Tag: IGMH

India extends US$100 million standby credit facility to Maldives

India today extended a US$100 million standby credit facility to the Maldives in support of economic stability. India has agreed to assist developing the country’s banking and financial infrastructure and capacity building.

“Bilateral cooperation between India and Maldives has been on a high growth trajectory in recent times,” said India’s Prime Minister Manmohan Singh. “We are working together on increasing connectivity and closer economic cooperation. These efforts are bearing fruit.”

In a signing ceremony at the President’s Office this morning, the two governments signed five agreements including a Memorandum of Understanding for international terrorism, drug trafficking, disaster management and coastal security; a program of cooperation between 2012 and 2015; and India’s commitment to renovate Indira Gandhi Memorial Hospital (IGMH).

A Framework Agreement on Cooperation for Development outlined a joint effort to support the growth of trade and investment, food security, fisheries development, tourism, transportation, information technology, renewable energy, communications and connectivity.

“These agreements have a number of advantages to both countries,” said President Mohamed Nasheed. “India’s contributions in these agreements goes a long way to the Maldives’ development.”

The heads of state announced their shared interest in opening passenger and cargo ferry services between Cochin and Male as soon as possible. The President said India would examining the project, and he hoped that it would support the development of North Kulhudhuffushi port.

Prime Minister Singh congratulated the Maldives on “an extremely successful SAARC Summit,” and expressed confidence in President Nasheed’s new role as SAARC chairman. “The pace of our activities will gather even greater momentum,” he said.

The President thanked the Prime Minister for his “moral and other support in holding and concluding the summit with such success.”

Following the ceremony, Prime Minister Singh delivered the first parliamentary address by a foreign head of state in the Maldives.

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Police summon Gassan Maumoon for questioning

Police summoned Gassan Maumoon, son of former President Maumoon Abdul Gayoom, for questioning today concerning disturbances outside his residence Endherimaage on Thursday during a protest by the ruling Maldivian Democratic Party (MDP).

A 17-year-old boy was struck on the head with a wooden plank allegedly thrown from Endherimaage while protesters led by MDP MPs, councillors and senior members were marching by the former President’s residence.

Police Sub-Inspector Ahmed Shiyam told Minivan News today that Gassan was among a number of people police were questioning regarding Thursday’s events.

Police were investigating complaints of damage caused to the former President’s property as well as the injury caused to the 17-year-old, Shiyam explained.

Police had received information that suggests the wooden plank that injured the 17-year-old was hurled or dropped from the building, he said.

However, said Shiyam, police could not divulge further details at this stage of the investigation.

Minivan News journalists at the scene on Thursday observed gravel, stones, hot water and sharp metals raining down on the protesters from Endherimaage. A number of reporters at the scene were also hit by the pouring gravel.

MDP protest October 20Several MDP activists claimed that the wooden plank was hurled from the second floor balcony of Endherimaage. After the victim was rushed to hospital by MPs on the front line of the march, MDP activists clashed with Gayoom supporters blocking the entrance to Endherimaage and threw stones at the building, smashing a window on the first floor.

MP Ali Waheed, who defected to the ruling party in May, told state broadcaster MNBC that the boy was behind MP Alhan Fahmy when the object struck him straight on the head.

The 17-year-old, identified as Hussein Hassan, was rushed to the Indira Gandhi Memorial Hospital (IGMH) by the MPs on a passing pick-up, he said.

Speaking to MNBC One outside IGMH, Waheed displayed blood stains on his shirt resulting from the head injury caused by the impact.

Other eyewitnesses who spoke to the state broadcaster corroborated the MPs’ account of the incident.

The brother of the injured boy told Minivan News Thursday night that according to doctors “his skull was damaged and parts of the skull have gone inside his brain.”

The boy underwent surgery to remove wood particles from his brain.

IGMH media coordinator confirmed today that the boy was conscious and his “condition is now stable.”

The spokesperson refuted media reports that the boy’s left side was paralyzed. “His left side is very weakened, but that is not paralysis,” she explained.

