Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system

Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system
In this photo provided by the Gokdeniz family, Burcu Gokdeniz holds her newborn baby Umut Ali Gokdeniz for the first time moments after the preterm birth in Istanbul, Turkey, on Aug. 25, 2020. (Gokdeniz family via AP)
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Updated 02 November 2024
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Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system

Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system
  • Turkish prosecutors have accused 47 doctors and other medical workers of neglect or malpractice in the deaths of 10 newborns since last year
  • Prosecutors say that the evidence clearly shows medical fraud for profit, although they haven’t said how much the defendants allegedly earned

ANKARA, Turkiye: The mother thought her baby looked healthy when he was born 1.5 months early, but staff swiftly whisked him to the neonatal intensive care unit.
It was the last time Burcu Gokdeniz would see her baby alive. The doctor in charge told her that Umut Ali’s heart stopped after his health deteriorated unexpectedly.
Seeing her son wrapped in a shroud 10 days after he was born was the “worst moment” of her life, the 32-year-old e-commerce specialist told The Associated Press.
Gokdeniz is among hundreds of parents who have come forward seeking an investigation into the deaths of their children or other loved ones since Turkish prosecutors accused 47 doctors, nurses and ambulance drivers and other medical workers of neglect or malpractice in the deaths of 10 newborns since last year.
Turkiye guarantees all citizens health care through a system that includes both private and state institutions: The government reimburses private hospitals that treat eligible patients when the public system is overwhelmed.
President Recep Tayyip Erdogan’s ruling party, in power since 2002, has promoted the expansion of private health care facilities to improve access in the country of 85 million people. The case of the newborn deaths has put for-profit health care for the country’s most vulnerable — newborns — into the most horrifying light imaginable.
The medical workers say they made the best possible decisions while caring for the most delicate patients imaginable, and now face criminal penalties for unavoidable unwanted outcomes.
Shattered parents say they have lost trust in the system and the cases have prompted so much outrage that demonstrators staged protests in October outside hospitals where some of the deaths occurred, hurling stones at the buildings.
After the scandal emerged, at least 350 families petitioned prosecutors, the Health Ministry or the president’s office seeking an investigation into the deaths of their loved ones, the state-run Anadolu Agency reported.
 




In this photo provided by the Eskici family, Eymen, the newborn son of Ozan Eskici and Ebru Eskici, lays in an incubator in the now closed Istanbul's Reyap Hospital neonatal intensive care unit in April 2019. (Eskici family via AP)

