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Report of the Webinar
“Immunity on Mental Health in Pandemic and Concurrent Disasters “
NIDM and RADHEE Disaster and Education Foundation
17th July, 2020
Background
The World Health Organization (WHO) on March 11 declared COVID-19 a pandemic. Till
July 3, the virus has spread in 215 countries affecting 109 million people, causing more than
5.23 lac deaths. Most of the country where high mortality is reported is due to poor
immunity of the people and lack of health care infrastructure capacity. USA, European
countries had best of health are infrastructure for normal situation but couldn’t handle the
increasing number of COVID 19 cases which has increased mortality in those countries.
COVID-19 Disease
Corona Virus named SARS-COV2 is enveloped RNA virus which is one of the deadliest
viruses as it spreads through respiratory secretions and it survives in different surfaces from 4
hours to 7 days. Post infection incubation period varies from 0 to 21 days and in some cases,
it is seen up to 45 days. In many cases, post infection, patients have been reporting of re-
infection making it extremely complicated virus to understand and deal with. Lock down,
Face mask and physical distancing of 3 feet is helping to reduce the spread but is not the
solution.
People infected with COVID-19 diseases are categorised in 5 stages
i. Asymptomatic – does not show any medical symptoms
ii. Mild Symptoms – symptoms are mild in nature and can be treated at home.
iii. Moderate Symptoms – require continuous medical attention and hospitalization
iv. Sever Symptoms – require ICU care
v. Critical – require life support
Stress created by negative media news, economic impact, lockdown and fear of getting
infected is reducing the immunity of the citizen and many patients are elevating into
moderate symptoms and critical category who require hospitalization. Strengthening the
immune system will limit the impact of disease in the body to Asymptomatic or Mild
Symptoms not requiring hospitalization thereby reducing deaths and burden on healthcare
infrastructure.
Pandemic response in India
On March 22 India observed voluntary Janta Curfew and followed it up with countrywide
lockdown. Till July 3, India has 6, 27,168 cases and 18,225 deaths in the country. Number of
cases in the country are on rise and the healthcare system is overwhelmed. The government is
adding more beds in the hospitals for severely ill patients. It has also reached out to private
hospitals to get them to scale up their capacity for Covid-19 patients.
Extensive testing and lockdown are playing a vital role in controlling the number of cases.
PPE,Mask, physical distancing, infected people their contacts are quarantine which is also
helping in controlling the infection. Approval of many medicines for treatment and clinical
trial, plasma therapy is helping in reducing the number of fatalities. Antibody test will also
help in knowing the person’s sustainability of getting infected but is not full proof
solution.Researchers have mapped immune responses from COVID-19 patients, showing the
body's ability to fight the virus and recover from the infection. According to the WHO, 80%
of new Covid-19 cases are mild or asymptomatic not requiring Hospitalization and ICU care.
Strong Immunity of human beings will be a game changer in fight against COVID-19
pandemic and it could increase asymptomatic and mild symptom patient’s proportion
to 90-95%.
Pandemic and Concurrent Disaster
During the COVID-19 pandemic, India has already witnessed 2 major cyclone Amphan and
Nisarg. This has added difficulties to the already stressed response agencies as well as
citizen.Currently due to monsoon season many parts of the country is facing deaths due
floods and lightening. Epidemics like Dengue and Malaria has caused few deaths across the
country.
Need of Hour
It is a need of the hour to develop a holistic approach in public health post disaster response.
This would help in reducing the health issues during any pandemic, epidemic or post disaster
by strengthening the immunity and working on mental health.
Immune System
The immune system protects the body against disease or other potentially damaging foreign
bodies. When functioning properly, the immune system identifies and attacks a variety of
threats, including viruses, bacteria and parasites, while distinguishing them from the body's
own healthy tissue. Cortisol is a stress hormone released for helping the body deal with
stressful situations. However, when cortisol levels are too high for longer period, it is harmful
for immune system. Thus, due to continuous stress Immunity is impaired which leads to
reduction in producing Lymphocytes (WBCs) which are vital component of Immune system
to fight pathogens. Strong immunity will protect the body from being susceptible to diseases.
Even if one gets disease, strong immunity will keep a person asymptomatic or mild
symptomatic not requiring hospitalization and ICU care.
Immunity is a Package
Immunity is combination of Mental Health, Physical Health and Balanced Diet. Working on
entire package is needed to improve the Immunity as working on one aspect only doesn’t
improve the immunity. Most of the people believe that eating certain type of food or doing
walking, running, exercise.or yoga will improve their immunity, however, it is seen in many
cases that such people may have some or the other health issue due to underlying stress,
anxiety, fear, sleep disorder etc.
Mental Health and Disaster
Experiencing a disaster can cause stress for families and develop disorders like anxiety,
depression, and post-traumatic stress disorder. Mental health disorders noted during disasters
can be classified into acute phase (1-3 months) and long-term phase (>3 months). Pandemic
or Disaster Survivors may exhibit a range of physical, emotional, and cognitive symptoms.
This heightened emotional state is similar to classical fight/flight/freeze reaction of stress.
