Friday, November 15, 2024
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Battling scarcity

MOSUL, IRAQ (AFP) – Months after a minor motorbike accident, Amer Shaker is still suffering from poor treatment at a hospital in Iraq’s Mosul, forcing him like many others to seek help elsewhere.

“At public hospitals, we have to pay for everything,” said Shaker. “As soon as we arrived, we paid for the medicine, bandages, the anaesthesia.”

But for the past seven months, he has been treated free of charge at Al-Wahda hospital, opened by Doctors Without Borders (MSF) in Mosul in 2018.

Having spent a small fortune in current Iraqi terms – about USD8,000 – on medical care after an initial surgery by a Mosul doctor who failed to heal his leg, which had been fractured in three places, Al-Wahda was a godsend for the construction worker.

“The doctor had inserted a platinum plate, but it was not done right. I tried to find another doctor, but none of them were any good,” said the 21-year-old.

People occupying a ward at the Nablus hospital run by Doctors Without Borders (MSF) in Iraq’s northern city of Mosul. PHOTOS: AFP
ABOVE & BELOW: A women sits by a child receiving treatment; medics transporting a patient at the Al-Wahda hospital; and a patient walk in an alley near the hospital

ABOVE & BELOW: A medic disinfecting his hands; a relative checks through a window on a patient in isolation; and a staff working at a laboratory

On his left leg, MSF doctors have attached an external fixator, an impressive frame of pins and screws – nearly impossible to find elsewhere in Mosul, he said.

His case is symptomatic of the wider affliction that ails Iraq’s health sector, which like other public services has suffered from dilapidated infrastructure and the effects of successive conflicts.

The former stronghold of the Islamic State (IS) group, Mosul was devastated by the battle to oust the extremists that ended in summer 2017.

More than four years on, the northern metropolis remains a patchwork of gutted concrete carcasses interspersed between buildings under construction.

Five hospitals are being refurbished or reconstructed in the city, according to a public official, and nine health institutions are functioning – leaving a total of 1,800 beds for a population of 1.5 million.

In the coming weeks, Shaker will need to undergo a sixth operation to remove 13 centimetres of dead bone.

At Al-Wahda hospital, patients vary in profile, from Khawla Younes, the 60-year-old housewife who broke her leg in a fall, to Mahmud al-Meemari, undergoing his “16th or 17th surgery” for an injury from a 2017 bomb blast.

Official Majid Ahmed in the public health authority of Nineveh province – of which Mosul is the capital – acknowledges “a lack of hospital beds and care units”.

The destruction “has affected 70 per cent of our health facilities”, he said.

Before the rise of IS in 2014, Nineveh had 3,900 hospital beds, compared to 600 in 2017 after the government wrested back control of Mosul, Ahmed explained.

Today, the province has about 2,650 beds.

“The destruction that has struck health institutions in the province requires a significant budget,” Ahmed added.

After the conflict, the medical sector was at ground zero, according to orthopaedic surgeon Hisham Abdel Rahman, who works with MSF alongside his job in the public health sector.

“With time, we see improvement, but it’s very slow,” he said.

At Al-Wahda hospital, “we offer services that will not be available in other facilities in Mosul for many years”, he continued.

He said Mosul needs new hospitals, medical equipment and medicine, especially for cancer treatment.

MSF also runs the Nablus hospital and maternity ward in Mosul, where nearly 900 infants are delivered on average every month.

“This hospital has been filling a gap,” said MSF’s Medical Activity Manager at the hospital Kyi Par Soe, adding that the two other maternity hospitals in Mosul are “overloaded”.

On a positive note, the public health authority’s Ahmed said the number of Covid-19 cases officially recorded in Mosul was “very low”, with 30 per cent of capacity in public hospitals reserved for patients with serious infections.

Apart from the hospitals, the rest of Mosul is also struggling to regain a sense of normalcy.

Residents crowd into cafes and restaurants, many of which have opened under buildings left in a suspended state of construction, their top floors scarred by gaping holes.

Less than 15 per cent of residents of eastern Mosul, where fighting for the city ended, have “enough water to meet their daily needs”, according to the International Committee of the Red Cross.

In western Mosul, that figure is 35 per cent.

And despite the restoration of certain historic sites, entire swathes of the Old City in central Mosul remain a pile of debris.

