PUT OUR WORLD BACK ON ITS FEET - BODYMIND: HEALTH, LEARNING, ART, FITNESS, DIET CHILDREN & - OUTLOOK INDIA

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PUT OUR WORLD BACK ON ITS FEET - BODYMIND: HEALTH, LEARNING, ART, FITNESS, DIET CHILDREN & - OUTLOOK INDIA
BodyMind: Health, learning, ArT, Fitness, Diet

  www.outlookindia.com               June 28, 2021

                                   Children &
                                  The Pandemic
                                Put Our
                               World Back
                                 On Its
                                  Feet

                                               Inspired by
PUT OUR WORLD BACK ON ITS FEET - BODYMIND: HEALTH, LEARNING, ART, FITNESS, DIET CHILDREN & - OUTLOOK INDIA
PUT OUR WORLD BACK ON ITS FEET - BODYMIND: HEALTH, LEARNING, ART, FITNESS, DIET CHILDREN & - OUTLOOK INDIA
Message from Dr Jitendra Singh
                                                    Honourable Minister of State (Independent Charge),
                                            Ministry of Development of North Eastern Region, Minister of State,
                                       Prime Minister’s Office, Ministry of Personnel, Public Grievances and Pensions,
                                       Department of Atomic Energy and Department of Space, Government of India

                     What We Owe The Future
                                 I
                                      ndia owes a debt to the future. One that no one could foresee. That is because the
                                      Covid-19 pandemic, unbeknownst to us, has opened up a new frontier. One that sci-
                                      ence and medical wisdom had assumed was secure. So while our energies were de-
                                 voted to fighting the emergency that hit us like a tsunami, where every facet of normal
                                 life and economy was imperilled, we tended to overlook the fact that it was leaving in our
                                 midst a whole generation of the most innocent victims: children. It is only now, with the
                                 new viral strains affecting children widely, that our attention has turned to them. And it
                                 is imperative that we gauge the extent of the threat that India faces, along with the rest of
                                 the world, and address it not just adequately, but creatively, along all axes of concern. So
                                 that we turn this crisis into an opportunity where real value can be created.
                                  Every war opens up multiple fronts, and our defences must be mounted on all of them.
                                 When we regard the special needs of children vis-à-vis the pandemic, the concerns that
                                 grab our attention right now occupy a complex range. There are questions of basic health,
                                 hygiene and immunity. There is the question of a total and unprecedented disruption of
                                 normal growing-up years, hitherto known to humanity only during times of war, and even
                                 then not in such pervasive, and perverse, ways. And flowing from the latter, we see conse-
                                 quences in mental health as cases of depression among the young rise at an exponential
                                 rate. Besides, of course, the more obvious question we have all seen: education being
                                 thrown out of gear. How do we cross this difficult passage in our nation’s life?
                                   We must turn to science, we must turn to the best wisdom and expertise that we pos-
                                 sess, we must turn to society itself—all of us are implicated in this. If humanity’s war
                                 against the SARS-Cov-2 virus has to be fought—and won—we must offer a complete
                                 guarantee to the future. I congratulate Outlook and Reckitt for conceptualising this pro-
                                 ject where the best domain experts—in paediatrics, pedagogy, mental health, fitness and
                                 nutrition—have offered us their wisdom. It fills a vital gap. The best part of all this is that
                                 the children are speaking to us too—through text and image. We need to create an aware
                                 young citizenry, and I am heartened by the signs of vitality I see amidst this crisis.
                                 Together, we shall overcome.

O u t l oo k i n d i a . c o m                                                                                             j u ne 2 8 , 2 0 2 1 | o u t look   3
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                                                                  Navigator›
                  Collector’s Issue
                                                              ‹
          EDITOR-in-chief Ruben Banerjee
           managing EDITOR Sunil Menon
       Executive Editor Satish Padmanabhan
           Foreign Editor Seema Guha
         Editor (Research) Ajit Kumar Jha
         Political EDITOR Bhavna Vij-Aurora

                                                                                                                                T
            Senior editor Giridhar Jha
            art EDItor Deepak Sharma
           Sports Editor Soumitra Bose                                                                                                    he numerous tiny brushstrokes that fill this          midst. A whole generation of the young. The ‘lost gen-
                                                                                                                                          special edition of Outlook disclose a hitherto        eration’, they are calling them. If you can see a child as
  Writers Lola Nayar (Senior Associate Editor),
 G.C. Shekhar (Associate Editor), Jeevan Prakash
Sharma (Senior Assistant Editor), Ajay Sukumaran,
       Puneet Nicholas Yadav, Jyotika Sood,                                                                                               unheard speech to us—an inner speech that the         a work of art in progress, each of them is an unfin-
        Lachmi Deb Roy (Assistant Editors),
  Naseer Ganai (Senior Special Correspondent),
                                                                                                                                world, in its extended panic and confusion, has not             ished canvas where the brush has paused mid-action.
       Preetha Nair (Special Correspondent)                                                                                     had time to listen to. What you will see on these pages         A rude interruption of life in its very crucible.
                                                                                                                                are very many acts of solitary entanglement with                   The special vulnerability of children confronts us as
 copy Desk Rituparna Kakoty (Senior Associate
     Editor), Anupam Bordoloi, Saikat Niyogi,
Satyadeep, Bodhisattwa Maity (Associate Editors)
  Photographers Tribhuvan Tiwari (Deputy
                                                                       Piyush Gupta                                             ­colour, shape, form and theme, acts that make audible          an urgent question. Firstly, in plain medical terms.
Photo Editor), Dinesh Parab (Chief Photographer),              Our Penny Stocks, Our Tomorrow                                    to us voices from a muffled region, a whole silent             But also in countless other ways. Accidental
 Sandipan Chatterjee (Sr Photographer), Suresh
                                                                                                                                 ­subcontinent, as it were. For, this pandemic has been         ­‘experiments’ in the past—the isolated instances of
                                                                        Gaurav Jain
      Kumar Pandey (Staff Photographer),

                                                                                                                                  a decidedly adult affair. They have behaved as if it is        feral children—have revealed what happens when a
       J.S. Adhikari (Sr Photo Researcher),
         U. Suresh Kumar (Digital Library)
           design Leela, Praveen Kumar. G,                             A Time To Heal                                             their catastrophe: they have taken stock, they have            young mind is kept completely away from any other
    Vinay Dominic (Senior Designers), Rohit Kumar
    Rai (Designer), Devi Prasad (Sr DTP Operator),
                                                          Lola Nair, Jyotika Sood, Lachmi Deb Roy                                 counted their losses, they have decided what to do             human: even the spark of language does not enliven
            Ranjeet Singh (DTP Operator)
                                                                                                                                  and what not to, they have lamented and legislated on          the brain. We may be in a less extreme, but way more
Digital Saubhagya Mohan Kala (Senior Associate
  Editor), Soumitra Mishra (Digital Consultant),
                                                                 Beyond Walls and Mirrors                                         their fate. Nobody asked the children.                         pervasive version of such a cruel experiment. In the
   Astha Savyasachi (Social ­Media Manager),
  Jayanta Oinam, Ashutosh ­Sharma (Assistant
                                                                        Manika Sharma                                               We may like to believe that everything that had to be        following pages, we tackle questions of health, nutri-
 Editors), Eshita Bhargava (Senior Copy Editor),
           Intifada Basheer (Sub Editor)
                                                                  The Textbooks Do Not Tell Us…                                   said about the pandemic has already been said. It has          tion, fitness and pedagogy, but also, crucially, devote
    Editorial Manager & Chief Librarian Alka Gupta
                                                                                                                                  brought forth endless iterations of advisories, the do’s       extensive sections to reflections on mental well-­
              BUSINESS OFFICE                                              Dilen Gandhi                                           and don’ts that now code our lives like a double helix,        being—including on art as a healing practice.
     Chief Executive officer Indranil Roy
Publisher SPECIAL PROJECTS Meenakshi Mehta                                 Small Wonder                                           and often mutually contradictory judgements.                   Cognitive scientists have long returned to the idea of
     marketing director Shrutika Dewan
                                                                                                                                  Breathless descents into near-shamanism have kept              a body-mind continuum, recovering the holism that
      Vice president Diwan Singh Bisht
    General ManagerS Sasidharan Kollery,
                                                                         Suravi Patra                                             pace with scientific research and social analysis, wild        came naturally to the pre-moderns. We seek that not
                Shashank Dixit
           MANAGER Sudha Sharma
                                                                  The Psychological Pandemic                                      prophecy has accompanied sober but grim prognosti-             just through textual contributions from adults, but in
  CIRCULATION & SUBSCRIPTION Gagan Kohli,                                                                                         cation. Not very many have had time to pause and               those lines and circles, those daubs of paint.
     G. Ramesh (South), Kapil Dhal (North),                              Amit Sen
  Arun Kumar Jha (East), Manoj Kamble (West)                                                                                      ­reflect on the most innocent victims we have in our                                                     —Sunil Menon
             Digital Amit Mishra                               Lonely Eyes Fixed on the Screen
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                                                                     The Inheritance of Loss
        Printed and published by Indranil Roy on
      behalf of Outlook Publishing (India) Pvt. Ltd.
                                                                        Ravi Bhatnagar
     Editor: Ruben Banerjee. Printed at MP Printers
        (A Unit of DB Corp Ltd) B-220, Phase-II,                      Tools to Set Kids Free
        Noida 201305, Gautam Budh Nagar (UP)
        and published from AB-10, S.J. Enclave,
                    New Delhi-110 029
                                                                       Rajat Chauhan
     Published for the week of June 22-June 28, 2021
                Released on June 19, 2021
                                                       Perspiration, Respiration, Inspiration, Aspiration
         Total number of pages 68 including covers
                                                         Subbarao M. Gavaravarapu, Hemalatha R.
                                                                   What’s Eating You?
                                                                           Richa Jha
                                                                       Paint Me a Painbow
            POINT AND SHARE                                            Kanaka Sudhakar
    Now, open Outlook magazine on your
            smartphone instantly.                                   Ripples in an Inner Lake
     Point your phone’s scanner on the
       code and align it in the frame.                            Anhad Singh: Lockdown Diary
     You will be guided instantly to our
      website, www.outlookindia.com
    This is useful to share our stories on
        social media or email them.                    Cover Design: Deepak Sharma Cover Photograph: Shutterstock