The prosecution’s case
Prosecutors are demanding up to 583 years in prison for the main defendant, Dr. Firat Sari, who operated the neonatal intensive care units of several hospitals in Istanbul. Sari is charged with “establishing an organization with the aim of committing a crime,” “defrauding public institutions,” “forgery of official documents” and “homicide by negligence.”
Prosecutors say that the evidence clearly shows medical fraud for profit, although they haven’t said how much the defendants allegedly earned. An indictment issued this month accused the defendants of falsifying records, and placing patients in the neonatal care units of some private hospitals for prolonged and sometimes unnecessary treatments in facilities unprepared to treat them.
The indictment and the testimonies of nurses who have come forward suggest that the newborns were sometimes transferred to hospitals that were understaffed and had outdated equipment or insufficient medicine.
The indictment and testimonies also claim that the defendants withheld treatment and gave false reports to parents in order to keep hospital stays long as possible and to embezzle the social security system out of more money. The indictment alleges that the long-term stays coupled with patient mistreatment resulted in babies’ deaths.
The prosecutor’s office included hundreds of pages of transcripts of audio recordings in the indictment but the recordings themselves were not made available to the public.
In one of the transcripts, a nurse and a doctor talk about how they mishandled the treatement of a baby and agree to fake the the hospital record. The transcript describes the nurse as saying: “Let me write in the file the situation worsened, and the baby was intubated.”
Suspect Hakan Dogukan Tasci — a male nurse — is described as accusing Sari of compromising patient care by leaving just him in charge at the hospital instead of having a doctor present in the intensive care unit.
Tasci is also described as accusing an ambulance driver, who is among the 47 who have been charged in the scandal, of transferring babies to some hospitals for “profit.”
“He does not check whether the hospital is suitable for these newborn babies or not, he risks the lives of the babies and sends them to hospitals just to make money,” the indictment quotes the male nurse as saying.
In an interview with the Turkish newspaper BirGun, Dr. Esin Koc, president of the Turkiye Neonatology Association, said that the private hospitals in the indictment most likely had “insufficient staff.”
“They made it seem like there were doctors who didn’t exist,” she told BirGun.
She said that her association conducted inspections of the neonatal intensive care units of private, state and university hospitals in about 40 hospitals in 2017 and while university and state hospitals were good, “there were problems in private hospitals at that time.”
Years without a family, then a death
After years of fertility treatment, Ozan Eskici and his wife welcomed twins — a boy and a girl — to one of Sari’s hospitals in 2019. Although the babies initially appeared to be healthy, both were admitted to intensive care. The girl was discharged after 11 days, but the boy died 24 days later.
During questioning by prosecutors, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.
He told prosecutors: “Everything is in accordance with procedures.”
This week, a court in Istanbul approved the indictment and scheduled the trial date for Nov. 18 in a case that whose defendants are increasingly isolated.
Lawyer Ali Karaoglan said he and two other attorneys who represented Sari during the investigation have recently withdrawn from the case. And authorities have since revoked the licenses and closed nine of the 19 hospitals implicated in the scandal, including one owned by a former health minister.
The scandal has led main opposition party leader Ozgur Ozel to call for all hospitals involved to be seized by the state and nationalized. Erdogan said those responsible for the deaths would be severely punished but warned against placing all blame on the country’s health care system.
“We will not allow our health care community to be battered because of a few rotten apples,” Erdogan said, calling the alleged culprits “a gang of people devoid of humanity.”
“This gang ... committed such despicable atrocities by exploiting the facilities provided by our state to ensure citizens with higher quality and more accessible, affordable health care,” Erdogan said.
No more trust in the system
Gokdeniz, who gave birth in 2020, said she trusted Sari and accepted her son’s death as natural until she watched the scandal unfold in TV news and on social media.
“It all started to fall into place like dominoes,” she said.
Eskici, too, had placed complete trust in Sari, whose assurances he now views as cruel deceptions.
“The sentences he told me are in front of my eyes like it was yesterday,” he said.
Sibel Kosal, who lost her baby daughter Zeynep at a private hospital in 2017, is also seeking answers. She says the scandal has shattered her trust in the health care system and left her in constant fear for her surviving children.
“They have ruined a dad and a mom,” she said.
Kosal pleaded to the authorities to take immediate action.
“Don’t let babies die, don’t let mothers cry,” she said. “We want a livable world, one where our children are safe.”
 


At least nine die, six missing as migrant boat sinks off Tunisia

Updated 17 sec ago
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At least nine die, six missing as migrant boat sinks off Tunisia

At least nine die, six missing as migrant boat sinks off Tunisia
The coast guard has so far rescued 27 people
The boat had been carrying at least 42 people when it sank

TUNIS: Tunisia’s coast guard has recovered the bodies of nine migrants while six others are still missing after their boat sank off the Tunisian coast, a judicial official said on Thursday, in the latest migrant boat disaster in the Mediterranean.
The coast guard has so far rescued 27 people who were on the boat when it broke down and took on water due to bad weather. According to survivors’ testimonies, the boat had been carrying at least 42 people when it sank.
Judge Farid Ben Jha told Reuters that a search was underway for at least six migrants who had been on the boat when it sank off the coast of Chebba.
All the migrants on the boat were from sub-Saharan African countries.
Tunisia is grappling with an unprecedented migration crisis and has replaced Libya as the major departure point for both Tunisians and people from elsewhere in Africa seeking a better life in Europe.

