Psychosocial Health

It’s important that you choose to be happy, healthy and at peace!

Health is defined as the overall mental, emotional and physical state of a person; the absence of disease and ailment. On the other hand, wellness or well-being refers to the state of being in optimal mental and physical health.

But wellness is more than optimal mental, emotional and physical health. It’s about living a life in harmony, full of personal responsibility and taking proactive steps for one’s entire well-being. Thus, a person living life very well controls risk factors that can harm them. Risk factors are different types of actions or conditions that increase a person’s chances for illness or injury.

Psychosocial (mental, emotional, social, and spiritual) health and wellness

“The secret of a better and more successful life is to cast out those old dead unhealthy thoughts.” Dr. Norman Vincent Peale

Psychosocial health includes four important components of well-being. It means being mentally, emotionally, socially, and spiritually sound which fortunately is no longer lost on traditional modern medicine. There’s plenty of proof that a healthy mind, content heart and grateful attitude are just as important for the prevention of diseases and therapeutic treatment. Therefore, this concept of psychosocial health, a state of mental, emotional, social, and spiritual well-being, deserves much attention and additional research.

Basic Traits of Psychosocial Health

“The greatest revolution of our generation is the discovery that human beings, by changing the inner attitudes of their minds, can change the outer aspects of their lives.” William James

Individuals who are deemed to be psychosocially healthy aren’t completely devoid of problems. Actually, it’s not the quantity or quality of a problem, which makes someone sound in this respect. It’s the way people view themselves and how they view and response to stressful situations that sets psychosocially healthy people apart from those who are not. Here are just a few traits shared by these robust individuals. They:

  • Like themselves
  • Accept their mistakes
  • Take care of themselves
  • Have empathy for others
  • Control their anger, hate, tension, and anxiety
  • Are optimistic
  • Can work alone and with others equally well

Mental Health

“To make your mind healthy, you must feed it nourishing, wholesome thoughts.” Dr. Norman Vincent Peale

The thinking portion of psychosocial health is known as mental health. Your beliefs and values in life, as well as how you relate to others and respond to situations in your life, are a reflection of mental health, which overlaps with the other aspect of health.

When something happens to you that you don’t like and you respond in a positive manner by accepting your mistake and looking forward to its correction, then that’s good. But if you show up late for work regularly, get fired, and then blame anyone but yourself, then that may be an indicator of less than ideal mental and emotional health.

Emotional Health

The feeling part of psychosocial health is called emotional health. This includes things like anger, love, hate, and happiness. Oftentimes, emotional and mental health overlap a great deal in some situations. Going back to our example of getting fired from work because you came in late multiple time, if you feel a bit down, but still have high hopes for the future, that’s a positive thing. But if you lash out in a blinding rage against your boss, sulk when you go home, and avoid everyone thereafter, then that may point to improper emotional health.

Furthermore, it’s not unexpected even for an emotionally healthy person to experience some sadness and grief after getting fired; that by itself isn’t conclusive of poor emotional health. Everyone, even the most optimistic people, have their ups and downs. But an emotionally healthy person is one that responds to a situation in a manner that is controllable, in proportion, and with understanding.

Emotional intelligence is an ability to understand and manage your emotions and those of others. It can be broken up into five main parts:

  • Know your emotions: Are you able to quickly recognize your feelings?
  • Manage your emotions: Can you express those feelings appropriately? Are you able to cope with them well?
  • Motivate yourself: The more you can do this independently in order to achieve more in your life, the higher your emotional intelligence.
  • Recognize the emotions of others: The more you can empathize with others, the better.
  • Handle your relationships: The better you are at navigating conflict in life and building a good social network, the higher your emotional intelligence.

Social Health

Having healthy relationships is a good way to also introduce social health, the ability to create and maintain healthy relationships with others. I’m sure you can already appreciate how much this is related to the concepts we went over in emotional health. Everything here is related because they are all part of the one overarching concept – psychosocial health.

Social health goes beyond having appropriate emotional health and intelligence. A person with good social health:

  • Recognizes the importance of social engagement. We’re pack animals after all! We’re not supposed to live alone!
  • A person with good social health is able to support their friends in a time of need and ask for their help when they need it themselves.
  • They aren’t biased, prejudiced, racist, or sexist.
  • Listens to others well, expresses their feelings just as well, and acts in a responsible manner around others.

An example of a person with good social health is someone who has close friends. They enjoy listening to and feels close enough to share important feelings with. The contrast is a curmudgeon who is bad-tempered and discourages close personal relationships.

Spiritual Health

When you enhance your spirituality, you form a relationship built on inner peace, love, faith and security.