Affected person may not be in a position to think and act rationally during disaster
Immunity and Mental Health
A Healthy Mind is a must to maintain a healthy body and mental health plays vital role in
immunity strengthening. When an individual is stressed, the immune system's ability to fight
off antigens is reduced. That is when he/she is more susceptible to infections.The stress
hormone corticosteroid can suppress the effectiveness of the immune system. Tlymphocytes,
one type of immune cells present in our blood,play a significant role in regulating the
emotional response.
Problem Statement
As per the CIGNA 360 Well-Being Survey, 2019, 89% of India's population is suffering from
stress and 75% of respondents do not feel comfortable talking to a medical professional.
These statistics are before the outbreak of COVID-19 pandemic which would further rise due
to fear and anxiety created by the lockdown and spread of disease. Few reasons that add to
health problem includes:
• Work and finances are the key reasons for people to attribute their stress
• Economic slowdown and loss of jobs is an additional stimulant to stress
• Fear of getting infected or guilt of infecting others with COVID-19 is causing anxiety
• Physical exercise and food habits are impacted due to lockdown
• Mental health is not discussed and considered as taboo
Most of Indians are not conscious about their physical and mental health. Especially
recognizing and accepting mental health problem is off-limits.
Worries about the future and continuous fear of catching COVID-19 could create chronic
stress that could result in development of diseases and autoimmune disorders. Due to stress,
digestion could also be impaired which is the cause for lack of required vitamins, minerals
and essential nutrition thus reducing the disease fighting capacity of the body.
Objective of Webinar
Sensitize the decision makers and citizen about importance of Immunity and
mental health,
To highlight health during pandemic and concurrent disaster as a part of capacity
building
To list out steps to combat COVID-19 by strengthening immunity, and;
To put forward the self immunity check up system set up by Radhee disaster and
education foundation.
RADHEE: Self-Immunity Check
RADHEE has developed the web application “Self-Immunity Check”, which is a complete
package where mental health, physical health and diet are included in one platform and
people can get customized answer by set of recommendation to work on their Immunity.
Mental Health questions in the Self-Immunity Check will help the citizen to identifying the
acute phase of mental health issue and recommendation will help in taking corrective
measures thus reducing the person going into to chronic phase of mental health issues. The
objective of the web application “Self-Immunity Check”, is to enroll people through a
selfassessment of their Physical and Mental Health and put them on track to take remedial
actions to strengthen their immunity. Indians culture does not accept mental health as a
subject of discussion and dialogue. The application aims to sensitize and educate individuals
about the signs and symptoms of mental illness while normalizing the idea of seeking support
and working on remedial measures
Number of Participants: 435
List of Participants .
