Dr. Robiel Habtemariam: Pseudo-Professional in Defense of PFDJ Policies and Crimes Against Eritrean People

This is an extract from a Facebook discussion between Dr. Robiel Habtemariam (MD) and me[the Author] based on an article I wrote about Cancer in Eritrea. We could not come to terms of agreement on the way I handled the topic. After an intensive exchange, he promised to come back with rebuttal response to flatter my take. I welcomed him.

startingInitially, he started his comment under my post by writing:

Post 0

“Tesfe, you are obsessed with cancer. To make matters worse, you speak of it as if it is a deliberately disseminated contagious disease. Clearly, you don’t have the slightest idea of what you are talking about.”

And I responded to this particular post by saying,

Indeed I am obsessed. And the reason is you guys (doctors) are trying to make it normal.

And as a human rights defender and political activist, I am telling you to do something. I don’t want you to live in your comfort hospital zone.

On Tsigereda – like all other PFDJ officials, I don’t have any admiration. Saying that, as human, I feel sorry for her death.

Robel, by now as you can see we are in a different political zone. Be cool, therefore. Otherwise, I have many tools to make you ashamed of yourself for supporting PFDJ policies.

Since after, we engaged seriously on this subject matter.Well, I was curious on his take. I considered it as a big opportunity to see my article being challenged by a professional doctor. What you write must get the attention of readers. Critical responses from experts matters for growth.

As expected, after 4 days, he came with a series of comments posted on Facebook. I found his take irresponsible and non-professional. Initially, I thought to ignore what he wrote. Instead of focusing on the content, he dropped lines that were loaded with bashing words that express his highness on the subject matter. He literally told me I shouldn’t have written the article without consulting experts.

It is self-embarrassing to Dr. Robiel to come with this unprofessional and irresponsible comments that harm his career. If there is anything to learn from his comments is what he stands for.

I found Dr. Robiel H. to be a typical PFDJ cadre. I had the same impression before but I thought it is better to give him a benefit of doubt. It didn’t help either.

A brief introduction about Dr. Robiel Habtemariam

RbelAccording to information available from his Facebook page, Dr. Robiel is a graduate of Orrotta School of Medicine and Dentistry. He did his high school study in Asmara Hafeshawi. After graduation, he was assigned to Assab, the second port city of Eritrea, as a medical doctor in 2014.

What makes him among those who leverage PFDJ crimes is that he did not hide his pride to express PFDJ’s political correctness. Though it seems that he is living outside Eritrea, his mindset is fully lodged with PFDJ ideology. He is among the very few medical doctors who are defending PFDJ crimes in social media.

Robel and his class mates

Dr. Robiel Habtemariam with his classmates in 2009 (Source: Facebook)

I have no detailed information who he is routside his facebook page and as an active member of Eritreans Scholars Group. He is among those few contributors who do not hide support to PFDJ regime. Reading his inputs, it is quite possible to know what he promotes for.

Why his comments are so important?

Through Dr. Robiel H. comments, we can learn how die-hard PFDJ professionals think about the current situation of Eritrean suffering. It can help us to understand their thinking. It is indeed a valuable material to be studied to challenge servants of PFDJ. Above all, Dr. Robiel is a medical doctor who is supposed to contribute positively to the status of the health sector in Eritrea.

Access to health services is a basic human right issue. Though there is undeniable positive progress in this area, so far, Eritrea lacks some important care services to its citizens. For example, cancer care center is absent. As a result, cancer patients face a challenging moment to look after their health. It is hard to know what mechanism exists to treat cancer. As it was explained in my previous article published on August 04, 2017.

As far as a patient can afford,  the only option available is to go abroad for treatment. What makes it extremely painful is that it is not easy to get permission to leave the country. Dr. Robiel confirmed the extreme bureaucracy and vetting process to go abroad.

This material is therefore important to understand how human rights issue is seeing in Eritrea by politically charged professionals.

Dr. Robiel Habtemariam’s Rebuttal comments to my Article

Post 1

[…] I’m serious about this.

Tesfabirhan Redie, I have already read your article and have been following your posts on cancer in Eritrea(this is the third one I believe). As I said, if you are mature enough to defend your article and your posts, and accept criticism, I can take you seriously and show you why I think you are missing the whole point and how your article and posts are fallacious.

In your first post, I told you that you were just politicizing the issue. Your response (and that of wed Wed Hmrarib) was vehement, full of ad hominem, and suggested that I was defending the ruling party. After a little bit of derailed nonsense, I decided to disengage myself from the topic, because it was fruitless, to say the least. Now, let me make one thing clear: As far as Eritrean politics is concerned, I don’t have a single political party that Impresses me and I don’t have a single figure in mind that I would vote for if elections were to be held. I support ideas, and not people or parties. I argue in favor of what I think is right, and not someone who I think is right. Because, naturally, nobody gets’s everything right. Accordingly, if I think there was something Hitler got right and see you – out of hatred – make a sweeping argument that “since Hitler is evil and hence everything he does is wicked, that particular thing he did was wrongful and ugly,” I will simply tell you that you are wrong. If you tell me that I’m defending Hitler and therefore I’m a Nazist, again I would tell you that you have a fallacious conclusion. That’s really your problem and all I can do is point it out to you and say goodbye. Any further discussion would be pointless. I hope you got my point.