Spiritual health is about having “something more” in your life. In practical terms, we’re talking about getting to know yourself—getting to know what you’re feeling, what you’re thinking, what you’re intending, what your fears are, and what your loves are, according to Gary Zukav author of Seat of the Soul.

Relationships can transform into a spiritual connection and partnership. If we use our relationships with ourselves, others and God (or an entity that is transcendent) to make us wiser, kinder, peaceful, grateful and more compassionate, we can actually change how the relationships work for us. We can have and enjoy the relationships and lives we’ve always dreamed of.

Higher levels of spirituality have also been linked to increased compassion, strengthened relationships, and improved self-esteem. “Our findings show that spirituality is significantly associated with better mental health and well-being and may add to an individual’s overall wisdom,” explains Dilip Jeste, senior associate dean for the Center of Healthy Aging and a professor of psychiatry and neuroscience at the UC San Diego School of Medicine. “Spirituality does not require religious faith but is characterized by humility and ever-present connectedness to oneself or to others or to an entity that is transcendent, such as Mother Nature or God or the soul. It helps reduce stress in many people and allows them to be more at peace, happier, and healthier.”


References:

  1. https://study.com/academy/lesson/what-is-psychosocial-health-definition-components-traits.html
  2. https://www.oprah.com/oprahshow/forging-a-spiritual-relationship/all
  3. https://www.psychologytoday.com/us/blog/the-athletes-way/202010/how-spirituality-wisdom-and-mental-health-are-intertwined
  4. https://www.forbes.com/sites/amymorin/2016/06/15/this-is-how-your-thoughts-become-your-reality/?sh=1dd1728528a0

Background:

Physical wellness: This means we exercise, eat well, practice safe sex, don’t do any dangerous activities like jumping off of buildings, and so on. Physical fitness increases physical wellness. By being physically fit and well, you are better able to take care of yourself and others, especially in a time of need. You are also better able to prevent illness and disease.

Intellectual wellness: Critical thinking, being curious, and always learning new things. Developing intellectual wellness is critical not only to help a person grow in school and do better at work, but it actually prevents the onset of disease. It’s been shown that people who regularly learn new things and challenge their mind can stave off many mental health problems.

Emotional wellness: Being confident, having a solid self-esteem, building trust, and being able to understand another’s feelings. A person who is emotionally well is aware of their feelings and is able to properly cope with them. Emotional wellness also implies a person can deal well with stressful situations.

Social wellness: Having good communication skills, the ability to establish good and healthy long-term relationships, and having good relationships with family and friends. Interpersonal relationships are very important in order to maintain a good emotional and physical state of being. We are, of course, ‘pack animals,’ so to speak, that depend on one another to survive and live well.

Spiritual wellness: The path to a spiritual wellness and relationship depends upon you because how you relate to yourself determines how spiritual you are toward others, according to Deepak Chopra. Developing compassion, forgiveness, being caring, having a sense of purpose and meaning in life. Spiritual wellness doesn’t automatically imply the need for religion in a person’s life. But, it does imply a personal relationship with God or committing to something higher. This personal relationship or commitment to something higher can be developed and found through things like nature, meditation, volunteer work, and family.

Mahatma Gandhi:

  1. You must be the change you wish to see in the world.
  2. Happiness is when what you think, what you say, and what you do are in harmony.
  3. Live as if you were to die tomorrow. Learn as if you were to live forever.
  4. Keep your thoughts positive because your thoughts become your words. Keep your words positive because your words become your behavior. Keep your behavior positive because your behavior becomes your habits. Keep your habits positive because your habits become your values. Keep your values positive because your values become your destiny.

References:

  1. https://www.chopra.com/articles/how-to-have-a-true-spiritual-relationship

Get Your Annual Influenza (Flu) Shot

“Protect yourself this flu season with a flu shot” Piedmont Healthcare

The Centers for Disease Control and Prevention (CDC) and medical experts across the country are urging Americans to get their flu shot this fall. With peak flu season fast approaching, health experts have emphasized that this year, more than ever, it’s important to get vaccinated for the seasonal flu. 

Additionally, influenza vaccines are more available and easier to obtain this season then past influenza seasons. The CDC recommend that you start getting your flu shot.

Flu season usually starts in the fall and can last well into spring.

Flu season can be hard to predict since it usually starts in early fall around October and continues into spring. December through March are considered peak flu season in the U.S.—the time when most people get the flu. It’s good to be aware of flu season but you should also know that you can get the flu any month of the year. The best way to stay protected is by getting a yearly flu vaccination.