Participan
t
Name Email
1 Chintan Patel chintucn3@gmail.com
2 M.SANTHOSHKUMAR Santsanty138@gmail.com
3 166 135 4250 rohitguptatbi@gmail.com
4 Dr Vikram pal pal_viki@redifmail.com
5 hp shehnu014@gmail.com
6 Roohi Amir roohiaamir.official@gmail.com
7 simran chughsimran56@gmail.com
8 s Ramakrishnan ruparam50@gmail.com
9 Manish Modani mamodani@in.ibm.com
10 MAHARASHTRA RESEARCH
INSTITUTE FOR SOCIAL
SCIENCES, PUNE
mrisstd@gmail.com
11 dheerendra dheerendra_007@hotmail.com
12 BiswanathBasu basu.biswanath@gmail.com
13 COLLECTOR OFFICE -
BANASKANTHA
sanjaykumarchauhan91@gmail.com
14 Basavarajrathod basavarajrathod1990@gmail.com
15 Vandana Khatri vandanakhatri@gmail.com
16 Dr hanspreet drsekhonnhm@gmail.com
17 Dr.C.S.Yatnalli dr.yatnalli@gmail.com
18 Dr SthitiPorna Dutta. sthitidutta7@gmail.com
19 ketan b ketan.bagade@vpt.edu.in
24 PRANGYA RATH prangyarath71@gmail.com
25 Arun Srivastava arunaligarh1@gmail.com
26 Garima Shukla garimashukla003@gmail.com
27 Deenika deenika.g@gmail.com
28 Badarinath R G rgb040758@gmail.com
29 Manoj Kumar Bindal ed.nidm@nic.in
30 munnaalfaz786 munnaalfaz786@gmail.com
32 sunilduttchd sunilduttchd@gmail.com
33 Sandhya Gautam sandhyagautam1@gmail.com
35 Servesh Gupta servesh.gupta@vpt.edu.in
36 kratustrivedi kratustrivedi@gmail.com
37 Anilkumarpatel anilkumarpatel3382@yahoo.com
38 gopal gopalsubbaiah1983@gmail.com
39 cdm.yashada@gmail.com cdm.yashada@gmail.com
40 puja puja.dedhia2424@gmail.com
41 Dr. Satish UttamraoPatil satishpatil5757@gmail.com
42 Chandani Patel patelchandani437@gmail.com
43 BoinPrashamsa boinprashamsa@gmail.com
44 MonalisaNaik naikmonalisa929@gmail.com
46 anild883 anild883@gmail.com
47 JEYARAM. S jeyajegan123@gmail.com
48 LAKSHMI NARAYANA
NAGISETTY
grcnln@gmail.com
49 Dr. Ishwar Singh www.ishwarsingh@gmail.com
50 AnumitaMondal anumitamondal09@gmail.com
51 Ragu kumar ragutrock1997@gmail.com
52 Blithe Sudhar blithesudhar@gmail.com
53 Suraj Das ujjibansociety@gmail.com
54 Anumolsajeev anusajeev1997@gmail.com
55 Rajan Kumar rajan.sharmanov1991@gmail.com
56 Pritesh Tungar tungar.pritesh18@gmail.com
57 Medha Pujari kaizenforautism@gmail.com
58 Kanu Patel kanupatel11@gmail.com
59 drgvramanarao drgvramanarao@gmail.com
60 Kalpana kalpanachoudhry1@gmail.com
61 ShivkumarSherikar skumarsherikar@gmail.com
62 Sukhbir skaur@americares.org
63 swthruby swthruby@gmail.com
64 vaidyakalpana vaidyakalpana@gmail.com
65 Rinku Nag Biswas vu2jfb@gmail.com
66 BoinPrashamsa boinprashamsa@gmail.com
67 PRITI VASAVA Kprityvasava111@gmail.com
69 Dr Arun Kumar Chatterjee drarunkumar.chatterjee2013@gmail.com
70 Dr. N Islam Babu nislambabu7@gmail.com
71 ebormi lyngchiangbormi@gmail.com
72 BAPU NAIDU KOLLI bapunaidu.009@gmail.com
73 Avikalp Mishra avikalp.mishra66@gmail.com
74 Dr.Vaishali Vilas Sonavane vvsonavane@gmail.com
77 chhapikul786 chhapikul786@gmail.com
78 Medha dyc.medha@gmail.com
80 Dr.Ravikant Singh Rathore rathoreji123@gmail.com
81 Swati Chatterjee Nath swati.14babli@gmail.com
82 Yogesh Pardeshi nikipardeshi50@gmail.com
83 HarmeshBhtoa harmeshbhatia07@gmail.com
84 Seema Redkar redkarcma@gmail.com
85 NileshGamit nileshgamit113@gmail.com
86 SARAT SEKHAR BORA saratsekharbora@gmail.com
87 Dr BN Gangadhar kalyanybg@yahoo.com
88 VanitaKhatekar khatekarvanita@gmail.com
89 Alpana Vaidya alpana.vaidya@gmail.com
90 Dr. RRG rgangakhedkar@nariindia.org
91 Karishma Borah kkborah28@gmail.com
92 DR RISHABH SAO saorishabh210686@gmail.com
93 prof.vijaykumarWaghmare vijaykumar.2057@gmail.com
95 venkatesh drvenkatesh2503@gmail.com
96 Dr.ViswaranjanSomanath viswaranjansomanath2017@gmail.com
97 sana abduljabbar2260@gmail.com
98 Merilyn Mathews merillyn.mathews@vpt.edu.in
99 Anilkumarpatel anilkumarpatel3382@yahoo.com
100 elawad.2010 elawad.2010@gmail.com
101 Ankur Pandey ankurpandey.kashyap@gmail.com
102 abhijitpilkhane abhijitpilkhane@gmail.com
103 BikalpaBagui bikalpabagui13@gmail.com
104 GEETASHREE DEORI geetashreedeori@gmail.com
105 Kanchan Chouksey choukseykanchan@gmail.com
107 KESHUBHAI MOKARI klmokariya@gmail.com
108 Sai Kiran saikiran959@gmail.com
109 kundankumar kundanfri@gmail.com
110 Ashok Kumar Sharma ashok.nidm@gmail.com
111 anjithamary aanjithamary@gmail.com
112 Dr Aditya Kumar Chaturvedi draditya.chaturvedi21@gmail.com
113 Bhavana M bhavanam920@gmail.com
