Tunisia’s financial crisis leaves the sick struggling to find medicine

A view shows boxes of medicine at retired soldier Nabil Boukhili’s unofficial medicine exchange room at the roof of his house, in Tunis on May 29, 2023. (Reuters)
Short Url
Updated 01 June 2023
Follow

Tunisia’s financial crisis leaves the sick struggling to find medicine

  • Hundreds of medicines have been missing for months, pharmacies say, including important treatments for heart disease, cancer and diabetes
  • "The issue of missing medicine has become very hard for patients," said Douha Maaoui Faourati, a Tunis doctor

TUNIS: Sick Tunisians face a frantic struggle to find some medicines because the cash-strapped state has reduced imports, leaving doctors unable to control debilitating health problems and patients turning to informal markets for their medication.
Hundreds of medicines have been missing for months, pharmacies say, including important treatments for heart disease, cancer and diabetes as well as more basic products such as medicated eye drops whose absence worsens chronic conditions.
“The issue of missing medicine has become very hard for patients. We have a real problem with some medicines for which there are no generics available,” said Douha Maaoui Faourati, a Tunis doctor specializing in kidney and blood pressure disease.
Faourati has had to ask patients to try to get drugs from Europe, including ones used to control dangerously irregular heartbeat, swelling and clotting, and for which she says no good alternative is available in Tunisia.
Her difficulties show how Tunisia’s worsening fiscal problems are hitting ordinary people and adding to public anger at a state barely able to maintain even basic services.
Since last year Tunisia has struggled to pay for other goods that are sold at subsidised rates, causing periodic shortages of bread, dairy products and cooking oil as foreign currency reserves dropped from 130 days of imports to 93 days.
Tunisia wants a $1.9 billion International Monetary Fund bailout, without which ratings agencies have warned it may default on sovereign debt, but President Kais Saied has rejected key terms of the deal and donors say talks have stalled.
Tunisia imports all medicine through the state-owned Central Pharmacy, which provides drugs to hospitals and pharmacies around the country which offer them to patients at a subsidised rate.
The head of Tunisia’s Syndicate of Pharmacies, Naoufel Amira, said hundreds of medicines are no longer available, including for diabetes, anaesthesia and cancer treatment.
Amira and two officials at the Central Pharmacy who spoke anonymously because they were not authorized to talk to media, said the body owed large sums to foreign suppliers, which had restricted their sales to Tunisia in response.
“The problem is primarily financial,” Amira said.
Amira said the Central Pharmacy owed about 1 billion dinars ($325 million) to suppliers. The officials there said it owed about 800 million dinars, adding that public insurance companies and hospitals were delaying paying their bills by up to a year.
Tunisia’s Health Ministry and Central Pharmacy did not respond to requests for comment.

MEDICINE EXCHANGE
From the roof of his Tunis house, retired soldier Nabil Boukhili has opened an unofficial medicine exchange for his neighborhood in coordination with local doctors. “We have dozens of people coming here daily to get medication,” he said.
He sources medicine from people traveling overseas as well as leftover pills from people who have finished their own treatment, dispensing it free of charge to people who can show a prescription.
While Reuters was interviewing Boukhili, a woman arrived needing medicine for a thyroid problem. “I’ve been without this medicine for over a week,” said Najia Guadri, adding that she felt unable to function without it.
Sitting at his parents’ home in Tunis, Abdessalem Maraouni described how a lack of medicated eye drops has left him at risk of blindness and unable to go outside, forcing him to abandon his law studies at the university.
“This country can no longer provide even a box of medicine,” he lamented, sitting in the modest family home decorated with posters of his favorite football club but unable to see objects more than a few meters away.
The 25 year-old has not been able to find the medicine, or an alternative, for six months and has had to seek supplies from people traveling abroad, paying far more than he would from Tunisian pharmacies and rationing his use.
Maraouni’s father Kamal wept as he described how the state’s inability to import medicines had hit his son’s prospects.
“We don’t ask the state for money or grand places to live. We only ask for medicine. Is that too much?” he said.


