Innovative ambulance service in Pakistani capital offers care for mental health patients

In this photo, taken on April 29, 2024, first responder walks toward an ambulance that focuses exclusively on mental health patients in Islamabad. (AN Photo)
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Updated 01 May 2024
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Innovative ambulance service in Pakistani capital offers care for mental health patients

  • According to World Health Organization, 24 million people in the country are affected by mental health issues
  • Embrace ambulance service has been exclusively focusing on mental health patients since its initiation in 2021

ISLAMABAD: Located just 30 minutes from Islamabad in the picturesque village of Pind Begwal, a unique ambulance center focuses exclusively on mental health patients in and around Pakistan’s federal capital.
The service, named Embrace, was initiated as a pilot project by public health professional Abdullah bin Abbas during the COVID-19 pandemic before it was officially launched last month.
The center addresses Pakistan’s significant mental health challenges, where about 24 million people are affected according to 2023 World Health Organization estimates.
It provides specialized transportation for patients, many of whom display behaviors that are challenging for families to manage, such as isolation or suicidal tendencies.
Operating three ambulances, the service focuses on discreetly moving patients to receive appropriate care, thereby helping to mitigate the stigma associated with mental health issues in the country.
“Since it’s official launch, we have received an amazing response from the public and we have handled 60 to 70 cases just within the past month and this volume is increasing regularly,” Abbas, the center’s chief executive officer, told Arab News on Tuesday.
The concept of mental health ambulances was first tested in Sweden to assist those experiencing psychological distress. This innovative approach allowed for basic help and services to be delivered directly to individuals’ doorsteps, providing timely treatment and transportation to rehabilitation facilities when needed.
Abbas noted that even in major Pakistani cities, the mental health care infrastructure was inadequate. He pointed out this also prompted him to launch the ambulance service after securing initial funding from Columbia University.
“There are a lot of rehab centers and clinics that are being operated in some very unethical environments,” he continued. “So, what we wanted to do was provide a service to the general public which is accessible, affordable and operated in a professional and ethical manner.”
He noted that Embrace had established standards in line with international protocols, under the guidance of an oversight committee that included psychiatrists and psychologists.
He also pointed out that the transport vehicles were designed to be discreet, without any markings to indicate they were serving mental health patients.
“We have a total staff of 15 people that includes both men and women, and they have been extensively trained in psychological first aid, compassionate communication, and how to handle psychiatric patients,” he said, adding that the Embrace staff had interned at various psychiatric clinics and learned how to respond to emergencies.
To make the venture financially viable, the ambulance facility charges for its services based on the patient’s financial condition while keeping it free for deserving patients.
Zainab Nosheen, a first responder nurse at the center, said whenever a call for the ambulance service comes in, the team investigates whether the person needs to be shifted to a health care facility.
“If there is a female patient, then female staff go and help the patient shift to the desired hospital or clinic,” she said, adding the first step was a conversation with the family about the patient’s condition.
“Then, our first attempt is to make the patient agree to go to the doctor with us,” she added. “For that, we have different strategies which vary from patient to patient. At times, our communication takes 30 to 40 minutes to convince the patient to come with us.”
Arshad Mahmood, another first responder, said he had transported 25 patients using the Embrace ambulance service in the last two years, noting that some patients exhibited violent and threatening behavior.
“To deal with such situations, we have also taken self-defense training,” he told Arab News.
“Once we shift the patient into the ambulance, then the attendant decides which hospital to take them to for treatment, and we act accordingly,” he added.


