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Date: 2023
Abstract: A polio booster campaign targeting all children aged 1–9 was implemented across London between August–December 2022 as part of a national enhanced poliovirus incident response. Orthodox Jewish (OJ) children were particularly vulnerable to transmission due to disparities in childhood vaccination coverage and the transnational spread of poliovirus affecting linked populations in New York and Israel. This study aimed to evaluate how the polio booster campaign was tailored to increase uptake and enable access for OJ families in northeast and north central London boroughs, and the impact of the campaign on local-level vaccine inequities. Semi-structured in-depth interviews (n = 36) were conducted with participants involved in the implementation and delivery of the polio booster campaign, and OJ mothers. Site visits (n = 5) were conducted at vaccine clinics, and rapid interviews (n = 26) were held to explore parental perceptions of the poliovirus incident and childhood immunisations. Enablers to vaccination during the campaign included the production of targeted printed communications and offering flexible clinic times in primary care settings or complementary delivery pathways embedded in family-friendly spaces. Barriers included digital booking systems. Mothers reported being aware of the poliovirus incident, but the majority of those interviewed did not feel their children were at risk of contracting polio. Healthcare provider participants raised concerns that the vaccine response had limited impact on reducing disparities in vaccine uptake. While OJ families were recognised as a priority for public health engagement during the poliovirus incident response, this evaluation identified limitations in reducing transmission vulnerability during the booster campaign. Lessons for future campaign delivery include effectively conveying transmission risk and the urgency to vaccinate. Priorities for mitigating vaccine inequities include public engagement to develop messaging strategies and strengthening the capacity of primary care and complementary delivery pathways to serve families with higher-than-average numbers of children.
Date: 2022
Date: 2021
Abstract: Background
Ethnic and religious minorities have been disproportionately affected by SARS-CoV-2 worldwide. The UK strictly-Orthodox Jewish community has been severely affected by the pandemic. This group shares characteristics with other ethnic minorities including larger family sizes, higher rates of household crowding and relative socioeconomic deprivation. We studied a UK strictly-Orthodox Jewish population to understand transmission of COVID-19 within this community.

Methods
We performed a household-focused cross-sectional SARS-CoV-2 serosurvey between late-October and early December 2020 prior to the third national lockdown. Randomly-selected households completed a standardised questionnaire and underwent serological testing with a multiplex assay for SARS-CoV-2 IgG antibodies. We report clinical illness and testing before the serosurvey, seroprevalence stratified by age and sex. We used random-effects models to identify factors associated with infection and antibody titres.

Findings
A total of 343 households, consisting of 1,759 individuals, were recruited. Serum was available for 1,242 participants. The overall seroprevalence for SARS-CoV-2 was 64.3% (95% CI 61.6-67.0%). The lowest seroprevalence was 27.6% in children under 5 years and rose to 73.8% in secondary school children and 74% in adults. Antibody titres were higher in symptomatic individuals and declined over time since reported COVID-19 symptoms, with the decline more marked for nucleocapsid titres.

Interpretation
In this tight-knit religious minority population in the UK, we report one of the highest SARS-CoV-2 seroprevalence levels in the world to date, which was markedly higher than the reported 10% seroprevalence in London at the time of the study. In the context of this high force of infection, all age groups experienced a high burden of infection. Actions to reduce the burden of disease in this and other minority populations are urgently required.

Funding
This work was jointly funded by UKRI and NIHR [COV0335; MR/V027956/1], a donation from the LSHTM Alumni COVID-19 response fund, HDR UK, the MRC and the Wellcome Trust.
Date: 2022
Abstract: The COVID-19 pandemic has disproportionately impacted ethnic minorities in the global north, evidenced by higher rates of transmission, morbidity, and mortality relative to population sizes. Orthodox Jewish neighbourhoods in London had extremely high SARS-CoV-2 seroprevalence rates, reflecting patterns in Israel and the US. The aim of this paper is to examine how responsibilities over health protection are conveyed, and to what extent responsibility is sought by, and shared between, state services, and ‘community’ stakeholders or representative groups, and families in public health emergencies.

The study investigates how public health and statutory services stakeholders, Orthodox Jewish communal custodians and households sought to enact health protection in London during the first year of the pandemic (March 2020–March 2021). Twenty-eight semi-structured interviews were conducted across these cohorts. Findings demonstrate that institutional relations – both their formation and at times fragmentation – were directly shaped by issues surrounding COVID-19 control measures. Exchanges around protective interventions (whether control measures, contact tracing technologies, or vaccines) reveal diverse and diverging attributions of responsibility and authority.

