How the Arab world can tackle the invisible mental-health pandemic

Experts say there are many ways to maintain a good mental balance during the uncertain times of COVID-19. (Shutterstock/File Photo)
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Updated 02 April 2021
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How the Arab world can tackle the invisible mental-health pandemic

  • Egyptian-Canadian Ally Salama wants a culture of mental wellness that speaks to the Middle Eastern mindset
  • With no let-up in COVID-19 cases in many countries, people are understandably feeling overwhelmed and anxious

DUBAI: Of the Arab world’s many problems exacerbated by the coronavirus pandemic, mental health is easily among the most insidious.

Fortunately, one young Arab has made it his life’s mission to help lead the conversation in the region and address the latent stigma surrounding feelings of depression and anxiety.

The story begins a few years ago when Ally Salama, a 24-year-old Egyptian athlete, moved to Toronto, Canada, to pursue a university degree in entrepreneurship and innovation.

Following a blissful childhood spent in Cairo and Dubai, Salama says, the move led to a dramatic change in his cultural surroundings, which left him feeling isolated and alone.

“I made my first friend four and a half years after attending my first day of university,” he told Arab News.

“It was very hard. We’re very culturally intelligent, but I didn’t want to let go of my values. I could neither mix nor mingle. As a result, I lost my identity and my mind in a year and a half. I felt completely different physically, mentally and psychologically. It caused a lot of issues for me in university.”

Depression quickly set in. He recalls not being able to get out of bed or managing to take care of his basic psychological needs.




The estimated annual global economic cost of mental health disorders stands at $2.5 trillion. (Shutterstock/File Photo)

“Smoking and drinking weren’t my thing, which is what created the biggest gap in university life,” he said.

After reluctantly seeking help from his university counsellor, Salama found the tools he needed to cope, and has since sought to help others.

“It takes a lot for a man to admit that,” Salama said. “It’s very difficult, and I’m here to make that awareness very visible. I didn’t have someone who’d been through this to tell me it was OK. That’s when I realized there are so many people who feel like me but who don’t have the courage to go through with it.”

His healing journey changed the way he views human strength — no longer in terms of physical fitness alone, but rather as a combination of physical and mental.

So when a university project came along about entrepreneurial problem solving, he used the opportunity to launch an online platform called Break the Silence Egypt.

Overnight, 180 people anonymously submitted testimonies revealing their deepest and darkest feelings, in English and Arabic. “It made me realize this is bigger than me,” Salama said. “Mental health is an issue.”




A man wearing a facemask walks past a mural painted as part of the Cities of Hope festival in Manchester and highlighting the effects of mental health as the number of cases of the novel coronavirus COVID-19 rises in 2020. (AFP/File Photo)

Upon graduating in 2019, he did a short stint as a banker in Canada before realizing he was sitting on the wrong side of the desk.

In parallel, he developed a mental health magazine for the Middle East called EMPWR. The first issue came out in March 2019, during his final year of university.

In July that year, Salama’s mentor Dr. Nasser Loza, president-elect of the World Federation for Mental Health and a World Health Organization consultant, recommended him to speak at a UN workshop in Sharm El-Sheikh on the role of media in destigmatizing mental-health issues.

“I spoke about people’s perceptions and why the media’s work hinders people’s quality of life,” Salama recalled.

“That experience changed my life. Depression and mental illnesses aren’t rational — you don’t even want to get better. It’s irrational.”

Mental HealthIn Numbers

* $2.5 trillion - Estimated annual global economic cost of mental health disorders.

* 38% - Percentage of Arabs who know someone suffering from mental-health issues. 

* 56% - Percentage of Arabs who say quality mental-health care is difficult to access. 

* 48% - Percentage of Arabs who say seeking mental-health care is viewed negatively in their country. 

Source: Arab Youth Survey 2020, WHO

It was only a matter of time before EMPWR became a leading mental-health magazine in the region, from its base in Canada.

“The biggest issue with Arabs is that no matter how much they read online (about psychological issues), it’s not culturally relevant to our relationships, our marriages, our cultures, our homes and our thoughts,” Salama said.

“A big thing about success in psychological support is having a rapport with the person in front of you and understanding where they’re coming from. I understood because of my experience.”

Soon the project expanded into podcasting with the launch of Empathy Always Wins. “Podcasting is quite educational — 70 percent of listeners have a higher education degree,” Salama said.

