1. Mental Health
1.1. Lack of routine mental health visits possible
1.1.1. Patients miss therapy
1.1.2. Patients miss group sessions
1.1.2.1. AA
1.1.2.2. NA
1.1.2.3. Support groups
1.2. Growing concern for anxiety and depression
1.2.1. Job Loss
1.2.2. Public fear
1.2.3. Isolation
1.2.4. Death and loss
1.2.5. Increased risks of suicide
1.3. Higher risks of child abuse and domestic violence
1.3.1. unemployment
1.3.2. drug and alcohol use
1.3.3. previous abusers seeking advantage
1.4. increase in firearm purchase due to fear of loss of freedoms and mass chaos
2. Food
2.1. Lack in food supply chain
2.1.1. Lack of employees available in plants
2.1.1.1. Safety concerns with employees and adequate PPE
2.1.2. Lack of employees available on farms
2.1.3. Safety Concerns in viral spread within food industry
2.2. Grocery store/super markets overwhelmed
2.2.1. Fears of contamination from public
2.2.2. New market for personal shoppers
2.2.3. Stock Low
2.2.3.1. More people "over buying" or buying in bulk in fear that stores will run out
2.2.3.1.1. buying more processed canned and frozen foods and less fresh foods
2.2.4. More people eating at home; could potentially be more healthy than usual eating out
2.3. Hunger rates increasing
2.3.1. higher needs and lack of food and volunteer support in food banks
2.3.2. Schools in impoverished areas providing meals for students- school buses delivering
2.4. Food and Beverage Industry Decline
2.4.1. Restaurants closing
2.4.2. Restaurants converting to online, to go, and delivery sales
2.4.3. Decline in alcohol industry purchase at bars/ restaurants= money lost
2.4.3.1. Some states allowing "to go" alcoholic beverages
2.4.3.2. Changing laws in some states regarding alcohol sales
2.4.4. Wait and hosting staff with job loss
3. Environment
3.1. Less air pollution
3.1.1. Less buisnesses open
3.1.1.1. Energy saved
3.1.2. Less cars commuting
3.1.2.1. insurance companies reducing rates
3.1.3. Less flights so less emissions from jet engines
3.2. More styrafoam and plastic being used
3.2.1. Restaurants with to go boxes which are often not biodegradable
3.2.2. Throwing away plastic bags in fear of contamination
3.2.3. Individually wrapping food items
3.3. Less human inhibition
3.3.1. beaches cleaner
3.3.1.1. Cleaner ocean water
3.3.2. state and national parks shut down
3.3.2.1. more animals free to roam in natural habitat
3.4. Growing concern of animal population being affected by COVID-19
4. Health
4.1. COVID-19
4.1.1. New infectious disease worldwide pandemic
4.1.1.1. More research on COVID-19
4.1.1.1.1. lack of research in other diseases and illnesses
4.1.1.1.2. Lack of understanding of virus
4.1.1.1.3. research on testing
4.1.1.1.4. Treatment options
4.1.1.1.5. Etiology concerns
4.1.1.2. CDC Recommendations
4.1.1.2.1. State Dept. of Health Recommendations
4.1.1.2.2. State and Nationwide Reporting of Cases and Deaths
4.1.1.2.3. U.S. DOH influence and guidelines
4.1.1.3. WHO Recommendations
4.1.1.4. Social Distancing
4.1.1.4.1. Families Spending more time at home and together
4.1.1.4.2. Social Isolation for many who live alone
4.1.1.4.3. Unclear regulations from state and federal government
4.1.1.4.4. National and International Travel
4.1.1.4.5. Limited visitation in health care facilities
4.1.1.4.6. Lack of ability to attend routine religious groups
4.2. Lack of preventative care treatment
4.2.1. More telehealth visits
4.2.2. Lack of well checks in pediatrics and adults
4.2.3. Lack of routine health maintenance
4.2.3.1. Dental exams/cleanings
4.2.3.2. Eye exams
4.2.3.3. Women's health exams
4.2.3.4. Cancer screens
4.2.3.4.1. mammograms
4.2.3.4.2. colonscopy
4.2.3.5. Laboratory evaluation
4.2.3.6. immunizations
4.2.3.6.1. major concern in children
4.2.4. Loss of insurance for many who are now unemployed
4.2.4.1. inability to pay or prescriptions or get seen by medical providers to provide refills
4.3. Delayed care for emergency care
4.3.1. worsening symptoms of heart attacks, strokes, PE, appendicitis, hypertensive crisis, DKA, infections, etc.
