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 4, 2021 5:21 PM

Storming of the Capitol Hill and the Anatomy of Trumpism

On January 6, 2021, thousands of Trump supporters marched towards the Capitol Hill and stormed the building after outgoing President Donald Trump allegedly incited the crowd during his speech. It is also being called one of the worst security breaches in American history.

One of the often-cited reason for the insurrection is the idea of “Trumpism.” Therefore, this article explores what happened at the Capitol Hill in light of the idea of Trumpism.

What happened that led to the storming of the US Capitol?

Prior to the storming, the protesters assembled on the South Lawn for the 'Save America March'  where President Trump, his lawyer and advisor Rudy Giuliani, and others gave speeches. There,  Giuliani called the election results “crooked” and Trump, who gave the speech behind a glass barrier, declared that he would “never concede”, criticised the media by calling it “fake” and “biased”, and wrongly claimed that the Vice President Mike Pence had the power to overturn the election results. He also went on to tell the crowd to “fight like hell”.

Storming at Capitol Hill | Source: Tyler Merbler via Flickr

After the rally, the crowd of supporters instigated by Trump marched down Pennsylvania Avenue towards the Capitol Hill and breached security, occupying parts of the building for several hours. They did this in an effort to disrupt the electoral college vote count during a joint session of the Congress and prevent the formalization of President-elect Joe Biden’s electoral victory. They ransacked and vandalised several parts of the building including the senate chamber and Speaker Nancy Pelosi’s office. They allegedly wanted to “hang” Vice President Mike Pence and also chanted the slogan “Where is Pence?” The vice president had been whisked to a secure location in the Capitol complex. Apart from that, they were chanting the slogans “stop the steal” and “USA,USA”, among others.

The rioters left the Capitol Hill after hours of looting and riots. It led to 5 deaths, out of which one was a police officer. After the rioting was over, the senate continued its session and declared Biden as the President. It also concluded that there was no voter fraud. There have been many arrests since then and police is still searching for more.


Why do Trump’s supporters believe him?

A supporter of Donald Trump | Source: Lorie Shaull via Flickr

They believe in something which is nowadays termed ‘Trumpism'. Trumpism is a term for the political ideology, type of governance, political movement and set of mechanisms for acquiring and keeping power that are associated with the 45th United States president, Donald Trump and his political base. It is a kind of American politics that is right wing to far-right, and has nationalist sentiments. His ideologies are also believed to be illiberal and close to fascism. Trump also claimed once, in 2016, that he could shoot someone standing in the Fifth Avenue, and his supporters wouldn’t abandon him.

Trump has managed to establish an emotional connection with his supporters, which consists of around 40% of the Americans. An article by Timothy Pytell on Psychology Today pointed out that it is a narcissistic identification with Trump that leads his supporters to follow him. By openly claiming he can do whatever he wants to, shoot anyone and still retain support, or grab women without their consent, he has tapped into the unconscious desires and thoughts of millions of Americans. His vulgarity, indecency, and law-breaking leads his followers into a narcissistic identification – as if they are Trump. Even though Trump may have to leave the White House, he will have the spotlight and Trumpism will not fade away from politics. This is the reason why the protestors believed in the “stop the steal” slogan.

Whenever Trump says “ I’m suffering for you” or shows as if he’s doing everything for America, his followers begin to see him as a true leader and it consolidates belief. Another thing is Trump considers himself God-like, and therefore religious groups and other people start connecting him to religion. They start believing even in his blatant lies.

Another reason that strengthened the Trump ideology are pro-right wing TV Channels like Fox news. They turn everything that Trump did into something “great”. Such channels are able to support the movement on a deeper level by brainwashing the audience.

The way he speaks, behaves and acts – makes such people relate with him so much that they start believing in him. There’s more about feelings, emotions and “dreampolitik realm” in Trumpism rather than economics and policies. The supporters were literally devoted to Trump. And if someone is not believing in his dangerous ideas, such as the liberals, Democrats, and especially some of the Republicans who went against Trump, they have either been termed “weak” or “losers” and in some cases, even traitors. An example of this is - "Where are Republicans! Have some backbone," Eric Trump tweeted in November during the elections. "Fight against this fraud. Our voters will never forget you if your sheep!" Clearly he wanted to convey that the people who are not fighting lack “backbone” and are somewhat like a coward. Such things instigated people in the name of bravery and nationalism.