President of ex-PM Khan party released from prison after nearly a year in custody

Updated 21 May 2024
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President of ex-PM Khan party released from prison after nearly a year in custody

  • Pervaiz Elahi was arrested on June 1 in a case relating to alleged illegal appointments in Punjab Assembly
  • His party says the anti-corruption watchdog failed to prove Elahi had accepted any money against recruitment

ISLAMABAD: Chaudhry Pervaiz Elahi, president of former prime minister Imran Khan’s Pakistan Tehreek-e-Insaf (PTI) party, was released from prison on Tuesday after the Lahore High Court granted him bail in a case relating to alleged illegal appointments, the PTI said.
Elahi was arrested on June 1, 2023 after being accused of getting results of the testing service changed to have the candidates of his choice appointed in the Punjab provincial assembly.
Justice Sultan Tanvir of the Lahore High Court accepted his bail petition while presiding over a hearing of the case on Tuesday and ordered his release.
“The anti-corruption body filed the case after a delay of two years,” the PTI said in a statement. “Anti-corruption body failed to prove that Mr. Elahi had accepted any money against recruitment or his involvement in the recruitment procedure.”
Elahi has twice served as the chief minister of Pakistan’s most populous Punjab province and dissolved the provincial assembly in January 2023 on Khan’s instructions, in a bid to force early nationwide elections.
His arrest on June 1 came amid a crackdown on Khan’s PTI party after violent clashes and attacks on government and military installations over Khan’s brief arrest in May 9.
Khan, who was ousted in a parliamentary no-trust vote in April, has been in jail since last August and convicted in multiple cases. Arguably Pakistan’s most popular politician, Khan says all cases against him are politically motivated to keep him out of politics.


Over 1,000 relief camps set up as Pakistan braces for heatwave

Updated 21 May 2024
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Over 1,000 relief camps set up as Pakistan braces for heatwave

  • The Pakistan Meteorological Department said temperatures are expected to hit as high as 50°Celsius in parts of rural Sindh
  • Extreme heat in Pakistan is often coupled by deficit in power supply, with some areas experiencing 15-hour daily loadshedding

KARACHI: Over 1,000 camps have been set up across Pakistan’s southern province of Sindh in anticipation of a severe heatwave, disaster management officials said Tuesday.
The Pakistan Meteorological Department said temperatures are expected to hit as high as 50 degrees Celsius (122 degrees Fahrenheit) in parts of rural Sindh.
“These camps have been set up to provide relief to affected people, and to help reduce instances of heatstroke and other heat-related diseases,” Ajay Kumar assistant director of the Provincial Disaster Management Authority (PDMA) told AFP.
“They are also equipped with places of rest, water and glucose to give to people as and when these are needed,” he added.
The heatwave will affect much of the country, building over the next week.
Extreme heat in Pakistan is often coupled by deficit in power supply, with some areas experiencing up to 15 hours a day of loadshedding, according to local media.
Pakistan increasingly vulnerable to extreme weather events, which scientists have linked to climate change.
Schools in the province have already postponed annual examinations scheduled for this week, including in the mega port city of Karachi, home to more than 20 million people.
PDMA Chief Meteorologist Sardar Sarfaraz said that “women who spend most of their time in the kitchen and in the fields in rural areas are the hardest hit.”
The heatwave also raises concern about the survival of livestock, Kumar added.


Pakistan religion minister applauds Saudi Arabia for innovation in facilitation of Hajj pilgrims

Updated 21 May 2024
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Pakistan religion minister applauds Saudi Arabia for innovation in facilitation of Hajj pilgrims

  • Hajj is one of five pillars of Islam and requires every Muslim to undertake the journey at least once
  • Around 26,711 Pakistani pilgrims have arrived in Saudi Arabia ahead of the next month’s pilgrimage