Response  

Robel, now you seem to be serious.

Ok to start with.

1. Understand the objective of my article.

My objective is to increase public awareness on the increasing number of cancer victims in Eritrea. It is all for political awareness. I am not politicizing the issue but calling for people, including the Ministry of Health and the international community to act. At least, for the time, being, Eritreans need a place of treatment. Sudan is too expensive and impractical.

It is sad to ignore this and see you jumping on what I listed as the possible cause.

To be frank, I was totally disappointed by you when you try to argue on the political dimension. This is the reason I wanted to react. Otherwise, I want your genuine professional input.

2. I am not blaming PFDJ as someone who caused cancer. What I am saying is PFDJ is simply watching. Check the title, please.

Academically, I am not an expert in cancer. And I think you are not. However, you are much better equipped to say something about cancer. I am sure you know many secrets about health in Eritrea. Say something if you are in safe place without violating your professional oath.

I am not campaigning to be elected. I am just talking about challenges Eritreans are facing.

Remark: I am very serious on this issue and be serious.

I have good friends who graduate from Orrotta. They deserve respect. By respecting you, I am respecting them. Please be away from the PFDJ thing here as you are expected to be professional in this special topic. If you act politically, I will be too.

Post 2

Am I the only one here who thinks the main purpose of the post was not the fact that Mrs. Tsgereda died, but the fact that she died from cancer? Anyways, I’m back with my criticism of your article, Tasfabrhan, as promised. I’m putting my comments separately so that you can reply to them separately. I will try to point out the pitfalls of your article from a medical and a statistical point of view. Besides, I will briefly highlight why I think it is biased and intentionally distorted and manipulated to serve a political motive, instead of attempting to analyze the issue with intellectual honesty so that the article can provide a platform for a constructive discussion and give an insight as to how further research can be taken from there.

Please don’t try to defend your article, as you’ve already hinted, by claiming that cancer is not your area of expertize. In that case, you should have left the issue to experts, or consulted experts in writing it after contracting adequate literature review, research and coverage of background information on cancer before rushing into writing your article just to enrich your website. Real writers go through a painstakingly lengthy study of their subject of concern before starting to scribble, even for fiction meant to entertain.

My impression is that you went through the following sequence of events to end up writing the article: you were inspired by the desperate plights of Eritrean cancer victims shared on Facebook from inside and outside the country (usually Sudan), and being a political activist, you went out of your way to find real health data, mingled it with graphic pictures of individual cases, and manipulated it in a way that portrayed the problem as alarmingly the heaviest health burden in the country which has never been addressed in any way whatsoever. I’m absolutely dazzled that you recklessly asserted that nothing is done to prevent and treat cancer in Eritrea. The truth is that any health professional in Eritrea can write you an entire book on just what is actually done to prevent and treat cancer in Eritrea. You should have known better, or if you had known, you shouldn’t have swept facts under the carpet, if you are to be in a position where you can claim that you are intellectually honest and not driven by a political motive.

Post 3

Good. I actually agree with the idea that Sudan is not the best place for Eritrean cancer patients and that something should be done about it. The other strong point you made was the fact that you pointed out the bureaucratic delay patients face in the ministry of health in the process of letting them leave the country legally.

I know that there is a group of people in Khartoum who are devoted to helping Eritrean cancer patients professionally, logistically, and economically to those who end up there. I liked the part where you mentioned that group and their Facebook page in order to make people aware of their activities so that any interested party can lend a hand. I wish the entire article was about that.

I will comment on the weaknesses and fallacies of your article. I expect you to defend it with reason and evidence. I will see you sooner or later.

Response 4

Robel, remember this is not an academic paper. It is a political article. Therefore, don’t expect me to be academically correct.

Within this scope, I am more than capable to defend every line I wrote.

I am well equipped with that.

On this positive compliments, thank you.

What I can be OK with it if you don’t try to come from the so called Government of Eritrea point of view. I am a die hard opponent of all Eritrean policies – 100%. Be aware therefore when you build your argument.

One last point – don’t expect me to, write what it will make you happy. Take those strong sides, argue with those that you feel need proper attention and dump for dump lines. Be systematic.

Post 5

Let me start with your choice of words

“Cancer is killing everyone in Eritrea.”

Whaaaaaat!!? That was the overstatement of the year(perhaps globally). እሞ ኣብ ኤርትራ ደኣ ዝተረፈ ሰብ የለን ዘይትብለኒ:: እንታይ ደኣ እዘን ማዔከናት ዜና ከምዚ ኣብ ግዜ ለበዳ ኢቦላ ወይ ሸሮኽ ዝገብረኦ ዋጭዋጭ ዘይበላ? ኣብ ኤርትራ ዝተረፈ ሰብ ይህሉ’ዶ ይኸዉን ኢልካ ተሌፎን ደዊልካ ከተረጋግጽ ቅሩብ ይተርፈካ::

Tasfabrhan, did you even consider the kind of audience you were trying to reach out to? It looks like you either failed to consider your audience, or underestimated them, or even deliberately ignored those who can clearly read between your lines to mislead and alarm the naive who don’t have an idea of what’s really going on so that you can align them on your political assembly.

