KABUL: The diesel fuel needed to produce oxygen for coronavirus patients has run out. So have supplies of dozens of essential drugs. The staff, unpaid for months, still shows up for work, but they are struggling to make ends meet at home.
This is the plight at the Afghan-Japan Hospital for communicable diseases, the only COVID-19 facility for the more than 4 million people who live in the capital of Kabul. While the coronavirus situation in Afghanistan appears to have improved from a few months ago when cases reached their peak, it is now the hospital itself that needs life support.
Its predicament is a symptom of the crisis in Afghanistan’s health care system, which is on the brink of collapse and able to function only with a lifeline from aid organizations.
“We face many problems here,” said Dr. Ahmad Fatah Habibyar, the hospital’s administration logistics manager, citing three months of unpaid salaries, shortages of equipment and drugs, and a lack of food.
Some of the staff are in such financial difficulties that they are selling their household furniture to make ends meet, he said.
“Oxygen is a big issue for us because we can’t run the generators,” he said, noting the hospital’s production plant hasn’t worked for months “because we can’t afford the diesel.” Instead, oxygen cylinders for COVID-19 patients are bought from a local supplier.
And doctors are bracing for more infections that they fear are inevitable with the omicron variant.
Without outside help, “we are not ready for omicron. A disaster will be here,” said Dr. Shereen Agha, the 38-year-old head of the hospital’s intensive care unit. The hospital was short even of basic supplies like examination gloves, he said, and its two ambulances sit idle for lack of fuel.
The previous government had contracted with a Netherlands-based aid group, HealthNet TPO, to run the hospital. But the contract expired in November and was financed under a fund managed by the World Bank, which like most of the international community has frozen payments to the new Taliban government.
HealthNet TPO program manager Willem Reussing said the organization is in negotiations to secure funding, “but the donor community is very reluctant to continue support and has strict conditions.” The World Health Organization and UNICEF were only managing to maintain minimal services and did not cover the coronavirus response, he added.
“The health care system ... is really on the brink of collapsing,” Reussing said. “The Afghan-Japan Hospital is a dire example, where we are nearly begging donors to step in and save lives.”
When the Taliban took control of Afghanistan in August amid a chaotic US and NATO troop withdrawal, the international community pulled all funding and froze billions of dollars of Afghanistan’s assets abroad. For a country heavily dependent on foreign aid, the consequences have been devastating.
The economy already was deeply troubled under the previous government, with state employees often going unpaid. Last year, almost half the population was living in poverty, with the situation made worse by the pandemic and a drought that has driven up food prices.
The Taliban government wants the international community to ease sanctions and release Afghanistan’s assets abroad so it can pay civil servants, including doctors and teachers.
The United Nations has sounded the alarm over a hunger crisis, with 22 percent of Afghanistan’s 38 million people near famine and another 36 percent facing acute food insecurity.
“We’re seeing the economic collapse being exponential,” UN humanitarian chief Martin Griffiths said in an interview last week with The Associated Press. “It’s getting more and more dire by the week.”
Nowhere is that more evident than the malnutrition ward of the Indira Gandhi Children’s Hospital, where anxious mothers sit by emaciated children.
Two-year-old Mohammad, his cheeks sunken and his hair sparse, sipped a cup of high-nutrition milk with his mother, Parwana, beside him. From the central province of Wardak, she had been sleeping in the hospital for six nights.
“I don’t even have money to change his diapers,” the 20-year-old said. Her husband, a tailor, lost both legs in a roadside bomb several years ago, and has trouble sitting up. Work is hard to come by, and Parwana said her father and brothers are helping the family of three survive.
In the next bed, 1½-year-old Talwasa lay covered in blankets. Only her eyes moved behind half-closed eyelids.
“We are in a very bad situation,” said her mother, Noor Bibi, who has six other children. Her husband can’t find work, she said, and “we only eat dried bread and can’t find food for weeks and weeks.”
Deputy Health Minister Dr. Abdul Bari Omar said last week that Afghanistan had 3.5 million malnourished children, although he noted that the data was from the previous government.
“It didn’t happen in the last four months. Malnutrition was inherited from the previous system, but we are trying to find a solution for this problem,” he said, adding that the former administration also had failed to resolve shortages of medical equipment.
The deputy director of the children’s hospital, Mohammad Latif Baher, said the facility had seen 3,000 malnutrition cases in the last four months. Of those, 250 were hospitalized and the rest were treated at home.
Hospital workers also are struggling with shortages, and they have not been paid for months.
