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.


Turkish police detain 10 accused of Daesh links, minister says

Turkish police stand guard in Ankara, Turkiye. (AP)
Updated 17 sec ago
Follow

Turkish police detain 10 accused of Daesh links, minister says

  • Under judicial control rulings, the suspects may leave police detention but they have certain conditions and oversights imposed on them

ANKARA: Turkish police detained 10 people believed to be linked to Daesh and have arrested five of them, Interior Minister Ali Yerlikaya said on Friday.
Yerlikaya said Turkiye’s MIT intelligence agency, police, and counter-terrorism squads carried out an operation in the western coastal city of Izmir after intelligence showed the suspects had hidden supplies in the city.
The authorities discovered explosive gels, materials used to make explosives, as well as weapons and ammunition hidden in the mountainous region of Izmir’s Bornova district, Yerlikaya added.
“As a result of the operation, 10 suspects were detained. Of these, five were arrested and judicial control rulings were made for five others,” the minister said on social media platform X.
Under judicial control rulings, the suspects may leave police detention but they have certain conditions and oversights imposed on them.
Footage from the operation, shared by Yerlikaya on X, showed several police cars in a mountainous area, with police searching inside of a small cave for the hidden materials. It also showed authorities searching a house and detaining the suspects. Reuters could not independently verify the footage.
Daesh has conducted numerous attacks across Turkiye, including on a nightclub in Istanbul on Jan. 1, 2017, in which 39 people were killed. Turkish police have carried out several operations targeting the militants.

 

 


US embassy in Lebanon ‘not intimidated’ by shots fired toward it — ambassador

Updated 22 September 2023
Follow

US embassy in Lebanon ‘not intimidated’ by shots fired toward it — ambassador

  • “We know that authorities are investigating this incident, whereby a gunman fired shots toward the US embassy the other night,” US ambassador Dorothy Shea said
  • “Please know that we at the US embassy are not intimidated by this incident”

BEIRUT: US ambassador to Lebanon Dorothy Shea on Friday said the embassy was “not intimidated” by a gunman’s shots toward its entrance earlier this week and that Lebanese authorities were investigating the incident.
Late Wednesday, shots were fired near the US embassy north of Beirut. Embassy spokesperson Jake Nelson said no one had been hurt and normal business operations were ongoing.
“We know that authorities are investigating this incident, whereby a gunman fired shots toward the US embassy the other night,” US ambassador Dorothy Shea said on Friday after meeting Lebanon’s caretaker prime minister, Najib Mikati.
“Please know that we at the US embassy are not intimidated by this incident, and our security protocols are very strong and our partnerships are ironclad,” she said.
Mikati also condemned what he described as an “attack on the American embassy.” There was no claim of responsibility for the gunfire and authorities have not provided details on the investigation.
The highly secured US embassy lies north of Beirut in the town of Awkar. Security incidents around it are rare. The embassy moved there from Beirut following a suicide attack in 1983 which killed more than 60 people.


Mideast ‘on cusp of historic peace’: Israeli PM

Updated 22 September 2023
Follow

Mideast ‘on cusp of historic peace’: Israeli PM

  • Israel, Saudi Arabia close to ‘dramatic breakthrough’ that would ‘transform’ region
  • Netanyahu: ‘Such a peace will go a long way to ending the Arab-Israeli conflict’

NEW YORK: The Middle East is “on the cusp of a historic peace,” Israel’s prime minister said on Friday, referring to US-brokered efforts to normalize relations with Saudi Arabia.
Addressing the 78th session of the UN General Assembly, Benjamin Netanyahu said he believes Israel and Saudi Arabia are close to a “dramatic breakthrough” that would not only secure peace between the two states but “transform” the entire region and create “a new Middle East.”
He added: “Such a peace will go a long way to ending the Arab-Israeli conflict, and will encourage other Arab states to normalize their relations with Israel while also enhancing the prospects of peace with the Palestinians.”
Should an agreement be finalized, it would build on the Abraham Accords, signed in 2020 between Israel on one hand and the UAE, Bahrain, Morocco and Sudan on the other.
Speaking two days after meeting US President Joe Biden in New York, Netanyahu said he felt that the Biden administration could secure a deal between Israel and Saudi Arabia in the same way that the Trump administration had facilitated the Abraham Accords.
“The Abraham Accords were a pivot of history and today we see the blessings, with trade and investment with our new peace partners booming as our nations cooperate in commerce, energy, water and agriculture, climate and many other fields,” Netanyahu added.
“In the G20 conference, President Biden, (Indian) Prime Minister (Narendra) Modi, and European and Arab leaders announced plans for a visionary corridor that will stretch across the Arabian Peninsula and into Israel.
“It will connect India to Europe with maritime, railroads, energy pipelines, fiber optic cables. This corridor will bypass maritime checkpoints, or choke points rather, and dramatically lower the cost of goods, communication and energy for over 2 billion people.”
However, he warned that the progress made in recent years could be undone by a “fly in the ointment,” saying Iran continues to spend significant amounts on its military and has made efforts to extend its influence worldwide.
“Iran’s aggression is largely met by indifference in the international community, and despite Western powers pledging that they’d snap back sanctions if Iran violated the nuclear deal, that hasn’t been the case,” he added.
“Iran is violating the deal, but the sanctions intended to stop its nuclear ambitions haven’t been re-imposed.
“This policy must change, the sanctions must be snapped back, and above all, Iran must face a credible nuclear threat.”


