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Egypt - An example of hospital care

alert

Senior Moderator
The headline drew me to this article, but it seems the deaths are due to poor neonatal care, not disease.

http://74.125.93.132/translate_c?hl...le.com&usg=ALkJrhjlPTFjt7XVe52K01F-G0QB0LFHjQ

The death of 10 children of hospital Sednaoui eastern region
الثلاثاء، 30 يونيو 2009 - 19:15 Tuesday, June 30, 2009 - 19:15


د.فريد إسماعيل عبد الحليم عضو مجلس الشعب
D. Abdel Halim Farid Ismail, member of the People
كتب مدحت وهبة Books Medhat Wahba

تقدم النائب د.فريد إسماعيل عبد الحليم عضو مجلس الشعب عن دائرة أولى فأقوس بالشرقية بسؤال برلمانى إلى د.فتحى سرور رئيس مجلس الشعب ود.أحمد نظيف رئيس مجلس الوزراء بشأن وفاة قرابة 10 أطفال حديثى الولادة فى حضانات مبنى مبارك بمستشفى صيد ناوى التابع لمستشفيات جامعة الزقازيق بالشرقية. Deputy d. Abdel Halim Farid Ismail, member of the People for the first Voqos the eastern region to a parliamentary question d. Fathi Sorour, Speaker of the People, Dr.. Ahmed Nazif, the Prime Minister on the deaths of about 10 newborn babies in hospital nurseries building Mubarak fishing ناوى of the University Hospitals Zagazig eastern region.

وأكد النائب أن هذه الواقعة ليست الأولى التى يتوفى فيها أعداد كبيرة من الأطفال حديثى الولادة، مما يثير تساؤلات ومخاوف من عدم تحقيق معايير السلامة فى الحضانات وغرف العناية المركزية، وكذلك الإهمال المتزايد وعدم وجود رقابة فعالة من قبل القائمين على الرعاية الصحية ووزارتى الصحة والتعليم العالى. The MP that this incident is not the first involving the death of a large number of newborn children, which raises questions and concerns of the lack of safety standards in the nursery rooms and intensive care, as well as the increasing neglect and the lack of effective control by the existing health care and the ministries of health and higher education.

ووصف فريد ما حدث فى حضانات مستشفى صيدناوى بجامعة الزقازيق من وفيات جماعية للأطفال المبتسرين جريمة كبيرة وفساد عريض يحتاج إلى محاسبة ومساءلة كل المسئولين عن الصحة فى الشرقية وفى وزارتى الصحة والتعليم العالى لأن حياة أطفالنا وأبنائنا ليست بالرخيصة ولا الهينة حتى يتم التعامل معها لهذه الطريقة. He described what happened in a unique nursery Sednaoui Zagazig University Hospital of the mass mortality of premature infants big crime and corruption need to be broad accounting and accountability of all those responsible for health in the East and in the ministries of health and higher education because the lives of our children and our children are not Balrgesp not be so easy to deal with this method.
 
Re: 10 Children Die in One Hospital (this story isn't as scary as this headline makes it seem)

Re: 10 Children Die in One Hospital (this story isn't as scary as this headline makes it seem)

I think its one of the teaching hospitals,it should give pause to all that read it as its a clear indication of the general state of health care within at least part of that system here.

I will ad a couple of other articles from the last couple of days. one of which shows how long it can take to do things here.

Translation: Arabic ? English
إغماءات على شباك صرف الإنترفيرون بالمنصورة
الثلاثاء، 30 يونيو 2009 - 20:22


مرضى الكبد تدافعوا للحصول على عقار الإنترفيرون
الدقهلية ـ محمد صالح


شهدت مستشفى المنصورة الدولى اليوم أحداثا مؤسفة بعد أن تدافع مرضى الكبد فى سباق الحصول على عقار الإنترفيرون، فأدى إلى إصابة أربعة من المرضى بإغماءات وكسر شباك الصيدلية، مما أدى إلى توقف الصرف لمدة ساعتين.

وأكد د.مجدى العاودالى مدير المستشفى "أن الإعداد الهائلة من المرضى التى تأتى للمستشفى كل يوم أصبح من الصعب استيعابهم بعد أن وصل العدد إلى 7500 مريض ويزيد العدد أسبوعيا بمعدل 200 مريض" وأضاف "إلا أننا سنحاول فتح أكثر من منفذ للتوزيع حتى لا نرى ما حدث اليوم يتكرر مرة أخرى".

Igmeat on the net disbursement of interferon Mansoura
Tuesday, June 30, 2009 - 20:22


Patients with liver scrambled for the drug interferon
Dakahliya Mohamed Saleh


Egypt witnessed a hospital on Wednesday after the unfortunate events to defend the liver patients are in a race to obtain the drug interferon, resulting in injuries to four of the patients and to break the window Bigmeat pharmacy, which led to the suspension of the exchange for two hours.

He said. Magdy Aodaly director of the hospital, "the vast numbers of patients who came to the hospital every day, it became difficult to accommodate them after the number to more than 7500 patients and the number of weekly rate of 200 patients," he said, "but we will try to open more outlets for distribution so as not to see what Today's event is repeated again. "


Deputy calls for the inclusion of emergency care to the Center for Cancer DAMIETTA
Wednesday, July 1, 2009 - 08:52


D. Ahmed Fathy Sorour, Speaker of the People
DAMIETTA Mu'taz Elsherbini


Progress is fast, member of the People for the First Circuit Center and the city of Damietta, the note-d. Ahmed Fathy Sorour, President of the Council, regarding the care of all urgent and emergency Bcta town of Damietta, which was the completion of construction since 2006, and so far has not been operated and the building is still abandoned and free. (free means empty as in no equipment)

Previously the Minister of Health agreed that the building be handed over to the Center for Cancer DAMIETTA since (during) 2007, so as to face the huge crowds of the increase in the number of patients visiting the center of the province of Damietta and the neighboring provinces

the third one below indicates the X-CT system,was down due to a lack of spare parts.

A mountain depends 600 pounds-Arish hospital
Wednesday, July 1, 2009 - 09:03


D. Nehlawi Tariq and Undersecretary of the Ministry of Health in northern Sinai
Salem Abdel-Halim El-Arish


D said. Nehlawi Tariq and Undersecretary of the Ministry of Health in northern Sinai, the d. The woman and the Minister of Health in the amount of 600 thousand pounds for the year-Arish hospital.

Nehlawi said, that the amount allocated for the purchase of spare parts for X-CT system, which actually began work, said that there is an ongoing follow-up to the health sector, and investigate complaints of citizens in the event of default.
The Nehlawi, maintaining that all the possibilities of using the service of Palestinian patients from the Rafah crossing, in accordance with the directives of the Minister and the Governor General Mohamed Shousha.
 
Re: 10 Children Die in One Hospital (this story isn't as scary as this headline makes it seem)

Re: 10 Children Die in One Hospital (this story isn't as scary as this headline makes it seem)

Chairman of the Board of Zagazig University Hospitals:
وفاة المبتسرين الثمانية في الحضانات بسبب تدهور حالاتهم The premature death of the eight nurseries because of the deteriorating situation
الشرقية- عبدالعاطي محمد East - Aba'ati Mohamed

أكد د.خالد عبدالباري رئيس مجلس إدارة مستشفيات جامعة الزقازيق أن حالات الوفاة التي حدثت ثمانية أطفال داخل الحضانات تعاني من أمراض.. He said. Khalid Abdul Bari, board chairman of the University of Zagazig hospital deaths that occurred within eight children suffering from diseases of nursery .. لافتا إلي أن محضن مستشفيات جامعة الزقازيق الملجأ الأخير لكل الحالات المتدهورة بالمستشفيات الخاصة والعامة بالمحافظة. He pointed out that the immune Zagazig University hospitals of last resort for all cases of degraded public and private hospitals to maintain.
أشار إلي أن جميع المستشفيات ليس بها أجهزة تنفس صناعي للأطفال المولودين حديثا "المبتسرين" وفي فترة سابقة كان هناك تحديد لدخول أي حالات من المستشفيات الأخري لسوء الحالات أكلينيكيا ولكن مع الظروف الاقتصادية الصعبة واستنزاف أصحاب الحالات في المستشفيات الخاصة ماديا وعدم وجود أجهزة تنفس صناعي بالمستشفيات العامة تم قبول هذه الحالات الصعبة بالمستشفي الجامعي وحالات الوفاة الثمانية تمت علي مدار أيام حيث يوجد بالمستشفي محضنين الأول مخصص لحالات التي يتم ولادتها بالمستشفي والثاني لاستقبال الحالات المحولة من مستشفيات أخري والحالات المحولة التي توفيت فيها حالتان بسبب التسمم الدموي وهي حالات محولة من مستشفيات خاصة بعد قضائها فترة من الوقت هناك فضلا عن أنها كانت محولة لفشل تنفسي ووضعت علي جهاز التنفس الصناعي فور دخولها وتوفيت بسبب الارتفاع الشديد في نسبة الصفراء في الدم والحالة الأخري كانت مججوزة بمستشفي خاص وكانت نسبة الصفراء عند دخولها "24م" ووزنها 1250 جراماً بالإضافة إلي حالتين بسبب نقص الوزن الشديد حيث إن وزنهما كان أقل من كيلو جرام وتعانيان من فشل في التنفس واحدهما محولة عام والأخري من المنزل. He noted that all hospitals, not by artificial respiration equipment for children newly born "premature" in the previous period there was a limit to the entry of any of the cases to other hospitals clinically ill cases, but with the difficult economic conditions and the depletion of the cases in private hospitals and the lack of physical presence of industrial respirators in public hospitals was difficult to accept such cases, the university hospital and eight deaths were the days where there Mhoudnin the first hospital devoted to the cases that are the birth hospital and the second to receive cases transferred from other hospitals and cases transferred by the two who died due to blood poisoning, which are converted from a private hospital after spending a period of of time there as well as it was converted to respiratory failure and placed on a ventilator and died immediately after entry because of the high rise in the proportion of yellow in the blood and the other was a special Mjjosp hospital and the proportion of yellow at the entry "24 M" and weighs 1250 grams, in addition to the two cases because of severe weight loss since the weight was less than a kilogram and suffering from respiratory failure and one of the converted and the other from the house.
أضاف أن حالة توفيت بسبب عيب خلقي مركب بالقلب وفشل في التنفس وتوفيت في غضون ساعات قليلة من دخولها والحالة الثامنة والأخيرة كانت تعاني من نقص وزن شديد وانسداد معوي في الأثني عشر وتم اجراء عملية جراحية لها ولكنها لم تستجب وتوفيت لعدم كفاءة الرئة وجميع الحالات توفيت علي مدار خمسة أيام وبالمستشفي 30 حضانة وتم استقبال أكثر من 100 طفل في الشهر.. He said the case had died because of a defect complex congenital heart disease and respiratory failure and died within a few hours of entering the eighth and last case was suffering from severe weight loss and intestinal obstruction in the twelve and underwent surgery for her, but she did not respond and died because of the incompetence of all cases of lung and died in the past five days, and hospital were to receive custody of 30 of more than 100 children in the month .. مشيراً إلي أنه تم التحقيق في هذا الموضوع ولاتوجد أي أدانة. Pointing out that the investigation into this subject and there is no conviction
 
Re: 10 Children Die in One Hospital (this story isn't as scary as this headline makes it seem)

Re: 10 Children Die in One Hospital (this story isn't as scary as this headline makes it seem)

There is a lot of information here. I believe the deaths were all infants who had been born prematurely or of low birth weight, so this might not indicate any fault on the hospital. And only a couple of the deaths indicate blood poisoning, which is unfortunately a common complication of infection in infants so small. I don't see any evidence yet that this is due to infectious disease.

http://74.125.93.132/translate_c?hl...le.com&usg=ALkJrhgcwCyFIU3icZXWB07LOupxtf3PPA

Parents of children Alambstren Sednaoui leave the hospital after the death of 8 children in the nursery
الأربعاء، 1 يوليو 2009 - 21:05 Wednesday, July 1, 2009 - 21:05


غموض حول سبب وفاة الأطفال
Ambiguity about
the
cause of death of children
كتبت إيمان مهنا Written by Iman Muhanna

شهد مستشفى صيدناوى بالشرقية وفاة 8 أطفال بحضانات مبنى مبارك بالمستشفى التابعة لمستشفيات جامعة الزقازيق، وكانت الوفاة قد تمت فى جميع غرف العناية المركزة، التى يبلغ عدد الغرف بها ثلاث غرف الأولى عناية مركزة والثانية محضن والثالثة حديث الولادة. Sednaoui Hospital has seen the eastern region and the death of 8 children in hospital incubators building Mubarak of Zagazig University Hospitals, and the death had been in intensive care rooms, which is the number of rooms by the first three-room care and the second and third incubator newborn.

