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

Publication Date

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 4:43 PM

The US-Taliban Deal: A ray of hope for the battered Afghans

On 11 September 2001, the attacks on the World Trade Centre and Pentagon in America killed over 3000 people for which Osama Bin Laden, the head of Al-Qaeda, claimed responsibility.. Osama Bin Laden was based in Afghanistan during this attack and was protected by the government of the day which was run by the radical Islamist group Taliban. Even after the repeated demands from the USA government, Taliban refused to hand over Osama bin Laden to the USA. 

George W. Bush, the president of America at that point of time, announced the first airstrikes against Afghanistan on 7 October 2001. As other countries joined in, the Taliban were quickly removed from power and a new pro-western government was installed. The new government, however, was never able to run its writ over the whole country. The Taliban regrouped and started gaining influence in the vast rural areas and continuously attacked the US-led international military coalition as well as Afghan forces. From that point onward, the U.S. and its allies have battled to stop Afghanistan's administration crumbling and to end attacks by the Taliban. 

After more than eighteen years of war in Afghanistan, on 29 February 2020, the United States and Taliban signed a peace deal which was the first step in ending the war. The agreement was signed in the Qatari capital Doha between Talibani political chief Mullah Abdul Ghani Baradar and U.S. special envoy Zalmay Khalilzad. The U.S. Defence Secretary Mark Esper said that signing of the accord would be a good step to end the war, the road ahead would not be secure. There would be a full withdrawal of all U.S. and coalition forces from Afghanistan within 14 months since the signing of the deal. The Taliban promised to cut ties with Al Qaeda and keep fighting the militant Islamic State group.  

What is in the peace agreement?

The peace agreement was signed after nine rounds of discussion and it contains four main points: cease-fire, withdrawal of foreign forces, intra-Afghan negotiations, and counter-terrorism assurances. 

  1. Cease-fire: The negotiators agreed to a temporary reduction in violence. They said that a permanent and comprehensive cease-fire will be an item on the agenda of the intra-Afghan dialogue and negotiations. 
  2. Withdrawal of foreign forces: Within the first 135 days, the U.S. will reduce its troops in Afghanistan from roughly 12,000 to 8,600, along with the allies of the U.S. also withdrawing their forces proportionately. If the Taliban follows through all the commitments that in the peace deal, all the U.S. troops along with the allies' troops will leave Afghanistan within fourteen months. 
  3. Counter-terrorism assurances: The United States invaded Afghanistan after the 9/11 attacks, mainly to eliminate the threat of terrorism and halt terrorist activities in the country. As a part of the agreement, the Taliban guaranteed that Afghanistan would not be used by any of its members or terrorist groups to threaten the security of the U.S. and its allies. 
  4. Intra-Afghan negotiations: The reason behind the intra-Afghan talks is to bring together negotiators from the Taliban and Afghan government. The peace deal also calls for an exchange of prisoners before the intra-Afghan negotiations. The intra-Afghan talks which were supposed to take place in March 2020, have been delayed. 

Challenges to the peace deal

While this deal can be seen as a stepping stone towards a more comprehensive agreement, many difficulties may come in the way. 

The United States and the Taliban had consented to the arrival of up to 5000 Taliban prisoners in return for up to one thousand Afghan security forces. However, the Afghan government said that it had not agreed on such an exchange. The process can become difficult due to a weak central government along with ethnic, tribal and sectarian differences. At the same time, many people say that the Taliban has gotten more than it gave up. 

Through the deal, the Taliban got their primary wish: removal of American troops from Afghanistan. Yet, they had failed to be specific about the civil rights that they had repressed when they were in power. The insurgents pledged to keep international terrorist groups like Al Qaeda from using Afghanistan as their base for attacks. 

The United States promised to work towards the gradual removal of Taliban leaders from the sanction blacklists of America and the United Nations. At the same time, the experts say that the Taliban is stronger than ever at this point. It controls many districts throughout the country and continues to launch significant attacks including in Kabul and on Afghan security forces. 

The peace process is also faced by the problem of the illegal drug trade. According to Afghan officials, more than 20 terrorist groups still operate inside the country, which is another threat to the deal. By signing the agreement, the U.S. and the Taliban state their commitment to reduce violence and not attack each other. What remains a worry is how much and how long the Taliban will hold fire on Afghan security forces before the cease-fire is finally reached in Afghan negotiations.

Sources that were used:

  1. https://www.nytimes.com/2020/02/29/world/asia/us-taliban-deal.html
  2. http://diplomatist.com/2020/05/16/us-taliban-peace-deal-and-its-implications-for-central-asia/
  3. https://www.aljazeera.com/indepth/interactive/2020/02/war-afghanistan-2001-invasion-2020-taliban-deal-200229142658305.html
  4. https://www.bbc.com/news/world-asia-51689443
  5. https://www.dawn.com/news/1529415
  6. https://www.cfr.org/backgrounder/us-taliban-peace-deal-agreement-afghanistan-war
  7. https://www.aljazeera.com/news/2020/02/afghanistan-taliban-sign-deal-america-longest-war-200213063412531.html
  8. https://www.dawn.com/news/1537384
  9. https://www.washingtonpost.com/context/u-s-taliban-peace-deal/7aab0f58-dd5c-430d-9557-1b6672d889c3/?itid=lk_inline_manual_3
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