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Description
This World Health Organization program features a conversation regarding the mental health implications of living with the COVID-19 pandemic. Recorded on August 26, 2020.
The City of Cupertino would like to express thanks to the World Health Organization for permission to use their video materials during COVID-19 pandemic. More information can be found at https://who.int/covid-19
For more information regarding the impact of the COVID-19 outbreak in Cupertino, please visit https://cupertino.org/coronavirus
C
Hello
and
welcome
to
another
facebook
live
with
the
world
health
organization.
Today
we're
going
to
talk
about
mental
health
and
covid,
a
subject
that
I
think
is
close
to
many
people's
hearts
and
minds.
Today
I
have
with
me
devorah
castel
who's,
a
director
of
the
mental
health
and
substance
use
department
and
someone
you're
used
to
seeing
more
often
dr
maria
von
kurkov
who's
the
technical
lead
for
kovitch.
C
He
knows
the
ins
and
outs
of
kovid,
you
see
her
in
these
facebook
lives
and
our
press
conferences
as
well,
so
we're
on
twitter
today
we're
on
facebook
we're
on
youtube.
If
you
have
a
question
which
we
hope
you
do
on
twitter,
you
can
do
hashtag
ask
who
that's
how
we
normally
take
questions
and
then
drop
your
question
into
the
comments
in
facebook
and
youtube
so
just
to
start
off
off
the
very
top.
Would
you
agree
that
this
is
a
stressful
situation
for
just
about
everybody.
C
D
Is
yes,
I
do
agree,
it
is
stressful.
There
are
a
number
of
reasons
that
we
could
go
through
now
or
later,
but
a
number
of
reasons
why
we
we
think
that
the
current
situation
is
having
an
impact
on
the
mental
health
of
everybody.
Sure.
D
C
D
D
We
have
been
struggling,
many
of
us
at
different
moments
and
in
different
conditions,
with
issues
of
staying
at
home
and
issues
related
to
adjust
to
working
from
home.
That
has
been
totally
new
for
most
of
us
and
people
that
have
lost
their
job
or
a
crisis
that
we
may
see
coming
economic
and
social
impact
and
and
of
the
current
crisis,
and
how
this
will
have
an
impact
on
us
now.
All
this
is
is
uncertainty.
D
There
are
a
number
of
other
issues
that
I
could
add
to
the
list
as
good
reasons
why
we
may
be
feeling
stressed
or
afraid
and
are
related
to
many
many
parents
having
to
do
schooling
at
home
and
not
being
ever,
have
been
trained
to
do
that
and
mixing
that
with
working
or,
of
course,
the
the
issue
of
health
workers
in
particular,
and
the
consequences
that
that
stress
on
their
daily
life
may
have
in
them
in
their
family.
D
So
I
I,
the
list
is
really
long
all
their
people
and
their
the
risks
that
we
have
been
listening
for
them,
in
particular
the
children
not
able
to
go
to
school
and
have
to
find
other
ways
of
living
a
life
and
trying
to
understand
what
is
this
that
is
happening
out
there.
D
C
It's
almost
any
age
group
there's,
there's
uncertainty
and
again
with
not
knowing
how
long
it
will
last,
it's
not
only
you're
uncertain
about
now,
but
you're
uncertain
for
an
uncertain
period
of
time.
D
Is
every
age
group
and
every
social
group
that
will
be
affected
from
this
perspective
and
of
course
it
will
depend
on
a
number
of
conditions.
How
you
manage
that
those
concerns
that
that
we
have
how
you
can
overcome
some
of
those
challenges,
but
but
you're
right
it
is
affecting
it.
It
is
not
discriminating
for
once
this
situation.
I.
D
C
Want
to
say
off
the
top
one
is
that
we
are
often
asked
why
we're
not
wearing
masks.
People
think
that
there
should
be
masks
worn
at
all
times.
It
may
be
what
you
are
recommended
in
your
country,
but
in
terms
of
daveycho's
guidance.
As
long
as
you
can
stay,
one
meter,
apart,
which
we
took
care,
that
we
are
one
meter
or
more
apart,
then
you
don't
need
to
wear
a
mask,
especially
as
well
we're
in
a
space
that
has
good
ventilation.
C
So
that's
one
thing
to
mention
off
the
top
and
then
just
again,
if
you
have
any
questions,
please
ask
them
in
twitter
via
askwh
and
drop
it
in
the
comments.
I
will
be
looking
at
your
questions
on
my
phone,
so
that's
why
I
keep
glancing
down
we'll
keep
glancing
down
at
my
phone.
Let's
talk
a
little
bit
about.
We
spoke
very
very
broadly
about
people
in
different
situations.
What
if
somebody
already
is
living
with
with
a
mental
health
issue?
How
is
it
for
them
to
have
these
extra
stresses?
D
They
thank
you
for
this
question
because
I
those
are
among
some
of
the
groups
that
are
in
in
a
more
vulnerable
situation,
vulnerable
condition,
and
what
is
important
is
that
people
with
ongoing
mental
health
conditions
or
or
other
conditions
can
make
sure
that
they
have
a
a
routine
to
keep
taking
medication.
If
that
is
the
situation
or
to
continue
seeing
a
visiting,
maybe
virtually
or
on
the
phone
or
on
in
any
possible
way
a
therapist.
D
If,
if
that
was
the
situation
again,
if
there
were
medications
to
make
sure
that
there
is
a
stockpile
of
medication
for
at
least
two
weeks
three
weeks,
so
that
there
is
not
the
anxiety
added
of
running
out
of
that
and
try
to
continue
with
the
indications
that
you
have
received.
If
that
was
the
case
from
your
care
professional,
it
is
important
in
any
case
of
people
with
any
kind
of
mental
health
condition
to
have
somebody.
D
They
trust
to
talk
to
whether
it
is
the
specialist
that
has
been
taking
care
of
them
or
also
a
friend,
a
colleague,
a
relative
somebody,
family
member.
