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JUNE caribbean, west indies, real estate, property, land, retiring, moving, relocating, living, working, expats, international living, overseas, abroad, caribbean property magazine, caribpro 2 0 0 8
Issue 17
EDITORIAL
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Caribbean Property Magazine, Real Estate, jobs, relocation, living and working Corporate Relocation : Medical Device Industry
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CUBA’S OPERATION MIRACLE
By Raquel B. Tejeda


I became interested in Operation Miracle when I read a recent newspaper headline that all but shouted, “ I can see again," as it described Cuba's new "Operation Miracle." The brainchild of Venezuelan President Hugo Chavez and Cuban President Fidel Castro, this extraordinary humanitarian program has restored sight to patients from poor villages of Central and South America. It offers free treatment while delivering successful eye operations.

ONE MILLION PATIENTS FROM 31 THIRD WORLD COUNTRIES HAVE HAD THEIR VISION RESTORED THANKS TO THE PROGRAM

CubaAccording to a recent account by Cuban Deputy Minister of Foreign Affairs Eumilio Caballero
about one million patients from 31 Third World countries have had their vision restored thanks to the labor of Cuban doctors as part of the Operation Miracle program.

After speaking at the 14th International European Studies Conference, which occurred recently in Havana, the diplomat explained that the ophthalmological rehabilitation program providing free treatment for poor people is being promoted by Cuba and Venezuela, basically in Latin America and the Caribbean.
He noted that the program includes the island’s donation of 37 surgical centers for eye operations to eight countries, with work underway on a further seven.

The objective of Operation Miracle, which began in July 2004, is to restore the sight of six million Latin Americans within a 10-year period. The goal is certainly an ambitious one.

The Deputy Minister also added that the island’s doctors have provided 371 million medical consultations, principally in Latin America, Africa and Asia; have attended 800,000 births; operated on 2.4 million people; and vaccinated 9.3 million children. He stated that more than 46,000 Cubans, 36,000 of them doctors and paramedics, are currently working on cooperation programs in 97 nations, often in remote areas and under difficult conditions.

Caballero went on to explain that 55,000 young people from 121 nations are studying in Cuban educational institutes or with Cuban professionals in other countries, 49,700 of them for degrees in Medicine. He also noted that in the last four years, 2.6 million adults in 22 countries have learned to read and write via the Cuban "I Can Do It" program, validated by UNESCO. (AIN)

Cuban Vice President Lage made the announcement recently of the signing 14 new Cuba-Venezuela integration agreements, at a ceremony attended by Venezuelan President Hugo Chavez and Cuban First Vice President Raul Castro. When this idea was conceived by Presidents Fidel Castro and Hugo Chavez, they originally thought of 5,000 free eye operations per year for low income Latin Americans. Figures at present are running at 5,000 surgeries per month. Operation Miracle is a cooperation program under the solidarity and integrationist principles of the Bolivarian Alternative for the Americas ALBA.

Cuban doctors and technicians, with the support of state-of-the-art opthalmologic technology, are hard at work creating the capacity to operate annually on a million patients.

According to statistics from international health organizations, some 50 million people worldwide are blind, a million and a half of those under sixteen. The World Health Organization recently informed that in Latin America five million children, teenagers and adults need diverse eye operations, while in the Caribbean the figure is a half million.

Cuba

The achievements of Operation Miracle was celebrated recently in Nicaragua, where an ophthalmologic clinic was opened in April with Cuban assistance and nearly 15,000 eye operations have been performed.

And on May 15, 2008 Cuba and the nation of Antigua and Barbuda signed a Memorandum of Understanding that will serve as a legal framework for the free eye-surgery program Operation Miracle. The document was signed by Cuban Health Minister Ramon Balaguer and by Baldwin Spencer, Prime Minister of Antigua and Barbuda, who arrived in Havana on Monday for an official visit at the invitation of Cuban President Raul Castro.

Speaking to ACN, Balaguer said that Spencer was particularly interested in the Cuban experience in the treatment of diabetes, a disease that is significantly affecting the people of Antigua and Barbuda.

