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Mental health issues impacting pharmacists during COVID-19


The coronavirus disease 2019 (COVID-19) impact on the mental health of healthcare workers is extremely detrimental. It is imperative that the psychological health of all healthcare workers be protected. However, an often overlooked member of the healthcare frontline is the pharmacist. Pharmacists provide many types of essential services during the pandemic, which often cannot be done from a remote location. Being frontline healthcare workers, pharmacists have experienced an increase in the number of patients seen, the amount of screening and triage being done, the amount of COVID-19 information being delivered, the number of medication shortages, and the amount of workplace harassment taking place. These activities increase the amount of stress, burden, and frustration felt by pharmacists have a negative impact on their mental health and well-being. This article seeks to address the specific implications of COVID-19 on the mental health of pharmacists.


COVID-19 is a severe infectious respiratory disease caused by a novel coronavirus (SARS-CoV-2) whose first case of infection occurred on December 31, 2019, in Wuhan, China [1]. The World Health Organization (WHO) has officially declared it a global pandemic on March 11, 2020 [2]. COVID-19 is transmitted person-to-person via droplets produced by coughing, sneezing, speaking, and through contact with contaminated surfaces [1]. A state of emergency was declared, leading to social distancing and closures of schools, and non-essential businesses across Canada [3]. These measures were implemented to control the physical spread of COVID-19 and ramifications on the population’s mental health.

The challenging conditions imposed causes increased stress, anxiety, depressive symptoms, and exacerbation of pre-existing mental illness [4,5,6,7]. Social isolation is strongly associated with poor mental health outcomes [8,9,10], especially in the context of COVID-19 [6, 11, 12]. If left unchecked, a mental health crisis could come out of the current COVID-19 pandemic. These mental health issues extend to healthcare workers (HCWs) who work on the front line to treat those who are infected [12]. HCWs worldwide report the negative psychological effects of COVID-19, such as stress, fear, anxiety, depression, burnout, and mental exhaustion [7, 12,13,14,15,16,17,18,19].

Pharmacists are one of the frontline HCWs working diligently to provide much-needed services during the pandemic [20,21,22,23,24,25,26]. Pharmacist-provided services have shown to improve patient outcomes and contribute to healthcare savings [26]. Community pharmacists provide COVID-19 screening and medication dispensing to maintain continuity of care, disseminate critical information regarding COVID-19, collaborate closely with other HCWs and government organizations, engage in home medication delivery, and remain the most accessible healthcare member that patients can interact with [25]. Hospital pharmacists directly support physicians, nurses, and other staff in managing life-saving medications for COVID-19 patients, participating in patient rounds, and engaging in infectious disease control [20, 25,26,27]. Unfortunately, pharmacists are often overlooked and are underrepresented regarding advocacy [25]. In this editorial, we will address pharmacist-specific mental health issues as well as methods to support pharmacists’ psychological well-being.

Pharmacists experience issues common to all HCWs during COVID-19. Both community and hospital pharmacists experience a lack of personal protective equipment (PPE). Long work hours are required for treating the increased number of scared and frustrated patients, along with increased responsibility and pressure. Increased risk of infection resulting from work-related exposure leads HCWs to self-isolate, which can result in feelings of isolation and loneliness. However, due to the pharmacist’s unique role, they will also experience pharmacist-specific issues as summarized in Fig. 1.

Fig. 1
figure 1

Pharmacist roles amid COVID-19 that can lead to decreased pharmacist mental health

Increased burden on pharmacist roles leads to decreased pharmacist mental well-being

First point of patient contact

As one of the most easily accessible HCWs, pharmacists are often the first point of contact for many patients. Pharmacists may experience an increase in the number of patients seen during the pandemic. A survey of nine major hospitals in the USA showed a significant decrease in the number of ST-segment elevation cardiac catheterization laboratory activations during the pandemic [28], indicating that there is a possibility that fewer patients are seeking hospital care. Understandably, many patients who have non-COVID-19-related illnesses may be hesitant to go directly to a hospital or other similar institutions for fear of contracting COVID-19 [29, 30]. Instead of going to a hospital, they may present themselves to a pharmacy to receive guidance from a pharmacist, which results in a decrease in the number of non-essential hospital visits and allows healthcare resources reallocation to treat COVID-19. However, this could lead to a strain on community pharmacists as they attempt to fill that clinical role. The resulting increased workload will add to the burden, leading to burnout among pharmacy staff, which is detrimental to individual well-being and compromising the quality of care provided [31].

