[14/April/2019] SANAA, April 14 (Saba) - The death moves in free manner in the geography of Yemen over 1440 days of the Saudi-American coalition's aggression on our dear Yemen...
The Yemeni citizen is waking every day on a new date for the prospects of the end of living in a state of anxiety, and his early date this year with the cholera epidemic found in the land of Yemen, as a safe haven for the epidemic.
The Yemeni News Agency (Saba) is monitoring the disaster of disease in its victims' eyes, waiting to the government's efforts to reduce the epidemic and raise awareness about its symptoms and prevention ways, where hand washing is good, careful drinking from clean water sources, washing vegetables with vinegar or salt, and taking care of cleanliness. These are surprisingly simple and magical solutions to prevent a cholera epidemic that is spreading rapidly among more than 13800,000 Yemenis at risk, of which 8 million and 400,000 are on the verge of cholera, deepening the tragedy of Yemenis who are dying from famine.
A pandemic ....
Where cholera is sweeping Yemen for the third time and is classified as the world's biggest health disaster in the modern era. It is characterized by global and national epidemiological centers as a "life-threatening pandemic", "catastrophic epidemic" and "outbreak cholera".
It is the worst humanitarian crisis attacking a people on the verge of famine after the targeting and destruction of their infrastructure facilities by the Saudi-American aggression.
It kills the Yemenis without mercy in the "early hell" as described by international organizations .. "Those who did not die due to a bomb .. should die because of disease" in the "cholera republic" as descibed by the international media.
The Ministry of Public Health and Population recorded the first wave of cholera since late September 2016 until February 2017. The second was recorded in late April 2017 and continued until the beginning of November of the same year, while the third wave of pandemic appeared at the beginning of this year.
The cholera, discovered in 1883 by a German botanist, Robert Koch.
It was discovered in Egypt as a disease spread in several parts of the world and reaching epidemic proportions, especially in the summer, and was called " Vibrio cholerae infection" because of the oval shape of the germ which causes it under a microscope.
The infection is spread in the form of the epidemic as a contagious disease, whose symptom are a severe watery diarrhea and frequent vomiting", where the symptoms of the disease are variable from simple to those severe, resulting in rapid loss of fluids and salts, which may lead to death of the patient within hours due to drought.
Cholera bacteria attach to the intestinal wall and trigger a "high toxicity" causing acute diarrhea can become fatal and deadly while the death danger start between 12 hours to one day or several days.
Cholera lives in two main containers, Humans and Water. The disease is rarely found in animals and are transmitted to humans through contaminated food or contaminated water. Cholera does not pose a real threat to life and accurate diagnosis is not a condition for the treatment of patients, because the priority in the treatment of any severe diarrhea is to compensate fluid lost from the human body by drinking more fluids.
Historically, British physician John Snow is the first to prove in the 19th century that cholera transmission can be prevented by providing clean drinking water.
During a pandemic in London in 1854, Dr. Snow concluded that a water pump on Broad Street was the source of the infection and the epidemic was contained once the contaminated water pump was replaced.
The treatment of oral perfusion is described as an effective treatment in simple cases. Antibiotics associated with intravenous perfusion solutions shorten the course of the disease and reduce the severity of its symptoms. Antibiotics are prescribed, such tetracycline, doxycycline, cotrimoxazole, furazolidone, chloramphenicol, and erythromycin..
According to epidemiological research published in scientific journals, the sensitivity of the individual to cholera is affected the nature of his blood type of the person, in addition to the people who suffer from low acidity of the stomach and others suffering from malnutrition which considered as important factors.
The agency traveled quietly, not disturbing the patients .. Moved between rooms in silence among cholera patients to monitor the story of fear of the time of cholera ..
Opportunity for life ........
In a corner of the isolation rooms at the martyr Hassan al-Malsi hospital, the old man "Mohammed" shudders from the cold in a natural fit of chills to lose fluids in the body.
He follows the eyes of all the neighbors with attention, looking for his "son", who hopes to bring him additional clothing to ward off the cold attack on his body, which has become remarkably slim.
He hopes that Dr. Tawfiq, who is responsible for following up his condition, will allow him to drink coffee to treat his acute diarrhea, as advised by his loved ones.
The old man, who painted the disease with additional wrinkles on the face had narrated the beginning of suffering when a friend from Dhamar visited him in Sanaa, and Mohammed cared for him and did not know that his friend had cholera.
"I thought I would cure the disease like my friend via resorting to popular treatment recipes like garlic, yogurt and ginger," he said.