وكانت العناية المركزة هى أكثر غرفة ارتفع فيها عدد الوفيات إلى أربع أطفال بينما بلغ العدد فى المحضن وحديثى الولادة إلى حالتين، ليصل أجمالى المفقودين إلى 8 حالات على الأقل، وبسؤال الطبيب والمسئول عن غرفة العناية المركزة، قال إن مستشفى صيدناوى الوحيدة فى المحافظة الذى يستقبل تحضين الأطفال، وهذا نظراً لاقتصاديته، بالتالى يتوافد لدينا الكثير من جميع مراكز المحافظة، فالكثير منهم يأتى حاملا لميكروب معين والآخر كذلك، حتى تتراكم ميكروبات بشكل مكثف، رغم أننا نعقم بعد كل حالة بشكل روتينى. The intensive care is more room in which the number of deaths has risen to four children, while the total number of newborns and Mahdhan to two, bringing the total to 8 missing cases at least, and asked the doctor in charge of intensive care, he said that Sednaoui the only hospital in the county, which receives incubated children, and this is due to the Aguetsadith, therefore we have a lot to come from all centers of the province, many of them come with a particular microbe to the other as well, so accumulate microbes extensively, although we Nakm after each case is routine. ففى بعض الحالات يؤدى الميكروب للوفاة، بالإضافة إلى ذلك أغلب الحالات الوافدة إلينا تكون حالات متأخرة، مما يجعل نسبة حياتها ضعيفة. In some cases, the microbes that cause of death, in addition to most of the cases coming to us to be of late, making the proportion of life is weak.

محمد موظف30 سنة، ووالد حنين إحدى الأطفال التى توفت فى هذا الحادث، يقول "تركت ابنتى قبل الوفاة بيوم فى حالة مستقره، كما طمأننى د. طارق الطبيب النوباتجى، وبالمناسبة عندما ذهبت إليه قبل المغرب كان نائما فى غرفته بالمستشفى، وقلقت من هذا الوضع، فهذا طبيب ينام فى بالنهار فكيف به بالليل"، ويضيف والد حنين "فى اليوم التالى، وهو يوم الوفاة/ جئت إلى المستشفى وكلى حنين وشوق لأرى ابنتى، ودخلت غرفتها لأصدم حينما رأيت إحدى الممرضات تنظف الغرفة، ولا يوجد بها أى أطفال، وحينما سألتها أين الأطفال قالت لى "ماتو" بهذا اللفظ غير الإنسانى، وعند التسلم سألت أحد العمال ما ظروف وفاة ابنتى، قال "مات النهاردة 10 أطفال منهم ابنتك تقريبا تسمم ولا حاجة". ويتابع والد الطفلة المتوفاة، من الغريب أنهم لم يتصلوا بى، ولا بأهالى الأطفال حتى لا يعلم أحد بهذه الجريمة والإهمال الجسيم فى حق هؤلاء الأطفال الأبرياء، الأمر الذى جعلنى أصر على فضح هذه الجريمة. Mohamed officer 30 years, and the father of a child Hanine died in the accident, "says my daughter left the day before the death in a stable condition, and assured me d. Alnobatjy Tariq doctor, and by the way, when I went to him before sunset, was asleep in his hospital room, and the worry of this situation, This is a day to sleep in the night, how, "says the father of nostalgia" in the next day, the day of death / I came to the hospital and I am nostalgic and yearning to see my daughter, and entered her room to shocked when I saw a nurse cleaning the room, and there is no any children, and when I asked her where She told me that the children "died" in the term non-human, and when I asked one of the workers taking over the circumstances of the death of my daughter, he said, "died today 10 children, including nearly poisoned your daughter does not need." and follow the father of the deceased girl, strange that they have not contacted me, and havoc on the children so no one knows of this crime and gross negligence in the right of these innocent children, which made me insist on exposing this crime.

وبسؤال د خالد عبد البارى رئيس مجلس إدارة مستشفيات جامعة الزقازيق، قال إنها ليس هناك عيب فنى داخل أقسام الولادة، ولكن حالات الوفاة كانت لأطفال حالتهم الصحية متأخرة. The question Dr. Khalid Abdul Bari, board chairman of the Zagazig University Hospitals, said that there was no technical fault in the maternity wards, but the deaths were children, their health was too late.

وسيطرت حالة من الرعب والفزع أصابت الأهالى بعد سماع هذه الأنباء السيئة، مما دفعهم مسرعين إلى استخراج أطفالهم المبسترين من هذا المستشفى. Took control of a state of terror and panic struck these people after hearing the bad news, which caused them to extract their children away from this hospital Alambstren. ويقول خالد والد أحد الأطفال، إننى أخذت طفلتى من المستشفى، حيث كانت محجوزة منذ أربع أيام بالحضانة، بعدما علمت بوفاة كل من معها بالقسم. According to Khalid, the father of a child, I took my child from the hospital, where she was booked for four days of custody, having learned of the death of her department.

وعلم اليوم السابع، أنه حاليا تجرى تحقيقات مع الأطباء القسم بالمستشفى بمعرفة د خالد عبد البارى رئيس مجلس إدارة المستشفى، لمعرفة هل هناك تقصير أم لا وأعلن حالة من الطوارئ داخل المستشفى تحسبا لاكتشاف أى مخالفات أخرى. And informed the seventh day, that is currently being investigated by the hospital doctors Section Dr. Khalid Abdul Bari, board chairman of the hospital, to determine whether or not there is default and declared a state of emergency within the hospital in anticipation of the discovery of any other irregularities.

وأصدرت جامعة الزقازيق بيان إعلامى، تنفى وجود أى عيوب فنية فى وفاة الأطفال، وأن الوفاة طبيعية، حيث أكد الدكتور خالد عبد البارى رئيس مجلس إدارة مستشفيات جامعة الزقازيق أن هناك أعدادا كبيرة من الأطفال تأتى للحضانات من داخل المحافظة ومن خارجها، وأن الوفيات عدد منهم يعد أمر طبيعيا، لأنه غالبا ما تكون حالاتهم خطيرة، وتحتاج لرعاية ومع ضعف الإمكانيات ترتفع نسبة حدوث الوفاة، علما بأن هناك مجهودا جبارا من الأطباء فى القسم. Zagazig University and issued a media statement, denying the existence of any technical flaws in the death of children, and a natural death, with Dr. Khalid Abdul Bari, board chairman of the Zagazig University Hospitals, there are large numbers of children came to the nursery within the department and from outside, and that the number of deaths is is natural, because it is often their cases are serious and need to care for and with double the possibilities of a high proportion of death, note that there is a huge effort of the doctors in the Section.

وفى بيان أصدره قسم الأطفال بطب الزقازيق، نفى أن يكون هناك حالات وفاة جماعية، وذكر أن النسب العالمية للوفاة فى الأطفال المبسترين أقل من 1.5 كجم هى 50% من وفيات حديثى الولادة، علما بأن محضن مستشفيات جامعة الزقازيق يحتوى على 30 حضانة تخدم محافظة الشرقية والمحافظات المجاورة (مدن القناة – سيناء – الدقهلية ) علماً بأنه المكان الوحيد الحكومى الذى يحتوى على أجهزة تنفس صناعى بالمحافظة، حيث لا يوجد فى أى مستشفى حكومى بالمحافظة أجهزة تنفس صناعى، وتبلغ تكلفة الجهاز فى المستشفيات الخاصة حوالى 1500 جنيه، ولأنه المكان الوحيد فهو يستقبل كل الحالات المتدهورة صحياً. In a statement issued by the Department of Pediatrics, medicine Zagazig, denied that there are cases of mass death, and stated that the global rates of death in children Alambstren less than 1.5 kg is 50% of newborn deaths, the hospital incubator at Zagazig University contains 30 nursery serving the eastern province and the provinces neighbors (the Suez Canal - Sinai - Dakahliya) note that the only place the government, which contains the organs of ventilation to maintain, as there is no in any government hospital to maintain ventilation devices, and the cost of the device in the private hospitals, about 1500 pounds, and that the only place it receives cases deteriorating health.

وفيما يلى نص البيان الذى نشرته جامعة الزقازيق على موقعها الإليكترونى: The following is text of the statement published by the University of Zagazig on its website:

جامعة الزقازيق Zagazig University
كلية الطب College of Medicine
قسم الأطفال Department of Pediatrics,
مستشفيات جامعة الزقازيق Zagazig University Hospitals
مستشفى الأطفال الجامعى University Children's Hospital

إيماء إلى ما نشر ببعض المواقع الإلكترونية وبعض الصحف الخاصة بخصوص حدوث عدد كبير من الوفيات فى مرضى مستشفى مبارك للأطفال بمستشفيات جامعة الزقازيق يوم السبت 27/6/2009 نود توضيح النقاط الآتية: Referring to what was published in some websites and some private newspapers regarding a large number of deaths in patients in a hospital for children Mubarak Zagazig University Hospital on Saturday, 27/6/2009 We would like to clarify the following points:
عدد الوفيات يوم السبت 27/6/2009 كان العدد 4 حالات فقط وليس 10 حالات كما أعلن، وملابسات وفاة كل حالة كالآتى: The number of deaths on Saturday 27/6/2009 the number was only 4 of 10 cases and not as stated, and the circumstances of the death of each case as follows:
1- الحالة الأولى: وهو طفل مبتسر مولود فى الأسبوع 28 العمر الرحمى الطبيعى هو 40 أسبوعا ومحولا من مستشفى بلبيس العام بعد 4 ساعات من الولادة ووزنه عند الدخول كان 1.2 كجم ودخل يوم 24/6/2009 وكان يعانى صعوبة شديدة فى التنفس مع نقص العمر الرحمى، وتم وضعه على جهاز التنفس الصناعى وتم حضوره للمستشفى فى عربة خاصة. 1 - First case: a child born prematurely at 28 week-old normal uterus is 40 weeks and converted into a hospital Bilbeis year after 4 hours of birth and weight at entry was 1.2 kg and entered on 24/6/2009 and was suffering severe breathing difficulty with the lack of age the uterus, and placed on a ventilator had been attending for a hospital in particular.
2- الحالة الثانية: محولة من محضن خاص يوم 23/6/2009 بعد يومين من الولادة وكانت تعانى تسمما فى الدم مع ارتفاع فى درجة الحرارة وصعوبة شديدة فى التنفس وضعف فى النشاط العام ورفض للرضاعة وهذا موضح بالفحوصات الطبية التى أجريت لها عند الدخول. 2 - Second case: Converted from a special incubator on 23/6/2009, two days after birth and had suffered blood poisoning, with fever and severe difficulty in breathing, weakness in the overall activity and a rejection of the breast and this indicated that the medical examination carried out when the entry.
3- الحالة الثالثة: محولة من مستشفى حميات الزقازيق 5/6/2009 ثم المستشفى العام وعمرها عند الدخول 20 يوما وهى ذات عمر رحمى 36 أسبوعا وتم تشخيصها على أنها حالة تسمم بالدم ونقص شديد بالصفائح الدموية مع نزيف داخلى وخارجى مستمر نتيجة عيوب الأيض الغذائى. 3 - the third case: Converted from a hospital and then admitted 5/6/2009 Zagazig General Hospital, aged 20 days upon entry, the age of 36 weeks was Rahmi diagnosed as a case of blood poisoning and severe shortage of blood Balsafaih with internal and external bleeding continuous metabolic defects result in food.

4- الحالة الرابعة: محولة يوم 27/6/2009 من المنزل بعد يومين من الولادة وكان يعانى زرقة شديدة فى اللون وصعوبة فى التنفس ونسبة الأكسجين لحظة الدخول كانت 80% ، وتم تشخيصه بأنه عيب خلقى مركب فى القلب وتوفى بعد ساعتين من دخوله المستشفى بعد عمل كل الإسعافات الأولية لإنعاش القلب. 4 - the fourth case: Transferred on 27/6/2009 from home two days after birth and had a very blue in color and difficulty in breathing and oxygen to the moment of entry was 80%, and was diagnosed as a congenital defect in the heart vessel and died two hours after being admitted to hospital after the work of each first aid for the recovery of the heart.