Patient triage

Pharmacists also engage in patient triage [32]. While there may exist some increased risk of contracting COVID-19 in clinics and hospitals, patients who need care should not be afraid to seek care. Pharmacists can provide over the phone, and in-person screening of COVID-19 symptoms as well as appropriately redirect patients to other healthcare facilities. The importance of continuity of care is amplified during a pandemic and demonstrates the importance of pharmacist triage. However, it is not always easy to triage and prioritize patients—difficult decisions often must be made. This also emphasizes the importance of adequate PPE, as screening exposes pharmacists to the risk of infection and contamination. Both the burden of appropriate triage and the absence of peace of mind against the disease contribute to the stress that pharmacists face.

Information dissemination

As pharmacists provide essential information regarding COVID-19 to the public in an easy to access manner, they must stay up to date on the latest pandemic developments. Pharmacists help patients navigate fact from fiction as well as educate on proper hygiene and infection control. This is important as misconceptions about COVID-19 can exacerbate worry and other mental health concerns [5, 22]. However, pharmacists find themselves under constant bombardment of COVID-19 related information, which can be overwhelming and affect overall mental well-being [33]. The Canadian Pharmacist Association (CPhA) recommends that pharmacists limit the amount of time per day spent reviewing news, to only focus on the general trajectory, and to distract your mind with other tasks, among other suggestions [33]. Pharmacists can also use adverse drug reaction (ADR) and medical device incident (MDI) reporting to facilitate misinformation correction [34]. The demand for COVID-19 therapies drives the rampant adoption of potential medications, even when there is insufficient evidence for its efficacy and safety [34]. Thus, the vigilant reporting of ADRs is more critical than ever to combat misinformation.

Managing medication shortages

Pharmacists are also managing medication shortages and limited resources during COVID-19 [35, 36]. Before the pandemic, medication shortages were already a global issue [20]. The spread of COVID-19 generated a spike in the number of critically ill patients and fear-based medication hoarding contributing to the pre-existing shortages [35, 36]. During the first week of May 2020, only 3% of pharmacies across Canada reported receiving their full medication order for every order placed [37]. Medication shortages disrupt care and pose safety concerns for patients. Two drugs that have been publicized as candidates for the treatment of COVID-19, hydroxychloroquine and chloroquine, have now become difficult to obtain for patients who need these agents to manage rheumatoid arthritis, systemic lupus erythematosus, and other autoimmune disorders [35, 36]. Canadian pharmacists are spending 24% of their shift dealing with medication shortages, placing a huge burden [37]. While most of medication shortage issues are out of the pharmacists’ control, there are some initiatives pharmacists have taken to tackle the problem. Pharmacists can find alternative sources, alternative therapies, and rationing existing drug supplies. One such proposed method is to sterilize metered-dose inhalers used once or twice in hospitals so that they can be reused [38]. In addition to technical difficulties in managing medication shortages, there are also ethical dilemmas when deciding to prioritize one patient over another, which can also be damaging to mental well-being. This results in something known as moral injury, described as “the psychological distress which results from actions, or lack of them, which violate someone’s moral or ethical code.” [39]

Harassment from patients

An unfortunate circumstance that pharmacists have to face is harassment and abuse. In a national survey conducted by CPhA, 73% of pharmacists report an increase in harassment, verbal abuse, and other forms of abuse by patients ever since the pandemic began [40]. Anecdotal accounts also exist of healthcare workers experiencing stigma and abuse due to the public’s fear of contracting COVID-19 from someone who has high exposure to the virus [31, 41]. In such a perilous time, it is understandable that patients will feel frustrated, angry, and frightened. However, pharmacists do not deserve to be poorly treated. It is important to let them know that pharmacists are doing their best to support patient health throughout the pandemic and beyond. As a result of the power dynamics at play, it is ultimately up to pharmacists to be able to reassure patients and provide care, all while taking into account their mental health. Currently, guidelines regarding patient interaction during a pandemic are needed.

