Four children dead in two days from dengue fever complications

A fourth dengue fever fatality in just two days has prompted meetings between Male’ City Council and the Ministry of Health to discuss “immediate steps” to reduce the number of mosquito breeding grounds in the capital.

The President’s Press Secretary Mohamed Zuhair said cabinet had also launched a program to counter the dengue outbreak and appointed a committee to oversee mosquito reduction efforts.

Haveeru reported that a four year old child from Muraidhoo in Haa Alif Atoll became the fourth death in two days, dying this morning while in transit to Kulhudhuffushi Regional Hospital.

The cause of the death was dengue hemorrhagic fever, the newspaper reported.

A two year old infant died at 3:00am this morning while being treated in Indira Gandhi Memorial Hospital in Male’. Haveeru reported a relative as claiming that the infant had to be transferred from ADK due to lack of availability of a blood transfusion machine.

A six year-old girl and a nine month-old baby died yesterday after being transferred to Male’ from Meemu Atoll.

Health Minister Dr Aminath Jameel, replying to a question from MDP MP Ali Waheed during yesterday’s parliament session, said the ministry was providing information to islands through teleconferencing and stressed that controlling mosquito breeding grounds was key to combating the rise in dengue fever across the country.

“Mosquitoes don’t travel very far,” she explained. “Therefore, it’s mosquitoes from nearby areas that are spreading it. Controlling mosquito [breeding] is needed from the public and individuals as well. We are working together with island councils and the Male’ city council.”

She added that the Addu City council had taken initiative and organised activities to combat the spread of the disease.

“An additional problem that we encounter is the quick turnover of doctors in the country’s hospitals and health centres,” she said. “So they are not very familiar with the protocol here. We are facing that problem as well. But as I’ve said, this can’t solved without controlling mosquito [breeding].”

When People’s Alliance (PA) MP Abdul Raheem Abdulla asked if she was considering resignation “since based on what is being said here your sector has very much failed,” Dr Jameel replied that she did not believe that was the case.

The Maldives has been battling a growing epidemic of dengue fever this year, with 300 cases and five deaths reported in just the first two months of the year.

There has been a spike in the number of cases reported in Male’, however most of the fatalities have been islanders who died in transit to regional hospitals. Many of the most serious cases have affected children.

Early symptoms of virus 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. Even healthy adults can be left immobile by dengue for several weeks while the disease runs its course.

The government and health authorities have expressed concern about mosquito breeding grounds developing in stagnant water in the city’s many construction sites.

“The boom in the construction industry has created a huge number of mosquito breeding grounds,” former head of the Community Health and Disease Control (CCHDC), Dr Ahmed Jamsheed, told Minivan News in April.

“In Male’ when the Council gives planning permission it requires management of mosquito breeding grounds, but have so far failed to enforce it or conduct inspections. My experience in Male’ was that when our teams visited construction sites there was often nobody at the site to communicate with in Dhivehi or English.”

While the teams might be contact with the construction company responsible for the building, often those working at the site were employed under layers of subcontracting which made it difficult to place responsibility, he added.

Zuhair told Minivan News today that the problem was exacerbated by the large number of unfinished buildings where construction had ceased.

“For example, one proposed seven storey-building has [ceased construction] at four storeys, and has pools of stagnant water on top,” he said, adding that it was sometimes difficult to pinpoint who was responsible for the building site due to the layers of subcontractors involved.

Many islands had sought to combat the problem by borrowing fogging equipment and expertise from nearby resorts to kill their mosquito populations, but this also killed beneficial insects, he said.

“It is common for resorts to loan fogging equipment and technical assistance to local islands, but this has negative side effects: it kills all the other insects, which prevents pollination and impacts agricultural activity,” Zuhair explained, adding that human intervention and the elimination of breeding sites was the main priority.

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Gaza flotilla begins controversial journey despite sabotage allegations and UN concerns

A flotilla of ships hoping to breach an Israeli naval blockade to deliver cargo they claim contains vital aid and support for Palestinian territories has begun its journey from the Mediterranean Sea this week.

The commencement of the flotilla’s journey comes just over a year after several members of a similar fleet of vessels were killed and injured after clashes with Israel’s military last year.

The Al Jazeera news agency reported yesterday that despite Israeli claims that latest the ten vessel “Freedom Flotilla II” was a “dangerous provocation” by organisers that would be intercepted accordingly, ships were now making their journey to the city of Gaza amidst alleged attempts to apparently sabotage individual vessels such as the Swedish ship Juliano in Greek waters.

