Sunday, December 20, 2020

Mental Health of India’s Corona Warriors: An often overlooked aspect of the pandemic

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Raya Tripathi

Article Title

Mental Health of India’s Corona Warriors: An often overlooked aspect of the pandemic

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Global Views 360

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December 20, 2020

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Mental Health Representative Image

Mental Health Representative Image | Source: rawpixel.com via Freepik

It’s been almost a year since the Covid 19 first started spreading in Wuhan, China and spread to all parts of the world, turning into a pandemic. This has brought along with it an unusual situation for everyone around the world—people were locked up inside their homes and everything was shut. Only the doctors,  healthcare workers and other emergency service workers were working long hours, often going without proper sleep and food. Working day and night, like robots, is not natural for human beings, and therefore, has its consequences.

Mental health in India

Mental health of people is deteriorating globally, and the worst impact can be seen for the corona warriors.

Many people in India do not care about mental health and rubbish it off due to lack of awareness about the problem. They don’t consider it as a health problem just like any other illness, these are not much discussions or consultations with the experts, even when there is a clear sign of a person suffering from it. This state of affir is one of the major contributing factor for the high suicide rates in India.

The taboo associated with discussing mental health, dissuades the person who is suffering or their family members to discuss and take the help from experts as they fear that any revelation of mental health issues can tarnish their image in the society. There are still instances that people seeking professional help are labelled mentally weak or simply ‘‘mad’. Due to superstition still persisting in society, many believe mentally ill people to be 'possessed' by some evil spirit. This forces a large number of people to visit some Godmen or Exorcists to get it cured, rather than going to a professional.

This pandemic and the subsequent lockdown has exacerbated the mental stress and resulted in a spike in the instances of anxiety and depression among the population all over the world. The healthcare workers, fighting the pandemic in the frontline as Corona Warrier, are more exposed to the dangers associated with it. Although the frontline healthcare workers are now sufficiently protected from the direct impact of the virus, their deteriorating mental health still remains an unforeseen challenge.

What are the problems faced by corona warriors in India?

Healthcare workers are responding quickly and moving in vans in many places for testing the Covid patients. They are working hard to take care of everything from regular check- up to specialised testing for the ailing people. But, what about the physical and mental health of these health workers who are serving the patients with highly contagious disease, day and night, despite feeling homesick and tired.According to a report in Indian express, Dr. Kinjal Nadia, a doctor in Gujarat's Jamnagar, said, “Spending eight hours in a PPE suit is the toughest thing to do. One can’t even drink a glass of water though has to speak loudly to be heard by patients and assistants”.

There are incidents of suicide among thejunior doctors from AIIMS Delhi and RG Kar Medical College, Kolkata, which in itself describe the mental status of doctors and healthcare workers. Furthermore, around 80% of the doctors, especially younger ones, are at a very high risk of burning out due to constant pressure by the people, press and the administration to manage the extraordinary workload of testing, diagnosing, treating and curing  the patients, successfully.

In order to manage the huge influx of patients, at many places, doctors and healthcare workers are being hired temporarily, which acts as a catalyst for stress which they are already facing. This has also led to protests by the healthcare workers, including the nurses of AIIMS Patna, for making their employment permanent.

There had been a lack of PPE kits and proper protection against the virus for the healthcare professionals in many places, which increased the danger of exposing them to the virus and putting their lives in danger. There have been many incidents narrated by the doctors and the patients about dirty floors and filthy bathrooms in government hospitals of India.

A report on Firstpost mentioned about the usage of unhygienic food and dirty bed-sheets at government-run Kasturba hospital in Mumbai. An online petition against this situation had garnered over 100,000 signatures.

A news article from the New Indian Express tells that in Bengaluru, Dr. Manohar KN, with his colleagues, conducted a survey to assess the impact of COVID-19 pandemic on the mental well being of the healthcare workers. Over two thousand doctors, nurses and technical staff, aged between 20 and 65 years, participated in this survey, which was conducted in 26 states and union territories of India. This incidentally was the largest survey of its kind in the world.