An additional burden Asian pharmacists face on top of pharmacist harassment is the rise of anti-Asian racism that has come about due to COVID-19. Verbal and even physical abuse has been reported to happen in various countries, such as the UK, France, and the USA, to those of Chinese descent [41, 42]. Asian frontline workers are being told that the virus “came from [their] kind” and going so far as to call SARS-CoV-2 the “Chinese virus” [41, 42]. These reactions are fueled by fear and misinformation, which speaks to the damage that this kind of misinformation can cause if not corrected. Such racism should not be tolerated, seeing as it has such profound adverse effects on pharmacists and individuals’ well-being, community cohesiveness, and impeding the fight against COVID-19. Additional research is needed to address the mental health and long term consequences of anti-Asian sentiments and to develop initiatives and policies that seek to reduce such behaviors.


Mental health care for HCWs is more critical now than ever. According to CPhA, pharmacists’ mental health was among the top four pharmacists’ greatest concerns during COVID-19, along with personal and staff safety, drug shortages, and workload/staffing shortages [40]. Poor HCW mental health may lead to decreased quality of care, attention paid, and decision-making ability [13], but pharmacist-specific data is lacking. One study looked at the job satisfaction of hospital pharmacists in Ethiopia [43], which can be considered another indicator of the pharmacists’ well-being. Pharmacists with low job satisfaction often have less productivity and lower overall quality of life [43]. On the contrary, high job satisfaction positively impacts performance, employee relationships, mental health, and life satisfaction [43]. During such dire times, pharmacists are being relied upon more and more to provide much-needed services during the pandemic. Pharmacists, like other HCWs, know how important their role is and are resilient in providing care even at the expense of their own mental and physical well-being [24, 44]. It is well known that mental illness is associated with lower life expectancy and poorer health outcomes than the general population, increasing the risk of infection with COVID-19 [45]. It is uncertain what exactly the long-term sequelae may be, but there is evidence that such sequelae exist. It was found that 3 years after the SARS outbreak in 2003, high-risk HCWs remained highly stressed, which was associated with higher levels of depression, anxiety, and general psychological distress [46,47,48]. The stress generated by COVID-19 for HCWs is akin to that of a natural disaster or international mass conflict [5]. While it might make sense during the beginning of the outbreak to prioritize physical health or psychological, it should not stay this way. COVID-19 is as much of a somatic battle as it is a mental battle. If unaddressed, poor mental health can have more serious consequences down the line and may lead to a shortage of pharmacists and other HCWs after the pandemic is over [5].

Future directions

While they do exist, the number of resources offered to manage mental health is scant. CPhA provides infographics and links to province-specific pharmacy mental health resources, and nationwide and American pharmacist resources [33, 49]. Multidisciplinary mental health services must also be explicitly provided for pharmacists and other HCWs as they experience more extreme psychologic symptoms [19]. More awareness should be generated for these resources and the importance of pharmacists’ mental health during COVID-19.

Healthcare delivery is progressing in the direction of telemedicine and virtual methods of delivery. Mental health is a very good candidate for electronic delivery [50, 51]. This can be extended to providing mental health care to pharmacists and other HCWs. Blake et al. assessed a digital learning package that consisted of evidence-based guidance, actions to take, and self-care strategies relating to maintaining mental well-being for HCWs in the UK [31]. They found that it was well-received with high user satisfaction [31]. The material was better received if it addressed specific issues that were relevant to healthcare work environments and the type of work healthcare workers engaged in [31]. This further proves the importance of having more pharmacy-specific mental health resources. Besides focusing on the individual, fostering a culture of resilience and support within an organization strongly affects worker stress and protects mental health [31, 39, 52]. In addition to providing care, pharmacists must also have tools to assess mental health in the context of COVID-19 to identify individuals at risk quickly and not to over- or under-diagnose [53]. Finally, it would be good to learn from previous pandemics and other countries regarding their response to HCW mental health. Being the epicenter of COVID-19, China had some rapid response to improving the mental health of their HCWs [7]. The Second Xiangya Hospital in China’s Hubei province developed a detailed psychological intervention plan, a psychological assistance hotline team and psychological interventions to improve HCW mental health [54]. The National Health Commission of China integrated psychological crisis intervention into general measures for disease prevention, issued the “Principles for Emergency Psychological Crisis Intervention for COVID-19 Pneumonia Epidemic,” as well as a plethora of mental health guidelines made by various healthcare organizations [55].

