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 4, 2021 5:18 PM

Internet privacy in Brazil: An example of already weakened state of Democracy

Brazil’s president Jair Bolsonaro’s ascent to power attracted international attention for their potential impact on human rights. His highly controversial positions on Brazil’s past military dictatorship, civil rights and his greater support for conservative agenda is very likely to jeopardize freedom of expression and the nation’s fragile democracy. Bolsonaro’s ascent to power has not been welcomed by people around the globe.  His blind eye towards democracy has created a human rights crisis in Brazil. In 2017, violence reached a new record in the books of Brazil with an estimated 64,000 killings. More than 1.2 million cases of domestic violence were pending in the courts at the start of 2018. About 5,144 people were killed due to police brutality in 2017 and weakening state control of prisons has facilitated gang recruitments. Brazil has lost over 100,000 people to COVID-19, the pandemic which Bolsonaro strongly repudiated as a conspiracy. The president’s desperate authoritarian attempts to forcibly seize control has pushed the nation into a political crisis inter alia free fall of the economy, a pandemic, a human rights crisis and a democratic recession. “This is the worst crisis Brazil has faced in its history. It’s a political crisis, an economic crisis, and a public health crisis. I’ve thought about this a lot, and I can’t think of another moment when the country was in worse shape than it is right now.” These are the exact words of Professor James Green, a Brazilian studies teacher at Brown University, a man who has lived through the military dictatorship in Brazil which lasted from 1964 to 1985.

Amidst these crises, Bolsonaro has periled the integrity and autonomy of Brazil’s most vital democratic institutions. In May 2020, the scandalous president even contemplated ramping up the military to shut down Brazil’s Supreme Court as they continued investigations into his network of advisors and his family. The anti-terrorism bills pushed in the senate after the ascent of Bolsonaro is another key example of endangerment to democracy. The vague and broad definitions of terrorism in the bill potentially criminalizes protests and even basic social movements. These are inconsistent with the standard of precision that Brazilian criminal law maintains. The capricious characterization of a “terrorist act” leaves the door open to subjective and arbitrary decisions which is not new to the nation.

The anti-terrorism bill says that it is “terrorist act” to interfere or tamper computer systems or databases with any political or ideological motivation even without a malicious intent. This would jeopardize the work of several security researchers and journalists in Brazil. Unfortunately, they are not alone.

On 30th June 2020, the Senate of brazil passed the PLS 2630/2020   (Law of Freedom, Liability, and Transparency on the Internet) popularly known as the fake-news law. Fake news has definitely been a problem all over the world. 17 states have passed some form of regulation directing disinformation during the pandemic. The term “fake-news” has been engraved in the global political discourse in the last half decade. With the decline in global levels of press freedom, the domino effect of so-called “fake-news laws” is attracting some serious risks to press freedom and freedom of expression. It is certain that Bolsonaro took advantage of the pandemic situation and passed the fake-news law with the excuse of COVID-19 misinformation. There are several underlying concerns and apprehensions about this law.

  1. Traceability requirements for private messaging services like WhatsApp and Signal would require the apps to store the logs and records of “broadcasted messages” which implies all the messages sent by over 5 users which reaches at least 1000 people within the span of three months. Messaging service companies are required to report most of the information to the government of Brazil hence creating a centralized log of data interactions. This breaks the end-to-end encryption service provided to the users by some of the messaging apps. If companies do not oblige to weaken the technical protection given to the users of Brazil, the bill forces them to leave the country.
    This imposition of “tech mandate” was condemned by Electronic Frontier Foundation (EFF) as they called it out for weakening privacy protection. Attached to this is a “technical capability derivative”, whether or not platforms will be able to trace back individual messages.
  1. Article 37 of the law mandates all the private messaging and social networking apps having a customer base in Brazil to appoint a legal representative who will have the power to remotely access user logs and databases. This pseudo attempt to localize the measures not just gives rise to privacy concerns but also questions if the Brazilian Senate has undermined United States’ laws such as Electronic Communication Privacy Act and CLOUD Act. Both of these laws mandate US-based social networking service providers to follow and check certain legal safeguard before handing the private data to any foreign law enforcement agents.
  1. If any social media account is reported to be inauthentic or automated, the online platform would have to confirm the identity of the user and verify the identity with any government ID in Brazil or a passport for a foreigner. The government can also demand confirmation of identity for any account through the means of a court order. This provision broadly attacks anonymity and privacy of users online and ignores its benefits on the internet such as whistle blowing and protection from stalkers.
  1. This law also makes it illegal to create or share any content online which may pose a risk to” economic order or social peace” in Brazil. Both of these terms are vaguely defined and even vaguely present. This opens gates to a wide range of content creators to be called out as “illegal”. The law also criminalizes intentionally being a member of an online group whose main activity is sharing defamatory content. This includes all meme groups which primarily share memes about anyone in an authoritative position in Brazil. This definitely puts a subjective cap and poses significant challenges to the freedom of expression and restricts basic ability of Brazilians to engage in discourse on online platforms.

The fake-news law makes social media companies legally liable for content published online on their platforms which acts as an incentive to them to restrict the freedom of speech of Brazilians at the time of any social or political unrest or even times like the present. While Brazil faces a real problem of fake news, this hastily written statute is not the right solution. At the time of a pandemic, when most of the world is functioning on a virtual sphere, the reckless fake-news law has added weight onto the fragile thread holding Brazil’s democracy. Jair Bolsonaro has managed to push democracy to a breaking point even without the drastic steps that he earlier contemplated.

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