That
could
be
somebody
we
could
reach
out
to
to
to
get
to
express,
what's
going
on
and
to
get
some
initial
help
or
or
indications
of
where
to
go,
how
to
manage
it.
C
Thank
you
so
that
was
speaking
very
specifically
for
people
who
already
need
to
take
medication,
because
they're
under
medication
or
to
continue
therapy,
if
they're
under
therapy,
we
have
a
question
from
twitter
from
jim
roop.
What
is
the
most
common
way
stress,
anxiety
or
negative.
Mental
health
will
manifest
themselves.
D
The
situation
could
manifest
itself,
the
sufferance
or
the
or
the
anxiety
or
the
stress
caused
by
the
current
situation
could
come
up
in
a
number
of
ways
that
it
will
be
too
long
to
list
them
all.
But
we
are
talking
about
anxiety.
We
are
talking
about
challenges,
maybe
to
sleep.
We
are
talking
about
difficulties
to
concentrate.
C
D
Thank
you.
Yes,
because
the
situation
is
changing
and
we
are
learning
every
time
new
things,
whether
it
is
about
the
pandemic
itself
or
whether
it
is
about
the
most
close
environment
or
or
context.
We
are
living,
and
I
mean
it
can
be
that
today,
I'm
working
for
ho
from
home,
but
tomorrow
I'm
going
to
the
office.
But
then
after
I
don't
know,
if
I
will
have
my
job,
so
the
school
is
open
or
the
school
is
not
open
and
the
implications
that
that
has
with
our
kids.
D
So
all
that
continuous
changing
situation
will
generate
difficult,
different
reactions
on
on
each
one
of
us.
C
D
There
are
a
number
of
issues
that
we
we
recommend
in
general,
and
I
will
I
will
suggest
also
to
go
to
our
web
page
and
look
at
a
page.
We
created
that
is
being
healthy
at
home
and
there
is
a
section
on
mental
health
and
there
are
some
concrete
tips
about
things
that
could
be
done
like
make
sure
how
and
when
you
get
the
information
that
is
relevant
for
for
the
current
situation.
D
You
need
to
know
what's
going
on,
but
try
to
make
sure
how
frequently
you
get
those
news
and
and
from
which
reliable
sources
you
get.
Those
news
from
it
is
important
to
stay
socially
connected,
whether
it
is
respecting
the
physical
distancing
that
is
needed,
so
whether
it
is
in
your
net
family
context
or
or
through
the
media.
It
is
important
that
we
we
try
to
avoid
as
much
as
possible
negative
coping
mechanisms
such
as
alcohol
or
or
drugs
of
any
kind
any
excess
on
that
will
worsen
our
mental
well-being.
D
It
is.
We
have
some
other
concrete
tools
that
I
brought
here,
and
one
is
this
that
about
how
to
manage
stress,
and
this
is
something
that
doing
what
matters
in
times
of
stress
is
an
illustrated
guide.
And
I
I
hope
I
can
show
something
without
making
a
confusion
about
yeah
about
the
the
the
very
easy
way
of
using
it,
and
there
are
very
concrete
recommendations
and
and
exercises
that
what
we
can
do
on
our
own.
D
There
are
some
audio
recording
also
to
help,
and
if
we
do
that,
every
day
on
regular
basis,
at
some
point,
we
will
incorporate
them
and
will
help
us
to
manage
stress.
For
example,
there
is
also
a
very
nice
book,
a
storybook
that
we
developed
for
children,
children
between
6
and
11
years
old-
that
was
done,
consulting
over
a
thousand
children
and
and
and
carriers
parents
etc,
and
and
describes
through
a
story
how
to
explain
to
children
of
those
of
that
age.
C
C
The
scene
we'll
do
that,
for
you,
maria
you've
talked
yourself
about
being
a
parent.
Sometimes
so
there's
you
as
a
human,
but
then
there's
also
you
as
the
scientist,
with
all
the
uncertainty
that
you're
living
with
as
a
scientist
as.
E
E
I
mean
I
I
can
talk
about
either,
but
I
you
don't
get.
I
don't
always
get
to
separate
the
being
a
parent
from
being
a
scientist,
in
fact,
some
of
the
hardest
scientific
questions
I've
received
come
from
my
son.
You
know
which
are
honest
and
direct
and
very
difficult
to
answer
and,
as
you
said,
you
know
it's
a
difficult
situation
for
everybody.
I
think
the
first
thing
I
just
want
to
say
is
that
this
is
difficult
for
everybody.
Everybody
is
going
through
this
and
it's
it's
new.
It's
challenging.
E
We
don't
have
a
complete
playbook
of
how
to
go
through
this,
and
I
think
for
me,
in
my
daily
life
and
talking
with
my
family
and
my
friends,
it's
to
acknowledge
that
it's
okay
to
be
not
okay,
right
now,
you
know
and
say
and
be
able
to
talk
about
it
and,
as
you
said,
you
know
find
someone
that
you
can
talk
to,
that
you
trust
and
that
you,
you
know
you
respect
and
that
you
get
good
information
from
and
that
you
could
be
vulnerable
with
I
mean
I
think
all
of
us
want
to
project
a
very
strong
and
together
persona
and
we
are,
but
it
is
important
that
we
have
opportunities
where
we
can
express
concern
and
we
can
express
vulnerability
and
talk
through
that,
and
especially
with
kids
like
I
have
two
kids,
the
younger
one
is
is
a
baby,
and
so
he
doesn't.
E
He
he's
he's
a
happy.
Little
he's
a
happy
little
guy
with
his
cars,
but
my
my
older
one.
This
is
challenging
because
his
daily
life
as
ours
are
completely
disrupted,
so
the
routine
that
he
had
and
the
routine
that
all
of
us
have
no
matter
what
age
you
are
is
different
and
one
of
the
things
that
I
find
most
helpful
for
everybody
is
to
set
a
routine.
