemic. “Visualizing good outcomes and repeating a stated goal can help overcome whatever obstacles are holding you back,” says Gabriele Oettingen, a professor of psychology at New York University, who suggests making an “if-then plan” to reacclimate to public life. If eating indoors at a restaurant is too agitating, even if you've been vaccinated, then try a table outside first. If a bucket-list family vacation to Italy feels too daunting, then book a stateside trip together first. “There's always an alternative if something stands in the way of you fulfilling your wish,” she says. “Eventually, you'll get there.”

Lesson 10: Loneliness Hurts Health More Than We Thought

"What we've learned from COVID is that isolation is everyone's problem. It doesn't just happen to older adults; it happens to us all."

— Julianne Holt-Lunstad, professor of psychology and neuroscience at Brigham Young University

How deadly is the condition of loneliness? During the first five months of the pandemic, nursing home lockdowns intended to safeguard older and vulnerable adults with dementia contributed to the deaths of an additional 13,200 people compared with previous years, according to a shocking  Washington Post  investigation published last September. “People with dementia are dying,” the article notes, “not just from the virus but from the very strategy of isolation that's supposed to protect them.”

Isolation may be the new normal . Fifty-six percent of adults age 50-plus said they felt isolated in June 2020, double the number who felt lonely in 2018, a University of Michigan poll found. Rates of psychological distress rose for all adults as the pandemic deepened — increasing sixfold for young adults and quadrupling for those ages 30 to 54, according to a Johns Hopkins University survey published in  JAMA  in June. And it's hard to tell whether the workplace culture many of us relied on for social support will fully return anytime soon.

Those 50-plus have a leg up. “Older adults with higher levels of empathy, compassion, decisiveness and self-reflection score lowest for loneliness,” says Dilip Jeste, M.D., director of the Sam and Rose Stein Institute for Research on Aging at the University of California, San Diego. “Research shows that many older adults have handled COVID psychologically better than younger adults. With age comes experience and wisdom. You've lived through difficult times before and survived.”

Help yourself by helping others. Jeste says that when older adults share their wisdom with younger people, everyone benefits. “Young people are reassured about the future,” he adds. “Older adults feel even more confident. They're role models. Their contributions matter."

Lesson 11: When Your World Gets Small, Nature Lets Us Live Large

"For older people in particular, nature provided a way to shake off the weight and hardships associated with stay-at-home orders, of social isolation and of the stress of being the most vulnerable population in the pandemic."

— Kathleen Wolf, a research social scientist in the School of Environmental and Forest Sciences at the University of Washington

One silver lining to COVID-19's dark cloud : Clouds themselves became more familiar to all of us. So did birds, trees, bees, shooting stars and window gardens. Nearly 6 in 10 Americans have a new appreciation for nature because of the pandemic, according to one survey that also found three-quarters of respondents reported a boost in their mood while spending time outside.

By nearly every measure, the planet got more love during COVI D. And wouldn't it be nice if that continued going forward? The ins and outs on our new outdoor life:

Move somewhere greener (or at least move around more outside). How you access nature is up to you, but consider the options. Nearly a third of Americans were considering moving to less populated areas, according to a Harris Poll taken last year during the pandemic. Walking, running and hiking became national pastimes. One day last September, Boston's BlueBikes bike-share system saw its highest-ever single-day ridership, with 14,400 trips recorded. Stargazers and bird-watchers helped push binocular sales up 22 percent.

Once known mainly as a retirement activity, pickleball has been the fastest-growing sport in America, with almost 3.5 million U.S. players of all ages participating in the contact-free outdoor net game designed for players of any athletic ability. The return of the pandemic “victory garden” reflects research that finds 79 percent of patients feel more relaxed and calm after spending time in a garden.

Make the city less gritty . The University of Washington's Wolf thinks that our collective nature kick will go beyond a run on backyard petunias. Her research brief on the benefits of nearby nature in cities for older adults suggests we may rethink the design of neighborhood environments to facilitate older people's outdoor activities. That means more places to sit, more green spaces associated with the health status of older people, safer routes and paths, and more allotment for community gardens. “It's impossible to overestimate the value these outdoor spaces have on reducing stressful life events, improving working memory and adding meaning and happiness in older people's lives,” Wolf says.

If you can't get out, bring nature in . Even video and sounds of nature can provide health gains to those shut indoors, says Marc Berman of the University of Chicago's Environmental Neuroscience Lab. “Listening to recordings of crickets chirping or waves crashing improved how our subjects performed on cognitive tests,” he says.

Above all, the environment is in your hands, so take action to protect it . “We've seen a lot of older folks stepping up their activity in trail conservation, stream cleaning, being forest guides and things like that this year, which indicates a shift in how that age group interacts with nature,” says Cornell University gerontologist Karl Pillemer.

"There's an old saw that older people care less than younger people about the environment. But given this year's nature boom, I'm expecting that to change. As the generation that gave birth to the environmental movement enters retirement, we're likely to see a wave of interest in conservation among those 60 and up."

Lesson 12: You Can Hope for Stability — but Best Be Prepared for the Opposite

"COVID-19, perhaps more than any other disaster, demonstrated that we need to continue ensuring response plans are flexible and scalable. You can't predict exactly what a disaster will bring, but if you know what tools you have in your tool kit, you can pull out the right one you need when you need it."

— Linda Mastandrea, director of the Office of Disability Integration and Coordination for the Federal Emergency Management Agency (FEMA)

The pandemic was among the toughest slap-in-the-face moments in recent history to remind us that everything —  everything  — in our lives can change in a moment. While older Americans may have a deep-seated desire for stability and security after all it took to get to an advanced age, we certainly cannot bank on it. Which is why the word of the year, and perhaps the coming century, is “resilience.” Not just at the individual level but at every social tier, from family to community to the nation as a whole.

Banish fear . “We don't have to live in fear” of some looming disaster, says former director of the Centers for Disease Control and Prevention Tom Frieden, now president and CEO of global public health initiative Resolve to Save Lives. “By strengthening our defenses and investing in preparedness, we can live easier knowing that communities have what they need to better respond in moments of crisis."

Preparation must start at the top . For government, that means a new commitment to plans that allow, not so much for stockpiles but for the ability to ramp up production of crucial equipment when needed. “We need increased, sustained, predictable base funding for public health security defense programs that prevent, detect and respond to outbreaks such as COVID-19 or pandemic influenza,” Frieden says.

Being creative and even entrepreneurial helps , says Jeff Schlegelmilch, director of the National Center for Disaster Preparedness at Columbia University's Earth Institute. Warehouses full of masks could have helped us initially, he says, but stockpiles of equipment aren't the answer on their own. In a free market there is pressure to sell off surpluses, so he suggests we reimagine our manufacturing capacities for times of emergency. When whiskey distillers stepped up to make hand sanitizer, and auto manufacturers switched gears to build ventilators, we saw “glimmers of solutions,” Schlegelmilch says, the sort of responses we may need to tee up in the future.

Focus on health care . Prime among the areas that need to be addressed, crisis management consultant Luiz Hargreaves says, are overwhelmed health care systems. “They were living a disaster before the pandemic. When the pandemic came, it was a catastrophe.” But Hargreaves hopes we will use this wake-up call to produce new solutions, rather than to return to old ways. “Extraordinary times,” he says, “call for extraordinary measures."

Lesson 13: Wealth Inequality Is Growing, and It Affects Us All

"It's outrageous that somebody could work full-time and not even be able to pay rent, let alone food and clothing. There's a recognition that there's a problem on both the left and right. "

— Joseph Stiglitz, Nobel Prize–winning economist, Columbia University professor and author of  The Price of Inequality

"The data is pretty dramatic,” says Stiglitz, one of America's most-esteemed economists. Government economists estimate that unemployment rates in this pandemic are less than 5 percent for the highest earners but as high as 20 percent for the lowest-paid ones. “People at the bottom have disproportionately experienced the disease, and those at the bottom have lost jobs in enormous disproportion, too."

As white-collar professionals work from home and stay socially distant, frontline workers in government, transportation and health care — as well as retail, dining and other service sectors — face far greater health risks and unemployment. “We try to minimize interactions as we try to protect ourselves,” he says, “yet we realize that minimizing those interactions is also taking away jobs.” The disparate effects of the pandemic are particularly evident along racial lines, points out Jean Accius, AARP senior vice president for global thought leadership. “Job losses have hit communities of color disproportionately,” he says. And there's a health gap, too, with people of color — who have a greater likelihood than white Americans to be frontline workers — experiencing higher rates of COVID-19 infection, hospitalizations and mortality, and lower rates of vaccinations. “What we're seeing is a double whammy for communities of color,” Accius says. “It is hitting them in their wallets. And it's hitting them with regard to their health."

Those economic and health crises, along with protests over racial injustice over the past year, says Accius, “have really sparked major conversations around what do we need to do in order to advance equity in this country."

A rising gap between rich and poor in any society, Stiglitz argues, increases economic instability, reduces opportunities and results in less investment in public goods such as education and public transportation. But the country appears primed to make some changes that could help narrow the wealth gap, he says. Among them are President Biden's proposals to raise the federal minimum wage to $15 an hour, increase the earned income tax credit for low-income workers and provide paid sick leave. Stiglitz also proposes raising taxes on gains from sales of stocks and other securities not held in retirement accounts. “The notion that people who work for a living shouldn't pay higher taxes than those who speculate for a living seems not to be a hard idea to get across,” Stiglitz says.

"Many people continue to say, ‘It's time for us to get back to normal,'” Accius says. “Well, going back to normal means that we're in a society where those that have the least continue to be impacted the most — a society where older adults are marginalized and communities of color are devalued. We have to be honest with what we are going through as a collective nation. And then we have to be bold and courageous, to really build a society where race and other social demographic factors do not determine your ability to live a longer, healthier and more productive life.”

Who Owns America's Wealth?

For some, hard times bring opportunity.

Want a positive reminder of the American way? When the going got tough this past summer, many people responded by planning a new business. In the second half of 2020, there was a 40 percent jump over the prior year's figures in applications to form businesses highly likely to hire employees, according to the U.S. Census Bureau.

Significantly, no such spike occurred during the Great Recession, points out Alexander Bartik, assistant professor of economics at the University of Illinois at Urbana-Champaign. “That's cause for some optimism — that there are people who are trying to start new things,” he says. One possible reason this time is different: Unlike during that recession, the stock market and home values have held on, and those sources of personal wealth are often what people draw upon to fund small-business start-ups.

High-propensity* Business Applications in the U.S.

*Businesses likely to have employees

Lesson 14: The Benefits of Telemedicine Have Become Indisputable

"The processes we developed to avoid face-to-face care have transformed the way we approach diabetes care management.”

— John P. Martin, M.D., codirector of Diabetes Complete Care for Kaiser Permanente Southern California

If there was ever any truth to the stereotype of the older person whose life revolved around a constant calendar of in-person doctor appointments, it's certainly been tossed out the window this past year due to the strains of the pandemic on our health care system. The timing was fortuitous in one way: Telemedicine was ready for prime time and has proved to be a godsend, particularly for those with chronic health conditions.

Say goodbye to routine doctor visits . Patients who sign up for remote blood sugar monitoring at Kaiser Permanente in Southern California use Bluetooth-enabled meters to transmit results via a smartphone app directly to their health records. “ Remote monitoring allows us to recognize early when there should be adjustments to treatment,” Martin says.

We need to push for more access . The pandemic underlines the need for more home-based medical help with chronic conditions. But that takes both willingness and a lot of gear, such as Bluetooth-enabled blood pressure monitors and, on the doctor side, systems to store and analyze the data. “People need access to the equipment, and health care systems have to be ready to handle all that data,” says Mirsky of Massachusetts General Hospital.

Group doctor visits may be a way forward . Mirsky is conducting virtual group visits and remote monitoring of blood sugar for his patients with type 2 diabetes. “Instead of having a few minutes with each person to talk about important issues — like blood sugar testing, diet and exercise — we get an hour or more to go over it,” he says. “At every meeting somebody in the group has a great tip I've never heard of, like a new YouTube exercise channel or fitness app. There's group support, too. I see group visits like this continuing into the future, becoming part of routine chronic disease care for all patients who want it."

Bottom line: The doctor is in (your house) . Managing chronic health conditions like diabetes “can't just be about getting in your car and driving to your doctor's office,” Martin says. Taking care of your health conditions yourself is the path forward.

Lesson 15: Our Cities Won't Ever Be the Same

"This is obviously a very big watershed moment in how we live, how we organize our cities and our communities. There are going to be long-lasting changes."

— Chris Jones, chief planner at Regional Plan Association, a New York–based urban planning organization

"When you're alone and life is making you lonely, you can always go downtown,” Petula Clark sang in her 1964 chart-topping ode to city life. Well, things change. Suddenly, crowds are the enemy, public buses and subways a health risk, packed office towers out of favor, and a roomy suburban home seems just where you want to be. But don't write off downtowns just yet.

The office and business district will look different. Many workers have little interest in returning to a 9-to-5 life. For those who do make the commute, they may find cubicles replaced with more flexible work spaces focused on common areas, with ample outdoor seating space for meetings and working lunches. And some now-empty offices will likely be converted into apartments and condos, making downtowns more vibrant. “Now you have an opportunity to remake a central business district into an actual neighborhood,” says Richard Florida, author of  The Rise of the Creative Class  and a cofounder of  CityLab,  an online publication about urbanism.

Public spaces will serve more of the public. Those areas set up for outdoor restaurant dining — some of those will likely remain. Streets and parking lots have been turned into plazas and promenades. Many cities have already opened miles of bike lanes; in 2020, Americans bought bikes, including electric bikes, in record numbers. “This idea of social space, where you can get outside and enjoy that active public realm, is going to become increasingly important,” says Lynn Richards, the president and CEO of Congress for the New Urbanism, which champions walkable cities.

Contributors to this report: Sari Harrar, David Hochman, Ronda Kaysen, Lexi Pandell, Jessica Ravitz and Ellen Stark

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3 lessons about what really matters in life, learned in the pandemic

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The last year has been like no other.

Since March 2020, every person on the planet has had their life shaken by the COVID-19 pandemic in some way. In the midst of the hardship and challenges, there’s been the sense among many people that this period has helped us evaluate our lives and focus on what’s truly important.

And maybe, just maybe, we’ve learned something from this moment.

In response to the pandemic, StoryCorps — a nonprofit dedicated to recording the largest collection of human stories and winner of the 2015 TED Prize — created StoryCorps Connect , a new tool to bring together loved ones via video conferencing and record the audio of their conversations.

Below are excerpts from a handful of the thousands of interviews recorded in recent months through StoryCorps Connect.

Lesson #1: The pandemic has helped us find deeper meaning in our work

Two mail carriers see the value in every delivery they make

Before getting a job as a mail carrier in Palm Beach, Florida, Evette Jourdain was going through a hard time — she’d lost her father, her brother and then her home. Finding reliable work helped tremendously, but then came COVID-19.