“We are loyal to our homeland and our profession. That’s why we still continue our jobs and provide services to our patients,” Baher said, noting they have gone without salaries for five months. He said the hospital also is running low on drug supplies, including special food supplements for malnutrition, as well as antibiotics, analgesics and anesthetics. Some supplies had come in from aid agencies, he added, but more were needed.
The situation was similar at Wazir Mohammed Akhbar Khan National Hospital, where supplies were running low. As with most of the other state-run hospitals, its patients must buy their own drugs, with staff only dipping into emergency supplies for those who truly cannot afford it.
Sometimes doctors are forced to give smaller doses of drugs because they simply don’t have enough, said Ghulam Nabi Pahlawi, the emergency department’s head nurse.
But it is in Kabul’s COVID-19 hospital where the situation seems most severe. Pharmacist Bilal Ahmad said more than 36 essential medications had run out and many others had expired. In three months, he said, another 55 medications will run out.
“The requirements, we cannot fulfill them,” Ahmad said.
Afghanistan’s health care system on the brink of collapse
https://arab.news/nzvtm
Afghanistan’s health care system on the brink of collapse
- For a country heavily dependent on foreign aid, the consequences after the Taliban takeover have been devastating
Bus plunges off a bridge in South Africa, killing 45 people; 8-year-old child is lone survivor
- Authorities said the bus carrying worshippers was traveling from the neighboring country of Botswana to the town of Moria, which hosts a popular Easter pilgrimage
CAPE TOWN, South Africa: A bus carrying worshippers headed to an Easter festival plunged off a bridge on a mountain pass and burst into flames in South Africa on Thursday, killing at least 45 people, authorities said.
The only survivor of the crash was an 8-year-old child, who was receiving medical attention, according to authorities in the northern province of Limpopo. They said the child was seriously injured.
The Limpopo provincial government said the bus veered off the Mmamatlakala bridge and plunged 50 meters (164 feet) into a ravine before busting into flames.
Search operations were ongoing, the provincial government said, but many bodies were burned beyond recognition and still trapped inside the vehicle.
Authorities said they believe the bus was traveling from the neighboring country of Botswana to the town of Moria, which hosts a popular Easter pilgrimage. They said it appeared that the driver lost control and was one of the dead.
Minister of Transport Sindisiwe Chikunga was in Limpopo province for a road safety campaign and changed plans to visit the crash scene, the national Department of Transport said. She said there was an investigation underway into the cause of the crash and offered her condolences to the families of the victims.
The South African government often warns of the danger of road accidents during the Easter holidays, which is a particularly busy and dangerous time for road travel. More than 200 people died in road crashes during the Easter weekend last year.
The Zionist Christian Church has its headquarters in Moria and its Easter pilgrimage attracts hundreds of thousands of people from across South Africa and neighboring countries. This year is the first time the Easter pilgrimage to Moria is set to go ahead since the COVID-19 pandemic.
Macron says G20 must agree before inviting Putin to summit
BRASILIA: French President Emmanuel Macron said Thursday that members of the G20 would have to agree before Russian leader Vladimir Putin is invited to attend the group’s summit in Brazil in November.
“The meaning of this club is that there must be consensus with the 19 others. That will be a job for Brazilian diplomacy,” he said during a joint press conference in Brasilia with his counterpart Luiz Inacio Lula da Silva.
If such a meeting can be “useful, it must be done,” Macron said, though he warned division on the matter could scuttle any Russian invitation.
Brazil, the current chair of the G20 group — which represents 80 percent of the global economy — has opposed the US-led drive to isolate and punish Russia for its invasion of Ukraine, arguing that Ukrainian President Volodymyr Zelensky and Western countries share some of the blame for the war.
Putin missed last year’s G20 summit in the Indian capital New Delhi, avoiding possible political opprobrium and any risk of criminal detention under an International Criminal Court (ICC) warrant.
In September 2023, Lula said there was “no way” that Putin would be arrested if he attended the Rio de Janeiro summit.
Shortly after, he backtracked and said that it would be up to the justice system to decide on Putin’s eventual arrest and not his government.
Biden, Trump provide campaign split-screen with dueling NYC events
WASHINGTON: Joe Biden and Donald Trump were on the campaign trail in New York on Thursday as the Democratic president prepared to host a star-studded fundraiser and his Republican predecessor and 2024 rival paid tribute to a fallen police officer.
Trump made a short statement after attending the wake of police officer Jonathan Diller, who was shot and killed on Monday during a traffic stop.
“We have to stop it. We have to get back to law and order,” said the 77-year-old billionaire, who refrained from criticizing his 81-year-old rival directly.
Trump’s entourage contrasted his solemn trip with a lavish fundraiser Biden will headline later alongside former Democratic presidents Barack Obama and Bill Clinton, which organizers say has reaped an eye-watering $25 million.