E
So
even
if
you
don't
know
a
day
day
every
day
what
it'll
look
like
and
if
this
week
will
look
like
the
next
set
that
routine
get
up,
you
know,
do
your
normal,
getting
ready
for
work
and
you
know,
and
or
getting
ready
for
school
or
get
ready
for
the
day
and
then
have
some
kind
of
a
routine
that
makes
you
physically
active,
whether
even
if
it's
a
you
know
something
exercise
or
relaxing
at
home.
Do
things
that
you
need
to
do,
but
do
things
that
make
you
happy.
E
C
E
It's
reading
a
book
or
listening
to
music,
or
you
know
calling
your
friends
or
talking
to
your
friends,
because
we
want
physical
distance,
but
we
still
want
people
to
be
socially
connected.
So
there's
still
ways
to
continue
to
do
that,
and
I
I
cannot
stress
that
enough
of
being
socially
connected
even
when
you
have
to
be
physically
distant.
It's
just
you
know.
Keeping
that
connection
is
really
really
important.
C
One
of
the
things
I've
noticed
is
that
you
can
tell
that
other
people
are
going
through
the
challenges
even
from
the
memes
you're.
Seeing
online
you'll
see
people
talking
about
crying
bouts
of
crying
wanting
to
lie
down
on
the
floor
and
just
take
a
a
time
out,
and
I
found
that
myself
very
reassuring
to
know
that
other
people
are
are
well.
It's
not
great,
but
other
people
are
are
feeling
the
burden
as
well,
and
it
does
show
you
that
these
behaviors
that
you're
seeing
are
shared
globally
in
a
way.
C
So
this
question
is
in
a
way
related
to
that.
Is
there
anything
positive
that
could
come
out
related
to
mental
health
services
because
of
the
pandemic?
Is
there
a
way
we've
talked
about,
building
back,
greener,
building
back
better
in
health
systems?
Are
you
looking
at
that
as
well
in
your
area
of
work?
This.
D
Is
a
great
question
for
me,
because
this
is
our
main
scope
or
or
or
in
this
current
situation
is
how
do
we
build
back
better
in
mental
health?
The
the?
Let
me
let
me
be
a
bit
more,
less
personal
and
more
technical
on
some
on
some
issues
I
mean
the
the
mental
health
situation
in
most
of
the
countries
is
really
bad
in
terms
of
the
response
that
countries
provide,
I
mean
the
the
services
are
very
limited.
D
One
billion
is
a
lot
and
around
75
percent
of
them
in
in
low
middle-income
countries,
do
not
have
access
to
care
to
treatment
and
in
hong
kong
countries
is
around
50
percent.
So,
in
normal
conditions,
there
is
no
enough
capacity
of
countries
out
there
to
provide
answers
when
we're
talking
about
everybody
being
in
a
way
affected
and
and
feeling
that
things
are,
are
a
bit
stressful
or
or
the
the
possibility
that
we
see
some
data
with
some
increase
of
of
mental
health
issues.
Then
the
services
are
not
out
there.
D
D
Investment
in
mental
health
from
each
level
from
each
government
from
the
community
from
the
municipality
from
the
region
from
the
national
authorities
more
invested
in
mental
health
will
help
all
of
these
situations
to
avoid
becoming
a
problem,
a
serious
problem,
because
many
of
these
issues
that
we
are
feeling
will
go
away
as
we
as
the
situation
evolves
as
we
get
out
of
the
crisis.
But
for
many
that
may
still
be
a
problem
and
we
need
to
work
now
in
order
to
avoid
further
problems.
D
C
As
as
you
say
so
frequently,
maria
we're,
this
is
all
new
we're
at
the
beginning
in
a
way
we're
eight
months
into
this
pandemic.
So
we
don't,
I
think,
yet
have
statistics
on
the
lasting
impact,
but
from
other
emergencies
we
do
know
that
it
can
increase
issues
for
people
for
at
least
a
certain
period
of
time,
even
after
the
emergency
has
passed.
Is
that
right.
D
Yes,
it
is
right,
we
know
from
other
emergencies
that
one
in
five
people
suffer
from
a
mental
health
condition
during
the
the
emergency.
What
we
know
is
what
I
was
saying
earlier
that
a
number
of
people
will
go
over
this.
The
current
situation
will
overcome,
with
the
help
that
we
were
discussing
earlier
talking
to
friends,
finding
routines
finding
ways
of
copying
following
the
suggestions
that
we
provide
in
in
this
in
this
material
we
issue,
so
they
will
overcome
others.
D
E
Yes,
I
just
want
to.
I
want
to
touch
upon
that,
because
we
get
this
question.
I
get
this
question
a
lot
about
how
long
you
know
how
much
longer,
how
much
longer-
and
we
we
don't
know-
we
don't
have
a
complete
picture
of
this
yet,
and
a
lot
of
that
depends
on
how
we
on
what
we
do
on
how
governments
respond
and
how
quickly
we
are
able
to
bring
coven
under
control,
but
it
can't
be
at
the
expense
of
other
things,
and
I
think
what
you're
pointing
out
is.
E
You
know
we
have
to
ensure
that
we
have
these
services
up
and
running
now.
You
know
it's
not
something
that
can
wait.
It
is
something
that
is
challenging
all
of
us
and
it
has
to
be
done
now,
but
I
think
I
just
want
to
add
a
touch
of
hope
here
in
the
sense
of
this
duration
of
how
long
this
will
be,
because
we
will
get
through
this.
E
There
are
different
levels
of
success
and
we
will
see
success
and
we'll
see
some
setbacks.
But
you
know
the
entire
collective
global
community
is,
is
focused
on
this
and
fighting
towards
this,
and
we
will
get
through
it.
E
It
is
going
to
be
challenging
and
no
one
is
saying
that
that
won't
happen,
but
we
will
and
we
will
get
through
it
together,
and
I
think
that
that
common
goal
and
that
commonality
in
it
help
is
helpful
in
a
way
it
doesn't
negate
that
people
really
need
professional
help,
and
I
think
one
of
the
things
we've
seen
with
other
essential
medicines
that
have
been
disrupted
is
that
there's
other
ways
you
can
have
the
therapies
and,
speaking
from
my
own
experiences
with
families,
there's
ways
that
you
can
do
therapies
through
telemedicine
and
through
through
different
zoom
or
different
whatever
whatever
facility
it
may
be,
to
have
that
professional
level
help,
and
I
don't.