As Jourdain talked to her coworker , fellow postal worker Craig Boddie, she shared how she was feeling. “My anxiety levels are always on 10,” she says. “I pray on my way to work, I pray on my lunch break, I pray when I’m at the box. What keeps me going is just the fact that I need to keep going.”

Boddie agreed. His wife has autoimmune disease, and as he puts it, “Every day I wake up and wonder, ‘Is this the day that COVID-19 is gonna come home with me?’”

But he also knows that his work is more important than ever, and he thinks about how each package he carries contains something to keep people afloat in some way. “We’re like a lifeline — getting these people their medicines, their supplies.”

A health care provider gains inspiration from a classic novel 

Josh Belser and Sam Dow are good friends who grew up in Tampa, Florida, and who now both work in healthcare 400 miles apart — Belser as a nurse in Syracuse, New York, and Dow as a health technician in Ann Arbor, Michigan.

And with COVID-19, they’ve both found themselves on the frontlines. “My floor was one of the first that was converted to strictly dealing with COVID patients. Our jobs changed like overnight,” says Dow in their StoryCorps conversation. “There was no dress rehearsal — the numbers started to go up and it was show time.”

So how did they get through? Dow tells his friend he found some inspiration in Albert Camus’s classic novel The Plague . “It’s about an epidemic, and the main character was a doctor,” he explains. “And he says the way to get through something like this is to be a decent person. Somebody asks him, ‘What makes a decent person?’ He says, ‘I don’t know but, for me, it’s just doing my job the best way I can.’”

Dow says he’s tried to do exactly that. “Hopefully I made a difference in people’s lives.”

Lesson #2: Family rhythms have shifted, but our ties are as important as ever

A grandmother takes strength from her ancestors

Like so many other people, COVID-19 took Jackie Stockton by surprise. One day, she was at her church in Long Beach Island, New Jersey, celebrating her 90th birthday — and the next thing she knew, she was in the hospital. What’s more, she was part of a community cluster, and five members of the church eventually died from the virus, including Stockton’s best friend as well as her son-in-law.

Stockton spoke to her daughter , Alice Stockton-Rossini, about these losses. She says, “I remember 9/11 as though it just happened, but then it was over. This will never, ever be over.”

As a way to cope, she finds herself thinking of her great-grandmother. “She lost half of her children. She lived through the worst kind of hell,” she recalls. “She was an amazing woman, and so was her husband. They just did the things they needed to do. And they survived.”

The pandemic brings together a mother and daughter

In 2005, attorney Chalana McFarland of Atlanta, Georgia, was convicted of mortgage fraud and sentenced to 30 years in prison. The judge hoped this harsh sentence would deter others from similar crimes, but it had severe consequences for McFarland’s 4-year-old daughter, Nia Cosby.

In 2020, with the onset of COVID-19, McFarland was transferred to home confinement. Upon being released, the first person she saw was her now college-age daughter. In a candid conversation during their first weekend together in 15 years, Nia describes their reunion as “one of the best moments of my life.”

McFarland agrees. “When I left, you were driving a Barbie car, and now you’re flexin’ in the Honda Accord,” she says. “We’ve had a relationship over the years, but it’s like pieces of a puzzle that we’re just now putting together. I can’t wait for you to discover how much alike we really are, because you haven’t really gotten to know who I am. But I see so much of me in you. Out of all the things that I’ve done in my life, you are the absolute one thing that I got right.”

A canceled reunion highlights the power of family stories

The Quander family has a long history in the US. Its matriarch, Nancy Carter, was one of 123 enslaved people owned by George Washington, and she was freed in his will. She later married Charles Quander, and in 1926, their descendents held the first Quander family reunion.

It took place every year since 1926 — until now.

“This one would have been the 95th reunion,” Rohulamin Quander, 76, tells his 18-year-old cousin , Alicia Argrett.

In lieu of gathering in person, Argrett asks him: “What would you like to pass on to me?” His reply: “That you are the keeper of the stories.”

Argrett appreciates his call to take this responsibility seriously. “As we’ve seen this year, you never know when your last [family reunion] could be,” she says. “I think it’s important to capture those opportunities while you still have them in your grasp. And I’m going to do what I can on my end to keep the spirit of the family alive.”

Lesson #3: Small gestures have a huge impact on our well-being

This pandemic led to the best date of her life — a staircase apart

As the director of microbiology at a hospital in Rochester, New York, Roberto Vargas’s job is to diagnose infectious disease. With his lab running constant COVID-19 tests, he needed to isolate himself from his wife, Susan Vargas, and their four children.

Initially, he stayed in a hotel but found it too lonely. So he moved into the family’s basement, stipulating that no one else was to go beyond the top of the stairs. One night, as the Vargases recall in their conversation, a coworker brought them all a home-cooked meal. “You sat at the bottom of the stairs in a rocking chair, and I was at the top. It was the first time we had been able to connect in so long,” says Susan.

This simple moment, she says, helped get her through the months of the pandemic, and it will forever be what she remembers most from this time: “As crazy as it sounds, it’s the best date I’ve ever had with you in my life.”

Mother and son reflect on a special, shared memory

In 2015, nine-year-old William Chambers went to work with his mother. Not to an office, but to a senior center near Boston, Massachusetts, where Ceceley Chambers works as an interfaith chaplain providing spiritual counsel to those with memory loss. Ceceley knew the seniors would enjoy spending time with a young person.

What she didn’t expect was for William to sit down at a table with a woman cradling a baby doll she thought was real, and talk to her as easily as if she were his friend. “You just jumped into her world,” she recalls.

As Ceceley continues her work during the pandemic, both she and William have been thinking about that moment a lot. Although the structure of her days hasn’t changed, she’s seeing much more fear in those she’s counseling. William says he has been working hard to cultivate empathy for whatever mood she comes home with. Thinking of that woman with the doll and the other patients helps him.

He adds, “They made me think you should enjoy life as much as you can, ‘cause it doesn’t happen forever.”

Want to record an interview with a loved one — nearby or far away — about their experiences during the pandemic? Here’s how to get started . You can also explore more StoryCorps stories here .

Watch StoryCorps founder Dave Isay’s TED Prize Talk here:

About the author

Kate Torgovnick May is a journalist and writer based in Los Angeles. A former storyteller at TED, she has worked with the ambitious thinkers of the TED Prize and Audacious Project, helping them share their stories in video and text. She's also the author of the narrative nonfiction book, CHEER!: Inside the Secret World of College Cheerleaders, and has written for the television series NCIS and Hellcats. Read more about her work at KateTorgovnickMay.com.

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COVID-19 lessons: What happens next? Image:  Michael Marais/Unsplash

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• We have reached the end of the beginning of the COVID-19 pandemic with more problems on the horizon.
• Covid-19 lessons can be drawn from the previous two years about how to handle future and long-standing challenges.
• Early assumptions about future trends should be made with caution as uncertainty and unpredictability are still present.
• Leadership has proven important across the board.

Whatever happens next in this unprecedented COVID-19 pandemic, we have reached the “end of the beginning.” We paused to reflect on Ipsos’ experience over the last couple of years, with the thought that it might provide lessons for the future, addressing long-standing challenges like ageing populations, a fragile planet and growing inequalities.

So, what are these lessons?

COVID-19 Lesson #1: People proved adaptable

By the end of March 2020, more than 100 countries were in a full or partial lockdown. Two years on, life has continued, but often in an altered state. The resilience and optimistic economic performance seen in many countries come with limits, though, as many admitted to picking and choosing post-lockdown rules to follow . There were also hot takes on what the “new normal” would look like. Commentators predicted that some behaviour would stick, such as accelerated online shopping, even though there were more reports of increased difficulties making online purchases than a year ago, suggesting the path to the new normal is likely more incremental than suggested.

COVID-19 Lesson #2: Mental health is as important as physical health

Through one global public health crisis, another was revealed, as many say their personal health situation worsened, experiencing mental health challenges for the first time. Levels of reported anxiety are higher than ever, with women hit hardest and young people more likely to “ languish .” Now, 79% of people worldwide say their mental health is as important as their physical health . As investment in mental health services is only a fraction of overall health spending, a more serious conversation to address this crisis is due.

COVID-19 Lesson #3: Consumer desires are unpredictable

After initial panic buying, observers noted that the void caused by social restrictions was being filled with premium brand experiences. Enduring consumer habits are yet to become clearer, but for now, there is still uncertainty and inequality: unemployment and inflation among people’s top priorities. If we are about to go through a period of restricted purchasing power, brands may need to adjust and consider that consumer behaviour changes during a crisis, with some of those changes only later becoming permanent.

COVID-19 Lesson #4: Inequalities are widening

The pandemic, rather than erasing old problems, added new ones and exacerbated existing inequalities across age, gender, ethnicities and geography. One survey indicated that people believe the pandemic has been worse for older people than for younger people and research shows that the burden of childcare is falling on women disproportionately, consequently widening other aspects of the gender gap. More positively, there has been a narrowing of the “digital divide,” with older people’s increasing technology adoption to keep in touch with friends and family. Such digital acceleration and increasing home working acceptance will likely have lasting implications, including a potential reorientation of how our cities, suburbs and surrounding areas all interact.

COVID-19 Lesson #5: The “empty planet” scenario is now more likely

The pandemic has modified birth rates but not with the tongue-in-cheek expectation of a boom. Instead, looming uncertainty caused many to delay having children, accelerating pre-existing population decline. The empty planet scenario , or 'population bust,' expected by 2050, may come sooner. Brands and governments will need more nuanced approaches to older generations who simultaneously have more spending power and rely more on public services. Companies may also need to restructure their workforce to plug gaps created by ageing and non-replenishing manpower.

COVID-19 Lesson #6: We're getting more insular

Previous surveys have continuously shown huge disparities in outlook by country, including close neighbours, pointing to cultural considerations, differing legal systems and government points of view combining and varying people’s experiences. There is also evidence of “ de-globalisation ,” with many retreating to familiar territories and less dependence on foreign countries sought for goods and materials. Borders have become less porous during the pandemic, and there is apparent reluctance for their reopening.

Have you read?

Majority of consumers willing to pay more for goods which use scarce natural resources - ipsos survey, ending hunger and poverty are the top priorities for global public: forum, ipsos poll, confidence in covid-19 vaccines continues to rise, ipsos-forum poll shows, covid-19 lesson #7: maintaining public trust is difficult.

Doctors have become the world’s most trusted profession , while scientists took second place. Politicians and advertising executives, however, remain at the bottom of the league table in terms of public trust. “Behaving responsibly” is the key driver of such sentiment, with a greater tendency to challenge authority than before. During the pandemic, governments had a special challenge, as they've needed to quickly make decisions that impacted thousands of lives and livelihoods with limited, shifting data. The ability to set new rules and guidelines requires the trust of the public which can wear thin over the course of a multi-year crisis.

COVID-19 Lesson #8: Expectations of the state have changed

As the COVID-19 crisis unfolded, people turned to governments to protect the economy and society and mobilise a healthcare response, including vaccine rollout. While they demonstrated their power, their limitations also became apparent, needing the help of international pharmaceutical companies, which have since enjoyed a boost to their image. There is some evidence for support of further strengthening of state intervention but whether that will continue once the pandemic ends or will carry to other crises like climate change is yet to be seen.

COVID-19 Lesson #9: Fear and risk are being redefined

Concerns about personal health and safety and financial and health worries created a crisis where people felt a loss of control with perceptions that governing institutions also did not have a good grasp on the pandemic. Fear and inconvenience still present serious hurdles in different areas of life, international travel being a prime example. This feeling extends across borders with more than two in three people in the US, Russia, Brazil and Germany stating : “I feel things in my country are out of control right now.” As the pandemic has moved and changed, people around the world have needed to adapt to constantly shifting contexts and weigh what risks they are and are not comfortable taking on.

COVID-19 Lesson #10: A sustainable future requires leadership

Despite initial lower emissions at the start of the pandemic, climate concern has not diminished and there is near-consensus an environmental disaster is likely without drastic changes. The same leadership sought from the pandemic is sought in the fight against climate change, giving governments and businesses a clear mandate to act . However, according to the research, people are far from aware of how their lifestyles should adapt to save the planet, which could mean this environmental feat is the biggest leadership challenge to come.

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Essays reveal experiences during pandemic, unrest.

Field study students share their thoughts 

Members of Advanced Field Study, a select group of Social Ecology students who are chosen from a pool of applicants to participate in a year-long field study experience and course, had their internships and traditional college experience cut short this year. During our final quarter of the year together, during which we met weekly for two hours via Zoom, we discussed their reactions as the world fell apart around them. First came the pandemic and social distancing, then came the death of George Floyd and the response of the Black Lives Matter movement, both of which were imprinted on the lives of these students. This year was anything but dull, instead full of raw emotion and painful realizations of the fragility of the human condition and the extent to which we need one another. This seemed like the perfect opportunity for our students to chronicle their experiences — the good and the bad, the lessons learned, and ways in which they were forever changed by the events of the past four months. I invited all of my students to write an essay describing the ways in which these times had impacted their learning and their lives during or after their time at UCI. These are their voices. — Jessica Borelli , associate professor of psychological science

Becoming Socially Distant Through Technology: The Tech Contagion

The current state of affairs put the world on pause, but this pause gave me time to reflect on troubling matters. Time that so many others like me probably also desperately needed to heal without even knowing it. Sometimes it takes one’s world falling apart for the most beautiful mosaic to be built up from the broken pieces of wreckage. 

As the school year was coming to a close and summer was edging around the corner, I began reflecting on how people will spend their summer breaks if the country remains in its current state throughout the sunny season. Aside from living in the sunny beach state of California where people love their vitamin D and social festivities, I think some of the most damaging effects Covid-19 will have on us all has more to do with social distancing policies than with any inconveniences we now face due to the added precautions, despite how devastating it may feel that Disneyland is closed to all the local annual passholders or that the beaches may not be filled with sun-kissed California girls this summer. During this unprecedented time, I don’t think we should allow the rare opportunity we now have to be able to watch in real time how the effects of social distancing can impact our mental health. Before the pandemic, many of us were already engaging in a form of social distancing. Perhaps not the exact same way we are now practicing, but the technology that we have developed over recent years has led to a dramatic decline in our social contact and skills in general. 

The debate over whether we should remain quarantined during this time is not an argument I am trying to pursue. Instead, I am trying to encourage us to view this event as a unique time to study how social distancing can affect people’s mental health over a long period of time and with dramatic results due to the magnitude of the current issue. Although Covid-19 is new and unfamiliar to everyone, the isolation and separation we now face is not. For many, this type of behavior has already been a lifestyle choice for a long time. However, the current situation we all now face has allowed us to gain a more personal insight on how that experience feels due to the current circumstances. Mental illness continues to remain a prevalent problem throughout the world and for that reason could be considered a pandemic of a sort in and of itself long before the Covid-19 outbreak. 

