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Fighting burnout with Facebook

April 24, 2020

ASU graduate student creates Facebook group for health care workers to compare notes, de-stress and commiserate

Long before there was COVID-19, there was health care worker burnout. Dealing with the daily stresses that arise from taking care of people in the best of times is demanding enough. Add to that a global pandemic, and you’ve got the ingredients for widespread exhaustion among the very workforce we’re relying on most at this time.

Jasmine Bhatti has seen firsthand how the coronavirus crisis is affecting health care workers on the front line. A graduate student and teaching assistant at Arizona State University’s Edson College of Nursing and Health Innovation, Bhatti works in neurotology, helping patients recover from head and neck surgery. As the virus swiftly pervaded the United States, she watched as so too did misinformation, fear and uncertainty.

All of that compelled Bhatti to create a space where doctors, nurses and other essential health care personnel could go to compare notes, de-stress and commiserate. And since we can’t be together in person right now, she took her idea online and started the COVID Resilience for Healthcare Professionals Facebook group.

“When you think about institutions, it’s sometimes very time-consuming to share ideas and spread knowledge,” Bhatti said. “I thought we really needed to have a place where people who work in all different roles in the health care setting, in all different kinds of institutions, whether rural or urban, (could) share how we’re getting through this. Because no matter where we are, we’re all dealing with the same issues.”

Though the group has been up and running for only a few short weeks, it already has thousands of members spanning the country and world. Bhatti called on colleagues from a variety of specialties to contribute their expertise, from yoga to nightly prayers to holistic coaching. The content is shared both via Facebook Live sessions and posts of videos and other resources that can be accessed at any time.

Edson College postdoctoral scholar Dara James jumped on board to share her knowledge of mindfulness. James’ research background is in looking at the application of mind-body interventions for stress reduction. She has experience applying those methods for patients recovering from breast cancer, but she says mindfulness is a tool for everyone.

“One of the things we focus on in mindfulness is nonjudgmental present awareness, meeting whatever moment you’re in as it is,” James said. “That sounds a little heady and ‘out there,’ but what it means is that mindfulness helps reduce stress by allowing people to be aware of what their circumstances are and what they need to help themselves. So, for instance, if someone is having a stressful moment, mindfulness might help them to understand that it’s just a moment, and it will pass.”

James said what she hopes to offer the members of the COVID Resilience for Healthcare Professionals Facebook group are “bite-size” mindfulness tips they can take with them and use in their everyday lives in the field.

“The whole thing is designed around resiliency and reducing stress and anxiety,” she said. “So I’m trying to offer a variety of tools people can use when they’re in the moment, caring for others, but need some self-care.”

As for Bhatti, she signs on to the Facebook group every day to help moderate, but also to take advantage herself of the resources being shared. She has also enjoyed watching as friends and colleagues make meaningful connections through the group.

“Watching them create these relationships is exciting,” Bhatti said. “You know these amazing people and you get to connect them, or at least facilitate that, and they’re so grateful for the content we’re providing. I’m just happy we were able to create a safe place where people can talk and recognize that they’re not alone.”

Top photo courtesy of Pixabay

Emma Greguska

Reporter , ASU Now

(480) 965-9657

 
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To prevent another pandemic, police the wildlife trade, says ASU expert

April 24, 2020

Conservation scientist Leah Gerber proposes that a global body is needed to stop disease migrations from wildlife

COVID-19 may have jumped from a wild animal market in Wuhan, China, to people. If so, it’s not the first deadly disease to spring from nature.

Middle East respiratory syndrome is said to have a source at a camel market in Saudi Arabia. In the United States, the H1N1 swine flu originated in factory farms where animals are held in extreme confinement. And Ebola likely had its start in a chimpanzee habitat in West Africa.

A rising chorus is calling for wildlife markets to be shut down across the globe. Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and a member of the White House coronavirus task force, said, “It just boggles my mind that how when we have so many diseases that emanate out of that unusual human-animal interface that we don’t just shut (wildlife markets) down. … I would like to see the rest of the world really lean with a lot of pressure on those countries that have that, because what we’re going through right now is a direct result of that.”

