a dotted lines, concordy, 1000 people, every 165 seconds, which can handle the demand of the over the spectator. but anyhow alike of this is the nature of the tournament. all the spectators should expect some delays controlling crowds and keeping the p said footballs. premier event is every host countries greatest challenge. nearly 50000 security personnel have been trained and multiple exercises have been held with international partners to prepare for pazzar 2020 to work hand in hand with fee for. we are confident with the plans that we have in place of safety and security for us as of the utmost importance. whether it's navigating the journey or the crowds at match or concert. the organizing committee says, planning and patience will create an enjoyable and see who cup experience for

all the talks are gonna el jazeera, doha. ah, 5th is out a 0. these you top stories marching is on the way in israel, the nation's 5th, the national election in less than 4 years. former prime minister benjamin netanyahu has caused his bodice and the say that the biggest issue, the bad box is whether vote is off for or against him. stuffy jacket has moved from west jerusalem. it is essentially if you break it down, i let must test once again a popularity context for benjamin netanyahu has his absence in the prime minister seat. made these really heart grow fonder. if you will, people will tell you this could perhaps perhaps be the last test for him if he doesn't make it into office this time round, which would mean that we would see another election, israel fix,

potentially early next year. this is one of the scenarios that may be then finally, his political career could be over. people in denmark also picking a new parliament, 14 parties vying for a 179 seats. the political battle a bit between the incumbent left wing block and right wing candidates. south korea's interior minister has apologize for a crush on saturday that killed 156 people. lease admit the response was not adequate. and president noon secure was cold for more safety measures. indies prime minister neurons, modi's expected to visit the site of sunday's bridge collapse that killed more than a $140.00 people. rescue workers have resumed such operations in the town of moby in good or all state. russia says it's unacceptable for ships carrying grain to pass through a black sea corridor. they won't guarantee their safety. moscow suspended participation in a deal broken by takia and the un. it allowed ships to transport millions of tons

of grains from ukraine's ports. a change in the un nuclear watchdog isn't ukraine, to investigate russia's allegations. that key is working to use a so called data bomb. the i. e a says it's inspecting 2 sites aimed to detect any possible undeclared nuclear activities. that is, you had lights nice continues here now to there, out across the u. s. millions of americans rely on conservative talk radio shows for the news and entertainment. these are all real issues with real people. the listening post tunes in and asks is, talk, review divided america. there is no room left more how democracy work is really just acknowledging differences that are already there. if anything, conservative talk radio created the republican party. talk to of a to park special on that. jesse eda, god

welcome to the stream, i'm josh rushing, sitting in for me. okay. the world health organization is leading a public awareness campaign aimed at tackling high rates of death by suicide across africa. and it's urgent governments across the continent to do more for people in crisis. so today we ask, why is there a mental health emergency in africa? hey, look, if you're watching this on youtube, seattle box like right there. we have a live stream producer waiting, get your questions and comments to me so i can get them to our expert turn the show . so let's do this together and it's really important show today i can use your help, but i want to warn you, we're going to be talking about some sensitive issues that include mental health and death by suicide. ah, joining us to discuss the mental health crisis across africa, avi way,

for nanny as a senior officer at united for global mental health. she is in cape town, south africa, liska cosa, is founder at mind lab, africa, mental health care nonprofit. she joins us from kampala, uganda, and from jose nigeria, we have ruth tilley kado. she is a journalist in a mental health advocate. alright, avi way, i'd like to begin with you. and so you're sitting in south africa and yeah, 6 of the 10 countries in the world that had the highest suicide rates are in sub saharan africa. but 3 of those countries are actually within the borders of south africa. so i'm just, i want to ask you what's going on there, what's happening with mental health in south africa? so yeah, as you said, we definitely have a mental health crisis in south africa. the biggest challenge is that we have