One parallel that can be made between our current restrictions and mental illness reminds me in particular of hikikomori culture. Hikikomori is a phenomenon that originated in Japan but that has since spread internationally, now prevalent in many parts of the world, including the United States. Hikikomori is not a mental disorder but rather can appear as a symptom of a disorder. People engaging in hikikomori remain confined in their houses and often their rooms for an extended period of time, often over the course of many years. This action of voluntary confinement is an extreme form of withdrawal from society and self-isolation. Hikikomori affects a large percent of people in Japan yearly and the problem continues to become more widespread with increasing occurrences being reported around the world each year. While we know this problem has continued to increase, the exact number of people practicing hikikomori is unknown because there is a large amount of stigma surrounding the phenomenon that inhibits people from seeking help. This phenomenon cannot be written off as culturally defined because it is spreading to many parts of the world. With the technology we now have, and mental health issues on the rise and expected to increase even more so after feeling the effects of the current pandemic, I think we will definitely see a rise in the number of people engaging in this social isolation, especially with the increase in legitimate fears we now face that appear to justify the previously considered irrational fears many have associated with social gatherings. We now have the perfect sample of people to provide answers about how this form of isolation can affect people over time. 

Likewise, with the advancements we have made to technology not only is it now possible to survive without ever leaving the confines of your own home, but it also makes it possible for us to “fulfill” many of our social interaction needs. It’s very unfortunate, but in addition to the success we have gained through our advancements we have also experienced a great loss. With new technology, I am afraid that we no longer engage with others the way we once did. Although some may say the advancements are for the best, I wonder, at what cost? It is now commonplace to see a phone on the table during a business meeting or first date. Even worse is how many will feel inclined to check their phone during important or meaningful interactions they are having with people face to face. While our technology has become smarter, we have become dumber when it comes to social etiquette. As we all now constantly carry a mini computer with us everywhere we go, we have in essence replaced our best friends. We push others away subconsciously as we reach for our phones during conversations. We no longer remember phone numbers because we have them all saved in our phones. We find comfort in looking down at our phones during those moments of free time we have in public places before our meetings begin. These same moments were once the perfect time to make friends, filled with interactive banter. We now prefer to stare at other people on our phones for hours on end, and often live a sedentary lifestyle instead of going out and interacting with others ourselves. 

These are just a few among many issues the advances to technology led to long ago. We have forgotten how to practice proper tech-etiquette and we have been inadvertently practicing social distancing long before it was ever required. Now is a perfect time for us to look at the society we have become and how we incurred a different kind of pandemic long before the one we currently face. With time, as the social distancing regulations begin to lift, people may possibly begin to appreciate life and connecting with others more than they did before as a result of the unique experience we have shared in together while apart.

Maybe the world needed a time-out to remember how to appreciate what it had but forgot to experience. Life is to be lived through experience, not to be used as a pastime to observe and compare oneself with others. I’ll leave you with a simple reminder: never forget to take care and love more because in a world where life is often unpredictable and ever changing, one cannot risk taking time or loved ones for granted. With that, I bid you farewell, fellow comrades, like all else, this too shall pass, now go live your best life!

Privilege in a Pandemic 

Covid-19 has impacted millions of Americans who have been out of work for weeks, thus creating a financial burden. Without a job and the certainty of knowing when one will return to work, paying rent and utilities has been a problem for many. With unemployment on the rise, relying on unemployment benefits has become a necessity for millions of people. According to the Washington Post , unemployment rose to 14.7% in April which is considered to be the worst since the Great Depression. 

Those who are not worried about the financial aspect or the thought never crossed their minds have privilege. Merriam Webster defines privilege as “a right or immunity granted as a peculiar benefit, advantage, or favor.” Privilege can have a negative connotation. What you choose to do with your privilege is what matters. Talking about privilege can bring discomfort, but the discomfort it brings can also carry the benefit of drawing awareness to one’s privilege, which can lead the person to take steps to help others. 

I am a first-generation college student who recently transferred to a four-year university. When schools began to close, and students had to leave their on-campus housing, many lost their jobs.I was able to stay on campus because I live in an apartment. I am fortunate to still have a job, although the hours are minimal. My parents help pay for school expenses, including housing, tuition, and food. I do not have to worry about paying rent or how to pay for food because my parents are financially stable to help me. However, there are millions of college students who are not financially stable or do not have the support system I have. Here, I have the privilege and, thus, I am the one who can offer help to others. I may not have millions in funding, but volunteering for centers who need help is where I am able to help. Those who live in California can volunteer through Californians For All  or at food banks, shelter facilities, making calls to seniors, etc. 

I was not aware of my privilege during these times until I started reading more articles about how millions of people cannot afford to pay their rent, and landlords are starting to send notices of violations. Rather than feel guilty and be passive about it, I chose to put my privilege into a sense of purpose: Donating to nonprofits helping those affected by COVID-19, continuing to support local businesses, and supporting businesses who are donating profits to those affected by COVID-19.

My World is Burning 

As I write this, my friends are double checking our medical supplies and making plans to buy water and snacks to pass out at the next protest we are attending. We write down the number for the local bailout fund on our arms and pray that we’re lucky enough not to have to use it should things get ugly. We are part of a pivotal event, the kind of movement that will forever have a place in history. Yet, during this revolution, I have papers to write and grades to worry about, as I’m in the midst of finals. 

My professors have offered empty platitudes. They condemn the violence and acknowledge the stress and pain that so many of us are feeling, especially the additional weight that this carries for students of color. I appreciate their show of solidarity, but it feels meaningless when it is accompanied by requests to complete research reports and finalize presentations. Our world is on fire. Literally. On my social media feeds, I scroll through image after image of burning buildings and police cars in flames. How can I be asked to focus on school when my community is under siege? When police are continuing to murder black people, adding additional names to the ever growing list of their victims. Breonna Taylor. Ahmaud Arbery. George Floyd. David Mcatee. And, now, Rayshard Brooks. 

It already felt like the world was being asked of us when the pandemic started and classes continued. High academic expectations were maintained even when students now faced the challenges of being locked down, often trapped in small spaces with family or roommates. Now we are faced with another public health crisis in the form of police violence and once again it seems like educational faculty are turning a blind eye to the impact that this has on the students. I cannot study for exams when I am busy brushing up on my basic first-aid training, taking notes on the best techniques to stop heavy bleeding and treat chemical burns because at the end of the day, if these protests turn south, I will be entering a warzone. Even when things remain peaceful, there is an ugliness that bubbles just below the surface. When beginning the trek home, I have had armed members of the National Guard follow me and my friends. While kneeling in silence, I have watched police officers cock their weapons and laugh, pointing out targets in the crowd. I have been emailing my professors asking for extensions, trying to explain that if something is turned in late, it could be the result of me being detained or injured. I don’t want to be penalized for trying to do what I wholeheartedly believe is right. 

I have spent my life studying and will continue to study these institutions that have been so instrumental in the oppression and marginalization of black and indigenous communities. Yet, now that I have the opportunity to be on the frontlines actively fighting for the change our country so desperately needs, I feel that this study is more of a hindrance than a help to the cause. Writing papers and reading books can only take me so far and I implore that professors everywhere recognize that requesting their students split their time and energy between finals and justice is an impossible ask.

Opportunity to Serve

Since the start of the most drastic change of our lives, I have had the privilege of helping feed more than 200 different families in the Santa Ana area and even some neighboring cities. It has been an immense pleasure seeing the sheer joy and happiness of families as they come to pick up their box of food from our site, as well as a $50 gift card to Northgate, a grocery store in Santa Ana. Along with donating food and helping feed families, the team at the office, including myself, have dedicated this time to offering psychosocial and mental health check-ups for the families we serve. 

Every day I go into the office I start my day by gathering files of our families we served between the months of January, February, and March and calling them to check on how they are doing financially, mentally, and how they have been affected by COVID-19. As a side project, I have been putting together Excel spreadsheets of all these families’ struggles and finding a way to turn their situation into a success story to share with our board at PY-OCBF and to the community partners who make all of our efforts possible. One of the things that has really touched me while working with these families is how much of an impact this nonprofit organization truly has on family’s lives. I have spoken with many families who I just call to check up on and it turns into an hour call sharing about how much of a change they have seen in their child who went through our program. Further, they go on to discuss that because of our program, their children have a different perspective on the drugs they were using before and the group of friends they were hanging out with. Of course, the situation is different right now as everyone is being told to stay at home; however, there are those handful of kids who still go out without asking for permission, increasing the likelihood they might contract this disease and pass it to the rest of the family. We are working diligently to provide support for these parents and offering advice to talk to their kids in order to have a serious conversation with their kids so that they feel heard and validated. 

Although the novel Coronavirus has impacted the lives of millions of people not just on a national level, but on a global level, I feel that in my current position, it has opened doors for me that would have otherwise not presented themselves. Fortunately, I have been offered a full-time position at the Project Youth Orange County Bar Foundation post-graduation that I have committed to already. This invitation came to me because the organization received a huge grant for COVID-19 relief to offer to their staff and since I was already part-time, they thought I would be a good fit to join the team once mid-June comes around. I was very excited and pleased to be recognized for the work I have done at the office in front of all staff. I am immensely grateful for this opportunity. I will work even harder to provide for the community and to continue changing the lives of adolescents, who have steered off the path of success. I will use my time as a full-time employee to polish my resume, not forgetting that the main purpose of my moving to Irvine was to become a scholar and continue the education that my parents couldn’t attain. I will still be looking for ways to get internships with other fields within criminology. One specific interest that I have had since being an intern and a part-time employee in this organization is the work of the Orange County Coroner’s Office. I don’t exactly know what enticed me to find it appealing as many would say that it is an awful job in nature since it relates to death and seeing people in their worst state possible. However, I feel that the only way for me to truly know if I want to pursue such a career in forensic science will be to just dive into it and see where it takes me. 

I can, without a doubt, say that the Coronavirus has impacted me in a way unlike many others, and for that I am extremely grateful. As I continue working, I can also state that many people are becoming more and more hopeful as time progresses. With people now beginning to say Stage Two of this stay-at-home order is about to allow retailers and other companies to begin doing curbside delivery, many families can now see some light at the end of the tunnel.

Let’s Do Better

This time of the year is meant to be a time of celebration; however, it has been difficult to feel proud or excited for many of us when it has become a time of collective mourning and sorrow, especially for the Black community. There has been an endless amount of pain, rage, and helplessness that has been felt throughout our nation because of the growing list of Black lives we have lost to violence and brutality.

To honor the lives that we have lost, George Floyd, Tony McDade, Breonna Taylor, Ahmaud Arbery, Eric Garner, Oscar Grant, Michael Brown, Trayon Martin, and all of the other Black lives that have been taken away, may they Rest in Power.

Throughout my college experience, I have become more exposed to the various identities and the upbringings of others, which led to my own self-reflection on my own privileged and marginalized identities. I identify as Colombian, German, and Mexican; however navigating life as a mixed race, I have never been able to identify or have one culture more salient than the other. I am visibly white-passing and do not hold any strong ties with any of my ethnic identities, which used to bring me feelings of guilt and frustration, for I would question whether or not I could be an advocate for certain communities, and whether or not I could claim the identity of a woman of color. In the process of understanding my positionality, I began to wonder what space I belonged in, where I could speak up, and where I should take a step back for others to speak. I found myself in a constant theme of questioning what is my narrative and slowly began to realize that I could not base it off lone identities and that I have had the privilege to move through life without my identities defining who I am. Those initial feelings of guilt and confusion transformed into growth, acceptance, and empowerment.

This journey has driven me to educate myself more about the social inequalities and injustices that people face and to focus on what I can do for those around me. It has motivated me to be more culturally responsive and competent, so that I am able to best advocate for those around me. Through the various roles I have worked in, I have been able to listen to a variety of communities’ narratives and experiences, which has allowed me to extend my empathy to these communities while also pushing me to continue educating myself on how I can best serve and empower them. By immersing myself amongst different communities, I have been given the honor of hearing others’ stories and experiences, which has inspired me to commit myself to support and empower others.

I share my story of navigating through my privileged and marginalized identities in hopes that it encourages others to explore their own identities. This journey is not an easy one, and it is an ongoing learning process that will come with various mistakes. I have learned that with facing our privileges comes feelings of guilt, discomfort, and at times, complacency. It is very easy to become ignorant when we are not affected by different issues, but I challenge those who read this to embrace the discomfort. With these emotions, I have found it important to reflect on the source of discomfort and guilt, for although they are a part of the process, in taking the steps to become more aware of the systemic inequalities around us, understanding the source of discomfort can better inform us on how we perpetuate these systemic inequalities. If we choose to embrace ignorance, we refuse to acknowledge the systems that impact marginalized communities and refuse to honestly and openly hear cries for help. If we choose our own comfort over the lives of those being affected every day, we can never truly honor, serve, or support these communities.

I challenge any non-Black person, including myself, to stop remaining complacent when injustices are committed. We need to consistently recognize and acknowledge how the Black community is disproportionately affected in every injustice experienced and call out anti-Blackness in every role, community, and space we share. We need to keep ourselves and others accountable when we make mistakes or fall back into patterns of complacency or ignorance. We need to continue educating ourselves instead of relying on the emotional labor of the Black community to continuously educate us on the history of their oppressions. We need to collectively uplift and empower one another to heal and rise against injustice. We need to remember that allyship ends when action ends.

To the Black community, you are strong. You deserve to be here. The recent events are emotionally, mentally, and physically exhausting, and the need for rest to take care of your mental, physical, and emotional well-being are at an all time high. If you are able, take the time to regain your energy, feel every emotion, and remind yourself of the power you have inside of you. You are not alone.

The Virus That Makes You Forget

Following Jan. 1 of 2020 many of my classmates and I continued to like, share, and forward the same meme. The meme included any image but held the same phrase: I can see 2020. For many of us, 2020 was a beacon of hope. For the Class of 2020, this meant walking on stage in front of our families. Graduation meant becoming an adult, finding a job, or going to graduate school. No matter what we were doing in our post-grad life, we were the new rising stars ready to take on the world with a positive outlook no matter what the future held. We felt that we had a deal with the universe that we were about to be noticed for our hard work, our hardships, and our perseverance.

Then March 17 of 2020 came to pass with California Gov. Newman ordering us to stay at home, which we all did. However, little did we all know that the world we once had open to us would only be forgotten when we closed our front doors.

Life became immediately uncertain and for many of us, that meant graduation and our post-graduation plans including housing, careers, education, food, and basic standards of living were revoked! We became the forgotten — a place from which many of us had attempted to rise by attending university. The goals that we were told we could set and the plans that we were allowed to make — these were crushed before our eyes.

