{"id":448123,"date":"2020-03-30T15:25:25","date_gmt":"2020-03-30T15:25:25","guid":{"rendered":"http:\/\/www.moldova.org\/en\/?p=448123"},"modified":"2020-04-09T19:18:12","modified_gmt":"2020-04-09T19:18:12","slug":"the-desperate-call-of-moldovan-doctors-and-the-reasons-the-medical-system-cant-resist-too-long","status":"publish","type":"post","link":"https:\/\/www.moldova.org\/en\/the-desperate-call-of-moldovan-doctors-and-the-reasons-the-medical-system-cant-resist-too-long\/","title":{"rendered":"The desperate call of Moldovan doctors and the reasons why medical system can&#8217;t resist for too long"},"content":{"rendered":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>The first medical employee from the Republic of Moldova,\u00a0Ecaterina Litvinschi &#8211; a\u00a079-year-old woman who died because of coronavirus &#8211; was buried these days. The woman worked as a medical emergency doctor at at a National Center for Emergency Medicine for about 35 years. According to her relatives&#8217; declarations, she was buried on the edge of a Chisinau cemetery, in a special area where those contaminated with coronavirus were expected to be buried:<\/p>\n<h4><span style=\"color: #993300\">sector 277, tomb no. 1<\/span><\/h4>\n<p><em>&#8220;Historically, those who end their days by suicide were buried on the far side or outside the cemetery. Is that an &#8220;honour&#8221; attached to a <\/em><em>hero doctor?&#8221;<\/em> wondered a relative of the deceased doctor.<\/p>\n<p>Also, the relatives of the medical emergency doctor <a href=\"https:\/\/www.facebook.com\/photo.php?fbid=2782045458499806&amp;set=a.193699764001068&amp;type=3&amp;theater\">mentioned<\/a> that the hospital administration, where the victim was previously hospitalised, insisted to not disclose the fact that Ecaterina was infected\u00a0being on call to an already infected person, without special equipment and without being warned by the emergency service 112.<\/p>\n<h3>Not enough protective measures for medical staff<\/h3>\n<p>Out of the currently confirmed 298 cases of infections with COVID-19, 60 are medical workers, according to the information <a href=\"https:\/\/www.privesc.eu\/arhiva\/90488\/Briefing-de-presa-sustinut-de-Ministrul-Sanatatii--Muncii-si-Protectiei-Sociale--Viorica-Dumbraveanu--de-prezentare-a-informatiilor-actualizate-privin\">provided<\/a> by the Ministry of Health, Labour and Social Protection.\u00a0Moreover, until two days ago, authorities refused to present information on cases of COVID-19 infection among medical workers, <span style=\"color: #993300\">giving assurances that doctors have protective equipment and urging journalists not to seek sensations.<\/span><\/p>\n<p>The National Ombudsman <strong>Mihail Cotorobai<\/strong>\u00a0made a request addressed to Prime Minister Ion Chicu, in which he <a href=\"https:\/\/www.moldova.org\/live-text-20-bolnavi-cu-covid-19-in-stare-grava-116-persoane-sunt-suspecte\/\">informed<\/a> about the intention of a high number of doctors to submit letter of resignation due to the lack of the protective equipment, which would provide safe working conditions to the medical personnel.<\/p>\n<p>Mihail Cotorobai asked to urgently identify additional funds to ensure protective measures against COVID-19 contagion, both at the level of hospital medical institutions and at the level of primary health care centres. <em>&#8220;The recommended measures are imperative both to ensure the patients&#8217; right to high-quality medical services, as well as to ensure safety of the employees of the health system who are put at major risk of contagion due to non-working conditions,\u201d<\/em>\u00a0the Ombudsman said.<\/p>\n<p>Currently, <strong>six medical institutions<\/strong> in the country are being involved in the treatment of coronavirus patients. Next week other district and municipal medical institutions will be delegated to hospitalise infected patients.\u00a0The authorities announced that a<strong> triage centre<\/strong> is prepared to be organised at the Moldexpo Exhibition Center. By Wednesday, it will be fully equipped, including with 700 beds.