Libya’s flood-hit Derna to host reconstruction conference: authorities

Updated 22 September 2023
Follow

Libya’s flood-hit Derna to host reconstruction conference: authorities

  • The government invites the international community to participate in the conference planned for October 10 in Derna
  • The conference is being held in “response to the demands of residents of the stricken city of Derna and other towns that suffered damage”

BENGHAZI, Libya: Libya’s eastern-based administration said on Friday that it would host an international conference next month in the flood-hit port city of Derna to aid reconstruction efforts.
A tsunami-sized flash flood broke through two aging dams upstream from Derna after a hurricane-strength storm lashed the area on September 10, razing entire neighborhoods and sweeping thousands of people into the sea.
“The government invites the international community to participate in the conference planned for October 10 in Derna to present modern, rapid projects for the reconstruction of the city,” the administration said in a statement.
It said the conference was being held in “response to the demands of residents of the stricken city of Derna and other towns that suffered damage” during the flooding.
Wracked by divisions since a 2011 NATO-backed uprising toppled and killed veteran dictator Muammar Qaddafi, Libya has for years been ruled by two administrations vying for power.
A UN-backed, internationally recognized administration in the capital Tripoli is run by Prime Minister Abdulhamid Dbeibah, while a rival administration in the east is backed by military strongman Khalifa Haftar.
The official death toll from the flood stands at more than 3,300 — but the eventual count is expected to be far higher, with international aid groups giving estimates of up to 10,000 people missing.
The International Organization for Migration on Thursday said more than 43,000 people have been displaced by the flood.


Debris and dead bodies clutter flood-hit Libyan port

Updated 22 September 2023
Follow

Debris and dead bodies clutter flood-hit Libyan port

  • Tugboat captain Ali Al-Mismari, 60, recalled the night of September 10 when torrential rains caused by Storm Daniel battered the eastern Libyan city
  • Captain Mohamed Chalibta, head of the port authority’s crisis management committee, said the search was concentrated on “objects that had sunk in the port”

DERNA, Libya: Libya’s devastating flood has transformed Derna from a busy port welcoming fishing boats and ships loaded with goods and passengers into a dump brimming with rubble, car wrecks and dead bodies.
Tugboat captain Ali Al-Mismari, 60, recalled the night of September 10 when torrential rains caused by Storm Daniel battered the eastern Libyan city, bursting two dams and wiping out entire neighborhoods.
At first, Mismari told AFP, he wanted to take his boat, the “Irasa,” out of the harbor to avoid putting the crew at risk and to avoid damage to the vessel.
But in the chaos of the storm, with water levels rapidly rising, he was unable to see the seawalls surrounding the port and navigate a safe exit.
“There was nothing (to do) but pray,” he said.
When day broke, the scale of the devastation became clear.
Mismari said he saw “massive trucks, car tires, people, houses, entire palm trees... heaters, washing machines, refrigerators” had all been washed into the harbor by the flash flood.
The official death toll from the disaster stands at more than 3,300 — but the eventual count is expected to be far higher, with international aid groups giving estimates of up to 10,000 people missing.
Since the tsunami-sized flood lashed Derna, port workers, fishermen and passers-by have largely abandoned the seafront, and only a handful of vessels, the Irasa included, were still there.
The tugboat was enlisted along with local and foreign teams to clear the bottom of the harbor.
The walkways surrounding the port are now paved with items retrieved by divers.
Captain Mohamed Chalibta, head of the port authority’s crisis management committee, said the search was concentrated on “objects that had sunk in the port,” including cars with people still thought to be inside.
An Emirati team, equipped with boats and jet skis, scoured one part of the harbor.
But the water was dark brown, filled with mud brought by the flood, and there was virtually “zero visibility,” according to one of the divers.
The Emirati search mission chief, Col. Ali Abdullah Al-Naqbi, was giving directions to his team, stressing the need to take full precautions.
Two by two, scuba divers secured with safety ropes descended from their yellow boat.
One emerged from the muddy water after a short while, and said: “We tied (a rope) to a car. We can’t see anything.”
Another diver meanwhile found a second car.
Back on their boat, other team members helped the divers remove foliage that had become stuck on them and sprinkled fresh water on their faces.
The Emirati team, in coordination with Libyan authorities, called in a crane that pulled one of the mangled wrecks out the water.
As it was being removed, mud, water and what appeared to be human remains spilled out of the vehicle.
Lowered onto the dock, Libyan men in white coats, gloves and face masks took over to check the vehicle for bodies, but on this occasion they found none.
Officials expect the process of clearing the port to take a long time.
Rescuers are also searching the sea beyond the harbor, with maritime experts saying many bodies may have been carried eastward by the current.
Hafez Obeid, head of the Libyan forensic team, said the salinity of the water helps to preserve bodies, making the identification process easier than for corpses found on land.
Aboard the Irasa, captain Mismari said “private fishing boats were the first to rush to the rescue” on the night of the disaster.
Next to him, technician Taoufik Akrouch, 61, recalled that “the water level rose above the dock by about one and a half meters (five feet).”
The Irasa began tilting violently and the crew started its engines before cutting mooring lines.
At dawn, they heard a cry for help.
They found a survivor — a naked woman floating inside a refrigerator, according to two crew members.
They said she asked them: “Where is my sister?“
Another survivor rescued by Mismari’s team, an Egyptian, could not say how he got to the harbor.
“He had been sleeping, and then found himself there,” Mismari said. “Maybe he had been unconscious.”