“We got New York Times bestselling authors, the world’s No. 1 squash player, and businessmen who people really respect, to speak.”

With over 100,000 downloads last year and a rank in Harvard’s top seven social initiatives in 2019, the podcast’s success led Salama to launch the Art of Podcasting School with Microsoft for Start-Ups.

He describes his podcast as an all-inclusive, uninhibited exploration of personal vulnerabilities, with the aim of making the ability to share and understand one another’s feelings a sign of strength.

“Empathy is the key winning component for every man and woman,” he said. “Empathy always wins in life.”




Bayda Othman, a psychologist from the NGO Premiere Urgence, consults a patient at the mental health centre of the Bajet Kandala camp for displaced Yazidis near Dohuk, 430 kilometres (260 miles) northwest of the Iraqi capital, by the border with Syria, on November 18, 2020. (AFP/File Photo)

Although the magazine’s content is English-only right now, Salama plans to launch an Arabic version soon. And there certainly seems to be an appetite for the subject.

When he began posting on his Instagram account in Arabic as well as English, he saw his following jump from 5,000 to 73,000 in just six months.

“There’s a need for faces to be vulnerable — people connect with people, not with logos,” he said, describing the positive role of influencers and ambassadors like himself. “This is how you get the message across. People need to be vulnerable to lead.”

Today, Salama is working closely with schools, universities and corporations to help them kick-start programs around mental health.

So far, 40 schools in Canada have benefited, along with Microsoft, the Capital Club and Heriot-Watt University in Dubai.

“It’s about awareness and empowering other people to seek that help,” Salama said. “I’m just an enabler. But it’s my biggest passion when I speak to young children. The more shame, guilt and burden we carry, the more psychologically disturbed, distressed and traumatic we live our lives.”

Now he wants to bring the same message to the Middle East, where he believes millions can benefit from his experience. He wants every Arab home to be discussing mental health and wellbeing.

For younger Arabs, he feels the time has come to tackle such issues, especially as life has become increasingly unsettled in the wake of the pandemic.




With no let-up in COVID-19 infections in many countries, a steady uptick in distressing news and statistics, and unprecedented challenges at home and in the workplace, it is only natural that people are feeling overwhelmed. (Shutterstock/File Photo)

“Whether you like it or not, you won’t feel at peace at any point because we’re being bombarded, which can cause stress,” Salama said.

With no let-up in COVID-19 infections in many countries, a steady uptick in distressing news and statistics, and unprecedented challenges at home and in the workplace, it is only natural that people are feeling overwhelmed, anxious and stressed.

Experts say there are many ways to maintain a good mental balance during these uncertain times.

Among them are the benefits of establishing a good routine, focusing on the things you can control such as exercise and healthy eating, keeping living spaces tidy and limiting news consumption.

“People are feeling so alone, especially during COVID-19, more than ever,” Salama said. For him, taking good care of one’s mental health is the same as stretching before a workout to prevent physical injury.

“We don’t wait until we get injured in sports to warm up,” he said. “We warm up so we perform at our best.”

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Twitter: @CalineMalek


Trucks bringing bodies and detainees into Gaza hold up aid says UNRWA

Updated 01 May 2024
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Trucks bringing bodies and detainees into Gaza hold up aid says UNRWA

  • Israel has killed more than 34,000 Palestinians, according to Gaza’s Health Ministry
  • Asked for more details, UNRWA spokesperson Juliette Touma said that Israel had sent 225 bodies to Gaza in three containers since December that were then transported by the UN agency to local health authorities for burial, shutting the crossing temporarily