“Out of any year in your lifetime, this is the year to get your flu shot,” said Dr. Jane Kim, a VA physician. “This is an extraordinary year and it’s to protect you and your family. Flu shots are safe and effective. You want to be prepared and protected.”

To accommodate the expected increase in Americans getting flu vaccines this year, more flu vaccines have been orders nationwide than last year to meet the demands and avoid vaccine shortages.

Flu vaccination reduces the risk of flu illness

Had a flu shot last season? You need a new one now, and it’s best to get it early.

CDC conducts studies each year to determine how well the influenza (flu) vaccine protects against flu illness. While vaccine effectiveness (VE) can vary, recent studies show that flu vaccination reduces the risk of flu illness by between 40% and 60% among the overall population during seasons when most circulating flu viruses are well-matched to the flu vaccine. And, the flu shot “takes about two weeks after getting the vaccine into your body to build up enough antibodies to protect against the flu,” commented Jean Moorjani, MD, a pediatrician at Orlando Health Arnold Palmer Hospital for Children.

For military veterans, getting a flu shot will be easier this year. The Community Care Network has been expanded to include more than 60K partner locations where enrolled veterans can get a no-cost flu shot. Community Care Network providers are a vital part of VA’s health care network, ensuring eligible Veterans and their beneficiaries get the timely, high-quality health care they need.

With the COVID-19 pandemic continuing to persist across the United States, it is imperative for healthcare providers that come in contact with patients to get their flu shot this year. And, because of the COVID-19 pandemic, reducing the spread of respiratory illnesses, like flu, this fall and winter is more important than ever. “People are scared to go out,” Dr. Jane Kim said.

According to the CDC, for the week ending October 17, 2020, seasonal influenza activity in the United States remains low.

For more information on the flu vaccine, visit https://www.cdc.gov/flu/prevent/keyfacts.htm and to find the location nearest to you to receive your annual flu vaccine, visit Vaccine Finder or visit your healthcare provider.

For mor information, view the videos below:

Influenza facts and advice video from the Cleveland Clinic:


References:

  1. https://www.cdc.gov/flu/season/index.html
  2. https://www.health.com/condition/cold-flu-sinus/how-long-for-flu-shot-effective
  3. https://www.cdc.gov/flu/vaccines-work/vaccineeffect.htm#howeffective
  4. https://www.flumistquadrivalent.com/about-the-flu/when-is-flu-season.html?source=fmq_c_c_168&umedium=cpc&uadpub=bing&ucampaign=flumist_ub_resources_dtc_sd_exact&ucreative=season_exact&uplace=2020influenza&outcome=udtc&cmpid=1&&msclkid=9db03de7525e16a2211862641efdcf45&gclid=9db03de7525e16a2211862641efdcf45&gclsrc=3p.ds

COVID-19 is Spreading in U.S. with Pandemic Fatigue, Cooler Weather, Eased Restrictions

Coronavirus cases are surging again across the U.S.

New coronavirus cases and hospitalizations continue to increase in the U.S., which could be an indication of a ‘fall surge’ of respiratory virus infections predicted by public-health officials.

For multiple times since October began, newly reported cases nationally ticked above 50,000, fueled by infectious outbreaks in several regions of the country.

The seven-day moving average of new U.S. infections, which smooths out day-to-day fluctuations, was above 50K, the highest since mid-August. The 14-day average stood at 47K. When the seven-day average is higher than the 14-day average, as it has been since early October , it suggests cases are rising.

While circumstances differ locally, many regions across the U.S. have a seven-day average of new cases greater than their 14-day average, according to a Wall Street Journal analysis of Johns Hopkins figures.

Hospitalizations also have increased across the U.S. in recent weeks, though deaths haven’t surged at a similar pace. Deaths often lag behind new cases and hospitalizations, given the duration of the disease. The seven-day average of daily deaths attributed to Covid-19 has been hovering around 700 for about three weeks, down from around 1,000 two months ago.

Thanks to improved detection, most people infected in the summer had mild or no symptoms. But as cases soar, hospitalizations and deaths are also expected to rise.

U.S. has more fatalities than any other country in the world

The U.S. has more fatalities than any other country in the world—more than 217,600 since the pandemic began. But it doesn’t have the highest percentage of cases that are fatal. About 2.7% of reported cases in the U.S. have been fatal, according to data from Johns Hopkins. That figure has declined in recent months as treatments have improved and testing has expanded, allowing more mild and asymptomatic cases to be detected.

“I long for the day when each and every day we see fewer cases than the day before,” said David Aronoff, director of the Division of Infectious Diseases at Vanderbilt University Medical Center in Nashville, Tenn. “But if you were to ask me when that day would be, I don’t honestly know.”

