In many European countries, the availability of psychological treatment in the public healthcare system is inadequate or even non-existent. Barriers such as long waiting lists, co-payments and inadequate resources push people with anxiety or depression -those who can afford it- to the private system.
[See the original story for the data visualizations.]
“Mental health is like the dentist. In most countries of the European Union, everything that happens to you physically is covered, but to go to the dentist you have to pay extra and it’s the same for taking care of your mental health,” says Marcin Rodzinka, spokesperson for Mental Health Europe.
Depression and anxiety are the most common mental health conditions diagnosed in the European Union. Four out of every 100 people have been diagnosed with depression, five out of every 100 with anxiety. The conditions should not be underestimated, as is often the case, says Javier Prado, spokesperson for the National Association of Clinical and Resident Psychologists in Spain (ANPIR): “If they are not treated on time and the right way, they end up generating a very significant disability.”
Yet national public healthcare systems do not always include treatment for these problems, despite the fact that in some EU countries, such as Portugal, the Netherlands or Ireland, anxiety exceeds seven cases per 100 people. Greece is the country with the highest prevalence of depression, followed by Spain and Italy. Nel Zapico, president of the Spain Mental Health Confederation, explains the importance of these high rates, especially the number of people with depression: “It is a scourge, because it also has a sometimes quite dramatic exit and that has a lot to do with suicide”.
Continue reading Translated Story: Pay up or put it off: how Europe treats depression and anxiety
Andrés Colao speaks from his own experience as a patient who has seen the COVID-19 pandemic cripple an already weak healthcare system. He is the spokesperson for AFESA, a Spanish charity of people with mental illness and their relatives. For those who had a disorder diagnosed before the COVID-19 pandemic, the crisis has left them in limbo.
Jorge Daniel Castilla, who was undergoing treatment for a mental health condition, says, “I have had a couple of calls since March, the last one was in June to ask how I was doing. My therapy has been left up in the air.”
The crisis has been especially difficult for people seeking psychiatric and psychological services. “There are patients who have suffered a lot,” Colao says.
COVID-19 has caused a tsunami in mental health. During the first wave, 93% of countries surveyed by the World Health Organization (WHO) suffered paralysis in one or more services for patients with mental, neurological and substance abuse problems. Almost 40% of participating European countries reported worse conditions: they had stopped three out of four health services. “The stricter the lockdown, the more severe the impact,” says Marcin Rodzinka, spokesperson for Mental Health Europe, a network of mental health service users and professionals. This happened in Spain, for example, which shut its mental health outpatient centres.
Continue reading Translated Story: No appointments for mental health patients during the COVID-19 pandemic
Global health officials are intensifying efforts to eradicate yaws, a disfiguring skin disease that infects more than 64,000 people a year in 14 African and southeast Asian countries. But some critics say that the plans could fail, because they don’t take account of discoveries in the past few years that wild primate populations harbour the bacterial infection. That could complicate or foil eradication efforts, they say.
Public-health officials met in Geneva, Switzerland, on 29–30 January to discuss how to expand the eradication programme in 6 of the 14 countries in which yaws is endemic. But they did not discuss the part played by wild animals. “Even if this is not the main cause of re-emerging yaws nowadays, it would jeopardize global eradication,” says Sascha Knauf, who studies neglected tropical diseases at the Leibniz Institute for Primate Research in Göttingen, Germany.
Continue reading Wild animals could hamper efforts to eradicate yaws disease