Many of his supporters and base includes White supremacists, including the Ku Klux Klan, an American white supremacist hate group whose primary targets are African Americans. Its lesser enemies include Jews, immigrants, leftists, homosexuals, Muslims and, until recently, Catholics. Other than the above mentioned his main supporters include people from the rural areas, the middle states, white evangelists, and those into blue collar jobs or without college degrees. There’s a small population of non-white as well.

The riots proved that although the President has been defeated in the elections, his Trumpism remains deep-rooted, and will outlast him. “The work of undoing the siren call of Trumpism will require, to begin, a deeper understanding of its appeal”, Jeff Goodwin, an New York University Professor of Sociology and expert on movement politics, told CNN. He added, “A large part of Trumpism's appeal is Trump's personal appeal to a lot of people -- as a celebrity, as a crass speaker of truth, as these people see him, someone who doesn't mince words, someone who really tells it like it is. He's figured things out, he's a billionaire and he knows how the system works. All these elements of Trump's personality and character seem to have a lot of appeal to a big segment of the population. But I don't know if there is Trumpism without Trump.” He describes Trumpism as a “contradictory, unstable amalgam” of five key ideological pieces – Social conservatism (anti-abortion and anti-LGBT policies), Neoliberal capitalism (tax cuts for the wealthy and deregulation), Economic nationalism, Nativism (anti-immigration policies), and white nationalism (refusal to condemn Proud Boys and others).

Aftermath and Reactions on the Capitol Insurrection

People commented and condemned the incident, not only in America but from all over the world. “This is what the president has caused today, this insurrection,” Republican Senator Mitt Romney told a reporter. But the President himself didn’t condemn the rioters. Instead, he released a video message, telling his supporters to “go home and go home in peace” and said, “We love you; you’re very special.” He further went on with his false claims that the elections were “stolen”. In fact, in his speech which incited these people, Trump said he would join them and march together towards the Capitol, which he certainly didn’t do and went back to the White House, because most probably he didn’t want the dirt on him. He later tweeted telling the protestors to “stay peaceful”, but did not condemn or tell them to return back.

Reacting to President Trump’s irresponsible behaviour, Facebook locked Trump's accounts and removed posts related to the incident, Twitter locked his account for 12 hours, and then permanently suspended it.

Even the police was criticised for its role in the protests. In several footages, police officials can be seen bringing in the protestors and even clicking selfies with them. They were criticised for their biased attitude towards the riot and the leniency shown towards it as compared to the Black Lives Matter movement, that was comparatively peaceful. Several leaders, including President-elect Joe Biden have pointed out this racism which is visible in the difference between the handling of both the movements by the police.

The flags, signs, and other damaged items, including Nancy Pelosi’s broken name plate, will be preserved as historical artefacts in the House and Senate collections and shared with national museums.

It has also been called a coup d’état, and was a possible attempt to overturn the decision in a forceful manner, which certainly was undemocratic. Several leaders from countries around the world including France, China, Australia, Germany India, Israel, and the UK reacted to the incident and condemned it. British Prime Minister Boris Johnson called it “disgraceful” while Iranian President Hassan Rouhani went on to blame the system itself and tweeted “What we saw last night and today in America firstly proved what a failure the Western democracy is and how fragile and weak its foundation is,” he said.

Democrats have introduced an article of impeachment against US President Donald Trump for his role in the deadly invasion of the Capitol. The article accuses M.r Trump of “incitement of insurrection.” Democratic House Speaker Nancy Pelosi has said, "The president represents an imminent threat to our constitution, our country and the American people, and he must be removed from office immediately," Calls for Mr Trump's resignation, removal from office or impeachment have grown among Democrats and some Republicans in the days following the riots in Congress in which five people died. No US president has ever been impeached twice. However, it’s unlikely that Trump will be successfully impeached, because of his broad Republican support in the Senate.

Trump has said he is ready for a transition, and President-elect Joe Biden will be sworn-in as the 46th President on January 20th. But he added he will not attend the swearing-in ceremony.

In the last four years, the liberals, Democrats, the left and all Trump’s critics were accused of hysteria and hyperbole for calling his movements fascist, authoritarian and lawless. But now, the scenario seems to validate their claims showing how the Trump movement really proved to be a threat to the US as well as to the idea of democracy.

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