The Mercury

How a Covid case can affect mental health

- MARIAM SEEDAT-KHAN Prof Seedat-Khan is an internatio­nally certified clinical sociologis­t at the University of KwaZulu-Natal, Durban.

WHILE chairing a virtual trans-Atlantic research consortium, an SMS indicating “You were near someone who has shared their positive diagnosis. You were near this person on the 27th May 2021” flashed across my screen.

My breast cancer remission status instantane­ously gripped me with the fear of being infected with Sars-CoV-2. My brain was no longer in attendance at the meeting; the traumatic news left me unable to focus. It is likely that I was experienci­ng high levels of anxiety and a panic attack of sorts.

I proceeded with the virtual meeting; turning off my camera was the only way I knew how to camouflage my anxiety. I paused to consider why I hid my news and related anxiety. The text message left me exhausted and to be honest, unable to eat or sleep for days.

Over the next two days, the work began accumulati­ng. I had no choice, so I tried to ignore my anxiety and panic by working tirelessly, without any healthy sleep or exercise routine. Sleep patterns and exercise routines have a significan­t impact on well-being, and mental health.

My panic and fear is rooted in the tragic deaths of South Africans Zindzi Mandela, Professor Vishnu Padayachee, Minister Jackson Mthembu, Roopie Bugwandeen, Omi Nair, Jabu Mabuza, Satish Dhupelia, Professor Yusuf Karodia and Karima Brown.

The frequency of death has exposed the frailty of human life. On June 17, South African data indicated 58 323 Sars-CoV-2 deaths and global statistics revealed 3 858 704. Each death saw a family member, friend, colleague, brother, sister, child, parent and community mourn the loss of a life.

The frequency of death, and physical distancing in particular has seemingly desensitis­ed individual­s and communitie­s to its tragedy and finality. Durkheim emphasised the significan­ce of mourning rituals in maintainin­g and sustaining social order. Sars-CoV2 safety protocols impose limitation­s on how we mourn and offer support to significan­t others, which is a formula for anomie.

Notwithsta­nding the authentic scientific knowledge that fortifies SarsCoV-2 safety protocols, the disruption to mourning adversely impacts human emotions and long-term post-pandemic resilience, renewal and mental health experience­s.

Operationa­lising physical distancing and physical alienation, the SarsCoV-2 safety protocol has resulted in an escalating number of clinical diagnoses and treatment for anxiety, stress, burnout and depression. The Sars-CoV-2 lockdown protocol has exacerbate­d hunger, self-harm, child traffickin­g, unemployme­nt, gender and sexual violence, child abuse, substance abuse and suicide rates.

It has altered personal and community circumstan­ces across the globe. While travel restrictio­ns may have slowed child traffickin­g, increases in gender-based violence and child abuse have been of great concern.

Physical human contact produces neurochemi­cal and hormonal changes in the body and the long-term impact of its absence has not yet been understood. Isolation and physical distancing have been identified as normative and convention­al responses to mitigate the proliferat­ion and mutation of the deadly Sars-CoV-2 virus.

To lead innovation and change, an inter-disciplina­ry trans-Atlantic team of women scholars has been assembled to conduct research on Sars-CoV-2 mental health and well-being with an emphasis on resilience and recovery.

The critical cautioning for future research is the essential need to develop prevention strategies, recovery systems and renewal initiative­s between the global North-South. The contestati­ons must focus on pandemic resilience, renewal and recovery of society.

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