By Bob Herbert
HARARE, Jan 17, 2009 — If you want to see hell on earth, go to Zimbabwe where the madman Robert Mugabe has brought the country to such a state of ruin that medical care for most of the inhabitants has all but ceased to exist.
Life expectancy in Zimbabwe is now the lowest in the world: 37 years for men and 34 for women. A cholera epidemic is raging.
People have become ill with anthrax after eating the decaying flesh of animals that had died from the disease. Power was lost to the morgue in the capital city of Harare, leaving the corpses to rot.
Most of the world is ignoring the agony of Zimbabwe, a once prosperous and medically advanced nation in southern Africa that is suffering from political and economic turmoil — and the brutality of Mugabe’s long and tyrannical reign.
The decline in health services over the past year has been staggering. An international team of doctors that conducted an “emergency assessment” of the state of medical care last month seemed stunned by the catastrophe they witnessed.
The team was sponsored by Physicians for Human Rights. In their report, released this week, the doctors said: “The collapse of Zimbabwe’s health system in 2008 is unprecedented in scale and scope. Public-sector hospitals have been shuttered since November 2008.
“The basic infrastructure for the maintenance of public health, particularly water and sanitation services, have abruptly deteriorated in the worsening political and economic climate.”
Doctors and nurses are trying to do what they can under the most harrowing of circumstances: facilities with no water, no functioning toilets and barely any medicine or supplies.
The report quoted the director of a mission hospital: “A major problem is the loss of life and fetal wastage we are seeing with obstetric patients. They come so late, the foetuses are already dead. We see women with eclampsia who have been seizing for 12 hours. There is no intensive care unit here, and now there is no intensive care in Harare.”
“If we had intensive care, we know it would be immediately full of critically ill patients. As it is, they just die.”
Mugabe’s corrupt, violent and profoundly destructive reign has left Zimbabwe in shambles. It’s a nation overwhelmed by poverty, the HIV/AIDS pandemic and hyperinflation.
Once considered the “breadbasket” of Africa, Zimbabwe is now a country that cannot feed its own people. The unemployment rate is higher than 80 per cent. Malnutrition is widespread, as is fear.
A nurse told the Physicians for Human Rights team: “We are not supposed to have hunger in Zimbabwe. So even though we do see it, we cannot report it.”
Mugabe signed a power-sharing agreement a few months ago with a political opponent, Morgan Tsvangirai, who out-polled Mugabe in an election last March but did not win a majority of the votes.
But continuing turmoil, including violent attacks by Mugabe’s supporters and allegations that Mugabe forces have engaged in torture, have prevented the agreement from taking effect.
The widespread scepticism that greeted Mugabe’s alleged willingness to share power only increased when he ranted, just last month: “I will never, never, never surrender ... Zimbabwe is mine.”
Meanwhile, healthcare in Zimbabwe has fallen into the abyss. “This emergency is so grave that some entity needs to step in there and take over the health delivery system,” said Susannah Sirkin, the deputy director of Physicians for Human Rights.
In November, the primary public referral hospital in Harare, Parirenyatwa Hospital, shut down. Its medical school closed with it.
The nightmare that forced the closings was spelled out in the report: “The hospital had no running water since August of 2008. Toilets were overflowing, and patients and staff had nowhere to void — soon making the hospital uninhabitable.
“Parirenyatwa Hospital was closed four months into the cholera epidemic, arguably the worst of all possible times to have shut down public hospital access. Successful cholera care, treatment and control are impossible, however, in a facility without clean water and functioning toilets.”
The hospital’s surgical wards were closed in September. A doctor described the heartbreaking dilemma of having children in his care who he knew would die without surgery. “I have no pain medication,” he said, “some antibiotics, but no nurses ... If I don’t operate, the patient will die. But if I do the surgery, the child will die also.”
What’s documented in the Physicians for Human Rights report is evidence of a shocking medical and human rights disaster that warrants a much wider public spotlight, and an intensified effort to mount an international humanitarian intervention.
Some organisations are already on the case, including Doctors Without Borders and Unicef.
But Zimbabwe is dying, and much more is needed. — NYT
Mugabe takes a holiday in Malaysia as Zimbabwe crumbles
13 Jan, 2009
HARARE, Jan 13 — While the people of Zimbabwe struggle with cholera, hunger, hyper-inflation and violent repression, president Robert Mugabe has decided to take a month-long holiday.
The 84-year-old leaders wife, Grace, has been accused of withdrawing £60,000 (RM330,000) from the Reserve Bank of Zimbabwe to pay for the trip to their family home in Malaysia.
Thirty days after Mr Mugabe declared the cholera crisis over, the UN has revealed the death toll is still soaring with 1,778 confirmed dead.
Many people remain weakened and impoverished by one of the worst periods of pre-harvest hunger in years and 90 per cent of pupils are not attending school.
Most teachers are now on indefinite strike, meaning a charity set up last summer to pay school fees for impoverished pupils is now using its funds to feed youngsters and their families.
One child Educated Horizon has taken under its wing is 14-year-old Chipo. She had been selling tomatoes during the day and her body to truck drivers by night for 20p (RM1) a time.
The teenager from Chivhu, 100km south-west of the capital Harare, said: “I have two young sisters who look up to me, so I have to work hard. Whatever little money I get will help.”
Educated Horizon now feeds her family to keep her off the streets. London-based volunteer Herbert Dzinotyiweyi said, “We used to have the best education system in Africa. We were the lucky ones. How is the economy going to recover without an educated population?”
Mugabe’s spokesman defended his actions. He said the president was not so much on holiday but on leave to reflect on the Zimbabwean crisis. — Metro
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