4    outloo k | june 28, 2021                                                                                       O u t l oo k i n d i a . c o m                                                                                           jun e 28 , 2021 | outlook   5
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       Our
      Penny                                                                              The pandemic has left a

     Stocks,
                                                                                         ­generation-sized vacuum in
                                                                                          the lives of our young ones,
                                                                                          the most innocent victims

       Our
                                                                                          of the Covid catastrophe.
                                                                                          We must invest in securing

    Tomorrow
                                                                                          India’s future—right now.

           E
                                ach generation has to go through an                        are supposedly at disproportionate risk. As we
                                ­era-­defining upheaval. It is mostly on a                 have seen across time and space, the section
                                 ­national scale, sometimes regional, and                  of the population most at risk of contracting
                                  ­occasionally, as was the case in the two ‘World’    Covid depends on a number of factors—­
                                   Wars, near-global. Some of us lived through         behaviour, exposure, lockdowns etc. We have
                                   Independence and Partition, some through                seen that even the most stringent of
                                   wars, and some through the economic liberali-       ­precautions and most secure bio-bubbles are
                                   sation of the 1990s. Nothing could have prepa­          not foolproof. If a city were to open schools
                                   red us for this. And in turn, it would’ve been          and keep offices closed, the logical result to
                                   nearly impossible to prepare our children for it.       expect would be a higher number of cases
                                       Nevertheless, they find themselves in the           being reported in adolescents compared to
                                   middle of it. An era-defining upheaval. A               middle-aged men. The steps we take as a
                                   ­pandemic of a globalised world. A world             ­society have been seen to have more bearing
                                    where news of death, illness and misery                on the risk of contracting Covid than
                                    across the ocean is barely an instant away. For      ­physiological factors, which have not been
                                    the last year and a half, we have been united          properly studied yet.
                                    in the uneasy knowledge that we are all in this          This pandemic has exhibited a non-linear,
                                    together, regardless of location, economic             complex nature; all predictions, whether
                                    ­differences, religious beliefs and age.               based on complex mathematical models or
                                       The oft-repeated assertion entering the lay         past experience or even just instinct, have
                                     consciousness has been that children are safe         gone for a toss. It would be prudent, there-
                                     from contracting COVID-19. A truer state-             fore, to be cautious against any speculation
Dr Piyush Gupta, MD FAMS,
                                     ment would be that they are relatively safer          or prediction unsubstantiated by hard
is National President, Indian
Academy of Pediatrics 2021,          from severe forms of Covid. They aren’t              ­evidence, especially about the third wave
and Professor and Head,              ­immune to it, and the fact that the rate of          specifically targeting children. All this can
Department of Pediatrics,             mortality and severity is lower doesn’t mean         result in is unwarranted mental trauma to
University College of Medical         we let our guard down. It also doesn’t mean          children and their caretakers, rather than
Sciences, Delhi                       we panic about a third wave where children           preparing them for whatever lies in store.
                                                                                                                                                                                     S u r e s h K . Pa n d e y

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                                                                     Usually, it is expected that every fresh wave       less likely to require ICU admissions.              and playgrounds. Children are exposed to                                which has been tested time and again during
                                                                     would be weaker than the previous one, but            However, the impact of the pandemic on            common viral and bacterial pathogens in                                 the pandemic, there is an imminent need to
                                                                     the strange nature of the virus coupled with        our children has not been limited to the            these settings and develop immunity against                             redesign school curriculums, as well as
                                                                     human behaviour has belied this. The second      ­actual disease, but a gamut of related issues         them. The fact that they have missed out on           ­performance assessment systems.
                                                                     wave took a much heavier toll than expected       and lifestyle changes forced upon them due            this is worrisome, but on the cost-benefit                                A holistic approach to child mental health
                                                                     and has given credence to the possibility that      to the pandemic. A recent study published in        ratio, somewhat justified considering the cost                          needs to be adopted by parents and teachers
                                                                     the third wave might be even stronger. The          Indian Pediatrics, monthly journal of the           is the unchecked spread of a pandemic.                                  alike, who need to be sensitised into mini­
                                                                     number of people infected has been much             Indian Academy of Pediatrics (IAP), found               One of the more serious side-effects of the                         mising the stress on every child they are
A ­side-effect                                                       higher in the second wave; proportionately,         that almost a third of children had developed       pandemic has been the reduction in child               ­responsible for. Equating excellence in
                                                                     the number of children infected also increa­        psychosocial problems, presenting as                ­hospital visits. Hitherto, any paediatrician           ­academic learning to self-worth merely
of the                                                               sed. This remains a possibility even in the       ­symptoms of anxiety and depression. The              could attest to parents bringing their children                         serves to inflate an already competitive
pandemic                                                             third wave, but there is no logical reasoning       underlying problems for these ranged from           more frequently to their doctors, either for             ­environment and does not work towards
                                                                     or evidence to believe the third wave will          the fear of acquiring Covid infection, not          regular immunisation or even in cases of mild             ­discipline and results. These positive traits
has been the                                                         predominantly or exclusively affect children.       being able to attend school, to not being able      illnesses, than they would themselves. These                            need to be self-motivated if they are to
reduction in                                                           An ICMR survey conducted in December              to meet friends. The thing they missed the          used to provide a vital stopgap in diagnosis               ­sustain for the long term, and the self-moti­
                                                                     2020 to January 2021 showed that the per­           most, as well the activity they intended to         and management of chronic illnesses, which                              vation can only come from a place of mental
child hospital                                                       centage of infected children in the age group      ­engage in as soon as the lockdowns were             would have otherwise gone unnoticed, since                              calm and security. To build this, screen-time
visits. There                                                        of 10-17 years was around 25%, the same as          over, was to meet friends.                          routine check-ups have been almost non-­                                needs to be reduced for children. Yoga, medi­
                                                                     adults. Almost 90% of infections in children          Socialising for children is even more impor­       existent in a large part of the country. Now,                          tation and other forms of exercise need to be
is increasing                                                        are mild/asymptomatic. This indicates that          tant than it is for adults, for it contributes to    due to Covid, there is increasing reluctance to                        taken up. And since we have already seen the
reluctance to                                                        while children are being infected like adults,      their overall development into young adults.         bring children to the hospital. Sure, telemedi­                        psychological issues emanating from the
bring children                                                       they are not getting the severe form of Covid.
                                                                     As per data collected in the first two waves,
                                                                                                                         It builds social skills, teamworking skills,
                                                                                                                         communication skills, not to mention the
                                                                                                                                                                              cine has taken over where it can, but there’s
                                                                                                                                                                              no denying the value of an in-person visit for
                                                                                                                                                                                                                                                     pandemic, an exclusive helpline to combat
                                                                                                                                                                                                                                                     adolescent suicide is long overdue.
to hospital.                                                         even severe Covid infections in children are        ­natural build-up of immunity in classrooms          diagnosis of an underlying disease. Even                                 It’s true that the pandemic has wrought
                                                                                                                                                                              ­routine immunisation has suffered and this                ­unprecedented misery and chaos everywhere,
                                                                                                                                                                                can be disastrous in the long term. The                              but it has also exacerbated existing problems
                                                                                                                                                                               ­pandemic indirectly might end up aiding the                          like nutritional extremes. On one hand we are
                                                                                                                                                                             proliferation of a host of other illnesses.                             battling with issues such as m­ alnutrition and
                                                                                                                                                                                 Then there’s the economic impact. Already                           anaemia. The Comprehensive National                 School
                                                                                                                                                                             marginalised communities have borne the                                 Nutrition Survey (CNNS) India 2016-18—              ­attendance
                                                                                                                                                                             brunt of it, with no jobs, no income, and sav­                          which included data on 1,12,316 children and
                                                                                                                                                                             ings exhausted. This will invariably have an                            adolescents—­revealed that only 6% of infants
                                                                                                                                                                                                                                                                                                          will ­ensure
                                                                                                                                                                             impact on their child’s nutrition, and in turn,                         are getting a minimum acceptable diet, the           that ­children
                                                                                                                                                                             their overall health. The challenges are many,                          prevalence of wasting (defined as low weight
                                                                                                                                                                             and therefore, there can’t be one solution.                             for height, ­indicating acute malnutrition) and
                                                                                                                                                                                                                                                                                                          are not
                                                                                                                                                                                                                                                                                                          ­leading a