أما الطفلة موضع الشكوى توفيت يوم 28/6/2009 وليس 27/6/2009 كما أعلن وكان عدد الوفيات الكلى بالمحضن فى هذا اليوم 4 حالات بيانها كالآتى: The girl in question died on 28/6/2009 and 27/6/2009 is declared as the number of deaths and kidney Bamahdhan in 4 cases of this day are as follows:
1- الحالة موضع الشكوى: محولة من البيت يوم بعد خروجها بساعات من محضن خاص (حمدى السيد) وكان عمرها عند الدخول 11 يوما، وكان عمرها الرحمى (30 أسبوعا) ووزنها 1.25 كجم وكانت تعانى ارتفاعا شديدا فى نسبة الصفراء مع تسمم فى الدم وضعف فى النشاط العام ورفض كامل للرضاعة، مما استدعى القيام بعملية تغيير كامل لدم الطفلة ولكن ارتفاع نسبة الصفراء مع التسمم أدى إلى هبوط حاد فى الدورة الدموية والقلب. 1 - the subject of the complaint: Transferred from the House on a few hours after graduating from a special incubator (Mr. Hamdi) and when entering the age of 11 days, and the age of the uterus (30 weeks) and weighs 1.25 kilograms and was suffering a sharp rise in the proportion of yellow with blood poisoning, and weak overall activity and a complete rejection of the breast, which necessitated a complete change to the process of blood child, but the high proportion of yellow with poisoning led to a sharp decline in the circulatory system and heart.
2- الحالة الثانية: محولة من قسم الجراحة العامة يوم 24/6/2009 نتيجة انسداد معوى خلقى ثم معالجته جراحياً وكان يعانى زيفا داخليا وخارجيا مستمرا، أدى إلى هبوط حاد فى الدورة الدموية وكان وزنه 2.5 كجم. 2 - Second case: Transferred from the Department of General Surgery on 24/6/2009 due to a blocked stomach congenital and surgical treatment and was suffering falsely continues internally and externally, has led to a sharp decline in the circulatory system and the weight was 2.5 kg.
3- الحالة الثالثة: محولة يوم 19/6/2009 من محضن خاص وعمره عند الدخول 17 يوما وكان يعانى عند الدخول فشلا فى التنفس على جهاز تنفس صناعى، ويعانى تسمما فى الدم وكان وزنه 1.4 كجم. 3 - the third case: Transferred on 19/6/2009 from a special immune-old at the time of entry and 17 days at the time of entry was suffering respiratory failure, was on a respirator and suffered blood poisoning and was weighing 1.4 kg.
4 الحالة الرابعة : محولة من مستشفى حوادث النساء وعمره الرحمى 30 أسبوعا، ووزنه عند الدخول 1.7كجم فى يوم 24 \6 وكان يعانى صعوبة فى التنفس نتج عنه توقف متكرر للتنفس، مما استدعى وضعه على جهاز التنفس الصناعى ولم تتم الاستجابة، مما أدى إلى هبوط حاد فى الدورة الدموية والقلب. 4 fourth case: Converted from a hospital incidents of women and IUD 30 weeks old, and weighs 1.7 kg at the time of entry on 24 \ 6 and was having difficulty breathing caused by recurrent cessation of breathing, and was put on a ventilator was not the response, which led to a fall sharply in the circulatory system and heart.
وبناء على ما تقدم نوضح الآتى: Based on the above clarify the following:
عدد الوفيات فى يوم السبت والأحد كان 8 كالآتى: The number of deaths on Saturday and Sunday, 8 was as follows:
1. 1. 2 حالة نتيجة التسممم الدموى وكانت أوزانهم 1.4 ، 1.3 كجم. 2 Altzmmm a result of the case of the bloody and weight were 1.4, 1.3 kg.
2. 2. حالة نتيجة ارتفاع شديد بالصفراء. The case of the result of very high Balsafra.
3. 3. حالة بسبب مضاعفات جراحية. The case because of complications of surgery.
4. 4. حالتان نتيجة نقص شديد بالوزن ومضاعفات فى الأطفال المبسترين. Cases due to a lack of weight and severe complications in children Alambstren.
5. 5. حالة بسبب عيب فى الأيض الغذائى. The case because of a defect in the metabolism of food.
6. 6. حالة بسبب عيب خلقى مركب فى القلب. The case because of a defect in complex congenital heart disease.
علماً بأن الوفيات تمت فى ساعات متفرقة خلال اليومين، وليس يوما واحدا، وبالتالى فهى ليست وفيات جماعية كما أعلن. Note that the deaths were at different times during the days, not one day, and are therefore not mass mortality was also announced.

النسب العالمية للوفاة فى الأطفال المبسترين أقل من 1.5 كجم هى 50% من وفيات حديثى الولادة، فما بالنا بطفل يعان عددا كبيرا من المشاكل كما هو موضح، علماً بأن نسبة الوفيات لدينا فى محضن جامعة الزقازيق هى 15 – 20% شهرياً فقط وهى أقل من النسبة العالمية. Global percentages of death in children Alambstren less than 1.5 kg is 50% of newborn death, what then is a child suffered a large number of problems as it is shown, the mortality rate we have in Zagazig University is immune from 15 to 20% per month only, which is lower than World.
محضن مستشفيات جامعة الزقازيق يحتوى على 30 حضانة تخدم محافظة الشرقية والمحافظات المجاورة (مدن القناة – سيناء – الدقهلية)، علماً بأنه المكان الوحيد الحكومى الذى يحتوى على أجهزة تنفس صناعى بالمحافظة حيث لا يوجد فى أى مستشفى حكومى بالمحافظة أجهزة تنفس صناعى، وتبلغ تكلفة الجهاز فى المستشفيات الخاصة حوالى 1500 جنيه، ولأنه المكان الوحيد فهو يستقبل كل الحالات المتدهورة صحياً. Zagazig University Hospitals incubator containing 30 nursery serving the eastern province and neighboring provinces (the Suez Canal - Sinai - Dakahliya), note that the only place the government, which contains the organs of ventilation to maintain as there is no in any government hospital to maintain ventilation devices, and the cost of the device in private hospitals, about 1500 pounds, and that the only place where it receives the deteriorating health.

الصور المرفقة بالموضوع المنشور على الموقع الإلكترونى هى صور ملفقة ولا تخص محضن مستشفيات جامعة الزقازيق، حيث لا يسمح أبداً بدخول أكثر من طفل ولو كانوا توأم فى نفس الحضانة، كما أن هذا النوع الموضح بالصور لا يوجد أساساً عندنا. Photo attached to the subject, published on the website are not fabricated images incubator hospitals belonging to the University of Zagazig, where there is never allowed to enter more than one child if they are twins in the same nursery, and that this kind illustrated there is no basis for us.

فى كل دوام عمل يكون هناك طبيبان وليس واحدا (طبيب مقيم ومدرس مساعد ) يتبادلان العمل والراحة. In all-time doctors work there is not one (resident doctor and a teacher assistant) exchange of work and rest. بناء على ما تقدم نهيب بكل وسائل الإعلام تحرى الدقة والمصداقية والموضوعية قبل نشر أى أخبار غير دقيقة تؤدى إلى بلبلة الناس وزعزعة الثقة فى مستشفى يعتبر أحد علامات وقلاع طب الأطفال ليس فى مصر فقط، ولكن فى كل الشرق الأوسط بما يحمله من خبرات وإمكانات، والانتقاص من حق أناس لا يألون جهداً فى خدمة مرضاهم وفى خدمة مصرنا الحبيبة. Based on the foregoing we call upon all the media accurate, credible and objective news before the publication of any inaccurate lead to confusion and undermine people's confidence in the hospital is one of the citadels of Medicine and the signs of children not only in Egypt, but throughout the Middle East, with its expertise and potential, and the erosion of the right people are sparing no effort in serving their patients in the service of our beloved Msrna.
 
Re: Egypt - An example of hospital care

"3- الحالة الثالثة: محولة من مستشفى حميات الزقازيق 5/6/2009 ثم المستشفى العام وعمرها عند الدخول 20 يوما وهى ذات عمر رحمى 36 أسبوعا وتم تشخيصها على أنها حالة تسمم بالدم ونقص شديد بالصفائح الدموية مع نزيف داخلى وخارجى مستمر نتيجة عيوب الأيض الغذائى. 3 - the third case: Converted from a hospital and then admitted 5/6/2009 Zagazig General Hospital, aged 20 days upon entry, the age of 36 weeks was Rahmi diagnosed as a case of blood poisoning and severe shortage of blood Balsafaih with internal and external bleeding continuous metabolic defects result in food."

I take this to mean that there was a hemorrhage at some point?



I gather from the information in this thread that they are having trouble keeping the private hospitals open and they are transfering these neonates to the public hospitals. The problem seems to be with the transport more than the hospitals themselves. Are they closing down the private hospitals? And why would they choose to move these fragile babies in the first place?
 
Re: Egypt - An example of hospital care

Whats outlined below as care coupled with the process is pretty much the way it is within some facilities.

24 hours with possible swine flu
What happens when you suspect your child is suffering from H1N1? Alaa Abdel-Ghani was forced to go where you wouldn't normally want to set foot

--------------------------------------------------------------------------------

Mustafa had been just fine up until Friday noon prayers. My 12-year-old had been his usual irritable, unapproachable, never satisfied self. He wanted to go swimming in the club, then play football. But he had to pray first and his mood was foul. The sermon was taking too long, it was hot and the subsequent prayer, conducted under an inescapable sun, was, too, inordinately long.

Following the sermon, as if escaping a death sentence, Mustafa ran like a rocket upstairs to pack his sporting gear and off we drove to the club. On the way, he looked uncomfortable, complaining of the heat and blaming it on the overzealous sheikh.

In the club, Mustafa cut his usual three-to-four-hour swim time to just one hour. He had limited his lunch to French fries and a soda. And this aspiring goalkeeper had not the slightest inclination to lace up.

We cut short our club day. At home we stuck a thermometer in Mustafa's mouth; it read 38.5. By evening it had jumped to 40. After giving him something to reduce the fever, my wife Dina and I decided to wait until morning before taking any more action.

With three children, we had been through illnesses dozens of times and in normal times we would not have panicked. But these were not normal times and there was one recurring thought I could not shake off: just three days earlier, on Tuesday, Mustafa had been to AUC.

It had been commencement day at the American university and the entire family had gone to the new campus in Qattameya to celebrate Dina's newly acquired Master's degree in Teaching English as a Foreign Language. The campus had been sealed off the entire previous week after seven cases of swine flu were reported in AUC's Zamalek dormitory.

For good measure, the AUC bus we took had been taking the dormitory route. The driver possessed the in vogue surgical mask he did not wear and had a bottle of liquid soap for passenger use.

After the ceremony we mingled and I distinctly remembered Mustafa shaking hands with an American professor.

Throughout the night Mustafa's temperature would not fall and by morning a bad case of diarrhoea had begun. It was time to go to a hospital. But which one? From what I understood, private hospitals were not yet dealing with swine flu. They don't test for it and do not have its cure, Tamiflu.

The information operator told us to call 105, the swine flu hotline. The strangest thing happened when Dina dialed 105: somebody actually answered. Dina was told to go to Hommeyat Imbaba, a hospital that deals strictly with fevers and which was the closest near us in Agouza.

I had never been to Hommeyat Imbaba, never knew anybody who had. But I knew all too well two things: it was government-run and it was basically for free, and I dreaded both. The two forever conjure up images of inefficiency and poor quality.

During the 15-minute taxi ride, I thought about the deaths and thousands afflicted in dozens of countries since swine flu was introduced to the world just two months ago, but despite that, the belief that it will never happen to you, that neither you nor your loved ones will ever get swine flu.

Hommeyat Imbaba is a large, flat, decrepit, dull grey labyrinth which looks like it was built at the time of the dinosaurs. It is more outdoors than indoors. Men and women in white were hard to find but nurses were plentiful. They all had masks but many preferred to dangle them from their necks.

The hospital's most striking feature is its patients. In their hundreds, Les Miserables -- the poor, the downtrodden, the broken souls of Egypt -- wait for help. I had to wonder when would "help" finally arrive for these destitute and what form it takes.

At the gate you are met by what looks like a mass protest. Dozens of people standing every which way but a queue and striving mightily to reach one tiny iron-barred window, seeking what turned out to be a ticket that will give one the opportunity to meet a savior doctor. It would take at least an hour to get this priceless piece of paper so I looked around for help. I found it in the form of a middle-aged intern. "Can you help me, please? My son needs to see a doctor."

"You have to get a ticket first."

"How much?"

"A pound and a half."

"Can you get one for me?"

"No problem."

I gave him five pounds. In a couple of minutes he was back with the ticket and offered me the change which I politely said he could keep. He was grateful and showed it by allowing us into a room which I'm sure dozens had been waiting to enter before I came along. I felt guilty for cutting in line but the alternative was far worse.

In this two-bed room, a nurse took the ticket and Mustafa's temperature under the armpit. Still 40. Mustafa was asked to lie down and was given a check-up by a youthful doctor who pronounced him fine. "It's a normal flu," he said. He wrote a prescription for one medicine I was given free and another which had to be bought elsewhere.