D
If
you
one
has
access
to
a
phone,
even
the
old
traditional
phone
could
work
or
if
we
put
in
place
somebody
that
we
a
system
a
program
in
the
community
training
somebody
in
the
supermarket
that
will
be
able
to
identify
when
something
may
be
going
wrong
or
to
have
somebody
to
refer
to
I'm
not
analyzing.
The
problems
can
be
serious
and
we
need
specialized
professionals
in
some
cases
to
take
care
of.
D
But
many
others
do
not
need
that
level
of
specialization
and
can
be
taken
care
of
if
we
are
prepared
for
that
and
and
and
and
the
tell
for
we
are,
we
are
witnessing
or
or
being
told
about,
colleagues
putting
in
place
systems
that
that
are
like
that
telemedicine
things
that
I
we
hope
in
the
future
will
continue
because
they
are
needed
still,
even
when
everything
will
be
back
to
normal.
C
So
so-called
normal
you're
touching
a
bit
on
this
one
document,
we
have
called
basic
psychosocial
skills,
which
is
a
guide
for
covet
19
responders.
That's
exactly
what
your
things,
people
who
are
front
line
workers,
because
they
work
in
a
supermarket
or
because
they
are
a
nurse
or
a
doctor
or
other
healthcare
worker.
So
we
actually
have
some
guidance
that
we'll
we'll
drop
in,
hopefully
in
the
comments
as
well,
so
you've
touched
on
the
chance
to
reshape
and
build
back
better.
C
We
have
a
question
on
from
facebook
on
what
employers
can
do
to
help
their
employees
deal
with
the
stress
and
the
anxiety.
So
there's
we've
talked
about
what
we
can
do
for
each
other.
What
we
can
do
within
our
communities,
but
what
can
in
a
more
structured
way?
What
can
employers
do
to
help
their
staff.
D
This
is
very
important
question
and
there
are
a
number
of
actions
that
could
be
done
right
away
by
by
any
employee
employer.
Sorry,.
E
D
Are
related
to
understanding
and
accepting
that
what
is
happening
is
happening
to
everybody
and
that
we
all
may
need
some
adjustment
to
how
things
were
before.
So
it
is
important
for
for
employers
that
have
contact
with
the
the
employees
and
and
follow
up
what's
going
on
with
with
them.
D
It
is
important
that,
in
some
contexts
that
are
particularly
stressful
and
demanding
in
terms
of
first
responders,
etc,
that
there
is
consideration
about
how
the
shifts
are
organized,
how
we
make
sure
that
there
is
some
time
in
between
to
to
exchange
and
somebody
to
talk
to
whether
it
is
a
peer
or
doesn't
need
to
be
necessarily
a
supervisor,
but
generate
those
possibilities
to
to
talk
about.
D
What's
going
on,
I'm
thinking,
particularly
in
this
moment,
about
healthcare
providers
right,
but
for
everybody
it
is
important
that
we
provide
basic
tools
for
those
managers
to
learn
what
to
do,
because
it
doesn't
mean
it
is
not.
Everybody
knows
how
to
deal
with
a
new
situation,
as
we
said
so,
the
in
in
the
guidance
that
you
mentioned,
the
the
basic
psychological
interventions.
There
are
some
some
specific
tools
about
how
to
improve
its
communication
skills
and
how
to
listen
better
to
the
employees
and
and
current
situations
or
challenges.
D
C
What
about
the
idea
of
modeling
some
of
that
behavior
as
well,
in
the
sense
that
showing
that
you
yourself,
even
though
you're
the
manager
may
be
having
difficulties
as
well?
I
think
you
also
might
think
no.
I
need
to
be
very
strong
so
that
you
know
the
whole
company
knows
that
I've
got
this
and
then,
on
the
other
hand,
you
don't
want
to
be
collapsing
either.
You
don't
want
to
show
too
much
vulnerability,
because
that
can
be
discouraging.
So
how
do
you
even
navigate
between
those
yeah.
D
We
are
always
demanding
a
large
managers
right,
but
but
you're
right
I
mean
it's.
The
the
balance
between
being
a
good
manager
doesn't
mean
that
I
need
to
be
always
with
a
smile
in
my
face
and
and
pretending
that
everything
is
perfect
when
it
is
not
because
as
a
manager,
I'm
also
affected
by
by
the
situation.
That
is,
that
is
happening,
whether
it
is
work
related,
and
I
don't
know
if
I
need
to
come
every
day
to
the
office.
D
Even
if
the
floor
is
empty
or
I
can
stay
at
home
as
it
happened
in
the
beginning
when
we
came
back
or
how
to
follow
up
with
my
team
or
how
to
cope
with
my
own
challenges
and
and
difficulties,
we've
been
saying
the
importance
of
working
at
home
and
how
to
make
a
routine
and
how
to
make
sure
that
your
day
begins
and
ends
with
your
working
time.
Okay,
my
challenge
has
been
how
to
make
sure
that
I
was
taking
care
of
this.
D
E
Maria
yeah,
I
just
wanted
to
touch
upon
the
frontline
workers
and
the
support
front-line
workers
need
and
the
challenges
that
they've
been.
I
think
you
know
we've
said
everyone
is
going
through
this,
but
I
think
the
stress
on
frontline
workers,
health
workers
all
over
the
world,
but
particularly
in
countries
that
have
had
really
intense
outbreaks,
some
that
I've
worked
in
wards
where
they're
dealing
with
incredibly
sick
patients
with
many
people
dying.
E
That
takes
a
tremendous
toll
and
we
are
seeing
through
the
through
the
feedback
that
we've
received
from
countries-
and
you
know
somewhere
between
10
and
20
percent
of
cases
are
being
reported
among
frontline
workers,
health
workers
for
various
reasons.
