Venezuelan medical services hampered by hyperinflation, food crisis, says Alberta doctor

The world is watching Venezuela right now.

The oil rich Latin American country is in crisis, coping with food shortages and hyperinflation that havecaused an exodus of approximately threemillion people.

The recent re-election of President Nicolas Maduro was called illegitimate and undemocraticby many, including Canada.

Cochrane, Alta.,physician William Hanlon recently returned froma trip to Venezuela. He spoke to the Calgary Eyeopenerabout the situation on Monday.

This interview has been edited for clarity and length.

Q: Why did you go to Venezuela?

A:I've been following the deteriorating situation there for the last few years. I had worked in Peru, in Lima, in tropical medicine. I had met and worked with some great Venezuelan doctors, and they told me all about their country back then and also the parallels. Albertaand Venezuela are very similar, the populations very similar so I was keen to go down and see on the ground what the situation was.

Q: ExternalAffairs does not recommend travel to Venezuela right now, butyou've been known to not pay attention to those notices in the past, doctor. So there you are. You arrive. Give me a sense what it's like on the ground.

A:I stayed with physicians and health workersall the time I was there. Ispent time with them while they worked onthe front lines, both in an urban environment in a large city hospital, and also we hiked into rural areas, where we visited some health clinics and got a sense of what's going on on the ground.

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People working on the front line like that in health care obviously get a real sense of the pulse of the nation. They see the full gamut of the resulting consequences of a huge humanitarian crisis, like what's going on now.

Q:Describe that crisis. What did you actually see that gave you a sense of what's happening?

A:One of the city hospitalsI spent time visiting had a whole gamut of potential [medical] services, but they were really strangled by the lack of medicines, the lack of medical supplies. While I was there,the emergency department didn't have any adrenalinfor a full week.

Somebody had cut the wires of the X-ray machine to sell the copper, basically to feed their family. And there wereno X-rays for about five days. This is in a very large city hospital.

The surgical suites were very quiet, probably working to 10 per cent capacity because, again, of alack ofmedical supplies.The generators often break, so the equipment on the ground isnot available in a lot of cases.

The surgeons are very competent, very well-trained, but don't have the supplies or sometimes the support andinvestigating tools to do their work.

It's very frustrating for them.

Q:It wasn't long ago that they were the envy of many other Latin American countriesbecause of the amount of cash that was flowing through there, and because of whatsome would describe as first world conditions. It's falling apart quickly. Is thatwhat you're seeing?

A: Very quickly, And again with hyperinflation,the [International Monetary Fund] claims the inflation rate this year is going to be one million per cent [in Venezuela].

So something as simple as a pair of surgical gloves costs a family whatwould be the equivalent of 20 per cent of a month's salary.

Those people who were fortunate enough to get surgery down therehave to bring everything into into the hospital gloves, all equipment, et cetera.

People talk about food shortages. I did visit a number of supermarkets, just to see how the food access was.It may not be representative of the whole country, but there is food on the shelves. But it's so expensive now with inflation so high that people's money doesn't go very far.

Q: What can be done here to help?

A: The first step is awareness. People [I spoke to in Venezuela] felt that the main thing was just to get the message out. The second, I think,ismaybe writing to your MP as well.I've talked to David Swann recently, and he's very interested in the cause. Canada is part of theLimaGroup a group of 13 other countriestrying to put pressure on the Maduro regime, which I think a lot of people would certainly realize was not a very legitimate election back in May. And he's in [office] now for another six years.

But I think people are putting pressure on his government first to admit there is a crisis, which I think is the first step.

The second step I think is to increase access to humanitarian aid. And then of course releasing political prisoners would be a very positive thing too. And also working obviously toward democracy.

One of the big issues I have medically about the situation on the groundis that the amount of infectious diseasehas gone up. They've had huge outbreaks because of the breakdown of the health system and health services a huge outbreak of diphtheriaand measles. Malaria rates are going way up,andHIV rates are going up.

What we're seeing now, because of the lack of medicines and access of appropriate medicines and investigation, is multidrug-resistant infections.

And that has [medical] implications, not just within Venezuela and the surrounding countries, but globally too, because people travel. Over 3 million people have left Venezuela in the last three years or so, sothat infectious disease risk to the world globally is huge.

With files from the Calgary Eyeopener.

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