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


Syria unable to import wheat or fuel due to US sanctions, trade minister says

Updated 07 January 2025
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Syria unable to import wheat or fuel due to US sanctions, trade minister says

  • The sanctions were imposed during Assad’s rule, targeting his government and also state institutions such as the central bank

DAMASCUS: Syria is unable to make deals to import fuel, wheat or other key goods due to strict US sanctions and despite many countries, including Gulf Arab states, wanting to do so, Syria’s new trade minister said.
In an interview with Reuters at his office in Damascus, Maher Khalil Al-Hasan said Syria’s new ruling administration had managed to scrape together enough wheat and fuel for a few months but the country faces a “catastrophe” if sanctions are not frozen or lifted soon.
Hasan is a member of the new caretaker government set up by Islamist rebel group Hayat Tahrir Al-Sham after it launched a lightning offensive that toppled autocratic President Bashar Assad on Dec. 8 after 13 years of civil war.
The sanctions were imposed during Assad’s rule, targeting his government and also state institutions such as the central bank.
Russia and Iran, both major backers of the Assad government, previously provided most of Syria’s wheat and oil products but both stopped doing so after the rebels triumphed and Assad fled to Moscow.
The US is set to announce an easing of restrictions on providing humanitarian aid and other basic services such as electricity to Syria while maintaining its strict sanctions regime, people briefed on the matter told Reuters on Monday.
The exact impact of the expected measures remains to be seen.
The decision by the outgoing Biden administration aims to send a signal of goodwill to Syria’s people and its new Islamist rulers, and pave the way for improving basic services and living conditions in the war-ravaged country.
At the same time, US officials see the sanctions as a key point of leverage with a new ruling group that was designated a terrorist entity by Washington several years ago but which, after breaking with Islamist militant group Al Qaeda, has recently signalled a more moderate approach.
Washington wants to see Damascus embark on an inclusive political transition and to cooperate on counterterrorism and other matters.
Hasan told Reuters he was aware of reports that some sanctions may soon be eased or frozen.


Libya military says air strikes target smuggling sites

Updated 07 January 2025
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Libya military says air strikes target smuggling sites

  • The Libyan Army said the air strikes “targeted and destroyed fuel trafficking sites in Zawiya, specifically in Asban,” a semi-rural area outside of the city

ZAWIYAH, Libya: Libya’s UN-recognized authorities have launched air strikes targeting drug trafficking and fuel smuggling hubs west of the capital, a military statement said on Monday.
It remained unclear if there were casualties from the strikes in Zawiya, a city on the Mediterranean coast about 40 kilometers (25 miles) west of the capital Tripoli.
Libya was plunged into chaos after a NATO-backed uprising toppled and killed strongman Muammar Qaddafi in 2011, with armed groups exploiting the situation to fund their activities through fuel smuggling and the trafficking of migrants.
The Libyan Army said the air strikes “targeted and destroyed fuel trafficking sites in Zawiya, specifically in Asban,” a semi-rural area outside of the city.
It also called on locals to clear areas it labelled as “strongholds for trafficking and crime.”
In May 2023, the Tripoli-based government carried out drone strikes as part of an anti-smuggling operation, killing at least two people and injuring several others, authorities said at the time.
Those strikes followed clashes between armed groups suspected of involvement in human trafficking and smuggling of fuel and other contraband goods.
Libya’s eastern-based parliament accused the Tripoli-based Government of National Unity of targeting the home of one of its lawmakers, an opponent of the government.
Libya is divided between the Tripoli-based GNU and a rival administration in the east, backed by military strongman Khalifa Haftar.
Footage posted on the army’s Facebook page showed a military truck smashing into the facade of a small dwelling.
Other footage showed tanks and pickup trucks mounted with machine guns driving through Zawiya.
The city hosts Libya’s second-largest oil refinery, with smugglers trafficking the fuel across the border into neighboring Tunisia.
 

 


UN envoy in rare Yemen visit to push for peace

Updated 07 January 2025
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UN envoy in rare Yemen visit to push for peace

  • Grundberg’s office said his visit would also “support the release of the arbitrarily detained UN, NGO, civil society and diplomatic mission personnel”

SANAA: Hans Grundberg, the United Nation’s special envoy for war-torn Yemen, arrived Monday in the rebel-held capital in a bid to breathe life into peace talks, his office said.
Grundberg last visited the capital Sanaa, controlled by the Iran-backed Houthis, in May 2023 for meetings with the rebels’ leaders in an earlier effort to advance a roadmap for peace.
The envoy’s current visit “is part of his ongoing efforts to urge for concrete and essential actions... for advancing the peace process,” Grundberg’s office said in a statement.
Yemen has been at war since 2014, when the Houthis forced the internationally recognized government out of Sanaa. The rebels have also seized population centers in the north.
A UN-brokered ceasefire in April 2022 calmed fighting and in December 2023 the warring parties committed to a peace process.
But tensions have surged during the Israel-Hamas war in Gaza, as the Houthis struck Israeli targets and international shipping in the Red Sea and Gulf of Aden, in a campaign the rebels say is in solidarity with Palestinians.
In response to the Houthi attacks, Israel as well as the United States and Britain have hit Houthi targets in Yemen over the past year. One Israeli raid hit Sanaa’s international airport.
Grundberg’s office said his visit would also “support the release of the arbitrarily detained UN, NGO, civil society and diplomatic mission personnel.”
Dozens of staff from UN and other humanitarian organizations have been detained by the rebels, most of them since June, with the Houthis accusing them of belonging to a “US-Israeli spy network,” a charge the United Nations denies.
 