Eighty days before graduation, in the first several weeks of quarantine, I fell extremely ill; both unfortunately and luckily, I was isolated. All of my roommates had moved out of the student apartments leaving me with limited resources, unable to go to the stores to pick up medicine or food, and with insufficient health coverage to afford a doctor until my throat was too swollen to drink water. For nearly three weeks, I was stuck in bed, I was unable to apply to job deadlines, reach out to family, and have contact with the outside world. I was forgotten.

Forty-five days before graduation, I had clawed my way out of illness and was catching up on an honors thesis about media depictions of sexual exploitation within the American political system, when I was relayed the news that democratic presidential candidate Joe Biden was accused of sexual assault. However, when reporting this news to close friends who had been devastated and upset by similar claims against past politicians, they all were too tired and numb from the quarantine to care. Just as I had written hours before reading the initial story, history was repeating, and it was not only I who COVID-19 had forgotten, but now survivors of violence.

After this revelation, I realize the silencing factor that COVID-19 has. Not only does it have the power to terminate the voices of our older generations, but it has the power to silence and make us forget the voices of every generation. Maybe this is why social media usage has gone up, why we see people creating new social media accounts, posting more, attempting to reach out to long lost friends. We do not want to be silenced, moreover, we cannot be silenced. Silence means that we have been forgotten and being forgotten is where injustice and uncertainty occurs. By using social media, pressing like on a post, or even sending a hate message, means that someone cares and is watching what you are doing. If there is no interaction, I am stuck in the land of indifference.

This is a place that I, and many others, now reside, captured and uncertain. In 2020, my plan was to graduate Cum Laude, dean's honor list, with three honors programs, three majors, and with research and job experience that stretched over six years. I would then go into my first year of graduate school, attempting a dual Juris Doctorate. I would be spending my time experimenting with new concepts, new experiences, and new relationships. My life would then be spent giving a microphone to survivors of domestic violence and sex crimes. However, now the plan is wiped clean, instead I sit still bound to graduate in 30 days with no home to stay, no place to work, and no future education to come back to. I would say I am overly qualified, but pandemic makes me lost in a series of names and masked faces.

Welcome to My Cage: The Pandemic and PTSD

When I read the campuswide email notifying students of the World Health Organization’s declaration of the coronavirus pandemic, I was sitting on my couch practicing a research presentation I was going to give a few hours later. For a few minutes, I sat there motionless, trying to digest the meaning of the words as though they were from a language other than my own, familiar sounds strung together in way that was wholly unintelligible to me. I tried but failed to make sense of how this could affect my life. After the initial shock had worn off, I mobilized quickly, snapping into an autopilot mode of being I knew all too well. I began making mental checklists, sharing the email with my friends and family, half of my brain wondering if I should make a trip to the grocery store to stockpile supplies and the other half wondering how I was supposed take final exams in the midst of so much uncertainty. The most chilling realization was knowing I had to wait powerlessly as the fate of the world unfolded, frozen with anxiety as I figured out my place in it all.

These feelings of powerlessness and isolation are familiar bedfellows for me. Early October of 2015, shortly after beginning my first year at UCI, I was diagnosed with Post-traumatic Stress Disorder. Despite having had years of psychological treatment for my condition, including Cognitive Behavior Therapy and Eye Movement Desensitization and Retraining, the flashbacks, paranoia, and nightmares still emerge unwarranted. People have referred to the pandemic as a collective trauma. For me, the pandemic has not only been a collective trauma, it has also been the reemergence of a personal trauma. The news of the pandemic and the implications it has for daily life triggered a reemergence of symptoms that were ultimately ignited by the overwhelming sense of helplessness that lies in waiting, as I suddenly find myself navigating yet another situation beyond my control. Food security, safety, and my sense of self have all been shaken by COVID-19.

The first few weeks after UCI transitioned into remote learning and the governor issued the stay-at-home order, I hardly got any sleep. My body was cycling through hypervigilance and derealization, and my sleep was interrupted by intrusive nightmares oscillating between flashbacks and frightening snippets from current events. Any coping methods I had developed through hard-won efforts over the past few years — leaving my apartment for a change of scenery, hanging out with friends, going to the gym — were suddenly made inaccessible to me due to the stay-at-home orders, closures of non-essential businesses, and many of my friends breaking their campus leases to move back to their family homes. So for me, learning to cope during COVID-19 quarantine means learning to function with my re-emerging PTSD symptoms and without my go-to tools. I must navigate my illness in a rapidly evolving world, one where some of my internalized fears, such as running out of food and living in an unsafe world, are made progressively more external by the minute and broadcasted on every news platform; fears that I could no longer escape, being confined in the tight constraints of my studio apartment’s walls. I cannot shake the devastating effects of sacrifice that I experience as all sense of control has been stripped away from me.

However, amidst my mental anguish, I have realized something important—experiencing these same PTSD symptoms during a global pandemic feels markedly different than it did years ago. Part of it might be the passage of time and the growth in my mindset, but there is something else that feels very different. Currently, there is widespread solidarity and support for all of us facing the chaos of COVID-19, whether they are on the frontlines of the fight against the illness or they are self-isolating due to new rules, restrictions, and risks. This was in stark contrast to what it was like to have a mental disorder. The unity we all experience as a result of COVID-19 is one I could not have predicted. I am not the only student heartbroken over a cancelled graduation, I am not the only student who is struggling to adapt to remote learning, and I am not the only person in this world who has to make sacrifices.

Between observations I’ve made on social media and conversations with my friends and classmates, this time we are all enduring great pain and stress as we attempt to adapt to life’s challenges. As a Peer Assistant for an Education class, I have heard from many students of their heartache over the remote learning model, how difficult it is to study in a non-academic environment, and how unmotivated they have become this quarter. This is definitely something I can relate to; as of late, it has been exceptionally difficult to find motivation and put forth the effort for even simple activities as a lack of energy compounds the issue and hinders basic needs. However, the willingness of people to open up about their distress during the pandemic is unlike the self-imposed social isolation of many people who experience mental illness regularly. Something this pandemic has taught me is that I want to live in a world where mental illness receives more support and isn’t so taboo and controversial. Why is it that we are able to talk about our pain, stress, and mental illness now, but aren’t able to talk about it outside of a global pandemic? People should be able to talk about these hardships and ask for help, much like during these circumstances.

It has been nearly three months since the coronavirus crisis was declared a pandemic. I still have many bad days that I endure where my symptoms can be overwhelming. But somehow, during my good days — and some days, merely good moments — I can appreciate the resilience I have acquired over the years and the common ground I share with others who live through similar circumstances. For veterans of trauma and mental illness, this isn’t the first time we are experiencing pain in an extreme and disastrous way. This is, however, the first time we are experiencing it with the rest of the world. This strange new feeling of solidarity as I read and hear about the experiences of other people provides some small comfort as I fight my way out of bed each day. As we fight to survive this pandemic, I hope to hold onto this feeling of togetherness and acceptance of pain, so that it will always be okay for people to share their struggles. We don’t know what the world will look like days, months, or years from now, but I hope that we can cultivate such a culture to make life much easier for people coping with mental illness.

A Somatic Pandemonium in Quarantine

I remember hearing that our brains create the color magenta all on their own. 

When I was younger I used to run out of my third-grade class because my teacher was allergic to the mold and sometimes would vomit in the trash can. My dad used to tell me that I used to always have to have something in my hands, later translating itself into the form of a hair tie around my wrist.

Sometimes, I think about the girl who used to walk on her tippy toes. medial and lateral nerves never planted, never grounded. We were the same in this way. My ability to be firmly planted anywhere was also withered. 

Was it from all the times I panicked? Or from the time I ran away and I blistered the soles of my feet 'til they were black from the summer pavement? Emetophobia. 

I felt it in the shower, dressing itself from the crown of my head down to the soles of my feet, noting the feeling onto my white board in an attempt to solidify it’s permanence.

As I breathed in the chemical blue transpiring from the Expo marker, everything was more defined. I laid down and when I looked up at the starlet lamp I had finally felt centered. Still. No longer fleeting. The grooves in the lamps glass forming a spiral of what felt to me like an artificial landscape of transcendental sparks. 

She’s back now, magenta, though I never knew she left or even ever was. Somehow still subconsciously always known. I had been searching for her in the tremors.

I can see her now in the daphnes, the golden rays from the sun reflecting off of the bark on the trees and the red light that glowed brighter, suddenly the town around me was warmer. A melting of hues and sharpened saturation that was apparent and reminded of the smell of oranges.

I threw up all of the carrots I ate just before. The trauma that my body kept as a memory of things that may or may not go wrong and the times that I couldn't keep my legs from running. Revelations bring memories bringing anxieties from fear and panic released from my body as if to say “NO LONGER!” 

I close my eyes now and my mind's eye is, too, more vivid than ever before. My inner eyelids lit up with orange undertones no longer a solid black, neurons firing, fire. Not the kind that burns you but the kind that can light up a dull space. Like the wick of a tea-lit candle. Magenta doesn’t exist. It is perception. A construct made of light waves, blue and red.

Demolition. Reconstruction. I walk down the street into this new world wearing my new mask, somatic senses tingling and I think to myself “Houston, I think we’ve just hit equilibrium.”

How COVID-19 Changed My Senior Year

During the last two weeks of Winter quarter, I watched the emails pour in. Spring quarter would be online, facilities were closing, and everyone was recommended to return home to their families, if possible. I resolved to myself that I would not move back home; I wanted to stay in my apartment, near my boyfriend, near my friends, and in the one place I had my own space. However, as the COVID-19 pandemic worsened, things continued to change quickly. Soon I learned my roommate/best friend would be cancelling her lease and moving back up to Northern California. We had made plans for my final quarter at UCI, as I would be graduating in June while she had another year, but all of the sudden, that dream was gone. In one whirlwind of a day, we tried to cram in as much of our plans as we could before she left the next day for good. There are still so many things – like hiking, going to museums, and showing her around my hometown – we never got to cross off our list.

Then, my boyfriend decided he would also be moving home, three hours away. Most of my sorority sisters were moving home, too. I realized if I stayed at school, I would be completely alone. My mom had been encouraging me to move home anyway, but I was reluctant to return to a house I wasn’t completely comfortable in. As the pandemic became more serious, gentle encouragement quickly turned into demands. I had to cancel my lease and move home.

I moved back in with my parents at the end of Spring Break; I never got to say goodbye to most of my friends, many of whom I’ll likely never see again – as long as the virus doesn’t change things, I’m supposed to move to New York over the summer to begin a PhD program in Criminal Justice. Just like that, my time at UCI had come to a close. No lasts to savor; instead I had piles of things to regret. In place of a final quarter filled with memorable lasts, such as the senior banquet or my sorority’s senior preference night, I’m left with a laundry list of things I missed out on. I didn’t get to look around the campus one last time like I had planned; I never got to take my graduation pictures in front of the UC Irvine sign. Commencement had already been cancelled. The lights had turned off in the theatre before the movie was over. I never got to find out how the movie ended.

Transitioning to a remote learning system wasn’t too bad, but I found that some professors weren’t adjusting their courses to the difficulties many students were facing. It turned out to be difficult to stay motivated, especially for classes that are pre-recorded and don’t have any face-to-face interaction. It’s hard to make myself care; I’m in my last few weeks ever at UCI, but it feels like I’m already in summer. School isn’t real, my classes aren’t real. I still put in the effort, but I feel like I’m not getting much out of my classes.

The things I had been looking forward to this quarter are gone; there will be no Undergraduate Research Symposium, where I was supposed to present two projects. My amazing internship with the US Postal Inspection Service is over prematurely and I never got to properly say goodbye to anyone I met there. I won’t receive recognition for the various awards and honors I worked so hard to achieve.

And I’m one of the lucky ones! I feel guilty for feeling bad about my situation, when I know there are others who have it much, much worse. I am like that quintessential spoiled child, complaining while there are essential workers working tirelessly, people with health concerns constantly fearing for their safety, and people dying every day. Yet knowing that doesn't help me from feeling I was robbed of my senior experience, something I worked very hard to achieve. I know it’s not nearly as important as what many others are going through. But nevertheless, this is my situation. I was supposed to be enjoying this final quarter with my friends and preparing to move on, not be stuck at home, grappling with my mental health and hiding out in my room to get some alone time from a family I don’t always get along with. And while I know it’s more difficult out there for many others, it’s still difficult for me.

The thing that stresses me out most is the uncertainty. Uncertainty for the future – how long will this pandemic last? How many more people have to suffer before things go back to “normal” – whatever that is? How long until I can see my friends and family again? And what does this mean for my academic future? Who knows what will happen between now and then? All that’s left to do is wait and hope that everything will work out for the best.

Looking back over my last few months at UCI, I wish I knew at the time that I was experiencing my lasts; it feels like I took so much for granted. If there is one thing this has all made me realize, it’s that nothing is certain. Everything we expect, everything we take for granted – none of it is a given. Hold on to what you have while you have it, and take the time to appreciate the wonderful things in life, because you never know when it will be gone.

Physical Distancing

Thirty days have never felt so long. April has been the longest month of the year. I have been through more in these past three months than in the past three years. The COVID-19 outbreak has had a huge impact on both physical and social well-being of a lot of Americans, including me. Stress has been governing the lives of so many civilians, in particular students and workers. In addition to causing a lack of motivation in my life, quarantine has also brought a wave of anxiety.

My life changed the moment the Centers of Disease Control and Prevention and the government announced social distancing. My busy daily schedule, running from class to class and meeting to meeting, morphed into identical days, consisting of hour after hour behind a cold computer monitor. Human interaction and touch improve trust, reduce fear and increases physical well-being. Imagine the effects of removing the human touch and interaction from midst of society. Humans are profoundly social creatures. I cannot function without interacting and connecting with other people. Even daily acquaintances have an impact on me that is only noticeable once removed. As a result, the COVID-19 outbreak has had an extreme impact on me beyond direct symptoms and consequences of contracting the virus itself.

It was not until later that month, when out of sheer boredom I was scrolling through my call logs and I realized that I had called my grandmother more than ever. This made me realize that quarantine had created some positive impacts on my social interactions as well. This period of time has created an opportunity to check up on and connect with family and peers more often than we were able to. Even though we might be connecting solely through a screen, we are not missing out on being socially connected. Quarantine has taught me to value and prioritize social connection, and to recognize that we can find this type of connection not only through in-person gatherings, but also through deep heart to heart connections. Right now, my weekly Zoom meetings with my long-time friends are the most important events in my week. In fact, I have taken advantage of the opportunity to reconnect with many of my old friends and have actually had more meaningful conversations with them than before the isolation.

This situation is far from ideal. From my perspective, touch and in-person interaction is essential; however, we must overcome all difficulties that life throws at us with the best we are provided with. Therefore, perhaps we should take this time to re-align our motives by engaging in things that are of importance to us. I learned how to dig deep and find appreciation for all the small talks, gatherings, and face-to-face interactions. I have also realized that friendships are not only built on the foundation of physical presence but rather on meaningful conversations you get to have, even if they are through a cold computer monitor. My realization came from having more time on my hands and noticing the shift in conversations I was having with those around me. After all, maybe this isolation isn’t “social distancing”, but rather “physical distancing” until we meet again.