The paper develops a framework of public health relations to understand negotiations between statutory services and minority groups over responsiveness and accountability in health protection. Disaggregating public health relations can help social scientists to critique who and what characterises institutional relationships with minority groups, and what ideas of responsibility and responsiveness are projected by differently-positioned stakeholders in health protection.
Date: 2022
Abstract: Aims
Hackney is home to the largest Charedi Orthodox Jewish community in Europe. According to the Census 2011, 7% of the population of Hackney are Charedi. Hatzola is a non-profit, volunteer organisation established in 1979 to provide pre-hospital emergency medical response and transportation to acute hospitals at no cost, to those living in and around the North London Charedi community. Given the large Charedi population served by Homerton University Hospital it is a common occurrence for psychiatry liaison staff to work side by side with Hatzola in delivering care to those in mental health crisis. Our aim was to create and nurture a professional relationship between Homerton University Hospital Psychiatry Liaison Service and Hatzola ambulance. We wanted to gain an understanding of the perception of mental illness within the Charedi community, and identify issues faced by members of Hatzola when working with those with mental illness. We wanted to identify the learning needs of Hatzola around psychiatric illness as well as increasing confidence within team members when called to manage mental health crises.

Methods
We scheduled an initial meeting with Hatzola to gain an understanding of their service. We used questionnaires to ascertain their level of knowledge on managing mental health patients. We set out to provide teaching sessions to address Hatzola's learning needs.

We designed interactive teaching sessions based on providing mental health first aid, discussing case studies, considering the legal framework around emergency mental health. We ensured coverage of working with both adults and children with mental health difficulties. We delivered these teaching sessions in person over four consecutive weekly meetings, with the sessions being recorded to serve as an educational resource.

Results
We gathered qualitative evidence reflecting the impact of our intervention. We were able to compare levels of confidence among Hatzola members before and after our teaching programme.

Conclusion
Our training programme was well received by Hatzola, and it was an excellent opportunity to develop links with members of the community.

