Sunday, December 20, 2020

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

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Raya Tripathi

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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 25, 2021 12:44 PM

Constructing Panopticon: Israeli Surveillance Technology and its Implications for the Palestinians

Jeremy Bentham, an English philosopher and social theorist designed ‘Panopticon’ in the late 18th century. The panopticon is an institutional building which Bentham describes as “a new mode of obtaining power of mind over mind in a quantity hitherto without example”. The structure's central observation tower, placed within a circle of prison cells, allows a watchman to monitor the inmates of the building without the dwellers knowing whether or not they are being watched. Although it is physically impossible for a single watchman to observe all the occupants at once, the fact that the inmates cannot know when they are being watched means that they are motivated to act as though they are being watched at all times. Thus, compelling the inmates to regulate their own behaviour.

Michel Foucoault, a French Philosopher, uses panopticon as a metaphor to explore relations between systems of social control and people in a disciplinary situation. For Foucault, the real danger was not that the individuals are repressed by the social order but the fact that when only certain people or groups of people control knowledge, oppression is a possibility. Contemporary society uses technology for the deployment of panoptic structures ‘invisibly’ throughout society.

This article gives an overview of the massive panopticon that is built and operated by Israel in Occupied Palestine.

Israel’s unaccountable military rule over its Palestinian citizens in east Jeruselum, West Bank and Gaza Strip have kept the Palestinians under constant surveillance and control. As per a report by Amitai Ziv on Haaretz, Israel’s surveillance operation against Palestinians is (as of 2019) “among the largest of its kind in the world. It includes monitoring the media, social media and the population as a whole.”

Among various mechanisms of surveillance, the technological mechanisms of surveillance and control deployed or proposed in the region of Gaza Strip is most empowering to Israel in terms of gathering ‘intelligence’. This includes use of biometric identity cards, Israeli access to Palestinian census data, almost complete access to and control of the telecommunication infrastructure in the Gaza Strip, the ability to track individuals via cell phone, large surveillance zeppelins which monitor the entire electromagnetic spectrum and which can usurp control of these from Palestinian operators (for instance sending text messages to subscribers targeting different demographics) as well as optical surveillance, facial recognition technology, remote controlled and robotic machine gun towers guarding the border that are capable of identifying a target and opening fire automatically—without human intervention.

In the context of occupation, the use of biometric ID cards of Israeli citizens is the sharpest seepage of control technologies.  For a long time, Israel has used a system of differentiated ID cards to distinguish between Jewish and Non-Jewish, citizens and residents of Israel, and citizens and residents of the occupied territories.

These ID cards also have a record of ethnic/religious affiliation of the person, and the ID numbers themselves are coded so as to reflect this information. One’s status of whether they are an Israeli or Palestinian, whether they are a citizen or a resident determines their freedom to travel, their ability to find jobs, and even their ability to get married and avail social benefits.  The Palestinians in East Jerusalem—which was annexed after the 1967 war—are considered as “conditional residents” and not citizens. According to a Human Rights Watch report, a resident of Palestine occupied Israel reported that the Israeli authorities refused to issue birth certificates to his five children, all born in Jerusalem. Other Jerusalem residents without residency status, in their testimonials, described being unable to legally work; obtain social welfare benefits; attend weddings and funerals; or visit gravely ill relatives abroad, for fear Israeli authorities would refuse to allow them to return home.

Another significant technological mechanism is the Facial recognition technology which has found its way into use by Israeli police. Facial recognition system, a globally controversial and scientifically flawed system is being used by the police force in Israel to identify protestors and is also implemented at airports and border crossings.