A family member outside the ICU told Minivan News that the family was certain the object that struck Hussein Hassan “came from above.”

“Everyone who was there said that that was how it happened,” he said.

Right to remain silent

Gassan Maumoon meanwhile told reporters outside police headquarters this afternoon that he exercised the right to remain silent after “it appeared from some of their questions that they were accusing me.”

Gassan was accompanied by the former President’s lawyer Mohamed Waheed Ibrahim ‘Wadde’ and former Attorney General Aishath Azima Shukoor.

The former President’s newly-formed Progressive Party of Maldives (PPM) held a protest at artificial beach last night in response to the ruling party’s “intimidation of judges.”

Hundreds of supporters participated in the protest, where they called for the resignation of Chief of Defence Forces Moosa Jaleel and Police Commissioner Ahmed Faseeh for failing to provide security to the former President.

Asked by MP Ilham Ahmed if they should march to the presidential residence Muleeage, the protesters unanimously supported the notion.

PPM Interim Council Member Umar Naseer – former deputy leader of the Dhivehi Rayyithunge Party – however announced around 10:45pm that the protest march was to be cancelled after police sent a summons to Gassan.

Meanwhile, after text messages were circulated on Friday claiming the PPM was preparing to attack and “smash Haruge [MDP camp],” a large number of ruling party supporters gathered at Haruge for a hastily arranged rally at 9pm last night.

Speakers at the rally, including Presidential Commission Spokesperson Abdulla Haseen, President’s Advisor Ibrahim ‘Ibra’ Ismail, MP Ahmed Easa and former Attorney General Dr Ahmed Ali Sawad, severely criticised the judiciary for lack of competence and integrity.

An egg was thrown into Haruge during Ibra’s speech.

In an interview with private broadcaster DhiTV shortly after Thursday’s protest turned violent, Gayoom claimed that damage was caused to his residence and adjoining houses in “a terrorist attack” orchestrated by the government.

“They came with their activists and attacked my home,” Gayoom said. “They attacked nearby houses as well.”

Moosa Jaleel and Ahmed Faseeh should “personally bear responsibility” for the damage to his residence because riot police were not present to intercede, the PPM figurehead said.

Appearing on private broadcaster VTV later that night, Gayoom said he would file criminal complaints with police, the Prosecutor General and pursue civil action against the protesters.

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3-week-old tests positive for drugs

A three week-old baby has tested positive for drugs and is being treated at the Indira Gandhi Memorial Hospital (IGMH) in the capital Male’.

According to Haveeru, the baby had been affected by it’s mothers drug habit; police records indicate that the mother has a history of drug abuse.

Although police are investigating the case, the mother is staying with the baby at the hospital and has not been arrested due to her child’s young age. However, reports indicate that the baby has not been handed over to the mother.

Previously, the mother of an eight month-old baby who tested positive for drugs was sentenced to six months in prison for negligence, reports Haveeru.

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CCHDC warns of dengue outbreak

The Centre for Community Health and Disease Control (CCHDC) has warned of a possible outbreak of dengue fever, reports Haveeru.

The warning follows the death of a one-year-old girl from Alif Dhaal Mahibadhoo who died while undergoing treatment at the Indira Gandhi Memorial Hospital (IGMH) in Male’.

The centre noted that most cases were being reported from Alif Dhaal Atoll.

According to the centre, 2,640 cases were reported so far this year, including 12 fatalities, making 2011 the worst recorded year for fatalities due to the virus.

Ten people died in 2006 from the mosquito-borne virus.

A task force headed by Deputy Minister of Education, Dr. Abdullah Nazeer, was appointed to handle an outbreak in July this year. The Ministry of Health did not assume control of the situation for a week after the outbreak began.

At the time, Dr Nazeer told Minivan News that the government faced two obstacles in its response to the outbreak.

“Number one is a lack of proper communication between the Health Ministry and local councils,” he said. “The second was that they did not have the capacity to resolve the issues.”