a challenge of avoidance. we don't have the right policies, and there's still quite a lot of stigma when it comes to mental health challenges and mental health as a whole. and we have 23 suicide deaths in south africa every day. and then $460.00 attempts of suicide deaths in south africa every single day. so at the moment it really is a crisis that we're in and we don't have enough services as a country. there's a 93 percent treatment gap. so it means that the number of people that need access to care and the people that receive care, i'm not enough, we don't have enough services. a mental health policy lapsed in 2020 and it has not yet been updated. many of the mental health service workers are not trained enough to serve the people that are in their communities. and so that really leaves us in a space where we are constantly being reactive to the mental health crisis. and not

necessarily being preventative towards positive mental health. whether you one is trying to do this campaign. i want to bring her doctor joseph a board. he's the director for program management. that the who, here's what he has to say about this. millions of people needed care do not have access to services with entreated conditions, leading to staggering to bus fish and such a disability substance abuse. and even suicide ended and africa. dorothy come to john as the highest 3 top suicide globally. iran 11 out of 100000 people die by suicide every year. and it is above global average of 9 a 100000 people. so liz is talking about the suicide rights there, and i to me, suicides in this issue are the canary in the coal mine. but they're also kind of at

the tip of the iceberg of a mental health crisis. i don't know if we need to focus as much necessarily on suicide as why those numbers are so high and that's kind of the broader mental health crisis. now you're in, you god, you're joining us in the middle of a power outage. is that right? in uganda? you got about a one, a 1000000 chat in the air of kampala. so you, i think we have a delay. that that's okay. i'll be patient as my question, but in uganda you have a one and 1000000 chance of meeting a psychiatrist. meaning for every 1000000 people that live there, you have one psychiatrist, but as long as you're in a power outage right now. how does the country, i guess, trias, what they need to address here? do they address, getting you more steady electricity, or do they address? getting more psychiatrist.

thank you for your question. you know, very tricky question, but of course would be to get more electricity rate. we've not, but it's one point where we take mental health very, very seriously. like that for population of 4546000000, definitely one psychiatrist. yes. and it's very disheartening. you know, we couldn't go, we couldn't blame all of our africa, mental health trying to do it, we can say, or there's a lack of awareness. however, there are people on ground doing that, that work, right? that's what we do. that's what i really does rate, but we have, we have a policy that we haven't access gap, right? so it's not just enough to say it is nor when it or to blame it on stigma, but we need to ask ourselves at that particular question where what are we doing to address it? what action are we taking to address the mental health crisis and i'll tell you for

free, we aren't doing enough. okay, just by me diverse, i'm coming to you. i'm coming to you and you're here in my area. actually want to set you up with a bit of a package from out to 0 reporter mohammed address. he did this, he was showing kind of children who have been in boca rom camps and they're receiving this kind of psychological support. after the camps, it was run this clip born and raised in brook where i'm camps these children are experiencing for the 1st time. what it means to be a child. oh, they're part of the 6000 victims and family members of both auto fighters who surrender to nigerians to georgia forces in the past few months. after a few weeks of psychological support, those helping them are surprised by the rapid trustful mission they see. you see a lot of them coming into desert space thinking very distress team can hungry. what

alpha weeks of engagement. oh, because me and give them a call 31 sometime depending on how we see the availability and all of that. so we operate engagement. you see a lot of changes, you see them interacting before you see them taking leadership role to see them doing for martha. so ruth, watching this clip, it seems kind of promising. actually it seems, is there a lot of children who are getting the psychological support that they might need? is that common in nigeria is that is that the situation there where you are? ok, thank you very much. just thank you for having me on the show. so like lee said, well, also jerry at the challenge is not necessarily that we don't have the or there was a lack of awareness that challenge mostly is the fact that we have a silent culture, a culture where something just the capital you can talk about. and so what kind of video, you know, it is really hopeful, i'm excited to see because nigeria and know they know that you know,

this young people need this interventions. it will people who are just kidnapped by vocal her, or bandy, we need these interventions because when they come back into the society, i tell you not to think people, not the same. people are all who come back into society. and it's difficult for them to acclimatize so they also need this psychological health intervention is such a way that you know, they can come back and be normal people because what they see in those bushes is know what normal people should go through. and so yeah, there is a lot of intervention now. there is a lot of when that's the challenge is the idea of the silent cultural where, you know, we don't want to talk about mental issues. nobody wants to identify as having mental issues. if you're hitting a chord for listening because and uganda the, the word suicide, right? i guess the word suicide itself is taboo. yeah. and the act of it,