The check-up was fast, too fast for our liking. We were not convinced. You want to leave a place like Hommeyat Imbaba as quickly as possible and you want to hear that your son is safe but you have doubts when he's not tested the way we heard and read he should be. The swab test comes to mind as an example.

Back home, we called 105 again and the second strangest thing happened: someone answered. But I pitied the poor woman who took the call for I knew what was coming. Dina does not mince words and was about to give a withering lecture. One particular memorable quote: "You guys must be joking! You're telling me that a 20-something-year-old who graduated from the school, not of medicine but agriculture, checked my son for possible swine flu, using only a stethoscope? We laugh when we see these things in our soap operas, but now this is real life, and you'd better tell me what to do next and fast because what just happened is absolute nonsense."

The woman could not get in a word edge-wise except to say "try the Giza Chest Hospital."

The Giza Hospital was pricier (entrance fee LE5), less crowded, more orderly and had infinitely cleaner bathrooms than the hole-in-the-floor variety in Hommeyat Imbaba, and Mustafa needed a lot of bathrooms that day. But as I was to find out, Giza dealt only with bird flu, not swine flu. Better than nothing, I thought.

At the gate, I was met by a security officer. "This boy has a high fever and bad diarrhoea. Where should I go?"

"The skin unit is that way."

I had to laugh out loud. "What skin? I don't want a dermatologist. I want a doctor!"

Around a dozen patients were waiting for the kind of doctor I wanted to see. I slipped a female assistant guarding the clinic door LE5 and I was inside in 20 minutes.

The same sort of check-up was performed but the doctor was genuinely concerned about Mustafa's AUC visit. Another doctor evinced the same sentiments and was worried enough to write me a transfer letter to Hommeyat Imbaba. The letter read: "Query swine flu."

Back in Hommeyat Imbaba I bumped into my old intern friend whom I now got to know by name. "Mohamed, to whom do I take this letter?"

"This time you can see the head of the fevers unit."

"Why not the first time?" I asked. "Why all this waste of time?" I received only a toothy grin for a reply.

By this time Mustafa's fever had broken which was relief.

This last doctor allayed our fears somewhat. "Your son doesn't have the symptoms you must have if it's swine flu. He doesn't have a runny nose, he's not sneezing or coughing and has no body aches. And his fever could never have gone down so quickly if he had swine flu. His tonsils are in bad shape and that could cause fever and diarrhoea, but I'm sure he'll be okay."

He prescribed the required medicines and that was it.

In four hours, Mustafa had gone to two hospitals -- one he went to twice -- and had seen five doctors. Considering Egypt's traffic, red tape and general state of confusion, not bad. His visit to AUC also proved a huge catalyst. To every nurse and doctor I met I repeated the mantra: "This boy was in AUC on Tuesday. This boy was in AUC on Tuesday."

Mustafa is back to normal, a bit weak from the fluids he lost but back to his usual irritable, unapproachable, never satisfied self. His family wouldn't want it any other way.
 
Re: Egypt - An example of hospital care

I suspect some of whats below is true, no mater what. its pretty un-settling for those that require any type of regular treatment related to kidney functions which require dialysis.

Translation: Arabic ? English
تعطل أجهزة الغسيل الكلوى بمستشفى إبشواى
الجمعة، 3 يوليو 2009 - 12:49


من يستجيب لهذه المأساة ؟
كتبت رباب الجالى


يعانى مستشفى إبشواى المركزى بالفيوم تعطل 30% من الأجهزة بوحدة الغسيل الكلوى بالمستشفى، وأكد أحد المسئولين بالمستشفى أن وحدة الغسيل الكلوى بالمستشفى تضم 25 ماكينة، منهم 10 سلبيين و15 إيجابيين، تعطل منهم 6 ماكينات بأربعة أعطال عادية، وماكينتان يحتاجان لقطع غيار. وأشار مصدر مسئول أن إدارة المستشفى قامت بإبلاغ الشركة المسئولة عن الصيانة منذ قرابة خمسة أيام، ولم يتم الصيانة وهو ما يجعل الإقبال كبيرا على باقى الماكينات، ويحرم بعض المواطنين من حقهم فى العلاج.

أما مركز يوسف الصديق، شهد بالأمس، الأربعاء، غياب كامل للأطباء بكافة الوحدات الصحية والعيادات منذ الصباح، وهو ما جعل الناس يعتقدون أن هناك إضرابا من الأطباء على مستوى المركز، وتوجه الكثير من المرضى إلى الوحدات الصحية، لكنهم لم يجدوا أطباء، فاضطروا للتوجه إلى مركز إبشواى ومدينة الفيوم.

واتضح أن السبب فى غياب الأطباء أن مدير الإدارة الصحية بمركز يوسف الصديق، اجتمع بكافة الأطباء بالمركز منذ الصباح حتى الثالثة عصرا، ولم يضع فى اعتباره المرضى الذين يحتاجون إلى هؤلاء الأطباء.

Crash, a hospital dialysis Ibcoay
Friday, July 3, 2009 - 12:49


To respond to this tragedy?
Rabab wrote Galy


Hospital suffering Ibcoay Central Fayyoum disrupted 30% of the organs of the hospital's dialysis unit, and hospital officials confirmed that one of the dialysis machine 25 includes the hospital, including 10 negative and 15 positive, 6 were disrupted machine breakdowns normal four, and Maquintan need for spare parts. The official source that the management of the hospital has informed the company responsible for maintenance for nearly five days, and no maintenance, which makes a great demand on the rest of the machinery, and deprived some citizens of their right to treatment.
The Center for Yusuf friend saw yesterday, on Wednesday, a complete absence of doctors in all health units and clinics since the morning, which made people believe that there is a strike of doctors at the Center, and draws a lot of patients to health units, but they did not find doctors, so they had to go to Ibcoay Center and the city of Fayoum.

It turned out that the reason for the absence of doctors that the health status of the Director of Administration Yusuf friend, he met all the doctors place from the morning until three in the afternoon and did not take into account the patients who need doctors.
 
Re: Egypt - An example of hospital care

Translation: Arabic ? English
"القويضى" يحمل وزارة الصحة مسئولية تدهور المستشفيات بحلوان
الأربعاء، 8 يوليو 2009 - 12:23


الدكتور حازم القويضى محافظ حلوان
كتبت هايدى عبد الوهاب


أكد الدكتور حازم القويضى محافظ حلوان، خلال لقائه بطلبة الجامعات فى مركز إعداد القادة بالمحافظة، أن مستشفى حلوان العام تعانى تدهورا فى منشآتها، وتفتقر لكثير من المعدات والأجهزة، محملا وزارة الصحة المسئولية، واتهمها بالتقصير.

وأضاف القويضى، أنه على الرغم من الظروف الصعبة التى تمر بها مستشفيات المحافظة، إلا أن الأطباء الموجودين فيها من أمهر الأطباء، مؤكداً أن مستوى الطبيب المصرى يضاهى مستوى الطبيب العالمى. وأشار إلى أن المدينة الطبية الجديدة التى ستقام بالتعاون مع اتحاد كبرى الشركات الإنجليزية (isl)، باستثمارات 8 مليارات جنيه وتضم 21 مستشفى ومركزا علاجيا، سيكون بها 20% من السرائر بالمجان.


"Alqweidy" a Ministry of Health responsible for the deterioration of hospital Monday
Wednesday, July 8, 2009 - 12:23


Dr. Hazem Alqweidy Governor of Helwan
Heide wrote Abdel Wahab


Dr. Hazem Alqweidy HELWAN governor, during a meeting with university students in the preparation of leaders to maintain the status, the Helwan hospital suffering a deterioration in public facilities, and lack many of the equipment and devices, loaded with the Ministry of Health is responsible, and accused of dereliction.

The Alqweidy that, despite the difficult circumstances experienced by the hospitals to maintain, but the doctors who are skilled doctors, stressing that the level of the Egyptian doctor, the doctor achieved a level of the world. He pointed out that the new medical city, which will be held in collaboration with the great English company (isl), investments of 8 billion pounds and includes 21 hospitals and treatment centers, will have 20% of the Aserair free of charge.
 
Re: Egypt - An example of hospital care

read the article below on this blog pandemicinformationnews.blogspot.com
those couple of people chasing down. then blogging all of that information seem very busy.lol :applause:

Translation: Arabic ? English
أثناء زيارتهم لجامعة بنها..وفد طلاب الطب الأجانب ينتقد "مستشفيات مصر"
السبت، 11 يوليو 2009 - 12:31


الوفد الأجنبى استقباله بجامعة بنها
انتقد وفد كليات الطب الأجنبية، والذى تستضيفه جامعة بنها حاليا، والمكونه من 17 طالباً وطالبة من 14جنسية من 17 كلية طب حول العالم، بناء على اتفاقية التبادل العلمى والطلابى.

انتقد الوفد إجراءات مكافحة العدوى داخل المستشفيات المصرية، وأكدوا أنه لا يوجد أى اهتمام بمكافحة العدوى داخل المستشفيات، حتى من جانب الأطباء وفرق التمريض، مما ينذر بكارثة فى حال وجود وباء لا قدر الله.

جاء انتقاد الطلاب فى حضور الدكتور حسام العطار رئيس الجامعة والدكتور محسن خيرى عميد كلية الطب وعدد كبير من أساتذة الجامعة، ولم ينفِ أحد منهم انتقادات الوفد.

كما انتقد الطلاب أيضا ظاهرة التدخين داخل المستشفيات، وخاصة مستشفى الجامعة، وذلك من جانب المرضى والزوار والأطباء وفرق التمريض، وأكدوا أن هذه الظاهرة لا يمكن أن تحدث فى بلادهم لأن من يفعل ذلك يتعرض لعقوبات وغرامات رادعة، كما عبروا عن دهشتهم من تضخم عدد مرضى الكبد الوبائى.

During their visit to the University of milk ..
The delegation of foreign medical students criticized the "hospital" Egypt
Saturday, July 11, 2009 - 12:31


Foreign delegation met Banha University
Criticized the delegation of foreign medical schools, which is currently hosted by the University of Banha, consisting of 17 students from 14 nationalities from 17 Faculty of Medicine around the world, based on the scientific and student exchanges.

Criticized the infection control procedures within the Egyptian hospital, and stressed that there was no interest in combating the infection in hospitals, even by doctors and nursing teams, which portends a disaster in the event of a pandemic is not as much as God.
The criticism of the students in the attendance of Dr. Hussam Al-Attar the university president, Dr. Mohsen Khairy Dean of the Faculty of Medicine and a large number of university professors, one of them did not deny the criticism.

The students also criticized the phenomenon of smoking in hospitals, especially university hospital, by patients, visitors, doctors and nursing teams, and stressed that this phenomenon could not occur in the home do so because it is being subjected to deterrent fines and penalties, and expressed surprise at the rise in liver patients epidemic.
 
Re: Egypt - An example of hospital care

إجراء عملية جراحية فى مستشفى بولاق الدكرور بـ"كشافات الموبايلات" Undergo surgery at a hospital in Bulaq Dakrur the "كشافات mobiles"
الأثنين، 13 يوليو 2009 - 22:19 Monday, July 13, 2009 - 22:19


أطباء بمستشفى بولاق الدكرور أغلقوا بطن مريض انتظارا لعودة الكهرباء

Doctors Hospital Bulaq Dakrur closed abdomen patients waiting
for the return of electricity
كتب محمود سعد الدين Mahmoud Al Saad Eddin


شهدت غرفة العمليات بمستشفى بولاق الدكرور العام صباح اليوم الاثنين، انقطاعا مفاجئا لتيار الكهرباء العمومى بالمستشفى لمدة ساعة ونصف، وذلك أثناء إجراء عدد من العمليات الجراحية بالغرفة، مما أدى إلى فشلها وعدم إتمامها لتعطل أجهزة التخدير بالمستشفى. Saw the operating room Bulaq Dakrur General Hospital on Monday morning, a sudden disruption of the flow of electricity universal hospital for an hour and a half, during a number of surgical operations room, which led to failure, and non-completion of the disruption of the organs of sedation in hospital.

وقال طبيب بالمستشفى ? رفض ذكر اسمه - إن زملاءه الأطباء بغرفة العمليات أغلقوا بطن مريض يدعى مصطفى رمضان حمودة دون إتمام عملية استئصال حصوة بالكلى، مضيفا أن يأس الأطباء من عودة التيار الكهربائى دفعهم إلى عدم إتمام العملية على أن يعيدوا فتح بطن المريض مرة أخرى فى وقت لاحق، ويستقر المريض حاليا بقسم جراحة المسالك البولية بالمستشفى. The doctor said the hospital - who refused to give his name - that his operations room doctors closed abdomen patients named Mustafa Mahmoud Ramadan without the completion of the eradication of kidney stone, adding to the despair of doctors of a return to power them to the failure to complete the process to re-open the belly of the patient again in the time Subsequently, the patient was stabilized and the Department of Urology hospital.