We have learned that mental health is a taboo subject for members of the Charedi community, and have identified a need for more support to Hatzola in coping with the emotional toll working with mental health patients can take. There may be scope for providing further training on developing reflective practice and more emotional support for Hatzola members in future.
Date: 2022
Abstract: Background
There is a need for a specific programme of engagement around COVID-19 vaccination with the Charedi Orthodox Jewish community in Stamford Hill, London, UK. We co-produced a live event for women on COVID-19 safety and vaccination and wider health topics to support vaccine uptake and improve awareness of health and wellbeing issues.
Methods
For this qualitative analysis, we organised an event that was designed and delivered by a local community organisation in partnership with regional and local health partners and community groups. The event was for Charedi women aged 16 years and older, and provided information on COVID-19, childhood immunisations, oral health and dental hygiene, childhood respiratory infections, and mental health. The event included health stalls, a panel session, co-designed culturally competent physical information, and the opportunity to speak with health professionals. We evaluated the event using attendees' feedback forms, collected in person at the end of the event, and a thematic analysis of semi-structured interviews with organisers from community and statutory organisations. The evaluation was informed by a co-produced logic model and outcomes framework.
Findings
More than 100 women attended the event on March 28, 2022. Feedback suggested the focus on wider health issues was valued, and a greater number of more targeted events (eg on health for women older than 40) would be beneficial. Dental health, COVID-19 vaccination, and childhood immunisations were identified as the most important topics by participants. 16 (55%) of 29 respondents stated they would attend a similar event again, 12 (41%) stated they were unsure, and one (3%) said they would not attend again. Informal feedback from the community highlighted that the event was useful and acted as a basis for further engagement and collaboration with the community.
Interpretation
Our findings emphasised the need to work in partnership with a lead community organisation to identify and address principal health challenges within communities, to share community-specific insights, and to promote community events through community communication channels. Statutory institutions should engage with local community organisations to support and facilitate public health interventions to increase relevant vaccine uptake and to improve awareness around wider health and wellbeing issues and services.
Date: 2022
Abstract: Cette recherche envisage la tension entre une conception englobante de la religion portée par les juifs orthodoxes et une conception privatisée et plurielle en vigueur dans la société française, une société laïque et sécularisée, des années 1980 à nos jours. Cette tension est explorée depuis ces deux points de vue. D’une part, elle interroge comment les juifs orthodoxes s’organisent pour ménager l’espace jugé nécessaire à leur pratique religieuse. Pour ce faire, elle explore leurs besoins, leurs demandes, ainsi que les stratégies qu’ils mettent en œuvre pour les porter. D’autre part, elle soulève la question de la gouvernance publique du religieux. Pour ce faire, elle étudie la manière dont l’État laïc appréhende une minorité religieuse, qui semble aller à contre-courant du mouvement de fond de la sécularisation. A partir d’un protocole de recherche mixte, et en mobilisant la sociologie électorale, la sociologie de l’action collective, l’analyse des politiques publiques, et des outils de sociologie de la religion, elle teste la consistance de l’intégralisme des juifs orthodoxes dans la société française. Elle réfléchit ainsi à la gouvernance de minorités religieuses intégralistes, à partir d’un autre cas que l’islam, et distingue ce qui relève d’une religion en particulier ou de l’orthodoxie. Elle montre une érosion de l’intégralisme religieux, du fait de réponses défavorables des institutions publiques et de la sécularisation qu’il ne parvient pas à enrayer.
Date: 2023
Abstract: This article has been composed from a larger mixed methods study that explores how Haredi mothers in the United Kingdom experience their motherhood and what they understand by “social work support.” The mixed method study used questionnaires and interviews as its tools in data collection. Thirty Haredi mothers from across the UK’s Haredi communities responded to an online questionnaire and thirteen subsequently took part in an online interview. Mary Douglas’s Group-Grid Cultural theoretical perspectives as well as gender theories’ principles were utilized in data collection and analysis. Findings include an overview of quantified data and a thematic discussion of how Haredi mothers experience their motherhood and what they understand by “social support” and “social work.” Their individual perceptions of social work engagement within the Haredi community are presented with the quotes from the interviews. Motherhood is seen by Haredi mothers as a life’s goal, “a raison d’etre,” and mothers’ experiences are focused around their community and strict religious observance that is transmitted to their children through religious education and traditional rituals. Although social support is seen as welcome but only when absolutely necessary, the social work involvement is seen as problematic. Haredi mothers reported that the lack of cultural sensitivity from social workers is a major barrier. That barrier has tremendous implications for the mothers and whole families, be it further isolation, shame, stigma and helplessness. Haredi mothers voice their views on the need of the cultural sensitivity training and professional curiosity that will help building trust between the insular Haredi and the outside social support services
Author(s): Kasstan, Ben
Date: 2023
Author(s): Graham, David
Date: 2023
Date: 2022
Date: 2023
Abstract: At 28,075 Jewish people, Greater Manchester recorded the largest Jewish population in the UK
outside of London and adjacent Hertfordshire. At first sight, it appears to have grown by 12%
between 2011 and 2021, most likely driven largely by high birth-rates among the strictly Orthodox
community. Similarly, if the data eventually proves to be accurate, this constitutes a growth of 29%
over the twenty years between 2001 and 2021. Provisional estimates of the Haredi community
based on other data sources (such as Manchester Connections) suggest that the Haredi community
could be as large as 22,778 but, again, further analysis is needed before any firm conclusions can be
drawn. Whatever the final numbers, it is clear that Greater Manchester, which includes the largest
Eruv in the UK with a perimeter of more than 13 miles, covering parts of Prestwich, Crumpsall and
Higher Broughton, is an important and growing centre of Jewish life.

This report was commissioned by Jewish Representative Council of Greater Manchester & Regions
(GMJRC) to research and analyse community strengths and provide a mapping of Jewish
organisations in the Greater Manchester area. It was overseen by the GMJRC strategic group – a
group that was formed of Councils and organisations across the Jewish religious spectrum as a
response to the pandemic. It reviews services in seven themes: Children & Young People; Adult
Services; Older People; Health; Employment; Emergency Response; and Housing. As well as looking
at delivery, governance, leadership, and building assets, it also tries to understand where the gaps
and support needs are. As the demographics and relative sizes of the mainstream and strictly
Orthodox Jewish populations continue to change, this study represents an important examination
of both the challenges and opportunities of how the respective communities work together. As
these populations change across the UK, and beyond, the study will have significance to other cities
where these Jewish communities exist side by side.

