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      The HIV and SARS-CoV-2 Parallel in Dentistry from the Perspectives of the Oral Health Care Team

      research-article
      1 , 2
      JDR Clinical and Translational Research
      SAGE Publications
      COVID-19, social unrest, stigma, qualitative study, interviews, Canada

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          Abstract

          Objectives:

          The aim of this study was to unravel the professional and social consequences of COVID-19 as compared with the AIDS pandemic according to oral health care providers, staff, and administrators.

          Methods:

          An exploratory qualitative inquiry via at-a-distance, semistructured interviews engaged a purposefully recruited sample of oral health care team workers in British Columbia. Interviews took place between April 20 and May 15, 2020; they were audio recorded, transcribed verbatim, and deidentified for interactive thematic analysis. An inductive process of coding was used to identify themes, subthemes, and categories of information.

          Results:

          Forty-five interviews were conducted with 18 dentists, 12 dental hygienists, 6 certified dental assistants, and 9 administrators; 22 were females. Interviews each lasted an average of 48 min. After the transcripts were coded, 3 subthemes emerged: 1) personal protective equipment and universal precautions as commonsense approaches to care during both pandemics; 2) an (un)collapsed world in terms of global lockdowns; and 3) social unrest in terms of the potential for stigma and discrimination caused by both pandemics. These subthemes made up the COVID-19–AIDS parallel theme.

          Conclusion:

          This study explored the extent to which the current COVID-19 pandemic is leading to professional and social consequences when a parallel is drawn with the AIDS pandemic. This is the first qualitative study that identifies the potential social unrest of the pandemic from the perspective of oral health care providers and administrators. Future studies should include other providers across Canada, as well the patients receiving oral health care during this pandemic.

          Knowledge Transfer Statement:

          The COVID-19 pandemic has unraveled potential societal implications in a parallel to the HIV/AIDS era from the perspectives of oral health care providers and their staff. Such implications are changing the way that oral health care is delivered; it may also be leading to social unrest in the form of stigma and discrimination. This study discusses some of these implications from the perspective of oral health care providers and administrators.

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          Most cited references34

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          • Article: not found

          A Novel Coronavirus from Patients with Pneumonia in China, 2019

          Summary In December 2019, a cluster of patients with pneumonia of unknown cause was linked to a seafood wholesale market in Wuhan, China. A previously unknown betacoronavirus was discovered through the use of unbiased sequencing in samples from patients with pneumonia. Human airway epithelial cells were used to isolate a novel coronavirus, named 2019-nCoV, which formed a clade within the subgenus sarbecovirus, Orthocoronavirinae subfamily. Different from both MERS-CoV and SARS-CoV, 2019-nCoV is the seventh member of the family of coronaviruses that infect humans. Enhanced surveillance and further investigation are ongoing. (Funded by the National Key Research and Development Program of China and the National Major Project for Control and Prevention of Infectious Disease in China.)
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            The Socio-Economic Implications of the Coronavirus and COVID-19 Pandemic: A Review

            The COVID-19 pandemic has resulted in over 1.4 million confirmed cases and over 83,000 deaths globally. It has also sparked fears of an impending economic crisis and recession. Social distancing, self-isolation and travel restrictions forced a decrease in the workforce across all economic sectors and caused many jobs to be lost. Schools have closed down, and the need of commodities and manufactured products has decreased. In contrast, the need for medical supplies has significantly increased. The food sector has also seen a great demand due to panic-buying and stockpiling of food products. In response to this global outbreak, we summarise the socio-economic effects of COVID-19 on individual aspects of the world economy.
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              The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak

              Motivated by the rapid spread of COVID-19 in Mainland China, we use a global metapopulation disease transmission model to project the impact of travel limitations on the national and international spread of the epidemic. The model is calibrated based on internationally reported cases, and shows that at the start of the travel ban from Wuhan on 23 January 2020, most Chinese cities had already received many infected travelers. The travel quarantine of Wuhan delayed the overall epidemic progression by only 3 to 5 days in Mainland China, but has a more marked effect at the international scale, where case importations were reduced by nearly 80% until mid February. Modeling results also indicate that sustained 90% travel restrictions to and from Mainland China only modestly affect the epidemic trajectory unless combined with a 50% or higher reduction of transmission in the community.
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                Author and article information

                Journal
                JDR Clin Trans Res
                JDR Clin Trans Res
                JCT
                spjct
                JDR Clinical and Translational Research
                SAGE Publications (Sage CA: Los Angeles, CA )
                2380-0844
                2380-0852
                18 September 2020
                : 2380084420961089
                Affiliations
                [1 ]Division of Dental Public Health, Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada
                [2 ]Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada
                Author notes
                [*]M. Brondani, Division of Dental Public Health, Faculty of Dentistry, University of British Columbia, 116/2199 Wesbook Mall, Vancouver, BC V6T 1Z3, Canada. Email: Brondani@ 123456dentistry.ubc.ca
                Article
                10.1177_2380084420961089
                10.1177/2380084420961089
                7502681
                32942933
                1b1e8bec-986f-4741-aca0-d0e3b4ba0dcf
                © International & American Associations for Dental Research 2020

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: Genome British Columbia, FundRef https://doi.org/10.13039/501100000233;
                Award ID: COV092
                Categories
                Original Report: Qualitative Research
                Custom metadata
                corrected-proof
                ts1

                covid-19,social unrest,stigma,qualitative study,interviews,canada

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