But
I
think
one
of
the
things
we're
seeing
is
the
psychosocial
impact
and
the
stress
impact
on
health
workers
cannot
be
underestimated
and
we
need
to
have
systems
in
place
to
provide
them.
E
The
psychosocial
support
that
they
need
need
to
make
sure
that
they
have
adequate
rest
periods
to
go
in
and
out
of
work,
making
sure
that
they
have
the
appropriate
ppe
and
so
that
they
are
protected
the
appropriate
training.
Not
only
just
you
know
the
psychosocial
support,
but
the
equipment
and
the
training
that
they
need,
because
these
are
incredibly
stressful
times
and
that
can't
be
underestimated.
So
we're
seeing
more
and
more
reports
about
the
impact
that
has
had
on
health
workers,
some
who,
whom
have
had
to
leave
their
jobs.
D
Because
it
is
definitely
an
area
of
concern
for
everybody,
for
all
of
us,
is
that
at
this
point
in
time,
we,
after
months
of
of
of
being
on
this
situation,
we
need
to
make
sure
that
everybody
gets
that
advice
that
is
needed
for
managers
for
them.
The
issue
that
I
was
mentioning
before
about
peers
about
discussing-
we
don't
want
personnel
dealing
with
this,
so
critical
situation.
Being
too
stressed
they
need
to
be.
D
They
need
to
be
okay
to
take
care
of
of
themselves
in
order
to
be
better
positioned
to
take
care
of
of
of
the
patients
they
have
in
front
of
them,
and
in
order
to
do
that,
everybody
can
contribute
from
from
the
whole
system.
I
mean
in
in
the
hospitals
or
in
the
in
the
health
system
in
general,
and
also
the
community
has
to
be
called
here,
because
we
have
been
seen
or
hear
about
discrimination
about
people
and
that
adds
to
the
stress
they
already
have
and
the
workload
they
already
have.
C
This
is
a
question
that
relates
to
the
idea
of
stigma
as
well.
It's
a
question
on
twitter
from
zulfa.
Many
people
with
covid19
are
stuff
suffering
stress
the
people
with
the
disease
or
who
have
recovered
from
the
disease
because
of
stigma.
What
policies
should
be
strengthened
to
support
them?
How
do
you
support
people
who
have
had
covid,
so
we
were
talking
about
the
healthcare
workers
and
how
to
support
them,
but
then
there's
also
the
stigma
that
can
come
afterwards
for
people
and
it's
not
just
with
this
disease.
D
I
think
that
what
what
is
happening
now
is
one
good
way
of
fighting
the
stigma.
I'm
I'm
I'm
I'm
referring
to
communication
to
make
sure
that
everybody
knows
what
is
what
it
is
and
what
it
is,
not
the
the
the
situation
that
the
person
may
may
be
going
through.
I
I
said
before
also
be
be
kind
and
and
and
be
supporting
and
don't
discriminate.
I
think
it
is.
It
is
very
important.
D
The
person
that
has
gone
through
covet
has
already
gone
through
the
sufferings
of
the
disease
itself,
physical
sufferings,
the
mental
sufferings,
the
fear
of
not
knowing
what
was
coming,
the
fear
of
not
being
able
to
predict
what
was
the
future
fear
of
dying
the
loneliness,
maybe
the
being
apart
from
family
members,
being
isolated,
a
number
of
issues,
and
now
that
is
over
with
that
we
we
need
to
do
whatever
is
possible
in
order
to
build
back
the,
in
this
case
the
the
the
the
the
security,
the
the
being
the
I'm.
D
Sorry,
I'm
trying
to
talk
about
what
the
person
needs
to
go
through
and
what
the
others.
But
what
for
the
person
themselves
is,
is
important
to
go
through
slowly,
the
life
as
it
was
before,
or
what?
What
is
in
front
of
us
right
now
and
try
to
build
gain
back
the
the
confidence
of
of
finding
your
role
and
your
situation,
and
that
is
go.
D
We
will
that
will
itself
be
a
way
of
fighting
that
stigma
when,
when
we
can
show
that
there
is
nothing
to
be
afraid
of
because
of
having
had
a
a
a
condition
like
covet
19..
So.
C
This
one,
I
think,
is
good,
it's
good
to
go
to
you,
maria,
because
I
think
people
right
now
are
starting
to
hear.
We
thought
it
might
be
possible
people.
People
are
starting
to
hear
examples
of
reinfection
that,
and
so
that
would
be
scary
for
someone
who
has
had
covet
to
think
am
I
going
to
have
to
go
through
this
again
and
it
could
be
scary
for
people
around
them
thinking?
Oh,
we
thought
this
person
was
cured
and
now
they
might
be
sick
again.
C
E
E
I
reached
out
to
some
groups
last
month
of
patients
who
have
recovered
from
covet,
but
are
still
dealing
with
long-term
effects,
and
so
it's
still
early
days
in
terms
of
our
understanding
of
this
virus
and
the
disease
that
it
causes.
So
I
reached
out
to
this
group
called
long,
covid,
sos
and,
and
they
helped
me
and
us
to
reach
out
to
other
patient
groups.
These
groups
are
just
starting
to
form
and
what
we
heard
from
them.
E
We
listened,
I
mean
the
point
was
to
say,
tell
us
tell
us,
you
know
what
you're
dealing
with
and
what
the
challenges
are
and
what
they
were
asking
for
was
first
of
all
recognition.
You
know
that
this.
This
is
a
thing.
This
is
something
that
many
people
are
going
through.
The
second
is
rehabilitation,
and
not
just
for
the
physical
and
the
the
biological
impacts
of
this,
but
also
from
mental
health
and
from
stigma,
and
the
third
is
research,
you
know
how
do
we
look
at
what
needs
to
be
done
in
this
patient
population?
