- Asked
by His Majesty the King Norodom Sihanouk and the
Cambodian government we restored 1992 the empty and
destroyed Kantha Bopha Children's Hospital, where we
were working in 1974/75 until the Khmer Rouge entered
the town. 1995/6 we built a second , 1998 a third
Hospital. So in the meantime we are running three
Hospitals: Kantha Bopha I and II in Phnom Penh,
Jayavarman VII, annexe of Kantha Bopha in Siem Reap
Angkor. The running costs per year (without
investments) are 9 Million USD. Most money beeing
fundraised by myself in my beloved country
Switzerland. Per year these three Hospitals are
hospitalising 32 000 severely sick children, are
managing 450 000 consultations, are doing 4200
surgical operations and 100 000
vaccinations.
- 2400
children more would pass away per month without the
facilities of Kantha Bopha.
-
- There
are working 890 Cambodians and only 4 expatriates.
There is no corruption.
- All
is free of charge for all families. 85% of the
families are too poor to pay any treatment. And 99 %
are too poor to pay a correct medical treatment. There
is a tremendous poverty. So Kantha Bopha is their last
and only chance. Our policy, giving all treatments
free of charge and never taking money from patients,
is not only the vital question for the Individuum, the
single case, but it is important for the whole
society: If they should have to pay, they would stay
at home with their Infectious Disease. The days, the
weeks or in case of Tuberculosis the years before they
will pass away ,they would pass the germs on all
people around.
-
- Kantha
Bopha , having saved and going on saving so many
children, preventing so many children from lifelong
handicaps, Kantha Bopha is a social and economic
factor for the future of Cambodia.
- Kantha
Bopha is a working system with an efficiency rarely
seen on the world.
-
- How
comes WHO is telling the medias and the Cambodian
government 1995, that Kantha Bopha is undermining the
Health System of Cambodia. How comes WHO and other
International Organisations are telling the medias
1997, that Kantha Bopha is wrong in its approach and
in its conception. How comes International Health
Experts and the WHO again are saying 1998, that Kantha
Bopha is nothing else than subversion of the Health
System. Tell me, subversion of which Health System?
Subversion of which System?
-
- In
1998, just around the time, when these crazy
criticisme and blames in public were done again,
blames which endangered the vital donations , that
means the existence of the Kantha Bopha Hospitals, 10
000 cases of the haemorrhagic Dengue Fever were
hospitalised in Kantha Bopha. The Ministry of Health
has registrated 12 000 hospitalised cases in whole
Cambodia. So Kantha Bopha is covering 80 % of the
really sick children. 60% of the 10 000
Dengue-children arrived in shock. If you do not treat
the shock in a correct way the child will dye. Our
mortality was only 1,5%.
-
- So
let me ask : WHO is wrong and WHAT is wrong? WHO is
undermining which System? WHO's approach is wrong?
There is only one way to treat a child in shock or
preshock. A correct one. That´s exactely what we
are doing.
-
- In
connection with the mentioned Dengue epidemy let me
ask, why WHO is still sending today , the year 2000,
Experts to simplify the monitoring and treatment of
Dengue cases. Experts who have much less experience
and knockledge as my Cambodian colleagues, but much
higher salaries? There is never a simple treatment of
the shock, never a simple monitoring of the shock:
there is only a correct one.
-
- Mr
Peterson , the Representative of WHO in Cambodia from
1995 up to 1999, was telling me and the medias: In
Cambodia there are simple diseases , that's why a
simple medical care is needed in Cambodia. A cheap
one. But, ladies and gentlemen, there is only a
correct one.
-
- Why
Unicef is telling 1998 the Medias that Jayavarman VII
Hospital (at this time in construction) is not
necessary? Why the International Experts think, that
the nine health centers and district Hospitals runned
by Unicef since 7 years are covering the needs? Their
statistic of Tuberculosis of the year 1998 in Siem
Reap shows 26 cases. The first month, the Jayavarman
VII Hospital was in function, we found already 240
children suffering from Tuberculosis.