Daily case-count tallies are likely to increase or remain at high levels without concerted use of such strategies as enhanced testing, widespread mask-wearing and clear, consistent messaging, epidemiologists and public-health researchers said.

Since summer, younger people make up a growing share of new U.S. infections.

Despite the rising numbers of infections, many have grown tired of restrictions on their social life and say they would rather risk catching the virus than stop seeing family and friends.

Additionally, mixed and inconsistent messaging from federal and local officials over preventive measures has sowed confusion and complacency. Some local governments have eased restrictions on businesses and requirements to wear masks. Meanwhile, college students returned to campuses, leading to some spreading of the virus, and the onset of cooler weather has led many Americans indoors, where the virus is more transmittable, public-health researchers said.


References:

  1. https://www.wsj.com/articles/why-covid-19-is-spreading-again-fatigue-colder-weather-eased-restrictions-11602759601
  2. https://www.wsj.com/articles/covid-19s-global-divide-as-west-reels-asia-keeps-virus-at-bay-11603186202

Healthy Aging and Lifestyle: Avoid Muscle Loss as You Age

Declining muscle mass is part of aging, but that does not mean you are helpless to stop it.

“Older men can indeed increase muscle mass lost as a consequence of aging,” says Dr. Thomas W. Storer, director of the exercise physiology and physical function lab at Harvard-affiliated Brigham and Women’s Hospital. “It takes work, dedication, and a plan, but it is never too late to rebuild muscle and maintain it.”

The best means to build muscle mass, no matter your age, is progressive resistance training (PRT), says Dr. Storer. With PRT, you gradually amp up your workout volume—weight, reps, and sets—as your strength and endurance improve.

This constant challenging builds muscle and keeps you away from plateaus where you stop making gains. (See “Working on a PRT program.”) In fact, a recent meta-analysis published in Medicine & Science in Sports & Exercise reviewed 49 studies of men ages 50 to 83 who did PRT and found that subjects averaged a 2.4-pound increase in lean body mass.

if you want to burn more calories and lose weight, the answer is simple: build muscle, according to the Cleveland Clinic.  

Muscle burns more calories at rest than fat

Ten pounds of muscle burns 50 calories at rest, whereas 10 pounds of fat burns 20 calories. This means, long after you’ve stopped working out, your body is still burning over twice as many calories when you’re toned than when you’re not. 

Strength training

When you lift weights and build muscle, you’re actually creating tiny tears in the muscle fibers within your body. This is why you’re sore after a tough workout.

Strength training comes when your muscles build against those tears. athletic trainer Tom Iannetta, ATC, CSCS explains that strength training is beneficial at any age. “As we age, we lose muscle mass, which decreases metabolism, so establishing a strength program will not only increase muscles, it will boost metabolism,” he says. 

Get moving a little every day.

Work out every morning and some evenings. Some moves take just minutes to do. Here’s a few ways to do it right:

  • Start slow—incorporate regular walks or body weight exercises to feel the burn.
  • Workout when you’re working—like with a stressball or a hand grip strengthener
  • Incorporate a complete exercise plan for building muscle. Use it and you’ll avoid back pain and get injured less

A general guideline for improving strength is to exercise each major muscle group at least twice a week. This could be performed as a full-body workout or by doing a split routine performing upper body exercises twice a week, then lower body exercises twice a week.”

Helpful strength training tips:

  • Warm up. Always begin with a light warm-up such as riding a stationary bike or an elliptical machine. Five to 10 minutes should be sufficient.
  • Sets are key. Three sets of an exercise with eight to 12 repetitions has been the gold standard for an effective strength program. However, finding time to exercise may be a challenge.  Recent research shows that many people see results with one or two sets of eight to 15 repetitions of a particular exercise.
  • Push it. Pushing the muscle to fatigue is a key factor. Choose a weight that is heavy enough to fatigue your muscles in eight to 15 repetitions. As exercise becomes easier, you can progressively increase the amount of resistance.
  • Variety is the spice of life … and muscle building. As you get stronger, try varying the exercises you perform. Different exercises or varying the weight training equipment in your routine should keep your program challenging.

The important thing is to find an activity that you enjoy. With consistency, you’ll shed that quarantine weight in no time. 


References:

  1. https://health.clevelandclinic.org/build-muscles-lose-weight-by-adding-strength-training-to-your-workout/?_ga=2.29316282.743021087.1601167027-783556893.1601167027
  2. https://health.clevelandclinic.org/how-can-you-avoid-muscle-loss-as-you-age/
  3. https://www.health.harvard.edu/staying-healthy/preserve-your-muscle-mass

Age-related muscle loss | Harvard Men’s Health Watch

After age 30, men begin to lose as much as 3% to 5% of muscle mass per decade, according to WebMD.com. Most men will lose about 30% of their muscle mass during their lifetimes. Less muscle means greater weakness and less mobility, both of which may increase your risk of falls and fractures.