Overall, the pharmaceutical system itself could be strengthened, which could go beyond just mitigating drug shortages and help pharmacist workflow and well-being. Hafner et al. report three issues that stand in the way of low- and middle-income countries being able to strengthen their pharmaceutical systems [56], which also applies to Canada as its pharmaceutical systems become strained due to COVID-19 and issues become apparent. Firstly, the process of strengthening a pharmaceutical system is lengthy and resource intensive [56], which may not be feasibly done in time during COVID-19. Secondly, strengthening pharmaceutical systems requires the engagement of government bodies and multiple stakeholders as well as policy and legislation reform [56], which Canada is currently engaging in for managing the immediate COVID-19 threat. Finally, the interventions that work to strengthen pharmaceutical systems are not precisely known, which is an area of further research [56].


The mental health of HCWs during the COVID-19 pandemic needs to be addressed. Pharmacists are frontline HCWs and belong in this category as they provide necessary services amid the pandemic. As one of the most accessible HCWs, they face many stressors that need to be specifically targeted to address pharmacists mental health issues effectively. All in all, more research and resources need to be developed to provide solutions for the declining psychological well-being of pharmacists and HCWs in general amid COVID-19.

Availability of data and materials

Data sharing does not apply to this article as no datasets were generated or analyzed during the current study.


  1. World Health Organization. Q&A on coronaviruses (COVID-19) [Internet]. [cited 2020 Jun 14]. Available from:

  2. WHO Director-General’s opening remarks at the media briefing on COVID-19 - 11 March 2020 [Internet]. [cited 2020 Jun 17]. Available from:

  3. Public Health Agency of Canada. Government of Canada takes action on COVID-19 [Internet]. 2020 [cited 2020 Jun 14]. Available from:

  4. Cosic K, Popovic S, Sarlija M, Kesedzic I. Impact of human disasters and COVID-19 pandemic on mental health: potential of digital psychiatry. Psychiatr Danub. 2020 Apr 15;32(1):25–31.

    Article  PubMed  Google Scholar 

  5. Fiorillo A, Gorwood P. The consequences of the COVID-19 pandemic on mental health and implications for clinical practice. Eur Psychiatry [Internet]. 2020 Apr 1 [cited 2020 Jun 11];63(1). Available from:

  6. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet Lond Engl. 2020;395(10227):912–20.

    Article  CAS  Google Scholar 

  7. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public – a systematic review and meta-analysis. Psychiatry Res. 2020 Jun 7;291:113190.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  8. Leigh-Hunt N, Bagguley D, Bash K, Turner V, Turnbull S, Valtorta N, et al. An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health. 2017 Nov;152:157–71.

    Article  PubMed  CAS  Google Scholar 

  9. Courtin E, Knapp M. Social isolation, loneliness and health in old age: a scoping review. Health Soc Care Community. 2017;25(3):799–812.

    Article  PubMed  Google Scholar 

  10. Ge L, Yap CW, Ong R, Heng BH. Social isolation, loneliness and their relationships with depressive symptoms: a population-based study. PLoS ONE [Internet]. 2017 Aug 23 [cited 2020 Jun 14];12(8). Available from:

  11. Banerjee D, Rai M. Social isolation in Covid-19: the impact of loneliness. Int J Soc Psychiatry. 2020 Apr;29:0020764020922269.

    Google Scholar 

  12. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Brain Behav Immun [Internet]. 2020 May 8 [cited 2020 Jun 23]; Available from:

  13. Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry. 2020 Mar;7(3):e14.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Armitage R, Nellums LB. Protecting health workers’ mental health during COVID-19. Public Health. 2020 Aug;185:18.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  15. Schwartz J, King C-C, Yen MY. Protecting healthcare workers during the coronavirus disease 2019 (COVID-19) outbreak: lessons from Taiwan’s severe acute respiratory syndrome response. Clin Infect Dis [Internet]. [cited 2020 Jul 8]; Available from:

  16. Rajkumar RP. COVID-19 and mental health: a review of the existing literature. Asian J Psychiatry. 2020 Aug;52:102066.

    Article  Google Scholar 

  17. Neto MLR, Almeida HG, Esmeraldo JD, Nobre CB, Pinheiro WR, de Oliveira CRT, et al. When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry Res. 2020 Jun 1;288:112972.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  18. Zaka A, Shamloo SE, Fiorente P, Tafuri A. COVID-19 pandemic as a watershed moment: a call for systematic psychological health care for frontline medical staff. J Health Psychol. 2020 Jun 1;25(7):883–7.