it's actually get criminalized. i don't even understand how that plays out yet. to touch on the yes. so yes, suicide is criminalized, it's, it's, it's, i don't friends, i'm and it never made sense to me because what do you do when someone dies from? so if, say, you know, do you try and do, what do you charge them with? it's never made sense to me and this is, i was actually one of the issues that were highlighted during while suicide prevention day last month. and so yes, there is still a lot of sticking around the web suicide. it's not easy to say is speak about in public, i mean as a, so it's a, it's a part of my story that i often omit when i am doing my work around awareness and advocacy work around around mental health. so we are, we are also living in sort of a, you know,

silent culture. it's very taboo. even from you know, a cultural perspective. if someone died from suicide, they don't receive a proper burial over the past year. i know people close to me that have died from suicide or, you know, and loved ones of people close to me. and that has been that, that instant that has been the situation. right. so i still need, we have a very long way to go or go in terms of getting people to or of addressing. and, you know, understanding this over addressing the stigma around suicide. and i keep saying it is our inability to talk about. so we said that in the long run cause is more suicides. rates are here. are you tube audience? and let me tell you something. if you don't know much about the world, you 2 comments, it's not a place where there's a lot of gratitude and positivity, but we actually are getting a lot of gratitude for talking about this today. so maybe people are tired of it

being taboo. other, let me throw a couple of comments, were actually getting on twitter and from you tube here. this is from someone in the real ship banassi tr viddy. they say the stigma surrounding mental illness in africa is so bad, is now become denial. it's easy to jump to conclusions such as witchcraft. people replace prescription were prayer, when things turn to war. they say god's will. he goes on to say, a priest, a pastor, a shake, a clan elder is more trusted than a medical doctor or psychiatrist, a patient refusing prescription from a doctor in favor of rituals. pisses me off because it's suicide based this business in which integrity is obsolete. sad individuals are unaware. wow, a he had a lot to say, but audio can you pick up on that? oh yeah, definitely it's. it's something that i think in every african culture, regardless of where you are, it's the same thing. culture and religion are imbedded in african to

everyday life of africans and with mental health. i think what exists for each for crisis. apart from the silent culture is that immediately when people are showing signs off going into a depressive episode, or if they communicate even feeling suicidal immediately they're really gated to the background. they told that they need to half an up culturally they told, i know in south africa it's usually associated with an ancestral calling. so what people call plaza and you're meant to go and go into initiation for true being a traditional healer. or if you need to go for prayer, so all these different elements of what it is in terms of african culture to be viewed as experiencing a mental illness. but again, there's also an opportunity, i think, with all of that there's always an opportunity. so now it's coming back to how do we actually look at the different systems and societies were functioning in and

actually develop programs that work. so integrating more community based services. the 1st thing that i advocates for an african suicide because sitting across a psychiatrist. so if i try to just immediately the wall, the app, there is a level of guardedness, there's a level of holding back and, and already there's just so much taboos 15 within a person. and i think if we bring in elements of community, because community, something that is so important to africans, that in actually when we integrate mental health services, it's important for us to also remember what is culturally appropriate. what can work for people that are operating in the societies and they can just adam the element of mental while be, know we have, if i may jump in. okay, so if i, hey, you know, my great aunt actually committed suicide. so i'm married now, but if my husband's family knew that so money, my lineage had committed suicide,

they would not touch me within long spawn. and that is amazing because i just got to know there's like 3 years ago, i was stuck in to my mom. i don't know if she intended to tell me and you know, she just put it out there and i'm like, what, wait, what did you say? and, you know, she goes on and tells me the story. but then now i'm happy that you know, several years down the line, we can sit down and talk about this so that people know that even if someone in your family has committed suicide or someone, you know, a loved one has committed suicide. the stigmatizing shown has to stop, because if we don't stop the stigmatization them, people will not be willing to come out and talk about the a mental health situation. you know, like you sat, joshua alia there, we've a lot that leads to suicide. given us nicholas trauma, trauma could build up, i'm going to depression and but here even asked me to us trauma, we don't pay attention to we someone says, i'm trauma. nice on everyone laughed and he's like really traumatized dramatize