<\/p>\n<p><em>&#8220;The number of confirmed cases is increasing, we reiterate the call to citizens to be very cautious. We are sure that if we follow the rules, we will not allow a jump in coronavirus cases and we will have the capacity to handle the situation. This gloomy scenario can be avoided if we are supportive. It is clear that we will overcome this situation, and the authorities and citizens will make the necessary efforts,\u201d<\/em>\u00a0stated the prime minister during a press conference.<\/p>\n<p>The announcement of the prime minister sounded optimistic. More and more desperate calls appear online though, being posted by journalists, politicians, artists, regarding the\u00a0precarious situation in the medical institutions of the Republic of Moldova. Most of them are made anonymously, as medical workers fear to lose their jobs.<\/p>\n<p>The member of the Parliament <strong>Radu Marian<\/strong> <a href=\"https:\/\/www.facebook.com\/ContactRaduMarian?__tn__=%2CdC-R-R&amp;eid=ARBK5JInuzDPJ6Vy29KvAK4dWWMBV5YsMEoJklCXtt7jv1U9kchaIE9PtSA8T_4gJaDW12GwAkVQx9Wx&amp;hc_ref=ARTuwC8gj1jWI4l4TOMqG3VXGbyqNZylBOxsfbdRIloUUuQabb8a1MbKgc8eCJdxfHk&amp;fref=nf\">posted<\/a> on social media, on March 28, a message sent to him by a person whose mother\u00a0works as a nurse at the municipal hospital in Balti (one of the hospitals involved in the treatment of coronavirus patients).<\/p>\n<blockquote><p>&#8220;My mother is scared to go to work. She receives one mask for 24 hours and 2 pairs of gloves without other equipment. They write something else on the paper. It&#8217;s like fighting on a battlefield without any weapons. [&#8230;] I wrote to you as a child who is afraid of losing his mother because of the incompetence of the authorities and because of the situation in the hospitals of Moldova,&#8221; is said in the message.<\/p><\/blockquote>\n<p>According to the data presented by the authorities, during this weekend, there were reported the most cases of infection per day since the beginning of the epidemic in Moldova.<\/p>\n<h3>Not enough resources<\/h3>\n<p>Doctor in medical sciences, specialist in Intensive Care, <strong>Tihon Moraru<\/strong> called on the authorities to take urgent measures on acquiring the necessary equipment for managing the patients in need for intensive care. He mentioned that in order to be able to provide the necessary treatment to 50-100 critical patients, there is a need of at least 30 to 40 high performance mechanical ventilators, produced in the USA, Germany or Japan.<\/p>\n\n\n[aesop_character img=&#8221;http:\/\/www.moldova.org\/en\/wp-content\/uploads\/sites\/2\/2020\/03\/tihon.jpg&#8221; align=&#8221;left&#8221; force_circle=&#8221;off&#8221;]\n<p><em>&#8220;I am afraid that we are late by 3-4 weeks, it will be very difficult for the equipment to be brought to the country. This can only be achieved by the authorities of our country and as quickly as possible. [&#8230;] I believe that the maximum number of hospitalisations for the serious and critical patients will be between the middle of April and the beginning of May, which is why this devices of vital necessity must be brought to the country as urgently as possible. [&#8230;] They are very necessary for the intensive care units of the country, especially those of the district hospitals of the country, where these devices are outdated,&#8221;<\/em> <a href=\"https:\/\/www.moldova.org\/apelul-unui-medic-specialist-in-terapie-intensiva-din-r-moldova-am-teama-ca-am-intarziat-cu-3-4-saptamani\/\">specified<\/a> Tihon Moraru.<\/p>\n<p>The Moldovan authorities announced that 200 thousand protective screens and 500 filter masks were purchased in the context of the COVID-19 pandemic. However, the purchased protective screens represent only 10% of the announced necessary quantity, while the acquired amount of filter masks cover 25% of the health system current\u00a0needs, <a href=\"https:\/\/www.zdg.md\/stiri\/stiri-sociale\/culisele-achizitiei-de-echipament-de-protectie-pentru-medicii-din-prima-linie-compania-care-a-semnat-un-contract-de-36-de-milioane-de-lei\/\">reported<\/a> ZdG.