Anyways, what is the point that you are trying to make by telling us that Mrs. Tsgereda died from blood cancer?

Who is to blame?

Do you know what type of blood cancer (leukemia) it was?

Was she treated for it?

Do you have any idea what her chance of survival was with and without treatment?

Post 6

The other thing is your manipulation of statistics. You gave us a number ( 9,482 laboratories confirmed cases in a decade) which means nothing if broken down into individual types of cancers, indicating their respective percentages and rates and compared to other causes of morbidity and mortality in the country as well as to similar cancers elsewhere around the world. Without such a comparison, a plain number means nothing, even to an expert.

While you devoted paragraphs in unnecessary and irrelevant details, you did not attempt to put the cancer burden into context by highlighting its relative significance in the list of the top causes of morbidity and mortality and the immense health burden they pose to the country’s struggling economy. Accordingly, you failed to mention if it is appropriately prioritized as per its rank as a health burden in light of the budget allocated to and within the health sector. Instead, surprisingly enough, you made a flimsy attempt to discredit the achievement of 6 out of 8-millennium development goals within the assigned timeframe, something many third world countries fell short of achieving.

Post 7

Here is a simple example of how prioritization works and how you conveniently avoided it: You are a father of a poor family with 8 children. You work hard to make ends meet and earn way less than what your family needs to lead a “normal” life.Your wife returns from the hospital and tells you that she has breast cancer and that the doctor told her she needs the amount of money you can hardly make in a lifetime.

Your eldest son is in the hospital ward getting treated for AIDS and its complications. Another one is in the same ward getting treated for TB. A third has malaria. Your oldest daughter is unmarried, pregnant and has anemia. Two of your young kids have malnutrition with all sorts of complications that go with it. Your youngest daughter has severe pneumonia and is dying in the emergency room. That kid older than her has had persistent diarrhea for more than a week. You went to the hospital to follow-up your chronic heart disease three days ago, only this time your doctor tells you that you may have a prostate cancer. Now imagine your sleepless nights trying to figure out a way to divide your savings between feeding the family and paying the medical bills. Which child or disease would you prioritize? Obviously, the most down-to-earth thing to do about it is to pay for kids who have cheaper, life-threatening but easily treatable conditions first, wouldn’t you? You can take care of your wife’s breast cancer and your prostate cancer – which is costly, and usually fatal anyway – only when you have the simpler issues addressed, and provided that you have managed to collect enough money one way or the other.

Now imagine one of your sons which you have asked to get a job and put all his income on the table except for the little bit of pocket money you allowed him. He not only had a nasty fight with you and absconded from home, but also was going around the neighborhood proclaiming how his mother (your wife) is dying of cancer, asking for financial assistance on Facebook, while his father (you) is not doing anything because he doesn’t care!

I think that is exactly what you did, Tasfabrhan. You want to raise peoples awareness? You are particularly interested in cancer? Here is what you could have done:

Have an in-depth look at the epidemiology of cancer in Eritrea. Study the prevalence, incidence, and demographics (distribution by age, sex, ethnic group, geographical area… etc) of the commonest cancers in the country. Calculate their rates per unit population and time and compare them with the data of the same cancers in other countries. Point out which specific cancer types are significantly more prevalent in Eritrea than their counterparts in other countries. Try to identify a correlation between a certain unusually prevalent cancer and a specific fraction of people who seem to be affected by it. At that point, you would be in a position where you are supposed to be able to isolate some known (or unknown) risk factors which presumably contribute to the specific type of cancer you identified. That is evidence-based practice. Only then will you be able to conclude, assert, recommend and blame.

Post 8

WHAT LEAD TO THE “GROWING” RATE?

You have discussed some factors which you thought could have contributed to the apparently increasing trend of incidence of cancers in the country. For the most part, I disagree with your evidently superficial and unfounded analysis of the possible “causes” of cancer in Eritrea for several reasons. I will give you my opinion on the individual factors in subsequent comments. For now, let me give you a general overview as to why your suggestion was unconvincing.

  1. You talk of the factors as causes. The issue is not as straightforward as that (I wish it was). Turns out that cancers don’t have clear cut causes per se but risk factors which may or may not lead to them in the long run. There is no cause and effect relationship. You can not pin point to one factor and say that it is an inevitably definite cause of cancer.
  2. I don’t believe that there was a significant change in the factors mentioned between the years 2000 and 2010 parallel to the rate of growth of cancer. These variables have more or less remained the same before, during and after the decade considered.
  3. There is no empirical evidence whatsoever that suggests the factors you mentioned were behind the “growing” rate of incidence of cancer in Eritrea. In the article, these factors were not only put as tangible facts but also were used accusingly. Eg. There was a point silly enough to suggest that people from the highlands who go to Sawa were at an increased risk of skin cancer.

Post 9

As far as I am concerned, you have failed to point out three important reasons which may explain the growing trend of cancer.