Israel’s attempts to block the flotilla, which military officials have told media reflects fears that the ships could be used to smuggle weapons into Palestine, has proved to be increasingly controversial topic in international diplomacy.

While Israel was condemned by numerous states over its suppression of a similar fleet in 2010, the UN has called on flotilla organisers to cancel their plans, requesting for a focus instead on using legitimate channels to supply aid to the country. The organisation has additionally called for more direct action from Israel to cut restrictions it has imposed on Gaza.

The Maldives was amongst the nations that were openly critical of the Israeli military response last year to the original “Freedom Flotilla” that reportedly led to nine people being killed aboard the MV Mavi Marmara vessel during an assault in international waters. An estimated 60 activists and 10 Israeli soldiers were also injured in the scuffles that the Maldives’ Ministry of Foreign Affairs condemned “in the strongest possible terms”.

Israeli fears

Reporting today for the Washington Post, Joel Greenberg wrote that Israeli officials were believed to have stepped up the intensity of their attempts to discredit the organisers of the latest flotilla with claims that the ships’ crews were openly waiting to attack any troops working to intercept their vessels.

“On Tuesday, Israeli newspapers were filled with reports from unnamed military officials, charging that sacks of chemicals, including sulfur, had been loaded onto flotilla vessels with the aim of using the materials against Israeli soldiers,” Greenberg wrote in the paper.

The report claimed that some sections of local media were using headlines such as “Coming to Kill” alongside pictures of some of the vessels in the Flotilla in their coverage.

To counteract these fears, military officials have pledged to prevent the flotilla’s vessels from reaching Gaza and not ruled out the use of unspecified “force” in their aims.

Certain high profile figures believed to be aboard the flotilla have continued to stress that they are planning the trip as a non-violent protest against foreign policy pursued by Israeli forces.  Last week, the UK-based Guardian newspaper published an interview with American writer Alice Walker, who claimed that she would be taking part in the flotilla as a passenger on the vessel, the Audacity of Hope, to deliver letters of goodwill to the people of Gaza. Israeli opposition to the ships, which Walker claimed was effectively the equivalent of attacking a mailman, would be an act that would be recorded “hilariously” in history.

“Why am I going on the Freedom Flotilla II to Gaza? I ask myself this, even though the answer is: what else would I do? I am in my 67th year, having lived already a long and fruitful life, one with which I am content,” she wrote. “It seems to me that during this period of eldering it is good to reap the harvest of one’s understanding of what is important, and to share this, especially with the young. How are they to learn, otherwise?”

However, in the realms of international diplomacy, support for the flotilla has proved to be much more of a dilemma.

Diplomatic dilemmas

UN Secretary General Ban Ki-moon last month raised concerns about plans for a second “Freedom Flotilla” to sail to Gaza asking numerous governments based around the Mediterranean Sea to avoid encouraging the provision of aid through the flotilla. Ban claimed that Israel was being urged to end its closure of Gaza, with legitimate crossings to the country needed to ensure civilians in the strip were adequately supplied.

“The Secretary-General reiterated that, while he believed that flotillas were not helpful in resolving the basic economic problems in Gaza, the situation there remains unsustainable,” the UN said in a statement.

The international organisation has itself established a separate panel of inquiry that it has said was designed to look at the conduct of Israel’€™s military in response to the flotilla sailing to Gaza last year. The working period for the group was extended earlier this year after its four members decided more time was needed to reach an outcome.

Isreal’s blockade of Palestinian territories was imposed back in 2007 over security fears at the democratic election of a government consisting of members of the Hamas group, which do not recognize the country’s right to exist. Both Hamas and the Fatah movement it ousted are now said to have agreed to form a unified government ahead of fresh elections, according to the UN.

Last year, the UN secretary general openly criticized the legality of Israel’s blockade of Palestinian borders asking for a cessation to the policy, despite the country making amendments allowing foodstuffs and certain other civilian goods to pass. Ban reportedly lambasted the Israeli policy of closure as “wrong” as well as being unsustainable whilst talking to international media during a visit to Palestinian territory last March.

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Masked men rob Marble Hotel of Rf100,000

Police are investigating the theft of Rf100,000 (US$$6485) from Marble Hotel, after a group of masked men broke into the building and threatened the receptionist with an axe early this morning.

Police Sub-Inspector Ahmed Shiyam said the men entered the hotel’s lobby around 4:00am this morning, threatened staff and took the money from a small safe in the hotel.

Shiyam said police were investigating the possibility than the men knew about the safe and its contents prior to the robbery.

