According to the WHO, one in five people are affected by mental health disorders in post-conflict settings. If left without treatment and adequate support, people from Ukraine face long-lasting effects that could harm themselves, their families and communities. “Wounds of war are deep, sometimes too deep to manage alone,” says Nataliia Korniienko, Mental Health and Psychosocial Support delegate with the International Federation of Red Cross and Red Crescent Societies (IFRC). As a Ukrainian herself who had to leave the country when the escalation began, she understands firsthand the stress faced by those fleeing conflict. “People are craving for someone to take the time to sit alongside them in their pain, but this often lacking for many fleeing Ukraine right now.” In a regional initiative to meet this massive need, National Red Cross Societies in Ukraine and 24 EU/EAA countries have joined forces to offer mental health and psychosocial support services to hundreds of thousands of people from Ukraine. Funded by the European Union, and with technical assistance from the IFRC and the IFRC Psychosocial Centre, the project connects vulnerable people with mental health professionals and volunteers from the National Societies. Support is offered in Ukrainian and other languages through various platforms, including helplines, mobile outreach and in-person group activities. Materials on psychosocial support in several languages are also going to be distributed among mental health professionals and the public. Since the first days of the conflict, Red Cross Red Crescent staff and volunteers have been assisting people at border crossing points, train stations and temporary shelters – listening and demonstrating empathy, sharing life-saving information, and taking care of vulnerable people. Aneta Trgachevska, acting Head of Health and Care at IFRC Europe, said: “We try to reach everyone in need in a convenient, personalized way. Assistance will not be limited to just a couple of calls or meetings—a person will receive support as long as we are needed. This kind of early response can alleviate symptoms and prevent people from developing serious levels of distress or even mental health conditions.” -- The content of this article is the sole responsibility of IFRC and does not necessarily reflect the views of the European Union.

The moment the first coronavirus case was reported in Europe – on 24 January 2020, in Bordeaux, France– no one could have possibly imagined the monumental scale of the year of loss and struggle ahead. Nor could they have foreseen how Red Cross and Red Crescent National Societies stepped up their activities across Europe and Central Asia, enabling them to be at the heart of the response. Staff and volunteers from the movement have been running first aid tents, delivering critical supplies to the elderly, caring for the sick and dying, at the end of the phone for people unable to leave home. They’ve provided food, shelter, a kind word and a friendly face, supported those who fall through the cracks – the migrants, people on the move, people who are homeless. They’ve provided trusted information. The numbers are staggering. More than 12.5 million people across the region have received food and other material aid from Red Cross Red Crescent[1]. More than 2.8 million people have received direct cash or voucher assistance and 1.3 million more received psychosocial support to help them through the tough times. Red Cross Red Crescent ambulances carried more than 325,000 COVID-19 patients to hospitals. Accurate information was shared to help inform people about the virus and how to stay safe, and an estimated 60 million people in the region have been reached with this messaging. The breathtaking spread of the virus With Italy the centre of the first wave, and the first country to go into lockdown, it remained the hardest hit country in Europe for months. Italian Red Cross was the first National Society in Europe to deliver food and medicine to people in quarantine, and ramped up their ambulance service to cope with the escalating number of people infected. By March Europe was the epicentre of the COVID-19 pandemic, so much so that on 18 March more than 250 million people were in lockdown in Europe. And now, nearly 12 months after the first case, sadly by 19 January 2021, 30.8 million cases were confirmed and 674,00 people in the region had died. [2] The Red Cross Red Crescent response needed to be swift. On 30 January the World Health Organisation (WHO) declared the COVID-19 outbreak a public health emergency of international concern and the following day the International Federation of Red Cross Red Crescent Societies (IFRC) allocated funds for a Disaster Relief Emergency Fund (DREF) and a preliminary Emergency Appeal. With its long experience in health emergencies it anticipated COVID-19 could develop into a pandemic with a devastating humanitarian impact and sadly it has shaped up to be one of the world’s most challenging crises, affecting every corner of the region with everyone vulnerable to contracting this virus. In line with Red Cross Red Crescent’s unique role as auxiliary to government, and as a community-based and widely-trusted organization, in Europe region the Red Cross movement came up with innovative responses. The Austrian Red Cross developed a contact tracing app. British Red Cross surveyed people on their loneliness and pivoted to provide extra support for those newly alone. The Czech Red Cross trained volunteers to work in hospitals that had become overwhelmed. The Turkish Red Crescent researched people’s knowledge and attitudes towards the virus and pivoted to fill the gaps they discovered. Swedish volunteers helped children with their homework. The Red Crosses of the countries of Italy, Slovenia