114 Dr Desh Deepak drdesh2173@gmail.com
115 Amita Singh amita.singh3@gmail.com
116 GEETASHREE DEORI geetashreedeori@gmail.com
117 Sahidul Islam sahidbapan@gmail.com
118 PREETI BAJPAI SHSB.PREETI@GMAIL.COM
119 K S Mehta kamal.swiftstaffing@gmail.com
120 05 AnnayaRajinikanth 1j rajinisivam@gmail.com
121 Arvind Chauhan arvindchauhan.chauhan081@gmail.com
122 Rupa rupasanjay@gmail.com
123 sana abduljabbar2260@gmail.com
124 PRITI VASAVA Kprityvasava111@gmail.com
125 vishwassupanekar vishwas.supanekar@yashada.org
126 Dr.Nimesh G Desai director@ihbas.org
127 welcome dismgmt-jam@gujarat.gov.in
128 Ashish Ukidve ashish.ukidve@vpt.edu.in
129 Roohi Amir roohiaamir.official@gmail.com
130 shivkumar skumarsherikar@gmail.com
131 Harshad harshad.anjarlekar@nomura.com
132 Anumolsajeev anusajeev1997@gmail.com
133 MSN Reddy M.Reddy@itc.in
134 Rakesh Kumar Jangir rakjangid@gmail.com
135 SrilathaJuvva Juvva.srilatha@gmail.com
136 Anilkumarpatel anilkumarpatel3382@yahoo.com
138 Arvind Gauns agauns@gmail.com
139 Sujata Borade sujata.borade@vpt.edu.in
140 PratimaPawar pratimapawar2007@gmail.com
141 KESHUBHAI MOKARI klmokariya@gmail.com
142 Ragu kumar ragutrock1997@gmail.com
143 Dr. N Islam Babu nislambabu7@gmail.com
144 SARAT SEKHAR BORA saratsekharbora@gmail.com
145 Dr.Rakeshkumar rkpremi1979@gmail.com
146 DR RISHABH SAO saorishabh210686@gmail.com
147 Jiban rayjibankumar1986@gmail.com
148 Dr. RRG rgangakhedkar@nariindia.org
149 rahuldodia rbdodia@gmail.com
150 Tarun Goyal tarungoyal393@gmail.com
151 kamleshpatel.kp kamleshpatel.kp@gmail.com
152 GOPAL PANDEY pandeygopal452@gmail.com
153 Rajan M Karakkattil rmkarakkattil@gmail.com
154 KETAN BAROT ketsbarot@googlemail.com
155 JEYARAM. S jeyajegan123@gmail.com
157 Banashree Bhatia banashreehbatia@gmail.com
158 Vandana Khatri vandanakhatri@gmail.com
159 Vinod Jadhav vinod_jadhav@emri.in
160 RuchitaThorat thoratruchita98@gmail.com
161 Anumolsajeev anusajeev1997@gmail.com
162 Anumolsajeev anusajeev1997@gmail.com
163 Sonia Chhabra SoniaChhabra31@gmail.com
164 J.JEYA PRADHAP pradhapj85@gmail.com
165 J.JEYA PRADHAP pradhapj85@gmail.com
166 Karishma Borah kkborah28@gmail.com
167 Dr SthitiPorna Dutta. sthitidutta7@gmail.com
168 elawad.2010 elawad.2010@gmail.com
169 Dr Desh Deepak drdesh2173@gmail.com
170 sathishkumar.G sathishtut93@gmail.com
171 Kratu Trivedi DPO GirSomnath kratustrivedi@gmail.com
172 Kratu Trivedi DPO GirSomnath kratustrivedi@gmail.com
173 dr.sumijain spcncd1@gmail.com
174 SANDEEP KAUSHIK sandeepkaushikmuz@gmail.com
175 HP nvcmenon@gmail.com
176 barothitesh13188 barothitesh13188@gmail.com
177 Nikita singh Nikita2148838@gmail.com
178 sayalikadam sayali.kadam@vpt.edu.in
179 akangkcha Pradhan pradhanakangkcha@gmail.com
180 M.SANTHOSHKUMAR Santsanty138@gmail.com
183 yogeshpardeshi yogeshpardshi79@gmail.com
184 Roohi Amir roohiaamir.official@gmail.com
185 DR ARVIND MANJREKAR drarvind_aic@sharefoundations.org
187 BIJITH B L blbijith@gmail.com
188 AnumitaMondal anumitamondal09@gmail.com
189 Sneha Sharad Patange sneha.patange@vpt.edu.in
190 plprajapati78 plprajapati78@gmail.com
191 Anil k malik anilkmalik.acw@gmail.com
192 Anil k malik anilkmalik.acw@gmail.com
193 Mridul Mishra mmridul661@gmail.com
194 sudarshan sudarshankapatil@gmail.com
197 SUDHIR KUMAR GOEL sudhirkumargoel@gmail.com
198 ketan b ketan.bagade@vpt.edu.in
199 Ambarish Nag Biswas vu2j@gmail.com
200 Dr. N Islam Babu nislambabu7@gmail.com
201 pro.vs.bsnl pro.vs.bsnl@gmail.com
202 Dr JahirulHaque mdjahirulh560@gmail.com
204 Nitin Rathi sudhadevinitin@gmail.com
207 NATIONAL INSTITUTE OF
DISASTER MANAGEMENT
nidm.outreach02@gmail.com
208 28.G.V.N.SAI DEEP VII A saideep.gvn@gmail.com
209 Dr Kanchan Banavalikar kanchanbanavalikar7@gmail.com
213 Dr. RRG rgangakhedkar@nariindia.org
214 NilanjanaSingha nilanjana12singha@gmail.com
215 Sangeeta Girme oips.principal@gmail.com
216 Akshay Kumar akshay61296@gmail.com
217 Vinod Jadhav vinod_jadhav@emri.in
218 Dr.Anand Kumar psychologysnsct@gmail.com
219 User skvasu1969@gmail.com
220 SARAT SEKHAR BORA saratsekharbora@gmail.com
221 Suresh Kumar . A askredcross@gmail.com
222 swatpab swatpab@gmail.com
223 SrilathaJuvva Juvva.srilatha@gmail.com
224 aparna aparnacs73@gmail.com
225 dilipjha2607 dilipjha2607@gmail.com
226 Er.Mukesh Kumar Saubhagya mksaubhagya@gmail.com