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Hotline counseling for public after Huraa drowning

The Health Ministry has established a counseling hotline for those traumatised by the drowning incident at Huraa last Friday.

Four grade nine students and the principal of Hiriya School drowned during a Fisheries Science snorkeling trip last Friday. Principle Ali Nazim drowned trying to rescue Nash-ath Saeed, Mariyam Naza, Aishath Saniha, and Mariyam Shaiha from a strong current off of Huraa island.

Deputy Health Minister said the Education Ministry requested a free counseling service on the day of the incident, and the hotline became operative on Saturday.

Counselors, administrators and volunteers for the hotline are based at IGMH hospital, where the victims were brought on Friday for examination. Hospital CEO Cathy Waters said, “the hotline is for anybody affected by the incident across the community, especially family, friends, school staff, the teachers on the trip, and IGMH staff who were involved in the case at the hospital.”

Deputy Health Minister Lubna Mohamed Zahir Hussein told Minivan News that the hotline has been heavily used since it went into effect. She estimated that over 50 people are involved in the service.

Lubna added that there is no end date for the hotline. “These things need to be settled slowly,” she said.

The hotline is open from 8 am until 10 pm, on 3010005.

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“No ambulance on Fridays”: Villigili man takes wife to hospital in garbage cart

An elderly man named Ali Waheed living in Villingili, a residential island that is the fifth district of Male’, has claimed he had to carry his wife to hospital in a garbage cart after the island’s health centre said there was no ambulance available “because it was Friday”.

“I called the police and asked for help, but they said all their vehicles had been damaged and taken Male to repair,’’ Waheed said. “The health centre said that because it was Friday there was no doctor or health worker available, and when asked if one could be made available as it was an urgent case, they said it was not the health centre’s policy.’’

Waheed’s house is located near the garbage pile on the island, and he found a wheel-cart nearby which was used to carry trash.

“I carried my wife on the wheel-cart to the Villingili-Male’ ferry and wheeled her to Indira Gandhi Memorial Hospital (IGMH).”

Waheed said he had informed Health Minister Aiminath Jameel of the incident by “sending more than 50 text messages to her mobile phone.”

“But so far she has not responded to any of those texts. It is very sad that this is the current situation in Villinigili,” he added.

He said doctors and other staff working at the health centre were themselves frustrated due to low wages and because they did not receive any overtime payments.

“They are frustrated and it affects the citizens of Villingili,” he said.

Minivan News spoke to Director of Villingili Health Centre Ahmed Zahir, who said that while Waheed had asked if an ambulance was available to take his wife to the ferry terminal, staff were not made aware that her condition was urgent.

Zahir said an ambulance and doctors were available on Fridays in urgent cases, but said there had been recent cases of the ambulance being called to carry boxes to the ferry terminal in lieu of a taxi.

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Dengue hospital situation “stable”, despite high patient demand

Hospitals in the capital have said they continue to screen significant numbers of patients for dengue fever, yet claim that the situation remains “stable” as authorities raise fears that an ongoing outbreak of the virus may be more persistent than originally thought.

As officials today confirmed that a 41 year old man from Addu Atoll had become the eighth person to have died during the latest dengue outbreak, health care representatives in the capital have said that they remain “busy” dealing with cases and had not yet seen significant declines in patients coming through their doors suspected of contracting the virus.

After declaring this week that the current outbreak of the virus around Male’ and several islands was being treated as an “epidemic”, the government has since established a task force to try and coordinate its ministries, the military and NGOs in preventing further spreads of dengue. The task force was originally budgeted to run for seven days, by which time the situation was expected to be under control.

However, upon admitting yesterday that the suspected number of dengue cases in the country had slightly risen after a perceived fall in infection rates earlier during the week, a media spokesperson for the task force suggested that the operations were now likely to run beyond the original seven day time-frame.