The Institute of Jewish Policy Research (JPR) used a variety of data sources to identify organisations
delivering in each theme and built maps of that data which can be seen throughout this report.
Mobilise Public Ltd use several methods to gather data from these organisations in each theme.
The main approach was qualitative, using stakeholder interviews and focus group discussions with a
purposely selected sample of these organisations, and the evidence collected was supplemented
with a short survey which was issued to a larger number of organisations. The research was
coproduced with a subset of the strategic group through a series of facilitated sessions and was
designed to build a good understanding of delivery in each theme as well as an understanding of
challenges and opportunities in readiness for the strategic group to develop a more integrated
strategy for the Greater Manchester Jewish community
Date: 2022
Date: 2014
Abstract: The article examines intercultural perception during the Hasidic pilgrimage in Ukraine on the examples of Uman and Medzhybizh. Pilgrimage is defined as a form of religious tourism, which is specifically expressed in the role of the sacred - the pilgrims do not need encounters with the Other (cross-cultural interaction), they search for the direct presence by the sacred object. Taking into account the closed character of this religious community, methodical emphasis of the research was made on semi-structured interviews with the locals (24 interviews in Medzhybizh, 10 interviews in Uman) and several Hasids (1 in Medzhybizh and 2 in Uman), as well as annual observations in Uman during the pilgrimage period in 2009-2012. The research gives ground to assert the existence of the conceptual differences in the perception of pilgrims by the locals of two mentioned settlements. Two basic topics are revealed in the perception of the phenomenon of pilgrimage: violation of the residents' comfort zone (leading theme in interviews with the locals) and a source of income for the population of Ukraine (one of the basic themes in interviews with the Hasids). The findings suggest that local residents perceive pilgrims mostly under the phase of «culture shock» or «honeymoon» phase, according to the three-phase concept of cross-cultural perception, offered by Furnhem and Bochner. This is facilitated by the multiplying image of an «eccentric pilgrim» in Ukrainian mass media and, at the same time, short-term nature of pilgrimage, closeness of the Hasidic community and consistent policy of mutual segregation. It is suggested that personal contacts with pilgrims affect more positive perception of pilgrimage, in a whole. Pilot interviews with the Hasids reveal that residents are perceived by pilgrims rather fragmentary: as landlords of apartments or representatives of the local Jewish community. Spatial isolationism, which accompanies the pilgrimage, narrows the possibilities for cross-cultural interactions.
Author(s): Staetsky, L. Daniel
Date: 2022
Abstract: Capitalising on new resources and advances made in the methods of estimation, this report is the first time that the global Haredi (strictly Orthodox) population size has been estimated and calculated, revealing that about 2,100,000 Haredi Jews live worldwide, out of a total global Jewish population of 15 million. The report projects that the Haredi population could double in size by the year 2040, rising to over a fifth of the total by that time.

Some of the key findings in this report:

• The global Haredi population is estimated at 2,100,000, constituting about 14% of the total Jewish population in the world.
• Together, Israel and the USA account for about 92% of all Haredi Jews. Europe hosts 5% of the global Haredi population, while the rest live mainly in Latin America, South Africa, Canada and Australia.
• Outside of Israel and the USA, the three largest Haredi populations are located in the UK (about 75,000, or 25% of all British Jews), Canada (30,000, 8%) and France (12,000, 3%).
• While the world Jewish population has been growing by approximately 0.7% per year over the past decade, the Haredi population is currently growing by about 3.5%-4.0% annually.
• Today, a large part of the growth of the global Jewish population as a whole is due to the Haredi population: perhaps as much as 70%-80% of the total growth worldwide.
• Haredi rates of growth are very high not simply due to high fertility, but rather to the combined effects of very high fertility and very low mortality.
Author(s): Feldman, Rachel Z.
Date: 2022
Abstract: This article examines the Breslover Hasidim who attempted their annual pilgrimage to Uman during the COVID-19 pandemic. Following the Ukrainian border closure in August 2020, which was supported by the State of Israel, thousands of Breslovers were stranded in airports, land borders, and even imprisoned in the weeks leading up to the Jewish New Year. This research contributes to an emerging scholarly literature on religion and COVID-19, challenging the religion and science "conflict thesis," as interviews revealed that the choice of Breslovers to ignore public health directives stemmed less from a disbelief in science than from a conflict between state and religious authority. Pious mobilities emerge, I argue, when secular logics fail to contain and properly modify religious actors. The choice to travel to Uman was made according to a Breslover moral universe as informants turned to the spiritual tools and teachings of Rebbe Nachman to guide their decisions, especially his notion of ratzon [willpower], engaging in a form of pious mobility that attempted to transcend nation-state borders. Pious mobilities not only challenged public health initiatives in 2020, but as I demonstrate in the ethnography, Breslovers' insistence on reaching Uman simultaneously threatened the cooptation of Breslov Hasidim within a Zionist narrative, reigniting a debate over the relocation of Rebbe Nachman's remains to Israel. By ethnographically examining moments of conflict between religious groups and state officials managing the pandemic, we might better inform future public health policies and the messaging aimed at religious populations including ultra-Orthodox Jews.
Date: 2019
Abstract: В работе проанализированы особенности организации религиозного туризма евреев хасидского направления в Украине. Акцентированы особенности локализации сакральных мест хасидов, которые приурочены в основном к местам захоронений еврейских праведников и проповедников. Детально охарактеризованы хасидские религиозные святыни г. Умань (могила цадика Нахмана), пгт. Меджибож (могила основателя хасидизма Баал-Шем-Това), а также прочие крупные еврейские религиозные дестинации, расположенные на Подолье, Закарпатье, западной Украине и т.д. Отдельно рассмотрены центры паломничества евреев к местам массового уничтожения населения в период Холокоста и немецко-фашистской оккупации. Детально рассмотрены современные религиозные центры еврейской общины, созданные для проведения религиозно-культовых мероприятий.