                                                                                                                                                                             T
                                                                                                                                                                                                                                                     stunting (defined as low height for age, indi­
                                                                                                                                                                                     he other vacuum children are left with                          cating long-term malnutrition) in under-five
                                                                                                                                                                                     for now is schools. Schools are an inex­             ­children are 17% and 35%, respectively; and
                                                                                                                                                                                                                                                                                                           sedentary
                                                                                                                                                                                     tricable part of a child’s life; they spend                     41% of pre-schoolers, 24% of school-age               lifestyle, are
                                                                                                                                                                             at least a quarter of their day in school or trav­            ­children, and 28% of adolescents are anaemic.
                                                                                                                                                                             elling to and from it—vitally, being socialised                         It’s highly probable that the problem has
                                                                                                                                                                                                                                                                                                           mingling with
                                                                                                                                                                             all through. The stringent lockdowns necessi­                  ­worsened during the pandemic, especially                      peers, and
                                                                                                                                                                             tated by the pandemic brought a simultane­                              among children belonging to underprivileged
                                                                                                                                                                             ous need and opportunity for a paradigm shift                           communities such as manual labourers,
                                                                                                                                                                                                                                                                                                           developing
                                                                                                                                                                                                                                                                                                           a healthy
                                Art: snigdha borogohain, 11, noida

                                                                                                                                                                             in education. We know, now, that self-­                         ­daily-wage earners and migrant workers, who
                                                                                                                                                                                                                                                     have been struggling to survive. There is an
                                                                                                                                                                             directed learning works, with children gaining
                                                                                                                                                                             more autonomy, responsibility and, in turn,                      ­urgent need to address the lack of proper
                                                                                                                                                                                                                                                                                                           ­immunogenic
                                                                                                                                                                             more independence in setting goals and                            ­nutrition in these children, which can result in            arsenal.
                                                                                                                                                                             achieving them. The absence of an authority                             long-term s­ tunting and developmental
                                                                                                                                                                             figure solely responsible for their education                      ­disorders. On the other hand, we have urban
                                                                                                                                                                             has provided a long overdue impetus in                                  children living in e­ conomically stable
                                                                                                                                                                             self-motivation and ownership in education.                         ­households, who are at the other end of the
                                                                                                                                                                             We also are more cognisant of the possibility                        ­nutritional extreme. In the last decade,
                                                                                                                                                                             that attending school is more important for                           ­options at home for junking have been on the
                                                                                                                                                                             socialisation and associated skills rather than                         rise, b
                                                                                                                                                                                                                                                           ­ ecoming ever-more p ­ revalent during the
                                                                                                                                                                             mere learning. In view of this, and to better                           lockdowns. A national consultative group
                                                                                                                                                                             take care of our children’s mental health,                             ­constituted by the Nutrition Chapter of the

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                                                                                                            with ­cardiac and sleep disturbances in
                                                                                                c­ hildren and adolescents. In view of these
                                                                                                 ­conclusions, it’s necessary to have stricter
                                                                                                  ­policy on ­ultra-processed and junk foods,
                                                                                                            front-of-pack labelling, and creating
                                                                                                   ­awareness about their adverse effects.
                                                                                                              Exercising at home for children, including
                                                                                                            but not limited to yoga, is encouraged to
                                                                                                    ­increase physical activities, but it’s not a
                                                                                                     ­substitute for schools, which need to be
                                                                                                      ­reopened to provide them with a sense of
                                                                                                       ­normalcy. However, as an IAP Task Force
                                                                                                        ­recently put forth in its guidelines, they should
                                                                                                            be opened “only when the local epidemiologi-
                                                                                                            cal parameters are favourable, the administra-
                                                                                                            tion is equipped with adequate ­infrastructure
                                                                                                            and healthcare facilities, and the stakeholders
                                                                                                            (teachers, students, parents and support staff )
                                                                                                            are prepared for the new normal. In the
                                                                                                         ­meanwhile, remote learning (media-based
                                                                                                            and/or otherwise) should reach the last
                                                                                                          ­student to maintain uninterrupted education.”
                                                                                                            School attendance will ensure that children
                                                                                                            are not leading a sedentary lifestyle, are
                                                                                                           ­mingling with peers, and developing a healthy
                                                                                                            immunogenic arsenal.

                                                                                                S
                                                                                                          peculation about a third wave that
                                                                                                          predominantly affects children shouldn’t
                                                                                                          be seen as a reason to panic, but an
                                                                                                ­ pportunity to better our paediatric healthcare
                                                                                                o
                                                                                                ­infrastructure—historically inadequate in
                                                                                                 ­normal times, let alone during a pandemic. Not
                                                                                                just district hospitals, but even many medical
                                                                                                  ­colleges in the country do not have intensive
                                                                                                care services for children, be it in terms of
                                                                                                trained specialists or essential equipment. The
                                                                                                litchi epidemic was a stark example showcasing
                                                                                                how woefully underprepared we are in dealing
                                                                                                with a sudden spike of such nature. The motto
                                                                                                has to be—build in peacetime, so that we are
                                                                                                ready for war. Healthcare, especially for
                                                                                                   ­children, has to become a priority if we are to
                                                                   a p o o r va s a l k a d e
                                                                                                handle a ­pandemic. This does not simply mean
                                                                                                buying more ventilators, procuring more

                                                                                                                                                                                                                                      A r t : t i ya s h a s a h a , 7 , g u r g a o n
                                  IAP has suggested a new acronym: ‘JUNCS’                      equipment, creating more beds. It also means
                                  foods, to cover a wide variety of concepts                    making sure the workforce responsible for our
                                  ­related to unhealthy foods. Think ‘Junk foods,               children isn’t scanty, starved or scared.
                                   Ultra-processed foods, Nutritionally                               The writing is on the wall for anyone to
                                   ­inappropriate foods, Caffeinated/coloured/                  read. We can’t think short-term and expect
                                    carbonated foods/beverages, and Sugar-                      long-term gains. Dealing simply with Covid
                                    sweetened b    ­ everages’. Consumption of these            will not erase ­decades of under-investment
                                    foods and beverages, we conclude, is                        in child health. There needs to be a long-
                                    ­associated with higher free sugar and energy               term commitment from all private and
                                     ­intake, and with higher body mass index, while                ­public stakeholders if we are to be prepared
                                      intake of ­caffeinated drinks may be a­ ssociated         for the next era-defining u    ­ pheaval. O

