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Loneliness and isolation increases the risk of disease with higher bodily inflammation, and risk of dying. Monthly visits of family and friends can make a big difference. More frequent than that does not give added benefit. The quality of social connectedness is also important - having someone who cares and one trusts. A Gallup poll in 2023 shows 17% of Americans are lonely and one third of people under 30 years 18-30 years are lonely. Surgeon General Vivek Murthy himself talked about how it feels with lack of social connectedness.

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Social isolation, economic isolation is affecting many parts of Japanese society. Mental health decline is seen in working women, part time employed, unemployed workers, and elderly. Prime minister Suga has appointed 71 year old Testsushi Sakamoto to a newly created post- Minister of Loneliness. The pandemic has worsened the social and economic isolation of people.

Another state of emergency is expected for Tokyo and Osaka as coronavirus cases rise in April 2021. Income adversity is affecting many people from women laid off, workers furloughed during the pandemic, students, and others.

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The effects of loneliness during the lockdown period and various ways in which people learned to cope with it- including cultivating positive feelings of hope and better times ahead. This includes overcoming social conventions and talking about things to oneself and others that acknowledge what is happening and how efforts can be made to cope with it and move forward. A doctor in Barcelona says on BBC television that most healthcare workers are coming out of this crisis in hospitals with feelings that have not been acknowledged and sometimes just avoided for lack of time. She says talking about it, even with the BBC and others helps bring things out in the open, hidden feelings acknowledged and expressed so that one can emerge whole out of this experience. Though much of this article is about climate change the efforts to express feelings are now even more urgent for people in health care and people who live with them. 

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The higher risks of stress, loneliness and exhaustion during the coronavirus for office workers. Britain's BUPA offers some advice on how to handle this with other workers so that mental wellbeing is preserved.

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The former Surgeon General of the U.S., Vivek Murthy, has tackled issues such as the opioid crisis, obesity and poor health outcomes. In his new book "Together: The Healing Power of Human Connection in a Sometimes Lonely World," Murthy looks at the loneliness he says is pervasive in the new culture of iphones and social media that have perversely reduced not increased social connection and the feelings coming from good relationships and social concerns.  A 2020 Cigna survey shows 61% of American adults are lonely, up from 54% in the 2019 survey. It is not about having a lot of people around you, it is about feeling a genuine connection and the quality of relationships. Murthy finds this lack of genuine social concerns and social connection as fairly pervasive from his conversations with people all across the country. Normally it is felt in the fifties as life changes, and in the eighties with loss of mobility. Today the tech devices and what is called scoal media that appear to have increased communication have actually reduced the level of quality connections and interactions. Dr. Murthy suggests volunteering, and service in the community or larger communities worldwide as a way of breaking this. Capitalizing on informal day to day contacts, including with people one has not known before, is another way. This shifts the focus to the people around us and brings a new dimension and quality to our lives.  Saying hello often and smiling genuinely, says Murthy. Improving the  quality of time in day to relationships is another. This can also give us the confidence to connect with people on a regular basis.  ...

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Parenting poses risks for mental health. Loneliness in tackling situations is an added burden. Dealing with tech platforms that act with impunity disregarding parents and pursuing profit are another burden. The solutions to tackle this also are not easy or don't work, says Julie Jargon.

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This report in The Guardian shows the growing mental health issues in China with about 400 million people in lockdown. The pandemic, aging of society, children leaving older parents for big cities, loneliness and isolation for older people, and rapid changes in society as China industrialized, are resulting in growing mental health issues for the people. There is an acute shortage of mental health professionals to deal with the crisis.

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Efforts for community building in Britain and the US that help people interact with other people in everyday settings, countering the trend  towards isolation that have build up in society over the last two decades. The physical infrastructure that does this and how it can be used.