ISLAMABAD: Pakistan’s Religious Affairs Minister Chaudhry Salik Hussain on Tuesday met with Saudi Minister of Hajj and Umrah Dr. Tawfiq bin Fawzan Al-Rabiah and commended the innovative reforms implemented by the Saudi authorities to facilitate Hajj pilgrims, the Pakistani religious affair ministry said.
Hajj is one of the five pillars of Islam and requires every adult Muslim to undertake the journey to the holy Islamic sites in Makkah at least once in their lifetime if they are financially and physically able.
According to Pakistan’s religious affairs ministry, 26,711 Pakistani pilgrims have arrived in Saudi Arabia ahead of next month’s Hajj, less than two weeks after Pakistan kicked off its pre-Hajj flight operation.
Hussain arrived in Saudi Arabia last week to review Pakistan’s arrangements for Hajj pilgrims and has since toured various departments as well as met with Saudi authorities.
“Hussain appreciated the innovative and exemplary reforms of the Saudi authorities for the facilitation of Hajj pilgrims arriving in the Kingdom from across the globe,” Pakistan’s religious affairs ministry said in a statement.
The two figures had a detailed discussion regarding bilateral relations and arrangements for Hajj 2024, according to the statement. Hussain lauded the Kingdom for extending the best facilities and excellent support to the pilgrims.
He described the progress on new Pakistan Houses, which house the country’s Hajj missions, in Makkah and Madinah as “positive.”
“Saudi companies responsible for providing services under the leadership of the Saudi Ministry of Hajj and Umrah are doing a good job,” Hussain was quoted as saying in the statement.
Hussain also discussed the matter of pending transport contracts for 40,000 Pakistani Hajj pilgrims facilitated by private tour operators, to which the Saudi minister assured him the matter would be resolved within the next few days.
“Pakistan’s Hajj group operators should reform and follow Saudi directives,” Hussain urged, saying his ministry would take action if pilgrims faced inconvenience due to private operators.
Pakistan has a Hajj quota of 179,210 pilgrims this year, of which 63,805 people will perform the pilgrimage under the government scheme, while the rest will use private tour operators. This year’s pilgrimage is expected to run from June 14 till June 19.


Buttler keen for England to show their mettle at T20 World Cup

Updated 21 May 2024
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Buttler keen for England to show their mettle at T20 World Cup

  • Buttler’s men went to the one-day international World Cup in India in October as double world champions but lost six of their nine matches
  • A four-match T20 series against Pakistan, whom they defeated in T20 World Cup final in Melbourne in 2022, starts at Headingley on Wednesday

LONDON: Jos Buttler wants his England team to show they are still a force to be reckoned with at the T20 World Cup after last year’s shambolic 50-over title defense left them with “dented” pride.
Buttler’s men went to the one-day international World Cup in India in October as double world champions but lost six of their nine matches to exit with a whimper.
A four-match Twenty20 series against Pakistan, the team they defeated in the T20 World Cup final in Melbourne in 2022, starts at Headingley on Wednesday.
Both teams will then travel to the tournament in the West Indies and United States.
Reflecting Tuesday on the impact of their poor showing in India, England captain Buttler said: “The pride was obviously dented and it was a really disappointing competition.
“But life moves on, it’s a chapter in the book and there’s lessons you learn but we’re presented with a new opportunity now, in a different format.
“We go to the West Indies and want to give a better account of ourselves. It’s a real honor to go to another World Cup as defending champions again but it also feels like a new time.”
Buttler was a key voice in England’s decision to pull all of their squad members back from the Indian Premier League to prepare as a collective.
The hard-hitting batsman said the IPL should not clash with international cricket.
“As England captain, my main priority is to be playing for England,” he said. “It’s really important for us to spend this time together.
“Leading into a World Cup, your number one is performing for England and it feels like this is the best preparation.
“But it’s my personal opinion there shouldn’t be any international cricket that clashes with the IPL — these games have been in the calendar a long time.”
Two of England’s 15-man squad are unavailable for the opening fixture in Leeds, with Liam Livingstone and Mark Wood both working through knee problems.
Paceman Jofra Archer will make his first England appearance for 14 months but Buttler said it was important not to expect too much from a bowler who has been plagued by injuries.
“We all know what a superstar he has been, but let’s manage those expectations,” he said. “Don’t expect too much, too soon.
“A great success would be him coming through this series with a big smile on his face and his body holding up.”
There are questions over Buttler’s own availability in the coming days, with his wife Louise expecting the couple’s third child.
The vastly experienced Moeen Ali stands by to take the reins if required.
“My family comes first. I’ll be at the birth,” Buttler said. “I don’t think they quite tell you when they’re going to come, but we’ve got a plan in place and fingers crossed everything will go well.”
England launch the defense of their T20 World Cup crown on June 4 against Scotland in Barbados.