<\/p>\n<p>Being contacted by ZdG, the manager of the company responsible for acquiring the protective goods said that, at the moment, the company does not have the products in stock, while importing them from China is a complicated procedure that will surely result in delivery delays, given the pandemic conditions.<\/p>\n<h3>Not enough tested persons<\/h3>\n<p>Another 32 people were lastly confirmed as being infected with the new type of coronavirus, after 246 samples were processed in the laboratory of the National Agency for Public Health, <a href=\"http:\/\/www.sanatateinfo.md\/News\/Item\/9086\">announced<\/a> the sanatateinfo.md portal. That amounts a total of <strong>5 324<\/strong> persons who were tested, including family doctors and mayors. Given the exponential growth rate of the contagion demonstrated in other countries, the number of tested persons in the Republic of Moldova can be concluded as being way too low.<\/p>\n<h3>Enough Government assurances that &#8220;all is kept under control&#8221;<\/h3>\n<p>For purchasing 200 000 protective screens and 500 000 filter masks, the Government of the Republic of Moldova approved the allocation of 36 million lei from the reserve fund. <em>&#8220;It is a measure to ensure protective equipment for the next period. We have enough equipment, but we are preparing for the second half of April and May,&#8221;<\/em>\u00a0said Prime Minister Ion Chicu.<\/p>\n<p>At the same time,\u00a0some district hospitals already have taken decisions of replacing at least a part of their old equipment using their institution budget or by applying to international funds and calling for foreign governments&#8217; donations of protective goods, disinfectants, tests, etc.<\/p>\n<p>Photo: Facebook| Ala Nemerenco<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span>The first medical employee from the Republic of Moldova,\u00a0Ecaterina Litvinschi &#8211; a\u00a079-year-old woman who died because of coronavirus &#8211; was buried these days. The woman worked as a medical emergency doctor at at a National Center for Emergency Medicine for about 35 years. According to her relatives&#8217; declarations, she was buried on the edge of [&hellip;]<\/p>\n","protected":false},"author":31,"featured_media":448125,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6,3,40,4,56],"tags":[609,661,35,662,29,27,608],"class_list":["post-448123","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-important-en","category-politics","category-security","category-society","category-reportaje","tag-coronavirus","tag-emergency","tag-important","tag-medical-staff","tag-medical-system","tag-moldova","tag-pandemic"],"content_social_share":"<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Reading Time: <\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">minutes<\/span><\/span><p>The first medical employee from the Republic of Moldova,\u00a0Ecaterina Litvinschi &#8211; a\u00a079-year-old woman who died because of coronavirus &#8211; was buried these days. The woman worked as a medical emergency doctor at at a National Center for Emergency Medicine for about 35 years. According to her relatives&#8217; declarations, she was buried on the edge of a Chisinau cemetery, in a special area where those contaminated with coronavirus were expected to be buried:<\/p>\n<h4><span style=\"color: #993300\">sector 277, tomb no. 1<\/span><\/h4>\n<p><em>&#8220;Historically, those who end their days by suicide were buried on the far side or outside the cemetery. Is that an &#8220;honour&#8221; attached to a <\/em><em>hero doctor?&#8221;<\/em> wondered a relative of the deceased doctor.<\/p>\n<p>Also, the relatives of the medical emergency doctor <a href=\"https:\/\/www.facebook.com\/photo.php?fbid=2782045458499806&amp;set=a.193699764001068&amp;type=3&amp;theater\">mentioned<\/a> that the hospital administration, where the victim was previously hospitalised, insisted to not disclose the fact that Ecaterina was infected\u00a0being on call to an already infected person, without special equipment and without being warned by the emergency service 112.