Определены основные проблемы развития хасидского религиозного туризма в Украине. Среди них следует особо выделить отсутствие серьезных научных исследований, касающихся выявления, определения ценности и демаркации еврейских сакральных мест паломничества, а также недостаточно развитую законодательную базу, которая бы обеспечила надлежащую правовую защиту и охрану объектов еврейского паломничества.
Среди серьезных угроз развития еврейского религиозного туризма можно также выделить опасность полного уничтожения и застройки сакральных мест и объектов паломничества, использование их территории в хозяйственных или иных нерелигиозных целях, вандализм. Также возникают дополнительные угрозы исчезновения сакральных мест в результате природных процессов запустения, эрозии, выветривания. Также, среди общих проблем туризма еврейскими сакральными местами в Украине можно выделить отсутствие развитой туристской инфраструктуры соответствующего уровня, плохую транспортную доступность недостаточное экскурсионное обеспечение. Насущной проблемой остается наличие религиозных и этнических конфликтов.

Для решения насущных проблем, следует выполнить целый ряд задач общегосударственного и регионального характера. Среди них ключевое значение имеет поиск еврейских сакральных мест на территории Украины и определение религиозной ценности. Необходима также передача прав собственности на объекты паломничества представителям региональных еврейских религиозных общин, заключение соглашения о поддержке данных мест в надлежащем состоянии. Для развития еврейского религиозного туризма нужно создать соответствующую инфраструктуру надлежащего уровня, которая бы удовлетворяла потребности туристов и паломников, а также разработать программы по созданию культурно- просветительских центров на базе этих мест.
Date: 2021
Abstract: Cultural factors are influential in the prevalence, diagnosis and treatment efficacy of mental health conditions. Although the literature has advanced substantially towards the development of cultural adaptations of cognitive behavioural therapy (CBT) for various minority cultural groups, research into cultural adaptations of CBT for the Orthodox Jewish community has been scarce. This qualitative study interviewed five CBT therapists about their experiences working with clients from the London Orthodox Jewish community and uncovered several key practical implications for the clinical practice of CBT with this client group. This study indicates that CBT is a culturally appropriate psychological treatment for this client group that accords with Orthodox Jewish teachings and religious beliefs. CBT therapists are encouraged to become familiar with Orthodox Jewish cultural practices and beliefs and adopt a culturally sensitive approach to treatment. Despite the reduced mental health stigma within the community, this study recommends that CBT therapists normalise mental health conditions and therapy with Orthodox Jewish clients. Due to the close-knit nature of the community, it is suggested that CBT therapists display heightened confidentiality with this client group. To overcome the mistrust of their Orthodox Jewish clients, CBT therapists are advised to display cultural sensitivity and genuine respect for the Orthodox Jewish way of life, in addition to building a strong therapeutic alliance. Further qualitative research exploring different perspectives is necessary to produce evidence-based guidelines for the cultural adaptation of CBT for the Orthodox Jewish
Author(s): Valins, Oliver
Date: 1999
Abstract: Using theoretical concepts concerning space, identity and boundaries, this thesis examines a contemporary ultra-Orthodox Jewish community in Broughton Park, Manchester (located in the north of England). The thesis discusses how these Jews practise and understand their lives within the context of a (post)modem world. Demographically, the overall population of Anglo-Jewry is declining (by as much as a third in the past forty years), with fears expressed about its future survival. Socially, there are major schisms between the different branches of Judaism, with increasing concerns about a polarisation between religious and secular. These factors provide the background to this thesis, which examines arguably the most extreme and still rapidly growing form of Judaism. The thesis uses a theoretical framework which takes seriously post-positivist understandings of space and identity, in which movement, inter-connections and, in particular, processes of hybridity are recognised. Same and other are never pure. Nonetheless, such theoretical