Italian Foreign Minister Luigi Di Maio (R) and the President of the Italian Red Cross, Francesco Rocca (front, rear), in Rome. EPA/ETTORE FERRARI
Italian Foreign Minister Luigi Di Maio (R) and the President of the Italian Red Cross, Francesco Rocca (front, rear), in Rome. EPA/ETTORE FERRARI
Italian Foreign Minister Luigi Di Maio (R) and the President of the Italian Red Cross, Francesco Rocca (front, rear), in Rome. EPA/ETTORE FERRARI
Italian Foreign Minister Luigi Di Maio (R) and the President of the Italian Red Cross, Francesco Rocca (front, rear), in Rome. EPA/ETTORE FERRARI

Coronavirus 100 days: Disease and suicides risks escalate due to impact of coronavirus


Nicky Harley
  • English
  • Arabic

A rise in suicides and unrelated coronavirus conditions, such as heart disease, could play out in months and years to come as a result of the international lockdown, officials warn.

Police chiefs in the UK have noted an increase in suicides during the first two weeks of Britain’s lockdown and Italy has launched a specialist programme to help people.

The Red Cross has also called for urgent psychological aid for health workers.

Worldwide cancer tests and treatments have been cancelled along with operations for many other urgent conditions.

On Thursday, a report by London's Institute for Fiscal Studies (IFS) warned the elderly will suffer the most.

Presently emergency hospital admissions in the UK are 10 times higher among those in their 90s than those in their 30s and elective admissions are more than six times higher among those in their 70s and 80s than among those in their 20s.
"Huge amounts of resources have, for good reason, been re-organised and re-deployed to help the NHS treat patients suffering from the coronavirus. This will have consequences for the wider healthcare system, and for the quantity and quality of non-coronavirus care that can be provided," said George Stoye, Associate Director at IFS.

“Wider emergency care will be hit by the need to divert resources to coronavirus patients, and the NHS has already postponed all non-urgent elective operations for at least the next three months.

“This will cause immediate distress to those affected and knock on effects on waiting times that could take years to unwind. The hardest hit will be those most likely to otherwise use hospital care, in particular older people, and those who are the least affluent and the least healthy to begin with.”

Dr Len Lichtenfeld, of the American Cancer Society, says medics may not have a choice in the delays patients will face. “We are going to face ethical dilemmas, not just in cancer care but in medical care in general,” he warned.

“We recognise that any delay is not good but we may not have a choice.”

Stephen Powis, the national medical director for NHS England, on Wednesday said other conditions should not be forgotten.

It comes as A&E attendances at hospitals in England were down nearly a third last month compared with a year ago and were the lowest number since records began.

"The NHS has worked night and day to surge capacity to manage coronavirus but it’s also there for you if you have symptoms of a stroke, symptoms of a heart attack,” he said.

"Indeed if you have any emergency condition whether it’s a sick child, whether it’s a mother in pregnancy who’s worried about movements of the baby, you should be seeking emergency services just as you always have done.”

A similar picture has emerged with heart patients in Switzerland, one hospital began ringing patients after noticing the hospital was quieter than usual.

"Many patients tell us I waited because I am afraid of coming into contact with a COVID patient," said Giovanni Pedrazzini, president of the Swiss Cardiology Society.

"The risk is that a lot of patients will suffer or die at home when they should go to the emergency room."

In the UK charity Cancer Research UK, which funds 50 per cent of the nation’s fight to find a cancer cure, has slashed £44million in research funding.

It says the fallout from coronavirus is expected to see funding dive by a quarter.

Iain Foulkes, executive director of research and innovation at Cancer research UK said cutting research funding was forced on the body.

“The unprecedented measures to control the global Covid-19 pandemic have had a huge impact on both our researchers’ ability to carry on in the lab, and on our ability to fundraise. Faced with a predicted loss of 20-25 per cent of fundraising income, we are forced to look for savings across our current portfolio,” he said.

“Cancer Research UK funds nearly 50 per cent of the cancer research in the UK and making cuts to research funding is the most difficult decision we have had to make. We don’t do so lightly.

“We are hopeful that limiting our spending now will enable us to continue funding life-saving research in the long run. Cancer doesn’t go away during or after Covid-19, but we’re incredibly proud of our community of researchers who have been very quick to respond to the crisis, using their kit, skills and talent to support the NHS and the Covid-19 response.

“Our mission is so important to people all over the UK and by helping the global effort of tackling Covid-19, we hope we can get back to beating cancer as soon as possible.”

The UK Police Federation’s lead for coronavirus, Sergeant Simon Kempton, said on Monday there had already been an increase in suicides.

“It’s going to be vital that we keep an eye on it and there are very early indications of an increase in suicide attempts and suicides,” he warned.

Last week the Italian government started a nationwide psychological support program to provide free emergency help to anyone who needs it during the lockdown.

Jagan Chapagain, the secretary-general of the International Federation of Red Cross and Red Crescent Societies (IFRC), said he understood that providing mental health support “may not be very high on the agenda as we are trying to contain the virus,” but stressed that the issue is important and “impacts millions and millions of people.”

“I think that could be the big silent killer if sufficient attention is not paid to psychosocial needs and mental health needs,” he said.