Famed primatologist Jane Goodall echoed the same concern, calling for a global ban on all trafficking of wildlife.  

“As we destroy the environment, animals are living in smaller and smaller spaces, and viruses are transferring from one animal to another,” Goodall said. “Then there’s wildlife trafficking and the handling of wild animals. They are kept crowded together with people in the meat markets. … This is where a virus gets the opportunity to jump from animals into people, and that’s what happened with COVID-19. … The awful thing is that this has been predicted. People knew it was coming; they talked about it, but nobody did anything.”

Recently Leah Gerber, a professor of conservation science and the founding director of the Center for Biodiversity Outcomes at Arizona State University, published an op-ed in Issues in Science and Technology calling for the creation of a global body to monitor and enforce a ban on wildlife trafficking. Without a ban and enforcement, global pandemics like the one the world is undergoing now will become a permanent fact of life, she says.

ASU Now talked to Gerber about what such an agency would look like and how it would operate.

Question: What creates the conditions for diseases to jump from the wild to human populations?

Answer: Environmental degradation, and especially habitat destruction, is the underlying problem that creates conditions favorable to zoonotic jumping. Wildlife trade is one symptom of this environmental degradation.

As humans continue to alter landscapes and destroy animal habitat, the remaining fragments become islands of rapid diversification of disease-causing microbes and their wildlife hosts. It’s the same phenomenon that Charles Darwin observed in the specially adapted finches on the isolated Galapagos Islands. Today, though, the increasing diversity of disease-causing microbes, combined with the wildlife trade, means a higher chance that any one of these microbes may spill over into human populations. As we deplete our forests, pollute our water and air and hunt or capture wildlife for markets, we are disrupting ecosystems and displacing viruses from their natural hosts. When this happens, they find a new host. Increasingly, that’s us.

Q: What should be done about the problem?

A: Although curtailing wildlife trade — both in local animal markets such as Wuhan’s and in the international trade in exotic species — would provide a significant near-term reduction of global risk from new infectious diseases, implementing that goal will require more than a simple ban. The long-term solution to stopping zoonotic leaps of disease will have to lie with protecting and restoring wildlife habitat and conserving biodiversity — a much more intractable problem that must be addressed as part of a transition toward sustainability. In addition, although we know that investing in biodiversity conservation is critical to reducing biodiversity loss, we also need a tested model to bring data to decisions regarding mitigating the risk of pandemics due to environmental degradation.

We need a global body with scientific heft and enforcement teeth both to spotlight drivers of the zoonotic leaps of disease and to lead a sustained fight against those drivers. This body should carry out the dual missions of reducing the global trade in wildlife and conserving the habitat and biodiversity that helps protect against zoonotic jumping. 

Q: What would be the responsibilities of a body like that?

A: Such a body — let’s call it the Zoonotic Disease Commission, or ZDC — must immediately address three pressing tasks. First of all, support and speak for basic science. Dozens of studies have demonstrated the connections between environmental degradation, managing and mismanaging wildlife and the spread of novel infectious diseases. Yet management of natural resources across the globe rarely focuses explicitly on preventing infectious disease. ZDC will need to build an evidence base from these previous studies on disease outbreaks and make it widely available so nations, indigenous peoples, regional governments and other parties can make informed decisions about the potential disease consequences of natural resource interventions from protected areas on land to restored oyster reefs. This evidence base should include information on which interventions could be best tailored to contain which kinds of emerging infectious disease outbreaks.

Because newly emerging pathogen dynamics often do not conform to the simplified assumptions of classic epidemiology, we need a deliberate and strategic approach to synthesizing evidence — and filling in gaps — on the relationship between environmental degradation and risk of future pandemics. For instance, wildlife reserves and captive breeding programs could be among the most effective interventions against zoonotic jumps of infectious disease because they are aimed at maintaining healthy wildlife populations. But reserves that achieve high densities of threatened species may also increase our vulnerability to epidemics. Similarly, captive breeding programs may increase human contact with infectious disease due to higher population densities and cross-species contact. To minimize risks associated with pandemics, both reserves and captive breeding programs should occur in replicated localities within a species' native range.