conceptions tend to deny particular people's situated attempts to defend, institutionalise and 'slow down' identities and spaces, which are, I argue, key factors in understanding people's everyday lives. While such stabilisations can be described as reactionary, I suggest that they may also be celebrated (although in complex and ambivalent ways) as resistances to forces of homogeneity. Through the empirical materials collected in Broughton Park, a discussion of the institutionalisation of space detailed in the sacred text of the Talmud, and a reconsideration of post-positivist theories to do with identity and space, the thesis draws upon and extends critiques of hybridity as always a (positive) force of resistance, and boundaries as necessarily reactionary and aligned with powers of domination. Overall, it offers a theoretical and methodological framework with which to interrogate 'geographies of Jewry', taking seriously those calls for 'geographies of religion' to make use of post positivist understandings of space and identity.
Abstract: When older people move from where they live to go elsewhere, if the distances are short it is called relocation, or if the move is over state or national borders, migration. Push factors are dissatisfaction with the present residence, or incapacities; leading to short-distance moves to be near, or to cohabit with, adult children, in order to receive support. These individuals are the ‘old-old’ and ‘oldest-old’, mostly single, poorer, and less healthy. A pull factor is when people want to access a better lifestyle and an increased standard of living. These long-distance migrants tend to be ‘young-old’, healthier, financially secure, newly retired, and married. This thesis explores the migration and relocation of older Orthodox Jews from Gateshead, and studies the priorities and criteria that influence the decision-making process, as well as triggers and barriers to leaving. Being a member of this community, I conducted this research as an insider using constructivist grounded methodology. I conducted 33 in-depth interviews with older people who have migrated or not, including nine with adult children. The migrants ranged from ‘young-old’ to ‘oldest-old’, were married, generally in good health and well-rooted in their community, with extensive social and work attachments in Gateshead. This represents a unique migration in that they are not moving for care, or out of necessity or dissatisfaction, nor are they aiming to increase their standard of living, but to live near and help their children. The decision-making process is both complex and multi-layered. The older people ordered their priorities and considered how their decisions would affect them and their wider network, and taking into account all their resources, select the option that best met everyone’s needs. Decisions were influenced by interdependency with children, neighbours, friends and work colleagues. This interdependency, in which work and volunteering played significant roles, was mediated by reciprocity, the desire not to be a burden, and to remain independent and autonomous. The children facilitated anything that aided these priorities. It was also clear that the demarcation of 65 years as the beginning of an ‘old age’ marked by dependency and infirmity is both arbitrary and inaccurate. Policy makers should recognise the contributions older people can and do make to families and communities. Facilitating and supporting these contributions would improve the health and well-being of older people.
Date: 2022
Author(s): Ostrovskaya, Elena
Date: 2016
Author(s): Sheldon, Ruth
Date: 2021
Author(s): Kasstan, Ben
Date: 2021
Abstract: Maintaining ‘faith’ in vaccination has emerged as a public health challenge amidst outbreaks of preventable disease among religious minorities and rising claims to ‘exemption’ from vaccine mandates. Outbreaks of measles and coronavirus have been particularly acute among Orthodox Jewish neighbourhoods in North America, Europe and Israel, yet no comparative studies have been conducted to discern the shared and situated influences on vaccine decision-making.

This paper synthesises qualitative research into vaccine decision-making among Orthodox Jews in the United Kingdom and Israel during the 2014–15 and 2018-19 measles epidemics, and 2020–21 coronavirus pandemic. The methods integrate 66 semi-structured informal interviews conducted with parents, formal and informal healthcare practitioners, and religious leaders, as well as analysis of tailored non-vaccination advocacy events and literature.

