Afghanistan’s health care system on the brink of collapse

Last year, almost half of Afghanistan’s population was living in poverty, with the situation made worse by the pandemic and a drought that has driven up food prices. (AP)
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Updated 16 December 2021
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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

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.


Voter turnout slumps, Modi ‘wave’ missing from India’s 2024 polls

Updated 27 April 2024
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Voter turnout slumps, Modi ‘wave’ missing from India’s 2024 polls

  • India’s general election started on April 19 and is taking place in seven phases till June 1
  • Voters are battling extreme temperatures as parts of India gripped by heatwave

NEW DELHI: Voter numbers have slumped in the first and second phase of India’s general election, with experts saying that the “wave” of enthusiasm that brought incumbent Prime Minister Narendra Modi to power in 2014 was no longer present in the ongoing polls.
More than 968 million people have been registered to vote in the world’s biggest general election, in which Modi and his Hindu nationalist Bharatiya Janata Party are aiming for a rare third consecutive term in power.
The first phase of voting was on April 19 and the polls are taking place over six weeks, with results expected on June 4.
India has a total of 28 states and eight federally governed territories. Some regions complete the process on a single day, while others spread it out over several phases.
The second phase was on April 26 and the other voting dates will be May 7, May 13, May 20, May 25 and June 1.
Friday’s turnout was estimated by the Election Commission of India at 61 percent — compared with 68 percent in the second phase five years ago. In the first phase, it was 65 percent against nearly 70 percent in 2019.
The lower turnout showed “apathy toward politics,” D. Dhanuraj, chairman of the Kerala-based Center for Public Policy Research, told Arab News.
“I think it is clear now that there is no wave in favor of any party as such. In 2014, there was a wave, in 2019 there was a wave,” he said, referring to the enthusiastic pro-Modi balloting in the past two general elections.
“(In) 2024, there was a talk that there was a wave, but I think it is becoming clear that there is no such wave, no wave that would give exponential majority in the parliament to any party.”
Modi and his BJP-led National Democratic Alliance are challenged by an alliance of two dozen opposition parties — the Indian National Developmental Inclusive Alliance, or INDIA — led by the Congress party, which has ruled the country for close to 45 years since independence in 1947.
Congress plunged to a historic low when it was swept out of power by the BJP in the 2014 and 2019 general vote, and won its second-lowest number of 52 seats in 2019, when Modi’s party enjoyed a landslide victory, winning 303 out of 543 seats in the lower house of parliament.
The party or coalition that wins at least 272 parliamentary seats forms the government.
In 2024, Modi has been aiming for 400 seats for the National Democratic Alliance led by his BJP. But the target, often cited ahead of the first phase, has not been repeated.
Although pre-poll surveys suggested Modi would easily win, it is no longer projected to be a landslide as in in the two previous elections.
“It was the electoral rhetoric of the BJP to cross 400 seats, but this reality is not happening, it seems now,” Satish Kumar Singh, political analyst in Delhi, told Arab News.
“The BJP gave that slogan just to galvanize voters. When there is less voting that also means that the BJP might not have a whopping majority, it might be close to a simple majority.”
Another factor deterring voters from standing in long queues at polling stations was the hotter-than-normal summer, with temperatures in some states on Friday exceeding 40 degrees Celsius.
“There is no wave but heatwave in this election,” Singh said. “That is keeping the voters away from the polling booths.”
Not all experts expected the lower turnout to affect the ruling party’s chances in the polls.
“There seems to me no empirical evidence that if voter turnout increases it supports any side — the ruling (party) or the opposition,” said Sandeep Shashtry, political analyst and vice-chancellor of Jagran Lakecity University in Bhopal.
“I think we cannot make a generalization about the wider implications.”


Anti-war protesters dig in as some schools close encampments after reports of antisemitic activity

Updated 27 April 2024
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Anti-war protesters dig in as some schools close encampments after reports of antisemitic activity

  • Protesters nationwide are demanding that schools cut financial ties to Israel and divest from companies they say are enabling the conflict
  • Early Saturday, police in riot gear cleared an encampment on the campus of Northeastern University in Boston while several dozen students shouted and booed at them

