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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July 19, 2021 11:59 AM

3D Printing: The direction to go for the Indian Defense and Aerospace Industries

3D printing is the next big game-changer on the technological front, almost a revolution if you will. 3D printing, also known as additive manufacturing, is a process of creating three-dimensional objects by layering two-dimensional cross sections on top of one another. The two-dimensional cross sections are computer-designed and rendered, which makes it all the more advanced. From Aerospace to Defense and Medical to Automotive, products manufactured via 3D printing are spreading their reach in the markets quite swiftly. This article will take a look at how 3D printing is beneficial and how the technology can transform the Indian and Defense and Aerospace sectors once utilized to its full potential.

Additive manufacturing has the power to unlock a wide range of opportunities. It uses a 3D printer to create a layer-by-layer “addition” of material which is digitally constructed. Different types of materials which are currently being used for the same are metals, ceramics, special plastics, synthetic resins, and etc. 3D printing not only reduces the cost of production of various components but also gives the power to manufacture locally with design flexibility. The technology significantly speeds the process of designing; this is mainly because there is no requirement of tools. Traditional manufacturing usually takes months to either acquire necessary tools and further produce parts and components or import components from various places. However, once 3D printers are acquired, which they might be costly in themselves, they would ensure a smoother production process. Hence, due to the combination of localized manufacturing and no tools, tailor-made designs can be produced to match the necessities of various industries.  

https://upload.wikimedia.org/wikipedia/commons/thumb/7/75/MakerBot_ThingOMatic_Bre_Pettis.jpg/220px-MakerBot_ThingOMatic_Bre_Pettis.jpg
Figure 2: A typical 3D printer. Source: Bre Pettis via Flickr

India is gradually growing with respect to its utilization of 3D printing technology. In 2014, the 3D printers market was at an early stage with just 200-500 combined workforce of engineers, designers and sales representatives. Currently, start-ups are springing up in places like Bangalore, Chennai, Mumbai, Visakhapatnam, etc and they are producing essential parts for sectors like the Indian Navy, Air Force, ISRO and the HAL.  India’s 3D printing market is projected to reach $79 million by the end of 2021, while the global market is at around $15.8 billion, which suggests that India has a lot of catching up to do.

Applications in the Aerospace and Defense Industry

The Aerospace and Defense Industries are keen to pursue additive manufacturing, mainly because of benefits such as weight reduction, cost cutting and to meet their highly specific requirements. The additive process uses less material to manufacture components and also ensures minimal waste of material. Overall reduced weightage means that less fuel would be used in aircrafts and hence result in better environmental compatibility. Let’s examine a few instances in India where 3D printing startups have assisted and provided the defense and aerospace sectors with unique solutions.

Recently, in 2020, the Centre-run defense company Hindustan Aeronautics Limited (HAL) had signed a MoU (Memorandum of Understanding) with Wipro 3D, the metal additive manufacturing branch of Wipro Infrastructure Engineering. The initiative would primarily focus on the design, development, testing, manufacturing, and repairing of aerospace components using metal additive technology. HAL is using 3D printing to manufacture engine components, although it also provides support to helicopter and rotary wing products. HAL also provides products to the Indian Army, Air Force, Navy, and Coast Guard. Speaking about this collaboration, Shekhar Shrivastava, CEO of the Bangalore division of HAL, said, “This initiative between HAL and Wipro 3D will create a unique synergy of capabilities that can accelerate the adoption of metal additive manufacturing in aerospace in India. Qualification of parts for aerospace is challenging as it would require prove out and extensive testing followed by certification by regulatory authorities which may also include flight testing."

Down south, Karnataka, which produces more than 65 percent of India’s aerospace-related components and exports, has taken a number of initiatives to promote additive manufacturing by setting up 3D printing clusters and sponsoring 3D printing startups. For example, through its flagship programme ‘Start Up Karnataka’, the State has given grants to ‘Deltasys E-Forming’, a Belgaum based start-up, to develop hybrid composite 3D printers. These initiatives are quite appropriate since two-thirds of India’s aircraft and helicopter manufacturing for the defense takes place in Karnataka, and 3D printing would revolutionize these processes quite rapidly.

On the other coast, Chennai-based 3D printing startup, Fabheads Automation, was established in 2015 by an ISRO engineer turned entrepreneur Dhinesh Kanagaraj. The deep tech startup designs and develops high-end carbon fibre helicopter blades for the Indian Air Force. Traditionally, carbon fibre parts are fabricated by laborious manual processes with a lot of fabrication time and money spent. Dhinesh also observed a lot of material wastage when he worked on carbon fibres at ISRO.  Based on this, Fabheads has designed an automated 3D printer series to eliminate material waste and also improve efficiency of production of carbon fibre. Sectors like the DRDO are currently approaching the company given these innovative methods of production.

3D Printing Saves the Day for the Indian Navy

Further, the Indian Navy has partnered with ‘think3D’, a Hyderabad-based 3D printing start-up, to produce spare components via additive manufacturing for both on and off-shore set-ups. The Indian Navy uses a lot of machinery on its ships which are imported from other countries and are quite old.  Whenever a component gets damaged, it is hard to replace it either because there is no availability of the part or because there is significant delay before a part is received. This often proved to be costly for the Navy since the machines would have to be kept idle before a spare part was replaced along with the fact that procurement of the parts was no less expensive.

This is where think3D had stepped in and supplied 3D printed parts to the Indian Navy, which were successfully tested and incorporated into its machinery. An example of such a 3D printed part, which proved to be of crucial help, is that of a centrifugal pump impeller- a key component for a ship’s operation.

https://3dprintingindustry.com/wp-content/uploads/2020/04/4.jpg
Figure 3: An original impeller (left) vs. a 3D printed impeller (right). Image source: think3D

The impeller is a rotating component and it is very important for a ship as it transfers energy from the motor to a fluid that needs to be pumped by accelerating the fluid outwards from the centre of rotation.  On ships, this component is used to import seawater into various parts of the ship for regular use of the crew. These impellers are required to rotate at high speeds for long durations and need to be very carefully designed. 3D printing was the best solution to replace these parts, given the speed of production and lower expenses.

Given all the benefits of 3D printing, it is high time for the Indian market to expand its 3D printing industry and utilize it to its full potential. There are many other instances like the one of the impeller in the Aerospace and Defense industries which can easily be solved using 3D printing.

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