A staff member at the hotel told newspaper Haveeru that the thieves broke the lock on the main door.

“One forced an axe to the neck of the receptionist while another person had his knife pressed against the other side of his neck. The group also robbed the receptionist’s wristwatch,” Haveeru reported the staff member as saying.

Police are currently investigating CCTV footage of the incident, but have yet to make any arrests.

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Comment: Spread of dengue fever should be alarming

Malaria still maintains its respect as the leading killer disease in sub-Saharan Africa, surpassing the 20th century wave of HIV infections that rocked the continent. Malaria is spread by a mosquito known as CULEX.

The Maldives and many other South East Asian countries are infested with a mosquito species known as AEDES AEGYPTI, the carrier of Dengue Fever and Chikungunya that have claimed lives of many young and old. In population comparison with neighboring countries, the deaths and spread of dengue in Maldives is and should be considered as alarming.

A visit to health centers or hospitals in islands and Male reveals panic among parents with infants or small kids. Four deaths in two days, the youngest being a nine month-old baby has sent shockwaves in many households and I hope the World Health Organisation (WHO) has intervened. It ultimately raises the suspicion and doubt on the management of public health in a country where health and health education is inadequate, and not an immediate priority in the eyes of the lawmakers.

I support the government health insurance policy which we have enrolled and I have seen benefits in the past year. But think of a person with similar insurance facility but lives in an island village 600 miles from Male’, which cannot provide urgent medical assistance. It’s not acceptable; it’s just immoral, and unfair.

Each Maldivian citizen deserves the right to standard medical facilities, and I ask the Ministry of Health to explain why many atolls/islands still have inadequate facilities. Why a heart patient has to wait for two weeks to use a treadmill in IGMH, or cannot do ECG because the equipment is broken down, why desperate parents of sick children have to wait for days for an appointment, and why Maldivians have to depend on doctors who visit once every six weeks.

Ironically, Male’ is mushrooming with high tech clinics, specialty doctors, and a sequence of tests that leave you broke for a whole month. Most victims are from islands where basic medical facilities sometimes cease to exist.

In December of 2005, WHO Epidemiologist Dr Shalini Pooransingh and the Maldivian government had a fact finding, training and knowledge awareness program on Communicable Diseases, and dengue was well addressed.

Since then, many other workshops and programs followed partly sponsored by international organisations and the local health authorities. Looking at statistics (weekly dengue cases 2009-2011) published on line, it is appalling to see the magnitude of the spread especially in other islands all over the country. What happened to all the training and expertise?

It is nearly a year ago when an article by Aishath Shazra and A. R. Abdulla was published online: “Maldives hit by dengue fever in global epidemic”.

It is a simple straightforward report that is alarming to any parent who reads it, and at the same time it exposes loopholes which law makers and health ministry should look at.

Unbelievably, just 14 persons made comments, and as you can read them, most were abusive, political and out of context. Exactly at the same time of this dengue infestation last year, the streets of Male were crowded every night with demonstrations, ironically not concerned over the outbreak, but keen to unseat the then Education Minister [Dr Mustafa Luthfy] out of office… at which they succeeded.

These street scenarios were well documented and covered by most media outlets. The Maldives has not seen a meaningful demonstration against inadequate health services, deteriorating or lack of
equipment or lack of simple medicines. The Maldives has not demonstrated effectively against pedophiles, abuse of women and children, crime or the bleak and uncertain future of the youth.

But it’s a common thing to have live meetings, street demonstrations, and special TV and radio programs on topics that will not move the country one step forward but lead it to an uncivilised world. Why not use these funds to help the needy?

I do not need to bore you repeating facts and statistics on dengue that you can easily find from the Department of Public Health and WHO websites. My objective was to openly voice my personal concern based on day to day events and to answer the most disturbing simple question: “Who is to blame?”

In sequence, responsibility lies heavily with the Ministry of Health (in charge of public health), lawmakers (who decide laws), municipalities/councils (who manage day to day issues), politicians (who represent the people’s voices) and the public (for not focusing on life-threatening grievances).

I really hope that somewhere, a Good Samaritan in the authorities will seriously look at the four deaths in these two days, the daily grievances of desperate people far away in need of health facilities, and use it as a platform to start a campaign to try manage this outbreak.

The government alone cannot, we need a combined effort from everyone, or each day we would have a new headline of yet another death.

It is time the President, the Minister of Health, politicians and the media take time-off from the daily politics that have slowed our development and taken us nowhere. Better to concentrate on what is affecting the country right now. Public Health is at stake!