  1. Enhanced health seeking behavior of the people. 3, 4, or 5 decades ago, the incidence rate of all types of cancers as obtained from reports from health institutions was next to zero. Why? Because people tended to not only believe in traditional healers but also used to be skeptical on modern medical practice as it was presumed to in fact worsen cancers. With increased awareness, people gradually started to come out to hospitals, instead of dying helplessly at home or at the hands of traditional healers.
  2. Enhanced detection rate due to improved diagnostic capability. A lot changes in 10 years. Before the year 2000, the distribution of health facilities and availability of health professionals and diagnostic tools was considerably limited. Back in the days, there was a lack of diagnostic imaging techniques including CT scan, MRI, and ultrasound as well as pathologic investigation of tissue biopsies. In such a scenario, you would, of course, have cancer in the society but you keep missing them because you are not equipped enough to see them.
  3. Population growth. While not necessarily affecting the incidence RATE, population growth gives you an increasing NUMBER of cases every year.

Post 10

CANCER AND GENETICS: The other central issue which was deprived of attention in the article perhaps to avoid weakening its accusing tone.

Heredity plays a decisive role in the development of cancer. Simply put, in general, cancers develop in the context of specific genetic aberration continually provoked by various environmental factors over a long period of time (years to decades).
Countless studies show that different ethnic groups or races genetically have different rates of predisposition to different cancers. Although evidence is lacking currently, it is not impossible that Eritreans (or specific ethnic groups) may be genetically more prone to the types of cancers commonly seen in the country.

Post 11

In this screenshot from your article, you’ve tried to emphasize on what appears to be abnormal. That’s just a superficial layman’s perspective.

robel_data_trends_2It is actually completely normal. Cancer can affect both sexes and all age groups. It all depends on the cancer type. Some cancers are exclusively seen in older males. Eg. Prostate cancer. In fact, 1 in 15 males in their 60s have it and the rate increases with age. Other cancers like lung cancer and colorectal cancer are more common in males. You also need to know that some cancers like nephroblastoma( kidney cancer), brain cancers, lymphoma, leukemia, Ewings sarcoma… etc are predominantly seen in children.

**, By the way, there is a little bit of error you need to correct: You have mentioned prostate cancer as both the first and second common cancer type in males.
M

Response

As a medical doctor, all diseases are not abnormal to you.

For ordinary people like me, who witnessed only one person as a victim of cancer in their entire life, is abnormal to read such alarming statistical data.

I know you were working in a hospital. Every day, you were watching death, suffering, and pain of hundreds of people. Hence, 1 in 15 is normal for you. For me, I want it gives me a heart break.

Post 12

SPECIFIC REASONS YOU DISCUSSED AS MAIN CAUSES OF CANCER IN ERITREA

Cancer and Nutrition:

response10When one talks about nutrition as a predisposing factor to cancer, it doesn’t imply that you enjoy a life time of protection from what you consume during your honeymoon or a few days after child birth; rather, it is about the cumulative long-term predisposing effect of consumption of foods containing carcinogenic ingredients (especially processed foods) on one hand, and the protective effect of certain ingredients when taken consistently for a lifetime on the other.

Malnutrition is a huge problem in Eritrea, especially in children. Impaired immunity due to malnutrition leads to all kinds of complications many of which are fatal. Associating malnutrition to cancer is a little far fetched.

Response

I didn’t rule out malnutrition is a cause. What I am saying is, it is a possible cause for some types of cancer.

Post 13

Cancer and stress:

post11Stress can be a precursor to all kinds of diseases. It prevails everywhere and is actually more common in the developed world. I don’t believe it is unusually higher in Eritrea. (research needed). If it is very common, what should be concerning is people suffering from chronic anxiety, major depression, gastritis,.. etc and dying from heart attack, stroke, hypertensive crisis, diabetes… etc.

The association of deprivation with a higher rate of cancer has nothing to do with stress because deprivation and stress are simply two different variables.

 

 

Post 14

Cancer and contraceptives:

Yes, there is an almost negligible risk of developing cancer that doesn’t warrant the drug’s withdrawal from the market. That little risk is in women having additional risk factors and who take it for a relatively long time.In fact, contraceptives, apart from birth control, are useful in the treatment of different gynecological problems.
Anyway, you have shown that its use is too low in the country, which means it is not a problem as far as cancer is concerned.

Post 15

Consumption of poorly stored grains:

Aflatoxin and liver cancer:

Liver cancer is one of the rare cancers in Eritrea. And when you have a patient with liver cancer, it is commonly due to chronic hepatitis B and C infections, fatty liver, alcoholism, etc. Aflatoxin has been implicated as a possible cause but it is at the bottom of the list. It is a rare cause of a rare cancer type. It is more concerning as a cause of kwashiorkor.

Post 16

Exposure to UV radiation and cancer:

The only practical way to protect all Eritreans from UV is to build a roof all over the country.

“a Highlander is therefore not able to resist lowland of Eritrea.”

Well, that is purely a psychological issue. There isn’t a significant variation in the skin tones (melanin pigment) of all Eritreans wherever they come from. There are both fair and dark skinned people in both the highlands and in the lowlands.

