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[casi] Iraq's cancer children overlooked in war



Iraq's cancer children overlooked in war
By Jonathan Duffy

BBC News Online, in Nasiriyah
29 April 2003

With Iraq's hospitals in disarray, the long-term sick are being passed over
in a frantic effort to treat emergency cases. For the thousands of young
leukaemia victims, the outlook is bleaker than ever.
There are countless children ahead of Munther in the queue for medical help
in Iraq.

The seven-year-old is not suffering from one of the conditions associated
with the war, such as gastroenteritis, pneumonia or shrapnel wounds. He has
acute lymphatic anaemia, also known as leukaemia.

It is a deadly disease - a cancer of the white blood cells - and if Munther
is not treated he will die but the war has dealt a potentially fatal blow to
the young boy, from Nasiriyah, in southern Iraq.


Munther has been unable to travel the 230 miles to Baghdad for his monthly
treatment session at a specialist cancer care hospital, where he receives
chemotherapy drugs injected into the spine and intravenously.
Safety has been a concern for Munther's father, Yahia al-Abbas, who has
always gone with his son on trips to the capital. While there is still
lawlessness, Mr Abbas is reluctant to venture far from home, although he
believes the security situation is starting to ease.

More critical is that the hospital in Baghdad which looks after Munther was
pillaged by looters in the wake of the fighting and is today barely
functioning. Also, supplies of some cancer-treatment drugs have run out in
recent weeks as Iraqi border controls have tightened and distribution
networks have seized up.

Munther's medicine dried up a week ago and no-one knows if, or when, new
supplies will be available.


We're doing all we can just to concentrate on infections and some curable
diseases

Dr Abdul Ghaffar Al-Shadood

"I've been to the American [military] hospital in Nasiriyah and the Red
Cross for help but they only handle first aid and they can't do anything,"
says Mr Abbas.
"My son's in bad health at the moment. He has vomiting, fever, anaemia and a
suppressed immunity.

"I'm praying that the Americans and British and other countries will help
Iraq's sufferers of chronic disease. My worry is that my son could die
because of what happened. Because of this, I see a dark future for my
family."

It's a story that is being repeated across Iraq, as cancer sufferers and
others who are critically ill and in need of regular treatment, are passed
over in the post-war rush to treat medical emergencies.


"People come up to me many times a day asking for cancer drugs," says Dr
Mary McLoughlin, based in Nasiriyah with the humanitarian agency Goal. "I'm
aware that many of these people will die because the emphasis at the moment
is on primary healthcare."
Leukaemia, which affects blood and bone marrow, used to be relatively rare
in Iraq. According to the former health ministry, cases of the cancer
increased fourfold after the first Gulf War and many have blamed the use of
depleted uranium munitions used by the allied forces in that conflict.

Even before the war, cancer patients had to rely on black market supplies to
bolster medicines available through the state.

After Munther was diagnosed with leukaemia 14 months ago, Mr Abbas started
to secure some drugs through unofficial channels, mostly with lorry drivers
going to Jordan or Syria.


DEPLETED URANIUM (DU)
DU is 60% as radioactive as natural uranium
About 320 tonnes dropped in Iraq in first Gulf War
Former government claimed it led to big rise in cancers such as leukaemia
But UN has found no such link
At up to $100, the price was prohibitive for Mr Abbas, who used to earn $40
a month as a department head at Nasiriyah's technical college, until the war
started. He has not been paid in two months.

Family, friends and religious associates used to help out with the cost, and
Munther always received the treatment he needed, says his father.

At Nasiriyah's Women's and Paediatric hospital, which is functioning at
quarter capacity after an artillery round hit a wing of the hospital,
doctors feel powerless to help such cases.

Last week, when a six-year-old girl called Zahra was diagnosed with acute
lympoblastic leukaemia at the hospital, Dr Nima Altemimi told her to go
south, to Basra.


His reasoning - that by sending her to a bigger city, her case might come to
the attention of the Kuwaiti government, which has airlifted a handful of
severely sick children from Iraq.
"We can't treat these people in Iraq now. The specialist hospitals in
Baghdad and Basra have been looted. We're doing all we can just to
concentrate on infections and some curable diseases," says the hospital's Dr
Abdul Ghaffar al-Shadood.

A few minutes later he finds another case. By now, the facts are all too
familiar. Mustafa Arif Hameed, eight, was diagnosed last August with acute
lymphocytic leukaemia. He had been making progress but has been brought to
the hospital by his father because his medicine has run out.

"If the treatment is discontinued now," says Dr Shadood, "his improvement
will be reversed."

Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/1/hi/world/middle_east/2982609.stm

Published: 2003/04/29 05:09:39




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