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| Venezuela crisis threatens disease epidemic across continent - experts | Venezuela crisis threatens disease epidemic across continent - experts |
| (about 5 hours later) | |
| Experts have warned of an epidemic of diseases such as malaria and dengue on an unprecedented scale in Latin America following the collapse of the healthcare system in Venezuela. | Experts have warned of an epidemic of diseases such as malaria and dengue on an unprecedented scale in Latin America following the collapse of the healthcare system in Venezuela. |
| Continent-wide public health gains of the last 18 years could be undone if Venezuela does not accept help to control the spreading outbreaks of malaria, Zika, dengue and other illnesses that are afflicting its people, experts have warned in a report published in the journal Lancet Infectious Diseases. | Continent-wide public health gains of the last 18 years could be undone if Venezuela does not accept help to control the spreading outbreaks of malaria, Zika, dengue and other illnesses that are afflicting its people, experts have warned in a report published in the journal Lancet Infectious Diseases. |
| Venezuela was once a regional leader in malaria control, but as healthcare has collapsed there has been a mass departure of trained medics, the report says, creating a public emergency “of hemispheric concern”. | Venezuela was once a regional leader in malaria control, but as healthcare has collapsed there has been a mass departure of trained medics, the report says, creating a public emergency “of hemispheric concern”. |
| “These diseases have already extended into neighbouring Brazil and Colombia, and with increasing air travel and human migration, most of the Latin American and Caribbean region (as well as some US cities hosting the Venezuelan diaspora, including Miami and Houston) is at heightened risk for disease re-emergence,” says the paper. | “These diseases have already extended into neighbouring Brazil and Colombia, and with increasing air travel and human migration, most of the Latin American and Caribbean region (as well as some US cities hosting the Venezuelan diaspora, including Miami and Houston) is at heightened risk for disease re-emergence,” says the paper. |
| Venezuela’s current plight can be traced to a revolution that went terribly wrong. | Venezuela’s current plight can be traced to a revolution that went terribly wrong. |
| When Hugo Chávez, a former military officer, was elected president in 1998, he inherited a middle-income country plagued by deep inequality. Chávez had led an abortive coup attempt in 1992 and after winning power through the ballot box he set about transforming society. Chávez drove through a wide range of social reforms as part of his Bolivarian revolution, financed with the help of high oil profits – but he also bypassed parliament with a new constitution in 1999. | When Hugo Chávez, a former military officer, was elected president in 1998, he inherited a middle-income country plagued by deep inequality. Chávez had led an abortive coup attempt in 1992 and after winning power through the ballot box he set about transforming society. Chávez drove through a wide range of social reforms as part of his Bolivarian revolution, financed with the help of high oil profits – but he also bypassed parliament with a new constitution in 1999. |
| The muzzling of parliamentary democracy – and the spread of corruption and mismanagement in state-run enterprises – intensified after 2010 amid falling oil prices. Chávez’s “economic war” against shortages led to hyperinflation and the collapse of private sector industry. The implosion in the economy between 2013 and 2017 was worse than the US in the Great Depression. | The muzzling of parliamentary democracy – and the spread of corruption and mismanagement in state-run enterprises – intensified after 2010 amid falling oil prices. Chávez’s “economic war” against shortages led to hyperinflation and the collapse of private sector industry. The implosion in the economy between 2013 and 2017 was worse than the US in the Great Depression. |
| In an attempt to stabilise the economy and control prices of essential goods, Chávez introduced strict controls on foreign currency exchange, but the mechanism soon became a tool for corruption. | In an attempt to stabilise the economy and control prices of essential goods, Chávez introduced strict controls on foreign currency exchange, but the mechanism soon became a tool for corruption. |
| When Chávez died of cancer, his place was taken by his foreign minister, Nicolás Maduro, who has intensified his mentor’s approach of responding to the economic downward spiral by concentrating power, ruling by decree and political repression. | When Chávez died of cancer, his place was taken by his foreign minister, Nicolás Maduro, who has intensified his mentor’s approach of responding to the economic downward spiral by concentrating power, ruling by decree and political repression. |
| The lead author, Dr Martin Llewellyn, based at the University of Glasgow, has called for global action. “The re-emergence of diseases such as malaria in Venezuela has set in place an epidemic of unprecedented proportions, not only in the country but across the whole region,” he said. | The lead author, Dr Martin Llewellyn, based at the University of Glasgow, has called for global action. “The re-emergence of diseases such as malaria in Venezuela has set in place an epidemic of unprecedented proportions, not only in the country but across the whole region,” he said. |
| “Based on the data we have collected we would urge national, regional and global authorities to take immediate action to address these worsening epidemics and prevent their expansion beyond Venezuelan borders.” | “Based on the data we have collected we would urge national, regional and global authorities to take immediate action to address these worsening epidemics and prevent their expansion beyond Venezuelan borders.” |
| He said that the figures were probably an underestimate because the Venezuelan government had shut down the institution responsible for collecting data for the World Health Organization. | He said that the figures were probably an underestimate because the Venezuelan government had shut down the institution responsible for collecting data for the World Health Organization. |
| “Venezuelan clinicians involved in this study have also been threatened with jail, while laboratories have been robbed by militias, hard drives removed from computers, microscopes and other medical equipment smashed,” he said. | “Venezuelan clinicians involved in this study have also been threatened with jail, while laboratories have been robbed by militias, hard drives removed from computers, microscopes and other medical equipment smashed,” he said. |