Your last paragraph associating military conscription to skin cancer is too lame. In general, people spend their entire lives outdoors making a living. Besides, high temperature (35*c) and UV radiation are two different things. You can live in a hot area and not be exposed to UV.

Post 17

Asbestos exposure and cancer:

Forget it, it is not a problem in Eritrea. Asbestos can lead to lung cancer in industrial workers exposed to it through inhalation on a regular basis.

Post 18

Benzene and cancer:

Forget this one too. በቲ ሓደ ነዳዲ የለን ትብል, በቲ ሓደ ከኣ ካንሰር ኣብ ኤርትራ ብሰንኪ ነዳዲ ይበዝሕ ኣሎ ትብል:: you are contradicting yourself. Science ተዛረብ:: Obviously, your principal aim here was to emphasize on the scarcity of fuel in the country.

Post 19

Alcohol and cancer:

Switching between different brands of alcohol has nothing to do with an increased risk of exposure to cancer. It is about the dose. It has to be taken in high doses continually (most days of the week) for years to contribute as a risk factor for cancer. I think few people have that habit in addition to being able to afford it in Eritrea.

Post 20

Smoke and Cancer:

መጎጎ ኣድሓነት was meant to drastically reduce the use of firewood and animal dung as fuels ad well as reduce the effect of smoke on mothers. As far as I know, it is compulsory in rural areas for every woman to have one. Of course, there are women still exposed to household smoke in different ways.

Post 21

STDs and cancer:

The apparent correlation of high STD and cancer rates in 2005 in Eritrea is just a matter of coincidence. There isn’t any logical medical explanation to that.
As you have previously mentioned, the commonest cancers in Eritrea are breast, prostate, ovarian, uterine, cervical, connective tissue cancers and leukemia. What you didn’t notice is that not only the cancers associated with HIV/AIDS are different (Kaposi’s sarcoma, non-Hodgkin lymphoma, cervical cancer), but also appears several years after one contracted HIV (typically 10 to 20 years) when AIDS advances to its end stage.

“what happened in 2005?”

Here I was expecting a scientific attempt to explain as to how AIDS and cancer peaked in the same year, creating an impression of correlation. What I read was quite absurd.

Post 22

Finally, about “the government is doing nothing” part, I will tell you that, despite the obvious shortages in man power and resources, the ministry of health is probably the most well organized and functional ministry in the country. As I said, one can write a book just on what is done to prevent and treat cancer. You should have known better, or if you had known, you shouldn’t have swept facts under the carpet, if you are to be in a position where you can claim that you are intellectually honest and not driven by a political motive.

Why I did not respond to most of his posts?

To be honest, I was fed-up with his shallow response. I prefered to respond by saying, “FUNNY” in most of his take. It did no give me sense at all to respong accordingly. His take didn’t deserve my response.

Conclusion

Although I appreciate him for his time to read my article seriously and respond for major points, it is unwise for him to write from the perspective of PFDJ political book. All that he was trying to do was finally exposed by his own conclusion.

Dr. Robiel Habtemariam is a corrupted medical expert who is working against humanity. I hope he will remember his oath one day and turn his respected profession to fulfill the duty of human dignity.

 

PFDJ Insecurity: From YPFDJ Conference to The National Council of Eritrean Americans Congress

Changing title is a sign of Losing

On August 12, 2017, shabait.com reported about a congress held by the National Council of Eritrean Americans in Seattle USA from 08 to 11 August 2017. According to the news report, representatives of national associations from across the USA participated.

This is unusual title. First of all, participants were members of Y[Youth]PFDJ. YPFDJ is a youth organization that is affiliated to the only existing political party in Eritrea. Second, the name given to the gathering is different from similar gathering held by the same group for the last 12 years.

Before, the same gathering was used to be held under a title, “YPFDJ North America Conference”. What is the reason then to change the name of the gathering and participants? Why PFDJ is using a different tactic then after 12 years consecutive meetings?

pfdj_insecureWell, PFDJ gathering is the same but not normal as before. As opposition to PFDJ in the west is getting stronger and stronger, it is becoming hard for PFDJ to conduct political meetings freely as before. For example, in April 13th YPFDJ Europe – Holland Conference was canceled after Mayor of Veldhoven warned that security of conference participants could not be guaranteed. This warrant came after a group of justice seekers conveyed a message of warning to the government of Holland accompanied by strong condemnation to the anyone who participated in the conference.

PFDJ tried to defend the rights of the conference by claiming the conference is not political but cultural exchange. The fact in the ground cannot prove PFDJ’s claim. After the cancelation, PFDJ wrote a long statement that condemn Dutch Government decision.

PFDJ did not want to be ashamed again. What it has to do is to invent a new tactic to camouflage its YPFDJ conference across the world. What happened in North America is therefore a simple cover of its political meetings. PFDJ understood that calling such meetings as “YPFDJ Conference” is not going to help. Instead, it fabricated a name for a non-existent national associations to name its routing conference as National Council of Eritrean American Congress. It is a failed political game.

