domenica 10 marzo 2013

The silence of the lambs







Tahir* remembers with searing clarity the night several years ago when he was sexually assaulted by three policemen. “A group of us boys were sleeping on a pavement when a police mobile arrived and the cops told us to move. I was the only one they picked up. They took me to the police station and told me that I could scream and no one would do anything or I could cooperate and it would go better for me.” He was 11 years old at the time, a runaway living on the streets of Karachi.



According to the UN, there were between 1.2 and 1.5 million children on the streets of Pakistan’s urban centres in 2005, figures regarded as a gross underestimate by many social workers in the country. The number of street children has also increased dramatically over the last few years with the fighting up north compelling multitudes of internally displaced people to migrate — mainly to Karachi — while catastrophic floods have driven families out of the agrarian economy into penury on the fringes of various urban centres. Their children have been forced onto the street and, in many cases, into the clutches of predators on the lookout for easy prey.
Sexual abuse is among the first perils that children living on the street come up against. “Usually, the child is abused the very first night, often by an older child or an adult,” says Rana Asif Habib from the Initiator Human Development Foundation. “In the face of peer pressure, there is little a street child can do to resist his abuser.”
Many children living on the streets are runaways, orphans or abandoned by their families. The only protection afforded to them comes from being part of gangs, usually between 12 and 15 members strong. These gangs largely comprise boys because, as Ali Bilgrami of Azad Foundation explains, “Our social dynamics mean that girls don’t last long on the streets; either family members locate them and take them back or they are trafficked.”
Given their situation, children on the street are vulnerable to the sexual advances of a variety of predators along the chain of command — the older children who lead the gangs, the adult ringleaders who control several gangs of street children in a particular area, the local police who wield ultimate authority over the entire network — as well as a number of others who enable their lifestyle.
These youngsters earn a living by begging, peddling drugs and engaging in other criminal activities, all of which puts them at the mercy of the police. According to Abdullah Langah from Spaarc, “Because they sleep at railway stations, in parking lots, on pavements, at mazaars, etc., they often stash their bedding and sometimes their earnings with owners of roadside stalls who are then in a position to extract sexual favours from them.”
Street children also fall prey to paedophiles who stake outside shrines, restaurants and other places where free food is distributed, as well as sites where children can be found working, such as small tea stalls. They lure them by offering to take them shopping for clothes, to play video games or to watch films. At times, the film turns out to be pornographic viewing in hole-in-the-wall “cinemas” with entry fees of just Rs20 that are located in many slums of Karachi, such as Machhar Colony.
With sexual abuse so much a part of their lives — and often key to their survival — many street children in time themselves turn to selling their bodies to make money, especially when they are hooked on drugs. Tahir also went into commercial sex work when he was 16. “If cops, taxi drivers, etc. can use us with impunity, I thought I might as well earn a living from it,” he says matter-of-factly. “I’ve given my number to maalshis (street masseurs) who pass on my details to potential customers.” According to Tahir, a “mushki” complexion — not too fair and not too dark — is preferred. Most in demand, he says, are children between the ages of 11 and 14, those who “haven’t yet grown a beard”.
Bus terminals (Pir Wadhai in Rawalpindi, for example), public parks (Jehangir Park in Karachi is one) and cheap hotels in every urban centre are some of the usual pick-up spots for child prostitutes. Locations like Pir Wadhai are also home to squalid hotels where a bed for the night can be rented for as little as Rs30 a night.
Sexual encounters tend to be unprotected, putting the children at risk of sexually transmitted diseases. In a survey of 26 street children last year by the Sindh government, 10 were found to be HIV-positive.
Where sexual abuse is a survival tactic and law enforcers themselves are complicit, legal recourse is unthinkable for street children. In a brutal society that marginalises the poor, they are truly voiceless.
*Not his real name.

lunedì 11 febbraio 2013

Germany's Pope Benedict to step down, Germany's first pope in over 500 years, Benedict XVI, announced on Monday he would step down as head of the Catholic Church at the end of February due to his advanced age.



"After having repeatedly examined my conscience before God, I have come to the certainty that my strengths, due to an advanced age, are no longer suited to an adequate exercise of the Petrine ministry," Benedict said in a statement released by the Vatican.

"In order to govern the bark of Saint Peter and proclaim the Gospel, both strength of mind and body are necessary, strength which in the last few months, has deteriorated in me to the extent that I have had to recognize my incapacity to adequately fulfill the ministry entrusted to me."

Benedict XVI, born Joseph Aloisius Ratzinger in 1927 in the Bavarian town Marktl am Inn, spent his entire life in the Church. He was ordained priest at the same time as his older brother Georg in 1951, and began teaching theology at Freising College in 1958. He was made pope in April 2005.