and Croatia worked together to get supplies across their borders to people in an isolated part of Croatia. Extra support was given to people with HIV in Eastern Europe and Central Asia whose treatment was disrupted by the pandemic. With the rapid surge in prevention activity, while case numbers grew at an alarming rate, by the end of Spring the situation had improved somewhat. By summer as numbers plateaued government restrictions relaxed. The movement urged people to stay the course and maintain prevention measures in the face of pandemic fatigue and a sense the worst was behind us. Second wave Sadly conditions deteriorated, leading to a second wave. From late July case and death numbers steadily worsened again. By October, the Europe region accounted for the greatest proportion of reported new cases globally, with over 1.3 million new cases in the last week of October, a 33% leap in cases in a week. The national societies doubled down. Many had by now switched to remote and on-line support, however 23 National Societies continued to deliver COVID-safe clinical and paramedical services, including those in Germany, Italy, Israel, Spain and the UK. As well they ran quarantine and testing stations, triage facilities and outpatient fever clinics to support the public emergency medical service, and provided mobile care services. Some National Societies also supported experimental treatments by collecting plasma from patients who recovered from COVID-19 and had antibodies, and in turn provided this plasma to hospitals to treat very sick patients. Countless training and guidance sessions for staff and volunteers on COVID-19 were helped across the region, on the proper use of personal protective equipment and ambulances cleaning and disinfection. Vaccines – a potential game changer By the start of December, the future started to look brighter. Countries started to plan for the possible arrival of vaccines, but this was taking place against a background of a relentless resurgence in the number of people infected with COVID-19. In the WHO Europe region, there had been more than 4 million new cases in November alone, with the region accounting for 40 % of new global cases and 50% of new global deaths. [3] The vaccine results have come to be seen a large part of the solutions to containing the virus, but it has brought with it the challenge of countering misinformation and building trust in vaccines, as well as managing expectations that they will bring about a quick end to the pandemic. IFRC has supported local efforts to educate communities about their safety and efficacy. Those hardest hit In January more evidence came to light of the disproportionate impact the coronavirus was having on older people when the IFRC’s Europe office published the results of a survey[4] which found older people had become sicker, poorer and more alone as a result of the pandemic. It added to a growing body of evidence that coronavirus had harmed the poor and most vulnerable the most, pushing millions more into poverty. [5] Sadly, migrants were also identified in new IFRC research as those least protected and most affected by the pandemic. [6] And now, as we enter the start of the second year of the pandemic under ongoing harsh lockdowns, many countries are starting to see cases stabilise and even reduce. This emergency has had significant challenges, including global flows of misinformation and disinformation, response fatigue and system-wide impacts of multiple waves of cases. The Red Cross Red Crescent movement is well-placed to do its part in the regional response given its extensive history with disease outbreak. And planners in the movement acknowledge that vaccines will not be the silver bullet to end this pandemic alone. Red Cross will continue to work with communities to ensure they are informed about the virus, how it spreads and what to do to keep safe. It’s continuing to advocate for tracing and isolation of people who are ill as a central part of the response. To keep in the fight against COVID-19, the entire population must stick to the preventative measures which have been proven to help stop the spread of the virus – even as a vaccine becomes more widely available. [1] https://go.ifrc.org/emergencies/3972#actions [2] https://covid19.who.int/ [3] https://www.euro.who.int/en/about-us/regional-director/news/news/2020/12/whoeuropes-year-in-review-2020 [4] https://www.ifrc.org/press-release/new-study-finds-coronavirus-has-left-older-people-poorer-sicker-and-more-alone [5] https://blogs.worldbank.org/voices/2020-year-review-impact-covid-19-12-charts [6] https://www.ifrc.org/press-release/migrants-and-refugees-least-protected-most-affected-covid-crisis-warns-ifrc-president

Europe is experiencing the fastest rise in Coronavirus infections in the world and health systems in many countries in our region are approaching breaking point. Yet worryingly, we are witnessing an alarming rise in people saying they are sick and tired of being restricted. Worrying signs abound that people are failing to take the second wave seriously. Many countries have seen protests against new lockdown restrictions, and in Turkey, a Red Crescent survey [1] found that despite high levels of awareness, some people are less inclined to follow preventive measures now compared to in the early stages of the outbreak. This pandemic fatigue is only set to worsen as people see the end in sight due to the promising vaccine news and as they’re tempted to buck restrictions of the looming long, dark winter of lockdowns. But there are things you can do to get through this time and make yourself feel better. Your actions now are critical and can make a real difference. Consider where we are. With almost 16 million confirmed cases, and 350,000 deaths,[2] Europe accounts for more than half of the new cases globally.