E
E
So
we
are
looking
at
this
and
and
and
making
sure
that
those
that
need
help
will
get
the
help
that
they
need
and
we
will
work
with
our
member
states,
because
it's
it's,
how
we
work
with
countries
and
how
we
work
with
governments
to
ensure
that
those
services
exist,
but,
to
specifically
ask
answer
your
reinfection
questions,
so
this
is
also
a
question
we
get.
We
get
a
lot,
so
our
what
we
understand
is
when
someone
is
infected
with
the
sars
kobe
2
virus.
This
this
virus
that
causes
covid19
is
that
an
individual
develops.
E
What
we
call
an
immune
response.
Their
body
develops
a
response
that
protects
them
from
reinfection
and
we
are
seeing
this
through
a
number
of
studies
that
are
being
conducted
all
over
the
world.
Whether
you've
had
asymptomatic
infection,
meaning
you
haven't
had
any
symptoms
at
all,
but
you
may
have
had
a
positive
pcr
test
or
you've
had
very
severe
disease.
You
will
develop
an
immune
response.
What
is
not
completely
clear
right
now
is
how
strong
that
immune
response
is
and
for
how
long
it
will
last.
E
So
we
have
an
example
that
was
reported
on
on
monday
from
hong
kong
of
an
individual,
who,
we
believe
is
is
the
first
example
of
reinfection
that
is
documented
reinfection.
So
we
need
to
put
this
into
context,
because
this
is
the
first
example
of
this
and
it's
been
confirmed
through
sequencing.
So
we
know
it's
a
different.
It's
a
second
infection
out
of
23
and
a
half
million
cases
that
have
occurred
worldwide.
C
E
E
There
are
four
human
coronaviruses,
the
common
cold
that
circulate
and
people
you
know,
get
the
common
cold
every
few
years
or
so,
and
we
know
from
the
first
sars
covi
virus
back
in
2013
people
have
developed
an
immune
response
and
that
lasts
for
years
for
the
mers
coronavirus,
which
is
another
coronavirus.
E
They
have
an
antibody
response
for
10
months
up
to
a
year,
but
then
it
seems
to
go
away
for
this
virus.
We're
learning.
So
I
want
to
reiterate.
This
is
one
example
out
of
23
and
a
half
million
cases
so
far,
but
we
expect
that
people
who
are
infected
do
develop
an
antibody
response.
They
do
develop
an
immune
response
that
lasts
for
some
time,
so
we're
learning,
and
so
you
know
please
make
sure
that
no
matter
what
you
practice,
your
physical
distancing,
you
practice
your
respiratory
etiquettes.
E
You
follow
the
local
guidance
that
that
is
being
recommended.
You
wear
a
mask
where
you
can't
do
physical
distancing,
you
keep
informed.
All
of
those
measures
still
apply,
even
if
you
did
get
infected
once
those
measures
still
apply,
because
this
is
just
good
practice,
and
I
think
this
is
our
new
normal.
You
know
as
we
as
we
move
forward
we're
going
to
have
to
have
these
measures
in
place
for
some
time.
E
C
We
think
a
few
more
may
start
to
come
as
researchers
start
to
follow
up.
As
we
said
earlier
on
as
well,
because
it's
a
new
outbreak
there
hasn't
been
a
an
opportunity.
Opportunity
is
the
wrong
word,
because
it's
a
positive
word,
but
people
haven't
been
sick,
gotten
well
and
then
been
exposed
again
that
much
and.
B
E
A
E
Not
what
this
means
I
mean:
we're
still
developing
vaccines
and
there's
incredible
progress
being
made
on
this,
but
again
the
studies
on
the
vaccine
in
terms
of
the
response,
the
protection
that
a
vaccine
will
will
provide
will
come
from
these
clinical
studies
that
are
ongoing.
So
we
just
I
just
want
to
put
it
into
context
that
yes,
it's
possible
that
we
could
start
to
see
reinfection.
E
But
you
know
we
have
the
tools
in
place
that
can
prevent
people
from
getting
infected,
and
I
think,
if
anything,
I
want
people
to
really
understand
that
they
have
power
in
themselves.
You
know
to
be
able
to
prevent
infection
from
them,
you
know
for
them
getting
infected
and
they
also
have
the
power
and
responsibility
to
prevent
that
passing
to
somebody
else,
and
I
think
we
have
tools
in
place
now
that
we
just
need
to
hammer
in,
because
this
is
the
positive.
C
A
few
questions
about
younger
people
speaking
of
ages,
so
a
question
from
facebook
on
teenagers
and
children,
starting
turning
towards
drugs,
smoking
cannabis
in
part
because
of
the
the
pandemic,
and
you
said
at
the
beginning
that
we
should.
We
should
try
to
avoid
as
much
as
possible
using
drugs
and
alcohol
as
as
crutches.
So
what
about
specifically
around
young
people
who
may
be
maybe
for
some,
it's
even
their
first
time
to
try
some
of
these.
D
Well,
I
think
that
is
not
very
different
than
what
we
one
would
do
in
in
in
other
conditions
in
in
the
so-called
normal
prior
to
to
this,
which
means,
I
think,
in
this
context,
it
is
important
that
we
try
to
talk
to
those
young
people
and
whether
it
is
in
the
context
of
the
family
or
or,
however,
we
relate
to
them
to
understand
what
is
what
is
going
on?
D
Well,
that
future
is
more
in
uncertain
than
always
than
ever,
so
it
is
very
important
that
we
approach
those
young
people
and
ask
what's
going
on,
and
how
are
you
feeling
and
how
can
we
help
whoever
we
are?
There
are
also
a
number
of
tools
out
there.
There
have
been
a
number
of
webinars
and
meetings
organized
by
youth
for
youth
in
order
to
explore
these
this
specific
situation.
So
always
the
communication
among
peers
is,
is
very
important,
and
how
do
we
then?
Once
we
understand
what
is
the
problem?
D
We
try
to
guide
for
alternative
initiatives,
activities
that
could
take
place
that
are
not
harmful
as
drugs
in
general
consumption.