The paper argues that the discourse of ‘religious’ exemption and opposition to vaccination obscures the diverse practices and philosophies that inform vaccine decisions, and how religious law and leaders form a contingent influence. Rather than viewing religion as the primary framework through which vaccine decisions are made, Orthodox Jewish parents were more concerned with safety, trust and choice in similar ways to ‘secular’ logics of non-vaccination. Yet, religious frameworks were mobilised, and at times politicised, to suit medico-legal discourse of ‘exemption’ from coercive or mandatory vaccine policies. By conceptualising tensions around protection as ‘political immunities,’ the paper offers a model to inform social science understandings of how health, law and religion intersect in contemporary vaccine opposition.
Date: 2020
Abstract: Отношение к кладбищам в еврейской традиции амбивалентно: оно является одновременно и сакральным объектом – на идише оно называется «святое место», хейлике орт, – и местом нечистоты, которое связано с нечистотой мертвого тела и может осквернять людей. В статье рассматриваются практики, связанные с паломничеством к могилам хасидских цадиков, распространенные в настоящее время в России, Украине, Израиле и США. В большинстве случаев мы имеем дело с различными вариациями почитания праведников в хасидизме, причем многие индивидуальные практики на могилах цадиков перекликаются с историческими и мемуарными свидетельствами о поклонении этим же людям при их жизни. На могилах оставляют записки с просьбами о помощи, иногда кладут на них монеты и различные предметы, которые требуют благословения. Приходя к месту погребения, соблюдают правила поведения, установленные самими цадиками: не поворачиваются спиной к могиле, снимают кожаную обувь, читают определенные псалмы и молитвы. Отдельно в статье рассматриваются паломнические практики, связанные с субститутами могил праведников: с местами бывших захоронений, перенесенных в другую страну или к могиле жены праведника, которая находится в Иерусалиме.
Author(s): Staetsky, L. Daniel
Date: 2021
Date: 2016
Abstract: Objective: To explore determinants of participation in breast cancer screening in orthodox Jewish women living in Antwerp, Belgium, and to uncover their opinions and attitudes towards screening, and thereby to detect ways to optimize participation. Study design: Focus group discussions were performed during the last months of 2011 and the first half of 2012 to explore motivation to participate or not in breast cancer screening. Groups consisted of five to seven women. Inclusion criteria were: being female, considering oneself as orthodox Jewish, aged between 50 and 69 years. Results: Three focus group discussions with in a total of 20 women had taken place. All participants in the focus group discussions had a screening mammography taken on a regular base. All participants agreed that the social cohesion between Jewish orthodox women and the importance that is given to healthcare within the Jewish tradition are important contributors to their participation in a breast cancer screening program. Pain, lack of information during the exam, lack of confidence in the quality of the exam, perceived problems when the examining doctor/technician is male, and fear of the results are mentioned as barriers. The participants, however, state that these were not important enough to result in non-participation. Barriers could be diminished by information sessions specifically aimed at orthodox Jewish women. Conclusion: This qualitative research demonstrates a generally positive attitude of orthodox Jewish women living in Antwerp, Belgium, towards mammographic breast cancer screening. Increased and repeated structured information sessions are likely to improve breast cancer awareness in this population.
Date: 2020
Date: 2021
Abstract: Background
The importance of community involvement in the response against disease outbreaks has been well established. However, we lack insights into local communities’ experiences in coping with the current COVID-19 pandemic. This study explored both the impact of, and response to, COVID-19 within the Orthodox Jewish communities of Antwerp (Belgium) during the first lockdown period (March 2020 – May 2020).

Methods
We conducted an explorative qualitative study using a participatory approach. First, we performed a community mapping to identify relevant stakeholders. Through the active involvement of a community advisory board and based on qualitative interviews with key-informants and community members, we elicited lived experiences, attitudes, and perceptions towards COVID-19. Interviews were conducted both face-to-face and using online web conferencing technology. Data were analyzed inductively according to the principles of thematic analysis.

Results
Government-issued outbreak control measures presented context-specific challenges to the Orthodox Jewish communities in Antwerp. They related mainly to the remote organization of religious life, and practicing physical distancing in socially and culturally strongly connected communities. Existing community resources were rapidly mobilized to adapt to the outbreak and to self-organize response initiatives within communities. The active involvement of community and religious leaders in risk communication proved to be of great importance to facilitate the coverage and uptake of pandemic control measures while protecting essential community values and traditions. Creating bottom-up and community-adapted communication strategies, including addressing language barriers and involving Rabbis in the dissemination of prevention messages, fostered a feeling of trust in government’s response measures. However, unmet information and prevention needs were also identified, such as the need for inclusive communication by public authorities and the need to mitigate the negative effects of stigmatization.

Conclusion
The experiences of Orthodox Jewish communities in Antwerp demonstrate a valuable example of a feasible community-centered approach to health emergencies. Increasing the engagement of communities in local decision-making and governance structures remains a key strategy to respond to unmet information and prevention needs.
Date: 2021
Abstract: Background Ethnic and religious minorities have been disproportionately affected by SARS-CoV-2 worldwide. The UK strictly-Orthodox Jewish community has been severely affected by the pandemic. This group shares characteristics with other ethnic minorities including larger family sizes, higher rates of household crowding and relative socioeconomic deprivation. We studied a UK strictly-Orthodox Jewish population to understand how COVID-19 had spread within this community.