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About half of UK adults reported experiencing high levels of anxiety says the Office of National Statistics for the the first lockdown. During the second lockdown the fatigue coming from that period in March and the higher level of cases is likely to have increased the number of adults experiencing anxiety. Anxiety was experienced from the loneliness and the effect of the coronavirus on work. A quarter of all adults reported increased sleeplessness. Stockpiling, overworking, irritability, micro-managing, and alcohol consumption, are some of the erratic responses to this level of added anxiety. Experts suggest different responses. leadership and incremental change to put the problem into context. Such as in the case of coronavirus the important behaviours that one can control such as masking properly, social distancing properly, ventilating and cleaning the air with aircleaners, using necessary caution in outside exposure by limiting to the essential, and taking nutrients for defence against virus, other actions. After putting these in place the risks can be minimized.  At that point focusing on the present is seen by experts as the right way to respond. Get through this period or this week first, leave the next week or the next period for next time. To do this  baking, reading, hobbies, running, walking, yoga, gardening, and outdoors, a whole range of other activities including watching sports, listening to radio and music, all fall into this. Spending time doing things that make us happy. A good exercise is asking how does this make me feel, am I more relaxed? am I happier? Put things in perspective, is this catastrophising? Is this making it bigger than it is? Can I put away the illusion of control when control requires some higher power such as God. Can I leave that part to God, to the divine. Cognitive behavioural thinking modification is a way of tackling stress, loneliness, and the depression and anixety that feed on each other. Being aware that we may have wrong behavioural responses, asking questions about how accurate our thinking about things that pose threatening situations is, are helpful in tackling the anxiety.   Just breaking the pattern of behavioural responses of repetitive thinking is helpful by engaging in other activities. Meditation is helpful. Yoga is helpful. In this pandemic learning about nutrition and increasing one's knowledge of food, eating and exercizing right, of cooking, is a useful way of turning a negative into a positive.     ...

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Oxford University Wellbeing Research Center has developed Happiness score using Gallup surveys. US score No.10 ranking among 143 countries for older adults over 60 years. Yet it drops off steeply for young people to 62nd of 143 countries. The situation is the same in Canada and to a lesser extent in the European Union. Overall the US dropped out of the top 20 countries  falling from 15th to 23rd. The report is based on Gallup World poll surveys from 2021 to 2023. Young females recording even lower. Normally it starts with youth doing better and higher then in a U curve dropping all the way down during a midlife crisis in 30's and 40's age before rising again for older adults wi have experienced the vicissitudes of life. The US data contradicts this. Why? Jan De Neve of Oxford Wellbeing Center says it could be from social media use and growing health and income disparities. The pandemic also played a role- beginning college or a career in a pandemic was just not the way to start. Housing prices, cost of living, loneliness epidemic, misinformation and social media negative effects add to this. At the same time there is an increase in benevolence among younger people aware of the situation they face and looking for ways to mitigate this. ...

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There can be some comfort with the loss of the usual social contact during the period of lockdown and working from home. There are is the opportunity to slow down, pause and reflect in prayer or meditation. There is also time to spend in gardens or parks, a patio or balcony to be outside. As Adrian Higgins of the Washington Post- who has two books on gardening and covered it since the 1980's- points out here we are not apart from nature or above it, we are nature, and plants and birds outside are fellow beings of a sort. Most of us live in tight urban environments and this is a great opportunity to break away from all the noise and bustle and experience some time with nature and with ourselves. A time for renewal and listening to our inner voices, as the gods may be reminding us about living a better and slower life. Higgins reminds us that sometimes it is an experience that is alive in memory as there is a word for it in Japanese and in German, and in other languages. In Japan shinrin-yoku is about forest bathing, by finding a woodland or park and experiencing the stillness. Germans call it a forest walk or waldspaziergang. Plant gardens or parks will do, even landscaped areas in urban settings. The shades in a garden with sunlight falling in different ways on leaves and plants. We develop a capacity to notice things we stopped noticing as we grew up. Just walk or sit quietly and look. Plants and trees also take away some of the isolation and loneliness as they are fellow travelers of a sort. As anyone who has planted will know we can look forward to the new flowering, and the growth into next year, and the next. We have got too intertwined with the short term and the immediate fulfillment, and this draws us out of this in ways that enrich and nourish our lives.     ...