وكشف الطبيب لليوم السابع عن قيامه بإنهاء عملية جراحية داخل غرفة العمليات على ضوء كشافات الهواتف المحمولة، مضيفا أنه كان يجب أن يكمل العملية تحت أى ظروف. A doctor for the seventh day of the termination of its operation within the operations room in the light of كشافات mobile phones, he said, adding that he must complete the process under any circumstances.
 
Re: Egypt - An example of hospital care

Translation: Arabic ? English
وكيل مديرية الشئون الصحية بالمحافظة يكشف..
مستشفى أمراض الصدر ببورسعيد دون عناية مركزة
الجمعة، 17 يوليو 2009 - 14:46


المستشفى تعانى نقص الأجهزة
بورسعيد ـ محمد فرج


كشف الدكتور عماد الدين حسن وكيل وزارة مديرية الشئون الصحية ببورسعيد، عن عدم وجود وحدة عناية مركزة بمستشفى الصدر "المصح البحرى"، نظرا لضعف الاعتمادات المالية المخصصة من وزارة الصحة. كما طلب من الدكتور عصام مغازى مدير إدارة الأمراض الصدرية بوزارة الصحة، بتوفير جهاز تنفس صناعى لعلاج الحالات الخاصة بالفشل التنفسى الذى يحدث كمضاعفات نتيجة للإصابة بمرض الأنفلونزا.

وحذر الدكتور عصام السنوسى استشارى الأمراض الصدرية ببورسعيد، من خطورة حدوث اندماج وتزاوج منتظر بين فيروس ثنائى الأنفلونزا خلال فصل الشتاء القادم. كما أنه يتم دراسة أمراض الجهاز التنفسى والالتهابات الشعبيه الرئوية التى تحدث نتيجة إجراء عمليات نقل أجزاء من الكبد، وبحث كيفيه التعامل مع هذه الحالات.

Under the Directorate of Health Affairs shows the maintenance ..
Chest diseases hospital in Port Said with attention focused
Friday, July 17, 2009 - 14:46


The hospital is suffering a lack of organs
Port Said Mohamed Farag


Dr. Emad El Din Hassan, Undersecretary of the Ministry of the Directorate of Health Affairs in Port Said, from the absence of a hospital intensive care unit chest "maritime institution" due to its poor financial allocations from the Ministry of Health. He also asked Dr. Essam Maghazi Chest Director of the Department of the Ministry of Health, to provide a respirator to treat special cases of respiratory failure, which occurs Kamadaafat result of infection with influenza.

Warned Dr. Essam SNOUSSI advisory Chest Port Said, the risk of integration and intermarriage between expected bilateral influenza virus during the upcoming winter season. It is a study of respiratory illnesses and pulmonary bronchitis occurs as a result of the transfer of parts of the liver, and discuss how to deal with these cases.
 
Re: Egypt - An example of hospital care

Translation: Arabic ? English
بسبب انقطاع التيار الكهربائى 10 ساعات..
نجاة 16 طفلاً بحضانات مستشفى طنطا من الموت
الأربعاء، 29 يوليو 2009 - 13:39


انقطاع الكهرباء يهدد أطفال الحضانات
الغربية هند عادل


تعرضت حياة أكثر من 16 طفلاً بالحضانات بمستشفى طنطا الجامعى للخطر، نتيجة انقطاع التيار الكهربائى وحرق الكابل الأرضى المغذى للمستشفى، وذلك بسبب الأحمال الزائدة بعد انفجاره فى الثالثة صباحاً، مما عرض الأطفال داخل الحضانات لمشكلة كادت تودى بحياتهم، وعلى الفور تمت الاستعانة بمولدات بديلة لتشغيل قسم الحضانات بعد انقطاع التيار عن جميع أرجاء المستشفى وغرف العمليات والعناية المركزة.

تم نقل 4 أطفال منهم إلى قسم الباطنة، كان من بينهم طفلان حالتهما خطيرة، وقام على الفور الدكتور شوقى العبد عميد كلية الطب ورئيس المستشفى بالتواجد داخل المستشفى، والاتصال بمديرية الأمن بالغربية ومرفق الإسعاف ووكيل وزارة الصحة والقيادات الأمنية، لرفع حالة التأهب القصوى وفتح الحضانات الموجودة داخل المستشفيات العامة، والتنسيق بين المستشفيات الخاصة لفتح الحضانات فى حالة تعرض الأطفال للخطر واستمرار انقطاع التيار. واتهم أهالى الأطفال والمرضى إدارة المستشفى وشركة كهرباء جنوب الدلتا بالإهمال الجسيم، نتيجة عدم تغيير الكابلات وإحلالها وتجديدها إلى جانب عدم إجراء الصيانة اللازمة المستمرة، واستمر انقطاع التيار الكهربائى عن باقى أرجاء المستشفى لأكثر من 10 ساعات كاملة، وجارى استبدال الكابل الأرضى التالف بآخر جديد.

Due to the interruption of electricity 10 hours ..
Survival of 16 children with incubators Tanta hospital death
Wednesday, July 29, 2009 - 13:39


Blackouts threatens children nursery
West India just


The lives of more than 16 children, Tanta University Hospital Balhoudanat risk, due to the interruption of power cable and the burning of the ground, usually at the hospital, because of the extra load after the third exploded in the morning, putting children in the nurseries of the problem almost cost their lives, and immediately was the use of generators for the operation of the alternative nurseries after the blackout on all parts of the hospital and operating rooms and intensive care.

4 children were transferred them to the inner section, including two in serious condition, and immediately, Dr. Shawki Al-Dean of the Faculty of Medicine and president of the hospital presence within the hospital, contact the Directorate of Security and Facility emergency meeting Sunday attended by the Under-Secretary, Ministry of Health and security leaders, to lift the state of maximum alert and the opening of the existing nursery within public hospitals, and coordination between private hospitals to open a nursery in the case of children's exposure to risk and the continued power cuts. He accused the parents of patients and the hospital administration and the South Delta Electricity Company of gross negligence, as a result of changing the cables and replacement and renovation as well as the lack of ongoing maintenance required, and blackout continued for the rest of the hospital for more than 10 hours in full, and the ongoing replacement of the damaged cable ground a new one.
 
Re: Egypt - An example of hospital care

this pre-dates the first post in this thread but is just now the first time i have read or heard of this issue...

In reality, and mortality in intensive care in Fayoum ..
Referral and secretary of Health in Fayoum and 5 doctors for disciplinary trial
Wednesday, November 25th, 2009 - 16:25


Hatem mountain
Fayoum - Rabab Jali


Counsel decided Samir Badawi, Chairman of the Administrative Prosecution Authority, to refer Dr Hussein Sophie Abu Talib, Deputy Minister of Health in Fayoum, to the Disciplinary Board, a specialist in Zagazig University, the ones lent to the Ministry of Health, and to bring 5 of the doctors working in intensive care unit at the General Hospital in Fayoum to the Disciplinary Tribunal , as well as sanctioning 7 of the doctors and hospital staff administratively for committing financial and administrative irregularities led to the deaths of a number of patients in hospital intensive care unit during the period from January and February.

Dr. Hatem mountain, Minister of Health, decided to transmit the fact of the death of 15 patients a hospital intensive care Fayoum General Hospital as a result of wrongdoing to the Attorney General transmitted by the technical office of Chancellor Abdul Hai Vazhurp, a lawyer for the first year of Fayoum prosecutors for investigation, and condemned the technical reports by the Committee set up by The Ministry of Health officials, doctors from the intensive care unit, and revealed the disruption of all equipment and intensive care unit at the time.

Counsel informed the mountain Mohammad Nabil, Vice-Chairman of the Commission and the Director of the Administrative Prosecution Fayoum "section first," offenses that occurred in the intensive care unit, and proceeded Adviser Mohammed Mustafa, head of the Administrative Prosecution, Investigation into the case, which decided to refer them to the nearest disciplinary hearing, in accordance with the decision Counsel soldier Hammad, Vice-Chairman of the Board and Director of the disciplinary action in Cairo.

The investigations have included the 15 accused and an unknown first synthesized in conflict with the signing of the seventh and eighth on a document submitted to resign causing them, and prosecutors charged for the second Abla Hassan Mohamed, Senior nursing staff the intensive care unit, was charged with inaction in action officially scheduled on the presentation of items of medical solutions is the subject of submission of On February 14, 2009 allocated to start the measurement and analysis of the gases in the blood of patients with intensive care unit, did not bring this matter to the conflict with the fifth and sixth or management of the hospital from June 30, 2008 until February 13, resulting in expiry of the number of cartons Article 3 solution "scrape and 3 carton "WASH", a $ 16 thousand and 731 pounds, and joined with a third, Reda Abdel-Salam Mohamed nursing supervisor in the neglect of the request to provide the type of medical supplies and items, to start the analysis of gases in the blood throughout the period from February to September 2009, and neglect in the care level of hygiene Special furniture "family" for patients, as well as negligence in the issuance of instructions to the nursing team members to engage patients in uniform and neglect in the request for and supply of adequate quantity of "Aliketrudz" needed to start the Monitor, and decided to sanction the prosecution accused the second and third with administrative intensity, and the prosecutor for the fourth Nadia Abdel-Hamid, head of nursing, negligence in the supervision and follow-up on the work of subordinates second, third and decided to save what was attributed to the lack of definite importance and to draw its sufficiency.

And directed the prosecution of the fifth Dr. Hisham Abdel-Mohsen Anwar current president of the Intensive Care Unit charged with negligent supervision on the business unit, jointly with the thirteenth of the failure to take official action regarding the fulfillment of medical follow-up data, and the evolution of the health status of patients and the results of rumors, tests, prosecutors decided to sanction administrative with mitigation.

And directed the prosecution of the sixth Dr. Ramadan Ahmed Sadek, Head of Specialist and intensive care unit, was charged with the deposit of 110 pieces "Ilictrudz" agreement with the X in the offending wheel his belongings without the knowledge of hospital administration, although the unit need to the class, with a view has prevailed and no one else and failed to take necessary action debate on the health status of the patient "Association" throughout the evening was given to him late Monday, February 9th and the morning, and the inclusion of data in the computer unit on Bmqaissat supply of equipment and machinery and accessories, furniture, medical and non-medical in favor of the Directorate of Health Affairs about bidding problem which has 3 committees chairmanship and membership of some of the other, despite the confidentiality of such data by law, and violates the established rules on the Attendance during the "Alnobtgiat" assigned to it, and keep the request for leave from the normal 11-17 until 16/12/2008, and that throughout the period from 15/11 until 2 February, without presentation, which resulted in the failure to take measures prescribed by the law regarding the calculation of the duration of leave subject of the request in a timely manner, in addition to his absence from work days 31/12/2008, 1, 2, 9, 10, 12 February, without any reason, lost from work from 14 to 16 February, and cut off from work from March 5 until April first, claiming Mlazemth to bed, and decided the prosecution referred to the Disciplinary Tribunal.

For the seventh and eighth, Dr Mohammed Hamdi Attia, Dr. Adel Fathy Sayed resident doctors intensive care unit has interrupted work at the hospital, claiming Mlazemthma of the mattress 1 to 15 February, and the Ninth Dr. Tarek Adly August cut off from the work of 1 to February 16, the central hospital without Tamia official permission, and claimed Mlazemth to bed from 6 to March 12, and X Dr. Nevine Ahmed Ahmed decile, which was cut to work from 1 to 16 February, and participated in the sixth with the issue of "Alalictrudz" and cut off from working in the Directorate of Health Affairs from 5 to 11 March and slackened to receive work in the Directorate-General Court, and in the aftermath of the evacuation of the outskirts of the central hospital Snurs from 5 to 11 March and the prosecution decided to refer four to the Disciplinary Tribunal.

As the prosecutor of the Eleventh Dr. Hisham Ahmed Mukhtar Assistant Specialist intensive care unit charged with absence from work, claiming Mlazemth of the mattress 1 to March 11, and the second ten Dr. Khaled Abdel Salam Ibrahim, Deputy Resident, Department of Endoscopy and diseases of the digestive system, which has been out of work from 1 to 17 February and was lax in recognizing the work enlightening General Hospital in Cairo from 6 to 13 March and the prosecution decided Mjazathma administratively with intensity.