[3] But one of the best ways you can combat pandemic fatigue is to do something that you know is making a real difference, like volunteering for your local Red Cross or Red Crescent. Many of our European Red Cross and Red Crescent Societies and branches are desperate for fresh faces and more helping hands as we adapt our work to respond to this unprecedented emergency. The Coronavirus pandemic has seen a shift from our traditional work and a move into new areas of assistance, as we respond rapidly to the second wave hitting Europe. We’re stepping in to fill gaps in hospitals and health clinics, we are alongside health authorities as they carry out mass testing, we’re supporting the most vulnerable so they don’t fall between the cracks and we’re reaching out to those who are most isolated and alone to defeat loneliness but also to take the dog for a walk or do the shopping. Our work during the second wave includes in Slovakia where 1,500 local Red Cross personnel are supporting a programme aiming to test the entire adult population; in the Czech Republic we’re training thousands of new volunteers to work in hospitals as hundreds of health workers become sick, French Red Cross staff and volunteers are operating mobile testing units at train stations across Paris and Kyrgystan Red Crescent volunteers are providing first aid and transport for coronavirus patients around the clock. Many of us are just tired of the relentless nature of this pandemic and are feeling there’s nothing we can do to end it. But there is a lot one person can do. You can play your part by staying the course. Practise social distancing, wear a mask, wash your hands, avoid crowds. The sorts of thing you might be doing include working on telephone support lines, being part of a team preparing and delivering food, cash and other aid, supporting a mobile testing site or being a friendly face and a listening ear for someone who might not have any other human contact that day. I can tell you these things are making a difference. In fact, our volunteers tell us that they get back as much as they give. I urge you to join us. We need you, and you just might find that you need us. [1] https://sites.google.com/view/kapturkey/home [2] https://covid19.who.int/ [3] https://www.who.int/publications/m/item/weekly-epidemiological-update---3-november-2020

Budapest/Geneva, 11 November 2020 – The International Federation of Red Cross and Red Crescent Societies (IFRC) is urging Governments to strengthen their “test-trace-quarantine” systems to help prevent future surges of COVID-19. This call comes as multiple European countries put in place new restrictions to stop community transmission and to avoid the collapse of health systems. Francesco Rocca, IFRC President, said: “The recent restrictions across Europe signal that more must be done, and we see ourselves as a critical piece of that puzzle. We understand that these measures are difficult for many people, but they are needed to both flatten the curve and provide an opportunity to fix what hasn’t been working. “In many countries, we have been supporting local authorities in testing, contact tracing and isolation measures. This system can be effective only when it can be carried out fully and in a coordinated way. We are scaling up these critical activities across more countries. No one wants this second wave to be followed by a third or a fourth.” Across Europe, National Red Cross and Red Crescent Societies are supporting embattled health systems by conducting COVID-19 testing, transporting patients and providing psychosocial support. They are also offering a range of services designed to ensure that highly vulnerable people can complete everyday tasks, including grocery shopping and picking up medicines, while still fully complying with restrictions. However, with the situation worsening in many countries, the Red Cross and Red Crescent stands ready to do more, said IFRC President Rocca: “Our collective effort to prevent transmission will pay dividends going forward. We offer our help to ensure the worst can be behind us and lockdowns won’t be necessary in the future. National Red Cross and Red Crescent Societies are already supporting their own local authorities to flatten the curve, stop the spread of the virus and save lives – and we stand ready to do more.” In France, Red Cross volunteers are supporting walk-in COVID testing units at railway stations across Paris. In Monaco, Red Cross volunteers are helping rapidly escalate the country’s testing regime. In the Netherlands, Red Cross volunteers are on hand to assist scaled-up testing and crowd control at numerous testing sites. And in Georgia, the local Red Cross is training medical students in testing for COVID-19 to supplement its ramped-up response to the pandemic, an effort that now involves tens of thousands of volunteers. Red Cross teams in Slovakia are helping authorities test every person in the country. In the Czech Republic, Red Cross volunteers are training thousands of people to support health care workers in hospitals and in Italy, the Red Cross has deployed several field hospitals and has strengthened its ambulance services to support local health systems, as well as providing psychosocial support. “Our volunteers have been doing all they can to ensure peoples’ needs are met in a safe manner with as many COVID-19 precautions in place as possible – and we will need to do more. Above all, we want to thank all people who have been helping for months on end to serve their communities. It will be a long path, but together, I know we can succeed,” Francesco Rocca said. More than 300,000 people have died of COVID-19 in Europe, and in the past week the region has registered more than half of all new infections reported globally.