Effects on eyes

Increased screen time & its Effects on eyes in pandemic

Effects on eyes in pandemic

Increased digital screen time amid the COVID-19 pandemic has further increased the country’s rising burden of preventable eyes blindness, according to – All India Ophthalmology Society (AIOS). There is an immediate need to take preventive measures on thi very urgent basis, the society cautioned.

The Reason

The Covid-19 pandemic has brought unprecedented changes in human lives and behavior. The lurking fear of spreading the disease and lockdowns have confined people at home more than ever.

Digital gadgets have become an inseparable part of our daily lives. Our reliance on them has increased remarkably during the Covid-19 crisis and lockdown periods. 

The Covid-19 pandemic has led to a sharp increase in our screen time, owing to the increased time spent on virtual education, working from home, entertainment consumption, online shopping, and electronic communication with friends and family. Reliance on technology and digital solutions to keep children learning, entertained, and connected to the outside world has increased due to schools’ closure and strict containment measures. Most schools, too, have shifted to virtual and online classes for the continuation.

‘Screen time’ refers to the duration of time spent in activities that involve peering at a digital screen, including media viewing, working on a computer or tablet, electronic communication, and playing video games. Since the beginning of the Covid-19 stay-in periods, screen time in homes worldwide is at an all-time high. Internet usage is at an all-time high, and Google Classroom, social media usage, and online gaming have also gone up tremendously. One survey found that the number of people working remotely with digital devices during the Covid-19 pandemic has increased up to 30 percent.

It can also promote a sedentary lifestyle and affect sleep. Increasing screen-time due to the continuous usage of smartphones, laptops, computers, and other digital devices have profound effects on our eyes. It may result in a significant rise in complaints of eye issues, especially among children and young adults.

The eye problems related to near work experienced during or related to digital device usage are digital eye strain or computer vision syndrome. Reading a book or looking at a computer screen for long hours can contribute to eye dryness, making your eyes feel tired.

When you read or look at a computer, you don’t blink as frequently. We usually blink 12-14 times a minute, but while looking at a screen, our blink rate slows down, and the eyes get dryer. According to the American Academy of Optometry, anyone who exceeds two hours of computer use a day is at risk of computer vision syndrome. Computer vision syndrome (CVS) affects around 60 million people globally.

The American Academy of Ophthalmology noted that focusing on computer screens and digital displays can reduce a person’s blink rate by a third to half. This can cause your eyes to dry out and feel irritated, especially if you have an air conditioner that keeps your room’s humidity low. In most cases, symptoms occur because the task’s visual demands exceed the individual’s visual abilities to perform the job comfortably.

Symptoms

Eye strain from screen use can lead to visual disturbances and other physical discomforts, including tearing, gritty sensation, tired eyes, burning sensations, redness, blurred vision, and general eye fatigue. It can affect your vision, but it’s more of a comfort issue with an extended period’s device.

Eye strain and headaches can go hand in hand. For some people, eye strain can be a symptom of headache syndromes like sinusitis, tension headaches, or migraines. All of these things can change how your eyes feel.

Individuals who get migraines tend to be more visually sensitive, especially blue light; hence, electronics can cause more headaches. Accommodative eye strain tends to make your vision blurry or unfocused, while dry eyes are more likely to make your eyes physically hurt.

Secondary physical issues of eye strain include stiff neck, headache, backache, and overall fatigue. 

The bottom line is that too much screen time, whether for work or entertainment, is terrible for our health.

Eye strain can also happen when someone’s eyes have to work too hard due to incorrect prescriptions. If you are under-or over-corrected, which means that you have a wrong prescription, it can create eye strain by causing the eyes to overwork.

The excessive use of devices puts a strain on the eyes and is also a risk factor for myopia (nearsightedness). 

In other words, students staring at screens for prolonged periods may end up wearing glasses, and if they are wearing glasses already, the power may keep increasing.

The combination of more screen time and less outdoor time during the Covid-19 pandemic may damage our vision and put them at a higher risk of developing myopia or nearsightedness.

Causes for the digital eye strain

Less blinking: When you are hooked to any electronic devices, you tend to blink less. Less blinking causes dry eyes. Blinking is the natural reflex of the eyes to keep them moist. If blinking reduces to 6-8 times in a minute, it gradually results in dry eyes and becomes a cause for computer vision syndrome.