Israel has also ratcheted its social media surveillance, especially Facebook, Palestinians’ preferred platform. In October 2015, Israeli invasion at the Al-Aqsa Mosque angered several Palestinians. Many teenagers who didn’t belong to military wing or the Palestinian political faction orchestrated the attacks. The Israeli government blamed the social media for instigating the attacks and the military intelligence increased the monitoring of Palestinian social media accounts. Consequently, over 800 Palestinians were arrested for their posts on social media, particularly Facebook. It was later revealed that these arrests were a result of a policing system which uses algorithms to build profiles of supposed Palestinian attackers. This system proctors thousands of Palestinian Facebook accounts sifting for words like shaheed (martyr), Zionist state, Al Quds (Jerusalem), or Al Aqsa. Further, the algorithm identifies a “suspect” based on ‘prediction’ of violence. These targets are marked suspicious and are a potential target for arrest on the grounds of “incitement to violence”. The term incitement refers to all types of resistance to Israeli practices. The Israeli Army declared Military order 1651 in 2010, according to which, anyone who “attempts, orally or otherwise, to influence public opinion in the West Bank area in a manner which may harm public peace or public order” or “publishes words of praise, sympathy or support for a hostile organization, its actions or objectives,” will serve a jail time of 10 years. The order defines this as “incitement”. One notable instance has been the poetry of Dareen Tatour. She is a Palestinian citizen of Israel. She expressed her call to “resist” the occupiers through a poem she posted online in October 2015. The video had less than 300 views. But it resulted in nearly three years of house arrest and five months imprisonment. The Israeli government charged Tatour with inciting violence and terrorism while her poem was a call for a non-violent resistance. This incident is a classic demonstration of how Israel uses vague terminology to criminalize online activity when it serves its discriminatory interests.  

Israel’s military industrial complex is a profound enabler of the digital surveillance of Palestinians. The nation not only implements surveillance and control but also manufactures and exports a massive amount of military and cyber security technologies. A report published by Privacy International—an NGO that investigates government surveillance and companies—in 2016—stated that Israel has about 27 surveillance companies which is the highest per capita in terms of surveillance that any country has in the world.

The Guardian collected testimonies from people who worked in the Israeli Intelligence Corps to understand the big brother surveillance of the Palestinians. One of the testimonies revealed that commoners and even completely innocent people were under the radar of surveillance. The attestor stated “As a soldier in Unit 8200, I collected information on people accused of either attacking Israelis, trying to attack Israelis, desiring to harm Israelis, and considering attacking Israelis. I also collected information on people who were completely innocent, and whose only crime was that they interested the Israeli security system for various reasons. For reasons they had absolutely no way of knowing. All Palestinians are exposed to non-stop monitoring without any legal protection. Junior soldiers can decide when someone is a target for the collection of information. There is no procedure in place to determine whether the violation of the individual’s rights is necessarily justifiable. The notion of rights for Palestinians does not exist at all. Not even as an idea to be disregarded.”

Another testimonial exposed that the data collected was hardly in accordance with the security needs. The testimony stated, “Throughout my service, I discovered that many Israeli initiatives within the Palestinian arena are directed at things that are not related to intelligence. I worked a lot on gathering information on political issues. Some could be seen as related to objectives that serve security needs, such as the suppression of Hamas institutions, while others could not. Some were political objectives that did not even fall within the Israeli consensus, such as strengthening Israel’s stance at the expense of the Palestinian position. Such objectives do not serve the security system but rather agendas of certain politicians. One project in particular, was shocking to many of us as we were exposed to it. The information was almost directly transferred to political players and not to other sections of the security system. This made it clear to me that we were dealing with information that was hardly connected to security needs. We knew the detailed medical conditions of some of our targets, and our goals developed around them. I’m not sure what was done with this information. I felt bad knowing each of their precise problems, and that we would talk and laugh about this information freely. Or, for instance, that we knew exactly who was cheating on their wife, with whom, and how often.”

While hidden and unknown surveillance is prominent, Israel has also imposed explicit panopticon surveillance and restrictions on Palestinians in numerous cases. In the village of Beit Ijza, northwest of Jerusalem, the house of Gharib’s family has been enclosed by a 6-meter-high fence, cutting them off from their olive gardens and rest of the village as Israel claimed ownership of the land surrounding the Gharib family's house and created a West Bank settlement over there. The house was built in 1979 on land the family says has belonged to them from as far back as the Ottoman era. “Ever since Israel occupied the West Bank, Jews have been offering my father to sell the house,” Gharib says. “They even brought him a suitcase of money. He refused.” Now, their every move is filmed as cameras have been set up on the bars of the fence. Along with loss of privacy, the panopticon internalized omniscience prevents the Gharib family from taking radical steps to protect their rights. In Israeli military language this is called an “indicative fence” which is also equipped with sensors.  When the fence was built, the family had to negotiate by phone with the police at the nearby Atarot industrial zone every time they wanted to go out and or they had to get the Red Cross to help out. “Sometimes we waited for several hours for them to come and open it” Gharib said.

Constant surveillance in real life as well as digital space is definitely a critical human rights violation. While the case of Palestinians is unique given the Israeli military occupation, the fight for their rights is global. World leaders, governments, civil societies, social media giants and all internet users have an essential role in the battle for a surveillance and censorship free state.

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