“President Trump will be honoring the legacy of Officer Diller and paying respects to his family, friends, and the NYPD,” said the Republican’s spokesman Steven Cheung.
“Meanwhile, the Three Stooges — Biden, Obama, and Clinton — will be at a glitzy fundraiser in the city with their elitist, out-of-touch celebrity benefactors.”
The White House said Biden had called New York Mayor Eric Adams on Thursday to offer his condolences over Diller’s killing.
The Democrat has not been in contact with the officer’s family but “grieves” with them, his spokeswoman Karine Jean-Pierre said, adding that the president “has stood with law enforcement his entire career and continues to stand with them.”
Jean-Pierre said on Wednesday that Biden was “deeply grateful for the sacrifices police officers make to keep our communities safe.”
Biden’s fundraiser will feature a debate between the three Democratic leaders, hosted by late-night TV comic Stephen Colbert.
Singers Lizzo and Queen Latifah, among others, will perform at the event, to be held at Radio City Music Hall in midtown Manhattan in front of 5,000 people.
The star-studded fundraiser is the first event of its kind to feature the three Democratic presidents.
According to NBC News, guests can pay $100,000 for a photo with the trio.
“The numbers don’t lie: today’s event is a massive show of force and a true reflection of the momentum to reelect the Biden-Harris ticket,” Jeffrey Katzenberg, the campaign’s chief fundraiser, said in a statement, referring to Vice President Kamala Harris.
He contends that Biden will raise more money in one evening than Trump did in the entire month of February.
Biden has better-stocked campaign coffers than his Republican opponent, who is using some of the funds raised from his supporters for legal expenses in the multiple lawsuits he is facing.
Trump’s trial for allegedly covering up 2016 hush money payments to a porn star when he was running for his first term in office begins in New York on April 15.
He devotes much of his campaign rhetoric to attacking illegal immigration and criticizing his Democratic rival for being lax on policing.
But the Republican, who faces 88 felony counts for a wide variety of alleged criminality, is also a harsh critic of law enforcement, regularly accusing the FBI of pursuing a politically motivated “witch hunt” against him.
Lula, Macron find common ground, despite Ukraine shadow
BRASILIA: French President Emmanuel Macron and his Brazilian counterpart Luiz Inacio Lula da Silva on Thursday displayed their unity on major global issues, while skirting differences on the war in Ukraine.
Macron wrapped up his three-day tour of the Latin American giant with a solemn, but warm, trip to the presidential palace in the modernist capital Brasilia.
The French leader paid tribute to “the spirit of resistance” of Lula’s government for “restoring democracy” after a crowd of extreme-right supporters of former president Jair Bolsonaro stormed the seats of power in the city in January 2023.
Lula hailed a relationship between the two countries as one that created “a bridge between the global South and the developed world.”
While the two men firmly reset the frosty ties of the Bolsonaro years, they retain deep differences over the war in Ukraine, a subject which only briefly reared its head.
While France and the West support Kyiv wholeheartedly, Lula has in the past said that Ukraine and Russia share responsibility over the conflict and has refused to isolate Moscow.
Responding to a question from a journalist, Macron said that Brazil, as the current chair of the G20, could invite Russia’s President Vladimir Putin to a summit in Rio de Janeiro in November if other members agreed.
“The meaning of this club is that there must be consensus with the 19 others. That will be a job for Brazilian diplomacy,” he said.
If such a meeting can be “useful, it must be done,” Macron said.
Lula responded only that “diversity” must be accepted in organizations like the G20.
Putin missed last year’s G20 summit in the Indian capital New Delhi, avoiding possible political opprobrium and any risk of criminal detention under an International Criminal Court (ICC) warrant.
In September 2023, Lula said there was “no way” that Putin would be arrested if he attended the Rio de Janeiro summit.
Shortly after, he backtracked and said that it would be up to the justice system to decide on Putin’s eventual arrest and not his government.
Lula’s only remarks on the conflict were that “the two stubborn” leaders will “have to get along,” referring to Putin and Ukraine’s President Volodymyr Zelensky.
However, he highlighted that Ukraine was not Brazil’s priority, and turned to a crisis in his own neighborhood, that he and Macron agreed upon: Venezuela.
Both leaders condemned the exclusion of the main opposition coalition’s chosen candidate, Corina Yoris, 80, from July 28 elections.
“We very firmly condemn the exclusion of a serious and credible candidate from this process,” Macron said.
Lula described the situation as “serious” and said there was “no legal or political explanation for banning an opponent from being a candidate.”