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                                  A
                                TIME
                               TO HEAL

      P
                               ERPETUAL war. A state where you lose                 cally, cognitively and socio-emotionally,
                               focus, lose grip on the flow of time, its diurnal    internalising the complex structures of lan-
                               and seasonal rhythms, even a healthy sense           guage right from infancy and then honing
                               of the self-in-the-world. That’s what the pan-       those skills in the playground and school.
                               demic appears like even to adult minds—a             Home is the f­ ulcrum of their lives—and luck-
                               social desert, a psychological dead-end from         ily, that is still with them, at least most of
                               which flight seems impossible. Transpose             them. But the ­outside ‘environment’ is the
                               that state to a child’s mind and imagine the         foundry where a well-formed, complete
                               intensity of the crisis. The world has imposed       human being is forged. That has simply van-                                                                                                                                  SHUTTERSTOCK
                               on them, without any warning, a life bereft of       ished, as it were.
                               most of our normal markers of comfort and              At Reckitt, we are keenly alive to this form of         It’s our common objective to ensure that        their lives. We believe these initiatives have a
                               delight—a life that could be deemed normal           deprivation. That’s why children are always at      childhood and adolescence do not lose their           vital edge: it’s precisely the early childhood
                               only for ancient warriors or modern army             the centre of our campaigns, advertisements         essence due to the pandemic—to see that               years when children first learn how to interact
                               units specialised in remote border conflicts.        and CSR activities. In our journey of over five     ­innocence flowers into experience in fruitful,       with others, including peers, teachers and par-
                               Time hangs like a vast, empty space, with            years where we focused on the very young, we         seamless ways. Reckitt has garnered new part-        ents, and begin to develop interests and habits
                               nothing filling it—we are well into the second       started small but now our reach extends to           nerships and strengthened its ongoing ones to        that will stay with them throughout their
                               year now, and no signs of early closure              over 6 lakh schools. What makes us really            this end. But the scars the pandemic is leaving      lives. Now, behaviour alterations are to be ex-
                               ­appear on the horizon. And remember, a              proud is that our efforts are not dispropor-         have us worried. What we are doing, will it          pected during an abnormal phase such as this
                                young mind cognizes and processes a year as         tionately focused on private urban schools—          suffice? To ensure all-round growth and de-          pandemic, when confinement at home is the
                                being of a much, much longer duration. Are          we cover a vast range of rural Indian schools        velopment, to really fill the void, it’s impera-     norm for children—psychiatrists, counsellors,
                                you surprised at signs of fatigue, mental           and parallel schools like madrassas.                 tive that we get to a stage where schools and        ­educationists and teachers, all reiterate that
                                ­attrition and depression creeping in? The            The lockdown, first of all, brings sheer inac-     parents can again make conjoined efforts—             ­unfortunate fact. It will take time to fill the
                                 ­familiar hum of school, the laughter of class-    tivity—and, consequently, boredom. How               how quickly or how late, we do not know. The           vacuum, but as parents and teachers, provid-
                                  mates, would now be a distant memory for          could one keep kids engaged? We thought              onus is squarely on us, meanwhile.                     ing the best nurturance under the circum-
                                  the really younger ones. How to comport           hard to come up with innovative ideas.                    One unique initiative we pioneered is a           stances is our responsibility. Reckitt sees its
                                  oneself in group situations is something you      Unlock 22, a partnership programme of                ­mobile app designed for fun, learning and             mission as one that includes everything in the
                                  have to learn by doing—the chance for that        Butterfly Edufields and Dettol Banega                 ­engagement—we named it the Dettol Phygital           motto ‘protect, heal and nurture’, while never
                                  normal behavioural evolution is snuffed out.      Swasth India, was one of our most meticu-              Experience. Its exploratory pathways are             letting up on our relentless pursuit of a
                                  ‘The outdoor’ is taboo—with it goes the           lously thought out campaigns. It comprised             ­focused on health and hygiene, especially in        cleaner, healthier world. Our h ­ ygiene, health
                                  ­tactile connection with the planet.              22 exciting challenges and activities during            the context of washing hands, something             and nutrition businesses are oriented towards
                                     The years of early childhood, up to age 8,     22 days of lockdown for kids, parents, grand-           we’ve been propagating for years. Our adver-        the latter. But in throwing ourselves to the
Gaurav Jain                        are crucially formative. It is precisely         parents and teachers. The unspoken motto                tisements, even before Covid hit the world, fo-     task of ensuring the general weal, and in salut-
is Senior Vice President,          through i­ nteractions with the world that the   there was to improve family bonding while               cused on this important practice of life that       ing brave Covid warriors among our young
South Asia, Reckitt                young body-mind continuum evolves physi-         driving productive engagement at home.                  could save millions from falling sick or losing     citizenry, we lean towards the former. O

12   OUTLOOK | JUNE 28, 2021                                                                                                            OUTLOOKINDIA.COM                                                                                                  JUNE 28 , 2021 | OUTLOOK   13
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                                                                                                                                                                               r­ uined,” says her mother, worried that the
                                                                                                                                                                                daughter is also missing key learning

                                                               Beyond Walls and
                                                                                                                                                                                ­milestones. “We have our limitations. The
                                                                                                                                                                                 kinds of peer learning kids absorb at this
                                                                                                                                                                                 age from school and the playground is

                                                               Mirrors
                                                                                                                                                                                 ­missing. It may not reflect now, but as she
                                                                                                                                                                                  grows up, I fear peer learning and s­ ocialising
                                                                                                                                                                                  will become difficult for her if she spends
                                                                                                                                                                                  more time at home with us.”
                                                                                                                                                                                                  The story is no different at every
                                                                                                                                                                                  ­household, cutting across economic class
                                                                                                                                                                                   and location. On top of this, lockdowns,
                                                                                                                                                                                   ­social distancing and pandemic restrictions
                                                                                                                                                                                    have led to increased dependence on
                                                               There is need for government-level intervention in education policy, to
                                                                                                                                                                                    gadgets, and not just for children. The
                                                               cater to the needs of children once normalcy returns. Meanwhile, let’s                                               ­extended lockdowns have led to disturbed
                                                               do our bit. After all, they are our kids, our future.                                                                 ­family life with rise in fights, physical and

                                                                                                                           R
                                                                                                                                                                                      mental abuse—all under the shadow of
                                                               Jyotika Sood, Lachmi Deb Roy & Lola Nayar                                                                              illness and death. Over time, the lack of
                                                                                                                                                                                      space, of movement and exposure to the
                                                                                                                                                                                      ­outdoors is preying upon minds. This is
                                                                                                                                                                                       ­especially true for adolescents, just at a time
                                                                                                                                                      UN around the park                when they normally begin to venture out on
                                                                                                                                                      to chase a dragonfly.             their own, beyond the protective veil of their
                                                                                                                                                      Climb a tree to shock             parents. In urban India, cheek-by-jowl
                                                                                                                                                      onlookers. Jump into              ­existence forces a type of socialisation that
                                                                                                                                                      a puddle to splash the             has been tamped down, replaced by forced
                                                                                                                                                      dirty water on a                   isolation, unease, fear and suspicion that
                                                                                                                                                      friend, and get your               ­especially preys on the minds of kids,
                                                                                                                                                      uniform dirty while                 ­resulting in irritability and anger issues.
                                                                                                                                                      returning from                              Pooja Bakshi Jaitly, counselling psycholo-
                                                                                                                                                      school. Get into a                   gist for air force personnel and their fami-
                                                                                                                            scrap with friends over who gets to bat first                  lies, says the impact is different for every age
                                                                                                                            in cricket. Plan a sleepover with friends and                  group. Those below 10 years are, according
                                                                                                                            stay awake discussing boyfriends.                              to her, full of anxiety and fear, rising largely                                                           A r t : V aa n y a a r o r a , 1 4
                                                                                                                                Childhood is a tender age when worldly                     from their immediate environment, particu-
                                                                                                                            pleasures don’t move you, often. You might                     larly since their parents’ attitudes have a
                                                                                                                            bawl for a smartphone, but once you get it,                    ­direct bearing on them. And there is no
                                                                                                                            you don’t spend hours tinkering with it. The                    school and friends to fall back upon for                   themselves mired in their own existential
                                                                                                                            bigger rewards are apparently insignificant                     ­emotional support. Meanwhile, even after                  worries—don’t have the patience,
                                                                                                                            things like a smile, a hug, praise and                           schools reopen, there’s the fear that some of     ­demanding discipline instead of trying to
                                                                                                                            applause.                                                        the children might face separation anxiety.               understand their kids.
                                                                                                                                Not anymore. Since early 2020, life for kids                 After all, for more than a year, they have got             In a study ‘Impact of COVID-19 and
                                                                                                                            across the globe is confined to homes that                       used to having only their parents and family       ­lockdown on mental health of children and
A r t : J i a D u s h y a n t V a s a n i , 5 , G u r ga o n

