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Importance Of Mental Health Response In Time Of Covid -19

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  • A suspected Coronavirus patient jumped from Safdarjung hospital.
  • 26 March: Daniela Trezzi , Italian Nurse committed suicide after testing positive for corona virus.
  • 28 March: Thomas Schaefer, finance minister,Hesse state,Germany committed suicide.

When most of the world is under lockdown engulfed by Covid-19 pandemic, overburdened with the people affected and the fatalities, the above three Covid-19 related deaths in different parts of the world are not due to the coronavirus infection but the psycho-socio economic impact of it.

Amidst this global crisis, Covid-19 has become a part of our everyday life, and has occupied the deepest corners of our minds. The man from Delhi with a travel history and mild symptoms was brought for testing, and was quarantined. He might have taken this step under the pressure of social stigma attached to it, or the fear of unknown. However, his test came negative. Daniela, a burnt out front line worker after the massive outbreak in Italy, was home recovering from Covid-19. She feared she might have transmitted the disease accidentally to other patients. She took her life in that one weak moment. Mr. Schaefer who was deeply worried with the state of economy shaping up in Germany left behind everyone in shock, disbelief and grief raising many other questions.

Covid-19 pandemic is not just a medical emergency. It has disrupted the lives of people on many levels. No one knows what actually we are dealing with, the uncertainty of when and how it all will end. Only way of containing the exponential growth of the virus are physical distancing and self-isolation which may lead to a sense of inadequacy, frustration and anxiety.

Fake news, misinformation or unsolicited information peddled through social media too adds up to the stress stigma and hysteria. Overdose of information, too, at times is fatal for mental health. Only verified info from official sources should be paid heed to. You can rely on these authentic sources:

A burnt out frontline defence of health professionals who are dealing with inadequate medical supplies, the healthcare system in many countries are collapsing as the number of patients are invariably increasing. The focus generally is off the mental health and that’s when such incidences occur.

The economic impact of the pandemic is being seen as one of the biggest global crisis ever. Many small industries will not even survive few days into lockdown. There would be many job cuts during as well as post the lockdown. People will be worried how to pay their bills. We need to stand in solidarity with each other. We need to tell our loved ones and everyone around us that you are not alone. It is tough, but this too shall pass. It is going to be crucial for all the stakeholders in the society to stand by each other.

With the change in daily lives during lockdown, people in our vicinity falling sick of the infection, working remotely, online school sessions, cooped inside house , staying alone, old parents staying away etc and at times social/physical distancing leads to emotional distance as well a small call/video call to our loved ones who are away keeps us going. Indian family system works as a strong support system at such times. But still there are time people want/need to talk to an expert. For the impact it is going to have on us WHO has emphasised on the importance of mental health response to the growing Covid-19 situation.

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A recent survey, conducted by the Indian Psychiatry Society, has noticed a 20% rise in mental illness cases after corona virus outbreak in India. Govt. of India. Various state govts. as well as NGOs have come forward and addressed the issue so it can be tackled meticulously. Few patients who have recovered too emphasise the important of counselling sessions. NIMHANS is providing a 24/7counselling sessions to the people directly or indirectly affected by COVID-19  on helpline no – 08046110007

Govt. of Maharashtra, BMC have come up with a helpline to support in the times of corona on helpline no : 1800-120-820050.

With all the precautions being taken by people around the world and in India to break the chain, the issue of Mental Health during Covid -19 too should be prudently addressed worldwide.

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The Nipah virus is considered one of the deadliest zoonotic infections globally, not because it spreads rapidly like influenza or COVID-19, but because of its extremely high fatality rate, rapid progression, and severe brain involvement. Medical experts warn that once symptoms escalate, the disease can turn fatal within days. According to available data, the case fatality rate of Nipah virus ranges between 50 and 75 per cent, placing it among the most lethal viral infections known to humans. In this explainer, Dr Dip Narayan Mukherjee, Consultant – Microbiology and Infectious Diseases, CK Birla Hospitals, CMRI, sheds light on why the virus is so dangerous and difficult to control. Why Is the Nipah Virus So Deadly? According to Dr Mukherjee, Nipah’s lethality lies in a combination of delayed symptom recognition, aggressive disease progression, and early involvement of the brain. “Nipah virus often begins with very non-specific symptoms, which makes early detection difficult. By the time it is clinically suspected, the virus may have already affected the brain,” he explains. Early Symptoms Often Go Unnoticed One of the biggest challenges in controlling Nipah virus is that its initial symptoms closely resemble common viral illnesses, leading to delays in diagnosis and isolation. Early symptoms include: Fever Headache Cough Muscle pain General weakness “These symptoms are easily mistaken for flu, viral fever, or respiratory infections,” says Dr Mukherjee. “This delay gives the virus time to progress silently.” Severe Brain Infection Drives High Mortality The most dangerous aspect of Nipah virus infection is its neurological involvement. The virus frequently causes encephalitis, or inflammation of the brain, which significantly increases the risk of death. Neurological symptoms may include: Seizures Confusion and altered consciousness Extreme drowsiness Coma “Once the central nervous system is involved, the disease becomes very difficult to manage,” Dr Mukherjee notes. “At this stage, treatment is largely supportive because there is no specific antiviral therapy available.” This lack of targeted treatment options makes early detection critical. Human-to-Human Transmission Raises Risk While Nipah virus is primarily transmitted from fruit bats, it can also spread from person to person, particularly in healthcare settings. Dr Mukherjee points out that: Caregivers and healthcare workers are at higher risk Exposure to high viral loads can worsen outcomes Inadequate infection control increases transmission risk “Strict adherence to infection control practices is essential. Even a small lapse can result in secondary infections,” he says. Zoonotic Nature Makes Exposure Hard to Predict Nipah virus is transmitted from fruit bats, either directly or through intermediate hosts such as pigs. This zoonotic pattern makes outbreaks unpredictable, especially in regions where humans, animals, and wildlife interact closely. Adding to the challenge: There is no approved vaccine Treatment options remain limited Isolation protocols must be strictly enforced What Can Reduce Nipah Fatalities? According to experts, early action remains the most effective defence against Nipah virus. Key measures include: Early isolation of suspected cases Strict use of personal protective equipment (PPE) Rapid escalation and referral to specialised centres Strong hospital infection control protocols “The earlier the virus is identified and contained, the better the chances of preventing severe disease and fatalities,” Dr Mukherjee emphasises. The Bottom Line Nipah virus continues to be a serious public health threat because of its high fatality rate, neurological complications, and lack of targeted treatment. Its ability to masquerade as a mild illness in the early stages makes vigilance crucial. Health experts stress that awareness, early suspicion, and strict infection control are currently the most powerful tools to reduce deaths linked to this deadly virus. As Dr Mukherjee concludes, “With Nipah, time is the most critical factor. Early recognition can save lives.”
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