However, his beliefs in folk medicine did not help him except for "half a day", after which he suffered from a sharp fall, low blood pressure, a decrease in the heartbeat and kidney function.
He was immediately transferred to the hospital and offered lifesaving emergency assistance.
After confirming that he was attacked by the cholera, he was admitted to the Treatment to have a new opportunity for life.
As one of the patients insisted (in the process of cholera), Saba met at the Martyr Al Malsi Hospital, where he began to chew qat and drink soft drinks outside the center. Despite advising him that he still needed rest, he thought he had expelled the disease. "The first thing that do after I felt sick while suffering from diarrhea at 9 pm, I rushed myself without any accompaniment from anyone to the hospital at 11 o'clock at night and thank God. I'm better now "than any person here."
According to Dr. Tawfiq Mohammed's advice at Al-Malsi Hospital, the period of recovery is important as the period of illness.
The patient must follow the doctor's instructions, including continuing to take the perfusion solution and to adhere to hygiene, hand washing, isolation during eating and drinking, washing and sterilizing the clothes...
Stubbornly insisted that he and his wife "Atiqah" will go beyond diarrhea with popular recipes in the house and passed three days.
After, their health conditions deteriorated.
His wife feared that her four sons and daughters may lose her tenderness, if she and her dear husband die .
The Saba Agency travels among the suites f the Sabean Center, which receives cholera cases from women and children. It is crowded with patients. The cases are distributed in isolation tents for patients whose numbers exceeded 138,000 suspected cholera cases during the first quarter of this year, at an average of more than 40,000 cases per month and approximately 1,300 cases a day in various province of the Republic.
Tracking the epidemic ...
The epidemiological spread of cholera in our country prompted researchers in the field of microbiology and epidemiology to understand the nature of the strain of bacteria, that left the outbreak of the epidemic in an accelerated manner. The researchers followed the subject in a study carried out for three years since the first cholera outbreak in 2016 and was published in early January 2019. They studied the bacteria causing the disease through samples collected from our country and some neighboring areas. The researchers used 42 samples of cholera cases in Yemen to reach the results of the study.
The samples were taken from Yemen and from a Yemeni refugee center on the Saudi-Yemeni border, along with 74 other cholera cases from South Asia, the Middle East and East and Central Africa.
The researchers compared these sequences with a worldwide sample of more than 1,000 cases of cholera from the current epidemic of the cholera epidemic, which began in the 1960s and is caused by a single cholera strain.
The study, which was part of a global initiative to establish a global cholera surveillance system, with participation of WHO, UNICEF, Médecins Sans Frontières and many other health agencies, aimed to better understand how cholera is spreading around the world, including contributes to reducing the number of cases in the future.
The scientists discovered that the strain of cholera causing the Yemen epidemic is linked to a strain that first appeared in 2012 in South Asia and spread worldwide, but the Yemeni strain did not reach directly from South Asia or the Middle East, but moved to Yemen from East Africa where cholera spread from 2013 to 2014.
Meanwhile, confirming the official spokesman of the Ministry of Public Health and Population, Dr. Youssef al-Hazziri that the ministry is carrying out a study to discover the causes of cholera epidemic, especially as there are doubts about that "biological warfare" is A part of the military US-saudi aggression and used in several wars against the peoples.
The researchers identified the type of antibiotics that could be used to combat the cholera outbreak in Yemen. The cholera strain showed resistance to three types of antibiotics: nalidixic acid, and nitrofurantoin, vibriostatic agent O129 .
17 other types of antibiotics succeeded in eliminating the pathogenic bacteria, Most notably Polymyxin B, a low-cost, highly effective antibiotic against bacteria, fungi and meningitis……
Causes of cholera ...
The official spokesman of the Ministry of Public Health and Population, Dr. Youssef al-Hazzari, told Saba that cholera spread in the third season of the early rainy season and the relatively cold winter, which facilitated its spread , especially with the destruction by the US-saudi aggression for infrastructure, including sewage system.
He blamed the coalition for the spread of the disease and work to more spread it, especially after the historical facts have proven the use of biological warfare as part of the punishment of peoples.
He said that epidemiological surveillance recorded during the first three months of this year 128000 cases of cholera, where died of them 140 cases, and one third of them were children under the age of five who died because of malnutrition.
He referred to health awareness and culture, which are considered the main actors in eliminating the spread of cholera epidemics. The solutions include washing hands and vegetables well, treating drinking water not known for chlorination, distillation or boiling and non-deceleration in the treatment of infected or suspected cases of the disease.