Improper workstation: If you have not set up your workstation correctly, it could cause computer vision syndrome. AC in offices strips the air of its moisture, thereby making the environment dry. This dryness, an improper workstation, or lousy sitting posture, makes people prone to computer vision syndrome.

Refractive errors: You might get accommodative eye strain because of undiagnosed vision problems like farsightedness, astigmatism, or issues with focusing.

Some Remedies

Establish a good screen schedule: Reduce screen-induced eye strain by using your screen time wisely. It is essential to leave the screen at least two hours before you go to bed. Studies show that blue light emitting from screens can affect natural sleep and wake uncle. Try and make use of digital screens, mostly for work-related purposes.

The following are some suggested guidelines by various experts on time and curfews.

0-3 years: At this age, the brain is going through ‘the critical period’ due to the prolific growth taking place in the mind. Too much screen time during this age range can leave their still-developing brains permanently damaged. If unavoidable, then for children 18 months to three years old, parents should choose only high-quality media and watch it with their child, engaging and interacting with them. Less than 18 months is a vehement, no!

3-5 years: Less than one hour per day of high-quality programming is recommended, with parents watching along.

6-12 years: Two hours. This is where the negotiations begin. More than two hours is still known to cause significant alterations in mood and behavior.

Over 12 years of age, do not allow more than three hours of screen time. There is enough data on challenging adolescent behavior in correlation with screen or gadget use for more than three decades. Academic grades, sleep, mood, and substances have all been found to be correlated with increased.

Take frequent breaks: Follow the 20-20-20 rule. Your office job or study-related projects may demand you to stay glued to the computer screen for over 10 hours. While it may seem impossible for you to cut down on screen time, you can pursue the 20-20-20 rule. As per this rule, after every 20 minutes, take a 20-second break and focus your eyes on something at least 20 feet away. This will not only reduce eye strain but will also keep you active.

Exercising your eyes frequently: For eye convergence issues at home, do the ‘pencil push up’ exercise. Hold a pencil directly in front of your eyes, at arm’s length, then follow it with your eyes as you draw it slowly toward your nose. 

Blink often: Always remember to blink while watching television or doing work on any digital device. Blinking moistens the eyes to guard against dryness and irritation. Blinking happens without us having to overthink about it. However, prolonged computer work typically decreases blinking without the worker realizing it.

Use appropriate glasses: Computer glasses are specifically designed to reduce eye strain, headaches, eye fatigue, and eye soreness. Glare is the visual sensation you experience in excessive, uncontrolled brightness. Wear anti-glare/anti-reflective blue blocker glasses regularly if you’re always glued to the digital screens. These eyeglasses can filter out blue light emitted from digital devices.

Adjust your screen settings: If the current settings of your laptop or desktop are causing eye strain, then adjust the screen brightness, contrast, font size, and color temperature until you find what’s best for you. It’s also essential to upgrade your display if possible. The higher the resolution of your new monitor, the better off your eyes will be. Larger productions will result in less strain.

  • Ensure there is adequate lighting around you.

Good lighting is quite essential in the workplace to avoid any visual strain. Keep bright lighting overhead to a minimum, use blinds to prevent glare, or get a glare screen. Position the computer screen in such a way that it reduces reflections from windows or overhead lights.

When using a computer or other digital device for extended periods, that’s around. It should be approximately half as bright as what’s typically found in an office environment.

Exercise: Stretch your neck and shoulders frequently. During break time, move your arms and legs. Walk a bit.

Get a comprehensive eye test done: If you’re witnessing recurrent headaches, watery eyes, and blurred vision, then it is time for you to get a thorough eye examination done.

Drink plenty of water: Children ignore drinking water unless they’re thirsty. Drinking water keeps the body hydrated. It not only flushes out body waste but also regulates body temperature. Most importantly, it hydrates the eyes, flushes out salt, and reduces eye strain.

  • Eating more greens:

 Include green leafy vegetables in your diet to keep your body and eyes healthy. The nutrients present in green vegetables, like lutein and zeaxanthin, carry anti-inflammatory properties and antioxidants that keep the eyes healthy.

Use artificial tears: If your eyes feel irritated or dry, ask your eye doctor about using artificial tears to help combat dry eyes.

The Verdict

As we plan the future of education in the age of Covid-19, schools and policymakers must consider children’s vision needs while designing new initiatives. Schools, teachers, and parents can work together to incorporate eye health strategies and protect children as they learn online.