GENEVA: Trucks bringing both bodies and detainees from Israel back to Gaza through the main crossing point of Kerem Shalom regularly hold up aid deliveries, the head of the UN agency for Palestinian refugees said on Tuesday.
A deepening humanitarian crisis in Gaza has raised pressure on Israel to boost supplies into the enclave to curb disease among the 1.7 million people displaced by the Israeli-Hamas conflict and relieve hunger amid famine warnings from the United Nations.
UNRWA Commissioner-General Philippe Lazzarini told journalists on Tuesday that aid supplies into Gaza had improved in April but listed a series of ongoing difficulties including regular crossing closures “because they (Israel) are dumping released detainees or dumping sometimes bodies taken to Israel and back to the Gaza Strip.”
Asked for more details, UNRWA spokesperson Juliette Touma said that Israel had sent 225 bodies to Gaza in three containers since December that were then transported by the UN agency to local health authorities for burial, shutting the crossing temporarily. She did not have details of the circumstances of their deaths and said it was not UNRWA’s mandate to investigate.
On the detainee transfers, some of which have been previously reported by Reuters, she said that they had been transferred from Israel back to Gaza “dozens of times.”
Israel’s COGAT, a military branch in charge of aid, did not immediately respond to a request for comment. A spokesperson for the Israeli diplomatic mission in Geneva referred questions on the transfers to Jerusalem.
On aid deliveries, he said: “Mr. Lazzarini is deflecting from UNRWA’s own failures and responsibilities. Again today, there was a backlog of more than 150 trucks screened by Israel in Kerem Shalom not picked up by UN agencies.”
Tensions are high between Israel and UNRWA with the former accusing 19 UNRWA staff of involvement in the Oct. 7 Hamas attacks against Israel that killed 1,200 people and prompted the latter’s military campaign in Gaza. Israel’s allegations are being examined by UN investigators although a separate review found Israel has yet to provide evidence for accusations that hundreds of UNRWA staff are members of terrorist groups.
Kerem Shalom is one of just two crossings the UN says is currently open between Gaza and its neighbors Egypt and Israel.
Palestinian authorities have previously said that Israel has returned bodies from the Israeli-Hamas conflict after confirming they were not hostages. They said they were trying to identify them and figure out where they were killed.

 


Tunisian opposition wants political prisoners freed before taking part in presidential election

Updated 01 May 2024
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Tunisian opposition wants political prisoners freed before taking part in presidential election

  • Ennahdha’s headquarters were shut down a year ago, and its leader Rached Ghannouchi – a former parliament speaker – was sentenced to 15 months in prison on charges of glorifying terrorism

TUNIS, Tunisia: Tunisia’s main opposition coalition said Tuesday it won’t take part in the North African country’s upcoming presidential election unless President Kais Saied’s political opponents are freed and judicial independence is restored.
More than 20 political opponents have been charged or imprisoned since Saied consolidated power in 2021 by suspending parliament and rewriting the country’s constitution. Voters weary of political and economic turmoil approved his constitutional changes in a 2021 referendum with low turnout.
Saied is widely expected to run in the presidential election, likely to take place in September or October. It is unclear if anyone will challenge him.
The National Salvation Front, a coalition of the main opposition parties including once-powerful Islamist movement Ennahdha, expressed concern that the election wouldn’t be fair, and laid out its conditions for presenting a candidate.
They include freeing imprisoned politicians, allowing Ennahdha’s headquarters to reopen, guaranteeing the neutrality and independence of the electoral commission and restoring the independence of the judicial system, according to National Salvation Front president Ahmed Nejib Chebbi.
Ennahdha’s headquarters were shut down a year ago, and its leader Rached Ghannouchi – a former parliament speaker – was sentenced to 15 months in prison on charges of glorifying terrorism. His supporters say the charge is politically driven.
Under the constitutional changes Saied introduced, the president can appoint members of the electoral authority as well as magistrates.
Tunisia’s earlier charter had been seen as a model for democracies in the region.
Tunisia built a widely praised but shaky democracy after unleashing Arab Spring popular uprisings across the region in 2011. Its economic woes have deepened in recent years, and it is now a major jumping off point for migrants from Tunisia and elsewhere in Africa who take dangerous boat journeys toward Europe.

 


Israeli ground operation in Rafah would be ‘tragedy beyond words’: UN

Updated 01 May 2024
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Israeli ground operation in Rafah would be ‘tragedy beyond words’: UN

  • “The world has been appealing to the Israeli authorities for weeks to spare Rafah, but a ground operation there is on the immediate horizon,” said Griffiths