<\/p>\n<h3>Not enough protective measures for medical staff<\/h3>\n<p>Out of the currently confirmed 298 cases of infections with COVID-19, 60 are medical workers, according to the information <a href=\"https:\/\/www.privesc.eu\/arhiva\/90488\/Briefing-de-presa-sustinut-de-Ministrul-Sanatatii--Muncii-si-Protectiei-Sociale--Viorica-Dumbraveanu--de-prezentare-a-informatiilor-actualizate-privin\">provided<\/a> by the Ministry of Health, Labour and Social Protection.\u00a0Moreover, until two days ago, authorities refused to present information on cases of COVID-19 infection among medical workers, <span style=\"color: #993300\">giving assurances that doctors have protective equipment and urging journalists not to seek sensations.<\/span><\/p>\n<p>The National Ombudsman <strong>Mihail Cotorobai<\/strong>\u00a0made a request addressed to Prime Minister Ion Chicu, in which he <a href=\"https:\/\/www.moldova.org\/live-text-20-bolnavi-cu-covid-19-in-stare-grava-116-persoane-sunt-suspecte\/\">informed<\/a> about the intention of a high number of doctors to submit letter of resignation due to the lack of the protective equipment, which would provide safe working conditions to the medical personnel.<\/p>\n<p>Mihail Cotorobai asked to urgently identify additional funds to ensure protective measures against COVID-19 contagion, both at the level of hospital medical institutions and at the level of primary health care centres. <em>&#8220;The recommended measures are imperative both to ensure the patients&#8217; right to high-quality medical services, as well as to ensure safety of the employees of the health system who are put at major risk of contagion due to non-working conditions,\u201d<\/em>\u00a0the Ombudsman said.<\/p>\n<p>Currently, <strong>six medical institutions<\/strong> in the country are being involved in the treatment of coronavirus patients. Next week other district and municipal medical institutions will be delegated to hospitalise infected patients.\u00a0The authorities announced that a<strong> triage centre<\/strong> is prepared to be organised at the Moldexpo Exhibition Center. By Wednesday, it will be fully equipped, including with 700 beds.<\/p>\n<p><em>&#8220;The number of confirmed cases is increasing, we reiterate the call to citizens to be very cautious. We are sure that if we follow the rules, we will not allow a jump in coronavirus cases and we will have the capacity to handle the situation. This gloomy scenario can be avoided if we are supportive. It is clear that we will overcome this situation, and the authorities and citizens will make the necessary efforts,\u201d<\/em>\u00a0stated the prime minister during a press conference.<\/p>\n<p>The announcement of the prime minister sounded optimistic. More and more desperate calls appear online though, being posted by journalists, politicians, artists, regarding the\u00a0precarious situation in the medical institutions of the Republic of Moldova. Most of them are made anonymously, as medical workers fear to lose their jobs.<\/p>\n<p>The member of the Parliament <strong>Radu Marian<\/strong> <a href=\"https:\/\/www.facebook.com\/ContactRaduMarian?__tn__=%2CdC-R-R&amp;eid=ARBK5JInuzDPJ6Vy29KvAK4dWWMBV5YsMEoJklCXtt7jv1U9kchaIE9PtSA8T_4gJaDW12GwAkVQx9Wx&amp;hc_ref=ARTuwC8gj1jWI4l4TOMqG3VXGbyqNZylBOxsfbdRIloUUuQabb8a1MbKgc8eCJdxfHk&amp;fref=nf\">posted<\/a> on social media, on March 28, a message sent to him by a person whose mother\u00a0works as a nurse at the municipal hospital in Balti (one of the hospitals involved in the treatment of coronavirus patients).<\/p>\n<blockquote><p>&#8220;My mother is scared to go to work. She receives one mask for 24 hours and 2 pairs of gloves without other equipment. They write something else on the paper. It&#8217;s like fighting on a battlefield without any weapons. [&#8230;] I wrote to you as a child who is afraid of losing his mother because of the incompetence of the authorities and because of the situation in the hospitals of Moldova,&#8221; is said in the message.<\/p><\/blockquote>\n<p>According to the data presented by the authorities, during this weekend, there were reported the most cases of infection per day since the beginning of the epidemic in Moldova.