- So
let me ask: WHO is wrong and WHAT is
wrong?
-
- In
June 2000 alone, in the Jayavarman VII 860 severely
sick children were hospitalised. Today, there are 177.
So the needs are not covered by all these centers. And
again and again we get children being holded back by
these very district centers for days, arriving in
desastrous states and too late. Often not sent by the
doctors or responsibles of these centers, but by the
parents themselves in despair, having lost there all
their money, farmers having lost their cows, having
lost their economic existence for nothing. Even worse:
There their children were misstreated or not treated.
There are no facilities to do a correct diagnosis and
afterwards a correct treatment. It does not make sense
to pay salaries for expatriates working in such
desastrous and not efficient conditions as it is done
by NGOs following the protocolls of WHO. Meningitis is
not recognised, Malaria is interpreted as Typhus or
Typhus as Malaria. The Diagnosis of Tuberculosis is
missed. It would really be better for these children
there would not be such centers.Then these children
would directly arrive in Jayavarman VII for a correct
treatment in time. In Europe police would close these
centers. The justice would be involved.
-
- Even
the immunizations were and are not done by these
centers created and run by Unicef the last 7
years.Unicef , who has told the medias, that they are
covering the needs. At the beginning of 2000 we had a
huge Measles epidemy. Even in Phnom Penh we
hospitalise today, the day of this conference in this
luxuary Hotel, 9 cases of Newborn Tetanus. Can you
immagine the suffering and the pains of these
children? Unique in this world, the rate of Tetanus in
Cambodia ! The vaccinations of the children`s mothers
were not done. The expensiv programms of Unicef
obviously not realised. Why?
-
- In
Siem Reap 2/3 of the hospitalised children are
suffering from Tuberculosis. This is not a simple
disease , as WHO is thinking. The diagnosis of
Tuberculosis of the child is one of the most difficult
diagnosis in pediatrics.
- WHO
told medias and the Cambodian government 4 years ago,
that there is no Tuberculosis among children. And if
there would be a case of a child Tuberculosis, it
would not be of any importance: the child is not
contagious. A grave mistake: thousands of children
were found the last 8 years in Kantha Bopha with
contagious Tuberculosis (Cavernes, Fistulisations
etc.). Kantha Bopha is still the only place in
Cambodia where the diagnosis of Child-Tuberculosis can
be made and where a correct treatment is
applicated.
-
- Still
Tuberculosis is not yet in the Respiratory Infectious
Disease Protocol by WHO. Why?
-
- At
times we have more than 6000 ambulant cases of
Tuberculosis under treatment.
-
- Still
there are today International Experts telling you,
that by these 3 Kantha Bopha Hospitals needs were
created ,that did not exist before. But the
Tuberculosis does not exist because we found it, we
find it because it is existing. But you need the means
and the facilities inorder to find it. And these very
International Experts tell you these means are too
expensive and too luxuary for a poor country as it is
Cambodia.
-
- The
preexisting Tuberculosis is weakening the child, so
infectious diseases as Typhus, Malaria, Dengue,
Measles , Japanese Encephalitis, or common banal virus
infectious diseases, are much more aggressive. On the
other hand the Tuberculosis may explose by these
additional infectious diseases. In cases of acute
Measles( where we know, that the general immunity of
the child is rapidely going down ) we can observe
Miliaris Tuberculosis or Menigitis Tuberculosis
emerging within hours. The synergies of these diseases
, the complications caused by these frequent synergies
are complicated and important to be understood, if
there is any will and interest to save the sick child.
By the Idea of the Representative of WHO in Cambodia
Mr.Peterson, that there are simple diseases in
Cambodia which are needing a simple medical System
only, a cheap one, by this idea you will fail saving
all these children. And in these simple centers they
are failing to do so.