As the prosecutor of the thirteenth Dr. Anas Abd al-Hakam Abdel-Mohsen, a senior specialists and the Under the hospital, any request for leave of absence to him by the sixth day of December 31, 2008, and that in January 2009 without the capacity or the competence of the failure in conjunction with the fifth to take action on the officially scheduled to meet medical follow-up data, and the evolution of health status and test results, rumors and ticket data and the entry of patients unity throughout the period from January 1 to February 10, 2009, and decided to allocate the prosecution to investigate with administrative relief.

And directed the prosecution of the fourteenth Afaf Kamel Mohamed, senior director of specialist staff of the Directorate of Health Affairs, failing to take action towards the re-established official view the offending decision XV No. 908 for the year 2009, and that on February 26, 2009 due to the illegality of the issuance and adoption of the latter to him, "General Manager health "because it contained a re-offending VI to work Fayoum General Hospital, in violation of Resolution No. 907 issued by the violator in the fifteenth day before giving effect to the resolution, Dr. Assistant Minister of Health No. 6 of 2009 and prosecutor decided Mjazadtha administratively.

As the prosecutor of the fifteenth Dr Hussein Sophie Abu Taleb, Undersecretary of the Ministry of Health in Fayoum violation of rules and laws and the issuance of the adoption of resolution No. 908 of 2009 on the order of an administrative editor personally in his own handwriting, Feb. 26, annulled the offending cause VI Diwan Directorate of Health Affairs, and continued to work for a hospital Fayoum in violation of General Order No. 907, adopted on the banks of administrative Remover signing the previous day, February 25, and done according to the resolution, Dr. Assistant Secretary for Health Affairs for medical treatment No. 6 for the year 2009 based on the formal approval of the Minister of Health in February 19, 2009 Assignment VI offender, in addition to the offenders seventh to the twelfth to the medical units of the curative care sector at the Ministry and the placement of the luminous General Hospital, in the event-free formulation of the biblical command, for the benefit of the purpose for which is included without a specific date for its effective date and implementation, resulting in the obstruction of the Disclaimer VI formally dissenting from the Court in the Directorate and the Ministry's decision to defer activation, resulting in the ministry's decision not to put into effect until 16 April 2009 and prosecutor decided to allocate it to the Disciplinary Board at the University of Zagazig, referred to the disciplinary trial.
 
Re: Egypt - An example of hospital care

The lack of presence in Alnobtjip night ..
Referral specialists and 27 doctors and nurses to investigate Gharbia
Sunday, November 29th, 2009 - 14:06


Abdel-Hamid Shenawy Governor Bank of Western India fair


Decided and Dr. Sharif Hammouda Undersecretary of the Ministry of Health Gharbia, to transmit the 23 specialist and 4 resident doctors and a nurse for Legal Affairs, due to lack of their presence during the night work Alnobtjip Samanoud central hospitals and public and Mahala Minshawi year.

Where the conversion of 11 specialists and 2 resident doctor Samanoud Central Hospital and 12 specialists and a resident doctor and nurse Mahala General Hospital and a resident doctor hospital Minshawi year, when he was passing on Saturday night on hospitals, and notes that they were present during periods of evening and Alnobtgiat law, and decided immediately transferred Affairs legal investigation.
 
Re: Egypt - An example of hospital care

The absence of 21 doctors and nurses, hospital Fayoum Tuesday, December 1st, 2009 - 16:51


D. Galal M. Said, Fayoum Governor
Fayoum - Rabab Jali


Revealed to the committees of the financial and administrative inspections in Fayoum Governorate absences 16 doctors and five nurses at the hospital level Central General Hospital, Fayoum governorate of Fayoum.

Wali. Galal M. Said, Fayoum Governor has instructed the formation of committees of the inspection the financial and administrative work of the unannounced visits, the timing of one of the hospitals in central and Fayoum General Hospital revealed the absence of 3 visits to doctors and two nurses Fayoum General Hospital.

Also revealed the committee, which visited the Central Hospital Snurs the absence of 9 doctors and workers from the hospital, but hospital Ebshiway Central has revealed a surprise visit from her absent and 4 doctors working as shown by the absence of three nurses Tamia Central Hospital.

The committee called for in their reports that all the absentee doctors and nurses to investigate, as well as referral physician is responsible for overseeing the passage of time commissions for negligence in carrying out its mission.
 
Re: Egypt - An example of hospital care

Request for information about the weakness of influenza in Damietta
Wednesday, December 2nd, 2009 - 11:34


Jamal Al-Zainy
Damietta - Moataz El-Sherbini


MP Dr. Jamal Zainy member of the People in Damietta urgent request for information this morning, Wednesday, to Dr. Ahmed Fathi Sorour, directed to the Ministries of Health and Education on the causes of negligence in the Fever Hospital Faraskur and high rates of infection of swine flu at a school in the village of Badr beacon status Aghannmip Faraskur.

MP in his request that the hospital is suffering from neglect, as is clear from the low level of hygiene and how to deal with patients and methods of drug administration and the lack of refrigerator and freezer Tamiflu keeping doctors and the lack of balance to determine the weight of infected and non-availability of masks and gloves, as well as non-tighten the isolation rooms.

The MP urged the need to postpone the study to protect schoolchildren from this vicious attack of the disease, as the member asked the Minister of Health of the true numbers of cases infected in Egypt in recent days, and stressed that the resumption of school after the day is a serious danger threatens the lives of students.

The MP warned of rising numbers of patients returning from the hajj, and called for intensifying the follow-up and testing of all outlets and pilgrims arrive for the early detection of cases or carriers of the disease.
 
Re: Egypt - An example of hospital care

Death in intensive care .. 80% of the rooms carriers of the infection and not in conformity with international standards according to a report of the Ministry of Health
Thursday, December 10th, 2009 - 20:28


Easily entered, and we take care of patients
Princess Salam - Photograph: Essam Al-Shami



Arab Ahmed, a patient with stroke in the brain has been transferred to the intensive care hospital in Sharm el-Sheikh International to settle in one room on the recommendation of doctors, because it is the safest room in the level and quality of medical service for patients in critical condition ever.

After 18 days of detention in the intensive care unit suffered respiratory and pulmonary complications and microbial infection doubled the risk of his health, prompting doctors to advise him to a room better equipped in Cairo. Drive his brother to a hospital ?Armed Forces? Agouza, where officials stressed it did not have rooms ready to receive intensive care with the ?Arab? after suffering a bed sore, and converted to a hospital ?agricultural? Dokki, in turn, referred to the Hospital ?King of Good? to witness the end of the Arab his life from his wounds, after suffering more than a month and lost consciousness and the ability to express the pain as you navigate the corridors of intensive care in Egyptian hospitals.

See the corridors of courts, doctors currently on trial for causing the death of 15 patients at one time in the intensive care unit Fayoum General Hospital, and there are hundreds of cases die per month in the rooms, which assumes it is surrounded by the highest level of protection.

According to a report of infection control issued by the Ministry of Health, the infection is acquired in hospitals, which affect patients, especially elderly and people with immune limited and patients who need long-term treatment such as intensive care patients, the most serious problems.

Global concept of dealing with the Chambers of intensive care is very different in appearance from the reality of Egypt, despite the lifting of all health facilities should not enter the global theme room care and intensive care by visitors with the necessity of sterilization for all staff and patrons donning the tools and buffer the hair, hands and feet, able to ?the seventh day ?to pass into the rooms next to the intensive care unit patients at risk of infection at any time under the critical condition which requires total isolation is not applicable in all Egyptian hospitals without exception, there may be uneven in quality but in its best does not reach the level required universality.

Infection spread within the types of intensive care, including urinary tract infections, and respiratory tract infections, blood poisoning and wound infection processes, and always show symptoms of infection acquired in hospital after at least 48 hours of admission to the hospital, but most of the infections acquired in hospital sources, which either internal within the patient's body, this type is linked to his health situation, or be transferred to him from the external environment, and this most common type of infection, and up to the patient through contact with patients because of complete separation in intensive care, or from the surrounding environment of the patient, or by direct exposure to medical equipment contaminated with microbes or other disinfectant in the correct format, or by visiting the patient in intensive care.

Various reasons lose intensive care means also confirmed the report of the World Health Organization standards set for intensive care, which requires that you be completely isolated from the rest of the hospital and without windows, and prevents the visit and companions, and equipped with a dedicated medical team does not work in other parts of sterile and prepared and trained to deal with critical situations.

Health workers, doctors, nurses, technicians and workers are at risk of infection is increased when the face of patients with different types of infection, which led to the escape of many of them for fear of contagion, and because of the lack of tangible benefit compared to exercise test effort within, so For the Ministry of Health doctors tighten the distribution of persons For sections, taking into account the balance between the type of work and incentives with the exchange of experiences and training programs.

Injury in stroke patients in intensive care rooms adjacent to become a characteristic of most patients because of the inability of patients to move, necessitating cause Specialist Physiotherapy medical team to the intensive care unit, a feature missing from most other rooms in intensive care in Egypt despite the fact that physiotherapists have an important role.

Dr. Sami Saad, the head physiotherapist at the hospital farm, to protect the patient from complications in intensive care by dealing with each of the respiratory system and regular and dynamic to the role of physiotherapy and the role that preventive and therapeutic, to prevent blood clots legs gathered as a result the length of time without clinical movement, as well as therapeutic exercises to avoid stiffness in the joints, bed sores and prevent the accumulation of respiratory secretions, which may lead to pneumonia, acute lung lead to power kills the patient, pointing out that a small number of hospitals which is attached to a natural therapist intensive care, and places known for their this role alone, Dr. Sheriff Mokhtar Palace in kind.

And the health ministry increased the proportion of intensive care in hospitals to 10% of the capacity of the family where, as Dr. Murtaja star, DFI Secretary-General of Hospitals of education, recognizing that the medical staff needs further training, development and specialization, and said that the visit should be prohibited in rooms intensive care reverse the current situation, which was established by the visit, the patient's condition.

?Star? emphasized that intensive care is not the most secure room in the hospital, but preceded by the operating room, but we're trying to reduce infection after scoring more than 90% of hospital infection rates, and by following the instructions by the medical staff in medical sterilization cleaning and periodic surveillance for infection control, which, if Anilltt reduce spending on antibiotics.

Many actions taken by the Ministry of Health but did not control the pace of work in intensive care until now the testimony of leaders of the Ministry of Health, which confirmed the adoption of the Code specific method of construction health intensive care since 75% of them are identical to the specifications of construction due to an equal age of hospitals being developed.

Intensive care have degrees and specialties vary depending on the patient's condition, said Dr Mohammad Murad, Dean of the Heart Institute, one of the most important hospital treated with critical situations, where the number of rooms to take care of the 104 rooms at a cost of operation of 2000 pounds per day and the cost of creating more than a quarter million pounds in the bed the one with the ongoing maintenance, asking that the model is based intensive care rooms open for ease of movement, with the appropriate size of the room and space for each patient, stressing that this trend is currently being used, with the need for human development which is more difficult than the development of the walls.

Because of these factors combined have died with the ?Arab Mr.? Bgeltth of his brain after failing to get medical attention focused in all the rooms they frequented, in the end to write the death certificate at the medical report confirmed that it is that you need to intensive care and not with the ?Arab? .

For your information ... span>
>> 250 thousand pounds, the cost per bed in the intensive care unit
 
Re: Egypt - An example of hospital care

The information below is taken from and ongoing apprasial of the hospital system within egypt.Some of the hospitals had total scores under fifty a few as low as thirty.only a handful obtained something above eighty percent.

"Health" reveals the lack of infection control procedures in Fayoum
الخميس، 6 مايو 2010 - 11:03 Thursday, May 6th, 2010 - 11:03


د.جلال مصطفى سعيد محافظ الفيوم

D. Galal M. Said, Fayoum Governor
الفيوم - رباب الجالى Fayoum - Rabab Galy


كشف تقرير صادر من إدارة مكافحة العدوى بوزارة الصحة، عن وجود قصور شديد فى الالتزام بإجراءات مكافحة العدوى بمستشفيات المحافظة خلال شهر مارس الماضى. A report issued by the Department of Infection Control at the Ministry of Health, and a severe lack of commitment to infection control procedures for hospitals to maintain during the month of March.

وأكد التقرير وجود قصور شديد فى هذه الإجراءات فى مستشفيات طامية وإطسا وفيديمين وصدر الفيوم وإبشواى وحميات الفيوم وسنورس، كما رصد التقرير سوء الأداء فى الالتزام بإجراءات مكافحة العدوى عن التقييم السابق الذى تم خلال شهر سبتمبر 2009 بالمستشفيات نفسها، ووجود نقص ببعض الآلات الطبية فى بعض الأقسام فى مستشفيات إطسا المركزى وفيديمين وطامية، ولا يوجد التزام بغسل الأيدى ببعض الأقسام فى مستشفيات حميات الفيوم وطامية وفيديمين وإطسا المركزى. The report said there is seriously deficient in these procedures in hospitals Tamyah and Atsa and Vedimin was issued Fayoum Obcoay and fevers Fayoum Sonoras, and monitoring report of poor performance in respecting the procedures of infection control for the previous assessment, during the month of September 2009 hospital itself, and a shortage of some machinery medicine in some sections in hospitals in central and Atsa Vedimin and Tamyah, there is no obligation to washing hands with some sections in hospitals in Fayoum Fever Tamyah and Vedimin and Atsa Central.

