Fears over new coronavirus have fueled anti-Chinese racism and xenophobia. People are hard-wired to be cautious and watch the herd, forgetting no one is bystander at all. As another looming worry, the world is never ready for the imminent psychological typhoon eye effect in the COVID-19 pandemic when the buzz bites back.
Switzerland: WHO denounces “stigma” related to coronavirus (Feb. 7, 2020).
World Health Organization (WHO) officials called on member states to take action against stigma related to the novel coronavirus, during a briefing for member states in Geneva on 7 Feb. 2020.
“I think the bigger point here is to ensure that some of the actions, some of the reactions internationally, it is the responsibility of us all to ensure there is no stigma associated with this disease, and the unnecessary, unhelpful profiling of individuals based on ethnicity is utterly and completely unacceptable and it needs to stop,” said Executive Director of the WHO Health Emergencies Programme Dr Michael Ryan.
The briefing also saw a discussion related to WHO’s assigning the interim name of 2019-nCOV (novel coronavirus) acute respiratory disease to the virus. “We thought it very important that we provide an interim name so no location was associated with the name. I’m sure you have seen many media reports that are still calling this, using the name Wuhan or using China,” said WHO epidemiologist Maria van Kerkhove. “We wanted to ensure that there was no stigma associated with this virus. And so we’ve put out an interim name.”
Van Kerkhove also said that in preparation for a global research meeting on coronavirus on February 11-12 “the global community around clinical management will be meeting to discuss the research needs to better care for patients infected with novel coronavirus.”
The Coronavirus outbreak has been declared a global health emergency by the World Health Organisation (WHO). Chinese health officials said that the death toll has reached 630, with more than 30,000 infected in China alone.
How does psychological effects affect social contagionion in COVID infodemic?
SARS-CoV-2 is a new virus responsible for an outbreak of respiratory illness known as COVID-19, which has spread to many countries around the world. The respiratory illness has upended global stock markets, supply chains, company earnings and investors’ portfolios. The National Health Commission has issued guidelines for emergency psychological crisis intervention for people affected by COVID-19. Medical institutions and universities across China have opened online platforms to provide psychological counselling services for patients, their family members, and other people affected by the epidemic.
However, the mental health needs of patients with confirmed COVID-19, patients with suspected infection, quarantined family members, and medical personnel have been poorly handled. In fact, all of us are susceptible to psychological effects caused by public health emergencies, more or less. Epidemics confront us with existential life-and-death questions that invoke strong emotions. Medical science and public health practitioners should address feelings as a key part of communication and preparedness, rather than dismiss them. It is as if an epidemic can be reduced to a pathological process, one that exists wholly detached from social life – a biological predicament suspended from the world of feeling. Instead of simply condemning panic, which will beget nothing more than further panic, we need to address the fears from which panic springs.
- Herd mentality (mob mentality and pack mentality, also lesser known as gang mentality) describes how people can be influenced by their peers to adopt certain behaviors on a largely emotional, rather than rational, basis. When individuals are affected by mob mentality, they may make different decisions than they would have individually.
- Bystander effect (bystander apathy) is a social psychological claim that individuals are less likely to offer help to a victim when other people are present; the greater the number of bystanders, the less likely it is that one of them will help.
- Psychological typhoon eye effect is a paradoxical psychological phenomenon that the respondents in the closer to the epicenter of pandemic appear to be the least concerned by the ongoing risks in the progression/aftermath of a devastating pandemic.
The coronavirus outbreak is the first “infodemic” (Wiktionary defines an infodemic as “An excessive amount of information concerning a problem such that the solution is made more difficult.”) because of how much more we are all glued to online news. Some of the information swirling around on the Internet isn’t even accurate – or is intentionally fabricated.
As Tedros Adhanom Ghebreyesus, director-general of the World Health Organisation, declared at the Munich security conference on February 15, “we’re not just fighting an epidemic; we’re fighting an infodemic.” He has called on countries to push back against the “2019-nCoV infodemic” of such fake news, which he said was equally dangerous. WHO has been working with Google “to make sure people searching for information about the new coronavirus see WHO information at the top of their search results,” he said.
The Australian tabloid might have thought it smart and funny to coin the portmanteau of “panda” and “pandemonium” to describe the outbreak, however it evidently reeked of racism. “Panic”, a word that derives from the ancient Greek god Pan, the half-goat and half-human deity of wild excess and pure emotion, with “pan” for “pandemonium”.
Disinformations flew to and fro, and nothing seemed certain or obviously right. There is a psychological impact from the uncertainty and future forecasting that is greater versus a tangible news release like a Chinese economic slowdown or bad winter in the US that is quickly stale news. The huge amount of time we all spend on smartphones, tablets and desktops gathering the latest scary headlines is also a factor in what happens to stock prices on fear cycles over time. Reacting strongly to fear signals is hard-wired into humans. Our adrenaline surges. Our heart rates shoot up. Our vision becomes focused. Then our herd mentality kicks in – and we think about what others are thinking. At first, we are cautious. We wait for confirmation before we act. Even such actions have been likened to trying to catch a falling knife.