                                                                                                                            often resemble four walls of a jail. And the                     members around them the whole day. On the                 adolescents: A narrative review with
                                                                                                                            massive psychological changes and                                other end, some parents have had to get spe-        ­recommendations’, published in Elsevier
                                                                                                                            ­challenges this has wrought are barely                          cial permission to take their children around             Public Health Emergency Collection, the
                                                                                                                             ­understood or addressed.                                       their empty schools to help calm them down.          ­researchers said the nature and extent of
                                                                                                                                For four-year-old Kirti Sharma (name                              With adolescents, who are already                ­impact on children and adolescents depends
                                                                                                                            changed), the single kid of working parents                      ­undergoing a lot of physical, emotional and              on many vulnerability factors, including
                                                                                                                            who live in Gurgaon, the world has collapsed                      psychological changes, the pandemic period            ­current educational status, special needs,
                                                                                                                            into their 2BHK house. Bored of her toys, TV,                     has been traumatic. It is a period when                  pre-existing mental health conditions,
                                                                                                                            crayons and board games, she tells her mom,                       ­normally, there is a high degree of brain             ­economic standing, fear of quarantines.
                                                                                                                            “Maa, kitna boring hai (Mom, this is so                            ­development. That is missing as there is no             The researchers concluded there is a
                                                                                                                              ­boring)”. Her bemused parents have no idea                       structured pattern to their daily routine.            ­pressing need for planning longitudinal and
                                                                                                                            how to manage her.                                                  This is a time when calibrated interaction             developmental studies, and implementing
                                                                                                                                “The tender age of learning is being                            with parents is crucial. But often, parents—           evidence-based elaborative plans of action,

                                                               14   outlook | jun e 28, 202 1                                                                                  Outlookindia.com                                                                                                             june 28 , 2021 | outlook   15
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                                                                                         you want your child to wear a mask, instead         constraints in big cities like Mumbai and        not only missing classes, but also the simple
                                                                                         of calling them out when they don’t, reward         Delhi, conflict is inevitable. “Before the       everyday interactions like walking to class
                                                                                         them with affirmations such as a high-five          pandemic, children who shared rooms              together, eating lunch together, playing and        The pandemic
                                                                                         when they do so. Using punishment                   could co-exist better because of avenues         creating together. And this is having a
                                                                                         ­frequently will lead to the desired action         outdoors,” Chhabria says. “Since restric-        ­domino effect on them.                             has snatched
                                                                                         being completed with a mindset induced in           tions were imposed, they are often at log-            Even schools are acknowledging and ­trying     away two
                                                                                         fear, which is not only detrimental for the         gerheads as they are unable to assert the           to address this. “We’re cognisant of the fact
                                                                                         parent-child relationship, but also the             same degree of autonomy and independ-               that the effect of the pandemic will remain      main sources
                                                                                         child’s psychological wellbeing. Using rein-        ence within the confined space. Besides,            with our children even after ­normalcy           of ­children’s
                                                                                         forcement and having a discussion with              children of different age groups also have        ­returns,” says Manit Jain, ­co-founder of
                                                                                         your children about why you want them to            conflicting needs. Essentially, parents are         Gurgaon-based Heritage Xperiential               social
                                                                                         perform certain behaviour, will manifest in         faced with difficulty in communication,             Learning School. Keeping this in mind, they      ­interaction—
                                                                                         healthy habits that stand the test of time.”        having to juggle between unique needs of            have designed a curriculum and practices to
                                                                                              The school environment is crucial in fos-      their children, leading to familial distress.”      help ease the children back to the physical       immediate
                                                                                         tering a motivation to learn, because chil-           Peer interactions and relationships are           school, with a lot of emphasis on their social    neighbourhood
                                                                                         dren are not used to studying in isolation.         how kids learn not only about cooperation,          and emotional needs. The school has put tog­
                                                                                         In the absence of peer discussion and               trust, loyalty and support, but also about         ether a social-emotional learning team and a       and school.
                                                                                         teacher interactions, online schooling has          themselves, understanding and expressing            counselling team, which will be working
                                                                                         resulted in low motivation. Besides not             their own emotions, making well thought             closely with the students when they return.
                                                                                         being able to physically go to school, stu-         out decisions, coping with challenges and             Since the start of the pandemic, parents
                                                                                         dents are unable to form new connections            accepting responsibility. The pandemic has          have noticed changes in their children’s
                                                                                         or maintain old ones online­— quickly losing        snatched away two main sources of their            ­behaviour, including restlessness, out-
                                                                                          the sense of belonging they once had.              ­social interaction—immediate neighbour-            bursts, extreme irritability, mood swings,
                                                                                              “All children naturally have high energy        hood and school. As a result, children are         disturbed sleep and melancholia. Chhabria
                                                                                          levels, but with extracurricular activities
                                                                                          also inaccessible, they are at a loss of places
                                                                                                                                                                                                                                                  A r t : M i t a k s h i Ka s h y a p , 5
                                                                                          to spend their energy,” Chhabria explains.
                                                                                          “As a result of online schooling, children are
                                                                                          cooped up in their room in front of a screen
                                                                                          all day long, which can make them highly
                                                                                          ­irritable and frustrated.”
                                                                                              It is essential for parents to keep commu-
                                                                                         nication channels open and constantly
                                                                                           ­interact with their children, in order to
                                                                                            build an emotional language with them. “In
                                                                                            these times, parents themselves are
                                                                                            ­impatient and restless, and end up being
                                                                                         dismissive of their children’s grievances,
                                                                                         which may seem petty, but matter a lot to
Art: Kritika Joshi, 17, Jaipur
                                                                                         the child,” says Mumbai-based psychologist
                                                                                         Dr Seema Hingorrany. “Speak to them
                                   to cater to the psycho-social and mental         ­instead, understand their problems and
                                   health needs of vulnerable children and           ­answer their questions patiently. Or try to
                                   ­adolescents, both during the pandemic and            seek therapy instead of taking out your own
                                    afterwards. There is a need to ameliorate            frustrations on the child.”
                                    children and adolescents’ access to mental                Toddlers and pre-schoolers haven’t even en-
                                    health services geared towards providing             countered schools, staying away from­parents
                                    measures for developing healthy coping               for a stretch of time, or interaction with
                                    mechanisms during the crisis.                     ­people other than family. “During my ses-
                                       According to several reports, mental              sions, I have been seeing a lot of ­nervousness
                                    health issues are becoming huge among                and restlessness in toddlers when they get
                                    children in India, with some reports indi-         ­exposed to a crowd,” Hingorrany says. “They
                                    cating a 42 per cent rise in depression.             are shy to interact with outsiders, often
                                       “The key idea here is to quickly and often       ­clinging to their parents.”
                                    reward good behaviour, to engender a                      Having the entire family at home can be
                                    ­virtuous cycle,” says Mumbai-based psychi-          enjoyable, but when it gets extended for
                                     atrist Dr Anjali Chhabria. “For example, if         months on end, especially given the space