| Malaria cases, in a country certified to have eradicated the disease in 1961, rose by 359% between 2010-15, from 29,736 to 136,402. They surged 71% from 2016-17, to 411,586, because of a decline in mosquito control and a shortage of antimalarial drugs. | Malaria cases, in a country certified to have eradicated the disease in 1961, rose by 359% between 2010-15, from 29,736 to 136,402. They surged 71% from 2016-17, to 411,586, because of a decline in mosquito control and a shortage of antimalarial drugs. |
| The epidemic has been supercharged by the rise of illegal mining in the jungle near the southern border with Brazil, where reservoirs of the disease survived despite its official elimination nationwide. | The epidemic has been supercharged by the rise of illegal mining in the jungle near the southern border with Brazil, where reservoirs of the disease survived despite its official elimination nationwide. |
| Venezuelans had flocked to the area in recent years to dig and pan for gold in wildcat mines, as the economy collapsed and hyperinflation eroded salaries for professionals and workers. | Venezuelans had flocked to the area in recent years to dig and pan for gold in wildcat mines, as the economy collapsed and hyperinflation eroded salaries for professionals and workers. |
| Stagnant water in pits and unsanitary camps provided a perfect breeding ground for mosquitos, and malaria was soon endemic at many of the mines. Some miners and their families have endured dozens of bouts of the disease. | Stagnant water in pits and unsanitary camps provided a perfect breeding ground for mosquitos, and malaria was soon endemic at many of the mines. Some miners and their families have endured dozens of bouts of the disease. |
| One woman working near the town of Tumeremo said her four-year-old had already had 13 bouts of malaria. After the last one, doctors warned her: “You have to choose – your daughter or the mine.” She moved to a different pit, but the family cannot afford to leave the area. | One woman working near the town of Tumeremo said her four-year-old had already had 13 bouts of malaria. After the last one, doctors warned her: “You have to choose – your daughter or the mine.” She moved to a different pit, but the family cannot afford to leave the area. |
| The transitory nature of mining work means the area’s problems have gradually affected vast swathes of the country, as infected workers took the disease home with their gold, reintroducing malaria to areas where it had been eradicated. | The transitory nature of mining work means the area’s problems have gradually affected vast swathes of the country, as infected workers took the disease home with their gold, reintroducing malaria to areas where it had been eradicated. |
| “I’ve never been to the mines,” said David Guevara, a 39-year-old builder queuing for malaria treatment in the industrial port of Ciudad Guyana, nearly 125 miles (200km) from the nearest mining camps. | “I’ve never been to the mines,” said David Guevara, a 39-year-old builder queuing for malaria treatment in the industrial port of Ciudad Guyana, nearly 125 miles (200km) from the nearest mining camps. |
| It is his second episode of the disease. “There are no controls [on malaria] now,” he said. “And it’s the children who are paying for this.” | It is his second episode of the disease. “There are no controls [on malaria] now,” he said. “And it’s the children who are paying for this.” |
| There was rarely any malaria in the city before 2015, but now the government clinic where he is seeking medical help is always busy. | There was rarely any malaria in the city before 2015, but now the government clinic where he is seeking medical help is always busy. |
| “It’s an epidemic here now. It’s a lie that you have to go to the mines to get it,” said Marina Gutierrez, a 25-year-old who has had eight bouts of malaria over the last year and was at the clinic to seek help for her daughter. “She had only just finished treatment two weeks ago. She got rid of it and then it came back.” | “It’s an epidemic here now. It’s a lie that you have to go to the mines to get it,” said Marina Gutierrez, a 25-year-old who has had eight bouts of malaria over the last year and was at the clinic to seek help for her daughter. “She had only just finished treatment two weeks ago. She got rid of it and then it came back.” |
| Geraldine Flores blames a serious case of malaria for her son’s premature birth. She went into labour with Yelbi Josue after she came down with the disease when she was seven months’ pregnant and working at the mines. | Geraldine Flores blames a serious case of malaria for her son’s premature birth. She went into labour with Yelbi Josue after she came down with the disease when she was seven months’ pregnant and working at the mines. |
| Study of Brazil favela stricken by Zika shows dengue may protect against virus | Study of Brazil favela stricken by Zika shows dengue may protect against virus |
| Chagas disease, one of the leading causes of heart failure in Latin America, may be resurgent, says the review. Dengue has risen more than fivefold between 2010-16. Six increasingly large epidemics were recorded between 2007 -16, compared with four in the previous 16 years. | Chagas disease, one of the leading causes of heart failure in Latin America, may be resurgent, says the review. Dengue has risen more than fivefold between 2010-16. Six increasingly large epidemics were recorded between 2007 -16, compared with four in the previous 16 years. |
| Chikungunya and Zika outbreaks have epidemic potential, say the authors. There were an estimated 2 million suspected chikungunya cases in 2014, more than 12 times the official estimate. | Chikungunya and Zika outbreaks have epidemic potential, say the authors. There were an estimated 2 million suspected chikungunya cases in 2014, more than 12 times the official estimate. |
| “We call on the members of the Organisation of American States and other international political bodies to apply more pressure to the Venezuelan government to accept the humanitarian assistance offered by the international community in order to strengthen the buckling health system. | “We call on the members of the Organisation of American States and other international political bodies to apply more pressure to the Venezuelan government to accept the humanitarian assistance offered by the international community in order to strengthen the buckling health system. |
| “Without such efforts, the public health gains achieved over the past 18 years could soon be reversed,” said Llewellyn. | “Without such efforts, the public health gains achieved over the past 18 years could soon be reversed,” said Llewellyn. |
| Additional reporting by Clavel Rangel | |
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