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Is it time to rethink your plans?

Dean of Academic Advising Louis Newman offers advice to Stanford undergraduates on applying the lessons learned during the pandemic to the academic and life choices ahead.

Image credit: L.A. Cicero

You’re finally back on campus. Your classes are in person. You are reconnecting with classmates, joining student organizations and beginning to put this long pandemic-induced disruption behind you.

So, now what?

How has the pandemic affected your priorities? How do you plan to use your remaining years at Stanford? What might you do differently now, as the most intense period of the pandemic appears to be receding?

How you answer these and similar questions will depend to some degree on how the pandemic affected you and those closest to you. Some of you, faced with the prospect of virtual classes, chose to take a leave of absence. Some of you were back home in your childhood bedroom, where your internet access may have been unreliable and your social connections to your friends were infrequent or unsatisfying. Still others of you found places to rent with friends in appealing locations, where you continued taking your Stanford classes over Zoom while creating your own small, supportive communities. And some of you took on jobs to help support family members who lost theirs or became caretakers for those who became sick.

Given such varied experiences, here is some advice you may want to consider.

Many of you missed out on five quarters of living and learning on campus, including sophomores who missed that very valuable frosh year at Stanford when special new connections first form. You are likely feeling some pressure to make up for lost time. It’s a natural impulse, but I encourage you to resist it. The fact is that you can’t cram 18 months of missed extracurricular activities, research opportunities, internships or socializing into your remaining time at Stanford. Doing so is likely to send your stress level spiking and unlikely to give you what you seek. Consider, instead, accepting reality, grieving those losses and making your peace with a situation that upended most of our lives significantly. This is neither the first nor the last time when you’ll need to adapt to circumstances that unexpectedly disrupt best-laid plans.

I also understand that some students are considering a co-term as one of the best ways to fold in an extra year at Stanford. The choice to pursue graduate work – when and where and in what field – is important and will have lifelong consequences for your career. But be sure you’re thinking through your options with an eye to the future, not to the past.

As for new frosh and transfers, consider that this is still not a “normal” year at Stanford. We’ve made major progress since winter quarter 2020 when we fully shifted into lockdown and a new era of virtual learning, but it may still be a while before you can expect to have a full-fledged “Stanford experience” as most students knew pre-pandemic. In the meantime, making connections – with peers, faculty and staff – may be a bit more awkward or difficult, given current face covering and distancing protocols. Try to be patient with yourselves and with the University, which is doing everything it can to restore normal operations as quickly as health and safety guidance permits. Take advantage of the opportunities you have (which are still plentiful) and make plans as best you can, without getting too attached to any of them. If there’s anything we’ve learned through this pandemic, it’s that resilience and flexibility are ever more important virtues.

Ultimately, many undergraduates may be contemplating entirely new goals as a result of this global pandemic. Perhaps you’re newly motivated to go into public health or virology, to tackle the racial and economic inequities that have become so glaringly obvious, or to combat the use of social media to spread misinformation and conspiracy theories. I encourage you to consider these impulses very seriously. Disruptive events are often the catalysts for pursuing new directions, on both personal and social levels. By all means, seize this extraordinary historical moment, pursue new interests and use your education to address the pressing needs of our time.

Of course, as with all life decisions, you should discuss these newfound goals with trusted mentors, faculty members and academic advisors. Stanford’s mission statement underscores that the purpose of your education is “to promote the public welfare by exercising an influence on behalf of humanity and civilization.” Those words have never been more timely. Allow the needs of this moment to shape your aspirations, and let those aspirations shape the duration of your Stanford journey, wherever you may be along that path.

Is it time to change your plans? Perhaps. But however this pandemic has impacted you, it has unquestionably given you good reason to stop and reflect – on what you want to do with your life, how you want to invest in the remainder of your time at Stanford and how your education will enable you to achieve your greatest goals.

Louis Newman is Stanford’s dean of advising and associate vice provost for undergraduate education within VPUE.

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Read these 12 moving essays about life during coronavirus

Artists, novelists, critics, and essayists are writing the first draft of history.

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The world is grappling with an invisible, deadly enemy, trying to understand how to live with the threat posed by a virus . For some writers, the only way forward is to put pen to paper, trying to conceptualize and document what it feels like to continue living as countries are under lockdown and regular life seems to have ground to a halt.

So as the coronavirus pandemic has stretched around the world, it’s sparked a crop of diary entries and essays that describe how life has changed. Novelists, critics, artists, and journalists have put words to the feelings many are experiencing. The result is a first draft of how we’ll someday remember this time, filled with uncertainty and pain and fear as well as small moments of hope and humanity.

At the New York Review of Books, Ali Bhutto writes that in Karachi, Pakistan, the government-imposed curfew due to the virus is “eerily reminiscent of past military clampdowns”:

Beneath the quiet calm lies a sense that society has been unhinged and that the usual rules no longer apply. Small groups of pedestrians look on from the shadows, like an audience watching a spectacle slowly unfolding. People pause on street corners and in the shade of trees, under the watchful gaze of the paramilitary forces and the police.

His essay concludes with the sobering note that “in the minds of many, Covid-19 is just another life-threatening hazard in a city that stumbles from one crisis to another.”

Writing from Chattanooga, novelist Jamie Quatro documents the mixed ways her neighbors have been responding to the threat, and the frustration of conflicting direction, or no direction at all, from local, state, and federal leaders:

Whiplash, trying to keep up with who’s ordering what. We’re already experiencing enough chaos without this back-and-forth. Why didn’t the federal government issue a nationwide shelter-in-place at the get-go, the way other countries did? What happens when one state’s shelter-in-place ends, while others continue? Do states still under quarantine close their borders? We are still one nation, not fifty individual countries. Right?

Award-winning photojournalist Alessio Mamo, quarantined with his partner Marta in Sicily after she tested positive for the virus, accompanies his photographs in the Guardian of their confinement with a reflection on being confined :

The doctors asked me to take a second test, but again I tested negative. Perhaps I’m immune? The days dragged on in my apartment, in black and white, like my photos. Sometimes we tried to smile, imagining that I was asymptomatic, because I was the virus. Our smiles seemed to bring good news. My mother left hospital, but I won’t be able to see her for weeks. Marta started breathing well again, and so did I. I would have liked to photograph my country in the midst of this emergency, the battles that the doctors wage on the frontline, the hospitals pushed to their limits, Italy on its knees fighting an invisible enemy. That enemy, a day in March, knocked on my door instead.

In the New York Times Magazine, deputy editor Jessica Lustig writes with devastating clarity about her family’s life in Brooklyn while her husband battled the virus, weeks before most people began taking the threat seriously:

At the door of the clinic, we stand looking out at two older women chatting outside the doorway, oblivious. Do I wave them away? Call out that they should get far away, go home, wash their hands, stay inside? Instead we just stand there, awkwardly, until they move on. Only then do we step outside to begin the long three-block walk home. I point out the early magnolia, the forsythia. T says he is cold. The untrimmed hairs on his neck, under his beard, are white. The few people walking past us on the sidewalk don’t know that we are visitors from the future. A vision, a premonition, a walking visitation. This will be them: Either T, in the mask, or — if they’re lucky — me, tending to him.

Essayist Leslie Jamison writes in the New York Review of Books about being shut away alone in her New York City apartment with her 2-year-old daughter since she became sick:

The virus. Its sinewy, intimate name. What does it feel like in my body today? Shivering under blankets. A hot itch behind the eyes. Three sweatshirts in the middle of the day. My daughter trying to pull another blanket over my body with her tiny arms. An ache in the muscles that somehow makes it hard to lie still. This loss of taste has become a kind of sensory quarantine. It’s as if the quarantine keeps inching closer and closer to my insides. First I lost the touch of other bodies; then I lost the air; now I’ve lost the taste of bananas. Nothing about any of these losses is particularly unique. I’ve made a schedule so I won’t go insane with the toddler. Five days ago, I wrote Walk/Adventure! on it, next to a cut-out illustration of a tiger—as if we’d see tigers on our walks. It was good to keep possibility alive.

At Literary Hub, novelist Heidi Pitlor writes about the elastic nature of time during her family’s quarantine in Massachusetts:

During a shutdown, the things that mark our days—commuting to work, sending our kids to school, having a drink with friends—vanish and time takes on a flat, seamless quality. Without some self-imposed structure, it’s easy to feel a little untethered. A friend recently posted on Facebook: “For those who have lost track, today is Blursday the fortyteenth of Maprilay.” ... Giving shape to time is especially important now, when the future is so shapeless. We do not know whether the virus will continue to rage for weeks or months or, lord help us, on and off for years. We do not know when we will feel safe again. And so many of us, minus those who are gifted at compartmentalization or denial, remain largely captive to fear. We may stay this way if we do not create at least the illusion of movement in our lives, our long days spent with ourselves or partners or families.

Novelist Lauren Groff writes at the New York Review of Books about trying to escape the prison of her fears while sequestered at home in Gainesville, Florida:

Some people have imaginations sparked only by what they can see; I blame this blinkered empiricism for the parks overwhelmed with people, the bars, until a few nights ago, thickly thronged. My imagination is the opposite. I fear everything invisible to me. From the enclosure of my house, I am afraid of the suffering that isn’t present before me, the people running out of money and food or drowning in the fluid in their lungs, the deaths of health-care workers now growing ill while performing their duties. I fear the federal government, which the right wing has so—intentionally—weakened that not only is it insufficient to help its people, it is actively standing in help’s way. I fear we won’t sufficiently punish the right. I fear leaving the house and spreading the disease. I fear what this time of fear is doing to my children, their imaginations, and their souls.

At ArtForum , Berlin-based critic and writer Kristian Vistrup Madsen reflects on martinis, melancholia, and Finnish artist Jaakko Pallasvuo’s 2018 graphic novel Retreat , in which three young people exile themselves in the woods:

In melancholia, the shape of what is ending, and its temporality, is sprawling and incomprehensible. The ambivalence makes it hard to bear. The world of Retreat is rendered in lush pink and purple watercolors, which dissolve into wild and messy abstractions. In apocalypse, the divisions established in genesis bleed back out. My own Corona-retreat is similarly soft, color-field like, each day a blurred succession of quarantinis, YouTube–yoga, and televized press conferences. As restrictions mount, so does abstraction. For now, I’m still rooting for love to save the world.

At the Paris Review , Matt Levin writes about reading Virginia Woolf’s novel The Waves during quarantine:

A retreat, a quarantine, a sickness—they simultaneously distort and clarify, curtail and expand. It is an ideal state in which to read literature with a reputation for difficulty and inaccessibility, those hermetic books shorn of the handholds of conventional plot or characterization or description. A novel like Virginia Woolf’s The Waves is perfect for the state of interiority induced by quarantine—a story of three men and three women, meeting after the death of a mutual friend, told entirely in the overlapping internal monologues of the six, interspersed only with sections of pure, achingly beautiful descriptions of the natural world, a day’s procession and recession of light and waves. The novel is, in my mind’s eye, a perfectly spherical object. It is translucent and shimmering and infinitely fragile, prone to shatter at the slightest disturbance. It is not a book that can be read in snatches on the subway—it demands total absorption. Though it revels in a stark emotional nakedness, the book remains aloof, remote in its own deep self-absorption.

In an essay for the Financial Times, novelist Arundhati Roy writes with anger about Indian Prime Minister Narendra Modi’s anemic response to the threat, but also offers a glimmer of hope for the future:

Historically, pandemics have forced humans to break with the past and imagine their world anew. This one is no different. It is a portal, a gateway between one world and the next. We can choose to walk through it, dragging the carcasses of our prejudice and hatred, our avarice, our data banks and dead ideas, our dead rivers and smoky skies behind us. Or we can walk through lightly, with little luggage, ready to imagine another world. And ready to fight for it.

From Boston, Nora Caplan-Bricker writes in The Point about the strange contraction of space under quarantine, in which a friend in Beirut is as close as the one around the corner in the same city:

It’s a nice illusion—nice to feel like we’re in it together, even if my real world has shrunk to one person, my husband, who sits with his laptop in the other room. It’s nice in the same way as reading those essays that reframe social distancing as solidarity. “We must begin to see the negative space as clearly as the positive, to know what we don’t do is also brilliant and full of love,” the poet Anne Boyer wrote on March 10th, the day that Massachusetts declared a state of emergency. If you squint, you could almost make sense of this quarantine as an effort to flatten, along with the curve, the distinctions we make between our bonds with others. Right now, I care for my neighbor in the same way I demonstrate love for my mother: in all instances, I stay away. And in moments this month, I have loved strangers with an intensity that is new to me. On March 14th, the Saturday night after the end of life as we knew it, I went out with my dog and found the street silent: no lines for restaurants, no children on bicycles, no couples strolling with little cups of ice cream. It had taken the combined will of thousands of people to deliver such a sudden and complete emptiness. I felt so grateful, and so bereft.

And on his own website, musician and artist David Byrne writes about rediscovering the value of working for collective good , saying that “what is happening now is an opportunity to learn how to change our behavior”:

In emergencies, citizens can suddenly cooperate and collaborate. Change can happen. We’re going to need to work together as the effects of climate change ramp up. In order for capitalism to survive in any form, we will have to be a little more socialist. Here is an opportunity for us to see things differently — to see that we really are all connected — and adjust our behavior accordingly. Are we willing to do this? Is this moment an opportunity to see how truly interdependent we all are? To live in a world that is different and better than the one we live in now? We might be too far down the road to test every asymptomatic person, but a change in our mindsets, in how we view our neighbors, could lay the groundwork for the collective action we’ll need to deal with other global crises. The time to see how connected we all are is now.

The portrait these writers paint of a world under quarantine is multifaceted. Our worlds have contracted to the confines of our homes, and yet in some ways we’re more connected than ever to one another. We feel fear and boredom, anger and gratitude, frustration and strange peace. Uncertainty drives us to find metaphors and images that will let us wrap our minds around what is happening.

Yet there’s no single “what” that is happening. Everyone is contending with the pandemic and its effects from different places and in different ways. Reading others’ experiences — even the most frightening ones — can help alleviate the loneliness and dread, a little, and remind us that what we’re going through is both unique and shared by all.

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One Student's Perspective on Life During a Pandemic

• Markkula Center for Applied Ethics
• Ethics Resources
• Ethics Spotlight
• COVID-19: Ethics, Health and Moving Forward

The pandemic and resulting shelter-in-place restrictions are affecting everyone in different ways. Tiana Nguyen, shares both the pros and cons of her experience as a student at Santa Clara University.

person sitting at table with open laptop, notebook and pen

Tiana Nguyen ‘21 is a Hackworth Fellow at the Markkula Center for Applied Ethics. She is majoring in Computer Science, and is the vice president of Santa Clara University’s Association for Computing Machinery (ACM) chapter .