227 smitaditya123 smitaditya123@gmail.com
228 Nivedita Haran nharan@gmail.com
230 Desai Foundation for Change desaifoundationforchange@gmail.com
231 1663301384 rnorphels@gmail.com
232 Padmaselvam padmaselvam1972@gmail.com
233 Dr. Drishti Kansara drishti@fpaindia.org
234 Nivedita Haran nharan@gmail.com
235 ShreelekhaKawade shrekawade@gmail.com
236 Anuja Gujar anujagujar99@gmail.com
237 Belayet Hussain Mazumder belayetmazumder81@gmail.com
238 Dr. N Islam Babu nislambabu7@gmail.com
239 BIJITH BAHULEYAN blbijith@gmail.com
240 Surya Parkash surya.nidm@nic.in
241 AFREEN BEGUM afreen.neha403@gmail.com
242 yashwant.verma90 yashwant.verma90@gmail.com
243 ChittimalaNagaraju chittimalanagaraju@gmail.com
244 Dr.Smriti Singh Baghel sanjeevni.smriti@gmail.com
245 Amruta Joshi joshiamrutad@gmail.com
246 VaishaliGhag nalinighugre23@gmail.com
247 ADMIN satpal2all@gmail.com
248 Jiban rayjibankumar1986@gmail.com
249 Asif Reshamwala asif.reshamwala@radhee.com
250 Ivette Dias Ivette_dias@emri.in
251 mandal.dibas123 mandal.dibas123@gmail.com
252 AFREEN BEGUM afreen.neha403@gmail.com
253 sateesh kumar9780@gmail.com
255 jerin jerindop1985@gmail.com
256 dr.ssandip.dey dr.ssandip.dey@gmail.com
257 Sangeeta Girme oips.principal@gmail.com
258 sachin sachin.ataware@yahoo.com
260 saswatichoudhury saswati.choudhury@gmail.com
261 Dr.MonalishaRoychaudhury mroychaudhury30@gmail.com
263 rakhishowal rakhishowal@gmail.com
264 DR mahendrasingh cg dhsnmhpcg@gmail.com
265 Suraj Nair surajsnair1982@gmail.com
266 Zahra Diwan zahra.diwan@gmail.com
267 Prashant dhanapgol@gmail.com
269 Sunil Thube sunil.thube@vit.edu.in
270 sobhanadri.pendem sobhanadri.pendem@gmail.com
271 DRONALI TALUKDAR dronali22@gmail.com
272 Dr Gopal Dixit gopaldixit2k@yahoo.com
274 Sahidul Islam sahidbapan@gmail.com
275 Dr. Sunil Kumar SMO MLDCH Ynr dhs.csynr@hry.nic.in
276 das.piyusha das.piyusha@gmail.com
277 Dr.Athira Menon dr.athirarajeesh.04@gmail.com
278 barothitesh13188 barothitesh13188@gmail.com
279 Suresh suresh.babu@kellogg.com
280 Rakesh Kumar Jangir rakjangid@gmail.com
281 Anumolsajeev anusajeev1997@gmail.com
282 KARPOO pogar700@gmail.com
283 AnumitaMondal anumitamondal09@gmail.com
284 MohdAzam md.azam.azmi@gmail.com
285 Henna hennahejazi@gmail.com
286 Dr. Prashant J Awate mr.prashantawate@gmail.com
287 SougataKarjee skarjee.math@gmail.com
288 BIJITH B L blbijith@gmail.com
289 Vasuki Shanmukhapriya mitra.vasuki@gmail.com
290 Dr. Sunil Kumar SMO dhs.csynr@hry.nic.in
292 Pranay Gupta pranaysmdpunpun@gmail.com
293 Dr JahirulHaque mdjahirulh560@gmail.com
294 shilpa.tambe09 shilpa.tambe09@gmail.com
295 shilpa.tambe09 shilpa.tambe09@gmail.com
296 Dr.Pallvi Sharma pallavisharmammkk@gmail.com
297 Swati AR swati.ranade@vpt.edu.in
298 Swati AR swati.ranade@vpt.edu.in
299 Belayet Hussain Mazumder belayetmazumder81@gmail.com
301 HITESHKUMAR hiteshmewada1989@gmail.com
303 santoshkumar profsantosh@gmail.com
304 j.jeyapradhap pradhapj85@gmail.com
305 AnumitaMondal anumitamondal09@gmail.com
309 iqackamani iqackamani@gmail.com
310 drankitatandon7 drankitatandon7@gmail.com
311 ShahinoorAlam shahinoor.glp@gmail.com
312 Defensive Driving xyz@abc.com
313 Mukesh Kumar Saubhagya mukesh_saubhagya124@rediffmail.com
314 vandanachandra97 vandanachandra97@gmail.com
315 Suraj Das ujjibansociety@gmail.com
316 ramyamohan317 ramyamohan317@gmail.com
317 ChiragVajani cachiragvajani@cachiragvajani.in
319 SUMALATHA PHIRANGI sumasobhan@gmail.com
320 Dr.Gangadhar B Sonar gbsonar@kswu.ac.in
321 PalasSamanta samanta.palas2010@gmail.com
322 prakashthrat prakashvishnuthorat@gmail.com
323 sarkar.mls sarkar.mls@gmail.com
324 swatiparab youniquething@gmail.com
325 ShreelekhaKawade shrekawade@gmail.com
326 DRONALI TALUKDAR dronali22@gmail.com
327 Swati AR swati.ranade@vpt.edu.in
328 Sanjay Khanna sanjay@daffodilsgifts.com
329 vspra vsprakash6666@gmail.com
330 Gurumurthy.V guru99924@gmail.com
331 girishrampalupadhyay girish600@gmail.com
332 M.Anjel Catherin saswinsurya80@gmail.com
333 elawad.2010 elawad.2010@gmail.com
334 Prashant dhanapgol@gmail.com
335 Usha Patel ushajpatel871@gmail.com
336 Usha Patel ushajpatel871@gmail.com
337 BoinPrashamsa boinprashamsa@gmail.com
338 Dr.Akshay Kumar akshay61296@gmail.com
339 Nitin Rathi sudhadevinitin@gmail.com