Reconstruction efforts have rumbled on at such a slow pace that it is not unusual to uncover bodies under the rubble to this day.

In December, civil defence teams found more than a dozen corpses from the battle for Mosul.

Indonesia tows boat with Rohingya refugees to port

LHOKSEUMAWE, INDONESIA (AP) – An Indonesian navy ship yesterday was towing a boat carrying 120 Rohingyas into port after it had drifted for days off the country’s northernmost province of Aceh, a navy official said.

The refugees’ wooden boat was reportedly leaking and had a damaged engine. Efforts to rescue its passengers, who are overwhelmingly women and children, began after Indonesia’s government on Wednesday said it would allow them to dock because conditions on the boat were so severe.

The broken-down boat was towed by a navy ship early yesterday from its location about 85 kilometres off the coast of Bireuen, a district in Aceh, toward Krueng Geukueh, a port in the neighbouring Lhokseumawe district, said navy western fleet command spokesman Colonel La Ode M Holib.

High waves and bad weather hampered the rescue operation and the navy ship was moving five knots per hour but was expected to dock later, Holib said.

Partial closure of SHOAS Bridge

Azlan Othman

The Public Works Department (JKR) of the Ministry of Development announced yesterday the temporary partial closure of the road at Sultan Haji Omar ‘Ali Saifuddien (SHOAS) Bridge until January 14, 2022.

The partial closure of the road leading to Temburong District is to make way for variable message signs (VMS) and variable speed limit signs (VSLS) installation works. The road will be re-opened as soon as the works are completed.

Motorists are urged to be extra cautious when passing the area and to comply with traffic signs and speed limit.

For complaints, contact JKR via Darussalam Line 123, live chat at 8333123 or e-mail to permit.jambatan@pwd.gov.bn or pro@pwd.gov.bn.

More cracks found in Mexico City subway line that collapsed

MEXICO CITY (AP) – Inspectors have found 21 more cracks in welds or steel structural pieces on an elevated subway line that had a section collapse in May, killing 26 people, officials said on Wednesday.

Studies on the fallen section found the failure was caused by construction defects like poor welds and missing connection studs as well as bad design. The newly discovered cracks are on other parts of the line that didn’t collapse.

The inspection is only about one-third complete, so more defects may be uncovered.
Outside inspectors have been invited in as part of efforts to re-open and reinforce the line, including some from the Autonomous University of Nuevo Leon.

Telecom and construction magnate Carlos Slim has said his Grupo Carso’s construction subsidiary will pay the cost of rebuilding the span that collapsed and reinforcing other parts of the elevated line to meet higher standards in a city plagued with severe earthquakes.

Earlier this year, Mexico City prosecutors announced criminal charges against 10 “individuals and companies” for construction and design defects.

In the case of the companies involved, prosecutors have said the goal of the criminal charges is aimed at making them pay for or repair damages both to the subway and the victims.

The charges are for negligent or involuntary homicide, damages and causing injuries.

Schwarzenegger, Shriver divorce finalised after 10 years

Andrew Dalton

LOS ANGELES (AP) – Arnold Schwarzenegger and Maria Shriver’s marriage is officially over more than 10 years after the award-winning journalist petitioned to end her then-25-year marriage to the action star and former California governor.

A Los Angeles judge finalised the divorce on Tuesday, court records show.

The pair had been married since 1986 when Shriver filed for divorce in 2011 after Schwarzenegger disclosed he had fathered a child with a member of their household staff years earlier.

The revelation set off a tabloid frenzy, but Schwarzenegger and Shriver handled their divorce quietly and without lobbing accusations in court or in public.

It’s not clear why the process took so long. There were virtually no public actions taken in the case between the initial flurry of filings in 2011 and a resumption of court moves in June.

Financial details of the settlement were kept confidential. Because the couple’s four children together are now all adults, there is no child support or custody arrangement.

California Governor Arnold Schwarzenegger arrives in Mexico City with first lady Maria Shriver on November 8, 2006. FILE PHOTO: AP

Settlement papers say that neither owes the other any spousal support, but both reserve the right to seek it through the court in the future.

Messages left with the former couple’s lawyers seeking comment were not immediately returned.

Schwarzenegger amassed a fortune playing action roles in the Terminator and Conan film franchises after a successful career as a bodybuilder. After California suffered economic problems and widespread power outages under the administration of then-Governor Gray Davis, voters recalled the Democratic incumbent and elected Schwarzenegger, a Republican, to the governorship in a free-for-all election in 2003.