NEW YORK: As students protesting the Israel-Hamas war at universities across US dug in Saturday and vowed to keep their demonstrations going, some universities shut down encampments after reports of antisemitic activity among the protesters.
With the death toll mounting in the war in Gaza, protesters nationwide are demanding that schools cut financial ties to Israel and divest from companies they say are enabling the conflict. Some Jewish students say the protests have veered into antisemitism and made them afraid to set foot on campus.
Early Saturday, police in riot gear cleared an encampment on the campus of Northeastern University in Boston while several dozen students shouted and booed at them from a distance, but the scene was otherwise not confrontational.
The school said in a statement that the demonstration, which began two days ago, had become “infiltrated by professional organizers” with no affiliation to the school and protesters had used antisemitic slurs.
“We cannot tolerate this kind of hate on our campus,” the statement posted on the social media platform X said.
The University of Pennsylvania took similar action Friday when interim President J. Larry Jameson called for an encampment of protesters on the west Philadelphia campus to be disbanded, saying it violates the university’s facilities policies.
The “harassing and intimidating comments and actions” by some protesters violate the school’s open expression guidelines as well as state and federal law, Jameson said, and vandalism of a statue with antisemitic graffiti was “especially reprehensible and will be investigated as a hate crime.”
“I am deeply saddened and troubled that our many efforts to respectfully engage in discourse, support open expression, and create a community that is free of hate and inclusive for everyone have been ignored by those who choose to disrupt and intimidate,” he said.
At Columbia University, where protesters have inspired pro-Palestinian demonstrations across the country, negotiations continued with those at the student encampment.
The university’s senate passed a resolution Friday that created a task force to examine the administration’s leadership, which last week called in police in an attempt to clear the protest, resulting in scuffles and more than 100 arrests.
Though the university has repeatedly set and then pushed back deadlines for the removal of the encampment, the school sent an email to students Friday night saying that bringing back police “at this time” would be counterproductive.
Decisions to call in law enforcement, leading to hundreds of arrests nationwide, have prompted school faculty members at universities in California, Georgia and Texas to initiate or pass votes of no confidence in their leadership. They are largely symbolic rebukes, without the power to remove their presidents.
But the tensions pile pressure on school officials, who are already scrambling to resolve the protests as May graduation ceremonies near.
California State Polytechnic University, Humboldt, gave protesters who have barricaded themselves inside a building since Monday until 5 p.m. Friday to leave and “not be immediately arrested.” The deadline came and went. Only some of the protesters left, others doubled down. After protesters rebuffed police earlier in the week, the campus was closed for the rest of the semester.
In Colorado, police swept through an encampment Friday at Denver’s Auraria Campus, which hosts three universities and colleges, arresting about 40 protesters on trespassing charges.
Students representing the Columbia encampment said Friday that they reached an impasse with administrators and intend to continue their protest. After meetings Thursday and Friday, student negotiators said the university had not met their primary demand for divestment.
In the letter sent to Columbia students Friday night, the university’s leadership said “we support the conversations that are ongoing with student leaders of the encampment.”
Columbia’s president, Minouche Shafik, faced significant criticism from faculty Friday, but retained the support of trustees.
A report by the university senate’s executive committee, which represents faculty, found Shafik and her administration took “many actions and decisions that have harmed Columbia University.” Those included calling in police and allowing students to be arrested without consulting faculty, misrepresenting and suspending student protest groups and hiring private investigators.
Also Friday, Columbia student protester Khymani James walked back comments made in an online video in January that recently received new attention. James said in the video that “Zionists don’t deserve to live” and people should be grateful James wasn’t killing them.
“What I said was wrong,” James said in a statement. “Every member of our community deserves to feel safe without qualification.”
James, who served as a spokesperson for the pro-Palestinian encampment as a member of Columbia University Apartheid Divest, was banned from campus Friday, according to a Columbia spokesperson.
Protest organizers said James’ comments didn’t reflect their values. They declined to describe James’ level of involvement with the demonstration.
In France, students at the Paris Institute of Political Studies, which counts President Emmanuel Macron among its many famous alumni, students blocked access to a campus building and classes went online as the wave of protests reached overseas.
Police clashed with protesters Thursday at Indiana University, Bloomington, where 34 were arrested; Ohio State University, where about 36 were arrested; and at the University of Connecticut, where one person was arrested.
The University of Southern California canceled its May 10 graduation ceremony Thursday, a day after more than 90 protesters were arrested on campus. The university said it will still host dozens of commencement events, including all the traditional individual school ceremonies.
Universities where faculty members have initiated or passed votes of no confidence in their presidents include Cal Poly Humboldt, University of Texas at Austin and Emory University.


Russia says it struck Ukrainian energy plants in response to Kyiv targeting its own energy sector

Updated 27 April 2024
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Russia says it struck Ukrainian energy plants in response to Kyiv targeting its own energy sector

  • The strikes were “in response to attempts by the Kyiv regime to damage Russian energy and industrial facilities“
  • Ukraine has systematically targeted Russian oil refineries and other facilities in drone attacks in recent weeks

MOSCOW: The Russian Defense Ministry said on Saturday that its forces had carried out 35 strikes in the last week against Ukrainian energy facilities, defense factories, railway infrastructure, air defenses, and ammunition stocks.
It said in a statement that the strikes, which spanned April 20-27, were “in response to attempts by the Kyiv regime to damage Russian energy and industrial facilities.”
Ukraine has systematically targeted Russian oil refineries and other facilities in drone attacks in recent weeks, ignoring US requests not to do so.
Ukrainian officials said Russian missiles had pounded power facilities in central and western Ukraine on Saturday, increasing pressure on the ailing energy system as the country faces a shortage of air defenses despite a breakthrough in US military aid.
The Russian Defense Ministry said its campaign of strikes had been conducted using sea- and air-launched long-range precision weapons, including Kinzhal hypersonic missiles and drones.
It said it had also targeted and hit Ukrainian troop formations as well as what it described as foreign mercenaries.