Chancellor Angela Merkel said on Monday the German-born pope deserved "respect" and "gratitude" for his nearly eight years as pontiff.

"If the pope himself decided after considerable reflection that his strength no longer enabled him to carry out his duties, that has my deepest respect," Merkel said a press conference in Berlin.

She paid tribute to his work in reaching out to other churches and other religions, including Jews and Muslims. Merkel, the daughter of Protestant pastor, said the pope had "touched the heart of believers" on his trips to his ancestral homeland and that his address to the German parliament in 2011 was "still remembered."

"He is and remains one of the most significant religious thinkers of our time. As chancellor I thank him for his efforts and wish him from my heart all the best for the coming years."

The 85-year-old Benedict is only the second pope in history to resign.

His brother Georg Ratzinger said the pope had been advised against making any further transatlantic trips and that he had been considering stepping down for months.

"My brother wants more rest while getting older," Ratzinger said, adding it was a "natural process."

The pope is expected to live out his days in cloister inside the Vatican monastery.

Germany's pope
Joseph Ratzinger gained a reputation as a Church conservative while serving as the head of doctrinal matters for his predecessor Pope John Paul II.

His appointment as pontiff excited German Catholics, who hoped it would re-energize the Church.

Germany's biggest newspaper Bild famously put "Wir sind Papst!" ("We are Pope!") on its front page at the time.

However, Benedict's decision to rehabilitate a breakaway group of fundamentalist Catholics that included a well-known Holocaust denier would infuriate many Germans and even spark a rare rebuke from Merkel.

The pope was also criticized for not doing enough to stop child abuse by Catholic priests while he was archbishop of Munich.

But across Germany on Monday, tributes to Benedict far outweighed criticism of his tenure at the head of the Church.

"Pope Benedict has given the entire world a shining example of the true understanding of responsibility and and vibrant love of the Church," said Archbishop Robert Zollitsch, head of the Germany Bishops' Conference.

"We German bishops thank the Holy Father for his service on the Chair of St. Peter and are filled with great respect and awe by his decision."

venerdì 4 gennaio 2013

The outbreak of measles in Sindh, which has killed 210 children (more than half in the last three months of 2012), have prompted calls from health experts to look into the inefficient state vaccination machinery.


