Cancer patients suffer in Iraq with the lack of specialized centers and the high prices of medicines
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Added 01/26/2024 - 9:04 PM
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A child with cancer
A child with cancer
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Forty-year-old Ali Karim is forced to travel a distance of more than 100 kilometers from Muthanna Governorate to Najaf, located about 180 kilometers south of the capital, Baghdad, to treat his mother, who is suffering from cancer. His governorate, which is considered the poorest in Iraq, lacks a specialized center in Treatment of this disease; His situation is like that of many people in the governorate.
Karim complains of poverty and hardship. This monthly treatment trip costs him about $200. He says that cancer patients "suffer from two pains: the pain of illness on the one hand, and the fatigue and exhaustion of travel on the other hand, as we are forced to make this trip every month."
There are more than 30,000 people suffering from cancer in Iraq, amid a significant shortage of specialized centers, advanced technologies, and modern treatment, which has prompted thousands of patients to resort to other provinces in search of expensive treatment.
Karim said, “My mother’s psychological state began to decline; This greatly affects her medical condition, as the illness has begun to worsen significantly day after day and I am on my way to losing her, but there is no way I can, as I am forced to travel.”
The psychological state of cancer patients greatly affects their recovery. But in Muthanna, things seem difficult. The lack of services and lack of medicine exacerbate the decline in mental health. Last September, one of these patients threw himself from the fifth floor of Al-Hussein Hospital in Samawah.
According to Sajjad Al-Haddad, head of the Karam Al-Zahraa Humanitarian Foundation in Muthanna Governorate, the largest number of thousands of people suffering from cancer in Muthanna Governorate go to other governorates to receive treatment.
Al-Haddad said that there is a small unit in one of the governorate’s hospitals to treat cancer patients, “but it is dilapidated and does not have the minimum treatment requirements for devices, techniques or treatments, and it often refers patients to other governorates.”
He added, "The costs of treating cancerous diseases are very high, and the poor citizen cannot afford them... Most of the infected people do not even have the means for transportation; there are patients who have died due to the lack of treatment in the governorate, and they do not have the financial costs."
He continued, "We have worked for about 10 years to help patients and coordinate with humanitarian organizations and institutions of the holy shrines in Karbala and some government hospitals in other governorates, and we have contributed to treating more than 450 cases of infection, most of which are children. We are currently treating 90 children; and we have personal efforts with the authorities." Ministerial Council to establish a specialized center in the governorate.
The number of infected people registered in Al-Muthanna during the last five years is more than 1,600. But there are people whose numbers are estimated to be many times this number who went to other governorates and whose data was not recorded in the governorate because there is no specialized center, according to what Ali Rahim, one of the doctors specializing in treating cancerous diseases in Muthanna, said.
Rahim said, "In the recent period, which followed the visit of the Prime Minister and the Minister of Health to the governorate, treatments for cancer patients began arriving at a noticeable rate, and there is a kind of relative interest."
He explained that the only cancer treatment unit in one of the governorate hospitals has a capacity of 50 beds. But he said that it does not have the required equipment and that the main problem is the lack of an equipped specialized center.
Last October, the Ministry of Health said that cancer cases in Iraq were increasing in line with the population increase. She indicated that cancer rates are within the global average, noting that the incidence rates in Iraq are less than 80 cases per 100,000 people per year.
Saif Al-Badr, spokesman for the Ministry of Health, confirmed that the Ministry owns several specialized centers in Baghdad and the governorates, "and has included in its plan for this year and beyond the development of these institutions in the field of diagnosis and treatment."
He said that the governorates of Diyala, Muthanna, and Kirkuk were included in the plan, "and we will open specialized centers in them."
He added, "There are more than 30,000 cases of various cancer diseases under treatment in all governorates at the present time... This file is one of the ministry's priorities in terms of financial allocations, and we are working to provide all its requirements within the available capabilities."
He described the funds allocated to the cancer treatment file as “standard during the past year, although not ideal, but better than previous years.” He said that the previous period had witnessed a delay in giving treatment doses to those affected, “and the situation now is different, and sometimes there is no waiting in our various institutions.”