Not long ago Male’ had illicit drug problems which were visible on the streets. Boys and girls turned into zombies, but today I also salute the NGO Journey, the government (police, army, NGOs) for helping these kids off the street. It has been successful and many have been rehabilitated, and openly talked about it on TV. Why not temporarily close Majlis sessions, use all available resources and let MPs, health coordinators and doctors go out to the islands and help those in need? Thinaadhoo continues to suffer from a strange unexplainable fever, and sooner or later it will spread to other islands. By the time it reaches the concern of authorities, many will have buried their loved ones.

We had a great laugh last evening watching the match between MDP and the government. So much money was collected, some of it for charity. The night closed with a very tearful yet important program on MNBC (My Way). Hishko and her husband, my very good friends, have done so much in so short a time, for the health of many kids. 192 kids today who have had their Tiny Hearts examined, operated or diagnosed with heart cardio problems, will forever remember this couple for their entire lives. This is just an example of how simple people can make a change in the lives of many.

To MNBC: Congrats, My Way is the greatest program watched by over 80 percent of households and Maldivians abroad. Through such great ideas, I believe you could have similar programs on health, education, computer and drug addiction, career guidance, etc. Not to forget, you guys Minivan, continue publishing the truth. With information, we can partly control this outbreak that is claiming a child per day.

All comment pieces are the sole view of the author and do not reflect the editorial policy of Minivan News. If you would like to write an opinion piece, please send proposals to [email protected]

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Maldives remains on US State Department’s human trafficking watch list for second year

The Maldives remains on the US State Department’s Tier 2 Watch List for human trafficking, a list signifying an increasing number of victims and little evidence of increased efforts to tackle the problem.

The report comes days after the Maldives National Defence Force (MNDF) was called to temporarily take over the front line work of the Immigration Department and Human Resources Ministry pending an investigation into corruption and falsification of work permits.

Migrant workers from Bangladesh and to a lesser extent, India, are being subjected to forced labour in the Maldives, primarily in the construction and service sectors, while women and girls are also being subjected to sex trafficking, the report said.

An unknown number of the up to 110,000 foreign workers in the country – a third of the population – “face conditions indicative of forced labor: fraudulent recruitment practices, confiscation of identity and travel documents, withholding or nonpayment of wages, or debt bondage,” the report noted, adding that 30,000 workers had no legal status in the country.

Bangladeshi nationals were especially vulnerable to labour trafficking, the report stated, citing “diplomatic sources” as claiming that half the Bangladeshi workers in the country had arrived illegally, having paid between US$1000 and US$4000 in ‘recruitment fees’.

“In addition to Bangladeshis and Indians, some migrants from Sri Lanka, Pakistan, and Nepal reportedly experienced recruitment fraud before arriving in the Maldives,” the report noted.

“Trafficking offenders in the Maldives usually fall into three groups: families that subject domestic servants to forced labor; employment agents who bring low-skilled migrant workers to the Maldives under false terms of employment and upon payment of high fees for purposes of forced labor; and employers who subject the migrants to conditions of forced labor upon arrival,” the report revealed.

The State Department reiterated claims from the Human Rights Commission of the Maldives (HRCM) that female migrant workers were also being trapped by employers who were using threats and intimidation to prevent them from leaving.

More commonly, “Recruitment agents collude with employers and agents in the Maldives to facilitate fraudulent recruitment and forced labor of migrant workers.”

Domestic trafficking was also observed, whereby “some underage Maldivian children are transported to Male’ from other islands for forced domestic service, and a small number sexually abused by the families with whom they stayed. This is a corruption of the widely acknowledged practice where families send Maldivian children to live with a host family in Male for educational purposes.”

The US State Department’s report was critical of the Maldives for human trafficking enforcement in the country over the reporting period, and noted that it had not investigated or prosecuted any trafficking-related offences despite the scale of the problem.

“The government did not investigate or prosecute any labor trafficking cases, but is reportedly investigating two child prostitution cases,” it noted.

It was especially critical of the government’s treatment of those found to be victims of trafficking: “The Maldivian government did not ensure that victims of trafficking received access to necessary assistance during the reporting period. The government did not develop or implement formal procedures for proactively identifying victims, and did not identify any specific cases of trafficking. The Maldives did not provide access to services such as shelter, counseling, medical care, or legal aid to foreign or Maldivian victims of trafficking. The government did not conduct any anti-trafficking or educational campaigns, nor did it take any measures to reduce demand for forced labor within the country.”

