5 research outputs found

    Impact of COVID-19 on mental health in Bhutan: a way forward for action

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    The coronavirus disease 2019 (COVID-19) pandemic continues to impact mental health and wellbeing globally. There is a lack of scientific documentation highlighting the mental health impact of COVID-19 in Bhutan. We present the mental health burdens and control measures taken, and suggest ways to further strengthen mental health services in Bhutan. During the pandemic, a rise in depression and anxiety had been reported in Bhutan. Depression rose from an average prevalence of 9 per 10,000 between 2011 and 2019 to 16 per 10,000 in 2020 and 32 per 10,000 in 2021. Similarly, anxiety rose from an average prevalence of 18 per 10,000, to 29 per 10,000 in 2020, and 55 per 10,000 in 2021. Psychological impacts related to isolation due to lockdowns, economic losses, and poor coping abilities were associated with negative outcomes. Stigma and discrimination towards mental health disorders discouraged mentally distressed people from seeking care. In response to increased demand, Bhutan's government initiated a range of interventions including home delivery of medicines and tele-counselling to people in need of urgent mental health care. Mental health care in Bhutan can be further improved through investment in services and human resources, and decentralization of services to the community

    Soil development on Late Quaternary river terraces in a high montane valley in Bhutan, Eastern Himalayas

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    We examined the geochemistry and micromorphology of the soils on a suite of morphologically well-defined and visually distinct fluvial terraces, up to 40 m elevation above the current riverbed, at Thangbi in the upper Bumthang Valley, Bhutan. The alluvia forming each of the terraces are lithologically and structurally similar, with shallow or moderately deep, clast-free sandy loam overbank deposits capping deep clast-supported beds of rounded boulders and interstitial sand. The topsoils on the 40 m terrace have more silt than those on the lower terraces. The soils are interpreted mainly as a monoclinal post-incisive chronosequence. Features that indicate progressive pedogenesis with increasing elevation include subsoil rubefaction, crystallinity of free Fe sesquioxides, and weathering of susceptible primary minerals, such as biotite and hornblende. However other soil attributes show no systematic trends and the overall impression is of limited pedogenesis, even in the soils on the higher terraces. We examine possibilities that the immaturity of the soils is due to pedogenic rejuvenation by post-incision additions to the soil parent materials
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