Encourage communication between you and your child. We as elders should initiate less screen time for our children to follow the same habits. Large populations are at risk of digital eye strain, especially during the Covid-19 pandemic. Hence, proper digital device usage and appropriate screen time with all precautionary measures are essential to avoid this issue. 

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The Covid-19 Spread in India.

Children Major Cause for Driving The Covid-19 Spread in India.

The Covid-19 Spread in India.

According to the study, children are 56% less likely than adults to get infected by Sars-Cov-2 when they come in contact with an infected person, but how easily they pass on the infection to others remains unclear according to the study. Children Major Cause for Driving The Covid-19 Spread in India.

Where is a government now planning to reopen schools and colleges, the situation can be worsened in the country? In a finding with implications for reopening schools, a new study has established that children and teenagers have half the risk of getting infected by Sars-Cov-2, the virus that causes Covid-19, as compared to adults. 

A study analyzed around 6000 children. Published on May 16th this year, the study said 

“There is preliminary evidence that children and young people have lower susceptibility to Sars-CoV-2, with 56% lower odds of being an infected contact.

There is weak evidence that children and young people play a lesser role in transmitting Sars-CoV-2 at a population level. Our study provides no information on the infectivity of children,”

The role of children

Children and young people’s role in spreading the disease depend on several factors, including their susceptibility to infection, the severity of symptoms, viral load, social contact patterns, people’s role children, and risk behavior.

Clinical series and testing of symptomatic cases alone give biased estimates of susceptibility in children, who often don’t develop symptoms.

Although the president of Public Health Foundation of India, K Srinath Reddy, said 

“The susceptibility of children to Sars-Cov2 is low, according to most of the information. If they are asymptomatic, as most are, transmission risk will be  low,”

Research

Studies on Covid-19 prevalence in children have produced widely varying results, the University College London analysis noted.

Extensive studies from Iceland, the Netherlands, and Spain and Italy showed markedly lower Sars-CoV-2 prevalence among children and young people. Still, studies from Sweden, the UK and some cantons in Switzerland and Germany found no difference in infection prevalence between adults and children.

The Swedish Public Health Agency found 4.7% antibody prevalence in children and teenagers, compared to 6.7% in adults aged 20 to 64, and 2.7% in 65 to 70-year-olds, indicating significant spread in schools.

Rajesh Sagar, professor at the department of 

Psychiatry at All India Institute Of Medical Sciences (AIIMS) Delhi said, “Long-lasting school closures not only leads to a loss of learning but the isolation also harms their mental health and social development, so we have to consider whether the harm outweighs the infection risk for children, who can spread it to their families, school staff and the community,”

Socially and economically deprived children who depend on schools for mid-day meals are the ones who are worst affected by this pandemic. 

“Most young children find it difficult to follow social distancing norms and given a large number of students in one classroom, and crowded transport and playgrounds, schools can easily turn into infection clusters if children infect teachers or take the infection to their family and neighborhood, even if they don’t get the severe disease themselves,” said Sagar, who specializes in child mental health.

“School provides a structured setting in which children can learn and develop social competencies, such as self-confidence, friendship, empathy, participation, respect, gratitude, compassion, and responsibility.

Social and emotional learning is important for young people to become conscious members of a solidarity-based community.”  Said a paper on rethinking the role of schools after Covid-19, published in The Lancet

What can be done?

A hybrid model of education with greater dependence on e-learning is being used in many countries that are reopening schools post lockdown, but it has its challenges.

Although Dr.Sagar added,

“Since all children do not have access to online learning because of uneven access, teaching using radio and television should be considered as that group cannot be ignored.”

Alternative theories. 

Some researchers are stating that Child to child spreading has been a tiny fraction of all identified cases. Even where schools or daycare centers have been open, it has stayed low.

For teenagers and up, the spreading rate increases with age. The virus cannot alter the immunity system in children because it hasn’t reached a certain level of maturity. 

However, the risk is that even if kids are less likely to catch the virus or are either asymptomatic (showing no symptoms) or show milder symptoms. Still, they can always actively transmit the germ to another person. So, never rule out the precautions of masking, social distancing, and hygiene.

We in India have passed out a huge coronavirus wave, but we can’t afford to mishandle the situation. Taking self-care is mandatory. Many people have shared their experience regarding their kids getting affected by covid-19. 