The report noted that the Maldives’ general policy for dealing with trafficking victims “was to deport them.”

“Authorities did not encourage victims to participate in the investigation or prosecution of trafficking offenders. Due to a lack of comprehensive victim identification procedures, the Maldives may not have ensured that expatriates subjected to forced labor and prostitution were not inappropriately incarcerated, fined, or otherwise penalised for unlawful acts committed as a direct result of being trafficked.”

The report also observed that while the Maldivian Constitution outlawed forced labour and slavery, a person legally married to a minor was exempt from the heavy penalties of the Child Sexual Abuse Act passed in 2009, and that “none of the offences specified in the legislation, including child prostitution, would be considered a crime.”

Positives

The report did highlight the ratification by cabinet by a Human Trafficking Plan in February 2011, but observed that this had no law enforcement component, and failed to distinguish people smuggling from trafficking.

Furthermore, a blacklist of 16 employment agencies and private companies by the Labour Relations Authority (LRA) showed no sign of being enforce.

A “rapid assessment” on human trafficking commissioned by HRCM in 2010 had not been finalised, the State Department report observed.

The report urged the government to develop procedures whereby government officials could identify victims of trafficking, and provide them with access to services for victims – particularly translators. It also urged greater efforts to investigate and prosecute trafficking offences.

The final recommendation was “take steps to ensure that employers and labor brokers are not abusing labor recruitment or sponsorship processes in order to subject migrant workers to forced labor” – one that appears to have been preempted by this week’s corruption probe of Immigration Department and Human Resources Ministry.

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Military mans immigration during departmental and ministerial corruption probe

Immigration Controller Abdulla Shahid has confirmed that corruption of the work permit system is a major focus of an ongoing investigation into the Immigration Department and Human Resources Ministry.

Front-line staff at both immigration and the area of the ministry handling employment have been sent home, and the Maldives National Defence Force (MNDF) has taken over their duties.

President Mohamed Nasheed has said the police investigation – which has already resulted in several arrests of suspected traffickers – is expected to take two weeks. Afterwards, staff will be invited to return to work, the President’s Office said in a statement.

Shahid told Minivan News today that people had been found to be attempting to enter the country with falsified permits.

“We believe we have 40,000 illegal immigrants, and we know two departments are involved: Immigration and the Human Resources Ministry,” he said.

“Something has gone wrong in one of these departments, and we are going to find out what it is.”

The Immigration Department’s records for expatriates working in the country show 21,000 people unaccounted for in records held by the Human Resources Ministry, he said, a discrepancy representing six percent of the country’s entire population.

Shahid acknowledged that the relationship between the Human Resources Ministry and the Immigration Department prior to the MNDF’s intervention had been “strained”, and that there was no shared IT system linking the records of both.

“We know there are a lot of loopholes and minor things that have been overlooked,” he said. “For example, 10 days ago an immigration officer was arrested after collecting a deposit which disappeared from the system the next day.”

Shahid said he expected the police investigation would discover “a lot of things.” A report will be presented to the President on conclusion of the two weeks.

The investigation, he said, was a very time-consuming task “involving a lot of data.” In the mean time, he acknowledged there had been some delays at the airport and “hiccups” as the MNDF took over immigration duties.

“We did some orientation for them, but this is not a permanent situation,” he emphasised.

Shahid dismissed the idea that tourists arriving at the airport would be intimidated by the sight of the military.

“They work uniforms of the MNDF are very similar to the immigration uniforms,” he said.

Nexbis upgrade

The government last year signed a contract with mobile security technology vendor Nexbis whereby the immigration system would be upgraded to include biometric identification of work visa applicants, reducing the reliance on potentially-forged documentation.

The upgrade was stalled when the Anti-Corruption Commission (ACC) expressed concerns about the deal. Cabinet has since requested the Immigration Department review the project, and if necessary, renegotiate.

“We will enter negotiations soon – we can’t agree with the figures [in the contract],” Shahid said. “The ACC has from the very beginning said it is wrong.”

“The contract says we will charge arriving and departing passengers US$2 – this year we expect a million foreigners, so that is US$4 million. Then for every work permit card we issue we pay Nexbis US$15 – currently we charge Rf50 (US$4). At present rates of arrival that US$5.5 million per year.

“The Nexbis contract is a 20 year contract – which means the total cost to the country at present-day arrivals is US$110 million. If you calculate the increased percentage of arrivals over the 20 years, it’s more like US$200 million.”