because of was had, you know, so these are some discussions that we need to, you know, talk about more openly, sort of people know that didn't need to get help when be a feeling mentally pressed. you know, ruth, i wonder if we didn't do you a bit of a disservice by showing that clip from boca harass with the children because they represent a very extreme example. i think most people would agree might need some psychological help, but really the problems much more broad is much more ubiquitous and is much more common than someone who's been something as extreme as growing up in a book or her arm camp. right. i mean, it's like we all deal with it. right? yes, we do. absolutely. and i would say that in a geri air, for in lot of hours it, it, we don't necessarily have to be in the book of her. i'm come to feel the pressure. because with every thing going around, we feel like so many things are not work in. so we almost feel like everyone is

sort of like india, you know, book or her. i'm calm sort of way because we are so mentally pressure you're, you're trying to get just the littlest thing to work like does good health service care. you can afford that, you know, bored, non people can afford food. so that was a lot of pressure on people. so these are the things that, you know, cumulate into along, you know, so side and, you know, the bigger things that we're talking about now. but they're reese in nigeria. they're really a lot of mental pressure. and like, you know, what, over it affects the men more than the women because most men don't like to talk about their mental issues, you know, lower rate. right. and why did you said that? because we actually have a, we can come back. i know you had more to say there, but we have a video comment from someone in the stream community. they sent us into us. the name is eddie kamani. they're about as far away in the cotton as i get from you there and kenya on the other side. and he is a mental health awareness advocate here, checked us up to see if the disposable mental health. i wish to share my boss my

journey have learned that you cannot ignore you wish once over manian 40th class on this half. as for africa and mental health, i believe that governments and institutions and workspaces should fund more mental health programs. the solution lies in integrating mental health within the overall health care system and workspaces, and as africans, as individuals, out like us to see mental health move from just being a conversation to action, where we can start doing things and embracing our wellness and fighting the stigma that surrounds mental health. so right, there's a man talking about the stigma and talking about his own mental health journey. what do you think about that and africa? man, i know that he's very impressive. very, very impressive. i call an old man, especially those in 9 area. when you have issues, you know what happens back home. when most men have mental health issues be the

result of drinking. they become a colleague that the way they take out their mental health issues. they just drink the tuple and come back home and sleep all come back home. you know, in both get involved in what devices of domestic violence and things like that. that is what they do. so if and africa man can talk about it. i think that now is the time for all men to come up and say, look, i am depressed, i have had issues, maybe you my all fresh off here on day. i am utterly depressed and i need to know now is the time to talk about this because it is only a healthy person that can be healthy for society that a kamani they're seeing in your praises here on the stream. less than. less than that. yeah, yeah, yeah, go for it, i'll be way go for it. and so with what, just going back to the bulk of her, i'm camp and wax and ruth had mentioned, so there's something called toxic stress if you're constantly exposed. am to stressful situation. adverse experiences that actually increases your threshold of

experiencing what we call toxic stress. that means that in the long term that increases your risk of mental illness increases the chances of suicidality increases. chances of anxiety am at risk behavior. so with all of that, it means that the preventative mental health measures are very important. yes, it's important for us to treat mental illness and also provide safe spaces for when people are suicidal. but i really believe from a young age that we need to put in preventative, mental health measures. in other words, we teach people how to find safe spaces and communicate their feelings. teach people how to be able to become self resilient, how to calm themselves down. i know right now self, kay is like the buzzword, but at the end of the day, that is a part of being mentally well. and the reality is we all have mental health. it's not just mental illness, but mental health as a whole, as a spectrum. so every one of us sitting here have mental health that how do we