In a webinar, IFRC president Francesco Rocca and Mr Chapagain acknowledged that there were no statistics available yet to prove mental health issues and suicides are increasing, but said the discussions they are having with health workers and others clearly point in that direction.

“We know that this is the trend,” said Mr Rocca, who was speaking from his home in Italy.

“We are missing... the hug,” he said, describing how he himself felt earlier this week when a volunteer told him her mother had just died.

“I couldn’t hug her. She was crying two metres away from me... And I couldn’t hug,” he said, adding that the pandemic in this respect was worse than other crises.

“Even in the conflict areas we can hug each other when we are afraid. The terrible thing of this (pandemic) is the lack of the human touch, the physical human touch.”

High unemployment as a result of the pandemic is also expected to have a major impact on health, the IFS says.

It says the employment loss associated with the 2008 recession is estimated to have led to an additional 900,000 people of working age suffering from a chronic health condition, including mental health.

"The health impacts of the economic downturn caused by the coronavirus pandemic will be felt long after the social distancing measures come to an end," says Heidi Karjalainen, a Research Economist at IFS.
"Many of those who are most exposed to the economic shutdown – such as low income families, especially those with young children – are also most vulnerable to long-term effects on both physical and mental health.

“By making sure that the groups that are most at risk are also protected from the negative effects of a downturn, the government can help minimise the long-run detrimental health impacts that would otherwise occur.“

It has warned that the policies of governments will have a key role in mitigating these impacts in the future, such as job retention schemes.

In the UK, latest analysis showed on Wednesday that unemployment has risen to 26 per cent.

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The specs: Rolls-Royce Cullinan

Price, base: Dh1 million (estimate)

Engine: 6.75-litre twin-turbo V12

Transmission: Eight-speed automatic

Power: 563hp @ 5,000rpm

Torque: 850Nm @ 1,600rpm

Fuel economy, combined: 15L / 100km

The specs: Aston Martin DB11 V8 vs Ferrari GTC4Lusso T

Price, base: Dh840,000; Dh120,000

Engine: 4.0L V8 twin-turbo; 3.9L V8 turbo

Transmission: Eight-speed automatic; seven-speed automatic

Power: 509hp @ 6,000rpm; 601hp @ 7,500rpm

Torque: 695Nm @ 2,000rpm; 760Nm @ 3,000rpm

Fuel economy, combined: 9.9L / 100km; 11.6L / 100km

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Ten tax points to be aware of in 2026

1. Domestic VAT refund amendments: request your refund within five years

If a business does not apply for the refund on time, they lose their credit.

2. E-invoicing in the UAE

Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption. 

3. More tax audits

Tax authorities are increasingly using data already available across multiple filings to identify audit risks. 

4. More beneficial VAT and excise tax penalty regime

Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.

5. Greater emphasis on statutory audit

There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.

6. Further transfer pricing enforcement

Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes. 

7. Limited time periods for audits

Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion. 

8. Pillar 2 implementation 

Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.

9. Reduced compliance obligations for imported goods and services

Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations. 

10. Substance and CbC reporting focus

Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity. 

Contributed by Thomas Vanhee and Hend Rashwan, Aurifer

MATCH INFO

Champions League quarter-final, first leg

Tottenham Hotspur v Manchester City, Tuesday, 11pm (UAE)

Matches can be watched on BeIN Sports

The President's Cake

Director: Hasan Hadi

Starring: Baneen Ahmad Nayyef, Waheed Thabet Khreibat, Sajad Mohamad Qasem 

Rating: 4/5

Getting there
Flydubai flies direct from Dubai to Tbilisi from Dh1,025 return including taxes

How England have scored their set-piece goals in Russia

Three Penalties

v Panama, Group Stage (Harry Kane)

v Panama, Group Stage (Kane)

v Colombia, Last 16 (Kane)

Four Corners

v Tunisia, Group Stage (Kane, via John Stones header, from Ashley Young corner)

v Tunisia, Group Stage (Kane, via Harry Maguire header, from Kieran Trippier corner)

v Panama, Group Stage (Stones, header, from Trippier corner)

v Sweden, Quarter-Final (Maguire, header, from Young corner)

One Free-Kick

v Panama, Group Stage (Stones, via Jordan Henderson, Kane header, and Raheem Sterling, from Tripper free-kick)

Captain Marvel

Director: Anna Boden, Ryan Fleck

Starring: Brie Larson, Samuel L Jackson, Jude Law,  Ben Mendelsohn

4/5 stars

Gulf Under 19s final

Dubai College A 50-12 Dubai College B

HOW TO WATCH

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if you go

The flights 

Etihad and Emirates fly direct to Kolkata from Dh1,504 and Dh1,450 return including taxes, respectively. The flight takes four hours 30 minutes outbound and 5 hours 30 minute returning. 

The trains

Numerous trains link Kolkata and Murshidabad but the daily early morning Hazarduari Express (3’ 52”) is the fastest and most convenient; this service also stops in Plassey. The return train departs Murshidabad late afternoon. Though just about feasible as a day trip, staying overnight is recommended.

The hotels

Mursidabad’s hotels are less than modest but Berhampore, 11km south, offers more accommodation and facilities (and the Hazarduari Express also pauses here). Try Hotel The Fame, with an array of rooms from doubles at Rs1,596/Dh90 to a ‘grand presidential suite’ at Rs7,854/Dh443.