Toilet paper stockpiling whipped up by social media is another illustrative example. Besides facial masks, cleaning products and food, toilet paper is also on consumers’ panic shopping lists amid the ongoing novel coronavirus outbreak.
Social media posts are contributing to toilet paper panic buying and stockpiling, said Steven Taylor, a Canadian psychologist and author of “The Psychology of Pandemics.” Taylor pointed out that net users seldom repost pictures of calm shoppers and full supermarkets, but images of overstuffed shopping carts and empty toilet paper shelves easily go viral. He said these trending images probably create the illusion of urgency and scarcity, which makes people rush to purchase the toilet paper.
FOMO syndrome, also known as fear of missing out, accounts for the toilet paper panic buying as well, said Nitika Garg, associate professor from the University of New South Wales during an interview with BBC. The syndrome refers to people’s anxiety over the possibility of missing out on something. According to Garg, FOMO will trigger people to join the herd of toilet paper buyers. Driven by the syndrome, when some people see others stockpiling large amounts of toilet paper, they might think there is a reason and they must stock up some as well.
Disappearing of toilet paper is more noticeable. “When 50 packs of toilet paper rolls disappear off shelves, you really notice it because they take up so much room,” Debra Grace, a professor from Griffith University told BBC. “It’s much more noticeable than 50 bottles of hand sanitizer disappearing.” In a column article published by The Guardian, British behavior researchers Liam Smith and Celine Klemm also pointed out that toilet paper itself will send a wrong signal to panic buying. They said toilet paper is bulky and the shelves will look empty quickly when removed, which triggers the perceptions of scarcity among consumers.
Reaction to lack of a clear direction from officials is another reason. Baruch Fischhoff, a psychology professor at Carnegie Mellon University, thought people’s stocking up of toilet paper may be a reaction to the lack of a clear direction from officials. Fischhoff said when several countries took measures like quarantining to combat against the novel coronavirus outbreak, people began buying more toilet paper and other household products in preparation for the same thing in their countries. If officials don’t give clear information about goods production and supplies, people may panic thinking there’s a possible shortage and rush to purchase goods.
Antidotes to infodemic
Technology was never the vanquisher of misinformation, but rather its mass disseminator. Everyone has a duty to share wisely, click carefully and not feed the trolls!
The government often ends up managing consequences when large-scale events happen, so it must be ready to minimize them. Five principles can help governments manage massive infodemics:
- First, quarantine is not an option. As the early Internet adage had it, “Information wants to be free.” It’s impossible to stop the movement of information.
- Second, be prepared. Model the spread of information, test it in scenarios. Create and deploy likely responses in advance, and be ready to tweak them.
- Third, use public networks to your advantage. The Internet community will debunk pretty much anything, if it has the facts. The Web can be a powerful ally in reducing fear and promoting reason, but only if the facts are available from credible and trusted sources.
- Fourth, respond promptly to all inquiries. Even if all the facts aren’t in, being readily accessible helps ensure that rumors and speculation are balanced by analysis. Reporters are going to print someone’s response; it’s better if it’s yours.
- Finally, build trust through transparency. As Justice Oliver Wendell Holmes observed in another context, “Sunshine is the best disinfectant.” Infodemics thrive on misinformation. Only if the government is perceived as a trusted, open information source will it stay on top of the threat.
- National Health Commission of China. A notice on the issuance of guidelines for emergency psychological crisis intervention in pneumonia for novel coronavirus infections. http://www.nhc.gov.cn/xcs/zhengcwj/202001/6adc08b966594253b2b791be5c3b9467.shtml.
- Xiang Y-T, Yang Y, Li W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry 7, 228–229 (2020). http://doi.org/10.1016/S2215-0366(20)30046-8.
- Duan, L. & Zhu, G. Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry (2020). https://doi.org/10.1016/S2215-0366(20)30073-0
- Abhishek G Bhaya. Racist COVID-19 headlines torment Chinese diaspora, says study. CGTN. 24-Feb-2020. https://news.cgtn.com/news/2020-02-24/-Racist-COVID-19-headlines-torment-Chinese-diaspora-says-study-Ok2x5vPt6w/index.html
- ABC News. (2020). Coronavirus is a public health emergency: World Health Organization declares.
- Aguilera, J. (2020). Xenophobia is a pre-existing condition. How harmful stereotypes and racism are spreading around the coronavirus. TIME. https://time.com/5775716/xenophobia-racism-stereotypescoronavirus/
- Cohen J and Kupferschmidt K (2020) The coronavirus seems unstoppable. What should the world do now? Science. DOI: 10.1126/science.abb4604.
- Callaway E (2020) Time to use the p-word? Coronavirus enters dangerous new phase. Nature. DOI: 10.1038/d41586-020-00551-1.
- Bhatia S, Imai N, Cuomo-Dannenburg G, et al. (2020) Relative sensitivity of international surveillance. London.