Sri Lanka’s healthcare in distress as doctors leave for Middle East, other countries

Sri Lanka’s healthcare in distress as doctors leave for Middle East, other countries
The working conditions and little hope for improvement have lately forced hundreds of medical professionals to leave Sri Lanka. (AFP file photo)
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Updated 29 October 2022

Sri Lanka’s healthcare in distress as doctors leave for Middle East, other countries

Sri Lanka’s healthcare in distress as doctors leave for Middle East, other countries
  • At least 500 doctors from state medical institutions have migrated abroad in the first eight months of 2022
  • Medical professionals have been sounding alarm, saying they are struggling to provide treatment to patients

COLOMBO: After they lost access to most medicine and medical supplies when their country spiraled into a financial crisis earlier this year, Sri Lankans are now also losing doctors as many migrate to the Middle East and Western countries with more opportunities.

People have been struggling with daily power cuts and shortages of basic commodities amid the worst economic crisis since Sri Lanka gain independence from the British in 1948. The island nation of 22 million officially defaulted in April, and without foreign currency reserves was left unable to pay for imports.

Medical professionals in the country that relies on imported drugs for about 85 percent of its pharmaceutical needs have been sounding the alarm for months, saying they are struggling to provide timely and adequate treatment to patients.

The working conditions and little hope for improvement have lately forced hundreds of them to leave, and according to Sri Lanka’s Foreign Employment Bureau the exodus is an increasing trend.

“There is a rising trend in professionals moving out of the island in search of greener pastures because of the current situation in the country,” the bureau’s general manager Priyantha Senanayake told Arab News earlier this week. “A good number of doctors too have left.”

Data from the Government Medical Officers’ Association shows that at least 500 doctors from state medical institutions have migrated abroad in the first eight months of 2022.

But the real number may be much higher. Dr. Ruvaiz Haniffa, former president of the Sri Lanka Medical Association, said at least 100 more doctors working in the private sectors have left too, while those who traveled for training and have not returned have yet to be counted.

“We do not have an accurate estimate of doctors sent by the state for overseas training on state expense who have decided not to return at least for the foreseeable future,” he told Arab News.

“For postgraduate studies they mainly go for Australia, New Zealand and Singapore. For employment to Australia, UK and New Zealand. Middle grade doctors mainly go for employment to countries in the Middle East especially Oman and UAE.”

And there was no way to prevent them from leaving, Dr. Haniffa added.

“The government, while being aware of this massive brain drain, is not proactively or even reactively trying to stem this not because it does not want to, but simply because it can’t.”

While official estimates are not yet exact, the magnitude of the situation can be illustrated by the fact that Sri Lanka has already lost 25 percent of specialists treating kidney diseases.

“Out of the 40 nephrologists in Sri Lanka, 10 have left the country,” said Omar Sheriff, general manager for Western Hospital in Colombo, the main kidney transplantation center in Sri Lanka.

“Most of them are going to the UK because they can not only get more lucrative income but also continue their higher studies.”

The possibility to progress in their career is for specialists one of the main forces motivating them to migrate as they do not see this chance coming to their crisis-hit country anytime soon.

A doctor from a leading government hospital in Colombo, who requested not be named, said that the medical profession has lately been “downgraded to a lower level in the society.”

With no supplies to perform their duties, medics have been under increasing pressure and facing increasing stress in a situation where their hands are tied.

“There is a dearth of important medicines to treat people,” the doctor said. “It’s a sorry state of affairs.”