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                                                explains that instead of dismissing the
                                                ­worries and anxieties of infants of age 0-5
                                                 years, parents should try addressing these
                                                 to foster strong bonds.
                                                              For kids of age 6-12 years, psychologists
                                                 feel it is important to maintain routines,
                                                 even during vacations, in order to not
                                                 ­disturb their body cycles. Any form of phys-
                                                  ical activity—from dancing to a YouTube
                                                  video to doing dishes—is essential, as it
                                                  ­secretes hormones in the brain that are
                                                   ­responsible for psychological wellbeing.
                                                              With schools going online and academic
                                                    pressure rising, especially for teenagers, it is
                                                    important to be mindful of screen time, as
                                                    excessive exposure can cause headaches
                                                    and sleep disturbance. Chhabria says it is
                                                    important for teens “to stay engaged at
                                                    home, by contributing to household chores.
                                                    While online schooling can be a conveni-
                                                    ence, parents should also make an effort so
                                                    that their children stay in touch with their
                                                    friends. And if a child feels overwhelmed,
                                                    parents should immediately reach out to
                                                    mental health professionals.”
                                                              Actress and UN Equality Champion Celina
                                                    Jaitley, who lives in Austria, says, “Our kids
                                                    have been home for a year and a half, since
                                                    the onset of the pandemic. My husband and
                                                    I are very transparent with our sons. We
                                                    practise ‘Sing Happy-Birthday two times’
                                                    together while doing daily chores 6-7 times
                                                    a day. We have isolated ourselves
                                                    ­completely, and have been focusing on
                                                     ­eating lots of fresh organic fruits and
                                                      ­veggies. The twins are fully aware of the
                                                       global nature of the pandemic. Arthur, my
                                                       three-year-old, believes Corona and
                                                       Monster Zombies are first cousins.”
                                                              Celina felt one of the biggest challenges she
                                                       faced as a parent was the fear of the pan-
                                                       demic in the mind of her kids. “We had to
                                                       work consistently to balance the new
                                                       ­realities while teaching them to handle their
                                                        fears,” she says. “We also made a strong

                                                                                                                                                                    Art: Snigdha borgohain, 11, noida
                                                        ­endeavour to stick to their school routine. As
                                                         parents, we make the effort to wake them up
                                                         at 6.30 am on weekdays and make them do
                                                         their studies at home exactly as per the
                                                         school schedule, including the breaks.”
“As parents, we make the effort to wake                       As parents and elders, it is our
                                                         ­responsibility to understand that the
them up at 6.30 am on weekdays and                        ­psychological and behavioural changes we
make them do their studies at home                         notice in our children are valid, and allow
                                                           them to express their emotions in
­exactly as per the school schedule,                       ­whichever way they want. Let us ensure
 ­including the breaks,” says Celina Jaitley.               a brighter future for our kids. O

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Editorial content

The
Textbooks
Do Not
Tell Us…
 …how to build the future. It must be imagined
 afresh, from the debris of our broken present.
 It’s an education for all of us

        T
                                  he irrepressible Mark Twain once fam­
                                  ously said: “I have never let my schooling
                                  interfere with my education.” His words
                                  have proved prophetic, though no one
                                  could have imagined the world-altering
                                  context that has seen education continue
                                  without physical schools as we know it.
                                    The raging pandemic that has halted the
                                  world in its tracks, and has now pretty
                                  much immobilised India, has left everyone
                                  grappling with the surreal, dystopian na­
                                  ture of the new normal. It has left shattered
                                  lives, families and communities in its wake,
                                  and has been especially devastating in its
                                  impact on children. With schools experi­                                                                                                                                                        S u r e s h K . Pa n d e y

                                  menting with online and hybrid education,
                                  teaching and learning as we knew it has           access even the basics, whether it’s a stable    create anxiety in all, and our children are no   the family they’re supposed to be gaining
                                  changed, and probably forever. Whether            internet connection, or a smartphone. In         different. If younger children have exhib­       their independence from, while being cut
                                  this change is for the better or not is a         many huts and one-room tenements, even           ited stressful reactions such as bedwetting,     off from the larger community and peer re­
                                  longer debate for another day, in a               the idea of electricity—let alone connectiv­     disturbances in eating and sleeping patterns     lationships that enable self-actualisation.
                                  post-pandemic world. Right now, the imp­          ity, or a quiet learning space for a child—is    and outbursts, older students have strug­        Doctors report that they are seeing feelings
                                  erative is to work out the logistics of this      an unimaginable luxury.                          gled with missing out school life markers        of depression, helplessness, low energy, loss
                                  rea­lity to ensure that no child or family is       How then have schools navigated this           that they’ve been looking forward to: sports     of interest in hobbies and hopelessness.
                                  left out of the learning ecosystem. The eco­      hitherto unknown reality? And more imp­          events, graduation day, college visits, in­      Counsellors, doctors, families, schools and
                                  nomic realities of a country like ours means      ortantly, how are our young children and         ternships and the sheer joie de vivre of         communities have come together to support
                                  that while a micro percentage of children         young adults coping? A myriad questions          being together as the seniormost group on        children. Online counselling, fun commu­
                                  and families can easily access all the tools to   continue, with no one answer fitting all.        campus. At a stage in life when they’re natu­    nity events on Zoom, and teacher connect
Manika Sharma is Director,        navigate the world of digital learning, a           A sudden change and a constantly fluctu­       rally expected to explore independence           time have been put in place to scaffold chil­
The Shri Ram Schools              larger mass of the population grapples to         ating, unpredictable new normal cannot but       from parents, they are trapped at home with      dren as best as possible. There is no dearth

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                                                                                The imp­erative is to work
                                                                                out the logistics of this
                                                                                rea­lity to ensure that no
                                                                                child or family is left out
                                                                                of the learning ecosystem.

                                                                                be a hybrid blend? How will uniformity of
                                                                                implementation be handled in a country as
                                                                                economically and socially diverse as ours?
                                                                                Can we ensure a level playing field, or at
                                                                                least one with fewer hurdles? The integra-
                                                                                tion of technology in classroom teaching
                                                                                has compelled educators to upgrade their
                                                                                technical skills. This has not been without
                                                                                its challenges, and more so, has come at
                                                                                the cost of stressed-out educators. They
                                                                                were already struggling to deal with the
                                                                                pandemic, often in their own immediate
                                                                                and extended families, and at the same
                                                                                time be a supporting scaffold to students.

                                                                                L
                                                                                       earning management systems
                                                                                       (LMS) help teachers deliver online
                                                                                       lessons, share reading materials and
                                                                                grade assignments. These platforms can
                                                                                streamline much of the work for teachers
                                                                                and assist with tracking student progress
                                                                                and connecting with parents. Virtual
                                                                                Reality (VR), which creates an immersive
                                                                                3D environment that a user can explore,
                                                                                and Augmented Reality (AR), which super-
                                                                                imposes digital elements such as visuals,
                                                                                sound and text onto a user’s surroundings,
                                                                                are both here to stay.
                                                                                  While a shaken and stirred world awaits
                                 of online resources to seek help from or       better times sooner rather than later, the
                                 stay meaningfully engaged with.                digital space continues to entertain with
                                   A larger question going forward is: in the   memes and cartoons to keep the spirits
                                 post-pandemic world, what will education       high. May prayers and humour get us
                                 look like? Governments, education sys-         through this challenging time.

