Students and global health experts share their experiences working with communities.

Category: Kris

Summer of COVID-19 – Perspectives from a Barcalounger

The lounge lizard in all its glory.

The lounge lizard in all its glory.

I ended up having quite the busy summer from my parents’ basement barcalounger in Madison, WI. For about six weeks from mid-May until late June, I made a valiant effort to balance my time between keeping up with studying for my MCAT, and collecting news, social media, video blog, and other disseminated stories of North Carolina frontline health workers regarding their COVID-19 experience…along with the occasional Zoom trivia or game night with friends, Global Health Concentration social committee meeting, or meeting with the COVID Behind the Numbers project team. I only escaped my lounge lizard life for a few workouts a week, walking the dog, or a much needed socially distanced Sunday afternoon round of golf. While the effort was valiant, by early June, the MCAT had consumed my life, my mind, and my soul, as it does to so many pre-medical students.

Despite the preoccupation with the MCAT, I continued to follow video blogs, podcasts, and other social media posts from frontline healthcare workers through the up-and-downticks of the summer of COVID-19 in North Carolina. Obvious themes began to present themselves as I worked with my initial data: PPE shortage or surplus, preparedness, rural homecare facilities versus urban hospitals, and support and appreciation for frontline healthcare workers existed among others. However, underlying these themes were a few more compelling, yet unsettling themes. As I reviewed stories, no matter the position in healthcare from Emergency provider or administrator, to public health analyst, nurse, or homecare facility worker, I found a concern for mental health to be interwoven in the stories I read. Many healthcare workers described the stress of not knowing what is to come, if they were prepared, or if their PPE was effective in protecting them and consequently their families. Many used spending time outside during breaks, or keeping up with yoga, meditation, or other practices to alleviate the stress of the time.

While not always applicable to the specific healthcare workers telling stories, inequity flowed through aspects of almost every set of stories I analyzed. Throughout the data collection process, Latinx and African American communities in North Carolina bore the brunt of this outbreak in terms of disproportionate cases and deaths relative to the percentage of the population each group occupies in the state. The most promising aspect was that, from early on, public health and other healthcare workers acknowledged, or highlighted the importance of recognizing and addressing these inequities in their stories. However, the numbers have yet to even out, or even come close. Seeing the themes streaming from this project to this most recent Black Lives Matter movement and protests of police brutality, looking at two major historical events occurring at the same time, and analyzing how issues of ethics, equity, and empowerment overlapped was simultaneously heart wrenching and fascinating. One physician likened dealing with the pandemic to “building the airplane while flying it” and “knowing how to build the plane…[but] being thrown different parts at a time.” Once we recognize an equity issue exists – mid-pandemic or not – this part of the plane needs to take priority in design, build, and reinforcement before any other area.

Considering my interest in infectious disease and mixed methods research, it has been extremely rewarding to apply the skills I have acquired to this point in my public health career to such a pertinent project. It provided a fun twist in that we had the freedom to search and gather qualitative data from a variety of open sources, rather than more standard qualitative interviews, which hopefully will be done in the future. I feel this project has been extremely informative: from finding expected and unexpected themes, to the roller coaster of ups and downs seen in the pandemic, to looking at the pandemic in conjunction with a critical social movement, and more. During hard times, many people turn inward, and harbor their feelings, emotions, and opinions. With the social response and activism this summer, and throughout the pandemic, it’s incredibly encouraging to see so many facing outward, using their voices, and expressing their triumphs and hardships. Now, we need to turn to those whose voices remain stifled, amplify them, listen, and work to make real change.