Philippine capital’s financial center to become halal hub

Updated 27 April 2024
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Philippine capital’s financial center to become halal hub

  • Makati Halal Hub to act as a platform for manufacturers, traders and consumers
  • Philippines’ central business district is perceived as trendsetter for other regions

MANILA: Philippine businesses in Makati City are joining hands with the Department of Trade and Industry to make the country’s financial center a halal hub, the head of the Philippine Chamber of Commerce and Industry’s Makati branch said on Saturday.

Makati City in Metro Manila is often referred to as the Philippines’ central business district. It has the highest concentration of banks and multinational and local corporations in the country. Foreign embassies are also based there.

The predominantly Catholic Philippines — where Muslims constitute about 10 percent of the nearly 120 million population — plans to raise 230 billion pesos ($4 billion) in investments and generate around 120,000 jobs by expanding its domestic halal industry by 2028.

The DTI signed on Friday a memorandum of understanding with PCCI Makati to join the government’s efforts to tap into the global halal market, which is estimated to be worth more than $7 trillion.

“To be able to implement its policies more effectively — such as the promotion and development of the country’s halal industry — they (the government) have to collaborate or strike a partnership with the business community or the businessmen who will be responsible in making this a reality,” PCCI Makati President Toots Cortez told Arab News.

“We can be the catalyst. We will begin by creating awareness, especially among the MSMEs (micro, small and midsize enterprises) because, according to the records of DTI, 99.5 percent of business in the Philippines are composed of SMEs.”

The agreement on establishing the Makati Halal Hub will position the city as a “central point for innovation and business in the halal sector, spanning a variety of industries including food production, financial services, and more,” the DTI said in a statement, as it expects the initiative to “provide substantial opportunities for Filipino entrepreneurs and international investors alike, fostering a robust economic ecosystem.”

According to the vision, the hub will act as a platform facilitating connections between manufacturers, traders, buyers, distributors and consumers in the halal sector.

“If we can group together and promote halal, I think that will be the best approach … You don’t need a big budget,” Cortez said.

“There are many Muslim embassies in Makati City, many restaurants and major establishments … Many tourists come to Makati, so if we can convince the establishments in Makati to be accredited as halal, that’s a good beginning from our side as a catalyst.”

He believes that the industry’s promotion in the city will make an impact as Makati is widely perceived as a trendsetter for other Philippine regions.

“The others, they follow the lead,” Cortez said. “They follow the lead on what’s happening in Makati City.”


US food regulator gathering information on Indian spices after alleged contamination

Updated 27 April 2024
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US food regulator gathering information on Indian spices after alleged contamination

  • MDH and Everest spices are among the most popular in India and are also sold in Europe, Asia and North America
  • Hong Kong this month suspended sales of four MDH and Everest blends, while Singapore recalled Everest spice mix

HYDERABAD: The US Food and Drug Administration (FDA) is gathering information on products of Indian spice makers MDH and Everest after Hong Kong halted sales of some of their products for allegedly containing high levels of a cancer-causing pesticide.

“The FDA is aware of the reports and is gathering additional information about the situation,” an FDA spokesperson told Reuters on Friday.

Hong Kong this month suspended sales of three MDH spice blends and an Everest spice mix for fish curries. Singapore ordered a recall of the Everest spice mix as well, saying it contains high levels of ethylene oxide, which is unfit for human consumption and a cancer risk with long exposure.

Reuters is the first to report the US FDA’s review of alleged contamination of Indian spice products.

MDH and Everest did not immediately respond to Reuters requests for comment on this matter.

Everest has previously said its spices are safe for consumption. MDH has not responded to queries about its products so far.

MDH and Everest spices are among the most popular in India and are also sold in Europe, Asia and North America. India’s food regulator, the Food Safety and Standards Authority of India (FSSAI), is now checking the quality standards of the two companies, following the moves in Hong Kong and Singapore.

India’s Spices Board, the government’s regulator for spice exports, said on Wednesday it had sought data on MDH and Everest exports from authorities in Hong Kong and Singapore, and was working with the companies to find the “root cause” of the quality issues as inspections started at their plants.

In 2019, a few batches of MDH’s products were recalled in the US for salmonella contamination.