Methods We performed a household-focused cross-sectional SARS-CoV-2 serosurvey specific to three antigen targets. Randomly-selected households completed a standardised questionnaire and underwent serological testing with a multiplex assay for SARS-CoV-2 IgG antibodies. We report clinical illness and testing before the serosurvey, seroprevalence stratified by age and gender. We used random-effects models to identify factors associated with infection and antibody titres.

Findings A total of 343 households, consisting of 1,759 individuals, were recruited. Serum was available for 1,242 participants. The overall seroprevalence for SARS-CoV-2 was 64.3% (95% CI 61.6-67.0%). The lowest seroprevalence was 27.6% in children under 5 years and rose to 73.8% in secondary school children and 74% in adults. Antibody titres were higher in symptomatic individuals and declined over time since reported COVID-19 symptoms, with the decline more marked for nucleocapsid titres.

Interpretation In this tight-knit religious minority population in the UK, we report one of the highest SARS-CoV-2 seroprevalence levels in the world to date. In the context of this high force of infection, all age groups experienced a high burden of infection. Actions to reduce the burden of disease in this and other minority populations are urgently required.

Funding This work was jointly funded by UKRI and NIHR [COV0335; MR/V027956/1], a donation from the LSHTM Alumni COVID-19 response fund, HDR UK, the MRC and the Wellcome Trust. The funders had no role in the design, conduct or analysis of the study or the decision to publish. The authors have no financial relationships with any organizations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

Evidence before the study In January 2020, we searched PubMed for articles on rates of SARS-CoV-2 infection amongst ethnic minority groups and amongst the Jewish population. Search teams included “COVID-19”, “SARS-CoV-2”, seroprevalence, “ethnic minority”, and “Jewish” with no language restrictions. We also searched UK government documents on SARS-CoV-2 infection amongst minority groups. By January 2020, a large number of authors had reported that ethnic minority groups experienced higher numbers of cases and increased hospitalisations due to COVID-19. A small number of articles provided evidence that strictly-Orthodox Jewish populations had experienced a high rate of SARS-CoV-2 infection but extremely limited data was available on overall population level rates of infection amongst specific ethnic minority population groups. There was also extremely limited data on rates of infection amongst young children from ethnic minority groups.

Added value of the study We report findings from a population representative, household survey of SARS-CoV-2 infection amongst a UK strictly Orthodox Jewish population. We demonstrate an extremely high seroprevalence rate of SARS-CoV-2 in this population which is more than five times the estimated seroprevalence nationally and five times the estimated seroprevalence in London. In addition the large number of children in our survey, reflective of the underlying population structure, allows us to demonstrate that in this setting there is a significant burden of disease in all age groups with secondary school aged children having an equivalent seroprevalence to adults.

Implications of the available evidence Our data provide clear evidence of the markedly disproportionate impact of SARS-CoV-2 in minority populations. In this setting infection occurs at high rates across all age groups including pre-school, primary school and secondary school-age children. Contextually appropriate measures to specifically reduce the impact of SARS-CoV-2 amongst minority populations are urgently required.
Date: 2020
Abstract: Yiddish was the everyday language spoken by most Central and East European Jews during the last millennium. As a result of the extreme loss of speakers during the Holocaust, subsequent geographic dispersal, and lack of institutional support, Yiddish is now an endangered language. Yet it continues to be a native and daily language for Haredi (strictly Orthodox) Jews, who live in close-knit communities worldwide. We have conducted the first study of the linguistic characteristics of the Yiddish spoken in the community in London’s Stamford Hill. While Krogh (in: Aptroot, Aptroot et al. (eds.) Leket: Yiddish studies today, Düsseldorf University Press, Düsseldorf, pp 483–506, 2012), Assouline (in: Aptroot, Hansen (eds.) Yiddish language structures, De Gruyter Mouton, Berlin, pp 39–62, 2014), and Sadock and Masor (J Jew Lang 6(1):89–110, 2018), investigating other Hasidic Yiddish-speaking communities, observe what they describe as morphological syncretism, in this paper we defend the claim that present-day Stamford Hill Hasidic Yiddish lacks morphological case and gender completely. We demonstrate that loss of morphological case and gender is the result of substantial language change over the course of two generations: while the case and gender system of the spoken medium was already beginning to undergo morphological syncretism and show some variation prior to World War II, case and gender distinctions were clearly present in the mental grammar of both Hasidic and non-Hasidic speakers of the relevant Yiddish dialects at that stage. We conclude the paper by identifying some of the language-internal, sociolinguistic and historical factors that have contributed to such rapid and pervasive language change, and compare the developments in Stamford Hill Hasidic Yiddish to those of minority German dialects in North America.
Date: 2020