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 22, 2021 11:14 PM

Iran, Turkey, Qatar Alliance: Will this mark a shift in MENA's Balance of power?

Qatar, Iran and Turkey have been forming an alliance—which impacts several countries—especially in the MENA (Middle East and North Africa) region. The move comes after Israel recently established its diplomatic relations with four Arab league countries, namely, United Arab Emirates (UAE), Bahrain, Morocco and Sudan. The article covers how this move can have an impact on the balance of power in the region.

Support for the Palestinian Cause

The three countries are critical of the Israel-Arab ties and support the Palestinian cause. Various Palestinian factions, including Hamas and Fatah as well, are shoring up ties with Turkey and other countries in the region that stand against normalization with Israel.

During his speech in the 75th United Nations General Assembly, Erdogan called out on Israel and proclaimed, “The occupation of Palestine is a bleeding wound.”

Since the Gaza attack, which killed 10 Turkish social activists aboard a ship by the Israeli commandos in international waters, the relationship between the two has only soured. After this incident, Turkey recalled its ambassador from Israel, downgrading the diplomatic status. Yet in 2016—after a few meetings—the relationship was restored. However, after another attack in Gaza in 2018, Turkey called back its ambassadors again and expelled the Israeli ambassador to Turkey. Since then they do not have full diplomatic status.

Following the attacks Erdogan—the president of Turkey—even called Israeli PM Benjamin Netanyahu “a terrorist.” The country has been openly supportive of the Palestinian cause, and has also sent aid for humanitarian relief to the Palestinians. Several Hamas leaders have been visiting, taking refuge, and even meeting with Erdogan.

On August 22, 2020, Hamas leader Ismail Haniyeh met Erdogan in Istanbul. Jibril Rajoub, secretary of Fatah’s Central Committee, as well arrived in Turkey on September 21, 2020 to meet with Haniyeh and his deputy Saleh al-Arouri and discuss ways to end the internal Palestinian division.

On the same day, Palestinian President Mahmoud Abbas phoned Erdogan and thanked him for his support for the Palestinian cause. The two have shared several calls since—discussing political developments and US pressure on the region to normalize ties with Israel and ways to face such pressure.

Turkey has tried to balance its relations with both Saudi Arabia and Iran, who happen to be arch rivals. But after the recent growing closeness with two of Saudi Arabia’s rival countries, Iran and Qatar, Turkey might end up straining its relations with Saudi Arabia.

Qatar-Saudi Arabia conflict

This diplomatic conflict is also known as the Second Arab Cold War (the first one being the Iran-Saudi Arabia Cold War). There is an ongoing struggle between the two countries to gain influence in the Gulf. Their relations strained especially after the emergence of Arab Spring. During that time, Qatar became in favour of the revolutionary wave, whereas Saudi Arabia was against it. Both the States are allies of the United States, but have a tussle in their ideologies. Both have avoided direct conflict with each other.

There are other issues between them which leads to further tussle-

1. Qatar broadcasts a news channel, Al Jazeera, which favours the Arab Spring.

2. Qatar has good relations with Iran, Saudi Arabia's rival.

3. Qatar also allegedly supported Muslim Brotherhood in the past. Which it denies.

The Qatar diplomatic crisis became worse in 2017. Saudi Arabia, the UAE, Bahrain and Egypt severed diplomatic relations and trade ties with Doha, and imposed a sea, land and air blockade on Qatar, claiming it supported “terrorism” and was too close to Iran. Yemen, the Maldives and Libya's eastern-based government also followed later. Qatar rejected the claims and said there was “no legitimate justification” for the severance of the relations.

How does this new alliance affect the other countries in the region?

The new alliance seems to lead into formations of two alliance groups or blocs in the region, with some countries siding with Iran, Qatar and Turkey and others with the Saudis and their allies. Another point to keep in mind is that Saudi Arabia is supported by the US, while two countries from the former alliance—Turkey and Iran—are supported by Russia. This will lead to further division among the Middle Eastern countries.

President Trump, Minister of Foreign Affairs of Bahrain, Israeli Prime Minister, and Minister of Foreign Affairs for the UAE Signing the Abraham Accords | Source: Trump White House Archives

This alliance can also affect the trade among these countries, and can severe the ties of many Middle Eastern countries. The biggest beneficiary is going to be Israel, which doesn’t have good relations with most of the Muslim world, except the ones which established diplomatic ties recently by signing the Abraham Accords.

In North Africa countries like Egypt and Morocco recognise Israel. However, most of the North African countries also supported the Arab Springs, which is against the ideas of Saudi Arabia. The Islamic holy land seriously seems to have less Arab allies when it comes to opposing the Arab Springs.

In fact, there can be impacts on trade and diplomatic ties with other countries outside the Middle East and North African region as well. Countries will have to balance their relations with both these groups.

How does it affect the Balance of power in the region?

In international relations, balance of power refers to the posture and policy of a nation or group of nations protecting itself against another nation or group of nations by matching its power with the power of the other side.

There has been a Cold War situation between Iran and Saudi Arabia as they are very (perhaps most) influential powers in the region. But Saudi Arabia is still more influential as a business as well as a soft power—it has a richer economy, oil exports, and most importantly, being the holy land where every Muslim comes for Hajj pilgrimage—it has Mecca and Medina. It is the land where the Prophet Muhammad first delivered his messages and teachings. Iran may try to compete in the economic part, but isn't equally as challenging in the religious part—although it is an important country for the Shia Muslims.

There have been arms embargo on Iran by the UN for arms race. Russia and China have been eager to supply Iran with advanced jets, tanks and missiles, which is quite alarming for its Gulf Arab neighbours, especially its primary adversaries like Saudi Arabia and the UAE.

On 14 September 2019, drones were used to attack the state-owned Saudi Aramco oil processing facilities at Abqaiq and Khurais in eastern Saudi Arabia. The Houthi movement in Yemen claimed responsibility, joining it to events surrounding the Saudi Arabian intervention in the Yemeni Civil War and stating that they used ten drones in the attack from Yemen. Saudi Arabian officials said that many more drones and cruise missiles were used for the attack and these originated from the north and east, and that they were of Iranian manufacture. The United States and Saudi Arabia have stated that Iran was behind the attack while France, Germany, and the United Kingdom jointly stated Iran bears responsibility for it. Iran has denied any involvement. The situation has only exacerbated the Persian Gulf crisis.

By forming this new alliance, supporting the Palestinian cause—with Qatar—even supporting the idea of Arab Springs; the Iran-Turkey-Qatar alliance has a new power with them. What remains to be seen is the other Middle Eastern country’s decision—whether they support this new alliance and the Palestinian cause or go for yet another fragile “peace-building” initiative in the already disturbed region.

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