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


At least 85 dead from fighting in Sudan’s El-Fasher: charity

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At least 85 dead from fighting in Sudan’s El-Fasher: charity

On Monday alone, nine of 60 casualties received at Southern Hospital — El-Fasher’s only remaining medical facility — had died of their wounds
El-Fasher is the only state capital in the vast western region of Darfur not under RSF control

PORT SUDAN: At least 85 people have died in a single hospital in the Darfur city of El-Fasher since fighting reignited between Sudan’s warring parties on May 10, medical charity Doctors Without Borders said Tuesday.
On Monday alone, nine of 60 casualties received at Southern Hospital — El-Fasher’s only remaining medical facility — had died of their wounds, said Claire Nicolet, head of the charity’s Sudan emergency program.
In the period since the fighting erupted in the North Darfur state capital, the hospital had received “707 casualties” and “85 have passed away,” she added.
For over a year, fighting has raged between the regular military, under army chief Abdel Fattah Al-Burhan, and the paramilitary Rapid Support Forces, led by his former deputy Mohamed Hamdan Dagalo.
El-Fasher is the only state capital in the vast western region of Darfur not under RSF control and is a key humanitarian hub for a region on the brink of famine.
This month, it has been the site of fierce battles, despite repeated pleas including from the United Nations for fighters to spare the city.
Eyewitnesses have reported repeated artillery shelling and gunfire from both sides, as well as air strikes from the army.
Trapped in their homes by the fighting, many residents are unable to brave the violence on the streets to get wounded loved ones to the hospital.
Doctors Without Borders said casualties who reach Southern Hospital are met by “only one surgeon, putting the facility “under intense pressure.”
Across the country, the war has shuttered over 70 percent of medical facilities and stretched the remaining ones impossibly thin.
“We have only around 10 days of supplies left” for Southern Hospital, Nicolet said, urging the warring parties to provide “safe access” to enable them to replenish stocks.
Since the war began, tens of thousands of people have been killed, including up to 15,000 in a single West Darfur town, according to UN experts.
Nearly nine million people have been forced from their homes. By the end of April, North Darfur alone hosted more than half a million people newly displaced in the last year, according to the latest figures from the UN.

Houthis claim 5th US drone shoot-down since November

Updated 57 min 15 sec ago
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Houthis claim 5th US drone shoot-down since November

  • The Houthi military launched “a locally made surface-to-air missile” at the US MQ-9 Reaper drone
  • The Houthi claim on Tuesday was the second in less than a week concerning an MQ-9 Reaper shoot-down, and the fifth since November

AL-MUKALLA: Yemen’s Houthis claimed on Tuesday to have shot down another US drone over the central province of Al-Bayda, marking the fifth such claim by the militia since the start of their Red Sea campaign in November.
Spokesman Yahya Sarea said in a televised broadcast that the Houthi military launched “a locally made surface-to-air missile” at the US MQ-9 Reaper drone, which crashed in Al-Bayda province.
Sarea did not disclose when the shoot-down took place, but said the military action came in support of the Palestinian people and as retribution for US and UK bombings of Houthi-controlled parts of Yemen.
“The Yemeni Armed Forces continue to enhance their defensive capacities in order to face the American-British aggression against our nation and carry out military operations in triumph for the oppressed Palestinian people,” Sarea said.
The Houthi claim on Tuesday was the second in less than a week concerning an MQ-9 Reaper shoot-down, and the fifth since November.
On Friday, the militia said its forces shot down a US drone over the central province of Marib while conducting “hostile operations,” soon after locals reported hearing a loud blast and finding wreckage of a drone resembling an MQ-9 Reaper.
The Houthis had previously claimed to have shot down the same drone model on April 26 and Feb. 19 this year, as well as on Nov. 8 last year, over Saada, Hodeidah and the Red Sea, respectively.
Since November, the Houthis have attacked ships in international waters around Yemen, mainly the Red Sea, using drones, ballistic missiles and drone boats.
The militia claims its campaign is solely targeting Israel-linked ships in solidarity with Palestinians in Gaza.
The US has responded to the Houthi attacks by identifying the militia as a terrorist organization, organizing a coalition of marine task forces and carrying out strikes on Houthi sites in Yemen.
In an attempt to revive peace talks stalled by the Houthi Red Sea campaign, the US State Department said on Monday that Yemen envoy Tim Lenderking will return to Saudi Arabia, the UAE and Oman.
He will meet officials in those countries to discuss the Houthi Red Sea campaign and its implications on Yemen’s peace process.
“The Houthis’ continued attacks threaten progress toward achieving a durable resolution to the conflict in Yemen and obstruct the delivery of humanitarian assistance to Yemenis and people in need across the region,” the US State Department said.


