- 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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