Such a deal was, Shahid said, “The worst possible thing we could do to border control. Sri Lanka’s system cost US$2.2 million to install and develop. We could get a luxury system [installed] for US$4 million. Why should the Maldivian government spend US$200 million over 20 years, when it’s highly unusual for an IT contract to last more than five? I will never agree to this – the contract should never have been signed.”

The ACC had “a lot of grounds” to investigate the deal, he suggested, adding that as the project involved imposing a tax, approval was also required from parliament prior to signing.

Nexbis shares fell 6.3 percent on the back of the ACC’s original announcement. The company subsequently issued a statement claiming that speculation over corruption was “politically motivated” and had “wrought irreparable damage to Nexbis’ reputation and brand name”, and revealed its intention to take legal action.

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Letter on lack of child care facilities

I totally agree on the importance of women’s contribution to our economy and our job market.

So, let me share my experience. I have noticed that the practiced rules and procedures for employees do not encourage women to work.

If one looks at a working woman who requires no-pay leave for a short intensive course, leaving behind her young child with an expatriate baby-sitter, it’s not a difficult thing. But if a woman requests no-pay leave due to a problem with her child – for instance, if it is suffering from being severely underweight and no one is available at home to take care of the child, she has no choice other than to resign from her job. This means the existing rules and procedures for employees are encouraging the importing of a baby-sitter for each and every woman working in this country.

I think this is a serious issue that has to be addressed without any delay. Why has a concept like day care centres not been set up? I have noticed there is a Hulhumale’ ferry service for those living in Hulhumale’ to go to Male’ for their work. Also there is now a bus service between Hulhumale’ jetty and various locations of Hulhumale’.

I take interest in the issues, hidden and untold, and I thought I would try to bring this important issue to all concerned to comment on.

Regards

Mohamed Saeed

All letters are the sole view of the author and do not reflect the editorial policy of Minivan News. If you would like to write a letter, please submit it to [email protected]

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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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Climate change and “practical” development among talking points as Gayoom visits Bangladesh

Former President Maumoon Abdul Gayoom has called on members of the South Asian Association for Regional Cooperation (SAARC) to be more realistic in their aims for collaborative development during a visit to Bangladesh this week.

Gayoom, who was invited to the country by the University of Science and Technology of Chittagong (USTC) to attend a convocation scheduled for tomorrow (June 29), was reported to have asked SAARC leaders to be “practical” and outline more achievable developments in the region, according to the local Daily Star newspaper.

While unaware of the exact purpose of Gayoom’s visit, which has included meeting Bangladeshi Prime Minister Sheikh Hasina, parliamentary supporters of the former president claimed that the apparent statesman-like nature of his comments did not signify a return to active politics beyond attempts to try and settle divides within the Dhivehi Rayyithunge Party (DRP) that he helped found.

Outside of the domestic political sphere, the 73-year old former head of state has this week been speaking to local media about his own concerns on the importance of addressing issues like climate change and higher education, along with outlining what he perceives as the main challenges facing SAARC nations.

Gayoom said he believed that technical limitations and issues of resources had set SAARC members back in the “very high goals” set by each nation, though he said he believed the organisation had not failed in its plans and had great potential – particularly from regional enterprise.

“There must be more cooperation among the private sector of the SAARC countries,” the Daily Star quoted him as saying.

A spokesperson for President Mohamed Nasheed, who in 2008 successfully unseated Gayoom after 30 years in power during the country’s first ever democratic general elections, was not available for comment at the time of going to press on the visit.

Gayoom retired from active politics in early 2010, appointing  MP Ahmed Thasmeen Ali as leader of the country’s main opposition party.

The former president remains a divisive figure in Maldivian life and politics following 30 years of autocratic rule that has inspired fierce support and criticism in equal measure depending  on individual political persuasion in the country.

However, MP DRP Ahmed Mahlouf, who along with Gayoom has been linked to the factional Z-DRP movement that now opposes incumbent party leader Thasmeen, said the former president remained a popular figure among SAARC member states for his work in the field of regional development.

“He has done a lot for the region and I wouldn’t be surprised if SAARC leaders praise him for his efforts,” he said.

Despite his reputation, Mahlouf said that the visit to Bangladesh should not be seen as an indication that Gayoom would run for president in 2013, adding that the former president had shown no interest to change his mind on retiring from front line politics.

“[Gayoom] has not really been commenting much on the current government despite concerns he has.  Right now he is working to try his best and solve disputes within the DRP, something Thasmeen is trying to prevent,” he claimed.

“I would like to see him form a new party under his own image.”

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