340 KRITIKA SUMAN krittikasuman820@gmail.com
341 KALPANA PANDA kalpanamama97@gmail.com
342 ShantaramNaik jtehosecc@gmail.com
346 Manisha Pokharkar manisha.pokharkar@vpt.edu.in
347 Mridul Mishra mmridul661@gmail.com
348 kseema946 kseema946@gmail.com
349 AFREEN BEGUM afreen.neha403@gmail.com
350 BiohmConsultare biohmconsultare@gmail.com
352 VINU K J vinukjpsdp@gmail.com
353 Muniswamy Vasu vheedu@rediffmail.com
354 SUDIPTA PAL pal.sgmp@gmail.com
355 COLLECTOR OFFICE -
BANASKANTHA
sanjaykumarchauhan91@gmail.com
356 Dr Narendra Vaidya narendravaidya2012@gmail.com
357 NLathwal nidhi.lathwal@gmail.com
358 Dr Saravanan T T saravanan_tt@emri.in
359 Kanu Patel kanupatel11@gmail.com
362 Subhajit subhajit.adhikary9@gmail.com
363 MITESH MITESHDODI@GMAIL.COM
364 KALPANA PANDA kalpanamama97@gmail.com
365 Rajiv Kumar rkdada56@gmail.com
366 DR shantaram D shinde 60datta@gmail.com
367 SardarRameezSudhan rameezsuden@gmail.com
368 santosh profsantosg@gmail.com
369 kanupriyajha25 kanupriyajha25@gmail.com
370 CARTHIGUEANE NSS RD PUNE dcarthigueane@gmail.com
372 Dr Venu Gopal Raju S V drvenugopalkmc@gmail.com
373 DR mahendrasingh cg dhsnmhpcg@gmail.com
374 Prasad JairamKoyande prasad.koyande@vpt.edu.in
375 k ajinderw@gmail.com
377 jerin jerindop1985@gmail.com
378 pro.vs.bsnl pro.vs.bsnl@gmail.com
379 calexander ch_alexander@wvi.org
381 PRITI VASAVA Kprityvasava111@gmail.com
382 kishordhruw drkishordhruw@gmail.com
385 akangkcha Pradhan pradhanakangkcha@gmail.com
387 Dr.Hanspreet drsekhonnhm@gmail.com
388 Esther Jamnik estherjjamnik@gmail.com
389 Dr. Suman Lata slkundu76@gmail.com
390 Nitin Rathi sudhadevinitin@gmail.com
391 M.Anjel Catherin saswinsurya80@gmail.com
392 Kanai Bhattacharjee bhattacharjee030@gmail.com
393 sumijain
395 Radhika radhika.amc1@gmail.com
396 Vimal Tiwari 9153vimu@gmail.com
397 parimalaraokk parimalaraokk@gmail.com
398 j.jeyapradhap pradhapj85@gmail.com
399 Dr. N Islam Babu nislambabu7@gmail.com
400 anild883 anild883@gmail.com
401 saswatichoudhury saswati.choudhury@gmail.com
402 ROSLYN L CHANGSAN roslynlchangsan@gmail.com
403 Pritesh Tungar tungar.pritesh18@gmail.com
404 ArunaShadhikantYadhwante aruyah16@gmail.com
405 prashanth gangurnagarajuprashanth@gmail.com
407 Rishikumar R rishikumar.cks5@gmail.com
408 AnumitaMondal anumitamondal09@gmail.com
409 AnumitaMondal anumitamondal09@gmail.com
410 VINU K J vinukjpsdp@gmail.com
411 ShahinoorAlam shahinoor.glp@gmail.com
412 Ajay Rautela ajay1234rautela@gmail.com
413 munnaalfaz786 munnaalfaz786@gmail.com
414 Vinod Kumar Yadav vinodyadavmsc16@gmail.com
416 AnumitaMondal anumitamondal09@gmail.com
417 Zil Gala zilg17@gmail.com
418 sana abduljabbar2260@gmail.com
419 Parvaiz Ahmad Pir pirparvaiz@gmail.com
420 manjuvishal vidya199934@gmail.com
421 Dr Desh Deepak drdesh2173@gmail.com
422 D. Banumathi banumathikpm66@gmail.com
423 VivekanandVijaykumar Kadam vivek91587@gmail.com
424 Dr Venu Gopal Raju S V drvenugopalkmc@gmail.com
425 Abasaheb P. Kale abasaheb.kale@marsh.com
426 sateesh kumar9780@gmail.com
427 ShantaramNaik jtehosecc@gmail.com
428 Usha Patel ushajpatel871@gmail.com
429 thanks binjudinesh123@gmail.com
430 Kousalya V Kumar kousalya.vkumar@gmail.com
434 DEEPAK MEHTA deepakpulse@gmail.com
435 Rita dr.ritasavla@gmail.com
Key take Away Points
1. Ensure safe migration of workers, isolation for 2 weeks and offer of test of Covid 19.
2. Non Pharmacological interventions to control the spread of virus are important.
3. Need to analyse alternative models of helath care in other countries to deal with the
Pandemic
4. Ned of the hour is to undertake steps to prevent burnout of health workers
5. Low Outbreak states can send their experienced health teams to Sates with high
outbreak of the disease.
6. NIMHANS has undertaken several interventions to deal with the increase in mental
health issues amongst the community and patients.
7. Undertake Self assessment Check developed by Radhee Foundation
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Concept Note on Webinar
Immunity and Mental Health in Pandemic and Concurrent Disaster
Joint Initiative of NIDM and RADHEE
Webinar Initiative National Institute of Disaster Management (NIDM) and RADHEE Disaster and Education Foundation have taken a joint initiative to conduct a webinar with speakers from NIDM, RADHEE, ICMR and NIMHANS.