                                                                                                                                                                                     Art: Sagarika Khanna, 17, Gurgaon
                                 tems and school managements are cease-           The pandemic that has ravaged the
                                 lessly engaging in dynamic interactions to     world for more than a year has particu-
                                 chart the way forward. Around the world,       larly been an immense challenge for edu-
                                 they are urgently recalibrating outdated       cation. Yet may it become a ransformative
                                 systems and modernising them for the 21st      watershed event to build more equitable
                                 century. Educators have had an opportu-        and resilient education systems of and for
                                 nity to reimagine learning and equip stu-      the future. All stakeholders need to sup-
                                 dents with the cognitive, creative, social,    portively collaborate because reforming
                                 emotional and physical skills required to      our education systems and reimagining
                                 navigate the future. How will exams be         learning can wait no more.
                                 held? Will we go back to the comfort zone        If not now, then when
                                 of physical schooling and exams, or will it      If not us, then who. O

22   outlook | jun e 28, 202 1                                                                                                Outlookindia.com      jun e 28 , 2021 | outlook   23
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                                                                             children react similarly, especially when it          tation while empowering citizens with better
                                                                             comes to hygiene habits. I’m sure all of us           health outcomes across the country. As part

  small
                                                                             have seen videos of toddlers recognising              of the Digital Handwash Curriculum, we
                                                                             ­sanitiser dispensers before other everyday           have created 1,54,000 awareness sessions on
                                                                              obj­ects. Seeing children adopt these habits is      handwash and hygiene, impacting over 13
                                                                              surely a catalyst for all of us to do better.        million school children in 6 lakh-plus
                                                                                 These habits, if maintained, will have            schools via e-curriculum and offline curricu­

 wonder
                                                                               ­utility far beyond the pandemic. According         lum across Bihar, Gujarat, Maharashtra,
                                                                                 to WHO, inadequate hygiene and sanita­            Telangana, Uttar Pradesh, Rajasthan, Andhra
                                                                                  tion practices in India contribute to high       Pradesh and Tamil Nadu, among other states.
                                                                                   neonatal mortality rate as well as diar­            With the second wave in India, the pan­
                                                                                    rhoeal deaths of children under five years     demic re-emerged with a vengeance. Dettol,
                                                                                    of age. Therefore, it is critical for us to    knowing the special role played by children
      Unlikely heroes are emerging amidst the Covid                                  encourage our children to continue to         in the pandemic, decided to use their voice to
                                                                                        practise the good hygiene habits they      convey an important message via the Dettol
      pandemic. And youngsters are finding ways to                                      have learnt. Not only as a means to        Anthem. The anthem not only highlights the
     join the global battle against the mystery virus.                                ­protect themselves but also as an           importance of good habits and vaccination,
                                                                                       ­example to others around.                  but also sends a message of hope. Children
                                                                                         Dettol, with its history of working       once again will play the role they have played
                                                                                      tow­ards driving behavioural change,         so far. Being agents of change.
                                                                                     promises to play an important part in             During the pandemic, when so many of us
                                                                                   creating a healthier, more hygienic world.      were struggling to cope with the new reality,

         T
                                                                              Our flagship Dettol Banega Swasth India              there were some brave souls who emerged in
                                                                              programme has been instrumental in creat­            strong support of the community. These
                                                                                      ing awareness around hygiene and sani­       COVID-19 warriors selflessly dedicated their
                                                                                                                                   time, effort and resources to help those in
                                                                                                                                   need, touching thousands of lives across
                                he pandemic has changed our lives forever.                                                         India. We were truly inspired by these stories
                                Most of us are trying our best to find the                                                         and wanted to pay tribute to their valiant
                                balance between managing family                                                                   ­efforts. With our #DettolSalutes campaign,
                                time, homeschooling, remote                                                                        we showcased these inspiring tales front and
                                working and taking time out                                                                        centre of our Dettol Liquid handwash packs,
                                for ourselves. And this can                                                                        replacing our logo for the first time in the
                                be quite daunting for some.                                                                        history of the brand.                                Children
                                One silver lining is that                                                                              One amongst them is Nirvaan, a 12-year-old
                                our children have largely                                                                            boy from Kochi who, after reading about the
                                                                                                                                                                                        once again
                                been spared from the                                                                                 hardships of frontline warriors, decided to        will play the
                                ­severe symptomatic reac­                                                                            get in touch with the police to understand
                                 tions of the virus. However,                                                                        how he could help. Nirvaan led a group of his
                                                                                                                                                                                        role they’ve
                                 in other ways the children                                                                          friends to create posters encouraging and          played so
                                 are the most impacted.                                                                              app­lauding the work done by police officials
                                 Missing school or playing                                                                           in his city. He also helped raise funds to
                                                                                                                                                                                        far. Being
                                 with friends, worrying about                                                                      ­provide refreshments for officers on duty to        the agents
                                 loved ones, confusion or bore­                                                                      help them sustain through long hours and
                                 dom can lead to problems more                                                                       scorching heat. I’m sure there are many such
                                                                                                                                                                                        of change.
                                 severe than we imagine.                                                                             stories yet to be told. Just one more example
                                   However, children do have ast­                                                                    of how children could be a catalyst for
                                 onishing resilience. They tend to                                                                  ­everyone around.
                                 respond to crises in ways that                                                                        Together, this heightened awareness of
Dilen Gandhi is Regional         seem beyond their years. And                                                                       ­hyg­iene practices and a greater sense of social
Marketing Director, South        those little acts of maturity give                                                                  awareness in this generation of children gives
Asia – Health & Nutrition,       hope to all those around. During                                                                    me a lot of hope that our dream of a healthier,
Reckitt                          this pandemic too, we’ve seen                                                                       more hygiene is that much closer. O

24   outlook | june 28, 202 1                                                                                                                                                               jun e 28 , 2021 | outlook   25
Mental Health

The
Psychological
Pandemic                                                                 Whose life are we saving: at what cost?
                                                                         Is COVID-19 making us hold our children
                                                                         as hostages? The consequences can be
                                                                         disastrous. What we need is collective

       C
                                                                         awareness and care

                                 ovid-19 has brought the entire world to a            ing medical conditions. Many experts ques­
                                 grinding halt; all activities of progress, growth,   tion the role of school closure in containing
                                 development have been stalled. While an eff­         the virus. Continuous indoor stay with re­
                                 ective cure remains elusive, and vaccination         duced opportunity to go out, and inc­rease in
                                 proceeds at a glacial pace, the only real resort     screen time, is the perfect recipe for future
                                 the world has are the public health measures         myopia (near-sightedness). Not to speak of
                                 being implemented across the globe: repeated         the risk of chronic diseases like obesity,
                                 hand-washing, masking and social distancing.         stress, diabetes, hypertension and cardiac
                                 Simple measures, but of course things that           conditions, which are vastly enabled by a
                                 have made daily lives a struggle. Caught up in       sedentary lifestyle, unhealthy caloric intake
                                 our own frustrations, however, we tend to for­       and lack of physical activity. With this unnat­
                                 get how much more difficult this abnormal            ural phase, we are looking at a nightmare fu­
                                 phase in the planet’s life is for the young ones.    ture scenario where these are bound to
                                 Explaining the various virus containment             increase in our young population.
                                 strategies to them is already an arduous task—         So we have physically caged our children
                                 enforcing them is taking a real, continuous          with enforced lockdowns, social distancing
                                 toll on their mental well-being. The recent          and school closures. And that’s creating a
                                 Indian guidelines of relaxing mask use for           cascading psychosocial disaster.
                                 children below five years of age have allowed        Opportunities for learning, growing and
                                 the young ones to breathe freely. But what           gaining social skills are being severely
                                 about social distancing, and school closure?         thwarted. There are reports that even devel­
                                 We have all but resigned to these two states of      opmental milestones are getting delayed. A
                                 being, as it were, but they continue to hold our     seemingly simple task such as acquiring lan­
                                 young ones hostage within our very homes.            guage needs a whole gamut of stimuli, which
                                 Isn’t it time we think of ways of saving the         includes the hearing of language, the sight of

                                                                                                                                        Art: Sagrika khanna, 17, Gurgaon
                                 young generation from the intangible demons          muscle and joint movements producing
                                 unleashed by COVID-19?                               speech, and the accompanying facial expres­
                                   Medical literature considers SARS-CoV-2 a          sions and gestural components. Mere expo­
                                 predominantly adult infection; chances of            sure to a screen might not be sufficient to
                                 children getting infected remain significantly       ensure a healthy development of the lan­
Dr Suravi Patra
                                 lower than those for adults. In general, chil­       guage faculty. Developing the ability to rec­
is Additional Professor,         dren are not the source of infection for their       ognise human emotions in all its myriad
Psychiatry,                      parents; it is usually the parents who infect        nuances needs social interactions; communi­
AIIMS, Bhubaneswar               their children. Even if the children are in­         cation skills also need social opportunities.
                                 fected, they suffer mild symptoms. Severe            In the crucial phase of infancy, environmen­
                                 symptoms are seen in children with coexist­          tal stimulation is essential to make the brain

26   outlook | jun e 28, 202 1
6 ft

                                 grow structurally to its full potential. It is                                                                                                                  ing an increase in suicidal behaviour in chil-
                                 well-known that limited exposure to appro-                                                                                                                      dren and adolescents, raising concerns across
                                 priate cognitive and social stimuli during                                                                                                                      the world. A research paper that compiled
                                 vital per­iods of an infant’s life usually re-                                                                                                                  emergency psychiatry service use across 10
                                 sults in delays and deviance in cognitive and                                                                                                                   European nations reported a rise in adoles-
                                 social-communication development.                                                                                                                               cent self-harm behaviour from 50 per cent in
                                 Medical research has established that dur-                                                                                                                      2019 to 57 per cent in 2020. In the Indian
                                 ing the SARS epidemic of 2003, Chinese in-                                                                                                                      set-up, clinical psychiatry services have been
                                 fants experienced a delay in walking,                                                                                                                           badly hit, with only a few specialised centres
                                 speaking, attaining toilet training, and did                                                                                                                    being able to provide online services.