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Laura Marshall-Andrews is a GP, a General Practitioner doctor, in Brighton, England, with a different approach to patients and health care. She takes into account the whole patient, the patient's mental condition, putting back some of the things that reduce isolation, increasing feelings of self-worth, bringing more community and nature interactions of a positive nature that can affect the patient's health. In some situations having a doctor who listens and is willing to take the time to talk to and know the patient, and being aware of the patient's whole condition as opposed to fragmented areas based on fields of medicine can make a huge difference. Don't look for a diagnosis, treat the whole person,  says Laura Marshall Andrews in her new book- What Seems To Be The Problem? She believes social prescribing takes a whole load off the National Health Service in Britain. This includes art, photography classes, dance classes, singing classes. A study by the University of Westminster shows the GP visits go down by 30% and emergency A&E visits by 25% with social activity prescribing. Yoga, meditation, gardening, nature walks, are also part of the same activities that can help people improve how they feel and think and bring the sense of peace in their lives that brings better health with it. In the loneliness and isolation, community dislocations and pressures of life in today's cities, all these activities are immensely important to the idea of whole health of the whole person. Dr Andrews says that if you keep a community happy and creative, then you are not going to need a lot of expensive hospital treatments." "Cum Scientia Caritas" the motto of the Royal College of General Practitioners means Science with Caring. ...

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The suicide of celebrity chef Anthony Bourdain who had a popular television program, brings new attention to the increase in middle age suicides ages 45 to 64 in the U.S.  The CDC figures show a 60% increase for women and 37% for men between 2000 and 2016. A clinical instructor in psychiatry and medicine at Cornell, Ms. Boardman says life satisfaction is low at this age,a dip in satisfaction called the U curve. A 2016 study in the American Journal of Preventive Medicine  shows stress factors as problems with intimate partners job/finances, health, family, and criminal/legal problems.  The demographic group driving suicide rates up is mainly white people without a 4 year college degree, who have done poorly compared to that group in a previous generation, say experts at Columbia University. 

Generally isolation and loneliness is also a factor, and social connections a big antidote to depression type stress.

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There is this wonderful story from Kempley Gloucestershire, England, where a retired physicist 75 years old suffers from loneliness five months after losing his wife to pancreatic cancer. He lives close to his wife's family to whom he is not close, and he is not close to 3 siblings. He was very close to his wife with whom he did cooking and worked in the garden and an orchard he had.  Two adverts in the paper, putting out cards and giving them out while out shopping failed. FInally after putting the fact of his loneliness on a page on his window in large letters he gets a response from locals and from all over the world from Germany, Netherlands, U.S., Japan, India and Australia.  It said "I find the unremitting silence 24 hours a day unbearable can no one help me?" He says he was not having pity on himself. All he wanted was someone he could have a pleasant conversation with which is now happening. This period of hectic life of the last three decades we have transitioned to without realizing it is made worse by tech driven pace.  More and more people are feeling this loneliness with children far apart and busy with their own lives, and the loss of a spouse or loved one can make loneliness worse.    ...

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The WSJ provides an excellent guide to working at home, how to overcome the struggles and get some of the benefits from working at home. A large part of the struggles in working from home is not being able to unplug, and working like you are in an office. Working from office is different because of meetings and office distractions, and one gets less done, maybe 4 hours of decent work in a workday. So that in solo work one would say work 5 hours and accomplish what one would have done in 8 hours at the office.  At home consistently working 5 or 6 hours at a stretch can get a person exhausted and isolated.  Don't look at the clock for it to say 5 pm. Take breaks early, if one reaches ones limit or gets restless it is time to take an extended break or get outside for a walk, or do some stretches, yoga, or something else. Loneliness is another part of the struggles. Important to setup some video calls to make sure you get human interaction. Get some chance to refresh and talk to humans, get some interaction.  Leave stuff such as clearing inbox and less brainy tasks for the evening. Set top 3 priorities for the day or week so you have an idea of progress in a larger task. Time theming is a way to set aside certain days or time periods to get specific things done. Staying physically fit and mentally rejuvenated is the big challenge.  Exercize routines, stretches, yoga, meditation early morning, help keep ones mental and physical health. They are most important. They form the basis for the whole day and lay the foundation for getting things done. This is where the process sets the tone and helps get the best results. Once this is established one can let the ebbs and flow of work motivation and feeling ready to work happen, seeing them as natural, without concern that one won't get done what needs to be done to be effective. ...