The world has slowed down, but stress has begun to ramp up.

In the beginning of quarantine, as the world slowed down, I could finally take some time to relax, watch some shows, learn to be a better cook and baker, and be more active in my extracurriculars. I have a lot of things to be thankful for. I especially appreciate that I’m able to live in a comfortable house and have gotten the opportunity to spend more time with my family. This has actually been the first time in years in which we’re all able to even eat meals together every single day. Even when my brother and I were young, my parents would be at work and sometimes come home late, so we didn’t always eat meals together. In the beginning of the quarantine I remember my family talking about how nice it was to finally have meals together, and my brother joking, “it only took a pandemic to bring us all together,” which I laughed about at the time (but it’s the truth).

Soon enough, we’ll all be back to going to different places and we’ll be separated once again. So I’m thankful for my living situation right now. As for my friends, even though we’re apart, I do still feel like I can be in touch with them through video chat—maybe sometimes even more in touch than before. I think a lot of people just have a little more time for others right now.

Although there are still a lot of things to be thankful for, stress has slowly taken over, and work has been overwhelming. I’ve always been a person who usually enjoys going to classes, taking on more work than I have to, and being active in general. But lately I’ve felt swamped with the amount of work given, to the point that my days have blurred into online assignments, Zoom classes, and countless meetings, with a touch of baking sweets and aimless searching on Youtube.

The pass/no pass option for classes continues to stare at me, but I look past it every time to use this quarter as an opportunity to boost my grades. I've tried to make sense of this type of overwhelming feeling that I’ve never really felt before. Is it because I’m working harder and putting in more effort into my schoolwork with all the spare time I now have? Is it because I’m not having as much interaction with other people as I do at school? Or is it because my classes this quarter are just supposed to be this much harder? I honestly don’t know; it might not even be any of those. What I do know though, is that I have to continue work and push through this feeling.

This quarter I have two synchronous and two asynchronous classes, which each have pros and cons. Originally, I thought I wanted all my classes to be synchronous, since that everyday interaction with my professor and classmates is valuable to me. However, as I experienced these asynchronous classes, I’ve realized that it can be nice to watch a lecture on my own time because it even allows me to pause the video to give me extra time for taking notes. This has made me pay more attention during lectures and take note of small details that I might have missed otherwise. Furthermore, I do realize that synchronous classes can also be a burden for those abroad who have to wake up in the middle of the night just to attend a class. I feel that it’s especially unfortunate when professors want students to attend but don’t make attendance mandatory for this reason; I find that most abroad students attend anyway, driven by the worry they’ll be missing out on something.

I do still find synchronous classes amazing though, especially for discussion-based courses. I feel in touch with other students from my classes whom I wouldn’t otherwise talk to or regularly reach out to. Since Santa Clara University is a small school, it is especially easy to interact with one another during classes on Zoom, and I even sometimes find it less intimidating to participate during class through Zoom than in person. I’m honestly not the type to participate in class, but this quarter I found myself participating in some classes more than usual. The breakout rooms also create more interaction, since we’re assigned to random classmates, instead of whomever we’re sitting closest to in an in-person class—though I admit breakout rooms can sometimes be awkward.

Something that I find beneficial in both synchronous and asynchronous classes is that professors post a lecture recording that I can always refer to whenever I want. I found this especially helpful when I studied for my midterms this quarter; it’s nice to have a recording to look back upon in case I missed something during a lecture.

Overall, life during these times is substantially different from anything most of us have ever experienced, and at times it can be extremely overwhelming and stressful—especially in terms of school for me. Online classes don’t provide the same environment and interactions as in-person classes and are by far not as enjoyable. But at the end of the day, I know that in every circumstance there is always something to be thankful for, and I’m appreciative for my situation right now. While the world has slowed down and my stress has ramped up, I’m slowly beginning to adjust to it.

Seven short essays about life during the pandemic

The boston book festival's at home community writing project invites area residents to describe their experiences during this unprecedented time..

My alarm sounds at 8:15 a.m. I open my eyes and take a deep breath. I wiggle my toes and move my legs. I do this religiously every morning. Today, marks day 74 of staying at home.

My mornings are filled with reading biblical scripture, meditation, breathing in the scents of a hanging eucalyptus branch in the shower, and making tea before I log into my computer to work. After an hour-and-a-half Zoom meeting, I decided to take a long walk to the post office and grab a fresh bouquet of burnt orange ranunculus flowers. I embrace the warm sun beaming on my face. I feel joy. I feel at peace.

I enter my apartment and excessively wash my hands and face. I pour a glass of iced kombucha. I sit at my table and look at the text message on my phone. My coworker writes that she is thinking of me during this difficult time. She must be referring to the Amy Cooper incident. I learn shortly that she is not.

I Google Minneapolis and see his name: George Floyd. And just like that a simple and beautiful day transitions into a day of sorrow.

Nakia Hill, Boston

It was a wobbly, yet solemn little procession: three masked mourners and a canine. Beginning in Kenmore Square, at David and Sue Horner’s condo, it proceeded up Commonwealth Avenue Mall.

S. Sue Horner died on Good Friday, April 10, in the Year of the Virus. Sue did not die of the virus but her parting was hemmed by it: no gatherings to mark the passing of this splendid human being.

David devised a send-off nevertheless. On April 23rd, accompanied by his daughter and son-in-law, he set out for Old South Church. David led, bearing the urn. His daughter came next, holding her phone aloft, speaker on, through which her brother in Illinois played the bagpipes for the length of the procession, its soaring thrum infusing the Mall. Her husband came last with Melon, their golden retriever.

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I unlocked the empty church and led the procession into the columbarium. David drew the urn from its velvet cover, revealing a golden vessel inset with incandescent tiles. We lifted the urn into the niche, prayed, recited Psalm 23, and shared some words.

It was far too small for the luminous “Dr. Sue”, but what we could manage in the Year of the Virus.

Nancy S. Taylor, Boston

On April 26, 2020, our household was a bustling home for four people. Our two sons, ages 18 and 22, have a lot of energy. We are among the lucky ones. I can work remotely. Our food and shelter are not at risk.

As I write this a week later, it is much quieter here.

On April 27, our older son, an EMT, transported a COVID-19 patient to the ER. He left home to protect my delicate health and became ill with the virus a week later.

On April 29, my husband’s 95-year-old father had a stroke. My husband left immediately to be with his 90-year-old mother near New York City and is now preparing for his father’s discharge from the hospital. Rehab people will come to the house; going to a facility would be too dangerous.

My husband just called me to describe today’s hospital visit. The doctors had warned that although his father had regained the ability to speak, he could only repeat what was said to him.

“It’s me,” said my husband.

“It’s me,” said my father-in-law.

“I love you,” said my husband.

“I love you,” said my father-in-law.

“Sooooooooo much,” said my father-in-law.

Lucia Thompson, Wayland

Would racism exist if we were blind?

I felt his eyes bore into me as I walked through the grocery store. At first, I thought nothing of it. With the angst in the air attributable to COVID, I understood the anxiety-provoking nature of feeling as though your 6-foot bubble had burst. So, I ignored him and maintained my distance. But he persisted, glaring at my face, squinting to see who I was underneath the mask. This time I looked back, when he yelled, in my mother tongue, for me to go back to my country.

In shock, I just laughed. How could he tell what I was under my mask? Or see anything through the sunglasses he was wearing inside? It baffled me. I laughed at the irony that he would use my own language against me, that he knew enough to guess where I was from in some version of culturally competent racism. I laughed because dealing with the truth behind that comment generated a sadness in me that was too much to handle. If not now, then when will we be together?

So I ask again, would racism exist if we were blind?

Faizah Shareef, Boston

My Family is “Out” There

But I am “in” here. Life is different now “in” Assisted Living since the deadly COVID-19 arrived. Now the staff, employees, and all 100 residents have our temperatures taken daily. Everyone else, including my family, is “out” there. People like the hairdresser are really missed — with long straight hair and masks, we don’t even recognize ourselves.

Since mid-March we are in quarantine “in” our rooms with meals served. Activities are practically non-existent. We can sit on the back patio 6 feet apart, wearing masks, do exercises there, chat, and walk nearby. Nothing inside. Hopefully June will improve.

My family is “out” there — somewhere! Most are working from home (or Montana). Hopefully an August wedding will happen, but unfortunately, I may still be “in” here.

From my window I wave to my son “out” there. Recently, when my daughter visited, I opened the window “in” my second-floor room and could see and hear her perfectly “out” there. Next time she will bring a chair so we can have an “in” and “out” conversation all day, or until we run out of words.

Barbara Anderson, Raynham

My boyfriend Marcial lives in Boston, and I live in New York City. We had been doing the long-distance thing pretty successfully until coronavirus hit. In mid-March, I was furloughed from my temp job, Marcial began working remotely, and New York started shutting down. I went to Boston to stay with Marcial.

We are opposites in many ways, but we share a love of food. The kitchen has been the center of quarantine life —and also quarantine problems.

Marcial and I have gone from eating out and cooking/grocery shopping for each other during our periodic visits to cooking/grocery shopping with each other all the time. We’ve argued over things like the proper way to make rice and what greens to buy for salad. Our habits are deeply rooted in our upbringing and individual cultures (Filipino immigrant and American-born Chinese, hence the strong rice opinions).

On top of the mundane issues, we’ve also dealt with a flooded kitchen (resulting in cockroaches) and a mandoline accident leading to an ER visit. Marcial and I have spent quarantine navigating how to handle the unexpected and how to integrate our lifestyles. We’ve been eating well along the way.

Melissa Lee, Waltham

It’s 3 a.m. and my dog Rikki just gave me a worried look. Up again?

“I can’t sleep,” I say. I flick the light, pick up “Non-Zero Probabilities.” But the words lay pinned to the page like swatted flies. I watch new “Killing Eve” episodes, play old Nathaniel Rateliff and The Night Sweats songs. Still night.

We are — what? — 12 agitated weeks into lockdown, and now this. The thing that got me was Chauvin’s sunglasses. Perched nonchalantly on his head, undisturbed, as if he were at a backyard BBQ. Or anywhere other than kneeling on George Floyd’s neck, on his life. And Floyd was a father, as we all now know, having seen his daughter Gianna on Stephen Jackson’s shoulders saying “Daddy changed the world.”

Precious child. I pray, safeguard her.

Rikki has her own bed. But she won’t leave me. A Goddess of Protection. She does that thing dogs do, hovers increasingly closely the more agitated I get. “I’m losing it,” I say. I know. And like those weighted gravity blankets meant to encourage sleep, she drapes her 70 pounds over me, covering my restless heart with safety.

As if daybreak, or a prayer, could bring peace today.

Kirstan Barnett, Watertown

Until June 30, send your essay (200 words or less) about life during COVID-19 via bostonbookfest.org . Some essays will be published on the festival’s blog and some will appear in The Boston Globe.

The Six Leadership Lessons I Learned From the Pandemic

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It’s been a difficult year, and, if you are anything like me, you want to see at least slivers of a silver lining. The pandemic challenges are far from over, but here are some lessons that stand out to me as I reflect on the last school year.

1. Don’t panic. Of all people in the district, the superintendent can’t afford to panic. Despite endless and ever-changing discussions and decisions about school openings and closures from national, state, and county officials, superintendents tried to remain calm. We found that as the evolving pandemic forced us to change our procedures for athletics, theater, virtual spaces, and campus mitigation needs, we found opportunities for creative solutions that we never expected.

2. Err on the side of overcommunicating. Texts. News stories. Social-media posts. Using every communication medium at our fingertips, we constantly communicated with our stakeholders. We leaned heavily on others to share our sometimes minute-by-minute updates. In my district, our school principals and district communications department were key forces in our dialogue and correspondence with staff, students, and families. Everyone appreciated staying abreast of district decisions. We also shared the good news of creative ways our teachers connected with their students virtually. And we scrambled to convert traditional, treasured senior milestones into meaningful virtual events.

About This Series

Over the coming weeks, we will be rolling out 17 lessons from experienced district leaders who spent the last year leading from home. Learn more and see the full collection of lessons.

3. Do not overreact. We were not trying to win a popularity contest, but we drew on questions, concerns, and criticism we received to identify holes in our messaging to students, families, and staff. We listened. And because we did, we learned and improved our communications.

4. Don’t forget equity. Almost 80 percent of the students in my district qualify for free or reduced-price meals. COVID-19 exposed inequities to the larger public that we always knew were there. The pandemic forced us to make virtual learning available to every student immediately. We quickly distributed hot spots and Chromebooks to give every student access to technology.

5. Remain confident but flexible. The life-and-death stakes involved lent themselves to significant disagreement on every decision. As long as you continue to make decisions based on what’s best for everyone—students, staff, and community—you should not waiver. At the same time, you can’t be rigid. The pandemic in my home state of Texas—and everywhere else—evolved like a roller coaster. We had to be flexible and willing to rethink our plans, processes, and approaches as the landscape around us changed. We stayed firm in our initial decision to open our schools for virtual learning only.

Under the Texas Education Agency’s public-health planning guidance, my district deferred in-person learning for four weeks in response to a rise in cases in Dallas County last August. And we didn’t waiver once we offered in-person learning again in September, giving our students just one of two options: either 100 percent face-to-face instruction or 100 percent virtual learning; however, at the end of grading periods, we offered students the chance to change their mode of instruction for the following grading period.

6. Celebrate your wins. A proud moment for me was discovering that we gained the confidence of our families and their children to keep our schools safe for in-person learning. By this past spring, 70 percent of our students attended face-to-face learning without COVID-19 spreading on our campuses. That was a satisfying feeling.

None of us in leadership positions who lived through this terrible experience wants to see a repeat of it. It’s been taxing. But I truly believe I have grown through it in ways that have strengthened my leadership skills for the future.

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Coverage of leadership, summer learning, social and emotional learning, arts learning, and afterschool is supported in part by a grant from The Wallace Foundation, at www.wallacefoundation.org . Education Week retains sole editorial control over the content of this coverage.

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• Indian J Ophthalmol
• v.68(5); 2020 May

COVID-19 pandemic: Lessons learned and future directions

Rohit c khanna.