    Article  PubMed  Google Scholar 

  19. Hall H. The effect of the COVID-19 pandemic on healthcare workers’ mental health. J Am Acad PAs. 2020 Jul;33(7):45–8.

    Google Scholar 

  20. Cadogan CA, Hughes CM. On the frontline against COVID-19: community pharmacists’ contribution during a public health crisis. Res Soc Adm Pharm [Internet]. 2020 Mar 31 [cited 2020 Jun 18]; Available from:

  21. Bukhari N, Rasheed H, Nayyer B, Babar Z-U-D. Pharmacists at the frontline beating the COVID-19 pandemic. J Pharm Policy Pract. 2020 Apr 20;13(1):8.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Elbeddini A, Yeats A. Pharmacist intervention amid the coronavirus disease 2019 (COVID-19) pandemic: from direct patient care to telemedicine. J Pharm Policy Pract [Internet]. 2020 May 27 [cited 2020 Jun 11];13. Available from:

  23. Buss VH, Shield A, Kosari S, Naunton M. The impact of clinical services provided by community pharmacies on the Australian healthcare system: a review of the literature. J Pharm Policy Pract. 2018 Oct 1;11(22):1–10.

    Google Scholar 

  24. da Costa FA, Lee V, Leite SN, Murillo MD, Menge T, Antoniou S. Pharmacists reinventing their roles to effectively respond to COVID-19: a global report from the international pharmacists for anticoagulation care taskforce (iPACT). J Pharm Policy Pract. 2020 Jun 17;13(12):1–3.

    Google Scholar 

  25. Elbeddini A, Prabaharan T, Almasalkhi S, Tran C. Pharmacists and COVID-19. J Pharm Policy Pract. 2020 Jun 19;13(36):1–4.

    Google Scholar 

  26. Visacri MB, Figueiredo IV, de Lima TM. Role of pharmacist during the COVID-19 pandemic: a scoping review. Res Soc Adm Pharm [Internet]. 2020 Jul 4 [cited 2020 Jul 8]; Available from:

  27. Atif M, Malik I. COVID-19 and community pharmacy services in Pakistan: challenges, barriers and solution for progress. J Pharm Policy Pract. 2020 Jun 15;13(33):1–4.

    Google Scholar 

  28. Garcia S, Albaghdadi MS, Meraj PM, Schmidt C, Garberich R, Jaffer FA, et al. Reduction in ST-segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic. J Am Coll Cardiol. 2020 Jun;75(22):2871–2.

  29. Frketich J. Hamiltonians afraid to go to the hospital during COVID-19. The Hamilton Spectator [Internet]. 2020 Apr 29 [cited 2020 Jun 19]; Available from:

  30. Lazzerini M, Barbi E, Apicella A, Marchetti F, Cardinale F, Trobia G. Delayed access or provision of care in Italy resulting from fear of COVID-19. Lancet Child Adolesc Health. 2020 May;4(5):e10–1.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  31. Blake H, Bermingham F, Johnson G, Tabner A. Mitigating the psychological impact of COVID-19 on healthcare workers: a digital learning package. Int J Environ Res Public Health [Internet]. 2020 May [cited 2020 Jun 14];17(9). Available from:

  32. Curley LE, Moody J, Gobarani R, Aspden T, Jensen M, McDonald M, et al. Is there potential for the future provision of triage services in community pharmacy? J Pharm Policy Pract [Internet]. 2016 Sep 29 [cited 2020 Jul 8];9. Available from:

  33. Canadian Pharmacists Association. Supporting pharmacists’ mental health and wellness during COVID-19 [Internet]. COVID-19: Information for Pharmacists - English. 2020 [cited 2020 Jun 18]. Available from:

  34. Elbeddini A, Yeats A, Lee S. Amid COVID-19: the importance of developing an positive adverse drug reaction (ADR) and medical device incident (MDI) reporting culture for Global Health and public safety. J Pharm Policy Pract. 2020 May 18;13(18):1–4.

    Google Scholar 

  35. Fox ER, Stolbach AI, Mazer-Amirshahi M. The landscape of prescription drug shortages during the COVID-19 pandemic. J Med Toxicol. 2020 May;27:1–3.