Calling it an epidemic, with very few under five getting measles shots, paediatrician Dr D.S. Akram, who works extensively in Sindh’s interior through HELP, a non-governmental organisation, said the deaths due to measles was a reflection of the gross “mismanagement” that exists in the government-run routine immunisation for children.
“Pakistan’s routine immunisation coverage is close to 65 per cent with only some important cities of Punjab recording a better performance,” said the World Health Orgnaistaion’s representative in Pakistan, Dr Guido Sabatinelli. According to the global health agency, the huge difference in routine immunisation coverage between the provinces, districts and cities was at the root of the current measles outbreak.
A contagious respiratory infection, caused by a virus, measles can cause lifelong disabilities and include brain damage and blindness. A small number of unvaccinated children can pose a danger to thousands of children.
It was a leading killer of children globally accounting for over 40 per cent of the 4.1 million annual deaths in 2002. But as a result of major national immunisation drives, worldwide measles deaths fell from 871,000 in 1999 to an estimated 454,000 in 2004, a dramatic plunge of 48 per cent.
However, in developing countries, it still remains a major killer, though it doesn’t have to be. To ward off the disease all it takes is two doses of an inexpensive, safe and available measles vaccine available since 1960.
Akram blamed the low coverage of routine immunisation in northern Sindh for the outbreak and warned that the disease was spreading in the urban metropolis of Karachi as well where routine immunisation coverage was reportedly as low as 55 per cent. In Sindh’s interior it stands at a dismal 22 to 25 per cent.
Officially the figure for Sindh is stated to be over 80 per cent, which Dr Zulfiqar Ahmed Bhutta, founding chair of women and child health at the Aga Khan University, Karachi, says is nothing but humbug. “If the coverage had been this high, so many deaths due to measles would not have occurred,” he pointed out.
GAVI Alliance has been assisting Pakistan since 2001 in increasing access to and strengthening the routine immunisation system.
Bhutta said the government figures were inaccurate as surveys led by several investigators from AKU in Karachi and nationally had given a “completely different picture”, which is now being acknowledged by all concerned.
“A national immunisation coverage survey conducted in 2011 and which included not just verbal reports and documentation of immunisation cards but also blood testing (for tetanus and measles) showed that only 50 to 55 per cent of infants were protected using antibodies,” said Bhutta. He warned the dismal vaccination coverage foretells that “an evolving disaster is waiting to happen”.
According to Bhutta, a member of the independent expert review group for maternal and child health for the United Nations Secretary-General, countries in South Asia like Bangladesh, Nepal and India have largely eradicated measles. “Even Afghanistan has not seen any major measles outbreaks recently. Are we now to be placed at par with the worst sub-Saharan African countries, as many countries in Africa have dramatically reduced measles mortality?” he wondered aloud.
The same was corroborated by Qadir Baksh Abbasi, the focal person for measles in the Expanded Programme on Immunisation.
“It is the responsibility of the provinces after the devolution. However, as a parent body, the centre provided the vaccine and all logistical support to Sindh back in 2010 -2011, but the province never bothered to inoculate the children. Did anyone ask where did all the vaccine go? So much money was spent, all to naught!” he said adding: “We can only request them to get their act together by showing them figures and facts; we cannot dictate them or take them to task!”
Abbasi, who has been with the EPI for over 25 years is also alarmed by the re-emergence of diphtheria in Khyber Pakhtunkhwa, which should come as a warning for government health practitioners. “That diphtheria had almost been eliminated and its re-surfacing does not portend well” he said with concern.
To stop the outbreak, the EPI has already began a measles campaign in eight districts of Sindh including Jacobabad, Kahmore, Shikarpur, Kambhar, Larkana, Khairpur, Gothki and Sukkur where children between the ages of nine months to 10 years will be vaccinated. According to World Health Organisation spokesperson, Maryam Younas, a total of 1,300,000 vaccine doses have been sent to the target population of 2,911,081. In addition, Vitamin A will be provided to all vulnerable children during the vaccination campaign.
The outbreak in Sindh, according to Akram can also be attributed to the increased malnourishment that has been observed in children who are more susceptible to measles and the resulting complications like pneumonia and diarrhoea.
A survey conducted by the Sindh government in 2010 with support from United Nations Children’s Fund (UNICEF) revealed a grave nutritional crisis among children.
With an estimated 90,000 under-five children malnourished, the survey report published in January 2011 showed a global acute malnutrition (GAM) rate of 23.1 per cent in children aged six months to five years old in northern Sindh and 21.2 per cent in southern Sindh.
The National Nutrition Survey 2011 carried next confirmed the Sindh government’s survey. The national rate of stunting was found to be 43 per cent with Sindh standing at 70 per cent. Wasting in Sindh was found at 19.4 per cent against the overall national rate of 16.8 per cent.
In addition, things are not looking good for newborns, many of whom have not been immunised for BCG “due to ineffective outreach activities” said Akram.
Questioning the entire vaccine machinery under the EPI, Akram said: “Either the BCG vaccine is not available, or the field workers were not doing their job.” She also questioned the maintenance of cold chain and the political recruitment of health workers in some instances.
Further, there are reports that vaccinators are facing resistance with parents are refusing to get their children vaccinated for measles.
“This couldn’t be farthest from the truth,” said Bhutta. “We have undertaken qualitative studies on vaccinations in general all over Pakistan and nowhere have we encountered substantive refusals for injectable vaccines.” He said adding that in most instances people complain of unavailability of vaccines or vaccinators not coming to vaccinate children regularly.
However, Akram said the resistance can easily be tackled through training lady health workers to vaccinate and to counsel and educate parents about the side effects. “If there are refusals to vaccinations it is because parents feel the child develops fever; by forewarning parents and giving a Calpol to bring the fever down is all that is needed for the smooth running of routine immunisation,” she said.
Many experts have, over the years, said routine immunisation coverage has suffered due to the attention given to one disease – polio. “There should be a balance,” pointed out Abbasi, adding: “There are other debilitating childhood diseases that need equal attention.”
Bhutta also agreed with the mismatch between the resources available for the polio programme and routine immunisations. “There is a lot of talk of eradicating polio, but never of strengthening routine immunisation; why can’t the two be given the same importance?” he failed to understand. What is worse, he said, those at the helm of affairs at the finance ministry and the federal planning commission had washed their hands off social sector development issues completely

venerdì 21 dicembre 2012

May Peace and Happiness be with you at this holy Chirstmas Season and always.
                                                                                                               YMMWF PAKISTAN


 
 
 