UNITED NATIONS, United States: A ground operation by Israeli troops in the southern Gaza city of Rafah would be a “tragedy beyond words,” the UN’s humanitarian chief Martin Griffiths said in a statement on Tuesday.
“The simplest truth is that a ground operation in Rafah will be nothing short of a tragedy beyond words. No humanitarian plan can counter that,” Griffiths said, after Israeli Prime Minister Benjamin Netanyahu vowed to launch an offensive on Rafah, which has become a refuge to some 1.5 million Palestinians.
With Hamas weighing a truce plan proposed in Cairo talks with the US, Egyptian and Qatari mediators, Netanyahu vowed to launch the assault on Rafah “with or without a deal.”
Washington has joined calls on Israel from other countries and humanitarian organizations to spare the city for fear an army incursion would lead to massive civilian casualties.
“The world has been appealing to the Israeli authorities for weeks to spare Rafah, but a ground operation there is on the immediate horizon,” said Griffiths.
“For the hundreds of thousands of people who have fled to Gaza’s southernmost point to escape disease, famine, mass graves and direct fighting, a ground invasion would spell even more trauma and death.
“For agencies struggling to provide humanitarian aid despite the active hostilities, impassable roads, unexploded ordnance, fuel shortages, delays at checkpoints, and Israeli restrictions, a ground invasion would strike a disastrous blow.
“We are in a race to stave off hunger and death, and we are losing.”
The war in Gaza started after Hamas’s October 7 attack on southern Israel resulted in the deaths of 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.
Israel’s retaliatory offensive has killed at least 34,535 people in Gaza, mostly women and children, according to the health ministry in the Hamas-run territory.
Palestinian militants also took some 250 hostages on October 7. Israel estimates 129 remain in Gaza, including 34 believed to be dead.


Why Israel is so determined to launch an offensive in Rafah. And why so many oppose it

Updated 01 May 2024
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Why Israel is so determined to launch an offensive in Rafah. And why so many oppose it

  • Israel has killed more than 34,000 Palestinians, according to Gaza’s Health Ministry
  • Palestinians live in densely packed tent camps, overflowing UN shelters or crowded apartments, and are dependent on international aid for food, with sanitation systems and medical facilities infrastructure crippled

JERUSALEM: Israel is determined to launch a ground offensive against Hamas in Rafah, Gaza’s southernmost town, a plan that has raised global alarm because of the potential for harm to more than a million Palestinian civilians sheltering there.
Even as the US, Egypt and Qatar pushed for a ceasefire deal they hope would avert an assault on Rafah, Prime Minister Benjamin Netanyahu repeated on Tuesday that the military would move on the town “with or without a deal” to achieve its goal of destroying the Hamas militant group.
“We will enter Rafah because we have no other choice. We will destroy the Hamas battalions there, we will complete all the objectives of the war, including the return of all our hostages,” he said.
Israel has approved military plans for its offensive and has moved troops and tanks to southern Israel in apparent preparation — though it’s still unknown when or if it will happen.
About 1.4 million Palestinians — more than half of Gaza’s population — are jammed into the town and its surroundings. Most of them fled their homes elsewhere in the territory to escape Israel’s onslaught and now face another wrenching move, or the danger of facing the brunt of a new assault. They live in densely packed tent camps, overflowing UN shelters or crowded apartments, and are dependent on international aid for food, with sanitation systems and medical facilities infrastructure crippled.
WHY RAFAH IS SO CRITICAL
Since Israel declared war in response to Hamas’ deadly cross-border attack on Oct. 7, Netanyahu has said a central goal is to destroy its military capabilities.
Israel says Rafah is Hamas’ last major stronghold in the Gaza Strip, after operations elsewhere dismantled 18 out of the militant group’s 24 battalions, according to the military. But even in northern Gaza, the first target of the offensive, Hamas has regrouped in some areas and continued to launch attacks.
Israel says Hamas has four battalions in Rafah and that it must send in ground forces to topple them. Some senior militants could also be hiding in the city.
WHY THERE IS SO MUCH OPPOSITION TO ISRAEL’S PLAN
The US has urged Israel not to carry out the operation without a “credible” plan to evacuate civilians. Egypt, a strategic partner of Israel, has said that an Israeli military seizure of the Gaza-Egypt border — which is supposed to be demilitarized — or any move to push Palestinians into Egypt would threaten its four-decade-old peace agreement with Israel.
Israel’s previous ground assaults, backed by devastating bombardment since October, leveled huge parts of northern Gaza and the southern city of Khan Younis and caused widespread civilian deaths, even after evacuation orders were given for those areas.
Israel’s military says it plans to direct the civilians in Rafah to “humanitarian islands” in central Gaza before the planned offensive. It says it has ordered thousands of tents to shelter people. But it hasn’t given details on its plan. It’s unclear if it’s logistically possible to move such a large population all at once without widespread suffering among a population already exhausted by multiple moves and months of bombardment.
Moreover, UN officials say an attack on Rafah will collapse the aid operation that is keeping the population across the Gaza Strip alive,. and potentially push Palestinians into greater starvation and mass death.
Some entry points have been opened in the north, and the US has promised that a port to bring in supplies by sea will be ready in weeks. But the majority of food, medicine and other material enters Gaza from Egypt through Rafah or the nearby Kerem Shalom crossing — traffic that is likely to be impossible during an invasion.
The US has said that Israel should use pinpoint operations against Hamas inside Rafah without a major ground assault.
After Netanyahu’s latest comments, US National Security spokesperson John Kirby said, “We don’t want to see a major ground operation in Rafah. Certainly, we don’t want to see operations that haven’t factored in the safety, security of” those taking refuge in the town.
POLITICAL CALCULATIONS
The question of attacking Rafah has heavy political repercussions for Netanyahu. His government could be threatened with collapse if he doesn’t go through with it. Some of his ultranationalist and conservative religious governing partners could pull out of the coalition, if he signs onto a ceasefire deal that prevents an assault.
Critics of Netanyahu say that he’s more concerned with keeping his government intact and staying in power than national interest, an accusation he denies.
One of his coalition members, Finance Minister Bezalel Smotrich, said Tuesday that accepting a ceasefire deal and not carrying out a Rafah operation would amount to Israel “raising a white flag” and giving victory to Hamas.
On the other hand, Netanyahu risks increasing Israel’s international isolation — and alienating its top ally, the United States — if it does attack Rafah. His vocal refusals to be swayed by world pressure and his promises to launch the operation could be aimed at placating his political allies even as he considers a deal.
Or he could bet that international anger will remain largely rhetorical if he goes ahead with the attack. The Biden administration has used progressively tougher language to express concerns over Netanyahu’s conduct of the war, but it has also continued to provide weapons to Israel’s military and diplomatic support.
 