                                                                                                                                                                                                 P
                                 not gain age-appropriate weight and height.
                                 Only time will reveal the damaging effects                                                                                                                             sychiatrists and policymakers are
                                 our Covid-related social restrictions will                                                                                                                             joining hands towards creating a
                                 have on the generation of ‘pandemic babies’.                                                                                                                           framework plan for mental health sup-
                                   Now, what’s true for cognitive development                                                                                                                    port during the pandemic. Efforts have been
                                 among babies is extendable, in qualified ways,                                                                                                                  made to provide online guidance to parents,
                                 to adolescents: they are losing vital avenues                                                                                                                   caregivers, service providers, children and
                                 for growth and development. The adolescents                                                                                        S u r e s h K . Pa n d e y   adolescents to tide over this crisis.
                                 are now earning the name of ‘the lost genera-                                                                                                                   International agencies like WHO and
                                 tion’. Forced social distancing is critically      for self-growth. Adolescents report learning       networks has provided the perfect ingredients             UNESCO have made available parent tips on
                                 compromising their physical and psychologi-        new skills, spending precious time with fam-       for toxic stress, adversity, the experience of            ensuring a daily schedule, sharing informa-
                                 cal growth. This crucial period where adoles-      ily, and even providing a helping hand in the      loss of caretakers, prolonged abuse/neglect,              tion about Covid-19 with children, how to
                                 cents already struggle with establishing their     household. The protective factors of belong-       and has even blocked access to social support             take care of the self and the kids. Parenting
                                 identity is a phase of turmoil. Under normal       ing to a secure home with a stable income—         and child welfare services. How COVID-19 has              support in graphics, audio-visual aids, comics
Psychiatrists                    circumstances, this tumultuous phase works         which also ens­ures online learning                precipitated an all-round disruption in social            and e-posters are also available for free ac-
and policy-                      as a bedrock for many emotional, psychologi-       opportunities—provide a psychological              structures, and how that’s producing toxic psy-           cess to help parents in home-schooling, and
                                 cal and behavioural disorders. Some 50 per         buffer to some well-to-do adolescents.             chological stress for the young ones, needs to            even manage mental health issues in chil-
makers are                       cent of all mental disorders appear by adoles-     However, restrictions in socialisation are re-     be better understood. Being exposed to toxic              dren. The website https://www.covid19par-
joining hands                    cence. The future mental health trajectory of      ducing opportunities for adolescents in gen-       stress at this tender age disturbs the arc­               enting.com/audiovisuals offers a big bag of
                                 the adolescent is determined by environmen-        eral to create their self-ima­­ge, improve their   hitecture of the growing brain. Connections               options for parents to help their kids at
towards cre-                     tal factors shaping their gene expressions.        self-esteem, build on peer interactions and        between neurons in the brain regions—par-                 home. For infants and young children,
ating a frame-                   Among those factors now, count a pervasive         communication skills. The skills involved in       ticularly the prefrontal cortex and hippocam-             https://data.unicef.org/topic/early-child-
                                 fear of Covid infection, isolation, quarantine,    joining in conversations, holding an argu-         pus, which are crucial for emotional regulation           hood-development/covid-19/ from UNICEF
work plan for                    enf­orced distancing, reduced opportunities        ment and conflict resolution need social op-       and memory—are reduced due to the experi-                 and https://reachupandlearn.com/package
mental health                    for social contact, loneliness. Think of it as a   portunities. Social solitude is setting the        ence of toxic stress. The absence of resil-               from the University of West Indies contain
                                 pandemic of insecurity and fear—a hidden           stage for loneliness, stress, anxiety and de-      ience-promoting factors like environmental                excellent parent manuals and aud­io-visual
support during                   psychological pandemic.                            pression. Those belonging to poor house-           support, nurturance by caregivers and the psy-            aids to provide stimulating environments at
the pandemic.                      The effects are already visible. High levels     holds, whose parents have lost a stable source     chological security provided by parents and               home that can enhance learning for young
                                 of psychological stress, anxiety, depression       of income or who were already living in ad-        teachers further increases the risk of develop-           kids in different age groups.
                                 and post-traumatic stress disorder are being       verse situations with abusive caretakers, have     ing future mental disorders. Structural                     With adverse household situations, loss of
                                 reported in this vulnerable population. A re-      lost the respite that was earlier provided by      changes in the brain and lack of protective fac-          income, not having supportive parents and or-
                                 cent study published in The Lancet                 schools, colleges, playgrounds, teachers and       tors at a young age can cause dep­ression, sub-           phanhood, our children are becoming vulner-
                                 Psychiatry from Iceland has documented             trainers. The second wave has orphaned over        stance use, anxiety, obesity, and physical                able to abuse, neglect, child labour, child
                                 the ongoing mental health deterioration            30,000 children across India; the National         diseases like diabetes and heart diseases later           marriage and even trafficking. It is for the poli-

                                                                                                                                                                                                                                                                                     A r t : J i a D u s h y a n t V a s a n i , 5 , G u r ga o n
                                 among adolescents—the study is unique in           Commission for Protection of Child Rights          in life. The prevailing circumstances have                cymakers to prepare a safety net for protecting
                                 comparing mental health facts relating to          (NCPCR) collects and maintains the data at a       forced clinicians to provide their services on            our precious future generation from falling
                                 adolescents during the pandemic with the           state level. The ‘Bal Swaraj portal’ of the        an online delivery model, with various clinical           into the trap of poverty and deprivation. The
                                 pre-Covid period. The authors found an in-         NCPCR collated data in which 2,902 children        interventions provided on the e-platform.                 welfare services planned by the government of
                                 crease in rates of depression and worsening        in the 0-3 years age group, 5,107 in the 4-7 age   Tele-helplines are also being functioned to               India are a laudable app­roach; however, much
                                 all-round indices relating to mental well-be-      group and 4,908 in the 14-15 group have lost a     help kids in crisis; an Australian helpline de-           needs to be done to strengthen the support
                                 ing among the ‘lost generation’. However,          parent, are orphaned or abandoned. The             signed for kids reports an escalation of calls            system around the vulnerable child. Provision
                                 rates of smoking and alcohol intoxication          NCPCR is working on providing welfare ser-         during the Covid period. Calls rel­ated to infec-         for mental support needs to be integrated with
                                 decreased during the pandemic, which natu-         vices and facilities for adoption.                 tion, mental health concerns, relationship                nutrition, housing, safety and education for
                                 rally owes to reduced socialisation.                 Earlier, for vast numbers of children in         problems and suicidal/self-harm showed an                 children. Only then can we look forward to
                                   Now, decreased socialisation may be prov-        India, schools used to be the only source of       increasing trend. Among the helpline callers,             safeguarding the future of our precious young
                                 ing beneficial for some adolescents; some          nutritious meals and learning opportunities.       adolescent girls constituted the majority.                generation. Otherwise, what we will be giving
                                 seem to be able to take this as an opportunity     The closure of schools and other extended          Emergency psychiatry services are document-               our children is a form of social orphanhood. O

28   outlook | jun e 28, 202 1                                                                                                         Outlookindia.com                                                                                                  june 28 , 2021 | outlook   29
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