Since its establishment, YPFDJ North America conducted its conference annually. This year, it could not get a courage to use its usual title. The reason for doing so is its Europe sister organization bitter experience. It is politically correct to call it congress of Eritrean council associations. Otherwise, it is difficult to argue for any accusation that could arise from any opposing force.

Changing of Momentum

2017 is a year of success for the opposition camp. YPFDJ conference in Holland was canceled. Yemane Gebreab  – founder of YPFDJ is forced to spent this time in a hospital after he faced an attack from justice seekers. And almost all PFDJ organized annual festivals faced strong condemnation from justice seekers.

These achievements show the growing momentum of the opposition camp against PFDJ. These days, it is hard for PFDJ to conduct its normal business. Opposition is becoming intensive, persistent and is performed with high efficiency. Without doubt, the opposition camp has attained its threshold of resistance.

More detailed analysis about the conference will be presented soon.

 

ካንሰር ኤርትራውያን ይቐዝፍ; ስርዓት ህግደፍ ከኣ ትም ኢሉ ይዕዘብ

(ኣቐዲሙ ብእንግሊዘኛ ተዳልዩ ዝነበረ ጽሑፍ)

መእተዊ

ካብ ምኒስትሪ ጥዕና ዝተረኽበ ሰነድ ምርኩስ ብምግባር ተርእዮ ዝርግሐ ሕማም ካንሰር ኣብ ሆስፒታላትን ሃገራዊ ማእከል ላቦራቶሪ ጥዕናን ኤርትራ 2000 – 2010″ (Trends in the Incidence of Cancer in Eritrean Hospitals and Eritrean National Health Laboratory 2000-2010) ኣብ ትሕቲ ዝብል ቴማ ዝተገብረ መጽናዕቲ ከምዝሕብሮ፡ 19,636 ሰባት ናይ ካንሰር ኣፈናዊ መርመራ ከም ዝተገብረሎም; ካብዚ ኣቶም ድማ እቶም 9,482 ግዳይ ካንሰር ኮይኖም ከምዝተረኽቡ ኣብ 2016 ዓመተ ምሕረት ኣብ ጆርናል ፋርማሲካውን ስነ-ሂወታዊ ሳይንስን ዓዲ እንግሊዝ ተሓቲሙ ዝወጸ መጽናዕቲ ይሕብር። ብመንጽር ጾታ ክርአ እንከሎ፣ ካብዞም ግዳያት እተን ዝበዝሓ ደቂ ኣንስትዮ ; ማለት 60.82%; ክኾና ከለዋ ደቂ ተባዕትዮ ድማ 39.18% ከምዝኾኑ እቲ ዝተኻየደ ምጽናዕቲ የመልክት።

ብተወሳኺ፤ ካብ 2000 ዓመተ ምሕረት ኣትሒዙ ሕማም ካንሰር ብናህሪ ይውስኽ ከምዘሎ እቲ ዝተገብረ መጽናዕቲ ተገንዚቡ። ወላ’ኳ ቁጽሪ ግዳያት ካንሰር ይወስኽ; ኤርትራ ክሳብ እዛ ሎሚ ዕለት ዜጋታታ ክሕከምሉ ዝኽእሉ ትካል ኣየተኣታተወትን ዘላ። ብሰንኩ ድማ እቲ ዝበዝሐ ኣብ ቤቱ ክሳቐ ኸሎ; ውሑዳት ግና ሃገሮም ገዲፎም ንሕክምና ይስደዱ ኣለዉ።

ነዚ ጉዳይ ኣብ ዝተገንዘብክሉ; ትም ክብል ኣይመረጽኩን። ዝነበረኒ ዓቕሚን ሓይልን ኣኻኺበ ድማ ነዚ ዕሙቕ ዝበለን ሰፊሕን ትሕዝቶ ዘለዎ ከፊላዊ ምርምራዊ ጽሕፍ ክጽሕፍ ወሲነ። ዕላም’ኡ ድማ፤ ፖለቲካዊ ንቕሓትን ኣረኣእያን ንምዕባይን ንምስፋሕን ካብ’ኡ ብምብጋስ ድማ ነዚ ኣብ ህዝቢ ኤርትራ ወሪዱ ዘሎ ሕሰም ኣቓልቦ ሕብረተ-ሰብ ዓለም ክረክብ፣ ዘድሊ ስጉምቲ ንኽወስድ ድማ ተሓለቕቲ ሰብኣዊ መሰላት ኮኑ ፖለቲካዊን ሲቪላዊ በርጌሳዊ ማሕበራት ክዋስኡ እዩ።

ኣብዚ ግዜ’ዚ፤ ኤርትራውያን ስቅያት ፖለቲካዊ ዓመጽ ጥራሕ ኣይኮነን ዝወርደና ዘሎ። እንታይ’ደኣ ብሰንኪ ዘይብቑዕ ምሕደራ፣ ዘይተገዳስነትን ስርቅን ዝመሰረቱ ፖለቲካዊ ውሳነታት መሰረታዊ ኣገልግሎት ጥዕና ኣብ ዝኸፍአ ደረጃ እዩ ዝርከብ። ጥዕና መሰረት ናይ ኩሉ ንጥፈታት ስለዝኾነ; ምስ ጥዕና ዝተኣሳሰር ጉዳያት ጥቡቕ ዝኾነ አተክሮ የድልዮ።