A 2015 report from the American Society for Bone and Mineral Research found that people with sarcopenia, age-related muscle loss, had 2.3 times the risk of having a low-trauma fracture from a fall, such as a broken hip, collarbone, leg, arm, or wrist.

“Older men can increase muscle mass lost as a consequence of aging,” says Dr. Thomas W. Storer, director of the exercise physiology and physical function lab at Harvard-affiliated Brigham and Women’s Hospital. “It takes work, dedication, and a plan, but it is never too late to rebuild muscle and maintain it.”

Increasing strength and endurance

One possible contributor to sarcopenia, age-related muscle loss, is the natural decline of testosterone, the hormone that stimulates protein synthesis and muscle growth. Think of testosterone as the fuel for your muscle-building fire.

The FDA has not approved taking testosterone supplements to build muscle mass in men due to their side effects.

The best means to build muscle mass, no matter your age, is progressive resistance training (PRT), says Dr. Storer. With PRT, you gradually amp up your workout volume—weight, reps, and sets—as your strength and endurance improve. This constant challenging builds muscle and keeps you away from plateaus where you stop making gains. To gain more muscle mass, older men need a structured and detailed PRT program, says Dr. Storer.

Set up a detailed progressive resistance strength training workouts

You should do strength-training that works all major muscle groups—legs, hips, back, abdomen, chest, shoulders, and arms—at least two days a week.  Strength training can involve lifting weights, using resistance bands, or exercises like push-ups and sit-ups, in which your body weight furnishes the resistance.

A typical training program might include

  • 8 to 10 exercises that target all the major muscle groups
  • sets of 12 to 15 reps, performed at an effort of about 5 to 7 on a 10-point scale
  • two or three workouts per week.

After you have established a routine, the way to progress is to add a second and then a third set of the exercises. Another way is to decrease the number of reps per set and increase the weight or resistance to the point where you are able to complete at least eight reps, but no more than 12.

Increasing muscle power

Building muscle is not all about strength, says Dr. Storer. You also need power. “Muscle power, how fast and efficiently you move, is more connected to the activities of daily living and physical function than muscular strength,” he says.

A good way to improve overall muscle power is with your legs, since they are most responsible for mobility. “Doing quicker movements against resistance, like one’s own body weight, can be an effective means of developing power,” says Dr. Storer.

For instance, when rising from a seated position, try to do it quickly. When climbing stairs, hold the handrail and push off a step as fast as possible. “It does not have to be every step—begin with one to three steps—but this teaches your muscles to use strength in a more effective way.”


References:

  1. https://www.webmd.com/healthy-aging/guide/sarcopenia-with-aging
  2. https://www.health.harvard.edu/staying-healthy/preserve-your-muscle-mass

Vitamin D might make sense

Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recommends getting enough sleep, maintaining a healthy diet, and avoiding or alleviating stress as the three most potent ways to keep your immune system strong. 

He states that “it is much more healthy living than giving yourself supplements of anything”.

Recently, when responding to a question, Dr. Fauci told the actress Jennifer Garner that he takes two supplements: vitamin D and vitamin C.

Fauci states consistently that the best ways to control the pandemic are: good hand hygiene, mask-wearing, and social distancing.

Vitamin D might make sense.

Vitamin D is a fat-soluble vitamin that is naturally present in a few foods, added to others, and available as a dietary supplement. It is also produced when ultraviolet (UV) rays from sunlight strike the skin and trigger vitamin D synthesis. It comes in two main forms, D2 (ergocalciferol) and D3 (cholecalciferol). Both forms are well absorbed in the small intestine.

Yet, regarding vitamin D, “there is good evidence that if you have a low vitamin D level, you have more of a propensity to get infected”, Dr. Fauci commented.

Several scientific studies have concluded that being deficient in vitamin D can put you at greater risk of infection, and it appears anecdotally that finding has held true again during the coronavirus pandemic.

“There is good evidence that if you have a low vitamin D level, that you have more of a propensity to get infected when there are infections around,” Fauci said. “Those data are pretty good data.”

In addition to reducing inflammation in the body, vitamin D also helps our bodies absorb calcium, keeping bones healthy and strong, so it’s good for people of all ages and races to make sure they’re getting enough.