C
What
about
older
people,
who
I
mean
much
older
people
who
may
not
be
as
used
to
being
on
these
devices,
may
not
have
those
devices
around
their
home
as
easily
and
on
the
flip
side,
who
are
being
even
more
physically
isolated,
because
people
are
trying
to
be
careful
not
to
visit
them,
so
they
have
a
double
burden
of
being
from
in
the
most
vulnerable
amongst
the
most
vulnerable
and
perhaps
being
even
more
isolated
than
than
usual.
What
can
we
offer?
What
can
people
do
to
help
older
people
and
what
can
older
people
do
for
themselves?
C
D
Think
that
first
thing
comes,
to
my
mind,
is
my
mom,
with
83
years
old,
who
is
very
agile
with
technology?
So
not
all
older
people
will
be
unable
to
so.
Maybe
we
want
to
explore
if
somebody
has
the
capacity
to
do
a
step
forward
in
trying
to
get
means
or
tools
that
could
facilitate
the
communication,
don't
assume
they
can't.
D
That
they
can't
yeah
they
may
they
may
they.
They
many
many
do
actually
right,
and
that
is
one
one
way,
but
also
there
are
those
who
do
not
have
access
for
economic
reasons
or
social
reasons
or
whatever,
so
that
we
need
to
again,
as
I
was
saying
earlier
on,
another
context
is:
how
do
we
reach
out
to
the
community
out
there?
D
Maybe
there
is
the
neighbor
next
door,
who
can
talk
with
this
person,
so
the
responsibility
of
a
relative
may
be
how
to
identify
some
kind
of
support
that
could
be
in
the
context
where
this
person
lives,
then
what
is
needed
for
this
person
in
terms
of
for
for
the
for
the
older
person
we
are
talking
about
now
in
terms
of
buying
the
things
he
or
she
needs
accessing,
making
sure
that
they
know
how
to
reach
out
to
somebody
if
they
need
help
make
sure
that
they
have
medication
as
needed,
because
in
that
case
most
probably
they
will
have
some
kind
of
medication
and
how
to
make
sure
that
they
have
a
follow-up
by
their
carers,
and
some
may
have
some
some
challenges.
D
D
We
have
the
situation
of
many
living
in
homes
where
they
have
had
tough
times
in
terms
of
several
people
may
be
affected
around
them
by
by
a
coved,
but
also
where
they
may
have
not
been
in
touch
with
their
relatives
that
before
we're
going
regularly
to
visit
them,
but
now
they
can't.
So
how
do
we
make
sure
they
know
why?
D
And
I'm
sure
we
have
all
seen
videos
or
pictures
of
people
across
the
window
saying
hello,
so
there
are
ways
of
making
sure
that
they
know
and
understand
that
they
are
loved,
that
they
are
being
taken
care
of
and
that
this
is
a
a
way
of
protecting
them
and
the
others.
From
from
from
this
situation,
we
have
also
another
tool
that
we
developed.
D
We
are
working
in
the
area
of
dementia
for
many
years,
and
there
is
that
there
was
a
a
manual
of
I
support,
that
is,
to
support
caregivers
of
people
with
dementia,
and
we
did
we
developed
a
light
version
that
is
very
easy
to
to
to
look
at
and
to
to
to
pay
attention
to
the
different
needs
that
these
persons
may
have
and
how
to
to
be
useful
and
meaningful.
In
the
answer
we
provide.
E
You
know
to
make
sure
that
they
have
access
to
it,
so
that
when
you
connect
that
you're
actually
connected
and
technology
has
changed
and
we're
seeing
the
use
of
technology
in
in
so
many
different
settings,
but
even
in
situations
you
know
where
you
can't,
we
see
them
check
on
their
neighbors
and
that
incredible
level
of
kindness
is
so
inspiring
to
me
and
to
so
many
of
just
are
you
okay?
E
You
know,
and
you
can
do
that,
while
being
physically
distant
but
still
seeing
someone
across
the
fence
or
through
the
window
and
saying
what
do
you
need
yeah?
You
know.
I
was
in
china
in
the
beginning
and
one
of
the
things
we
saw
in
it
initially
was,
and
in
that
situation
you
can
do
a
lot
of
deliveries
through
all
these
called
no
touch
deliveries.
E
D
I
may
go
with
a
personal,
a
an
anecdote.
I
I
lost
my
father
at
the
beginning
of
covet
19
and
my
mother
was
alone
at
home
and
a
neighbor
next
door
who
she
never
talked
to
before
knock
her
door
when
she
found
out
knock
her
door
and
ask
her
if
you
need
anything.
Let
me
know
I'm
here
and
for
me
that
was
amazing.
D
C
A
question
earlier
on
was-
and
you
mentioned,
the
importance
of
explaining
to
older
people
the
situation
and
repeating
it
if
needed,
and
somebody
asked
earlier
on
as
well.
How
do
you
explain
the
situation
to
people
who
have
mental
disabilities
and
may
have
trouble
understanding
why
everything
has
has
changed
so
much.
D
D
What
do
we
need
to
do
to
take
care
of
ourselves
why
we
need
to
take
care,
as
maria
was
explaining
before
why
people
are
wearing
a
mask,
because
it's
a
way
of
protection
when
you
are
in
conditions
or
situations,
specific
et
cetera,
so
explaining
carefully
and
with
patients
to
according
to
the
situation,
I
I
think
that
in
some
cases
we
may
need
to
explain
again
and
again
and
repeat
again
and
again,
but
but
that
there
is
nothing
to
hide
the
and
the
the
situation
has
been
going
long
enough
and
will
continue
as
we
heard
before
for
some
time.
D
We
can't
hide
this
situation
from
people
in
a
situation
that
is
so
not
normal
or
for
any
of
us
for
none
of
us.
So
how
do
we
hide
this
from
from
people?
We
can't
we
need
to
to
provide
that
explanation
and
I'm
sure
that,
in
the
same
way
that
we
have
specific
recommendations
for
people
with
mental
health
conditions,
there
are
colleagues
that
have
developed
identical
ones
for
people
with
some
more
specific
disabilities
that
I
advise
to
look
at.