 


Libyan parliament approves 2024 budget of $18.5 bln to its installed government

Updated 01 May 2024
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Libyan parliament approves 2024 budget of $18.5 bln to its installed government

  • The budget is for the Benghazi-based government of Osama Hamad, who came to power in March 2023 and is allied with the military commander Khalifa Haftar, who controls the east and large parts of the southern region of Libya

BENGHAZI: Libya’s eastern-based parliament on Tuesday unanimously approved the 2024 budget for the government it installed of 90 billion Libyan dinars ($18.5 billion), excluding an item for development projects, three MPs told Reuters.
The budget is for the Benghazi-based government of Osama Hamad, who came to power in March 2023 and is allied with the military commander Khalifa Haftar, who controls the east and large parts of the southern region of Libya.
Libya’s separate Tripoli-based Government of National Unity is headed by interim Prime Minister Abdulhamid Al-Dbeibah, who was installed through a UN-backed process in 2021.
House of Representatives (HoR) member Aisha Tublqi said the item for development projects was excluded from the budget because “the government demanded 30 billion LYD for three years but the parliament wants more details for the projects for approval.”
It is unclear if the Tripoli-based Central Bank of Libya (CBL) governor, Sadiq Kabir, will hand over the money to the government of Hamad.
CBL is the only internationally recognized depository for Libyan oil revenues, the country’s vital economic income.
“We accepted and approved the budget with taking into account some notes,” said HoR member Abdulmenam Alorafi.
In February, Kabir called for a new unified government and a national budget in an apparent challenge to his former ally Dbeibah over government spending, urging for an end to what he described as parallel spending “from unknown sources.”
Dbeibah, who is no longer recognized by HoR, has vowed not to cede power to a new government without national elections.
A political process to resolve more than a decade of conflict in Libya has been stalled since an election scheduled for December 2021 collapsed amid disputes over the eligibility of the main candidates and disputes over elections laws.
The dispute over control of government and state revenue, and over a political solution to resolve years of violent chaos, threatens to launch Libya back into administrative partition and war.
In his briefing to the Security Council this month, UN special envoy Abdullah Bathily urged Libyan authorities “to promptly agree on a national budget and decisively address significant deficiencies.”
Bathily, who had tendered his resignation to UN Secretary-General Antonio Guterres, said, “The economic situation in Libya is becoming severely strained, amidst warnings from the Central Bank of Libya of an impending liquidity crisis.”