1 Allen Foster Community Eye Health Research Centre, Gullapalli Pratibha Rao International Centre for Advancement of Rural Eyecare, LV Prasad Eye Institute, Hyderabad, Telangana, India

2 Brien Holden Eye Research Centre, LV Prasad Eye Institute, Hyderabad, Telangana, India

3 School of Optometry and Vision Science, University of New South Wales, Sydney, Australia

4 University of Rochester, School of Medicine and Dentistry, Rochester, NY, USA

Maria Vittoria Cicinelli

5 Department of Ophthalmology, University Vita-Salute, Scientific Institute San Raffaele, via Olgettina, Milan, Italy

Suzanne S Gilbert

6 Senior Director, Research, Seva Foundation, Berkeley, California

7 North America Region Chair, International Agency for the Prevention of Blindness, India

8 President, International Society of Geographical and Epidemiological Ophthalmology, India

Santosh G Honavar

9 Editor, Indian Journal of Ophthalmology, Centre for Sight, Hyderabad, Telangana, India

Gudlavalleti V S Murthy

10 International Centre for Eye Health, Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, United Kingdom

11 Indian Institute of Public Health, Hyderabad, Telangana, India

Emerging pandemics show that humans are not infallible and communities need to be prepared. Coronavirus outbreak was first reported towards the end of 2019 and has now been declared a pandemic by the World Health Organization. Worldwide countries are responding differently to the virus outbreak. A delay in detection and response has been recorded in China, as well as in other major countries, which led to an overburdening of the local health systems. On the other hand, some other nations have put in place effective strategies to contain the infection and have recorded a very low number of cases since the beginning of the pandemics. Restrictive measures like social distancing, lockdown, case detection, isolation, contact tracing, and quarantine of exposed had revealed the most efficient actions to control the disease spreading. This review will help the readers to understand the difference in response by different countries and their outcomes. Based on the experience of these countries, India responded to the pandemic accordingly. Only time will tell how well India has faced the outbreak. We also suggest the future directions that the global community should take to manage and mitigate the emergency.

On December 31, 2019, hospitals in Wuhan, Hubei province, China reported on a cluster of cases suffering from pneumonia of unknown cause, attracting global attention.[ 1 ] Two weeks later, a new variant of coronavirus was identified, which was named 'severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).[ 2 ] SARS-CoV-2 is part of a group of viruses in a format similar to the crown (Corona), more specifically belonging to the species Betacoronavirus, such as the Middle East respiratory syndrome coronavirus (MERS-CoV) and severe acute respiratory syndrome coronavirus (SARS-CoV). Over the next few weeks, it spread to18 countries (excluding China), and on January 30, 2020, the World Health Organization (WHO) declared the outbreak to be a Public Health Emergency of International Concern (PHEIC). Subsequently, on March 11 th , it was declared a pandemic as it had spread to 113 countries.[ 2 ] As of March 31, 2020, baring a few, almost all countries and more than a million people are affected [ Fig. 1 ]. In terms of fatality, though the case fatality rate of SARS-CoV-2 is 3.44%, lower than MERS-CoV (34.4%) and SARS-CoV (9.19%), the absolute numbers affected are more.[ 3 ]

Countries, territories, and areas with reported confirmed cases of COVID-19, 31 st March 2020[ 2 ]

SARS versus SARS-CoV-2

SARS outbreak took place in 2002 in China and infected 8,422 people globally.[ 4 ] The total number of deaths was 916 globally.[ 4 ] As of March 31, 2020, the SARS-CoV-2 has infected over a million and has caused more than 50,000 deaths.[ 2 ] One reason why its spread is evidently much wider as compared to SARS is the rapid urbanization and the increase in international travel during the last two decades. Hence, the control measures applied at the time of SARS are no longer adequate in these days, and more vigorous actions are required to control SARS-CoV-2.[ 5 ] Another reason is related to a difference in the infectious period between patients infected with SARS and those infected with SARS-CoV-2. While in the former case, viral shedding peaks only when the patient's illness is advanced and respiratory symptoms occur,[ 5 ] for SARS-CoV-2, transmission can occur in the early phase of the illness, when the patients are completely asymptomatic.[ 6 , 7 ] Hence, isolation after the onset of symptoms might be ineffective in preventing virus transmission and this also makes temperature screening less effective.[ 8 ] Finally, SARS-CoV-2 has been proven to hold higher transmissibility and wider community spread than other betacoronaviridae.[ 5 ] Despite being highly infectious and having higher transmissibility, the severity of SARS-CoV-2 is much lesser compared to SARS.[ 5 ]

Containment Measures

Statistical models on the spread of SARS-CoV-2 suggested that, due to lack of herd immunity in the population and the highly contagious nature of the virus, 40-70% of the population can be infected unless strong containment measures are timely taken.[ 9 ] Based on the past experience with different epidemics and pandemics, as well as the current understanding of SARS-CoV-2, the WHO suggested frequent hand washing with an alcohol-based hand rub or soap and water, avoiding touching eyes, nose, and mouth, and practicing respiratory hygiene.[ 2 ] The use of face masks by everyone is still controversial, though WHO does not recommend its use by everyone.[ 2 ]

Coronavirus can survive on different surfaces for a long time – plastic (72 hours), stainless steel (48 hours), cardboard (24 hours), and copper (4 hours).[ 10 , 11 ] As regard to contact spreading, the virus can be effectively inactivated by surface disinfection with 70% isopropyl alcohol, 0.5% hydrogen peroxide, or 0.1% sodium hypochlorite.[ 10 , 11 ] Hence, thorough cleaning with disinfecting solutions in health facilities and public places is warranted. Health care facilities are advised to use personal protective equipment (PPE) with triple-layered masks or N95 masks and to educate the staff about the proper disposal of the equipment.[ 2 ] Respiratory precautions during aerosol-generating procedures are also recommended.[ 2 ] Anyone with fever, cough, and difficulty in breathing is advised to seek medical attention.[ 2 ] Social distancing (minimum one meter) is recommended both at individual and community levels.[ 2 ]

At the community level, the most important measures for reducing infection spread rely on case detection, isolation, and contact tracing of positive cases, followed by quarantine for those exposed. Other strategies include the closure of places of mass gathering, like schools, libraries, places of worship, malls, and cinemas, and the suspension of all social events, as sports, celebrations, and meetings. Temperature screening has been introduced at airports, railway stations, and bus stations, as well as the entrance of the main community buildings (like hospitals, banks, or law courts). The limitation of temperature screening is that it misses a significant number of asymptomatic carries, which has been estimated at around 46%.[ 8 ] In countries with a worse rate of infection, more restrictive measures have been put in place, like travel bans, reduction or interruption of both internal and overseas flights, and boundary closure; curfew and lockdown are also implemented.

All the aforementioned measures aim at reducing the rate of infection transmission, thus delaying the timing and lowering the height of the epidemic peak. These allow, from one side, gaining time for the healthcare system to prepare an efficient response to the pandemic, and, from the other side, the development of potential new treatments and vaccines. In Wuhan, it has been calculated that physical distancing with a staggered return to work at the beginning of April instead of March was the most effective strategy, with a projected reduction of the median number of infections by 92% (interquartile range (IQR) 66-97) and 24% (IQR 13-90) in mid-2020 and end-2020, respectively.[ 12 ]

Responses of Various Countries to COVID-19

A range of strategies has been adopted worldwide based on the population structure as well as the health care infrastructure of each country. One of the problems that have been faced is the delay in the implementation of measures. A model simulation by Lai Shengjie and Andrew Tatem predicted that if China had implemented control measures a week earlier, 67% of all cases could have been prevented; if implementation had been done at the beginning of January, it would have cut infection rate to 5%.[ 13 ] The events in Wuhan show that for at least three weeks after the first cases were reported, city authorities had been informed about the virus spreading but they issued orders to suppress the news. For instance, on January 18 th , roughly six weeks after coronavirus started to spread in Wuhan, they allowed the city's Baibuting district to organize its traditional annual mass banquet. Of the 40,000 families attending, more than 28,000 got infected and more than 560 succumbed to the virus in the later weeks. Just a few days later, more than 5 million people had traveled out of Wuhan for the upcoming Spring festival, just before Wuhan imposed lockdown, thus spreading COVID-19 across other provinces of China and abroad. The elevated connectivity of Wuhan with other international airports such as Singapore, Japan, and Thailand, facilitated the rapid spread to bordering countries.[ 14 , 15 ]

On January 23 rd , a 3-week lockdown was ordered to the entire Hubei province, along with some major cities like Beijing and Shanghai.[ 16 ] Outdoor activities were limited, with each citizen being permitted to go out for 30 minutes only on every second day.[ 17 ] All transports in and out of the city were prohibited. Mobile-phone data location from Chinese Internet giant Baidu was used to track people's moments as well as person to person contacts.[ 18 ] In Wuhan, where the infection rate was the highest, residents were required to measure and report their temperature daily. The mild and asymptomatic cases were quarantined in 'Fangcang' hospital as well as in public spaces such as stadiums and conference centers, which have been repurposed for medical care.[ 19 ] A 1,000-bedded hospital was built in a matter of 10 days to take care of patients with coronavirus.

Thanks to all these measures, a decline in the number of infected growth rate and an increase in its doubling time (from 2 to 4 days) was eventually achieved. The median daily reproduction number declined from 2.35 of January 16 to 1.05 of January 30.[ 20 ] Tian et al . estimated that the Wuhan shutdown slowed the dispersal of infection to other cities by 2.91 days (95%CI: 2.54-3.29), delaying epidemic growth elsewhere in China.[ 21 ] Other Chinese cities that early implemented preventive control measures reported 33.3% fewer cases in the first week of their outbreaks compared with cities that started control later.[ 21 ] The correlation between domestic air traffic and COVID-19 spread became weaker following lockdown.[ 17 ] Nevertheless, a study from Italy, China, and the United States found that the Wuhan travel quarantine delayed the overall epidemic progression by only 3 to 5 days in Mainland China, but had a greater effect at the international scale, where case export was reduced by nearly 80%.[ 22 ] However, with all these measures, China prevented cases from increasing by 67-fold, i.e. without these measures there would have been 8 million cases by the end of February.[ 13 ] However, replicating the Chinese model elsewhere turned out to be extremely challenging, as the measures implemented in Wuhan and the entire Hubei province of China far exceeded the classical definition of local confinement, lockdown, and isolation [ Fig. 2 ].[ 17 ]

Number of new cases reported from the Hubei Province of China after the lockdown.[ 2 ]

Note: Hubei went for lockdown on January 23 rd , 2020 and it took almost 6-8 weeks for the decline in new cases. Sudden decline on 20 th February was related to change in definition from "Clinically Diagnosed" to "Suspected" and "Confirmed" cases, where the latter required laboratory diagnosis

Some of the other countries were successful in flattening the curve, including Singapore, Taiwan, Hong Kong, and South Korea. One of the key factors in the success of these countries was continuous testing, isolation of infected, and quarantining of contacts. In Singapore, temperature screening at the airport of all travelers arriving from Wuhan was started on January 3 rd , even before identification of SARS-CoV-2 sequence. Aggressive contact tracing and quarantine of contacts of confirmed cases, travel advisories, and entry restrictions on people who had traveled to China in the preceding 14 days were implemented. At a community level, people were encouraged to work from home and to record their temperature twice a day; to make quarantine less onerous, the government offered self-employed people SGD $ 100 per day. Respiratory and hand hygiene and social distancing were followed rigorously.[ 23 ]

Temperature checking in all clinics and provision and use of PPE by medical staff were ordered as compulsory. Strict visitor controls, cohorting of patients with pneumonia or respiratory infection, and restriction of movement of patients and doctors between different healthcare institutions were also set up to prevent disease spread across multiple institutions. A network of 800 Public Health Preparedness clinics (PHPCs) was activated to enhance the management of respiratory infections in primary care settings. All pneumonia cases, severely-ill patients in intensive care units, deceased people with a possible infectious cause, and influenza-like illness (ILI) in primary care clinics were tested.[ 16 , 24 ]

Since February 7, 2020, the country has been in Disease Outbreak Response System Condition (DORSCON) Orange, the second-highest alert, signifying more relaxed measures of containment.[ 25 ] Besides Singapore, also Taiwan and Hong Kong were found well prepared before the outbreak, thus making a rapid and vigorous response to the first cases. Closure of places of mass gathering, travel restrictions and case detection, isolation and contact reducing (quarantine of exposed) were widely practiced. In South Korea, authorities called for voluntary social distancing and isolation. Apart from this, testing was scaled up aggressively (nearly 18,000 per day) and contact tracing was done through CCTV and credit card transactions. The general community was also encouraged to inform about infected people.[ 16 ]

In contrast, countries in Europe, like Italy, Spain, the United Kingdom, and the United States delayed implementing containment measures and failed in anticipating the impact of the pandemic in their own boundaries. Italy has recorded the highest number of deaths globally.[ 2 ] Before the outbreak was detected, the virus had been circulating into the country for at least 4 weeks. In just a matter of weeks (February 21 to March 22, 2020), Italy went from the discovery of the first official COVID-19 case to a state of complete lockdown.[ 26 ] Within this brief period, the impact on the country was nothing short of a tsunami. The health care system was literally overwhelmed with new pneumonia cases, with a considerable number of them in critical conditions. In the “red zone“ (i.e. the regions of Lombardia and Veneto, the most hit by the pandemic), the situation had become so grim that the risk of treating only those with a better prognosis (younger and healthier population) to the detriment of older people became almost reality.[ 27 ] The shortage of hospital beds, ventilators, and health professionals became a concrete threat. Health professionals from different disciplines (including Ophthalmology) were converted to COVID-19 patient care and who came in contact with SARS-CoV-2 patients were encouraged to work until they show symptoms.[ 28 ]

At the social community level, there was a delay in the implementation of restrictive measures. The lockdown started with places of mass gathering, but restaurants and bars were left open for one more week and travel within and outside Italy were not restricted. A total lockdown was imposed in Northern Italy (the “Red Zone“), but not in Central and Southern Italy concurrently; only on March 10, national lockdown was proclaimed. This led to the movement of cases to Southern Italy and subsequently spreading the infection across the entire country.[ 26 ] One other fact facilitating the diffusion of the virus and the lack of homogeneity in the national response is that the Italian health system is decentralized and different regions tried varying policy responses. Most notably, Lombardy and Veneto, two neighboring regions with a similar socioeconomic profile and number of cases, tried two different approaches.[ 26 ] Veneto tested extensively, both symptomatic and asymptomatic cases, and proactively traced the potential positive cases. If someone tested positive, everyone in the family, as well as neighbors were tested; and if testing kits were unavailable, they were asked to self-quarantine; whenever possible, samples were collected directly from home and processed in the laboratory. In contrast, Lombardy conducted only half of the tests done in Veneto and focused more on symptomatic cases. There was a limited investment in proactive tracing, home care, and monitoring, and protecting healthcare workers. Recently, the epidemic curve flattened, and the number of new cases and deaths stabilized started decreasing only when enormous measures of containment were accomplished. Social media campaigns, movement tracing by the police, and closure of all non-essential activities were finally working; on the other hand, conversion of public places and existing hospitals into intensive care units contributed to the reduction of the fatality rate.