Along Ukraine-Belarus border, a war of nerves — and drones

Along Ukraine-Belarus border, a war of nerves — and drones
Updated 8 sec ago

Along Ukraine-Belarus border, a war of nerves — and drones

Along Ukraine-Belarus border, a war of nerves — and drones
BELARUS BORDER, Ukraine: The reconnaissance drones fly several times a day from Ukrainian positions deep inside the thick forest that marches across the border into Belarus, a close Russian ally, scouring sky and land for signs of trouble on the other side.
Ukrainian units are monitoring the 1,000-kilometer (650-mile) frontier of marsh and woodland for a possible surprise offensive from the north, a repeat of the unsuccessful Russian thrust toward Kyiv at the start of the war nearly a year ago.
This time the Ukrainians are taking no chances. Since the summer they have been reinforcing defenses, building and expanding trenches and laying mines in the forest ahead of the springtime offensive military officials expect. Residents of villages in the region that were temporarily occupied last year are horrified by the prospect of it all starting again.
“We’re listening out for every small sound and noise. This isn’t a way to live,” said Valentina Matveva, 64, from the village of Ripke. “When you’re in constant fear, that’s not life.”
Concerns of a renewed military push were stirred in January after Russia and Belarus held joint air force drills, one month after a rare visit by Russian President Vladimir Putin to Minsk.
Military experts and Western intelligence have played down the possibility of a renewed northern offensive. The British Defense Ministry tweeted on Jan. 11 that Russian aircraft and existing Russian troops in Belarus, though numerous, are “unlikely to constitute a credible offensive force.”
Belarusian officials attribute the troop deployment along the border to “strategic deterrence” according to local reports. The country’s authoritarian president, Alexander Lukashenko, has insisted he will not send troops to Ukraine.
But Ukrainian commanders are wary, remembering how Russia used Belarus as a launching pad in early 2022.
“We continuously monitor the enemy from the ground and observe the movement of troops, if they are moving, how many troops, and where they are moving,” the area’s army intelligence unit head said during a press tour this week a few kilometers from the border. The officer only identified himself by his first name, Oleksandr, citing security reasons.
Unlike the east with its devastating artillery duels, here in the north it’s largely a war of quadcopters.
Oleksandr said the Belarusians and Russians are “constantly monitoring our guard changes, trying to find our military’s positions.”
At times, Oleksandr’s unit detects enemy reconnaissance drones and shoots them down using anti-drone rifles. Or an enemy drone detects a Ukrainian one and tails it, at which point the Ukrainians try to capture and add it to their stock.
“We got four of their drones this way recently, and they took two of ours,” Oleksandr said.
He says the reconnaissance missions have revealed no sign of worrying activity — yet. “They have a reinforcement section, and the patrol has been strengthened, but we do not observe a significant accumulation of troops from our section,” he said.
Ukraine’s Lt. Gen. Oleksii Pavlyuk, who is responsible for Kyiv province, was quoted in local reports as saying his country was preparing for a possible fresh attack through Belarus. “We’ve created a group on the border with Belarus, which is ready to meet the enemy with dignity,” he was quoted as saying.
Ukrainian officials argue that no one can know how Moscow will move in the coming months, and that a state of alert is necessary along the border.
“The (fortifications) were made to prevent re-infiltration,” said Oleksandr, “Whether it will happen or not, we must always be ready.”
Ukrainian soldiers armed with machine guns stand in five-foot-deep trenches dug into the forest floor and reinforced with planks.
A local villager briskly cycles past. Memories here are still fresh from the temporary occupation when Russian troops attempted to lay siege to the main city of Chernihiv. They withdrew on April 3 as Moscow switched its focus to Ukraine’s eastern provinces.
But despite the Russian-Belarusian drills, there’s also hope.
“The first time they invaded, we didn’t have the weapons and the army (at the border),” said Hanna Pokheelko, 66, from the village of Koluchivka. “But this time we do.”
Attack or no attack, Olena, from the village of Novi Yarylovychi, fears the border situation means she may never see her mother, brother and two sisters living just 3 kilometers (1.8 miles) away in a village inside Belarus.
“I can’t believe they are so close and I can’t see them,” said the 63-year old, who is a Belarusian by birth but married into a Ukrainian family and who didn’t give her full name out of concerns for her family.

IMF giving Pakistan tough time in ‘unimaginable’ economic crisis — PM

IMF giving Pakistan tough time in ‘unimaginable’ economic crisis — PM
Updated 41 min 1 sec ago

IMF giving Pakistan tough time in ‘unimaginable’ economic crisis — PM

IMF giving Pakistan tough time in ‘unimaginable’ economic crisis — PM
  • Local currency at record low after being in free fall
  • Foreign reserves down less than three weeks import cover