Meanwhile, for hospitals on the front-line of dealing with the “epidemic,” the Clinic, a Male’-based private hospital, has said it has been busy collaborating with the task force in trying to identify infection cases.

A spokesperson for the Clinic, which begun offering free dengue fever screening services on Tuesday (July 5), said it was continuing to receive a steady number of patients looking for dengue testing and had been working to the emergency protocols recently imposed by the government.

“At the moment I don’t think we are seeing the number of patients [with suspected dengue] going down,” she said. “From the first day [of the screening service], we have received large number of pediatric enquiries regarding dengue infections among children, though adults are coming for testing now in large numbers.“

Panic fears

The Clinic spokesperson revealed that the medical centre remained concerned about the impact panic was having on the general public.  She said this this concern reflected the limited amount of knowledge about the symptoms and severity of dengue fever within Maldivian society as a whole.

“Trying to create knowledge [about dengue] among the public is one of the main challenges we are facing. People who may have symptoms are sometimes sitting at home and relaxing trying to overcome the fever, which means that some cases of the virus are being missed,” she said.

“Dengue fever has to be better managed by people. Members of the public with the virus need to take more fluids, but they are lacking awareness of this.”

The spokesperson added that the Clinic was currently working to put together a leaflet that she said would try and provide more details about the virus.  During the current panic over dengue infections, the Clinic spokesperson suggested that some members of the public were staying at home instead of coming to be checked.

Despite concerns that the public may begin inundating hospitals beyond their capacity as a result of panic over the virus, Cathy Waters, Chief Executive of Male’s Indira Gandhi Memorial Hospital (IGMH) said that increased patient numbers were to be expected during an outbreak like that presently taking place in the country.

“We have seen a lot of children being bought in by relatives because of the virus. I think that some panic is to be expected as people are concerned about dengue, but the situation is definitely stable here at the hospital,” she said. “I think the message has got out about the virus and its symptoms and people are responding to this.”

In trying to treat patients found to be suffering from the effects of dengue, Waters said that the hospital had moved to adapt additional wards and services to dealing specifically on trying to deal with the ongoing dengue outbreak, yet she added that the overall situation was under control.

“At the moment we would describe the situation as relatively stable, but definitely very busy here,” said the hospital chief executive. “We have set up an additional fever clinic, which means people can be seen relatively quickly for testing and then be given the necessary treatment.”

Waters added that the current dengue situation had required the hospital to develop contingency plans to allow for the provision of increased bed capacity as well as bringing in additional nurses to cope with demand.

The hospital chief executive said that this had in certain cases meant that some surgeries had to be cancelled to accommodate dengue testing and treatment, a situation that would continue to be reviewed regularly to ensure patient demands were being met as best fitted the situation.

The government taskforce has said that it is expecting to address members of the media concerning the latest developments later this evening.

While pledging to support efforts to try and cut dengue infection rates in the country, opposition politicians have been critical of the speed by which the government has responded to the present outbreak.

Ibrahim ‘Mavota’ Shareef, Spokesperson for the opposition Dhivehi Rayyithunge Party (DRP), saidthat he believed that the government had “bungled” their response to trying to control dengue fever.

“From what we have seen the government is just not doing enough. We don’t believe they have been willfully negligent, but there has been negligence in their approach [to dengue outbreak],” he claimed. “They have not responded fast enough, which could be inexperience on their part. But I think this will be a wake-up call for them to change policy in dealing with these type of situations.”

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Education authorities halt extra-curricular activities as dengue fears escalate

Education authorities have stopped short of closing schools despite taking the decision to suspend extra-curricular activities over concerns about the further spread of dengue fever in the country, according to local media reports.

The government yesterday labelled an outbreak of the virus across Male’ and a number of islands as “an epidemic” after drafting the Maldives National Defense Force (MNDF) into efforts to try and combat the disease spreading.

Concerns have risen after the virus was linked to the death of four children over two days this week.

Amidst concerns about the further spread of the virus, education officials told local media today that they were suspending outdoor camps and other after-school activities in an attempt to minimize infection rates.