-
- And
most important : The Tuberculosis is weakening the
child in case of HIV too.
-
- In
1993/94 there were no HIV cases in Kantha Bopha . The
first seven months of this year 2000 we have already
hospitalised 518 new cases!!! Most of these cases
among children younger than 5 years. As you may know:
UNTAC has brought this disease and in defiance of
warnings and outcries by professionals at this time,
the UNTAC-soldiers have spread out the mess and were
going on spreading out the disease. Since then there
is the biggest HIV increasing rate ever seen in Asia.
WHO and UN did nothing against . We were here at this
time.
- So
WHAT went wrong and WHAT goes wrong?
-
-
- In
Durban there was recentely an International Conference
on AIDS. The question was asked: Why HIV is so
agressiv among children in South Africa? Is there
Tuberculosis? No, there is no Tuberculosis, at least
there is not known , if there is Tuberculosis among
children. Four years ago you could hear by WHO in
Cambodia the same answer. But as I told you: As we
found it in Kantha Bopha: Tuberculosis in Cambodia is
the Problem Number One of the children and the future
of the country.
-
- In
Durban International Experts were critisising and
blaming President Mandela having cried out about AIDS
too late , only in 1998, much too late. This is a
shameful, cynical and hypocrit critisisme. Don't
forget that the WHO´s General Director said 1992,
that Malaria is more important as AIDS in the southern
Africa. There we fight, Malaria is the priority, he
said. Some doctors beeing oposed to this decision told
the General Director of WHO: The Increasing rate of
AIDS will be enormous , the rate of Malaria will be
more or less stable. But these people were told by the
General Director of WHO : At least, Africa is
overpopulated.!!!! And remember, ladies and gentlemen
:The HIV-rate among the black population is much
higher as the HIV rate of the white population.
-
- Mandela
was suffering in the prison from Tuberculosis. By
chance a Doctor, sent by an UK delegation to the South
Africa`s prisons, discovered it observing from far a
not symetrically breathing Mandela. There was a
serofibrinouse pleuresy. The regime was forced by UK
to confirm the Diagnosis and to do a correct medical
treatment. Otherwise there would no more be a Mandela,
since 20 years. And no free South Africa….. The
Germs can be used as silent weapons. The Idea, that
Mandela now should be responsible on the AIDS and
Tubercolusis Crisis in South Africa is a shameful act
and a perfidious act of Propaganda by International
Experts, who have lost their shorttime and longtime
Memory , inorder to hide their failure . They try to
transfer their own responsibility on their desastrous
attitude and inefficient work to the governments.
-
- Similar
things can be observed in Cambodia. International
Health Experts now are more and more critisising the
Government because of the Health desaster in Cambodia.
After having worked here 9 years , beeing frustrated
by their penible results, they transfer all the
responsibility of this catastrophy to the
government.
-
- But
remember: The high rate of Tuberculosis is a direct
consequence of the war. And the war in Cambodia was
brought by the western and rich world 1970. The High
Rate of AIDS is caused by UNTAC (1992
/93).
-
- I
have mentioned South Africa because sometimes I think,
what is the black African
- in
the southern Africa for rich and mighty instances ,
that is the Cambodian in southeastern
Asia.
-
- Why
WHO and Affirms (a US military-medical agiency) are
against the mass vaccination of Japanese Encephalitis
in Cambodia? In Kantha Bopha we found thousands of
children distroyed and killed by JEV. In Thailand the
vaccination is done. In Thailand it is obligatory. In
southern China it is done. In southern China it is
obligatory. Of course the children of the
International Experts living in Cambodia will get the
vaccinations, the children of some rich people too.
But who can pay 60 USD for a complete Immmunization in
the Institut Pasteur.
-
- In
Kantha Bopha we are now doing the vaccinations free of
charge since 3 years. It is very expensiv for us. So
again, let me ask again , WHAT is wrong and WHO is
wrong?
