HIV: Medical and institutional failure
Tuesday, July 31st, 2007Kyrgyzstan has recently reported that nine out of the eleven cases of HIV in the Osh district are children who contracted the virus during regular medical treatment. Yesterday, President Bakiev ordered an investigation of this horrifying situation.
The pain of this to individuals and their families is enormous and so unnecessary. The suffering from this radiates outward to society as a whole. Speaking at an Open Society Institute Conference, Els Klinkert said:
The effects of the epidemic become more and more apparent. HIV/AIDS affects entire families and households in the most direct way. The families of AIDS victims are faced with high medical expenses, funeral costs and loss of human resources. But AIDS not only strikes at household level, the epidemic will also negatively effect the workplace, schools and national economic development. The epidemic will form an additional burden on the public health and other services sector, education, agricultural and economic sector.
Not again
In Kazakhstan, a similar discovery of negligence in terms of child medical care leading to HIV infection first began to be uncovered in May, 2006. Subsequent investigation found that 118 children were HIV-infected during medical treatment in any of three hospitals in the Shymkent area. Ten of those children have already died. New cases are also being discovered.
A little over a year later, many facts came forward, and all of them are ugly. Contaminated blood was used for transfusions on some children, and then the equipment (needles, etc) used for these transfusions were not sterilized properly, and then re-used on other children. For this reason, many health-care practitioners are at fault. But the main fault appears to be in the purchasing departments of those hospitals, i.e., the administration.
The contaminated blood in Shymkent was part of an illegal blood trade, where un-certified blood is collected (most likely from street addicts or other poor persons) and sold to hospitals at a lower price than blood collected and certified under HIV-prevention guidelines. Hospital administrators could purchase this cheaper blood and pocket the difference in price. What this is: not criminal negligence, but murder, and conspiracy to commit murder. It is the same as if someone knowingly allows a bomb to sit in the middle of a populous building, knowing that it will go off and kill a large number of people.
In the trials, sentences for health-care clinicians ranged from 9 months to three years. But the administrators responsible for the purchase of bad blood, or for administering clinic safety, or for providing proper sterilization equipment, received suspended sentences:
Marpiya Butabaeva, chairwoman of Ghibrat (Wisdom), the Shymkent-based Center for the Protection of the Mother and Children’s Rights, told RFE/RL’s Kazakh Service: “The bosses at the top got lenient sentences, while those who were under them got tougher sentences…. There is nothing new in this, it has happened before and it is happening now again. Of course it’s unfair.”
The sentences are not the end of the story in Shymkent. As Altynbekova said, new HIV/AIDS cases among the children of Shymkent are discovered every month.
After news of the first cases broke last year, President Nursultan Nazarbaev ordered an overhaul of the health-care system and better checks on the quality of blood in the country’s blood banks.
Such moves as Mr. Nazarbaev made to ensure blood safety are not recorded here, (more…)
There’s so much news and so many who report it well, it’s difficult to hit all of the high points without a round-up.
Yesterday,
Mohammed Zahir Shah, Afghanistan’s last king, was interred today. At
organization’s Web site down (
Besides Team Astana, based out of Switzerland, the French-sponsored Codifis team, have both dropped out, under much the same circumstances: their front-runner, Italian Christien Moureni, also tested positive for steroid use. The event’s overall leader was Rabobank’s Rasmussen, who has been de-wheeled for skipping blood tests.
And it certainly looks like the A-Team followed all the rules: they had already suspended the very-competitive
China National Petroleum Corporation (CNPC) has signed a
President Berdymukhamedov announced that
According to the UN’s
It doesn’t have to be perfect to bring prosperity, but the more it adheres to this standard, the better for business. I lived for ten years in a city with a large tourist sector of the economy (New Orleans). The City spent a lot of time and money developing convention business (which fills the hotels and is paid for by room taxes) and promoting the city’s ethos and convenience. They also enabled that convenience, by funding large infrastructure for events such as music or sports (good idea for the stadium, by the way). The rest of the attraction comes from small and medium enterprises: theme parks, museums, and those small and intimate restaurant “discoveries”. Some of the latter, like the Acme Oyster Bar (how I miss it), was patronized by both city and vacation folk–those were the ones that repeat travellers wanted. So, just as an armchair consultant, I would recommend a combination of state initiative and home-grown local business, myself.
Best of luck with the Turkmenbashi Entertainment Resort and Tourist Complex; and I hope to someday visit and sit down at the Green Tea Emporium for brief respite in the afternoon; after which, I would like to attend the Annual International Plov festival, where Central Asian cooks of note get together to compete on the best Plov in Central Asia, and people like me buy bowls of award-winning food and buy postcards, hats, and–more film and sunscreen.
Last Thursday, 23 South Korean aid workers, affiliated with an evangelical Christian mission, were abducted from a bus near Kandahar. Their mission was to develop hospital facilities. Fifteen of the 23 are women, and all are alive and said to be in good health. The Taliban is threatening to
Blood flowers
Money transfer