The PM also referred to non-communicable chronic diseases and spoke of a Centre for Integral Diagnosis donated by Cuba. He also expressed his interest in increasing cooperation in the training of nursing personnel from his country in Cuba.

Patients from Antigua and Barbuda entered the program on July 22, 2005, and it has thus far returned sight to one in every 58 inhabitants of that Caribbean nation.

Currently, 44 Cuban workers of the health sector make their contribution in Antigua and Barbuda, while 43 young people from the neighboring country study medicine in Cuba.

Another success of the presence of Cuban doctors in Latin America is in Bolivia where since August 2005, the Operation Miracle program restored vision. As of this past November, more than 184,080 people on low incomes have had their sight restored. Further, Cuba and Venezuela have joined in an ambitious scheme to bring health and literacy to those who want them in Latin America: to judge from the results achieved over the past year in Bolivia it is a notable success. It is eclipsing whatever aid effort is made by the EU or the US while greatly boosting the popularity of Bolivia's leader Evo Morales, Fidel Castro and president Hugo Chavez of Venezuela.

A specialized ophthalmic hospital, a joint Cuban-Venezuelan operation financed by Venezuela and open from nine to five, is where Cuban surgeons carry out non-stop eye operations. It is one of a number of such centers where Cuban specialists carried out 56,144 operations last year. They include two on Bolivia's borders with Perú at Copacabana and Argentina at

Villazón where more Peruvians and Argentines respectively are treated than Bolivians. All are treated on the same terms: treatment is completely free.

CUBA AND VENEZUELA ARE OFFERING EYE SURGERY TO ANYONE IN THE WESTERN HEMISPHERE - FOR FREE

Indeed, the Cuban and Venezuelan governments have announced that they are offering eye surgery to anyone living in the western hemisphere, including the USA, with an inclusive package including return journeys to Cuba for the patient and a companion, and medicines for the inclusive price of - nothing.

The effect of the initiative in the small islands of the Caribbean on Cuba's doorstep is reported to be immense. Bizarrely one of the reasons why there are Cuban-Venezuelan hospitals sited in Bolivia is that many patients could not scrape enough money together for a passport which would enable them to go to Cuba.

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In January, in his state of the nation speech, Morales reported that in the previous 12 months Cuban doctors had attended 3,217,897 patients - more than one in three of the population - saving 4,179 lives in 4,664 non-eye operations. The Cubans sent 564 tons of medical supplies.
Cuba
There are 1,766 Cuban health workers in Bolivia at the moment and another 300 doctors due to arrive later in the year.

"At first I thought the Cubans were bringing their politics and would try to make our people into communists - though that would be a difficult process as no one wants communism here. But I've seen no evidence that this is happening. I'm glad they're here," he said. It was a much needed boost to the Bolivian health service where a small proportion of the working population had union-organized health insurance, some were rich enough to buy private health cover, while the rest had to rely on the pitifully inadequate state system.

It is clear that the Cubans and Venezuelans are making a special aid effort for the recently installed Bolivian gover nment but Cuba's aid effort is worldwide. The EU can count on the impending Spanish gift of 700 ambulances to Bolivia to raise its profile here. But Venezuelan and Cuban aid is much bigger.

Recently 47 working-class people from El Salvador, many of whom could barely see because they had thick cataracts in their eyes, arrived in Cuba at the top eye hospital. Among them were Francisca Antonia Guevara, 74, a homemaker from Ciudad Delgado whose world was a blur. She said she had visited an eye doctor in her home country but could not pay the $200 needed for artificial lens implants, much less pay for the surgery. “As someone of few resources, I couldn’t afford it,” she said. “With the bad economic situation we have there, how are we going to afford this?”

Cuba’s economy is not exactly booming either, yet within two hours Ms. Guevara’s cataracts were excised and the lenses implanted, with the Cuban government paying for everything — including air transportation, housing, food and even the follow-up care.

For the hundreds of thousands of people from Venezuela, Central America and the Caribbean who have benefited from this program since it was started in July 2004, Operation Miracle is aptly named.