Merry Christmas and Happy New Year

lunedì 15 ottobre 2012

BIRMINGHAM: 14-year-old Malala Yousafzai




BIRMINGHAM: 14-year-old Malala Yousafzai, who was shot in the head by the Taliban has every chance of making a “good recovery”, British doctors said on Monday as the Pakistani school girl arrived at a hospital in central England for treatment of her severe wounds.
Malala, who was shot for advocating education for girls, was flown from Pakistan to receive specialist treatment at Birmingham’s Queen Elizabeth Hospital at a unit expert in dealing with complex trauma cases that has treated hundreds of soldiers wounded in Afghanistan.
“Doctors…believe she has a chance of making a good recovery on every level,” said Dr Dave Rosser, the hospital’s medical director, adding that her treatment and rehabilitation could take months.
He told reporters that Malala, whose shooting has drawn widespread condemnation, had not yet been assessed by British medics but said she would not have been brought to Britain at all if her prognosis was not good.
TV footage showed a patient, believed to be the schoolgirl, being rushed from an ambulance into the hospital surrounded by a large team of medical staff.
She will now undergo scans to reveal the extent of her injuries, but Rosser said they could not provide any further details without her agreement.
Pakistani surgeons removed a bullet from near her spinal cord during a three-hour operation the day after the attack last week, but she now needs intensive specialist follow-up care.
They have said Malala needs treatment for a damaged skull and “intensive neuro-rehabilitation.”
British Foreign Secretary William Hague said the “barbaric” attack on Malala had “shocked Pakistan and the world.” “Malala will now receive specialist medical care in an NHS (National Health Service) hospital,” he said.
“The public revulsion and condemnation of this cowardly attack shows that the people of Pakistan will not be beaten by terrorists.” Security concerns meant Malala’s departure after daybreak from Islamabad Airport – in an air ambulance provided by the United Arab Emirates – was not announced until the plane was airborne.
Malala, who had been treated in a Pakistani military hospital, was accompanied on the plane by an intensive care specialist.
Asked if Malala will be guarded at the Birmingham hospital, Cameron’s spokeswoman said: “You wouldn’t expect me to talk about security matters in detail but certainly security has been taken into account.”
The shooting has been denounced worldwide and by Pakistan, which has said it will do everything possible to ensure Malala recovers and will meet all the costs of her treatment.
The cold-blooded murder attempt has sickened Pakistan, where Malala came to prominence with a blog for the BBC highlighting atrocities under the hardline Islamist Tehrik-i-Taliban Pakistan (TTP), who terrorised the Swat valley from 2007 until an army offensive in 2009.
Activists say the shooting should be a wake-up call to those who advocate appeasement with the Taliban, but analysts suspect there will be no significant change in a country that has sponsored radical Islam for decades.
On Sunday, around 10,000 people gathered in Karachi for a rally in support of Malala, organised by the Muttahida Qaumi Movement (MQM).
But right-wing and conservative religious leaders have refrained from publicly denouncing the Taliban. They have warned the government against using the attack on Malala as a pretext for an offensive in the militant bastion of North Waziristan.
The United States has long called on Pakistan to wage an operation in the district, considered the leadership base of the Haqqani network – blamed for some of the deadliest attacks in Afghanistan – as well as a Taliban stronghold.
Malala was first airlifted from Swat to a military hospital in the northwestern city of Peshawar, then to the country’s top military hospital in Rawalpindi, where doctors on Sunday took her off a ventilator for a “successful” short trial.
The army said a panel of Pakistani doctors and international experts agreed Malala needed “prolonged care to fully recover from the physical and psychological effects of trauma that she has received.”
It is also expected that damaged bones in her skull will need to be repaired, and that she will need “long-term rehabilitation, including intensive neuro-rehabilitation.”
Schools and mosques across Pakistan have held special prayers for Malala.
Pakistan has offered more than $100,000 for the capture of her attackers.
A senior police official told AFP that investigators have questioned dozens of suspects, but that the hunt for the main culprits was continuing.
Ahmad Shah, police station chief in the town of Mingora where Malala was shot, has said nearly 200 people were detained including the bus driver and a school watchman, but most have been released.

martedì 2 ottobre 2012

100,000 children are born with heart in Pakistan

 
 
 
 
KARACHI, September 27: About 100,000 children are born in Pakistan with cardiovascular diseases and die during infancy because they are not diagnosed or treated properly in time.
A panel of national and international experts addressed these issues at 9th International Symposium of the Pakistan Paediatric Cardiology Society.
“Factually about 60,000 children are born every year with congenital heart diseases and the number increases every year, but there are many cases which go undetected,” said the convener of the symposium, Prof. Najma Patel, of the National Institute of Cardiovascular Diseases.
There are children who acquire heart diseases as rheumatic heart disease and myocarditis and over 5,000 cases of congenital and acquired heart diseases are registered every year at the institute. Paediatric cardiology and surgery facilities have been available in Pakistan since the 1980s and nowadays, there is a paediatric cardiology centre in every major city of Pakistan. “But, cases are only registered when they develop complications because people and the medical community, including family physicians, have a poor understanding of the symptoms of such ailments,” she said.
Prof. Patel suggested that giving penicillin to children when they complain of a sore throat is one way to prevent acquired and rheumatic heart disease.