The most shocking finding of the survey was that the healthcare workers were mostly in a sad mood, and the most optimistic ones (around 70%) were also becoming pessimistic. Even after wearing heavy PPE kits, masks, gloves, face shields all day long, which in itself is exhausting, they were constantly afraid of catching the virus.

Even the families of these corona warriors are worried. Many of them have succumbed to the coronavirus while saving people from it. They don’t get to meet their families while working during the pandemic, and sometimes end up never meeting again.

Are there any mental health services in India?

India, at the moment doesn’t have adequate infrastructure to diagnose and treat the people suffering with mental health issues. also there are not enough organisations or programs which can help in raising the awareness and mitigating misinformation regarding mental health issues. The availability of psychologists in India is grossly inadequate to take care of the mental health of a population of more than 130 crores.

However, the wide adoption of online meetings during the pandemic has come as a big boost to increasing the reach of online psychological counselling through video conferencing. This has enabled the patients to consult the doctors and counsellors  remotely through video links, which reduced the chances of spreading the virus. But not everyone has access to such facilities.

What is the government doing about it?

The government issued a guide in April 2020 for general medical and specialised mental health care settings to be followed during Covid 19 pandemic and also launched a helpline for mental health issues during lockdown. However, when it comes to regular mental health care, India is behind most of the countries. If a country does not even have basic health care for each and every of its citizens, how can it provide them with ‘world class' mental health services?

According to WHO, India ranks second among countries with the greatest burden of disease for mental and behavioral disorders. Most of the mental health disorders go unreported, as people never let others know about it, because in India, this becomes a matter of shame and losing their pride.

Clearly, the healthcare professionals seem tough from the outside, and fight bravely, but on the inside, they’re struggling with their own issues which need to be attended.

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February 28, 2021 11:13 AM

Parler Shutdown, Big Tech, and Liberal Politics

Controversial social media site Parler, has been facing some problems regarding spreading of misinformation and the influence of several far-right groups. The platform became the most-downloaded free app in the Apple App Store on the weekend of November 8 - the day major media outlets called the election for Joe Biden. It was deplatfomized by Silicon Valley giants Apple, Google and Amazon after the storming of Capitol Hill. This article explains what is parler, how it influences people and what is the controversy about it.

What is Parler?

Parler is a social media website founded by Rebekah Mercer, John Matze and Jared Thomson. The platform refers to itself as an “unbiased social media” where people can “speak freely and express yourself openly without fear of being 'deplatformed' for your views," according to its website and App Store description.

The app mainly attracts conservative users—some of the Parler’s active users among public figures include Fox News host Sean Hannity, far-right activist Laura Loomer, radio personality Mark Levin, Senator Ted Cruz, and Congressman Devin Nunes. Eric Trump and Donald Trump's presidential campaign also have accounts on the platform.

With big tech companies like Twitter, Facebook and Instagram taking strict actions against the ex-President Donald Trump, and flagging misinformation, Parler became the free for all space for the conservatives.

Problems and influences

According to some reports, members of the Proud Boys, adherents of conspiracy theory QAnon, anti-government extremists, and white supremacists all openly promote their views on Parler. Holocaust denial, anti-Semitism, racism and other forms of bigotry can also be found among their ideas.

The co-founder of the website, Rebekah Mercer and her family came into national politics in 2016 elections when they donated more than $23 million to groups backing conservative candidates.

Rebekah Mercer is widely reported to have persuaded then-candidate Trump to reshuffle his campaign organization and hire Steve Bannon and Kellyanne Conway to help run his presidential bid in the final stretch of the 2016 election.

The shutdown: opinions on Parler and the monopoly of tech giants

The social networking site went dark when Amazon stopped providing it cloud hosting services after it was revealed the platform was used to help organize the Capitol Hill attack on January 6—which left five people dead. Amazon's actions were followed by Apple and Google that banned the Parler mobile app from their respective stores.