C
D
C
C
D
We
have
seen
and
at
different
levels
I'm
recalling
now
we
in
a
few
months
ago,
the
un
secretary
general
issued
a
report
on
mental
health
and
the
need
for
action
that
that
we
were
involved
in
producing
and
we
use
examples
from
different
towns
and
places
that
we
got
at
the
time
and
then
one
of
them
was
how
many
services
were
closed
down
for
mental
health
and
how
many
personnel
working
in
mental
health
was
allocated
to
provide
care
to
other
health
coverage
related
services
and
and
then
after
the
document
was
published.
D
The
authorities
reached
back
to
the
colleagues
working
in
that
hospital
to
say,
okay,
how
many
more
stuff
you
need,
and
they
did
a
fast
selection
of
nurses
and
personnel
of
different
levels
and
they
hire
them
right
away,
train
them
and
put
them
to
work.
So
that
is
a
positive
example.
We
have
examples
of
innumerable
examples
of
the
telemedicine
thing:
how
to
activate
a
different
kind
of
response
specific
for
health
workers,
for
example.
In
some
cases.
D
Allow
me
to
say
this:
many
of
our
viewers
may
be
from
the
health
sector,
but
stigma
and
discrimination
on
mental
health
issues
are
very
present
in
the
health
sector,
and
so
sometimes
it
may
be
easier
if
there
is
a
dedicated
line,
for
example,
to
provide
service
and
and
to
listen
to
problems
or
issues
from
those
working
in
the
health
sector.
There
have
been
the
remote
access
activating
services
in
in
different
levels
of
the
community,
and
that
is
that
is
more
from
a
service
perspective.
D
From
from
from
one
example
that
I
like
that
this
service,
that
is
human,
is
the
book
for
children
that
we
talk
about.
We
have,
I
don't
know
how
many
I
lost
the
the
accountability
of
how
many
languages
translated
over
100
at
least
120
100,
something
like
that.
D
I
mean
we
were
hitting
records
and
the
most
translated
books
ever
so
we
are
very
proud
of
that
done
with
a
number
of
colleagues
of
partners,
but
also
people
actors,
actresses
musicians,
seeing
the
video
and
proposing
to
read
it
out
loud
to
develop
a
video
to
contribute
themselves,
so
that
others
could
benefit
from
that.
So
that
kind
of
kindness
that
kind
of
a
contribution
I
think
it
is,
it
is
also
very
important
to
highlight.
D
E
So
I
come
from
the
science
background
and
I
have
seen
an
unbelievable
coming
together
in
solidarity
around
contributing
to
this
pandemic,
so
whether
it's
academics
or
public
health
professionals
or
all
over
the
world
that
are
really
trying
to
do
research
and
do
studies
and
and
collect
information
and
share
information
in
real
time
so
that
we
can
better
respond
to
this,
and
I
know
people
see
some
discourse
or
maybe
what
appears
to
be
differences
of
opinion
or
arguments,
even
it's
just
behind
the
scenes
and
in
in
my
day-to-day
life
and
in
our
day-to-day
life
that
level
of
collaboration
and
camaraderie
is
incredible
and
outstanding
and
fast
and
furious
and
wonderful.
E
The
second
thing
are
kids
and
young
people,
so
I
I've
seen
just
the
most
amazing
acts
of
kindness
and
creativity
and
ingenuity
and
just
jumping
in
of
like
how
can
I
help?
What
can
I
do
so
if
I
can't
go
to
school,
or
I
can't-
and
I
always
bring
up
my
son,
who
drew
his
these
rainbows,
that
he
brought
to
school.
That
really
just
I
mean
it
was
just
a
nice
thing
to
do.
E
I've
seen
children
check
in
on
neighbors
I've
seen
young
people,
young
adults,
adults,
do
grocery
shopping
for
frontline
workers
and
just
leave
it
outside
of
their
door.
I've
seen
them
offer
to
help
watch
other
chil
watch
their
children
while
they
have
to
go
to
work.
Those
acts
of
kindness
that
are
happening
every
single
day,
putting
together
care
packages
for
people
who
are
in
quarantine,
which
included
a
plant
or
included
a
coloring
book
for
a
young
child.
I
mean
just
being
very,
very
thoughtful.
E
E
Everybody
can
be
kind,
everybody
can
look
out
for
one
another
and
that
it
starts
with
us
and
it
starts
with
the
behavior
we
model
for
our
children
and
for
our
loved
ones,
but
there's
just
so
much
that
we
can
do,
and
this
is
difficult,
but
I
have
seen
really
incredible
acts
of
kindness
with
young
people
and
we
need
their
voice.
We
need
you
to
be
part
of
this
with
all
with
us
and
in
this
fight
against
this
pandemic.
C
Thank
you,
so
one
of
the
things
that
makes
us
happy,
including
the
people
behind
the
scenes
here,
is
how
interested
you
are
and
how
much
you
tune
in
to
hear
what
we
have
to
say
because
clearly
we're
responding
to
topics
that
are
of
interest
to
you.
So
some
of
the
countries
that
have
tuned
in
today,
people
from
nepal,
mexico,
india,
ghana,
myanmar,
spain,
bangladesh,
jamaica,
guyana,
el
salvador,
denmark,
vietnam,
nigeria,
germany,
switzerland,
france,
canada,
mexico
and
so
on.
So
thank
you
very
much
for
being
there
today.
So
thank
you,
devorah
castel.
C
She
is
our
director
of
mental
health
and
substance
use
department
and
dr
maria
van
kerkov,
our
technical
lead
for
covid.
My
name
is
nika
alexandra,
I'm
part
of
the
media
and
communications
team
here
at
who,
thanks
for
being
with
us,
and
we
will
be
doing
these
as
we
always
do,
we'll
be
doing
more
coming
up
next
week
as
well.
Thank
you.