Objective of Webinar • Sanitize the decision makers and citizen about importance of Immunity and Mental
Health during pandemic and concurrent disaster as a part of capacity building
• Combat COVID-19 by Strengthening Immunity
Background The World Health Organization (WHO) on March 11 declared COVID-19 a pandemic. Till July 3, the virus has spread in 215 countries affecting 109 million people, causing more than 5.23 lac deaths. Most of the country where high mortality is reported is due to poor immunity of the people and lack of health care infrastructure capacity. USA, European countries had best of health are infrastructure for normal situation but couldn’t handle the increasing number of COVID 19 cases which has increased mortality in those countries.
COVID-19 Disease Corona Virus named SARS-COV2 is enveloped RNA virus which is one of the deadliest viruses as it spreads through respiratory secretions and it survives in different surfaces from 4 hours to 7 days. Post infection incubation period varies from 0 to 21 days and in some cases, it is seen up to 45 days. In many cases, post infection, patients have been reporting of re-infection making it extremely complicated virus to understand and deal with. Lock down, Face mask and physical distancing of 3 feet is helping to reduce the spread but is not the solution. People infected with COVID-19 diseases are categorised in 5 stages
i. Asymptomatic – does not show any medical symptoms
ii. Mild Symptoms – symptoms are mild in nature and can be treated at home.
iii. Moderate Symptoms – require continuous medical attention and hospitalization
iv. Sever Symptoms – require ICU care
v. Critical – require life support
Stress created by negative media news, economic impact, lockdown and fear of getting infected is reducing the immunity of the citizen and many patients are elevating into moderate symptoms and critical category who require hospitalization. Strengthening the immune system
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will limit the impact of disease in the body to Asymptomatic or Mild Symptoms not requiring hospitalization thereby reducing deaths and burden on healthcare infrastructure.
Pandemic response in India On March 22 India observed voluntary Janta Curfew and followed it up with countrywide lockdown. Till July 3, India has 6,27,168 cases and 18,225 deaths in the country. Number of cases in the country are on rise and the healthcare system is overwhelmed. The government is adding more beds in the hospitals for severely ill patients. It has also reached out to private hospitals to get them to scale up their capacity for Covid-19 patients. Extensive testing and lockdown are playing a vital role in controlling the number of cases. PPE, Mask, physical distancing, infected people their contacts are quarantine which is also helping in controlling the infection. Approval of many medicines for treatment and clinical trial, plasma therapy is helping in reducing the number of fatalities. Antibody test will also help in knowing the person’s sustainability of getting infected but is not full proof solution. Vaccination and Researchers have mapped immune responses from COVID-19 patients, showing the body's ability to fight the virus and recover from the infection. According to the WHO, 80% of new Covid-19 cases are mild or asymptomatic not requiring Hospitalization and ICU care. Strong Immunity of human beings will be a game changer in fight against COVID-19 pandemic and it could increase asymptomatic and mild symptom patient’s proportion to 90-95%.
Pandemic and Concurrent Disaster During the COVID-19 pandemic, India has already witnessed 2 major cyclone Amphan and Nisarg. This has added difficulties to the already stressed response agencies as well as citizen. Currently due to monsoon season many parts of the country is facing deaths due floods and lightening. Epidemics like Dengue and Malaria has caused few deaths across the country.
Need of Hour It is a need of the hour to develop a holistic approach in public health post disaster response. This would help in reducing the health issues during any pandemic, epidemic or post disaster by strengthening the immunity and working on mental health.