-
- The
use of the Antibiotic Chloramphenicol for children is
forbidden in the western world since 1970 because of
its dangerous side effects. Still it is on the
essentiel drug list of the WHO and still stored in the
central Pharmacy of Unicef. By WHO it is still
recommended to be used in cases of severe infectious
diseases. Because it is cheap…... Week by week we
find children bleeding and bleeding and passing away
by the side effects of this drug, still even used by
International Organisations.
-
- In
addition to this we find that Chloramphenicol is not
efficient. The germs are resistent up to 100%. So
Chloramphenicol is killing children actively and
passively. We went to the International Court of
Justice in The Heague against WHO and other
International Organisations concerning the handling of
Tuberculosis, HIV, JEV and the use of Chloramphenicol
in Cambodia. All this is causing a passive genocide.
We did not get an answer . It seems, that the
Internationals are out of law. The International
Experts "intouchables".
-
- The
policy and strategy of WHO applicated to the third
world can be described as poor medical care for poor
people in poor countries. It has to be simple and
cheap ,so it reaches all the masses of the poor. That
is a Leninist Marxist Idea . Let us say a Leninist
Marxist Illusion. Let us be honest and say: That is a
lye. Nothing is reaching the poor masses. The
International Experts may be compared with the
Nomenclatura of the gone Empire of Sowiet-Russia, the
Nomenclatura being highly privileged. For their
children are different standards as they are for the
children they are working for. They have all interests
to sustain this system because they have a super life.
So huge amounts of money (Millions of Dollars) are
spent for Propaganda (Television PR, Medias PR,
International Conferences , International workshops,
Regional seminars, Plannifications , books , bulletins
,Conferences again , follow up Conferences and so on),
Propaganda ,inorder to sustain this inefficient system
,that means to make believe the western and rich
world, the rich part of the global village ,which is
paying all this, that things are well
done.
-
- If
the powerful governments of rich and mighty nations
are aware of this gap between the Propaganda by the
global International Nomenclatura and the reality ,
that means the efficiency and results of their
work?….. that is the question! If the mighty
governments are not only aware of this gap , but
agree, great doubt on apartheid arises. Apartheid
which causes passive genocide.
-
- Let
me compare this situation again with Russia: Secretary
General M. Gorbatschew was aware of the gap between
the Propaganda done by the nomenclatura and the
desesparate reality. First he tried to manage
improvements within the system, fighting against "
schlendrian" , the old rut and corruption. Only 1988
he recognised, that whole the System is
wrong.
-
- So
the worldwide global Nomenclatura of International
Experts and at the same time the mighty governments
should understand: the System is wrong. It should be
replaced by a System of correct medical treatment
accessable for everybody, because everybody has the
same right, the human right of getting a correct
medical treatment, which is not killing but saving. A
free system for everybody, so everybody has access to
it. All the money spent for the Propaganda and the
worldwide more or less ineffective International
Nomenclatura should be used for centers working on the
spot in a correct way. Propaganda of programms for
poor people in poor countries by the Nomenclatura are
not only not necessary but dangerous , harmful and
paralysing, as we showed above. It is causing a
passive genocide. Most parts and sections of WHO and
other Organisations are not necessary. By the money
the rich world is spending for WHO alone , you could
install 400 centers Kantha Bopha and operate there for
ever. By 400 centers working in a correct way without
corruption you can save all the children of Southeast
Asia and whole Africa. And last but not least: only in
such centers professional and efficient teaching,
training and education are possible.
-
- You
do not need this Nomenclatura of International Experts
bringing rules for poors. Rules their own children are
excluded from, because for them there are other
standards. All countries have their Medical Faculties.
All Medical Faculties can communicate by internet. All
countries have their excellent doctors and nurses.
What you have to do is to implement the facilities and
adequate salaries, that an efficient work can be done.
And it will be done, as it is shown in the three
Kantha Bopha Hospitals.
-
- I
thank you
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