<\/p>\n<h3>Not enough resources<\/h3>\n<p>Doctor in medical sciences, specialist in Intensive Care, <strong>Tihon Moraru<\/strong> called on the authorities to take urgent measures on acquiring the necessary equipment for managing the patients in need for intensive care. He mentioned that in order to be able to provide the necessary treatment to 50-100 critical patients, there is a need of at least 30 to 40 high performance mechanical ventilators, produced in the USA, Germany or Japan.<\/p>\n\n\n[aesop_character img=&#8221;http:\/\/www.moldova.org\/en\/wp-content\/uploads\/sites\/2\/2020\/03\/tihon.jpg&#8221; align=&#8221;left&#8221; force_circle=&#8221;off&#8221;]\n<p><em>&#8220;I am afraid that we are late by 3-4 weeks, it will be very difficult for the equipment to be brought to the country. This can only be achieved by the authorities of our country and as quickly as possible. [&#8230;] I believe that the maximum number of hospitalisations for the serious and critical patients will be between the middle of April and the beginning of May, which is why this devices of vital necessity must be brought to the country as urgently as possible. [&#8230;] They are very necessary for the intensive care units of the country, especially those of the district hospitals of the country, where these devices are outdated,&#8221;<\/em> <a href=\"https:\/\/www.moldova.org\/apelul-unui-medic-specialist-in-terapie-intensiva-din-r-moldova-am-teama-ca-am-intarziat-cu-3-4-saptamani\/\">specified<\/a> Tihon Moraru.<\/p>\n<p>The Moldovan authorities announced that 200 thousand protective screens and 500 filter masks were purchased in the context of the COVID-19 pandemic. However, the purchased protective screens represent only 10% of the announced necessary quantity, while the acquired amount of filter masks cover 25% of the health system current\u00a0needs, <a href=\"https:\/\/www.zdg.md\/stiri\/stiri-sociale\/culisele-achizitiei-de-echipament-de-protectie-pentru-medicii-din-prima-linie-compania-care-a-semnat-un-contract-de-36-de-milioane-de-lei\/\">reported<\/a> ZdG.<\/p>\n<p>Being contacted by ZdG, the manager of the company responsible for acquiring the protective goods said that, at the moment, the company does not have the products in stock, while importing them from China is a complicated procedure that will surely result in delivery delays, given the pandemic conditions.<\/p>\n<h3>Not enough tested persons<\/h3>\n<p>Another 32 people were lastly confirmed as being infected with the new type of coronavirus, after 246 samples were processed in the laboratory of the National Agency for Public Health, <a href=\"http:\/\/www.sanatateinfo.md\/News\/Item\/9086\">announced<\/a> the sanatateinfo.md portal. That amounts a total of <strong>5 324<\/strong> persons who were tested, including family doctors and mayors. Given the exponential growth rate of the contagion demonstrated in other countries, the number of tested persons in the Republic of Moldova can be concluded as being way too low.<\/p>\n<h3>Enough Government assurances that &#8220;all is kept under control&#8221;<\/h3>\n<p>For purchasing 200 000 protective screens and 500 000 filter masks, the Government of the Republic of Moldova approved the allocation of 36 million lei from the reserve fund. <em>&#8220;It is a measure to ensure protective equipment for the next period. We have enough equipment, but we are preparing for the second half of April and May,&#8221;<\/em>\u00a0said Prime Minister Ion Chicu.<\/p>\n<p>At the same time,\u00a0some district hospitals already have taken decisions of replacing at least a part of their old equipment using their institution budget or by applying to international funds and calling for foreign governments&#8217; donations of protective goods, disinfectants, tests, etc.<\/p>\n<p>Photo: Facebook| Ala Nemerenco<\/p>\n<div class='heateorSssClear'><\/div><div  class='heateor_sss_sharing_container heateor_sss_horizontal_sharing' data-heateor-sss-href='https:\/\/www.moldova.org\/en\/the-desperate-call-of-moldovan-doctors-and-the-reasons-the-medical-system-cant-resist-too-long\/' data-heateor-sss-no-counts=\"1\"><div class='heateor_sss_sharing_title' style=\"font-weight:bold\" ><\/div><div class=\"heateor_sss_sharing_ul\"><a aria-label=\"Facebook\" class=\"heateor_sss_facebook\" 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