Immune System The immune system protects the body against disease or other potentially damaging foreign bodies. When functioning properly, the immune system identifies and attacks a variety of threats, including viruses, bacteria and parasites, while distinguishing them from the body's own healthy tissue. Cortisol is a stress hormone released for helping the body deal with stressful situations. However, when cortisol levels are too high for longer period, it is harmful for immune system. Thus, due to continuous stress Immunity is impaired which leads to reduction in producing Lymphocytes (WBCs) which are vital component of Immune system to fight pathogens.
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Strong immunity will protect the body from being susceptible to diseases. Even if one gets disease, strong immunity will keep a person asymptomatic or mild symptomatic not requiring hospitalization and ICU care.
Immunity is a Package Immunity is combination of Mental Health, Physical Health and Balanced Diet. Working on entire package is needed to improve the Immunity as working on one aspect only doesn’t improve the immunity. Most of the people believe that eating certain type of food or doing walking, running, exercise or yoga will improve their immunity, however, it is seen in many cases that such people may have some or the other health issue due to underlying stress, anxiety, fear, sleep disorder etc.
Mental Health and Disaster Experiencing a disaster can cause stress for families and develop disorders like anxiety, depression, and post-traumatic stress disorder. Mental health disorders noted during disasters can be classified into acute phase (1-3 months) and long-term phase (>3 months). Pandemic or Disaster Survivors may exhibit a range of physical, emotional, and cognitive symptoms. This heightened emotional state is similar to classical fight/flight/freeze reaction of stress. Affected person may not be in a position to think and act rationally during disaster
Immunity and Mental Health A Healthy Mind is a must to maintain a healthy body and mental health plays vital role in Immunity strengthening. When an individual is stressed, the immune system's ability to fight off antigens is reduced. That is when he/she is more susceptible to infections. The stress hormone corticosteroid can suppress the effectiveness of the immune system. T-lymphocytes, one type of immune cells present in our blood, play a significant role in regulating the emotional response.
Problem Statement As per the CIGNA 360 Well-Being Survey, 2019, 89% of India's population is suffering from stress and 75% of respondents do not feel comfortable talking to a medical professional. These statistics are before the outbreak of COVID-19 pandemic which would further rise due to fear and anxiety created by the lockdown and spread of disease. Few reasons that add to health problem includes:
• Work and finances are the key reasons for people to attribute their stress
• Economic slowdown and loss of jobs is an additional stimulant to stress
• Fear of getting infected or guilt of infecting others with COVID-19 is causing anxiety
• Physical exercise and food habits are impacted due to lockdown
• Mental health is not discussed and considered as taboo
Most of Indians are not conscious about their physical and mental health. Especially recognizing and accepting mental health problem is off-limits.
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Worries about the future and continuous fear of catching COVID-19 could create chronic stress that could result in development of diseases and autoimmune disorders. Due to stress, digestion could also be impaired which is the cause for lack of required vitamins, minerals and essential nutrition thus reducing the disease fighting capacity of the body.
Solution by RADHEE: Self-Immunity Check RADHEE has developed the web application “Self-Immunity Check”, which is a complete package where mental health, physical health and diet are included in one platform and people can get customized answer by set of recommendation to work on their Immunity. Mental Health questions in the Self-Immunity Check will help the citizen to identifying the acute phase of mental health issue and recommendation will help in taking corrective measures thus reducing the person going into to chronic phase of mental health issues. The objective of the web application “Self-Immunity Check”, is to enroll people through a self-assessment of their Physical and Mental Health and put them on track to take remedial actions to strengthen their immunity. Indians culture does not accept mental health as a subject of discussion and dialogue. The application aims to sensitize and educate individuals about the signs and symptoms of mental illness while normalizing the idea of seeking support and working on remedial measures.
Outcome of “Webinar” • Tool for preventive steps to reduce the impact of COVID-19
• Flatten the curve and help to restart the normal life
• Capacity building for SDMA, DDMA, VDMA to reduce the impact of pandemic and concurrent disaster
• Reduce epidemic outbreak by strengthening the immunity post disaster
• Reduce acute psychological issues post pandemic and concurrent disasters
• Reduce suicide cases post disaster
Who Should Attend? • Every Indian Citizen
• Decision maker in SDMA, DDMA, VDMA
• Decision makers in Public Health
• Decision makers in Mental Health
• Professionals working in the field of public health, mental health and disaster
• NGO, CBO, Community Leaders etc. working in field of public health, mental health and disaster
• Corporate organizations working in the field of public health, mental health and disaster
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About NIDM National Institute of Disaster Management abbr. NIDM, is a premier institute for training and capacity development programs for managing natural disasters in India, on a national as well as regional basis.
About RADHEE RADHEE Disaster and Education Foundation is a team of professionals working in the field of Public Health, Golden Hour Management for Trauma Patients, Road Accident Prevention and Disaster Risk Reduction. RADHEE has worked in multiple states across India to reduce the aftermath of accidents, disasters and health emergencies through advocacy, awareness, planning and training. Currently RADHEE is functional as Consultants to the Government of Odisha for Golden Hour Management in Trauma Patients in the State.
Conceptualized by: Dr Rita Savla, Founder Director RADHEE Disaster and Education Foundation.
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