Beirut’s Commodore Hotel, a haven for journalists during Lebanon’s civil war, shuts down

Updated 58 min 45 sec ago
Follow

Beirut’s Commodore Hotel, a haven for journalists during Lebanon’s civil war, shuts down

  • The hotel, located in Beirut’s Hamra district, shut down over the weekend
  • Officials have not commented on the decision

BEIRUT: During Lebanon’s civil war, the Commodore Hotel in western Beirut’s Hamra district became iconic among the foreign press corps.
For many, it served as an unofficial newsroom where they could file dispatches even when communications systems were down elsewhere. Armed guards at the door provided some sense of protection as sniper fights and shelling were turning the cosmopolitan city to rubble.
The hotel even had its own much-loved mascot: a cheeky parrot at the bar.
The Commodore endured for decades after the 15-year civil war ended in 1990 — until this week, when it closed for good.
The main gate of the nine-story hotel with more than 200 rooms was shuttered Monday. Officials at the Commodore refused to speak to the media about the decision to close.
Although the country’s economy is beginning to recover from a protracted financial crisis that began in 2019, tensions in the region and the aftermath of the Israel-Hezbollah war that was halted by a tenuous ceasefire in November 2024 are keeping many tourists away. Lengthy daily electricity cuts force businesses to rely on expensive private generators.
The Commodore is not the first of the crisis-battered country’s once-bustling hotels to shut down in recent years.
But for journalists who lived, worked and filed their dispatches there, its demise hits particularly hard.
“The Commodore was a hub of information — various guerrilla leaders, diplomats, spies and of course scores of journalists circled the bars, cafes and lounges,” said Tim Llewellyn, a former BBC Middle East correspondent who covered the civil war. “On one occasion (late Palestinian leader) Yasser Arafat himself dropped in to sip coffee with” with the hotel manager’s father, he recalled.
A line to the outside world
At the height of the civil war, when telecommunications were dysfunctional and much of Beirut was cut off from the outside world, it was at the Commodore where journalists found land lines and Telex machines that always worked to send reports to their media organizations around the globe.
Across the front office desk in the wide lobby of the Commodore, there were two teleprinters that carried reports of The Associated Press and Reuters news agencies.
“The Commodore had a certain seedy charm. The rooms were basic, the mattresses lumpy and the meal fare wasn’t spectacular,” said Robert H. Reid, the AP’s former Middle East regional editor, who was among the AP journalists who covered the war. The hotel was across the street from the international agency’s Middle East head office at the time.
“The friendly staff and the camaraderie among the journalist-guests made the Commodore seem more like a social club where you could unwind after a day in one of the world’s most dangerous cities,” Reid said.
Llewellyn remembers that the hotel manager at the time, Yusuf Nazzal, told him in the late 1970s “that it was I who had given him the idea” to open such a hotel in a war zone.
Llewellyn said that during a long chat with Nazzal on a near-empty Middle East Airlines Jumbo flight from London to Beirut in the fall of 1975, he told him that there should be a hotel that would make sure journalists had good communications, “a street-wise and well-connected staff running the desks, the phones, the teletypes.”
During Israel’s 1982 invasion of Lebanon and a nearly three-month siege of West Beirut by Israeli troops, journalists used the roof of the hotel to film fighter jets striking the city.
The parrot at the bar
One of the best-known characters at the Commodore was Coco the parrot, who was always in a cage near the bar. Patrons were often startled by what they thought was the whiz of an incoming shell, only to discover that it was Coco who made the sound.
AP’s chief Middle East correspondent Terry Anderson was a regular at the hotel before he was kidnapped in Beirut in 1985 and held for seven years, becoming one of the longest-held American hostages in history.
Videos of Anderson released by his kidnappers later showed him wearing a white T-shirt with the words “Hotel Commodore Lebanon.”
With the kidnapping of Anderson and other Western journalists, many foreign media workers left the predominantly-Muslim western part of Beirut, and after that the hotel lost its status as a safe haven for foreign journalists.
Ahmad Shbaro, who worked at different departments of the hotel until 1988, said the main reason behind the Commodore’s success was the presence of armed guards that made journalists feel secure in the middle of Beirut’s chaos as well as functioning telecommunications.
He added that the hotel also offered financial facilities for journalists who ran out of money. They would borrow money from Nazzal and their companies could pay him back by depositing money in his bank account in London.
Shbaro remembers a terrifying day in the late 1970s when the area of the hotel was heavily shelled and two rooms at the Commodore were hit.
“The hotel was full and all of us, staffers and journalists, spent the night at Le Casbah,” a famous nightclub in the basement of the building, he said.
In quieter times, journalists used to spend the night partying by the pool.
“It was a lifeline for the international media in West Beirut, where journalists filed, ate, drank, slept, and hid from air raids, shelling, and other violence,” said former AP correspondent Scheherezade Faramarzi. “It gained both fame and notoriety,” she said, speaking from the Mediterranean island of Cyprus.
The hotel was built in 1943 and kept functioning until 1987 when it was heavily damaged in fighting between Shiite and Druze militiamen at the time. The old Commodore building was later demolished and a new structure was build with an annex and officially opened again for the public in 1996.
But Coco the parrot was no longer at the bar. The bird went missing during the 1987 fighting. Shbaro said it is believed he was taken by one of the gunmen who stormed the hotel.