The Ministry has worked to provide 420 centers in different provinces distributed across the various districts to receive cases of cholera and sought to prepare awareness programs on television and radio channels to make people aware of the ease of dealing with cholera, methods of prevention and treatment, indicating that the ministry is working to provide medical and health staff to the centers and hospitals to receive cases and care, as well as working on epidemiological surveillance of the disease and provide laboratory services, pharmacy and receptivity and cleaning services for the centers in the the capital capital Sanaa and the provinces.
He explained need of health relief organizations working in our country not to deal with the disease in "routine" level but according to the state of "emergency" maximum to be able to reduce and control of the outbreak.
Government effort .....
The rapid epidemic of cholera and the increase in the number of cholera patients, which reached 162463 people from January to early April, 327 of them died and more than 1000,5000 people have been infected since 2016, where more than 3,000 died, according to recent statistics of the Ministry of Public Health and Population
All these figures have prompted an intensification of government efforts to curb the spread of the epidemic.
The emergency committee sought to close the canteens in all schools for fear of the outbreak of the epidemic among school students, in addition to the closure of a number of restaurants that did not respect the hygiene conditions and prevent the entry of vegetables from some areas where the vegetables are irrigated with wastewater.
The emergency committee responsible for tackling the cholera epidemic, which is formed by ministries (local administration, public health and population, water, environment, agriculture and irrigation, endowments , interior ministry) had described the situation as intolerable.
The emergency committee formed a technical committee that works to raise awareness among the community in ways to prevent cholera and focus on clean up campaigns, waste removal... and taking urgent measures such as environmental health field campaigns targeting restaurants.
The Committee stressed the need to treat hospital waste in special units and incinerators, cases of sewage rash and deliberate actions of some farmers who use them for irrigation before arrival at the treatment plants, in addition to increasing the efficiency of the centers to receive cases of cholera and provide them with the necessary capabilities, as well as examination of food entering the ports or the areas where the sewage is irrigated.
Cholera inspired "writers and novelists" to document their tragedies in novels and films, including "Death in Venice" and "Love in the Time of Cholera," in which Gabriel García Márquez, a world novelist, took advantage of the aversion and anxiety of cholera infection to sail solo with his "partner" , In the novel of patience and security, and deceived the passengers of the ship that transported cholera patients to isolate them from society and sail "Garcia" in order to get rid of pain within thirty days, the protagonist can achieve his wishes by the deceit of the "death infection," and realized the Mexican novelist early that the victims of cholera are afraid to know their surroundings, where the disease turns into a "secret" secret interior injury.
The cholera infection leaves a state of fear and embarrassment for its victims in front of their lovers and social surroundings. Idris Ahmed explains that he quickly bought soap, detergents and antibiotics, stopped buying any foods from the market, warned his children against buying from peddlers and alerted them to wash their hands before eating.
Cholera causes a transient gastric colic because of the "Amoeba," although everyone knows that he has cholera, an employee insists on anonymity, which prompted Idriss to visit him alone without fear of infection.
Another employee refused to take his children to any family visits after his aunt suffered cholera, where she insisted she had food poisoning to be boycotted by her grandson, saying with confidence "cholera grandmoooommm.".
Mohammed, 10, suffered a panic attack after seeing a patient with cholera suffering before he was hospitalized.
He refused to go to school for fear of infection.
Hearing a scream saying "cholera", her younger sister Maram collapses and that prompted the girl to back down from her request to buy some kinds of safe candy and to push the little girl's fear of taking cholera to justify the refusal of any request posed by her sister to accompany her to the occasion of the return of the cholera ..
On the societal fear of infection from cholera, Dr. al-Hazziri stresses on awareness in dealing with the disease before and after infection in different stages of treatment and deep awareness of its causes and methods of prevention, especially since the recovery rate of 99.8%, and that is based on hygiene as a basic solution to fight it as the resort to health centers at the beginning of the incidence of watery diarrhea contribute significantly to recovery from it through antibiotics and perfusion solutions.
The health worker silently watches you wash your hands with chlorine water and clean your shoes with a little sterile steam to leave the isolation tents for cholera patients safely from the infection that is sweeping the healthy peace of the Yemenis, people of patience and friendly living with their daily effort to reduce the epidemic attack and fear of the time of cholera ... ...
*Translated especially for Saba news Agency by Ahmed al-Mutawakel
Edited to Saba by Naseem Reda