Amongst all these theories and explanations, the proposing inferred from the situation is that The evidence clearly shows that all people, regardless of age, can get infected by SARS-CoV-2. While research shows that kids are more resistant to severe illness from the coronavirus, they are still at risk and can spread the virus even if they are not sick.

Researchers evaluated RNA (the genetic blueprint of the virus) in nasal swabs taken from 145 infected people between March and April, including 46 children younger than five and 51 children aged 5 to 17. Children with severe symptoms requiring oxygen support – who would be most likely to have the highest detectable virus levels – were excluded.

Since the virus affects people with underlying medical conditions more severely, everyone with pre-existing conditions is at risk, and children are no exception to this.

Behavioral experts say that since children come in contact with other children more frequently than adults, the risk of transmission, however low, increases more. Schools and colleges are still closed for this very reason. 

 Whatever may be the truth. It’s not safe to jump conclusions straight away. We must follow the experts and if they think that children are likely to spread the virus faster, we must honor their research and not challenge them until a sustainable solution comes up to this pandemic. Our safety is in our hands!

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Mental Health Disorders On The Rise During Covid

Mental Health Disorders On The Rise During Covid

Mental Health Disorders

Mental Health Disorders On The Rise During Covid. This year mental health has got a slightly different atmosphere as the Covid-19 challenge has yet to end, coupled with the fear of a second wave in the winter.

The theme of this year’s celebration, Mental Health for All is also in line with this epidemic phenomenon that affects almost everyone in diverse circumstances. In addition to the direct impact on physical health, this epidemic also has an indirect impact on human social well-being and mental health.

The Stats

Global statistics have shown an increase in cases of psychological stress, depression, anxiety, acts of self-harm and domestic violence during this period. Also, a World Health Organization (WHO) study involving 130 countries reported that more than 60 per cent of psychiatric and mental health services were directly affected by this epidemic.

These include postponement of appointments and therapies, lack of resources, patient logistics issues, finances and services that cannot meet current needs. This indirectly reminds us of a fact that has long been mentioned, namely about the lack of resources in mental health services that need to be taken seriously. The country’s ability to cope with the complications of this epidemic in terms of mental health must be enhanced so that it is in line with the needs in the field.

The Affects

We are aware of the mental health status of Indians that need serious attention. The prevalence of mental problems has tripled from 10.7 per cent (1996) to 29.2 per cent (2016). Depression and anxiety are among the contributors to the issue of disability here. Not only that, mental health problems in the workplace have a significant economic burden on India, whereas much as INR 14.46 billion had to be borne due to the implications of mental problems in the workplace in 2018.

Even so, human resources for this field are still in critical condition. This can be seen from the rate of a psychiatrist per 100,000 Indians To understand this from a public health perspective, for example, with a prevalence of 8 per cent of cases of depression, this means that for depression alone, an estimated 1.6 million adult Indians suffer from depression – far more than the capacity of existing psychiatrists.

Public opinion on this global mental health crisis

Also, we have a shortage of clinical psychologists and counsellors in the public sector. Sadly, the budget specifically for mental health is only INR 50.82 million which is only one per cent of the overall national health budget. This is making people more anxious and everything (at least mentally) is in chaos.

What can be done?

The government should consider creating a one-stop centre such as the mental help centres concept for adolescents, collaborating with the Ministry of Education to create emotional management modules for more intensive students, working with the Ministry of Women and Family Development for parenting psychology courses for young families and the Department through pre-marital courses.

Also, mental health issues in the workplace should be given attention. Among those that can be recommended is the creation of more counsellor positions in government departments such as Federal and State Government agencies to help staff who suffer from stress.

We also need better mental health networks in the community for prevention and treatment in the community as well as rehabilitation to improve patients’ ability to return to society. For example, by increasing the capacity of more Health Clinics to hold a mobile team to provide home-based services to patients.

We also need to increase the empowerment of online counselling services by creating a more integrated approach.

The take from this

Covid-19 should make us aware of the importance of mental health in facing the short-term and long-term implications of this transmission. We all must play our roles in helping to improve access and increase investment in the mental health sector.

Cooperation from the community, the private and non-governmental organizations will fulfil the inspiration and hope from the theme of this year’s World Mental Health Month theme, ‘Mental Health for All’.

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