Going Behind the Numbers

The Bahamas

The Bahamas

Still groggy and sleep-deprived only hours removed from turning in my final midterm projects, I wandered the terminal of Raleigh-Durham International Airport at sunrise, attempting to find the gate for my Delta flight to JFK. Despite not having secured a practicum project for the summer at that time, at that moment the only thing on my mind was getting on that plane and meeting my friends in the Bahamas later that day. Obviously, I really needed a break from school. All over the monitors up and down the terminal, news on the novel coronavirus (COVID-19) appearing in a few U.S. cities dominated local and national TV stations. Little did I know, we had all possibly already been exposed, and in the coming week, the conditions in the United States and across the world would change drastically.

As someone who has always been captivated by epidemiology, infectious disease, and One Health (the intersection of animal, human, and environmental health), the arrival of COVID-19 brought some excitement, in addition to uncertainty and fear felt by most of those attempting to keep up with the status of the virus’ spread. I had just spent the fall semester in a One Health elective sitting alongside other graduate students, physicians, veterinary students, medical students, and other public health professionals and academics from Duke, UNC, and NC State learning about One Health issues, and delineating what the approach means, and how to embrace this holistic lens in our academic and other career endeavors. Thus, I had a significant amount of background knowledge as to the epidemiology of this zoonotic virus. Yet, mostly due to being swamped with midterm projects (or at least I like to blame it on this in hindsight…) I remained fairly unaware of the COVID-19 happenings until I returned from my spring break trip. I had definitely heard my fair share of broad sweeping statistics and general info from my friends who had been keeping up with social media and were in communication with their families, but hearing these things caused general stress and tension in our group of friends on the trip. With 13 of us isolated on a  catamaran with only each other for 8 days and no means of spreading the virus to others, we somewhat regrettably attempted the “ignorance is bliss” strategy until we got home and could isolate.

The novel COVID-19 pandemic response affected me in a vastly different way from many of my peers. People in my concentration had applied, interviewed for, and been offered jobs working on global projects with organizations in North Carolina that the conditions of the pandemic significantly altered, or even cancelled. A few of my peers had once in a lifetime opportunities to study and work abroad cancelled, and have been forced to work remotely on these projects this summer. As someone who was fortunate enough to study global health abroad earlier in my life, these are experiences you can’t replace, and I empathize with my classmates whose career-defining practicum experience has been so drastically affected by the pandemic. I, on the other hand, arrived back from spring break, and relocated to Madison, WI to be near my family during the pandemic, still devoid of a practicum. A couple of weeks later, I was so fortunate to be offered the opportunity to work on the COVID-19 Behind the Numbers project with the North Carolina Institute for Public Health. While the pandemic caused many of my peers hardship or significant change in their experience, it presented me with an opportunity. For that, I am incredibly grateful.

Along with three other MPH students, I will be working on the COVID-19 Behind the Numbers project, an initiative through the North Carolina Institute of Public Health to discern and share qualitative stories of frontline healthcare workers during the coronavirus pandemic. It strives to take advantage of the unique and timely opportunity to document the impacts of the COVID-19 outbreak in a way that provides context and depth to the impacts of the outbreak at the individual level and beyond. I will be heading up the North Carolina focus area, while three of my fellow MPH students will head up National (United States and Territories), Global, and Equity areas of focus. So far, we have been scouring news articles, Twitter, Instagram, YouTube, and all other platforms of social media for stories from frontline healthcare workers. From there, we will determine underlying themes throughout the stories we can examine and analyze in more detail later this summer. I have learned a lot about the timeline of COVID-19, and how much frontline healthcare workers have been through during this pandemic, but the project remains in its infancy.

Global health is local health and vice versa, and so many lives have been threatened and lost unnecessarily due to the improper handling of this crisis on a state, national, and global level. I hope as a world we learn from this experience, the shared experiences of others across the globe, and most importantly, learn from the stories of our frontline healthcare workers who can directly attest to where things went wrong, and help to fix them for the future. Out there somewhere exists another virus that may be a few simple steps from being virulent and transmissible enough to cause a much deadlier pandemic. We need to recognize the impending danger and do all we can to prevent unnecessary morbidity and mortality going forward.

Hope everyone is well and staying safe!