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WORLD NEWS A11
                                                                                                                  Tuesday 23 February 2016

Venezuela takes on Zika amid shortages, information blackout 

FABIOLA SANCHEZ                 dent physicians allied with    lain-Barre, which is about    The country’s private, op-     week. That is a lot to ask,
Associated Press                the opposition — the Ven-      5 percent in developed        position-leaning pharma-       however, of the many Ven-
CARACAS, Venezuela (AP)         ezuelan Society of Public      countries. Nancy Pino, a      ceutical association says      ezuelans who keep tubs
— This is what the Zika out-    Health — says that’s likely    68-year-old retired school    Venezuela only has 20 per-     in their homes full of water
break looks like in Venezu-     a dramatic underestimate.      administrator, died last      cent of the medications it     to deal with chronic short-
ela, a country whose medi-      It says a polling of local     month of Guillain-Barre that  requires, a result of curren-  ages.
cal system has teetered for     health officials found a rise  developed after she fell ill  cy and price controls.         Meanwhile, state media
months on the brink of col-     in acute fevers that could     over Christmas with symp-     The government blames          have been broadcasting
lapse:                          correspond to 400,000 Zika     toms of Zika.                 the shortages on “econom-      images of health officials
There’s a lack of bug           cases, and the outbreak
spray to prevent mosquito       will likely reach its peak     A man holds his sick daughter as they wait to see a doctor at a medical center near Petare
bites, scant contracep-         around the end of March.       neighborhood in Caracas, Venezuela. Preventing the Zika virus’ spread in the absence of a public
tives to avert pregnancies,     Neighboring Colombia,          campaign in a Venezuela where the health care system is near collapse means the people most
little medicine to treat Zika-  by contrast, has reported      at risk, the poor, don’t even know about the epidemic. Chronic shortages have left the country
linked maladies. There has      more than 30,000 cases.        without insect repellent or contraceptives, leaving women unable to guard against pregnancy,
been no effective public        It’s been a year since the     not to mention sexual transmission of the virus.
health campaign to inform       government published up-
the public about the dis-       to-date epidemiological                                                                                                              (AP Photo/Fernando Llano)
ease — and nobody really        data and reaching the
knows how many infections       Health Ministry for informa-   Doctors said the woman        ic war” waged by its right-    on mosquito fumigation
there have been.                tion is frustrating.           from the lowland state of     wing opponents.                and immunoglobulin distri-
“It’s just terrible what we     The main line for its “Zika    Anzoategui needed intra-      Earlier this month, Health     bution missions.
are living,” said Carla Na-     situation room” was out of     venous immunoglobulin         Minister Luisana Melo in-      What they haven’t been
tera, a 50-year-old local       order when a reporter tried    therapy, and sent her three   vited sick Venezuelans to      doing with any regularity is
government worker who           to call it recently, and the   children on a frantic two-    email requests for medi-       offering the public advice
contracted Zika and spent       person answering another       week search for the medi-     cine to a state-run Gmail      on how to behave.
three days searching phar-      number for the room hung       cine after they rushed her    account. Last week, Presi-     Venezuelan officials say
macies for an ointment to       up twice. To compensate        to Caracas.                   dent Nicolas Maduro said       the country has not yet
calm the angry rash that        for the lack of official fig-  As the family begged for      the country had received       seen any cases of birth de-
broke out on her face and       ures, doctors have been        immunoglobulin at state       a special shipment of drugs    fects associated with Zika,
body.                           turning to informal surveys,   agencies, on local televi-    that will be sufficient to     as have been reported in
William Barrientos, a doctor    social media and even          sion channels and even at     combat Zika, but did not       Brazil.
and opposition lawmaker,        Google analytics to try to     the presidential palace,      specify what the shipment      Other countries have ad-
says the socialist govern-      get a handle on the scope      their mother lost the abil-   included.                      vised women to postpone
ment is not equipped to         of the outbreak.               ity to walk, speak, open      The Health Ministry is ad-     pregnancy until the Zika
confront a health crisis in     The virus has been linked      her eyes and, finally, to     vising the public to use       epidemic has slowed. But in
a country where food and        to a spike in Guillain-Barre,  breathe.                      bug spray, an item all but     Venezuela, condoms and
medicine shortages are          a rare disorder in which the   “They shut the doors on us.   impossible to come by in       birth control pills are in ex-
acute, the economy is a         immune system attacks          There’s just not medicine     Venezuela these days,          tremely short supply, mak-
shambles and a political        the nervous system, caus-      here,” daughter Nehara        and to clean out their tubs    ing it complicated for wom-
crisis deepens by the day.      ing temporary paralysis        Ramos said.                   of standing water once a       en to avoid pregnancy.q
“There is no education          that can be fatal. Health
and information campaign        officials say the country
among the population            has seen 255 cases of the
here,” and no tracking of       Guillain-Barre syndrome
the mosquitoes that carry       since the Zika outbreak
the virus, he said.             began — a much higher
The scale of what Venezu-       incidence than reported in
ela is going through is un-     other countries grappling
clear. Officials alerted the    with the virus.
World Health Organization       “Normally, we’d expect
to the first case of Zika here  30 or 40 cases of Guillain-
in November but did not         Barre a month,” said former
release statistics or reach     health minister José Félix
out to the public until two     Oletta. “What this shows
months later.                   is that the minister has the
The Health Ministry is now      total number of Zika cases
reporting more than 5,000       wrong. It’s much higher.”
suspected Zika cases and        Venezuela’s medical short-
three related deaths.           ages could easily boost
But a network of indepen-       the mortality rate for Guil-
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