Journalists, activists decry ‘draconian’ Punjab defamation law aimed at regulating social media

Updated 21 May 2024
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Journalists, activists decry ‘draconian’ Punjab defamation law aimed at regulating social media

  • Punjab passed law on Monday, while federal government has constituted a body to propose similar amendments to existing laws
  • Journalists and digital rights activists have said the legislations are part of a “greater design” to curb dissent on social media

ISLAMABAD: Pakistani journalists and digital rights activists on Tuesday decried a “draconian” legislation aimed at regulating social media content in the country’s most populous Punjab province, calling it an attempt to “stifle the press” and demanding a thorough consultation with civil society to protect fundamental rights.
Amid opposition protests, the Punjab Assembly on Monday passed the Defamation Bill, 2024, which proposes a special tribunal to try those involved in drafting, publishing and/or airing “fake news.” The tribunal shall decide a case within six months and may impose a fine of up to Rs3 million ($10,776).
The development came as the federal government constituted a committee to discuss establishment of a Digital Rights Protection Authority by amending existing laws to promote “responsible” use of the Internet, which activists fear would be another attempt to regulate social media content and stifle the press.
Zohra Yusuf, a former chairperson of the Human Rights Commission of Pakistan (HRCP), said the Punjab government was establishing a parallel judicial system through the defamation law to prosecute people, adding that it would be a violation of the fundamental rights of people.
“The federal and Punjab government are trying to pass the legislations to regulate content on the social media, stifle press freedom and restrict the dissenting voices,” she told Arab News.
“A slew of defamation laws and regulations already exist on violation of privacy, propaganda against the state institutions like army or judiciary. Therefore, there is no need to enact new laws.”
Punjab Information Minister Azma Bukhari and Federal Law Minister Azam Nazeer Tarar did not respond to Arab News’ request for a comment.
Successive governments in Pakistan have enacted different laws and introduced amendments in the existing laws to enhance their control over the social media content and discourage the dissent by filing cases against journalists and activists for violating the laws.
Usama Khilji, a digital rights activist, said the authorities had controlled the mainstream media, but social media was becoming a “problematic platform for them being an unrestricted media.”
“The government wants to intimidate people through the legislation that if you criticize them, you’ll be fined or sent to jail,” Khilji told Arab News, adding the legislation would have a “chilling effect” on the constitutional rights like the freedoms of expression and press.
In the past, he said, courts had intervened after such legislations were made by parliament and struck them down for being in violation of the constitution. “The whole world is decriminalizing defamation laws, but we are enacting new laws to crack down on the democratic rights,” he said.
Separately, the Pakistan Federal Union of Journalists (PFUJ) on Tuesday staged nationwide protests against the Punjab defamation law, urging authorities to refrain from implementing the legislation that was bound to curtail press freedom and control social media content.
“We want to cooperate with the government in promotion of responsible use of the Internet, but we cannot allow them to enact censorship laws,” PFUJ President Afzal Butt told Arab News.
“The federal government has promised to engage in meaningful consultation with journalist bodies on the proposed digital rights protection authority, but this has yet to begin.”
He said the proposed legislations were “part of a greater design” to curb dissent on social media.
Farieha Aziz, a digital rights activist, said the federal government’s committee had not shared any draft law with relevant stakeholders for discussion and it would be a disaster if they passed the law by bulldozing public opinion.
“The government is obviously making Pakistan a pariah state through these legislations as they would end up withdrawing digital rights and facilities to entrepreneurs and start-ups, besides intimidating journalists and social media activists,” she told Arab News.