Although the Italian experience might have been a teaching example for the other European countries, a steep increase in the number of cases has been recorded in Spain, France, and the United Kingdom just a few days later. Like Italy, the Spanish government reacted late to the pandemic. On February 19 th , 2,500 Valencia soccer fans mingled with 40,000 Atalanta supporters for a Champions League game in Bergamo, which was described as the 'Gamechanger'. A week before the shutdown, on March 8 th , several mass events such as sports events, political party activities, conferences, and a massive demonstration for the International Women's Day took place. Three days later, about 3,000 athletic fans flew together for another Champions League match in Liverpool. When the regional government of Madrid closed universities and schools, it provoked a holiday atmosphere, with crowded bars and parks and many people moved to their beach homes.[ 29 ] The poor coordination and the delay in implementation of restrictive measures led an abrupt surge of cases in Spain before they enacted the lockdown on March 14, 2020. Only after lockdown, a decline in the number of new cases have been reported [ Fig. 3 ]. We expect a steep decline in new cases in 6-8 weeks provided it is vigorously implemented. To face the burden of the case boom, the government took over all the private healthcare facilities and converted them to COVID-19 care. Due to the shortage of testing kits, laboratory testing was done only for patients needing admission for Severe Acute Respiratory Infections (SARI) and the essential service personnel such as health workers in those departments.[ 16 ]

Number of new cases reported from Spain[ 2 ]

In the United States (U.S.), there was a lack of coordination in the national response, with an unclear message from the U.S. President with often a variance with information from the U.S. National Institutes of Health (NIH) and the Centers for Disease Control (CDC). Early and severe outbreaks in Washington State and New York State prompted the six counties in the San Francisco Bay Area to impose stay-at-home orders on March 17 th , 2020 in response to initial cases. Two days later, the entire state of California was placed under these orders to “flatten the curve“ of new severe cases. The 50 U.S. states and many localities within them individually imposed measures ranging from tight provisions as in California to more lenient approaches such as bans on gatherings and curfews. There was no consistent national policy. This chaotic pattern included a wide variation in travel restrictions and even quarantines for travelers from one state to another and travel restrictions.[ 30 ] Even in the absence of enforced restrictions, social distancing was emphasized and those feeling ill were urged to stay home. Early in the epidemic, policy on investigating contacts and quarantining them varied from city to city. For example, in Denver, Colorado, when there were 49 confirmed cases on March 19, health officials reached out to people who might have been exposed only if they were elderly or had underlying health conditions.[ 31 ] Health departments in at least two counties in California – Sacramento and Placer counties – decided not to quarantine contacts who did not show symptoms despite growing evidence that asymptomatic carriers might transmit SARS-CoV-2.[ 31 ] In Seattle, Washington, the health department was no longer routinely investigating contacts because cases were proliferating rapidly and contact tracing was labor-intensive.[ 31 ] There was also an issue with testing due to a shortage of testing kits.[ 16 , 32 , 33 ] If the country had accurately tracked the spread of the virus, hospitals would have had the opportunity to be prepared and executed their pandemic plans effectively and on time. Suddenly the system was faced with a virus that had been left to spread, untracked, through communities around the country.[ 34 ] New York country reported at least 83,712 total positive cases of COVID-19 and more than 1,941 related deaths on April 2 nd , 2020, making it the state with the most U.S. coronavirus cases. New York City hospitals were straining under the onslaught of novel coronavirus cases, worsened by a shortage of PPE such as gloves, gowns, and masks and limited availability of ventilators and intensive care beds.[ 27 ] This stress on the US healthcare system is likely to increase as cases are projected to peak in some areas during mid-April to late-April and some thereafter. In fact, to track the virus, citizen crowd-sourcing methods have been devised including www.covidnearyou.com , which enables anyone to view the reported health/illness of residents, aggregated by postal zip code.

Among the middle-income countries, Iran was the worst hit. The Iranian government was aware of the outbreak quite early but only little measures were applied to stop it. The connections between Iran and China were not interrupted until January 31 st , 2020, in the attempt to maintain strong diplomatic ties.[ 35 ] However, the Iranian airlines continued their flights between the two countries up to February 23, 2020.[ 35 ] The outbreak was officially acknowledged following only on February 19, 2020, letting the disease spread in the preceding weeks.[ 35 ] Iran did not impede the arrangements for the parliamentary elections scheduled on February 21 st .[ 35 ] Furthermore, it also resisted quarantine measures; the Deputy Health Minister, Iraj Harirchi, publicly opposed it saying “quarantines belong to before World War I for diseases like plague and cholera and even Chinese are not satisfied with the quarantine they had put in place.“[ 35 ] Ironically, he later tested positive for coronavirus. In summary, Iran lost multiple opportunities to respond to their worst public health crisis.[ 35 ] There were also issues related to a lack of transparency in their reports.[ 16 , 36 ]

A few data on the impact of traveler screening, lockdown, travel restriction, and quarantine is available these days, as the results of these measures have been analyzed only in these days.[ 37 ] However, compared to travel restrictions, improved detection, isolation of cases, and social distancing are likely to have a greater impact on the containment of the outbreak. Social distancing also needs to be continued for several months to have a lasting impact. It has been predicted that by reducing the human to human contact by 90%, we can stop the epidemic.[ 38 ] Countries that have implemented social distancing earlier had a greater doubling time (South Korea, Singapore, Japan, Hong Kong) as compared to countries that did not (US, France, Italy).[ 39 ] The use of face masks by everyone is still controversial, though WHO does not recommend use by everyone, other agencies do recommend it.[ 40 , 41 ]

India's Response to COVID-19

In India, the first case of COVID-19 was reported on January 30 th , 2020, followed by two similar cases on February 2 nd and 3 rd . All three had a travel history to Wuhan, China. A month later, on March 2 nd , two new cases were reported – one each from New Delhi and Hyderabad. A sharp increase in numbers then followed.

To contain the spread, the Ministry of Health and Family Welfare (MoHFW) immediately took action and issued a travel advisory, as travel restrictions had previously demonstrated efficacious on outbreaks of SARS, Ebola, and bubonic plague. All international travelers entering the country were asked to self-quarantine for 14 days. All travel visas to other countries were canceled until April 15 th , 2020. All the states were asked to invoke the Epidemic Disease Act, which allowed officials to quarantine suspected cases and close down public places. An intensive campaign was rolled out and guidelines were developed for personal hygiene, surveillance, contact tracing, quarantine, diagnosis, laboratory tests, and management. People were advised not to visit farms, live animal markets or places where animals are slaughtered and to avoid mass gatherings. All the health care facilities were asked to stop regular out-patient and in-patient services and to continue with solely emergency services. Doctors were encouraged to use telemedicine services. Arogya Setu app was also launched to connect essential health services with people of India to fight against COVID-19. This app will reach out and inform the users of the risk, best practice and relevant advisories pertaining to containment of COVID-19. Amenities like hotels, colleges, railway train coaches, etc., were converted into quarantine facilities and large public places as stadiums were converted into isolation wards to handle an anticipated increased number of cases. Some of the states converted existing hospitals to exclusively handle COVID-19 patients. On March 22 nd , Prime Minister Narendra Modi initiated the lockdown process with a 14-hour 'Janta Curfew', followed by lockdown in 75 COVID-19 affected districts and a nationwide lockdown for the 3 weeks. A containment plan involving the State and twenty ministries was set up. A round-the-clock control room was set up at the headquarters of the General Director of Health Service (DGHS) to address the virus-related queries. The countries of the South Asian Association for Regional Cooperation (SAARC) were invited to fight jointly against this pandemic and 10 million US dollars were allocated for SAARC countries. A huge evacuation program of many Indian nationals was done from the COVID-19 affected areas.

All the measures implemented in India are revealing efficiency in flattening the curve. Nevertheless, a small effort has been addressed to the identification of asymptomatic and mild cases. This might have detrimental effects on the Indian economy in the long term. A long duration of the lockdown might be more devastating in India than in wealthier countries like the United Kingdom or Australia, and it could result in serious economic damage, increased hunger, and poverty, and it might reduce the population's resilience to handle the infection. Therefore, if these cases remain unidentified, there is a possibility of another peak of COVID-19 cases once the lockdown is lifted, and India's healthcare system might be not able to handle it properly. Hence, moving ahead, India should have 'staggered' exit from the lockdown, especially in the COVID-19 hotspot areas and use this lockdown period to screen and identify as many cases as possible, isolate them and quarantine their contacts. As compared to other countries worldwide, a very low number of tests have been run in India [ Fig. 4 ], with the highest number done in Kerala [ Table 1 ]; testing is done in 122 government labs and 44 private laboratories, however it is likely to increase in the near future.[ 42 ] At the time this article is being written, 158 districts in India have recorded at least one COVID-19 case.[ 42 ] Hence, this opportunity should be taken to screen the high-risk areas in these districts using the mid-level personnel, both from the government and private sectors. At the same time, the capacity for rapid diagnostic testing at the primary level should be implemented, to identify cases earlier and limit the transmission. This period should be also utilized for producing a large supply of PPE for the safety of health care workers and increasing the number of available ventilators, in case the outbreak worsens.

Test done for COVID-19 per million population in different countries (as on 29 th March)[ 39 ]

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) test done in India (as on 27 th March).[ 39 ]

In conclusion, India and the world have a long legacy of successful efforts to prevent or cure widespread infections. Recalling the successful smallpox eradication campaign of the 1970s, we are reminded of the pivotal role of leadership and sound management to stop the killer disease.[ 43 ] Hence, India has the opportunity to reverse disease predictions with stringent containment measures, social distancing, increasing case detection, isolation and quarantining the contacts. Efforts should be made to enlist community support and ownership so containment measures do not depend exclusively on administrative measures; critical situations like a mass exodus of laborers from the major cities to the rural areas as well as mass gatherings like Nizamuddin Markaz event which happened recently should be avoided.

Global Impact of COVID-19

As the impact of COVID-19 is not limited to human infection and death, other associated issues should be addressed, like social discrimination. For instance, healthcare workers are increasingly looked at as someone who can spread the virus in the community. Furthermore, Asian Americans have been experiencing a rising number of episodes of violence and hate after U.S. President made hurtful and misleading comments as “China is to blame“ and calling COVID-19 the “Chinese virus.“

The impact of COVID has been also affecting sectors like entertainment, tourism, restaurants, and the travel industry, with a tremendous escalation of job losses.[ 44 ] Disrupted supply chain and declining stock markets are the final consequences of these social changes, thus hitting the global economy.[ 44 ] Finally, a greater incidence of panic disorder, anxiety, depression, and other psychosocial issues has been reported.[ 45 ]

Future Directions

Looking into the near future, containing the COVID-19 epidemic is likely to take several months; public health interventions will be directed towards social distancing and improving hygienic practices. These interventions will be effective in delaying the onset of wide community transmission, reducing peak incidence and its impact on public services.[ 5 ] Testing, contact tracing, isolation of infected, and precautionary self-isolation of contacts is critical in reducing the number of new cases.[ 46 ] An exceptionally high degree of understanding in the population and acceptance of these measures is also critical.[ 46 ] These interventions have to be balanced with getting back to normal life and everyday activities to the best extent possible until a reversing the trajectory of the pandemic is traced.[ 47 ]

A little knowledge is available so far on alternate routes of transmission, namely via sewage, contaminated water, or air conditioning systems. It is also poorly known if those who have recovered from SARS-CoV-2 infection would be protected from reinfection, but evidence to confirm this is yet to be generated. Antibody testing has to be implemented on a large scale to identify who is already immune to the virus. The effect of temperature, season, and humidity on COVID-19 also has an impact on the COVID-19 outbreak, however, results from other parts of the world are awaited.[ 48 , 49 ]

Multiple trials are currently underway to develop novel treatment options as well as a vaccine to treat the respiratory syndrome, but results are still awaited.[ 50 ] Moreover, months are needed before a vaccine is developed and approved. Even though herd immunity develops over time, vulnerable groups as the healthcare workforce and elderly people should still be preserved. Smart working and staggered shifts may have to be adopted to mitigate COVID-19 transmission in the future. Digital didactic and online learning can be protracted for months. Telemedicine, and in particular teleophthalmology, needs to be implemented. Also in the future, infectious diseases will be probably included amongst the most important health hazards along with anti-microbial resistance.[ 51 ] In addition, timely identification, efficient diagnosis, rapid isolation, and clinical management would remain in the forefront.[ 51 ]

One of the last concerns regards the second wave of COVID-19 outbreak. Asian countries and cities that seemed to have brought the coronavirus epidemic under control are suddenly tightening their borders and imposing stricter containment measures, fearful about new imported infections. Hong Kong suddenly saw new cases spike as high as 65 in one day and ordered a new closure of non-essential activities. In Japan, where infections have remained relatively controlled, cases started to rise in March as travelers returned in the home country. New cases of local transmission have also been detected. Similarly, Singapore again announced one-month lockdown in view of increased local transmission. This portends a worrisome sign for the United States, Europe, India and the rest of the world regarding the second wave of the virus spreading once the restrictive measures are relieved.[ 52 ]

Over the past two months, COVID-19 has emerged as a public health threat around the world. It adds to the list of previous epidemic infectious disease outbreaks, including Bovine Spongiform Encephalitis in 1986, the Avian flu in 1997, the SARS in 2002, the Swine Flu in 2009, and the Ebola in 2014. All these outbreaks remind us that we live in a habitat where it is necessary to respect the relationship between animal, social life, and the environment to survive and thrive. Rapid urbanization and our incursion into forest lands, has created a new interface between humans and wildlife; and exposed humans to unfamiliar organisms often involving the consumption of exotic wildlife. As stated by the UN Environment Chief, Inger Anderson “ Our continued erosion of wild space has brought us uncomfortably close to animal and plants that harbor diseases that can jump to humans .“ She said, “ If we don't take care of nature, we can't take care of ourselves “.[ 53 ] With COVID-19, nature is sending us a message that we need to recognize the interrelationship between animals, including pets, livestock and wildlife. The transdisciplinary OneHealth approach involving professionals from many disciplines such as medicine, veterinary, environmental health, and social sciences has been advocated to limit new infectious outbreaks.[ 54 ] The global experience is teaching that containment measures and aggressive contract tracing are mandatory to keep the infection under control until an approved treatment or a vaccine is available to the global community. They should also minimize the economic burden of disease, and improve understanding of disease mechanisms, health problems, disease emergence, and reemergence to respond in a proportionate and timely manner. This will help in detecting, preventing, and combating future pandemics based on our experience from COVID-19 outbreaks. The implementation and development of the OneHealth collaborations on a global scale are critical in reducing the threat of emerging viruses.[ 54 ]

Financial support and sponsorship

Conflicts of interest.

There are no conflicts of interest.

Acknowledgements

We would like to acknowledge the following members for their contribution to the manuscript: Dr. Manoj V. Murhekar, Director and Scientist, National Institute of Epidemiology, Indian Council of Medical Research, Chennai, Tamil Nadu and Dr Larry Brilliant, Chair, Ending Pandemics; Founder Seva Foundation and CEO, Pandefense and CNN on-air analyst. Dr Brilliant is an alumnus of the WHO Smallpox Eradication program. We would also like to acknowledge Ms Sreedevi Penmetcha, Management consultant at L V Prasad Eye Institute for language editing of the manuscript.