كما لا يوجد بهذه المستشفيات أيضا التزام بارتداء الواقيات الشخصية ببعض الأقسام، كما لا تتوافر (ماسكات) عالية الكفاءة بالقسم المخصص لعزل الدرن الرئوى النشط بمستشفى صدر الفيوم، ولا توجد أى من مؤشرات التعقيم بكل من مستشفيات إطسا المركزى وحميات الفيوم وفيديمين، وتوجد فقط بعض شرائط من المؤشرات الكيميائية فى مستشفى طامية المركزى. There is also no such hospitals is also an obligation to wear condoms, personal some of the divisions, and is not available (masks) High efficiency section devoted to isolate tuberculosis active a hospital in Fayoum, and there are no indicators of sterilization of both hospitals Atsa Central and viruses Fayoum Vedimin, and there are just some of the tapes chemical indicators in a hospital in central Tamyah.

أكد التقرير وجود قصور فى توفير مفروشات الأسرة بكل من مستشفى إطسا المركزى وفيديمين، كما يوجد قصور فى تطبيق إجراءات الترصد فى مستشفى طامية وفيديمين، وعدم التزام معظم عمال النظافة بارتداء الواقيات الشخصية المناسبة وقصور فى النظافة فى المستشفيات التى شملها التقرير. The report emphasized the existence of deficiencies in the provision of bedding both central and hospital Atsa Vedimin, and there are deficiencies in the application of the surveillance in a hospital and Tamyah Vedimin, and lack of commitment by most of the cleaners to wear condoms and lack of appropriate personal hygiene in hospitals covered by the report.

أوضح التقرير أن التقييم الإحصائى للمستشفيات المدرجة بالبرنامج القومى لمكافحة العدوى بمحافظة الفيوم حصلت فيه مستشفى الفيوم العام على نسبة 76.7% ومستشفى الرمد 74.3% وإطسا المركزى 69% وإبشواى 65.6% وسنورس 67.6% وحميات الفيوم 66.7%، ومستشفى صدر الفيوم 60.1% وفيديمن 59% وطامية 58%، وأن النسبة العامة للمحافظة 66.3%. The report pointed out that the evaluation Statistical hospitals listed the program's national infection control in Fayoum Governorate got the hospital Fayoum General on the proportion of 76.7% and the Hospital of Ophthalmology, 74.3% and Atsa central 69% and Obcoay 65.6% and Sonoras 67.6% and viruses Fayoum 66.7%, and a hospital in Fayoum, 60.1% and Videmn 59% and Tamyah 58%, and the overall proportion of the province, 66.3%.
وطالب التقرير من الدكتور حسين صوفى أبو طالب وكيل وزارة الصحة بضرورة تلافى كافة السلبيات الموجودة فى التقرير وتكثيف المرور والإشراف والمتابعة على المستشفيات من الإدارات المختصة بمديرية الصحة بالمحافظة، وتكليف مديرى مستشفيات طامية وفيديمين وصدر الفيوم وإبشواى وحميات الفيوم وسنورس وإطسا بوضع خطة عاجلة للنهوض بمستوى مكافحة العدوى بهذه المستشفيات. The report called for by Dr Hussein Sophie Abu Taleb, Undersecretary of the Ministry of Health need to avoid all the negatives in the report and the intensification of traffic supervision and follow-up at hospital departments Department of Health to maintain, and ask the managers of hospitals Tamyah and Vedimin was issued Fayoum Obcoay and viruses Fayoum Sonoras and Atsa develop an immediate plan to raise the level of infection control these hospitals.

كان التقرير قد أكد أن مستشفى الفيوم العام يوجد بها فريق متفرغ لمكافحة العدوى، وتتم الاجتماعات الخاصة بلجنة مكافحة العدوى بصورة منتظمة شهريا، والفريق يعمل وفق خطة عمل ويقوم بالمرور اليومى على أقسام المستشفى، بالإضافة إلى وجود نوبتجيات من المرور الصباحى والمسائى، بالإضافة إلى توافر مستلزمات مكافحة العدوى بالمستشفى، وتم تطعيم معظم العاملين ضد الالتهاب الكبدى الفيروسى b، وأن حالة النظافة العمة بالمستشفى مرضية، وأضاف التقرير أن بعض العاملين فى أقسام المبتسرين والعمليات لا يلتزمون بتطبيق توصيات مكافحة العدوى. The report confirmed that the hospital Fayoum year we are a team dedicated to infection control, are meetings of the Commission on infection control on a regular basis each month, the group was working under a plan of action is to pass the daily sections of the hospital, in addition to a Nobtgiat traffic morning and evening, in addition to the availability of supplies infection control in hospital, most workers have been vaccinated against viral hepatitis b, and hygiene at the hospital sick aunt, the report added that some workers in the departments of premature and processes do not adhere to the application of the recommendations of infection control.
 
Re: Egypt - An example of hospital care

The death of 8 children in a private hospital in Giza during the two months due to negligence

Via www.almasry-alyoum.com english translation

Its good to see Egypt pro-actively taking these types of actions based on public complaints.

This also indicates clearly some control systems have failed to adequately track and analyze certain matrix's across many industries.The health care field is not alone when it comes to the lack of necessary controls.

كتب سامى عبدالراضى ١٨/ ١٢/ ٢٠١٠ Sami wrote `Abd al Radi 18/12/2010
أمر المستشار الدكتور عبدالمجيد محمود، النائب العام، بحبس طبيب أطفال ٤ أيام على ذمة التحقيقات، وسرعة إحالته إلى المحاكمة الجنائية. Chancellor is Dr. Abdel Meguid Mahmoud, the Attorney General, the imprisonment of a pediatrician 4 days pending investigation, the speed of transmission to the criminal trial. أفادت تحقيقات أحمد الركيب، رئيس نيابة جنوب الجيزة الكلية، بأن الطبيب ?٣٨ سنة? يعمل رئيس وحدة الأطفال المبتسرين فى مستشفى خاص فى العمرانية بالجيزة، وأنه أهمل فى رعاية ٨ أطفال خلال شهرى أغسطس وسبتمبر الماضيين، وتسبب فى وفاتهم داخل المستشفى. According to investigations Ahmed El Rakeeb, President on behalf of the South Giza college, that the doctor ?38 years? The Head of Unit premature babies in a private hospital in urban Giza, and that he neglected to take care of 8 children during the months of August and September last, and caused the deaths inside the hospital. كشفت التحقيقات عن أن الطبيب كان يكلف الممرضات برعاية بعض الأطفال، رغم أن معلوماتهن ضعيفة ولا تكفل لهن القيام بالمهمة. Investigations revealed that the doctor was assigned to nurses under the auspices of some children, although their knowledge is weak and do not guarantee them to do the job.

وانتدبت النيابة لجنة سباعية من الطب الشرعى وانتقلت لفحص المستشفى وأجهزته، وتبين وجود ميكروب فى جهاز لشفط المياه فى غرفة حضانة الأطفال وحرزته اللجنة، وأعدت تقريراً بالواقعة، وتبين للمستشار مجاهد على مجاهد، المحامى العام لنيابات جنوب الجيزة، أن الإصابة بميكروبات فى الرئة والتنفس تسببت فى وفاة الأطفال، وأن ذلك سببه الإهمال الشديد بالمستشفى. And commissioned by the prosecution of the Commission seven-of Forensic Medicine and moved to inspect the hospital and its organs, showing the presence of microbe in the device to be drained in a room of child custody and Hrzath Committee, and prepared a report on the incident, and found adviser Mujahid, the Mujahid, Attorney General of Prosecutions South Giza, that the incidence of microbes in the lung and breathing caused the death of children, and that caused by severe neglect at the hospital.

واستمعت النيابة على مدار شهرين كاملين لأقوال عاملين فى المستشفى والمدير الإدارى به، وقدم الطبيب المتهم أوراقاً بعلاج الأطفال المتوفين وكيفية تعامله معهم أثناء تلقيهم العلاج بحضانة المستشفى، وانتدبت النيابة لجنة ثلاثية من الطب الشرعى لفحص الأوراق والتذاكر الطبية. And heard the prosecution over the two months of the statements of employees at the hospital and Managing Director of tags, and submitted a doctor accused of papers treating children of the deceased and how to deal with them while they are receiving treatment, custody of the hospital, commissioned by the prosecution of a tripartite committee of the forensic examination of papers and medical prescriptions. وأفادت اللجنة فى تقرير مفصل أرسلته للنيابة بأن الطبيب هو المسؤول الرئيسى عن وفاة الأطفال. The commission said in a detailed report sent to the prosecutor that the physician is primarily responsible for the death of children. وأمر أحمد الركيب، رئيس النيابة، بضبط وإحضار مدير بالمستشفى ومثوله للتحقيق لتورطه فى الإهمال. And ordered Ahmed El Rakeeb, the chief prosecutor, adjust and bring the hospital director and his or her investigation for his involvement in neglect.

واستمعت النيابة لأقوال ٣ من أعضاء لجنة العلاج الحر التابعين لوزارة الصحة، وأفادوا بأنهم أخطروا المهندس سيد عبدالعزيز، محافظ الجيزة، بأخطاء المستشفى، وأنه أصدر قراراً بإغلاقه على الفور. Prosecution and heard the statements of 3 of the members of the treatment free of the Ministry of Health, reported that they notified the Engineer Syed Abdul Aziz, Governor of Giza, the mistakes of the hospital, and it issued a decision to close it immediately.
 
Re: Egypt - An example of hospital care

المنصورة.. Mansoura .. عاصمة الطب التى خطفت الأضواء من القاهرة تواجه الانهيار Capital of Medicine, who was snatched the limelight from Cairo faces collapse
الخميس، 6 يناير 2011 - 19:33 Thursday, January 6, 2011 - 19:33


مستشفى الأطفال

Children's Hospital
محمد عبد اللطيف - تصوير - ماهر إسكندر Mohammed Abdul-Latif - Photography - Maher Iskandar


تعسف التأمين الصحى ونقص التمريض يهددان مستشفى طب الأطفال.. Arbitrariness of health insurance and nursing shortage threatens the Children's Hospital .. والطوارئ ومركز الجهاز الهضمى يبحثان عن أجهزة وأماكن جديدة للمرضى And emergency center and gastrointestinal tract organs and the search for new places for patients

المنصورة ?عاصمة الطب? التى خطفت الأضواء من القاهرة، الشيخوخة أصابت مراكزها الطبية الجامعية بنفس أمراض المستشفيات العامة من ترد وإهمال ونقص الخدمات، وأصبحت على وشك الانهيار،بعد أن كانت صرحا طبيا عملاقا، يناطح أكبر المراكز الطبية العالمية من حيث الكفاءة وجودة الخدمة الطبية المقدمة. Mansoura ?capital of Medicine?, which snatched the limelight from Cairo, aging hit medical centers university with the same diseases of public hospitals of the set and the neglect and lack of services, and was on the verge of collapse, after it had been a monument medical giant, ramming the largest medical centers of the world where efficiency and quality of medical service provided .

(اليوم السابع) حاولت الوقوف على ما آلت إليه هذه الصروح الطبية العملاقة وأسبابها، ومحاولات جادة من القائمين على إدارتها لاستمرارها لتؤدى رسالتها الطبية العظيمة لفقراء مصر. (Seventh Day) I tried to stand on the outcome of the monuments of this medical giant and its causes, and serious attempts based on the administration to continue to lead the great medical mission to the poor of Egypt.

ومن داخل مستشفى طب الأطفال الذى أنشىء عام 1999 وهو المتخصص فى طب الأطفال، ويخدم العديد من محافظات الدلتا والقناة وواحد من أربعة مستشفيات متخصصة على مستوى الجمهورية، قالت الدكتورة هالة المرصفاوى إن المستشفى يستقبل 99 ألف طفل عبر العيادات الداخلية، بالإضافة إلى 105 آلاف من خلال استقبال الطوارئ سنويا إلى جانب تميز المستشفى بالتخصصات الدقيقة فى طب الأطفال مثل القلب والقسطرة التشخيصية والعلاجية ووحدة غسيل الكلى ومناظير الجهاز الهضمى والتنفسى وأعصاب الأطفال وزرع النخاع - المكلفة للغاية - والحساسية والأمراض المعدية. It is within the Children's Hospital, which was established in 1999, specialized in pediatrics, and serves many of the Delta governorates, channel, and one of four specialized hospitals at the level of the Republic, said Dr. Hala Almrsfawy The hospital receives 99 thousand children across the patient, in addition to 105 thousand during the annually to receive emergency hospital Courses marked by minute in pediatrics, such as heart catheterization and diagnostic, therapeutic and dialysis unit and perspectives, and gastrointestinal tract and nerves of children and bone marrow transplants - very costly - and allergies and infectious diseases.