Sources of Vitamin D

Few foods naturally contain vitamin D. The flesh of fatty fish (such as trout, salmon, tuna, and mackerel) and fish liver oils are among the best sources.


References:

  1. https://www.msn.com/en-us/Health/wellness/forget-vitamins-fauci-says-the-3-best-things-to-keep-your-immune-system-working-optimally-cost-nothing/ar-BB199xsP?li=BBnbfcL&ocid=overlayclose
  2. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/

America’s Mental Health Epidemic

“Be sure to give each other a lot of grace and be kind and forgiving to each other. We’re all experiencing heightened levels of uncertainty and anxiety right now. Giving an extra beat of patience to others is critical.” Dani Fallin, chair of the Department of Mental Health at the Johns Hopkins Bloomberg School of Public Health

The mental health impact of COVID-19 are real, widespread and growing exponentially. The immense stress and emotional trauma experienced by vulnerable individuals, families and households amid the pandemic has given rise to an unprecedented mental-health crisis. Additionally, there’s strong evidence showing that social isolation and distancing can increase symptoms of mental illnesses like depression and anxiety.

Data is staggering

The latest data reveals some of the most frightening and staggering spikes in anxiety, depression, substance use, drug overdose and suicide rates that behavioral-health experts have ever witnessed, according to Babette Hankey, president/CEO of Aspire Health Partners in Orlando.

A recent survey by the Centers for Disease Control and Prevention on adult mental health found that more than 40% of U.S. adults have reported at least one mental health issue during this pandemic, and more than 1 in 10 adults had seriously considered suicide. During this period, 7 out of 10 young adults (18-24 years old) reported experiencing symptoms of anxiety and depression and more than 25% have seriously considered suicide.

In the wake of the coronavirus COVID-19 outbreak, many people may feel anxiety or stress.

Everyone responses differently

Everyone reacts differently to stressful situations such as the seemingly enduring COVID-19 pandemic infectious disease outbreak. It is normal to experience a wide range of emotions. Yet, it’s important for people to take care of themselves physically, emotionally, and mentally.

According to the CDC study, the rate of substance abuse and/or suicidal thoughts among unpaid caregivers more than tripled between May and the end of June.

Older Americans appear to be more resilient to the strain of the pandemic compared to the young: The study found rates of anxiety, depression, substance abuse and suicidal thoughts were most prevalent among those aged 18 to 24, and the prevalence of these issues “decreased progressively with age.”

Black and Hispanic Americans tended to have higher rates of mental health issues tied to the pandemic than did whites, the study also found.

Of course, unemployment or the threat of it is a major source of anxiety for millions in 2020. So, efforts aimed at “strengthening economic supports to reduce financial strain” should be part of an effort to boost mental health, the researchers said.

According to the CDC, reactions during the outbreak can include:

  • Fear and worry about your health status and that of your loved ones who may have been exposed to COVID-19.
  • Increase levels of stress, anxiety, hopelessness and depression.
  • Changes in sleep or eating patterns.
  • Difficulty sleeping or concentrating.
  • Worsening of chronic health problems.
  • Increased use of alcohol, tobacco, or other drugs.

Learning to cope with anxiety and stress

Figuring out ways to cope with anxiety and stress can help you, your loved ones and your community. If stress begins to interfere with your daily life, reach out to your healthcare provider.

These numbers, although startling, are unsurprising to mental health experts given the emotionally taxing measures local and state governments have taken to reduce the spread of the virus: children and grandchildren have been separated from their parents and grandparents; students are prevented from attending school; and the sick and dying have been denied the embrace of loved ones.

During this unique moment in the nation’s history, American society and economy have slowed down, we’re experiencing unprecedented social unrest and political rancor, and, many have been left feeling powerless and uncertain about their physical health and financial wellbeing as well as that of their loved ones.

https://youtu.be/60kGONUJSRY

The importance of self-care during this challenging time.

“Seek out ways to have social and professional engagement while adhering to social distancing…can help people feel connected socially with their colleagues, family, and friends, and maintain a sense of belonging.” Dani Fallin, chair of the Department of Mental Health at the Johns Hopkins Bloomberg School of Public Health

  • Avoid excessive exposure to media coverage of COVID-19. Be aware and conscious of your news and media intake. The more time you spend consuming news about the pandemic, the more likely you are to feel anxious and concerned. That’s especially true at home, when you’re able to access news media 24/7.
  • Take care of your body. Take deep breaths, stretch or meditate. Eat healthy, well-balanced meals, exercise regularly, get plenty of sleep and avoid alcohol, smoking and drugs.
  • Make time to unwind and remind yourself that strong feelings will fade. Take breaks from watching, reading, or listening to news stories. It can be upsetting to hear about the crisis and see images repeatedly. Try to do some other activities you enjoy to return to your healthy life.
  • Learn a new hobby or skill like gardening, a foreign language or a musical instrument. Devote yourself to learning and growing everyday.
  • Connect with others. Share your concerns and how you are feeling with a friend or family member. Maintain healthy relationships.
  • Maintain a sense of hope that “this too shall pass” and maintain positive outlook and thinking. Have faith in your inherent resilience to persevere and overcome life’s extraordinary challenges brought on by the pandemic.