Threats to biodiversity have five main causes: habitat loss, overhunting, pollution, introduced species and climate change. The science on how to best mitigate these threats has been siloed in the subculture of academic conservation science. ZDC must bring this science to the global agenda to ensure a sustainable future for biodiversity and help reverse the mounting threat of new pandemic diseases that result from zoonotic jumping.

Q: What kind of authority would that kind of a commission need?

A: A global governance regime with regulatory clout. The COVID-19 pandemic is giving the world a lesson on the risks associated with a globalized economy that continues to gobble up natural resources and habitat, and thus puts us all at increasing risk of exposure to novel pathogens. ZDC will help in identifying and policing the most threatening of those risks.

Many people argue for a permanent ban on wildlife trade as the only way to stop the next virus, yet experience with such bans is not encouraging. For example, bans on harvesting shark fins have had mixed success because they do not reduce demand for fins, and because they are difficult to enforce. Particularly in cultures that view wildlife as a natural resource to be exploited, or that depend on wildlife for livelihoods and sustenance, bans are unlikely to be effective.

Moreover, decades of research on and experience with nonbinding international agreements, such as the International Whaling Convention, demonstrate the weakness of such approaches, and the need for new models for global governance of common-pool resources. These lessons tell us that, to be effective, ZDC should have international convening power, regulatory power and mechanisms to assure national enforcement.

The conditions necessary for implementing such a model include political buy-in of nations and their domestic political constituencies, as well as international nongovernmental organizations and transnational civil society networks; a narrow focus on the specific problem of avoiding pandemics; a small number of lead participant nations, combined with a high degree of transparency to preserve legitimacy among all nations; and modest enforcement mechanisms, at least at first, to encourage buy-in at all governance levels.

Such conditions may seem daunting, but the COVID-19 pandemic provides the strongest possible collective motivation for achieving them. If we don’t institute ZDC, or something like it, we will simply be inviting another pandemic, and another and another. It’s only a matter of time. Only a supranational body with the power to identify, stop and punish the riskiest environmental and trade practices from the standpoint of pandemic can stand in the way.

Q: How would markets need to change?

A: Transform the global economy and markets to avoid these risks. We have sown what we are now reaping in COVID-19 through decades of unsustainable habitat destruction and resource extraction. People whose livelihoods are directly involved in the types of land use that often push exploited species to the brink of population collapse — thus amplifying the threat of zoonotic jumps — will need other viable options to ensure their well-being. Providing well-defined property rights for these local land users may be a necessary first step for seeking common interests with governments and, in some cases, the international community, in the pursuit of sustainable resource use.

Here, ZDC is necessary to support market-based approaches to sustainable production and consumption. For a market to function efficiently, it must be embedded within a governance context where property rights are enforced. And for a wildlife market to function sustainably, it must be governed by effective regulations, including harvest and use rights, permits or quotas associated with harvest, and rules regulating transfer of these harvest rights. Most existing wildlife markets are within a given nation, so rights are enforced through that nation’s court system with conservation goals monitored by state agencies and nonstate actors.

But many markets may not be meeting conservation goals because developing nations may be politically unable — or, in the case of China, unwilling — to enforce property rights and harvest restrictions. ZDC would help enact, support and enforce market-based mechanisms to incentivize sustainable production and consumption. Local and regional market-based solutions, such as sustainability certifications programs now operating for some fisheries and coffee-growing regions, offer models that could be applied to wildlife markets. Once such bottom-up approaches are in place, additional measures could include a permanent trade ban on high-risk species, with a long-term goal of eventually phasing out wildlife trade entirely.

Top image: Squirrel monkey hanging on palm leaf in Costa Rica. Photo by Getty Images/iStockphoto

Scott Seckel

Reporter , ASU Now

480-727-4502