 


US says anti-Daesh operation in Iraq kills coalition soldier

US army soldiers stand on duty at the K1 airbase northwest of Kirkuk in northern Iraq on March 29, 2020. (AFP)
Updated 07 January 2025
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US says anti-Daesh operation in Iraq kills coalition soldier

  • US officials have said Daesh is hoping to stage a comeback in Syria following the fall in December of Syrian President Bashar Assad

WASHINGTON: The US military said on Monday operations against Daesh in Iraq over the past week led to the death of a non-US coalition soldier and wounded two other non-US personnel.
It also detailed operations in Syria against Daesh militants led by the US-backed Syrian Democratic Forces, including one that resulted in the capture of what the US military’s Central Command said was an Daesh attack cell leader.
US officials have said Daesh is hoping to stage a comeback in Syria following the fall in December of Syrian President Bashar Assad.  

 


West Bank camp under fire as Palestinian forces face off militants

Updated 07 January 2025
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West Bank camp under fire as Palestinian forces face off militants

  • Gunshots occasionally rung out from inside the camp, an AFP correspondent reported this week

JENIN, Palestinian Territories: A month into a crackdown by Palestinian security forces on militants in the Israeli-occupied West Bank, the streets of Jenin refugee camp are deserted, except for a few residents briefly checking on their homes.
Shops are closed, and militants have erected metal barricades to block Palestinian forces, in the area where Israeli army raids are more common.
Black military vehicles from the Palestinian Authority (PA), which exercises limited control over the West Bank, are stationed beyond roadblocks at the camp’s entrances.
“I only came back to check on my house,” said Muayyad Al-Saadi, a 53-year-old resident of Jenin camp, riding a bicycle down roads stripped of pavement.
Saadi, one of around 17,000 Palestinians who live in the camp, fled when clashes began in early December, citing a lack of electricity and running water.
The fighting, triggered by the arrests of several militants, has involved Palestinian militant factions affiliated with opponents of the PA’s leadership.
One of these factions, the Jenin Battalion, is largely made up of fighters affiliated with Islamic Jihad or Hamas, whose October 7, 2023 attack on Israel triggered war in Gaza.
Hamas, in power in Gaza since 2007, is the main political rival of Palestinian president Mahmud Abbas’s Fatah party, which dominates the PA.

Fourteen Palestinians have been killed, including six security forces, seven civilians, and one gunman in the clashes.
Gunshots occasionally rung out from inside the camp, an AFP correspondent reported this week.
Since bakeries have closed, an unusually long line stretched from a shop that delivers bread from outside the camp.
“I’ve lived through wars since I was eight years old,” said the shopkeeper, Umm Hani, who is in her 70s.
She said there was “never anything like this” since the 1967 Arab-Israeli war, when Israel captured the West Bank.
“Let them (the security forces) come and arrest whoever they want. We have nothing to do with it,” said Umm Hani.
Another woman, in her 30s, said: “Everyone wants to speak out, but they’re afraid of repercussions from both sides.”
“We’re suffering. We can’t leave or enter the camp freely.”
The intra-Palestinian clashes erupted amid a major PA raid on the camp after the December 5 arrest of a Jenin Battalion commander on charges of possessing weapons and illicit funds.
Armed factions in Jenin and elsewhere see themselves as more effective resistance to Israeli occupation than the PA, which coordinates security matters with Israel.
“They (the PA) don’t want any resistance against the occupation,” said a fighter carrying an M16 rifle, blocking a road with militants.

The militants accuse the PA of cutting off the water and power supply to the camp, a claim the Ramallah-based authority denies.
“The gunmen fire at electricity and water crews whenever they attempt to repair the networks,” Anwar Rajab, spokesman for the PA forces, told AFP.
He said militants were also shooting at distributors of food aid.
Rajab added that the PA was trying to spare civilians, accusing militants instead of disrupting the lives of residents.
“We’re not besieging the camp. People are entering and leaving the camp normally.”
One gunman said the fighting has been “incredibly difficult for civilians. They have no water, no food, and they’ve stopped working.”
Walls throughout the camp are riddled with bullet holes, some from past Israeli army incursions and others from the recent fighting.
A 19-year-old Hamas fighter, who requested anonymity, said residents of Jenin camp have been exposed to violence long before the current operation.
“Every house here has a martyr, a prisoner or an injured person,” he said.
The fighter accused the PA’s forces of firing indiscriminately.
Both sides have traded blame for the deaths of the seven civilians, including a father and son killed on a rooftop on Friday.
“If they’re targeting us — the resistance factions and the Jenin Battalion — why don’t they come for us directly instead of targeting civilians?” said the young militant.