“I told Maduro that the most important thing to restore normality in Venezuela was to avoid any problems in the electoral process, that the elections be held in the most democratic way possible.”
From the protection of the Amazon to cooperation in the building of submarines and economic ties, the two leaders showed off the broad Franco-Brazilian partnership over the three-day visit.
Macron and Lula also brushed over tensions about the long-delayed EU-Mercosur free trade agreement, which Brazil has pushed for and France has blocked.
Macron blasted the deal as “a really bad agreement” and said it should be buried in favor of a new one that “is responsible from a development, climate and biodiversity point of view.”
Lula said he was “very calm” and noted only that Brazil “does not negotiate with France” but with the EU.
The two leaders’ close relationship was highlighted by a warm meeting in the Amazon, in which they were pictured beaming and clasping hands, to the delight of Brazilians who spawned a raft of memes comparing the images to a wedding album.
Philippine president warns of countermeasures in response to Chinese aggression at sea
- Marcos said the Philippines "seek no conflict with any nation,” but would not be “cowed into silence”
- His remark follows repeated aggressive action by Chinese coast guard ships in disputed South China Sea waters
MANILA: The Philippine president said Thursday that his government would take action against what he called dangerous attacks by the Chinese coast guard and suspected militia ships in the disputed South China Sea, saying “Filipinos do not yield.”
Ferdinand Marcos Jr. did not provide details of the actions his government would take in the succeeding weeks but said these would be “proportionate, deliberate and reasonable in the face of the open, unabating, and illegal, coercive, aggressive and dangerous attacks by agents of the China coast guard and Chinese maritime militia.”
“We seek no conflict with any nation, more so nations that purport and claim to be our friends but we will not be cowed into silence, submission, or subservience,” Marcos wrote on X, formerly Twitter.
Marcos’s warning is the latest sign of the escalating disputes between China and the Philippines in the contested waters that have caused minor collisions between the coast guard and other vessels of the rival claimant nations, sparked a war of words and strained relations.
China and the Philippines, along with Vietnam, Malaysia, Taiwan and Brunei, have overlapping claims in the resource-rich and busy waterway, where a bulk of the world’s commerce and oil transits.
Chinese officials in Manila or Beijing did not immediately respond to Marcos’s public warning, which he issued during Holy Week — one of the most sacred religious periods in the largely Roman Catholic nation.
China’s defense ministry accused the Philippines of escalating the South China Sea disputes by undertaking provocative moves and spreading “misinformation to mislead the international community.”
“It is straying further down a dangerous path,” Senior Col. Wu Qian, the Chinese defense ministry’s top spokesperson, said in a statement issued Thursday by the Chinese Embassy in Manila.
Both China and the Philippines said they were acting to protect their sovereignty. Wu said China remained “committed to properly managing maritime differences,” while Marcos said he had been in touch with international allies who had offered to help the Philippines.
Marcos said he issued his statement after meeting top Philippine defense and national security officials, who submitted their recommendations. These include the use of faster military vessels instead of chartered civilian boats when the Philippine navy delivers a new batch of personnel and supplies to the disputed Second Thomas Shoal, two Philippine security officials said.
The shoal, the site of frequent hostilities since last year, has been occupied by a small Philippine naval contingent but surrounded by the Chinese coast guard and other vessels in a decades-long territorial standoff.
It’s unclear if Marcos approved that recommendation. The two Philippine officials separately spoke to The Associated Press on condition of anonymity because of a lack of authority to discuss the issue publicly.
In the latest hostilities on Saturday, the Chinese coast guard used water cannons that injured several Philippine navy crewmen and heavily damaged their wooden supply boat near the Second Thomas Shoal. The cannon blast was so strong it threw a crewman off the floor but he hit a wall instead of plunging into the sea, Philippine military officials said.
The Philippine government summoned a Chinese embassy diplomat in Manila to convey its “strongest protest” against China. Beijing accused the Philippine vessels of intruding into Chinese territorial waters, warning Manila not to “play with fire” and saying China would continue to take actions to defend its sovereignty.
The United States condemned the actions by the Chinese coast guard. In a telephone call with Philippine defense chief Gilberto Teodoro Jr. Wednesday, US Defense Secretary Lloyd Austin reiterated a warning that it is obligated to come to the aid of the Philippines under a 1951 Mutual Defense Treaty if Philippine forces, aircraft and ships come under armed attack, including anywhere in the South China Sea, Pentagon Press Secretary Pat Ryder said.
Beijing has warned Washington to stay away from what it says is a purely Asian dispute, but the US has said it would press on with Navy patrols as it has done for more than 70 years in accordance with international law to help safeguard freedom of navigation and overflight in the South China Sea.