ብዙሓት ተጣበቕቲ ክጽንበሩኒ ብምትስፋው; ዕላማይ ንማሕበረ ሰብ ዓለም ብምሕባር ነቲ ኣብ ኤርትራ ዝርከብ ሽፍታ መንግስቲ ጸቕጢ ብፍጣር ጽ ዝኾነ ተግባራዊ ስጉምቲ ንኽውሰድ እዩ። ስለ’ዝኾነ ድማ እየ ነዛ ካንሰር ኤርትራውያን ይቐዝፍ ስርዓት ህግደፍ ከኣ ትም ኢሉ ይዕዘብ ትብል ጽሕፍቲ ናብ ክሎም በዚ ጉዳይ ትግደሱ ዘቕርብ ዘለኹ።

እዚ ጽሑፍ ዓቡይ ስለዝኾነ፤ ንኣንባቢ ብዝጥም መንገዲ ኣብ ክልተ ክፋል ቀሪቡ ኣሎ። ኣብ’ዚ ቀዳማይ ክፋል ሓፈሻዊ ህልው ኩነታት ግዳያት ካንሰር ኤርትራውያን ኣብ ሱዳን ከቕርብ ክፍትን እየ። ኣብ ዝቕጽል ካልኣይ ክፋል ድማ ኩነታት ንዝርግሐን ካንሰር ኣብ ኤርትራ ብምቕራብ፣ ኣብዚ ግዜ’ዚ ቀንዲ ጠንቂ ምስፍሕፋሕ ካንሰር ዝኾኑ ባእታታትክድህስስ ክፍትን እየ። ብተወሳኺ ውን ስቕታ ስርዓት ህግደፍ ኣብ ጉዳይ ካንሰር; ጻውዒት ንማሕበረ ሰብ ዓለም፤ ብፍላይ ንኣህጉራዊ ውድብ ጥዕና ኣብ’ዚ ካብ ዓመት ናብ ዓመት እናስፋሕፋሐ ዝኸይድ ዘሎ ጉዳይ ፍሉይ ኣተክሮ ንኽገብር ፍሉይ ኣተክሮ ብምግባር ንምክልኻል ምስፍሕፋሕ ካንሰር ከምኡ’ውን ንግዳያት ኣብ ገዛእ ሃገሮም ክሕከምሉ ዝከኣል ማእከል ንክዋደድ ኣድላይ ተበግሶ ክገብር ምጽዋዕ እዩ።

ቀዳማይ ክፋል

ኣሰቃቕን ዘሰንብድን ስእልታት

ኣብዚ ግዜ’ዚ፤ ገጻት facebook ኣብ ዝኸፍተሉ ህሞት፣ ኣዝዩ ዘርዕድ ስእልታት ምርኣይ ልሙድ ኮይኑኒ ኣሎ። ብሰንኩ ድማ ምሉእ መዓልቲ መንፈሰይ ይርበሽ። እዞም ስእልታት(ኣብ ታሕቲ ተመልከት – ንዝፍጠር ስምዒት ኣቐዲመ ይቕሬታ ይሓትት)ዘሰንብዱ ደኣ’ምበር ከም ካልኦት ተራ መዓልታዊ ዜና ኣይኮኑን። እዚ’ኣቶም በቶም ኣብ ገጻት facebook ዝርከቡ ኣማኢት የዕሩኽተይ ኣቢሉ ዝመጹኒ ንግዳያት ካንሰር ዘርእዩ ስእልታት እዮም። መብዛሕትኦም ንሓገዝ ዝሓትት መልእኽቲ ሓዘል ተሰንዮም እዮም ዝርከቡ። ብሓቂ ዘርዕዱ ስእልታት እዮም።

17498412_1882258982046100_2088204643406305727_nስእሊ 1: ናርዶስ ጎይትኦም, ተመሃሪት ኮሌጅ ማይ ነፍሒ, ግዳይ ናይ ርእሲ ሕበጥ ካንሰር

19092672_1714063768621733_7172311102160896630_oስእሊ 2: ፌቨን ሃብተኣብ, ተመሃሪት 3 ዓመት ኮሌጅ ማይ ነፍሒ, ግዳይ ናይ ደም ካንሰር

Cancer-Victims-in-Sudan-2ስእሊ 3: ድኒኤል ያቆብ, ዕድመ 30, ግዳይ ናይ መቐመጫ ካንሰር

Lets-Help-Our-Eritrean-Sister-In-Khartoumስአሊ 3 ሰናይት ኣሕፈሮም ;  ዕድመ 30;  ግዳይ ናይ ሓንጎል ካንሰር ; ኣደ 6 ቆልዑ

