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’Rot is deep’ at Indian hospital where 85 children died

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August 17, 2017
Relatives mourn the death of a child at the Baba Raghav Das Hospital in Gorakhpur, in the northern Indian state of Uttar Pradesh, in this Aug. 12, 2017 file photo. — AFP
Relatives mourn the death of a child at the Baba Raghav Das Hospital in Gorakhpur, in the northern Indian state of Uttar Pradesh, in this Aug. 12, 2017 file photo. — AFP

GORAKHPUR, India — Inside the decrepit children’s ward at an Indian hospital where 85 infants died last week, Ram Prasad prayed his two-year-old daughter would escape the same fate as he scanned the overcrowded hallways for a doctor.

His plight in ‘ward 100’, where the death of so many children has sparked outrage, is emblematic of a healthcare crisis where doctors are stretched to breaking point and hospitals run out of oxygen due to unpaid bills.

Authorities have launched an inquiry into the causes of the oxygen disruption at the now-notorious Baba Raghav Das Medical College in Gorakhpur, which Indian media has linked to the deaths of 30 infants last Thursday and Friday.

Local officials have blamed an outbreak of encephalitis for the deaths and denied a lack of oxygen was responsible.

But doctors and medical experts point to woeful underfunding in public health in eastern Uttar Pradesh, one of India’s poorest regions, where just a handful of specialists are available to treat millions.

“This (deaths) won’t change soon, as it isn’t a simple oxygen issue. The rot is deep and the system needs to be overhauled,” a senior hospital official told AFP in Gorakhpur, speaking on condition of anonymity.

India was spending just 1.4 percent of its GDP on public health in 2014 — far below the global average of six percent.

In Gorakhpur, there are just 529 primary health care clinics — less than half the number needed to cater for nearly 4.5 million people living in the district, July data from Brookings India shows.

There are just five pediatricians and 22 encephalitis treatment centers, despite the mosquito-borne illness wreaking havoc in low-lying areas of the state every year during the monsoon.

India’s most populous states of Uttar Pradesh and Bihar are ravaged by encephalitis every year.

The disease, which affects mainly malnourished children, causes brain inflammation and can result in headaches, seizures, fever and even brain damage.

Professor K.P Kushwaha, who headed Baba Raghav Das Medical College until mid-2015, said the hospital could not cope with the volume of patients.

“The government now needs to make at least five such hospitals across the region to tackle this load and get better results,” he said.

Prasad, a poor farmer from Uttar Pradesh, travelled roughly 65 km with his wife and two-year-old daughter after the infant suddenly ran a high fever.

He arrived at Baba Raghav Das Medical College just hours after hospital authorities declared that another 25 infants had died over the weekend.

Prasad’s daughter was found a bed in the overcrowded ward, where many parents were forced to squat on the floor in nearby corridors. It was worse in the neo-natal unit, where three to four infants crowded a single bed.

“We take turns to go out in the corridor and hall to rest, while the other one stands here,” Prasad said, gesturing to his wife and ill daughter.

“She probably has pneumonia, I don’t know, the doctors haven’t told me anything.”

Just days earlier, panicked parents used manual pumps to help their stricken children as the supply of oxygen fizzled out. — AFP


August 17, 2017
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