ISLAMABAD: Pakistan Prime Minister Shehbaz Sharif said on Friday the International Monetary Fund was giving his country a tough time over unlocking stalled funding from a $6.5 billion bailout, at a time of “unimaginable” economic crisis.
Hours after his remarks, the Pakistani rupee hit a record low against the US dollar in a steep slide since last week.
Sharif made the comments in a meeting of civil and military leaders in the northwestern city of Peshawar he chaired to prepare a response to Monday’s mosque bombing that killed more than 100 people.
“Our economic situation is unimaginable,” the premier said. “As you know, the IMF mission is in Pakistan, and that’s giving us a tough time,” he said.
“You all know we are running short of resources,” Sharif said, adding Pakistan “at present was facing an economic crisis.”
IMF’s Pakistan representative did not immediately respond to Reuters request for comment.
Sharif made the remarks in the context of funds the country might need for any military or counter-terrorism response to the resurgent Islamist militancy.
FREE FALL
The IMF mission is visiting Pakistan to discuss fiscal consolidation measures the institution needs from Pakistan to clear a 9th review of its Extended Fund Facility, aimed at helping countries facing balance-of-payments crises.
Pakistan’s central bank reserves at present stand at $3.09 billion, the lowest since 1998 and not enough to cover the cost of three weeks of imports.
The IMF’s demands aimed at controlling the country’s budget deficit have led to Pakistan leaving its currency to market based exchange rates and hiking fuel prices.
The Pakistani rupee fell by 1.9 percent to a record low of 276.58 per dollar in the inter-bank market on Friday, according to the central bank.
The local currency has dropped 16.5 percent since the artificial cap was removed last week to leave the rupee’s value to be decided by a market-based exchange rate regime.
The rupee also shed 2.65 percent against the US dollar on the open market, according to the association of exchange companies.
Islamabad is in a $6.5 billion IMF program.
An IMF delegation is in Pakistan to restart talks stalled since November for $2.5 billion funds yet to be disbursed.
Still, despite the economic situation, Sharif said his country will do whatever possible to fight militancy.
“We will use all resources in our capacity to fight this menace,” he said.

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Man detained on French high-speed TGV after attack threat

Man detained on French high-speed TGV after attack threat
Updated 03 February 2023

Man detained on French high-speed TGV after attack threat

Man detained on French high-speed TGV after attack threat
  • The individual’s mental health was being investigated

BRUSSELS: A man was arrested after threatening to commit an attack while traveling on a high-speed TGV train in eastern France on Friday.
Police sources said the individual threatened to blow up himself or the train. There was no immediate suspicion that terrorism was a motive and the individual’s mental health was being investigated, they added.
“This morning, a police officer ... arrested a threatening individual on board a TGV in Moselle. Kudos to him!” Interior Minister Gerald Darmanin said on Twitter.
The officer was off duty at the time, the police sources said. Off-duty policeman are allowed in France to carry a firearm on trains as part of a “traveling to protect” government scheme.


21 dead in attack in South Sudan on eve of Pope’s visit

21 dead in attack in South Sudan on eve of Pope’s visit
Updated 03 February 2023

21 dead in attack in South Sudan on eve of Pope’s visit

21 dead in attack in South Sudan on eve of Pope’s visit
JUBA: At least 21 people have been killed in a cattle raid in South Sudan on the eve of a visit by Pope Francis to encourage peace in the conflict-ridden country, local authorities said.
Francis is scheduled to arrive on Friday for a three-day “pilgrimage of peace” with the Archbishop of Canterbury and the Moderator of the General Assembly of the Church of Scotland.
The church leaders are seeking to promote reconciliation and forgiveness in a predominantly Christian country still burdened by chronic armed violence in the aftermath of a civil war.
On Thursday, armed herders killed 21 civilians in a reprisal attack on a rival cattle camp in Kajo-Keji County of Central Equatoria, the county commissioner’s office said.
“The commissioner of Kajo-Keji County condemns in the strongest terms possible the attack on the cattle camp and the massacre of the innocent civilians in the barbaric act of revenge,” its statement issued on Thursday said.
Justin Welby, the Archbishop of Canterbury, said he was “horrified” by the attack on the eve of his visit.
“It is a story too often heard across South Sudan. I again appeal for a different way: for South Sudan to come together for a just peace,” he posted on Twitter on Thursday.
South Sudan achieved independence from Muslim-majority Sudan in 2011 but soon after plunged into civil war that left 380,000 people dead.
The war formally ended in 2018 but the nation remains plagued by violence waged by well-armed local militias and rival ethnic groups.
This week, the United Nations Mission in South Sudan (UNMISS), the United States and other foreign missions raised concerns over signs that armed factions were preparing to fight again in Upper Nile.
The state in the country’s north has witnessed some of the most ferocious armed violence in South Sudan in recent months, with thousands of civilians seeking protection on UN bases.
“With the historic visit of His Holiness Pope Francis, the Archbishop of Canterbury and the Moderator of the Church of Scotland to South Sudan expected to take place this week, UNMISS appeals to national and community leaders to exercise restraint and commit to peace and dialogue,” it said in a statement.