4.3.1.1. fear of coming into the hospital
4.3.2. delay in scheduled and routine surgery
4.3.2.1. symptoms worsen and problem becomes persistent
5. Economy
5.1. Major drop in stock market
5.2. Job Loss--increased unemployment rate
5.2.1. predicted more than 30 million unemployed
5.3. Banks decreasing rates for loans; good- people approved for money that may not have been in past. Bad- people loaning money from bank=debt
5.4. Housing market sales down
5.4.1. Better mortgage rates but less houses on market
5.4.2. More houses going into foreclosure
5.4.3. rental housing market concerns
5.4.3.1. higher rates of COVID-19 in close quarters like condos, apartments, and high rises
5.5. Government now responsible to support more families with unemployment, medicare, medicaid, WIC, and other government funded programs
5.5.1. US already in debt- where does this money come from?
5.5.1.1. Taxes increased in future?
5.5.2. Businesses relying on government loans
5.5.3. Stimulus check sent to families in a small attempt to boost the economy
5.6. Businesses closing doors
5.6.1. Restaurant industry
5.6.1.1. converting to "to go"
5.6.2. Entertainment Industry
5.6.2.1. Sports season cancelled
5.6.2.1.1. National, Minor, College, and School levels
5.6.3. Tourism Industry
5.6.3.1. Hotels
5.6.3.1.1. Airlines
6. Education
6.1. Schools from preschool to college level converting to online platforms
6.1.1. more use of technology
6.1.2. Lack of internet connections
6.1.3. Lack of understanding of technology abilities
6.1.3.1. Students
6.1.3.2. Teachers
6.2. Parents responsible to assisting and aiding children's education
6.2.1. Builds stronger relationships
6.2.2. Strain on parents who are often still working
6.2.3. Family dispute and disagreements
6.2.4. Children with special needs
6.2.5. Often children have little to no parental support at home
6.2.5.1. generational gap in education
6.2.5.2. inability to progress to next grade level
6.2.5.3. increase in high school drop out rates
6.3. Lack of celebratory graduations
6.3.1. Kindergarten/ Elementary Level
6.3.1.1. Students don't feel praised for achievements
6.3.2. High School
6.3.2.1. No proms
6.3.2.2. No senior trips
6.3.2.3. No graduation ceremonies
6.3.2.4. Poor job prospects
6.3.3. College
6.3.3.1. No graduation ceremonies
6.3.3.2. Poor job prospects
6.3.4. Graduate/Doctoral Level
6.3.4.1. Poor job prospects
6.3.5. Little recognition of achievements at all levels
6.4. Universities/ Colleges
6.4.1. Converted to online platform
6.4.2. No campus life companionship
6.4.3. Lowering tuitions
6.4.3.1. Many students demanding refunds and tuition changes
6.4.3.2. Lack of job for university support- cafeterias, gyms, sports, maintenance, housekeeping, etc
6.4.4. Less applicants
6.4.4.1. Extending application deadlines
6.4.4.2. Cutting application costs
6.4.4.3. Allowing students acceptance without standardized testing
6.4.5. Students unable to meet degree requirements
6.4.5.1. Clinical hours delayed
6.4.5.2. Co-op hours delayed or suspended
6.4.5.3. Delay in graduation