Pope meets Palestinian leader Abbas at the Vatican

Pope meets Palestinian leader Abbas at the Vatican
Updated 12 December 2024
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Pope meets Palestinian leader Abbas at the Vatican

Pope meets Palestinian leader Abbas at the Vatican
  • The pair, who have previously met several times, discussed peace efforts during a private half-hour audience according to the Vatican
  • Abbas then met the Holy See’s Secretary of State Cardinal Pietro Parolin and the Vatican’s equivalent of a foreign minister, Paul Richard Gallagher

VATICAN CITY: Pope Francis, who has recently intensified criticism of the Israeli offensive in Gaza, on Thursday received Palestinian president Mahmud Abbas, with whom he discussed the “serious” humanitarian situation.
The pair, who have previously met several times, discussed peace efforts during a private half-hour audience according to the Vatican, which released images of them smiling together.
Abbas then met the Holy See’s Secretary of State Cardinal Pietro Parolin and the Vatican’s equivalent of a foreign minister, Paul Richard Gallagher.
The discussions focused on the Church’s assistance in “the very serious humanitarian situation in Gaza,” the hoped-for ceasefire, release of all hostages, and “achieving the two-state solution only through dialogue and diplomacy,” a Vatican statement said.
The meeting comes a few days after the release of a photo showing Pope Francis praying in front of a nativity scene at the Vatican, where the baby Jesus’s manger is covered with a black and white keffiyeh scarf, the symbol of Palestinian resistance.
The photo prompted a protest from the Israeli embassy to the Holy See, which asked for the keffiyeh to be removed, diplomatic and Vatican sources told AFP.
Francis has called for peace since Hamas’s unprecedented attack against Israel on October 7, 2023, and the Israeli retaliatory campaign in Gaza.
In recent weeks he has hardened his remarks against the Israeli offensive.
At the end of November, he said that “the invader’s arrogance... prevails over dialogue” in “Palestine,” a rare position that contrasts with the tradition of neutrality of the Holy See.
In extracts from a forthcoming book published in November, he called for a “careful” study as to whether the situation in Gaza “corresponds to the technical definition” of genocide, an accusation firmly rejected by Israel.
Francis denounced an “immoral” use of force in Lebanon and Gaza at the end of September.
The Holy See has recognized the State of Palestine since 2013, with which it maintains diplomatic relations, and it supports the two-state solution.
Abbas is also due to meet Italian Prime Minister Giorgia Meloni and President Sergio Mattarella in Rome.


Syria’s new government says to suspend constitution, parliament for three months

Syria’s new government says to suspend constitution, parliament for three months
Updated 12 December 2024
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Syria’s new government says to suspend constitution, parliament for three months

Syria’s new government says to suspend constitution, parliament for three months
  • Mohammed Al-Bashir named as the country’s transitional prime minister until March 1

DAMASCUS: Syria’s new government spokesman said on Thursday the country’s constitution and parliament would be suspended for the duration of the three-month transition period following president Bashar Assad’s ouster.
“A judicial and human rights committee will be established to examine the constitution and then introduce amendments,” Obaida Arnaout said.
The current constitution dates back to 2012 and does not specify Islam as the state religion.
Militants led by the Islamist militant group Hayat Tahrir Al-Sham seized the capital Damascus on Sunday, sending Assad fleeing into exile.
On Tuesday, they named Mohammed Al-Bashir, who headed the militants’ self-proclaimed “Salvation Government” in their northwestern bastion of Idlib, as the country’s transitional prime minister until March 1.
Arnaout said a meeting would be held on Tuesday “between Salvation Government ministers and the former ministers” of Assad’s administration to carry out the transfer of power.
“This transitional period will last three months,” he added in an interview with AFP. “Our priority is to preserve and protect institutions.”
Speaking at the state television headquarters, now seized by the new militant authorities, Arnaout pledged that they would institute “the rule of law.”
“All those who committed crimes against the Syrian people will be judged in accordance with the law,” he added.
Asked about religious and personal freedoms, he said “we respect religious and cultural diversity in Syria,” adding that they would remain unchanged.
The Sunni majority country was ruled with an iron fist by Assad, a follower of the Alawite offshoot of Shiite Islam who sought to project himself as a protector of minority communities.