Schwarzenegger put his film career aside and served two terms as governor. Within a year of leaving office, he admitted fathering a child, Joseph Baena, who is now 24, with a member of his household staff in the late 1990s. Shriver filed for divorce in July 2011.

He has returned to acting sporadically since, with roles in Terminator and Expendables films.

Shriver was forced to resign from her position as a correspondent on the NBC show Dateline when her husband announced he was running for governor.

She resumed her work as a television journalist after her husband left office, producing stories for NBC while remaining active promoting women’s rights issues and reporting on and advocating for people with Alzheimer’s disease.

In 2018 she authored the bestseller, I’ve Been Thinking…: Reflections Prayers and Meditations for a Meaningful Life.

Shriver is the daughter of Eunice Kennedy Shriver, who was the sister of United States (US) President John F Kennedy, and of Sargent Shriver, the first head of the Peace Corps and a vice presidential candidate in 1972.

Shriver and Schwarzenegger’s children range in age from 24 to 32. The eldest, Katherine Schwarzenegger, is an author who is married to actor Chris Pratt.

This sumac lamb inspired by Navajo stories and ingredients, is an easy but impressive main

G Daniela Galarza

THE WASHINGTON POST – Lamb and mutton are not considered ancestral proteins among Indigenous peoples in North America, according to Navajo (Diné) chef and author Freddie Bitsoie. Unlike other foods that have been consumed for thousands of years, their meat is a relatively new, “centuries-old” tradition.

Today, lamb graze along the plains, mountains and farmsteads of many Native peoples. This is how one story of their arrival goes: “There was a thick fog for four days. No one could see their hand in front of their faces, and people were growing worried and scared,” Bitsoie, whose cookbook, New Native Kitchen: Celebrating Modern Recipes of the American Indian, written with James O Fraioli, said. “But when the fog lifted, little cloud puffs were left behind: the sheep.”

Of course, it was the Spanish who brought sheep to the Americas, and Bitsoie tells me other (not so charming) stories about the cultural exchanges that took place when Europeans arrived on Native land: How chilis, potatoes and tomatoes migrated across the world – and back again. And, how corn conquered all.

A few years ago, Bitsoie was on a television set with cookbook author Lidia Bastianich, filming a show. At one point, he wrote in the book, she turned to him and said, “It’s the Italians who found the niche with ground corn dishes.” Bitsoie took a moment to consider a reply. “I’m sorry Lidia, but I believe it was the Native Americans.” Soon after, he sent her his recipe for a polenta-like porridge made from ground blue cornmeal, or Hopi maize. Versions of the dish existed thousands of years before corn landed on Italy’s shores.

That blue cornmeal, thick and creamy, would be a wonderful accompaniment to many of the generously adaptable, streamlined recipes in New Native Kitchen – accompanied by illustrations by Gabriella Trujillo and photographs by Quentin Bacon – including this one, for Sumac Navajo Leg of Lamb With Onion Sauce.

Sumac Navajo Leg of Lamb With Onion Sauce adapted from ‘New Native Kitchen: Celebrating Modern Recipes of the American Indian’ by Freddie Bitsoie and James O Fraioli. PHOTO: THE WASHINGTON POST

Sumac, a dried berry that’s native to North America and elsewhere, is widely used by the Diné. Among other things, it’s used to make a porridge, and there’s a cold beverage, a sort of sumac-ade that Bitsoie says he grew up drinking. But he doesn’t remember it being used as a spice on meats.

Inspired by the ingredient’s lemony flavour, he decided to pair it with lamb. It’s a marvelous combination: The tangy sumac forms a burnished crust on the exterior of a leg or shoulder of lamb – tied or untied – and steeps into the meat, balancing its flavours. It’s an incredibly simple preparation, and mostly hands-off.

The accompanying onion sauce, which is subtly sweet and fragrant with rosemary and juniper berries, is based on a memory: “I never met my grandfather, he died when I was 13, but my mom told me many stories about him,” Bitsoie said.

“One of them was that he used to work in the mountains as a cattle and sheep herder. He’d be in the mountains for days, and used to camp out in the middle of nowhere. To feed himself, he’d roast lamb over a fire, and would make a sauce out of a chopped onion that he’d cook down until it fell apart.” Bitsoie added the juniper berries and rosemary because he imagines those scents may have followed his grandfather as he navigated the woods.