وأشارت المرصفاوى إلى أن المستشفى أجرى به العديد من الجراحات الكبيرة والخطيرة مثل فصل التوائم التى أجريت مؤخرا علاوة على جراحات القلب المفتوح للأطفال. The Almrsfawy that the hospital conducted by many large and dangerous surgeries such as separation of twins by the recent addition to the open-heart surgery for children.
وأوضحت أن السعة السريرية للمستشفى 365 سريرا، ولا نستطيع التوسع فيها لاستيعاب الأعداد الكبيرة من الأطفال المرضى نظرا لقلة المبالغ المعتمدة للمستشفى. She explained that the bed capacity of 365 hospital beds, and we can not expand to accommodate large numbers of sick children due to lack of funds approved for the hospital.

كما أن قلة الاعتمادات المالية وضعفها امتد للأدوية والمستلزمات الطبية التى يحتاجها المستشفى، إضافة لعمليات بعينها باهظة التكلفة ولا غنى عنها مثل زرع النخاع وجراحات القلب المفتوح، ولا يقوم التأمين الصحى للأطفال بتغطيتها كاملة ، كما طالت عمليات الإحلال والتجديد الأجهزة الطبية أو شراء أجهزة جديدة ومتطورة لعلاج الأطفال، وأوضحت المرصفاوى أن التأمين الصحى لا يفى بكل نفقات علاج الأطفال المؤمن عليهم. The lack of funds and their vulnerability to spread of drugs and medical supplies needed by the hospital, in addition to specific operations are costly and indispensable, such as bone marrow transplants and open heart surgeries, and the Children's Health Insurance coverage in full, as long the replacement and renovation of medical devices or buy new hardware and developed for the treatment of children, Almrsfawy explained that health insurance does not meet all the expenses of treatment of children insured.

وعن الصعوبات الأخرى التى تواجه المستشفى، ذكرت المرصفاوى أن هناك عجزا شديدا فى التمريض ومشرفات التمريض الموزعات على المستشفيات الجامعية. And other difficulties faced by the hospital, said Almrsfawy that there are very short in nursing and nursing supervisors hubs on the university hospitals.

وأضافت أن المستشفى به نقص شديد فى أجهزة التنفس الصناعى وتجهيزات العناية المركزة والمراقبة وحضانات الأطفال حديثى الولادة وأن ما يتم فى ظل قلة الاعتمادات لميزانية المستشفى وتعسف التأمين الصحى فى الإيفاء بتغطية تكلفة علاج الأطفال، يجعلنا نعتمد بشكل كبير على تبرعات تأتى من جمعية أصدقاء مرضى مستشفى الأطفال الجامعى بالمنصورة. She added that the hospital by a severe shortage in the ventilatory and equipment intensive care, control and nursery newborns and that what is under the lack of funds to the budget of the hospital and the abuse of health insurance in meeting the coverage of the cost of treating children, we rely heavily on voluntary contributions come from the Friends of the patients, Children's Hospital Mansoura University.

وأشارت هالة إلى أن شركات الأدوية التى تهدد بإيقاف توريد الأدوية لنا لعجزنا عن السداد، وأيضا لا نملك سوى المقاتلة بشكل يومى لتوفير أبسط حقوق الطفل. The aura that the drug companies that threaten to stop supplying drugs to us to our inability to pay, and also do not have the only fighter on a daily basis to provide the most basic rights of the child.

وأرجعت هالة أسباب قصر الاستقبال الذى كان يتم سابقا 24 ساعة يوميا وعلى مدار الأسبوع إلى ثلاثة أيام فقط إلى قلة الإمكانيات المالية والضعف الشديد فى أعداد هيئة التمريض. And attributed the causes of halo Palace reception, which was not previously 24 hours a day, seven days a week to only three days to a lack of financial means and very weak in the number of nursing staff.

وفى مستشفى جراحة الجهاز الهضمى التى كانت وحدة صغيرة فى السبعينات، وكانت الأعداد المترددة عليه قليلة نسبيا عن الآن، ولكن بعد زيادة أعداد المرضى والمترددين على الوحدة آنذاك، تم إنشاء المركز فى عام 1992 ليقدم الخدمة الطبية لمرضى الجهاز الهضمى لمحافظات القناة والدلتا بشكل عام، وظل يمارس هذا الدور الرائد منذ إنشائه وحتى هذه اللحظة، ويتردد عليه ما يقرب من مليون مريض سنويا فى جميع شعب وتخصصات الجهاز الهضمى ومعظمهم من فقراء الشعب. In the hospital surgery gastrointestinal tract, which was a small unit in the seventies, the numbers were calling him relatively little now, but after increasing numbers of patients and visitors to the unit at the time, The center was established in 1992 to provide medical service for patients with gastrointestinal tract to the provinces in the channel and the Delta in general, remained exercise this leading role since its inception and until this moment, frequented by nearly a million patients a year in all divisions and disciplines gastrointestinal tract, mostly poor people.

وقال الدكتور جمال العبيدى مدير المستشفى أن المركز يقوم بشكل أساسى على ميزانية الجامعة التى لا تكفى للإنفاق على علاج هذا العدد الهائل من المرضى، ويترتب على هذا عجز شديد نظرا للتنوع الشديد، وكثرة أعداد أمراض الجهاز الهضمى، مما يضطرنا للاعتماد بشكل أساسى الآن على أموال التبرعات والزكاة والبنوك فى حالة استطاعتها وعندما تقل موارد المستشفى من هذه التبرعات التى لا تكفى أعداد المرضى فإننا نضطر إذا توسمنا فى أحد المرضى أنه قادر أن يتبرع ولا يكون التبرع إجباريا، ولكن لوجه الله ولعلاج مريض آخر غير قادر يرقد بجوار سريره، وغالبا ما يكون هذا التبرع لايتعدى 20% من قيمة الخدمة الطبية المقدمة له، فعلى سبيل المثال عملية منظار القنوات المرارية تكون تكلفتها الفعلية 5000 جنيه، ويدفع فيها القادر 1000 جنيه، أما غير القادر لا أستطيع أن أجبره ويحصل أيضا على حقه فى الخدمة الطبية ولدينا قائمة انتظار لجراحات الأمراض الحميدة، وهناك أفضلية فى القائمة لمن يقوم بالتبرع المالى. Dr. Jamal Abidi, director of the hospital that the center is mainly based on University budget which is not sufficient for the maintenance treatment of this huge number of patients, and the consequences of this severe disability because of the diversity of conditions, and large numbers of diseases of digestive system, which obliges us to rely mainly now on the voluntary funds Zakat and banks in the case of the rated power, when the less resources the hospital from these donations are not sufficient numbers of patients we are obliged if Tosmona in a patient that he was able to donate or be donated mandatory, but the face of God and treat another patient is unable to lay next to his bed, and often this donation currently only 20% of the value of medical service provided to him, for example, the telescope biliary be actual cost 5000 pounds, and he pays is capable of 1000 pounds, but is capable of I can not be forced and will also get their right to medical service and we have a waiting list for surgery, benign, and there is a preference on the list who would make the financial donation.

وأضاف أن عدد الأسرة بما فيها العناية المركزة لم يتجاوز الـ 70 سريرا يخدم هذا العدد الهائل من كل هذه المحافظات، وأنه شئنا أم أبينا لابد من التوسع الأفقى الذى بالضرورة يستلزم ميزانيات ضخمة تستدعى تضافر كل الجهود سواء الحكومية أو الشعبية لتحمل مسؤولياتها تجاه المرضى غير القادرين من أبناء الشعب. He added that the number of beds, including intensive care did not exceed 70 beds to serve the vast number of all these provinces, and that whether we like it or not, must be expanded horizontal necessarily require huge budgets necessitate the combination of all efforts, whether governmental or popular to assume their responsibilities towards patients who are unable to people.

أضاف العبيدى أن جهاز الأشعة بوحدة مناظير الجهاز الهضمى يعمل منذ حوالى 18 سنة متواصلة، ونحافظ عليه منذ ذلك الوقت وكان يعمل بطاقة 10 مرضى يوميا فيما مضى، أما الآن فقد تم تقليص العدد حتى نستطيع الحفاظ على كفاءة الجهاز الذى انتهى عمره الافتراضى، مضيفا أن مطلب زيادة الاعتمادات المالية المخصصة للمستشفى يتم مناقشتها بشكل دائم مع إدارة الجامعة ،إلا أن الزيادة الرهيبة فى أسعار الأجهزة تحول دون توفير الميزانية، فمثلا جهاز الأشعة الذى كان سعره عام 92 حوالى 800 ألف جنيه أصبح الآن بـ5 ملايين. Obeidi said that a radiation unit Gastrointestinal Endoscopy been working since about 18 consecutive years, and preserve it since then and was operating at 10 patients per day in the past, but now it has been reducing the number so that we can maintain the efficiency of the device, which ended life span, he said, adding that the demand for increase the funds allocated to the hospital is discussed on a permanent basis with the university administration, but the terrible increase in the prices of devices to prevent the provision of the budget, for example, x-ray apparatus, which was priced in 1992 about 800 thousand pounds is now 5 million.

أما مستشفى الطوارئ الذى يستقبل محافظات الدقهلية والشرقية والغربية ودمياط وشمال سيناء والقناة، وتأتينا حالات من ليبيا وجزر القمر ،تبلغ سعتها 120 سريرا، وقال مسعد الصايغ المدير الإدارى للمستشفى ولكن يظل دائما احتياج المركز لمثل عمليات الإحلال والتجديد لأجهزة المستشفى ووحدة الغازات الطبية والعناية المركزة إضافة لأفران التعقيم وإنشاء استقبال للحالات المترجلة. The Emergency Hospital, which receives Daqahleya, East, West and Damietta, north Sinai and the Canal, and comes to us cases of Libya and the Comoros, with a capacity of 120 beds, said Massad Al Sayegh, Managing Director of the hospital, but it remains always need the center, such as replacement and renewal of the organs of the hospital and the Unit of medical gases, and Intensive Care in addition to furnaces sterilization and the establishment of the reception of cases of foot.

وتنتهى جولة ?اليوم السابع? داخل واحد من أهم المراكز الطبية والبحثية فى العالم، وهو مركز الكلى والمسلك البولية، ويطلق عليه عامة الناس فى المنصورة مركز غنيم نسبة إلى مؤسسه العلامة الجليل الدكتور محمد غنيم، أو طبيب الفقراء كما تحب صفوة المجتمع المصرى أن تطلق عليه. And ends tour ?seventh day? in one of the most important medical centers and research institutions in the world, the center of the kidneys and the behavior of urinary, called the public in Mansoura center Ghoneim, relative to its founder, Mark Reverend Dr. Mohamed Ghoneim, or a doctor poor as you like the elite of Egyptian society to call it .

وقال الدكتور حسن أبو العينين مدير المركز، رغم أنه مازال يحافظ على تقدمه بعد ربع قرن من الزمان، إلا أنه يعانى من قلة الموارد المالية، بعد أن قلت التبرعات المالية. Said Dr. Hassan Abu-eyed director of the center, although it still maintains the lead after a quarter of a century, but it suffers from a lack of financial resources, having said financial donations.

وأشار إلى أن التبرعات كانت تأتى من دول الخليج نظير السمعة العالمية لم تعد تأتى الآن، ونحن نعتمد بشكل أساسى على الدولة التى توفر ما يقرب من 60% من ميزانية المركز أما الـ 40% الباقية، فنحن ندبرها بمعرفتنا عبر تبرعات لم نكن ساعين لها لثقة الخيرين فى مصر والذين يثقوا فى المركز وخدماته التى تؤدى للفقراء والتى تصل فى بعض الأحيان لمساعدات مالية شهرية لمرضى فقراء. He pointed out that the donations had come from the Gulf States-peer global reputation no longer come in now, we rely mainly on the state providing nearly 60% of the budget of the Centre while the 40% remaining, we Ndberha our knowledge through the contributions were not seeking them to trust the benevolent in Egypt and those who trust in the center and its services which lead to the poor and that in some cases to monthly financial assistance to poor patients.
 
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