Syria’s new government thanks countries that reopened missions

Syria’s new government thanks countries that reopened missions
Updated 12 December 2024
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Syria’s new government thanks countries that reopened missions

Syria’s new government thanks countries that reopened missions
  • Saudi Arabia, Egypt, Iraq, the UAE, Jordan, Bahrain, Oman and Italy resumed activities of their diplomatic missions in Damascus
  • The militant offensive stunned the world and brought an end to more than a half a century of brutal rule by the Assad clan

DAMASCUS: Syria’s new government thanked eight countries on Thursday for swiftly reviving their diplomatic missions after a lightning militant offensive ousted president Bashar Assad at the weekend.
The offensive, which took less than two weeks to sweep across Syria and take the capital Damascus, stunned the world and brought an end to more than a half a century of brutal rule by the Assad clan.
The militants, led by the Islamist group Hayat Tahrir Al-Sham (HTS), appointed an interim prime minister on Tuesday to lead the country until March.
The new government’s department of political affairs issued a statement thanking Egypt, Iraq, Saudi Arabia, the United Arab Emirates, Jordan, Bahrain, Oman and Italy “for resuming the activities of their diplomatic missions in Damascus.”
Italy had reopened its embassy in Damascus before Assad’s fall.
After the militants took Damascus, an “armed group” entered the residence of Italy’s ambassador in Damascus and stole three cars, the Italian government said on Sunday.
The new government also said it had received “direct promises” from Qatar and Turkiye “to reopen their embassies in Syria” adding it hoped to “build good relations with all countries that respect the will of the people, the sovereignty of the Syrian state.”
Many embassies had shut their doors as militants advanced toward Damascus.
Gulf states had severed diplomatic ties with Syria, closing their embassies in the aftermath of Assad’s brutal crackdown on pro-democracy protesters in 2011 that triggered the civil war.
Most have restored relations since 2018, with the exception of Qatar.
Qatar announced on Wednesday it would “soon” reopen its embassy in Damascus, closed in 2011.
The move aimed to “strengthen the close historical fraternal ties between the two countries,” Qatar’s foreign ministry said.
The Gulf country also sought to “enhance coordination with relevant authorities to facilitate the flow of humanitarian aid currently provided by Qatar to the Syrian people” via an air bridge, it added.
Doha had supported opposition factions early in the war and remained a fierce critic of Assad while also calling for a diplomatic solution.
Turkiye has backed some Syrian militant groups since the start of the civil war.
The war killed more than 500,000 people and forced half the population to flee their homes, with six million of them seeking refuge abroad.


Ireland to ask ICJ to widen genocide definition over Gaza war

Ireland to ask ICJ to widen genocide definition over Gaza war
Updated 12 December 2024
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Ireland to ask ICJ to widen genocide definition over Gaza war

Ireland to ask ICJ to widen genocide definition over Gaza war
  • Dublin ‘concerned’ that ‘narrow interpretation’ leading to ‘culture of impunity’
  • Amnesty International, which accuses Israel of genocide, hails move as ‘glimmer of hope’

LONDON: The Irish government will ask the International Court of Justice to expand its definition of genocide over Israel’s “collective punishment” of civilians in the Gaza Strip, Sky News reported on Thursday.

Irish Deputy Prime Minister Micheal Martin said his government is “concerned” that a “narrow interpretation of what constitutes genocide” is leading to a “culture of impunity in which the protection of civilians is minimized.”

He added that there has been “collective punishment of the Palestinian people through the intent and impact of military actions of Israel in Gaza,” and that the Irish government “prioritizes the protection of civilian life.”

Ireland is set to link the request to the case brought by South Africa to the ICJ under the UN Genocide Convention, as well as a case brought by Gambia against Myanmar.

“By legally intervening in South Africa’s case, Ireland will be asking the ICJ to broaden its interpretation of what constitutes the commission of genocide by a state,” Martin said.

“Intervening in both cases demonstrates the consistency of Ireland’s approach to the interpretation and application of the Genocide Convention.”

The convention identifies the practice as the “intent to destroy, in whole or in part, a national, ethnical, racial or religious group” by killing, inflicting physical and mental harm, and imposing destructive conditions. Collective punishment is not currently part of the criteria.

Israel has also been accused of committing genocide by Amnesty International, which said the country has repeatedly attacked Palestinians, destroyed infrastructure and limited civilians’ access to food, water and medicine.

Amnesty’s executive director in Ireland, Stephen Bowen, called Dublin’s actions a “glimmer of hope,” adding: “Those like Ireland who have called for a ceasefire must join with other like-minded states to create this common platform to end the genocide.

“They must be resolute; they must be relentless; they must be loud, clear, visible. This is genocide. This must stop.”