Yet the program is no simple humanitarian effort, and it has not come without a cost. The campaign against vision loss serves as a poignant advertisement for the benefits of Cuban socialism, as well as an ingenious way to export one of the few things the Cuban state-run economy produces in abundance — doctors.

Cuban doctors abroad receive much better pay than in Cuba, along with other benefits from the state, like the right to buy a car and get a relatively luxurious house when they return. As a result, many of the finest physicians have taken posts abroad.

The doctors and nurses left in Cuba are stretched thin and overworked, resulting in a decline in the quality of care for Cubans, some doctors and patients said. The Cuban authorities say they have also treated more than 750,000 people for eye conditions like cataracts and glaucoma since the program started.

As noted Cuba has set up an enormous amount of small eye hospitals (37 in total) in Latin America, and the Caribbean. Twenty-five of the centers are in Venezuela and Bolivia, whose leaders have close ties to the Castros. The hospitals are staffed with more than 70 top-notch eye surgeons from Cuba and hundreds of other nurses and ophthalmologists.

Dr. Reynaldo Rios Casas, the director of one of the Cuba eye institutes, said the first days of the program were hectic. Eye surgeons worked in three shifts, keeping the hospital’s operating rooms going all day and all night. It was not uncommon for a single surgeon to perform 40 operations in a shift. “It was really heroic,” he said. “We were operating day, afternoon and night.”

Since then, Dr. Rios says his hospital has been training new eye doctors at an astounding rate of 2,100 this year, half of them surgeons. The hospital’s budget has been increased tenfold and its equipment upgraded. It now has 34 operating theaters with state-of-the-art equipment, including two outfitted for advanced laser surgery techniques.

One advantage of the program is that it has given young surgeons a steady flow of patients on whom to hone their skills. Just this year, they have performed 394 cornea transplants at the hospital, he noted. “Our specialists have an incredible amount of experience,” he said. “What specialist in the world can do dozens of cornea transplants a year?”

In recent years, the program has allowed Cuba to use its doctors as barter for subsidized Venezuelan oil and to forge closer relations with other countries in the region, including those, like El Salvador, that have not been historically close to the Communist regime here.
Of course, the people who have their sight restored could not care less about the political and economic repercussions of the program. For them, the offer of free surgery is a dream come true.

Mrs. Guevara, whose husband is a retired construction worker from San Salvador, said she had given up hope of seeing again. She heard about the Cuban project on a Mayan radio station. “I never imagined anyone would help me the way they have helped me,” she said as she waited for surgery. “I thought I was going to end up blind.”
Cuba

Near her in the waiting room was Reina López, 58, of San Vicente, El Salvador, who has not been able to see for 13 years because of cataracts. Her daughter, Adilia Reyes, 33, said she had cared for her mother since she lost her sight. The family, including four children, survives on her father’s salary of $3 a day, plus whatever fruit can be sold at a market on Saturdays.

“For the poor, this is a tremendous benefit,” she said, as she guided her mother to a pre-surgery test. “If it works, we’ll be so grateful.”

Downstairs in the cafeteria, Manuel Agustín Isasi, 33, a professional fencing coach from Islas Margaritas in Venezuela, was eating a lunch of pork, rice and beans, able for the first time in years to see his food with both eyes. Three years ago, he had been whitewashing his home when he accidentally burned both corneas with a bucket of quicklime. The accident ended his fencing career.

He had been one of the first to receive a cornea transplant in his left eye when the program started, he said. Then, in early November, doctors in Havana replaced the cornea in his right eye. He was unabashed in his praise for the Cuban government and for President Hugo Chávez of Venezuela.

“I would have remained completely blind,” he said, fixing a reporter with a swordsman’s gaze. “Vision is half of one’s life.”

At least one million other people agree with him and can testify to the fact that miracles do exist.


Author: Raquel B. Tejeda is a native of Mexico who works in the healthcare industry as a traveling private nurse within the Latin countries.

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Last Updated On : 09 Feb 2010