UNRWA says food distribution in Rafah suspended due to insecurity

Updated 21 May 2024
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UNRWA says food distribution in Rafah suspended due to insecurity

  • Food distribution in Rafah suspended due to lack of supplies and insecurity

DUBAI: The UN agency for Palestinian refugees (UNRWA) said on Tuesday that food distribution in Gaza’s southern city of Rafah were currently suspended due to lack of supplies and insecurity.
Simultaneous Israeli assaults on the southern and northern edges of the Gaza Strip this month have caused a new exodus of hundreds of thousands of people from their homes, and sharply restricted the flow of aid, raising the risk of famine.


Cyprus says maritime aid shipments to Gaza ‘on track’

Updated 21 May 2024
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Cyprus says maritime aid shipments to Gaza ‘on track’

  • 1,000 tons of aid were shipped from Cyprus to the besieged Palestinian territory between Friday and Sunday
  • The vessels were shuttling between Gaza and the east Mediterranean island

NICOSIA: Four ships from the United States and France are transporting aid from Larnaca port to the Gaza Strip amid the spiralling humanitarian crisis there, the Cyprus presidency said on Tuesday.
Victor Papadopoulos from the presidential press office told state radio 1,000 tons of aid were shipped from Cyprus to the besieged Palestinian territory between Friday and Sunday.
He said the vessels were shuttling between Gaza and the east Mediterranean island, a distance of about 360 kilometers (225 miles).
Large quantities of aid from Britain, Romania, the United Arab Emirates, the United States and other countries have accumulated at Larnaca port.
Cyprus President Nikos Christodoulides told reporters on Tuesday the maritime aid effort was “on track.”
“We have substantial assistance from third countries that want to contribute to this effort,” he said.
The aid shipped from Cyprus is entering Gaza via a temporary US-built floating pier, where the shipments are offloaded for distribution.
The United Nations has warned of famine as Gaza’s 2.4 million people face shortages of food, safe water, medicines and fuel amid the Israel-Hamas war that has devastated the coastal territory.
Aid deliveries by truck have slowed to a trickle since Israeli forces took control of the Palestinian side of the Rafah crossing with Egypt in early May.
The war in Gaza broke out after Hamas’s unprecedented attack on Israel on October 7, which resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally based on Israeli official figures.
Two days after the war broke out, Israel’s Defense Minister Yoav Gallant ordered a “complete siege” on the Gaza Strip.
Israel’s retaliatory offensive against Hamas has killed at least 35,647 people in Gaza, also mostly civilians, according to figures provided by the Hamas-run territory’s health ministry.


Daesh attack in Syria kills three soldiers: war monitor

Updated 21 May 2024
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Daesh attack in Syria kills three soldiers: war monitor

  • The militants “attacked a site where... regime forces were stationed“
  • The Syrian army had sent forces to the area, where Daesh attacks are common

BEIRUT: Daesh group militants killed three Syrian soldiers in an attack Tuesday on an army position in the Badia desert, a war monitor said.
The militants “attacked a site where... regime forces were stationed,” the Syrian Observatory for Human Rights said, adding that a lieutenant colonel and two soldiers died.
The Syrian army had sent forces to the area, where Daesh attacks are common, ahead of an expected wider sweep, said the Britain-based Observatory which has a network of sources inside the country.
In an attack on May 3, Daesh fighters killed at least 15 Syrian pro-government fighters when they targeted three military positions in the desert, the Observatory had reported.
Daesh overran large swathes of Syria and Iraq in 2014, proclaiming a so-called caliphate and launching a reign of terror.
It was defeated territorially in Syria in 2019, but its remnants still carry out deadly attacks, particularly against pro-government forces and Kurdish-led fighters in Badia desert.
Syria’s war has claimed more than half a million lives and displaced millions more since it erupted in March 2011 with Damascus’s brutal repression of anti-government protests.