    Google Scholar 

  36. Choo EK, Rajkumar SV. Medication shortages during the COVID-19 crisis. Mayo Clin Proc. 2020 Jun;95(6):1112–5.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  37. Canadian Pharmacists Association. Pharmacists continue to have difficulty sourcing certain medications amidst the COVID-19 pandemic - English [Internet]. 2020 [cited 2020 Jun 17]. Available from:

  38. Elbeddini A. Sterilization plan of the used metered dose inhalers (MDI) to avoid wastage amid COVID-19 pandemic drug shortage. J Pharm Policy Pract [Internet]. 2020 May 20 [cited 2020 Jun 23];13. Available from:

  39. Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ [Internet]. 2020 Mar 26 [cited 2020 Jun 23];368. Available from:

  40. Canadian Pharmacists Association. National survey of community pharmacists and practice challenges during COVID-19 [Internet]. COVID-19: Information for Pharmacists - English. 2020 [cited 2020 Jun 17]. Available from:

  41. Ng E. The pandemic of hate is giving novel coronavirus disease (COVID-19) a helping hand. Am J Trop Med Hyg [Internet]. 2020 Apr 20 [cited 2020 Jul 8]; Available from:

  42. Misra S, Le PD, Goldmann E, Yang LH. Psychological impact of anti-Asian stigma due to the COVID-19 pandemic: a call for research, practice, and policy responses. Psychol Trauma Theory Res Pract Policy. 2020 Jun;11.

  43. Ayele Y, Hawulte B, Feto T, Basker GV, Bacha YD. Job satisfaction among pharmacy professionals working in public hospitals and its associated factors, eastern Ethiopia. J Pharm Policy Pract. 2020 May 11;13(11):1–9.

    Google Scholar 

  44. Chan AOM. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med. 2004 May 1;54(3):190–6.

    Article  Google Scholar 

  45. Cullen W, Gulati G, Kelly BD. Mental health in the Covid-19 pandemic. QJM Int J Med [Internet]. 2020 Mar 30 [cited 2020 Jun 16]; Available from:

  46. McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatry. 2007 Apr;52(4):241–7.

    Article  PubMed  Google Scholar 

  47. Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J, et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Compr Psychiatry. 2012 Jan;53(1):15–23.

    Article  PubMed  Google Scholar 

  48. Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaag B, Evans S, et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2006 Dec;12(12):1924–32.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Canadian Pharmacists Association. COVID-19: information for pharmacists - English [Internet]. 2020 [cited 2020 Jun 26]. Available from:

  50. Gaebel W, Stricker J. e-Mental health options in the COVID-19 pandemic and beyond. Psychiatry Clin Neurosci [Internet]. [cited 2020 Jun 12];n/a(n/a). Available from:

  51. Strudwick G, Impey D, Torous J, Krausz RM, Wiljer D. Advancing e-Mental health in Canada: report from a multistakeholder meeting. JMIR Ment Health [Internet]. 2020 Apr 30 [cited 2020 Jun 11];7(4). Available from:

  52. Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of coronavirus disease 2019 (COVID-19) beyond paranoia and panic. 2020;49(3):6.

  53. Ransing R, Ramalho R, Orsolini L, Adiukwu F, Gonzalez-Diaz JM, Larnaout A, et al. Can COVID-19 related mental health issues be measured?: assessment options for mental health professionals. Brain Behav Immun [Internet]. 2020 May 26 [cited 2020 Jun 11]; Available from:

  54. Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020 Apr;7(4):e15–6.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Li W, Yang Y, Liu Z-H, Zhao Y-J, Zhang Q, Zhang L, et al. Progression of mental health services during the COVID-19 outbreak in China. Int J Biol Sci. 2020 Mar 15;16(10):1732–8.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Hafner T, Banda M, Kohler J, Babar Z-U-D, Lumpkin M, Adeyeye MC, et al. Integrating pharmaceutical systems strengthening in the current global health scenario: three ‘uncomfortable truths.’ J Pharm Policy Pract. 2020 Jun 25;13(38):1–4.

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I would like to acknowledge the support from the pharmacy team in facilitating the data collection.


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Elbeddini, A., Wen, C.X., Tayefehchamani, Y. et al. Mental health issues impacting pharmacists during COVID-19. J of Pharm Policy and Pract 13, 46 (2020).

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