NYC Health Commissioner Chokshi says Covid pandemic has left U.S.

Dr. Dave Chokshi is the Commissioner of New York City’s Department of Health & Mental Hygiene.

As another Covid-19 wave recedes across the country, the full toll of the pandemic on our emotional health is becoming clearer.

Ask someone if they feel disconnected or isolated, and chances are pretty good, regardless of their age, occupation, background, or economic status, that they’ll say yes — and that they’ve never been asked the question before.

According to the latest New York City citywide health surveys, 57% of residents felt lonely some or the time or often, and 67% felt socially isolated in the prior four weeks. Only a third of respondents said they could count on someone for emotional support. And at the same time, one in five respondents reported symptoms of depression.

But the truth is, loneliness has been hiding in plain sight for years in America. Rigorous scientific studies on the negative health effects of loneliness and social isolation exist — yet public health action has remained uneven.

In our recovery from Covid, we must seize the opportunity to prioritize America’s emotional health — and to talk about belonging and connection as vital to our well-being. We cannot risk snapping back to a “normal” where loneliness fades back into the shadows. And just raising awareness of isolation isn’t enough. We need to apply public health interventions to better understand it and mitigate it.

There is a better way. And like so much else, we can build on what we have learned from the Covid pandemic.

First, we must reduce barriers to care by meeting people where they are, in the neighborhoods they live in — not just expect them to come to where providers happen to be. Think of how telehealth and teletherapy, Zoom sessions, and home deliveries of life-saving medications and vaccines have transformed health care over the past two years.

Home-visiting initiatives, like the Nurse-Family Partnership and NYC’s New Family Home Visits program, also break down barriers to care. Nurses partner with families from pregnancy until the children are two, at a time when many are overwhelmed with responsibility, anxiety and often loneliness. They visit the home and provide free care and support depending on the family’s unique needs — from breastfeeding, to parenting skills, safety, and mental health. Over time, a deep trust and bond is formed, helping to alleviate the feelings of isolation so many parents experience.

Second, public health must work together with residents to plan programs which improve social connections. Communities deserve to have a voice in what they need and want, and city agencies then help provide the resources, with community partners. The East Harlem Action Center in Manhattan, for example, has a baby cafe for parent meet-ups, cooking classes, walking groups and a health clinic for the community. This collaborative model can be replicated in any public space, whether it’s a community garden, free library, or local YMCA. The…