The speaker believes that the biggest challenge facing the file of people with cancer “is community awareness, as many cases are diagnosed late, especially breast cancer, and we need the media’s help in raising awareness to diagnose the infection early.”
In October 2023, the Iraqi Ministry of Health announced the launch of a campaign to combat breast cancer, noting that the number of early detection clinics for this type of cancer in Iraq reached 53 clinics.
In Nineveh, located about 450 kilometers north of Baghdad, the director of the Oncology and Nuclear Medicine Hospital, Abdul Qadir Salem Ahmed, points out that this hospital “is considered the third in Iraq after Baghdad and Basra in the field of specialization, and it provides services for treating tumors and cancerous diseases using nuclear medicine, chemotherapy, and radiation.” ".
But that was before 2014, because the hospital was completely destroyed when armed groups took control of the governorate, before an alternative center was opened to treat patients with tumors and cancerous diseases, as he put it.
Salem said, “The United Nations Development Program (UNDP) undertook the rebuilding of the oncology hospital in the city of Mosul, and the completion rate has reached about 70% so far. It was supposed to be completed by the end of 2023, but that was delayed for administrative and technical reasons related to the international organization.” “Once completed, it will be of very high standards.”
He added, "The clinical capacity of the current center is limited, and we only provide chemotherapy services without radiotherapy and nuclear medicine, as they require a building and specialized equipment according to specific standards. Therefore, patients in these two specialties are referred to the governorates of Baghdad, Karbala, Najaf, Basra, and others."
He added, "Ninawa Governorate records from 150 to 180 cases of tumors and cancerous diseases per month... The increase in infections here comes in accordance with the increase in population, and is within the global average."
He said, "All governorates, including Nineveh, receive a smaller number of chemical doses than the actual need from the Ministry of Health, due to the lack of financial allocations to the Ministry... Our governorate may be the best in the number of doses we obtain."
He added, "Medicines for treating cancer diseases are expensive in the world, and no country can provide the full need for them... The central government provides the possible amount of medicines after approving the financial budgets... We have sufficient specialized medical, nursing, and technical personnel; but we do not possess the devices." Linear treatments, due to the lack of a suitable place to place the devices and enough to accommodate the number of patients.”
Nineveh Governorate is awaiting the completion of the Al-Shifa Medical Complex, which includes four hospitals, one of which specializes in cancerous tumors, and includes three “Mefras” machines, which is a type of CT scan device. But the date set by officials for its completion is 2026.
In Babylon, about 107 kilometers south of Baghdad, the director of the oncology center at Imam al-Sadiq Hospital, Muhammad Ali al-Amiri, said that the governorate “includes two centers for treating cancer diseases, one in our hospital and the other in Marjan Medical City in the center of the city. Our center has modern devices and technologies, but “It is very difficult to have all the techniques and treatments for patients in a government center at the same time.”
Al-Amiri said that there is “fluctuation in the preparation of treatments for cancer cases by the Ministry, and sometimes the shipments sent to us have run out and our processing of them is delayed, which is a reason for the patient to go to other governorates in order to take the treatment dose because it is scheduled for a specific date; and sometimes patients from outside Babylon come to us for the same reason.” In their governorates.
He added, "We record 8 to 10 new cases of tumors and cancerous diseases in our center every day. In general, we provide our services to about three thousand patients per month, including visitors and new cases."
The director of the Oncology Center in Babylon revealed the existence of obstacles to the treatment of cancerous diseases in the government sector, most notably the need for computer tomography technology for diagnosis, as it is not available in all government centers across Iraq, “in addition to the need to train and manage human resources well.” It is necessary for the worker in this field to be specialized and proven in his work site.”
The availability of a computer tomography machine is rare throughout Iraq, which makes it in great demand amid its high price, as the cost of one examination per person sometimes reaches more than $500.
Quoted from the Arab World News Agency
Views 138
Added 01/26/2024 - 9:04 PM
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