According to local newspaper Haveeru, the escalation of concerns about the prevalence of dengue has led to the formation of a makeshift ward at Male’s Indira Gandhi Memorial Hospital (IGMH) that consists of 19 beds specifically to treat suspected dengue cases.

The paper has also report added that a four-year old boy hospitalised at IGMH since June 28 was in too serious a condition to be moved abroad for treatment.

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Health authorities focus on mosquito controls as hospital confirms infant dengue fatality

Male’s Indira Gandhi Memorial Hospital (IGMH) has confirmed that a nine-month old child died today from dengue fever as health officials look to combat further spread of the virus through attempts to control mosquito numbers.

Hospital spokesperson Zeenath Ali confirmed that the child was pronounced dead at 12:27am after being admitted with suspected dengue fever two days earlier.  Ali added that she was unable to give any further details of the specific strain of the virus that the child was thought to have suffered from or any additional details about the death without the consent of the infant’s family.

According to figures supplied by the Male’ Health Services Corporation Limited, a total of 59 people have been admitted to hospital between June 1 and June 20 this year suffering from the virus. Of these cases, six were admitted on suspicion of catching dengue fever, 50 were hospitalised with the dengue hemorrhagic variant of the virus and three others were diagnosed with dengue shock syndrome – where blood pressure drops so low that organs cannot function properly. Over the same period, 25 people were diagnosed by the hospital of having dengue fever and were treated as outpatients.

Early symptoms of virus are said to include fever, joint paint and a distinctive rash and headache, although it can be difficult to distinguish from the milder Chikungunya disease which can last for up to five days. However, even healthy adults can be left immobile by dengue for several weeks while the disease runs its course.

More than 300 cases of dengue fever in the Maldives were reported during the first two months of 2011, compared with 737 cases and two fatalities reported over the course of last year. While many of these cases were reported in Male’, most of the fatalities have been islanders, with the more serious cases thought to have disproportionately affected children.

Amidst these concerns, health authorities in the country have claimed that they are committed to a programme of working to control mosquito populations to try and combat the spread of the virus, particularly in island areas.

Geela Ali, Permanent Secretary for the Health Ministry, told Minivan News that while officials had not received any official reports of recent fatalities linked to dengue as of yesterday, there was concern in the ministry about outbreaks of the virus across the country of late.

Ali claimed that under present government health strategies, clinicians were being put at the forefront of efforts to try and provide local people with the best means to prevent potential infection of the virus, particularly in its more prominent forms like the type 1 strain.

“The main challenge is working with clinicians to pass on case management strategies to local clinics,” she said. “One of things we are trying to do is control [mosquito populations] and we are consulting with local councils and even the media in trying to do this.”

According to Ali, the hones for trying to combat dengue in the country remained on encouraging the public to locate and destroy mosquito breeding areas as to reduce incidences of the virus as effectively as possible.

While accepting that additional chemical spraying around various islands was one possibility being considered by the government  to stem the problem, she added this was strictly to be used only after clean ups of breeding grounds particularly on private property had taken place to ensure long-term effectiveness.

Earlier this year, the Centre for Community Health and Disease Control (CCHDC) and the Maldives National Defence Force (MNDF) conducted spraying of mosquito breeding sites in Male’ and the surrounding islands, but reported difficulty obtaining access to residential and construction sites.

Virus management

Back in April, Minivan News reported that health experts believed fears over a growing number of dengue fatalities was potentially related to lapses in managing the disease, particularly due to the high turnover of foreign doctors on islands.

Dr Ahmed Jamsheed, a former head of the CCHDC, observed that January and February 2011 had seen higher instances of suspected dengue shock syndrome occurring in the country.

“Our initial theory was that this was a new strain of dengue,” he said. “There are four different strains, and strains one and three have been most prevalent. We took samples and sent them abroad but I had left the office by the time the results came back. I’m told out of the samples we sent a few tested positive for dengue one, which means no new strain.”

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