maintain positive mental health? how do we take care about minutes or half? it's like brushing your teeth every day. do something every day that contributes towards a positive mental well b. mirsky. pick up on her i'm yes, i'll just quickly go back to what ruth shared about, you know, addressing men's mental health. so what we've noticed, what we've observed over the years, is generally in the health care system. women have better health seeking behavior and men. so even if it was something like a cold or during colvin, that woman is more likely to seek out. i treatment and health health care. yeah, treatment of some kind am, which isn't the same for men. however, addressing mental health and mental health challenges amongst men, what we've discovered, what we've seen locally is it's important for us to consider rich reaching men where they are. yes they have, they, they suffer more from, you know,

they suffer more from depression, suicide rates are high among men. so they are the most bull bull when he comes to these conversation. sions, but help them. how do we ensure that you know, they have this covers, you're breaking up your worth. i want to know it and know where to find them. oh, they're says, ruth, one of the things i read was the that we look at the suicide numbers, but they represent a successful suicide temple represents one and 20 of people who actually attempted it. meaning the problem is much to have 20 times larger than what the actual numbers say. can we use the last few minutes of the show here? if everyone has some tips on what you would advise people who do, who might find themselves in the mental health crisis. routing, do you have some stuff like that that you could share? yes, i think the 1st one would be, i think, your ga da, sorry. i think the 1st step would be that b r, where then there ries and mental health be our way. you must be aware, you know,

we're very easy to seek health. when we have like a headache. we have malaria back in west africa and people just go to the hospital . so when you have you filled out mental pressure, it could be as little as just feeling traumatized about something or just feeling depressed about some issues. please go and seek help. don't wait until it becomes b. so be a way to be very aware that there was something called mental health and it could affect your project cbc are listed on doing it. so it says, be aware and seek health was, do you, do you have some tips for people? and there are people in our youtube chair right now talking about their challenges i, what i would say is, and it's okay not to be okay. and it's the act that acknowledgment 1st and 1st of all that eventually leads you to i'm will lead you to, to, to seek the support that she'd need. so it's important to be mindful and say it's

okay, it's okay not to be okay. the same well have a headache or lou is at the same way i need to address, you know, whatever mental health challenge are going through at the time. i'm all the way. what are you got force? just to follow on the ladies again, identifying your feelings is very important, but also reaching out to 24 hour suicide help lines. i know they are quite a few in africa here in south africa, we have the south african depression, and anxiety group is a 24 hour helpline in terms of suicide. and you can call them and speak to someone . it's an anonymous line. and then also reaching out to community groups that work with people that are meeting mental health services. so really just taking those steps even chantelle stansell speaking to someone that you trust. yeah. and that that is my, my main encouragement. all right, so that's i think that's where we're going to end it today. i want to take all 3 of my guest abi way liz. ruth, for be more to come on and talk about something that is taboo. but it's even more

important. and if you're out there and you need help, i promise there are people that want to help you. there are crisis lines that you can get to. so that's all we have time for today. but you can always find us online at stream dot al jazeera dot com. take care of yourself right. thanks for watching . ah. a new documentary series discovers how centuries old indigenous knowledge is being

used to deal with current problems of climate change. and explorers, how modern economic ambition is so often at odds with many of the world's indigenous communities and the traditional way of life consume, i'd consider them honor to share the creams of our people with others. fascinations frontline, coming soon on al jazeera, informed opinions. i believe that our media agenda should have bilateral negotiations. we've been calling that khomeini time. critical debate is the commonwealth still something that king charles will take on the inside story on al jazeera. after world war 2, frances great empire began to unravel and vietnam do more. so everybody was staying themselves into the streams bursting with joy, kissing each other. and algeria, she listened or she knew if the endo chinese that managed to beat the french army.

why not that? the decline continues and episode 2 of blood and tears, french tea colonization on al jazeera. i've listened cas office, 16 years in 2010. i was live on the air in the old se hall when the welcome pronouncement was made. it's really great to have the 1st mid least welcome to unite people from different backgrounds and races. and that's why it's so important and i'm excited that it's finally on my doorstep in castle. this is going to be an amazing venue for the welcome. can't wait for my kids to kick off. there's just around the corner and i think we're going to get really great gang ah .