After Netanyahu talks, Macron warns of Iran nuclear ‘consequences’

After Netanyahu talks, Macron warns of Iran nuclear ‘consequences’
Updated 03 February 2023

After Netanyahu talks, Macron warns of Iran nuclear ‘consequences’

After Netanyahu talks, Macron warns of Iran nuclear ‘consequences’
  • Macron warned that Tehran continuing with the atomic project “would inevitably have consequences”

PARIS: French President Emmanuel Macron on Thursday denounced the “headlong rush” of Iran’s nuclear program after talks with Israeli Prime Minister Benjamin Netanyahu, who was in Paris to seek a stronger European stance against Tehran.
In a statement released after a dinner meeting in the Elysee Palace, Macron warned that Tehran continuing with the atomic project “would inevitably have consequences.”
Both leaders discussed ways to counter “the Iranian nuclear threat” and Netanyahu stressed the need for more “deterrence against Iran and its proxies in the Middle East,” the Israeli embassy said.
Israel has long accused Iran of seeking a nuclear weapon but Tehran insists its nuclear program is aimed solely at generating energy.
Netanyahu hopes Iran’s role in supplying drones to Russian invaders in Ukraine, as well as its crackdown on protests at home, will prompt Western allies to drop any bid to revive a 2015 atomic program deal.
The prime minister has also said Israel is considering sending military aid to Ukraine, apparently dropping its more neutral stance over the conflict in the hope of securing a more confrontational Western position toward Tehran.
By “playing the Ukraine card,” Netanyahu hopes to “consolidate an anti-Iranian front” with the West, said David Khalfa at the Fondation Jean Jaures, a Paris-based think tank.
He hopes for “increased sanctions against Iran and the full addition of the Revolutionary Guards to the list” of sanctioned entities, a step France and Germany have so far resisted, Khalfa added.
During his meeting with Macron, Netanyahu urged “substantial sanctions to be imposed on the Iran regime and called for the Revolutionary Guards to be added to the European Union’s terror list,” the Israeli embassy said.
France agrees that “firmness” is needed in dealings with Iran, a diplomatic source told AFP earlier, saying the nuclear program had reached “a dangerous point” and highlighting Tehran’s role in the Ukraine war.
Siding with Ukraine is not without risk for Netanyahu, as Russian air defenses in neighboring Syria could be turned against Israeli aircraft during their occasional raids on Iranian interests there.
Iran also holds several foreign citizens who are considered political hostages by Western governments.
Netanyahu’s visit came after a weekend drone attack on a defense ministry facility in the Iranian city of Isfahan, which Tehran has blamed on Israel.
The New York Times and The Wall Street Journal, citing unnamed officials, have said the attack was carried out by Israel’s Mossad intelligence agency, though this has not been confirmed by Israel.
Netanyahu’s visit came as violence intensified between Israelis and Palestinians with Israeli war planes striking the Gaza Strip early Thursday, drawing Palestinian rocket fire in retaliation.
Last Friday, a Palestinian gunman shot dead seven people outside a synagogue in an Israeli settler neighborhood of annexed east Jerusalem.
It was the deadliest attack targeting Israeli civilians in more than a decade, and came one day after an Israeli raid in the West Bank killed 10 Palestinians.
Macron on Thursday reiterated “the importance of avoiding any measure that could feed the cycle of violence” between Israelis and Palestinians, while offering “France’s complete solidarity with Israel in its fight against terrorism, the French presidency said.
Staying in France until Saturday, Netanyahu is also set to meet French business chiefs and leaders of the country’s Jewish community, the Israeli embassy said.
Judicial reforms planned by the prime minister’s latest coalition of right-wing, far-right and ultra-Orthodox Jewish parties have raised the hackles of some business executives, notably in the financial sector, who have threatened to quit Israel.