Take care of your mental health

Mental health is an important part of overall physical health and emotional wellbeing. It affects how we think, feel, and act. It may also affect how we handle stress, relate to others, and make choices during uncertain situations or an emergency.

Again, we stress to contact your healthcare provider if you think you have new or worsening mental health symptoms or stress (or anxiety) gets in the way of your daily activities for consecutive days.


References:

  1. https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html
  2. https://www.orlandosentinel.com/opinion/guest-commentary/os-op-coronavirus-mental-trauma-aspire-health-20200914-xw7kcjahvbfrlgcd2s4bmvbmzi-story.html
  3. https://www.webmd.com/lung/news/20200813/levels-of-anxiety-addiction-suicidal-thoughts-are-soaring-in-the-pandemic#1
  4. https://hub.jhu.edu/2020/04/06/dani-fallin-mental-health-challenges-coronavirus/

Vitamin D: The supplement Dr. Fauci takes to help keep his immune system healthy | CNBC

HEALTH AND WELLNESS  | CNBC
Date Tue, Sep 15 20208:00 PM EDT

“Vitamin D is a key nutrient for your immune system.” Dr. Anthony Fauci

According to Dr. Anthony Fauci, most “so-called immune boosting supplements” actually do “nothing.” However, there are two vitamins Fauci does recommend to help keep your immune system healthy.

“If you are deficient in vitamin D, that does have an impact on your susceptibility to infection. So I would not mind recommending, and I do it myself taking vitamin D supplements,” Fauci said during an Instagram Live on Thursday, when actress Jennifer Garner asked Fauci about immune-boosting supplements.

“COVID-19 infection is more prevalent among African Americans, older adults, nursing home residents and health care workers—populations who all have increased risk of vitamin D deficiency.” University of Chicago Medicine

Researchers at the University of Chicago Medicine recently found a link between vitamin D deficiency and the likelihood of being infected with COVID-19.   Those with an untreated deficiency were more likely to test positive. Half of Americans are thought to be deficient in vitamin D, with much higher rates seen in African Americans, Hispanics and individuals living in areas where it is difficult to get enough sun exposure in winter.

Vitamin D is important to the function of the immune system and vitamin D supplements have previously been shown to lower the risk of viral respiratory tract infections,” said David Meltzer, Chief of Hospital Medicine at UChicago Medicine and lead author of the study. “Our statistical analysis suggests this may be true for the COVID-19 infection.”

The research team looked at 489 patients at UChicago Medicine whose vitamin D level had been measured within a year before being tested for COVID-19. Patients who had vitamin D deficiency (defined as less than 20 nanograms per milliliter of blood) that was not treated were almost twice as likely to test positive for COVID-19 compared to patients who had sufficient levels of the vitamin.

In addition to vitamin D, Fauci said that vitamin C is “a good antioxidant.” “So if people want to take a gram or two at the most [of] vitamin C, that would be fine,” he said.

Vitamin C “contributes to immune defense by supporting various cellular functions” of the body’s immune systems, according to 2017 study published by The National Institutes of Health, and vitamin C also appears to prevent and treat “respiratory and systemic infections.” according to researchers.

But “any of the other concoctions and herbs I would not do,” Fauci said.

During another interview with actress Tiffany Haddish released on Sept 4., Fauci said in clinical studies most “so-called” immune-boosting supplements didn’t really help people unless they had some sort of a deficiency. If fact, a lot of these herbs “either do nothing, or, if you take too much of them, they harm you,” Fauci told Haddish.

Overall, the best way to boost your immune system is to get good sleep and exercise, Fauci said. “Those are the things that are so much better than a bunch of herbs that really have never really been shown to do that,” Fauci told Haddish.

