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- Coronavirus in South Africa: Inside Port Elizabeth's 'hospitals of horrors'
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Get started. Senior Dating. I am: Please indicate your gender. I am looking for: Are you looking for a man or a woman? There's an institutional burn-out," said the doctor. There is general agreement among unions and medical staff that the current crisis is the direct result of many years of systematic underfunding, mismanagement and corruption in one of South Africa's most notoriously badly-run provinces.
Estimates vary, but Livingstone Hospital is currently fighting the pandemic with about a third of what's considered appropriate staffing numbers. Health services were circling the drain for 10 years. Now they've collapsed," said Cole Cameron of the Igazi Foundation, a local health non-governmental organisation.
How the long fight for slavery reparations is slowly being won | News | The Guardian
Asked about these criticisms, the secretary general of the Eastern Cape's Health Department, Dr Thobile Mbengashe, acknowledged "a number of very critical structural issues that are really affecting our response", and said staff were "anxious, fearful… and overwhelmed. But he cited historic issues of underfunding dating back to white-minority rule, and insisted that his department was rising to the challenge of Covid But the health system in the Eastern Cape has not collapsed.
We've really been building up [for the pandemic] and I think we are still on track and need to be given an opportunity to show we can do this," he said. The provincial government has cited the rapid construction of a giant new coronavirus field clinic in Port Elizabeth by the German car manufacturer, Volkswagen, as a sign of effective public-private partnership.
The speed with which VW built the facility has, in the eyes of many, simply underlined the provincial government's own failings. Two people with knowledge of the situation confirmed that the provincial health department was generally seen as so inept and dysfunctional that private donors, businesses and charitable funds anxious to help in the fight against Covid were refusing to deal directly with it.
It all boils down to the fact that the department is dysfunctional beyond belief and has no money," said one source.
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As infection numbers rise across much of South Africa, the dire situation in the Eastern Cape offers some important lessons for other provinces. One doctor cited a "culture of not wanting to discomfort your superiors which means people don't often tell it like it really is. Others spoke of a desire by government "to be seen to be doing the right thing", rather than making tough decisions, citing the recent decision to resume community testing for Covid, despite the fact that it immediately pushed the entire testing system - including, crucially at hospitals - into a week-long backlog that rendered it almost useless.
But the clearest lesson from Port Elizabeth may well prove to be about human nature, and how we respond under extreme pressure. It appears that staff at Livingstone hospital, for instance, have split into three distinct groups:.
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Coronavirus in South Africa: Eight lessons for the rest of the continent. A brief guide to South Africa. Fear and fatigue. Rats feeding on red waste. Rats have also been spotted feeding on dark red hospital waste pouring into an open drain.
Coronavirus in South Africa: Inside Port Elizabeth's 'hospitals of horrors'
Union officials have vigorously defended their members' actions. You may also be interested in:.
Debunking fake coronavirus stories in Africa Deciding who lives and dies in a Cape Town township China-US rivalry in Africa fuelled by coronavirus How fast is coronavirus spreading in Africa? But doctors at Livingstone hospital expressed some scepticism.
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Inability to take tough decisions. The dutiful, the fearful and the obstructive. There are a small number of the "willing," who still turn up for work, despite the risks, out of a profound sense of duty. They are our families, our children, our mothers," said one nurse of her patients. There is a second group of people whose fear and frustration has overwhelmed them and who are not prepared to return to work. And then there is a third group. For them, any sense "of altruism, or duty, has gone.