Strained Iraq doctors crack under virus spike fears

A medic takes a swab from a patient in Iraq’s Basra province. (AFP)
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Updated 01 July 2020

Strained Iraq doctors crack under virus spike fears

  • Country has officially registered more than 47,000 cases, with medics increasingly infected

BAGHDAD: Unpaid salaries, mask shortages, threats from patients’ families — doctors across Iraq are cracking under such conditions, just as they face a long-feared spike in coronavirus cases.

“We’re collapsing,” said Mohammed, a doctor at a COVID-19 ward in Baghdad who did not use his full name so he could speak freely.

“I just can’t work anymore. I can’t even focus on the cases or the patients,” he said at the end of a 48-hour shift.

Iraq has officially registered more than 47,000 coronavirus cases, with doctors increasingly infected.

“I personally know 16 doctors who caught it over the last month,” Mohammed said.

The country’s overall death toll is heading toward 2,000, with official daily fatalities starting to top 100 in the past week — and doctors warn they cannot keep up.

In the autonomous Kurdish north, a surge in coronavirus infections has pushed the number of cases there to over 5,000 — including at least 200 health workers — and the death toll to more than 160.

The line at the public Ali Naji Hospital in the northeastern city of Sulaimaniyah wound out the door, with dozens of people queueing to get tested — but inside, the medical staff was thinner than ever.

The Kurdish regional government, like federal authorities in Baghdad, is struggling to pay public sector wages this year due to a collapse in oil prices and an economic recession brought on by the pandemic.

That has had a devastating effect on personnel at state-owned medical facilities, who have not been paid in two months.

Exhausted, thousands of health care workers at state hospitals in the Kurdish region announced earlier this month they would stop treating non-coronavirus cases.

“At least 20,000 health care workers across the region are adhering to this partial strike,” said Hawzin Othman, the head of Sulaimaniyah’s medical syndicate.

Among them are 800 doctors who joined over the past two weeks, just as the Kurdish region began logging an uptick in COVID-19 cases.

Shevan Kurda, a 30-year-old doctor, is one of them.

“We’re working 10-hour shifts every day, but only to treat COVID-19 patients,” said Kurda, who represents Sulaimaniyah’s Medical Residents Syndicate.

Kurda is owed three months of wages from 2019 and was not paid in either April or May this year.

Authorities and health workers across Iraq have long decried the state of the country’s dilapidated hospitals, worn down by years of war, a lack of investment and corruption that has sapped funds meant for new equipment.

Even Prime Minister Mustafa Al-Kadhemi told reporters last week: “We do not have a health system.

“The health system is broken, and the most basic requirements are not available, because those who hold positions in some state institutions are incompetent. This has been accumulating for years.”

Iraq is also a notoriously dangerous place to be a doctor, as patients’ families are known to threaten medical staff — sometimes with death — if their loved one’s condition deteriorates.

This week, Iraq’s medical syndicate declared a strike across the southern province of Dhi Qar after a female doctor was assaulted by a patient’s relative.

In the capital Baghdad, doctors at several inundated coronavirus wards said they and their colleagues were on the brink of burnout, and complained of a long-standing lack of compensation for overtime.

“There was no bonus for doctors working in field hospitals during the war against the Daesh group,” said Ammar Falah, a 27-year-old medic at one of the city’s coronavirus wards.

“There was no bonus when there was mass mobilization for protests in October,” he said, referring to anti-government demonstrations that began late last year and left over 550 people dead.

“You think they’re going to give us a bonus now just because we’re taking on more hours?“

Falah said the Al-Kindi Training Hospital where he works distributed just five N95 masks to doctors each month.

But with so much interaction with infected patients, Falah said he needed to switch masks much more often and had begun using his $750 monthly take-home pay to buy protective gear.

“If the hours go up more or the workload increases, we’ll go on strike too,” he said.

Iran’s hard-line lawmakers move to summon Rouhani — Tasnim

Updated 07 July 2020

Iran’s hard-line lawmakers move to summon Rouhani — Tasnim

DUBAI: Iran’s hard-line lawmakers plan to summon the president for questioning, a move that could ultimately lead to impeachment, media reported on Monday, amid growing discontent over the government’s economic policies.
Iranians’ daily struggle to make ends meet has become harder since the reimposition of US sanctions in 2018, and the economy has been further damaged by rising inflation, growing unemployment, a slump in the rial and the coronavirus crisis.
A motion to question President Hassan Rouhani was signed by 120 lawmakers out of 290 and handed to the presiding board of the assembly, Iran’s semi-official Tasnim news agency reported. To take effect, the motion must be passed to the president by the presiding board.
However, analysts say the board might hold back from issuing the summons, mindful that Supreme Leader Ayatollah Ali Khamenei, Iran’s top authority, has called for unity among the branches of authority at a time when Iran faces mounting US pressure.
A move by parliament to question Rouhani’s predecessor was blocked by a rare intervention by Khamenei.
“The lawmakers have various questions for the president, including the reasons behind the foreign exchange market crisis as well as the high prices of basic goods and basic necessities of the people today,” Tasnim quoted Tehran lawmaker Eqbal Shakeri as saying.
Defying central bank attempts to revive its value, Iran’s rial currency has continued to fall against the US dollar on the unofficial market since April.
First elected in a landslide in 2013 and reelected in 2017, Rouhani opened the door to nuclear diplomacy with six major powers.