To read More:  https://www.cnbc.com/2020/09/14/supplements-white-house-advisor-fauci-takes-every-day-to-help-keep-his-immune-system-healthy.html


References:

  1. https://news.uchicago.edu/story/vitamin-d-deficiency-may-raise-risk-getting-covid-19-study-finds
  2. https://www.cnbc.com/2020/09/14/supplements-white-house-advisor-fauci-takes-every-day-to-help-keep-his-immune-system-healthy.html

Family Gatherings and House Parties Account for Majority of COVID-19 Transmissions

In Maryland’s Prince George’s County, family gatherings and house parties have accounted for sixty-seven percent (67%) of COVID-19 transmissions, according to county officials. County officials say that contact tracers have determined that 44 percent of people who contracted COVID-19 reportedly attended family gatherings and 23 percent reportedly attended a house party.

Maryland Governor confirms that the trend is the same across the state of Maryland, saying that the number one cause of virus transmission in the state is family gatherings, followed by house parties, and then outdoor events.

Additionally, the Texas Medical Association released a chart breaking down the risk of contracting COVID-19 from certain activities ranging from grocery shopping, having parties at some else’s house and swimming in a public pool. Activities such as going to a hair salon or barbershop, traveling by plane, attending family gatherings like weddings and funerals, and going to a bar are considered moderate-high to high risk even for those wearing masks, maintaining six-feet of distance when out and washing hands thoroughly.

Texas Medical Association “Know Your Risk”

Currently, those at greatest risk of infection are individuals who have had prolonged, close contact with symptomatic or asymptomatic individuals infected with COVID-19 and those who live in or have recently been to areas with sustained transmission, according to Texas Medical Association and CDC. Keep in mind that many Americans have not been tested and studies suggest that people can be infected and not feel sick.

According to recent scientific findings, age is a strong risk factor for severe illness, complications, and death. Based on currently available information and clinical expertise, older adults and people of any age who have serious underlying medical conditions might be at higher risk for severe illness from COVID-19.


References:

  1. https://wjla.com/news/local/prince-georges-house-parties-family-gatherings-coronavirus
  2. https://www.tpr.org/post/know-your-risk-covid-19-chart-released-texas-medical-association
  3. https://www.texmed.org/uploadedFiles/Current/2016_Public_Health/Infectious_Diseases

COVID-19 Lung and Heart Damage

“Your immune system in response to COVID-19 infection can become overzealous and go rogue – attacking and killing healthy cells in the body“.

COVID-19 patients suffer lung and heart damage, but there’s encouraging news for many “long-haulers” — COVID-19 patients who have continued showing symptoms for months after the initial infection — report neurological problems including confusion, difficulty concentrating, heart and lung issues, fatigue, insomnia, plus loss of taste and/or smell.

Cytokines are inflammatory immunologic protein

The immune system is there to help us fight infection, but sometimes it wreaks more havoc than the disease itself.

“There is evidence now that the virus can directly attack heart muscle cells, and there’s also evidence that the cytokine storm that the virus triggers in the body not only damages the lungs, but can damage the heart,” according to John Swartzberg, a clinical professor emeritus of infectious diseases and vaccinology in the the UC Berkeley-UCSF Joint Medical Program.

Inflammatory proteins, also known as cytokines, serve as molecular messengers between cells. Cytokines are proteins that are produced by cells and play a crucial role in the immune response. Cytokines interact with cells of the immune system in order to regulate the body’s response to disease and infection, as well as mediate normal cellular processes in the body.

If this immune response is too strong, a phenomenon known as “cytokine storm” can cause harm to the patient. It has been thought that a cytokine storm contributes to disease severity in patients with COVID-19.

“Cytokine storm”…your body may not know how to handle the presence of the coronavirus and overreact.” Reynold Panettieri, M.D., a lung specialist and vice chancellor for translational medicine and science at Rutgers University

With viral infections like COVID-19, our immune system can become overzealous and go rogue – attacking and killing everything in sight, including healthy cells in the body. When “cytokine storm” happens, it may kill severe COVID-19 patients.

“Cytokines are inflammatory immunologic proteins that are there to fight off infections and ward off cancers,” says Randy Cron, M.D., Ph.D, at the University of Alabama at Birmingham, “But when they are out of control, they can make you very ill.” 

While some research has found an elevated presence of cytokines in coronavirus patients, there isn’t enough data to say all rapidly-declining cases of COVID-19 are a result of a cytokine storm–the immune system gone rogue.


References:

  1. https://on.mktw.net/3lS0iYS
  2. https://medicalxpress.com/news/2020-09-covid-cytokine-storm.html?ocid=uxbndlbing.
  3. https://www.forbes.com/sites/claryestes/2020/04/16/what-is-the-cytokine-storm-and-why-is-it-so-deadly-for-covid-19-patients/#5eb2c364460f
  4. https://www.prevention.com/health/a32906012/cytokine-storm-coronavirus/
  5. https://www.health.com/condition/infectious-diseases/coronavirus/cytokine-storm