The Dilemma of a Pandemic

by Michael_Koger

The unexpectant pandemic across America left millions in shock during the year 2020.

Today the medical literature is full of investigations and circulation of information about what has affected the world over the last year. People worry that there will not be adequate immunization. Individuals young and old ponder the possibility of relocation somewhere else when they wonder whether this will soon improve (1, 2).

There is isolation, social anxiety, depression, and, of course, COVID-19. Medical practitioners still have the responsibility to manage birth control, vaccine administration, and other essential matters. A major concern is children who are still in the phases of growth and development. Some of them become rebellious because of social distancing. Loneliness is one of the most difficult situations for people young and old (1, 2).

Health Deterioration

     This places families at risk for a variety of things.  For example, adolescents may resort to illicit drugs, alcohol, and sleep disturbances.  There are also investigations which illustrate The Adverse Childhood Experiences study of 16 years ago (3).

     Furthermore, women are prone to the development of coronary heart disease.  Some of them suffered from diabetes mellitus, stroke, suicide, and neoplastic disease.  On a positive view, however, many of these women survive and have good outcomes despite the difficulty these challenges bring (1, 3).

     There are several organizations which can furnish assistance. For example, the American Academy of Pediatricsis well-known in the United States and in other countries.  Also, the U.S. Centers for Disease Control has much information about parenting (1, 2).

     The American Academy of Pediatrics News discusses important issues which may arise.  It describes the importance of face masks and quarantine as management tools.  Some children encounter racism, and their interactions with other family members further complicate the picture. There are also legal problems.  These may include involvement with the juvenile justice system and child welfare offices.  Moreover, there are matters for some who are LGBTQ (1, 2).

Intimate Partner Violence

     On the other hand, there are things that families can do to address these difficult times.  Creative activities may be helpful.  At the same time, excessive interest with television may be somewhat of a hindrance for these clients.  Another problem that arises in some homes is intimate partner violence.  Even more severe is the presence of firearms in the home.  Mental health care tends to be available in many regions of the United States as well as outside those parts of the globe.  In any event, one must also consider family members who have psychological problems and how they can influence the rest of the family.


     Regardless of one's situation in life, it is conceivable on many levels that family difficulties arise.  In fact, one of the most important challenges can be household awareness.


  1. Rome, E., Dinardo, P., and Issac, V.  (2020).  Promoting resiliency in adolescents during a pandemic:  A guide for clinicians and parents.  Cleveland Clinic Journal of Medicine, 87, 613-617.
  2. American Academy of Pediatrics News.  (2020).  New guidance can help pediatricians support families’ emotional health during pandemic.  Melissa Jenco, News Content Editor.
  3. Dong, M., Giles, W., Felitti, V. et al.  (2004).  Insights into causal pathways for ischemic heart disease.  Circulation, 110, 1761-1766.
  4. Copyright 2020.  Michael Koger, Sr., M.D.  All rights reserved. 


     The information contained in this article is for educational purposes only, and one should not use it for diagnosis or treatment without the opinion of a health professional. Any reader who is concerned about his or her health should contact their physician for advice.

Updated: 11/20/2020, Michael_Koger
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