After the app went offline, it made a comeback after several days, registered with Epik as its provider. But Epik denies in an official statement that the company had any “contact or discussions with Parler in any form regarding our becoming their registrar or hosting provider.”

A Reuters report, citing an infrastructure expert, pointed to a Russian tech firm as supporting Parler's return online. It said that the IP address Epik used is owned by DDos-Guard, which is “controlled by two Russian men and provides services including protection from distributed denial of service attacks.”

The united Silicon Valley attack began on January 8, when Apple emailed Parler and gave them 24 hours to prove they had changed their moderation practices or else face removal from their App Store. The letter claimed: “We have received numerous complaints regarding objectionable content in your Parler service, accusations that the Parler app was used to plan, coordinate, and facilitate the illegal activities in Washington D.C. on January 6, 2021 that led (among other things) to loss of life, numerous injuries, and the destruction of property.”

It ended with this warning: “To ensure there is no interruption of the availability of your app on the App Store, please submit an update and the requested moderation improvement plan within 24 hours of the date of this message. If we do not receive an update compliant with the App Store Review Guidelines and the requested moderation improvement plan in writing within 24 hours, your app will be removed from the App Store.” The next day, Apple removed it from its App Store.

This was a kind of monopoly and alleged misuse of power by the tech giants to ban the website, but, in October, the House Judiciary Subcommittee on Antitrust, Commercial, and Administrative Law issued a 425-page report concluding that Amazon, Apple, Facebook and Google all possess monopoly power and are using that power anti-competitively. According to the report, iOS and Android hold an effective duopoly in mobile operating systems. However, the report concludes, Apple does have a monopolistic hold over what you can do with an iPhone. You can only put apps on your phone through the Apple App Store, and Apple has total gatekeeper control over that App Store.

Not only did leading left-wing politicians not object but some of them were the ones who pleaded with Silicon Valley to use their power this way. After the internet-policing site Sleeping Giants flagged several Parler posts that called for violence, Rep. Alexandria Ocasio-Cortez asked: “What are @Apple and @GooglePlay doing about this?” Once Apple responded by removing Parler from its App Store — a move that House Democrats just three months earlier warned was dangerous antitrust behaviour — she praised Apple and then demanded to know: “Good to see this development from @Apple. @GooglePlay what are you going to do about apps being used to organize violence on your platform?” The same steps were taken by Google later.

These actions showed the amount of power the Silicon Valley giants have, which can actually control the other company’s fate. The powers which were revealed by the steps taken by these companies were dangerous but at the same time helpful when done for the good. The liberal New York Times columnist Michelle Goldberg called herself “disturbed by just how awesome [tech giants’] power is” and added that “it’s dangerous to have a handful of callow young tech titans in charge of who has a megaphone and who does not.” She nonetheless praised these “young tech titans” for using their “dangerous” power to ban Trump and destroy Parler. Her opinion shows that liberals are happy until Silicon Valley censorship is used to silence their adversaries, not on themselves.

As put by Glenn Greenwald “Liberals like Goldberg are concerned only that Silicon Valley censorship powers might one day be used against people like them, but are perfectly happy as long as it is their adversaries being deplatformed and silenced (Facebook and other platforms have for years banned marginalized people like Palestinians at Israel’s behest, but that is of no concern to U.S. liberals).”

Clearly, the way Parler was misused for spreading propaganda had to be stopped as it led to one of the worst days in American history – the storm of the Capitol Hill – but the way they were censored and banned from the internet by the virtual unity of Silicon Valley giants Apple, Google and Amazon, has brought forth another dangerous fact to the world regarding how much power these companies hold. And if misused, they can prove to be more dangerous than Parler itself. But as long as they are using the power and censorship to maintain peace and lawfulness, even the liberals don’t have any problems with it, at least for now.

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