Cited by 254COVID-19 and Mental HealthViral Infections and Outbreaks ResearchDisaster Response and Management

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The forgotten plague: Psychiatric manifestations of ebola, zika, and emerging infectious diseases

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Tucci, Veronica, Moukaddam, Nidal, Meadows, Jonathan, Shah, Suhal, Galwankar, SagarC, Kapur, GBobby·2017·Journal of Global Infectious Diseases

DOI 10.4103/jgid.jgid_66_17PMC PMC5750439

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Abstract

The media and public health generally focus on the biological and physical ramifications of epidemics. Mental health issues that coincide with emerging diseases and epidemics are rarely examined and sometimes, even eschewed due to cultural considerations. Psychiatric manifestations of various infectious diseases, especially with a focus on Ebola Virus disease (EVD) and Zika Virus, are discussed in this commentary to illustrate the continued need of care after the resolution of the actual illness. Various infectious diseases have associations with mental illness, such as an increased risk of obsessive-compulsive disorders and Tourette syndrome in children with Group B streptococcal infection. Current EVD literature does not demonstrate a strong association of mental illness symptoms or diseases but there is a necessity of care that extends beyond the illness. Patients and their families experience depression, anxiety, trauma, suicidal ideation, panic and other manifestations. Zika virus has been associated neuronal injury, genetic alteration that affects fetal development and detrimental maternal mental health symptoms are being documented. While funding calls from the international community are present, there are no specific epidemiological data or fiscal estimates solely for mental health during or after infectious diseases epidemics or disasters that support health care providers and strengthen policies and procedures for responding to such situations. Therefore, those on the frontlines of epidemics including emergency physicians, primary care providers and infectious disease specialists should serve communicate this need and advocate for sustained and increased funding for mental health programs to heighten public awareness regarding acute psychiatric events during infectious diseases outbreaks and offer treatment and support when necessary.

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Background
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Authors: Tucci, V., Moukaddam, N., Meadows, J., Shah, S., Galwankar, S., & Kapur, G.
Affiliations: Community Health Systems - Merit Health Wesley (US)
Baylor College of Medicine (US)
Touro College (US)
University of Florida (US)
Jackson Memorial Hospital (US)
Corresponding author: Tucci, Veronica
ORCID: Moukaddam, Nidal
Meadows, Jonathan
Venue: Journal of Global Infectious Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2017
Volume: 9
Issue: 4
Pages: 151
ISSN: 0974-777X (ISSN-L)
DOI: 10.4103/jgid.jgid_66_17
PMC: PMC5750439
OpenAlex: W2775190899
Cited by: 254
References: 19
Citations by year: 2026: 4 · 2025: 13 · 2024: 17 · 2023: 27 · 2022: 55 · 2021: 72 · 2020: 63 · 2019: 2 · 2018: 1
FWCI: 2.73
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc-sa
Locations: Journal of Global Infectious Diseases (publishedVersion, cc-by-nc-sa)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
PubMed Central (publishedVersion, cc-by-nc-sa)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Health Sciences › Medicine › Infectious Diseases › Viral Infections and Outbreaks Research
Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
Keywords: Ebola virus disease, Zika virus, emerging infectious diseases, depression, anxiety, suicidal ideation, trauma, maternal mental health, group B streptococcal infection, obsessive-compulsive disorder, Tourette syndrome, mental health funding, mental health policy

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The forgotten plague: Psychiatric manifestations of ebola, zika, and emerging infectious diseases

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