“Is it my grandfather’s exact recipe?” Bitsoie asked, rhetorically. “No, and that’s the point.

The book is called New Native Kitchen, because this is a cuisine that’s still evolving and still expanding. It’s not stuck in the past – it’s looking ahead into the future.”

SUMAC NAVAJO LEG OF LAMB WITH ONION SAUCE

Active time: 30 mins | Total time: One hour, 30 mins
Eight servings

Sumac, a small, red, citrusy berry that grows wild throughout North America, adds a lemony brightness to this roasted lamb. The sauce is sweet from caramelised onions and savoury with fresh rosemary, thyme and pine-y juniper berries.

Any kind of large cut of lamb will work here, but a lamb shoulder or leg is ideal. To save time, ask your butcher to tie the roast for you. This isn’t necessary, but it will help it cook evenly and make it easier to slice.

Storage Notes: Refrigerate leftovers for up to four days.

NOTE: If your lamb roast is tall and thick, it may take longer, up to another 40 or so minutes, to reach medium-rare.

INGREDIENTS

For the lamb:
– One leg of lamb or tied lamb roast
– One teaspoon fine salt
– One teaspoon freshly cracked black pepper
– 1/3 cup ground sumac
– Three tablespoons canola oil

For the onion sauce:
– Two tablespoons canola oil
– One large yellow onion, halved and thinly sliced
– Two sprigs fresh thyme
– One sprig fresh rosemary
– Five dried juniper berries
– One teaspoon fine salt
– One teaspoon freshly cracked black pepper
– Water, as needed
– Two cups chicken stock

DIRECTIONS

Make the lamb:
Position a rack in the middle of the oven and preheat to 375 F. Season the lamb on all sides with the salt and pepper, then coat the lamb on all sides with the sumac.

In a large, ovenproof skillet over high heat, heat the oil until it shimmers. Add the meat and sear on all sides until evenly browned, a total of about eight minutes.

Transfer to the oven and roast for about 40 minutes, or until a thermometer inserted into the centre reaches 145 F for medium-rare.

Make the onion sauce:
While the lamb is roasting, in a medium saute pan over high heat, heat the oil until it shimmers. Add the onion, thyme, rosemary, juniper berries, salt and pepper. Lower the heat to medium and cook, stirring often, until onions are soft and brown, about 20 minutes.

If the onions begin to stick or darken in any places, stir in a splash of water and adjust the heat. Once browned, add the stock and simmer until the liquid has reduced by half, about 10 minutes. Remove from the heat and discard the herb stems and juniper berries.

When the lamb is done to your liking, remove it from the oven and let it rest on a cutting board for 10 minutes before slicing. Serve warm, with the onion sauce on the side.

NUTRITION INFORMATION
PER SERVING, (BASED ON EIGHT)

Calories: 272 | Total Fat: 22 g | Saturated Fat: 6 g | Cholesterol: 43 mg | Sodium: 709 mg | Carbohydrates: 7 g | Dietary Fiber: 1 g | Sugars: 3 g | Protein: 12 g.

(This analysis is an estimate based on available ingredients and this preparation. It should not substitute for a dietitian’s or nutritionist’s advice.)

A helpful contribution

James Kon

Staff of Guardian Health & Beauty (B) Sdn Bhd/SPSETIA/Kingsley handed over the Guardian Care Package, personal protective equipment (PPE) and gloves to the Ministry of Health (MoH) as part of the company’s corporate social responsibilities.

Donations from private individuals and companies continue to be vital in supporting the fight against COVID-19.

Individuals wanting to donate can contact the MoH Emergency Operation Centre (MOHEOC) at 7295712 during office hours.

PHOTO: MOH

584 adolescents remain unjabbed: Acting minister

Some 584 students, aged 12 to 17, have not been vaccinated against COVID-19, said Acting Minister of Education Datin Seri Paduka Dr Hajah Romaizah binti Haji Mohd Salleh at the daily press conference yesterday. More details in Friday’s Borneo Bulletin.

Man to learn fate for robbing, assaulting woman at knife point

A local man will learn his fate on January 15, 2022 for robbing a woman in her car and sexually assaulting her while armed with a pocket knife. More details in Friday’s Borneo Bulletin.