ብምትሕብባር-ህይወት-ንምትራፍ-ንሓግዞ-Eritrea

ሰአሊ 5: ኣሽመላጽ ገበያ, ኣቦ 3 ቆልዑ, ግዳይ ናይ ደም ካንሰር

Cancer-Victims-in-Sudan-4ሰአሊ 6: ግዳይ ናይ ማህጸን ካንሰር. ኣብ 2014 ድሕሪ ምምርዓዋ ኣብ ግዜ ህጽኖት ከላ በዚ ህማም ከም ዝተጠቕዐት ፈሊጣ

17620210_197951164032258_3575560540650098464_o

ስአሊ 7: ግዳያት ሕማም ካንሰር ኣብ ካርቱም ዝርከብ ሓዲሽ ዝተደኮነማአከል መዕቆቢ ሕሙማን ካብዚኣቶም፥  4 ግዳያት ኮይኖም 2 ደቂ ኣንስዮን 2 ድማ ደቂ ተባዕትዮ ኣብ ማአከል ካብ ዘለዉ፤ 3 ድማ ነዞም ሕሙማን ምሕጋዝ ማሕበር ኣቑሞም ዝንቀሳቐሱ ዘለዉ የሕዋት

breast _cancer_victim

ሰእሊ 8: ዮዲት፣ ግዳይ ናይ ጡብ ካንሰር

weiniareg

ሰእሊ 9: ስነጥበባዊት ቢኪ ወይኒ ሓረግ ዕድመ 41 ኣደ ብሰንኪ ናይ ጡብ ካንሰር ኣብ ካርቱም ሕክምናኣ አናተገብረላ ከሎ 19 ጥሪ 2016 ዓሪፋ።

ስለምንታይ አዮም አዞም ሕሙማን ኣብ ካርቱም ዝርከቡ ኢልኩም ትግረሙ ትህልዉ ትኽአሉ ኢኹም። ከም ሓቂ አንተኾይኑ፣ አዞም ብካንሰር ተወጺዖም ዝርከቡ ሕሙማን ኣብ ሃገሮም አዮም ክሕከሙን ክእለዩን ዝግባአ ኔይሩ። ሕማቕ ኣጋጣሚ ኮይኑ ግና አንሆ ክሳብ’ዛ ዕለተ 2017 ዓመተ ምሕረት ኤርትራ ቴክኖሎጂ ሕክምና ካንሰር ከየዋደደት ትርከብ። ወላ’ኳ፣ ኤርትራ ነቲ ብ “ሸቶታት ምልየኑም”  6 Millenium Development Goals 6 ካብ 8 ብፍላይ ኣብመዳይ ዕና ተዓዊተሉ እየ ኢላ ብዙሕ እንተዋዕውዐት፡ ካብ ሓደገኛ ዝኾኑ ሕማማትዝከላኸልን ሂወት ኣሽሓት ከድሕንዝግብኦ ዝነበረ መሰረታዊ ዝኾነ ኣገልግሎት ጥዕና ክህብ ዝኽእል ትካላት የብላን። ብሰንኩ ድማ ዜጋታታ ሕሙማን ከም ግዳያት ካንሰር ዝኣመሰሉ ሕክምናዊ ኣገልግሎት ኣብ ክረኽብሉ ዝኽእሉ ፈቐዶ ሃገራት ክስደዱ ይደዱ። እቶም ገንዘባዊ ዓቕሚ ዘይብሎም ድማ ናብ ባህላውን ልምዳውን ኣገባባት እናፈተኑ ብስቅያት ኣብ ቤቶም ይተርፉ።

ከም ሓቂ፤ ኣብ ገዝኡ ኮፍ ኢሉ ሞት ዝጽበ የሎን። ስለዝኾነ ድማ ውሑዳን ሑሙማት ካንሰር ናብ ደገ ብምኻድ ይሕከሙ እዮም። እቲ ካብ ሕማም ፈሊኻ ክርአ ዘይክእል ፍቓድ መንቀሳቐሲ ካብ መንግስቲ ምርካብ እዩ። ኤርትራ ካብተን ነጻ መሰል ምንቅስቓስ ዜጋታት ዘየፍቅዳ ዝኸፍአት ሃገር ተባሂላ እያ ትፍለጥ። ብሰንኩ ድማ ፓስፖርት(Passport) ምርካብ ኣዝዩ ጸቢብ ዕድል ዘለዎን ነዊሕ ግዜ ይሓትት። ዝተሓላለኸ ብርዮክራስያዊ ኣሰራርሓ ቤት-ጽሕፈታትን ክሕለፍ ድማ የገድድ። ብፍላይ ወረቐት ምርካብ ከም ሓለፋ እዩ ዝቑጸር።

ብሰንኪ’ዚ ካብ 15 ክሳብ 60 ዓመት ዝዕድሚኦም ዝኾኑ ግዳይ ካንሰር ኣባላት ግዱድ ዕስክርና ሃገራዊ ኣገልግሎት(ባርነት ምባሉ ይሓይሽ) ክኾኑ ኣለዎም ወይ ድማ ግዴታኦም ዝፍጸሙም ክኾኑ ይሕተቱ። ዝኾነ ነዚ ግዴታ ምስ ዘየማልእ ፓስፖርት ክረክብ ዘሎ ተኽእሎ ኣዝዩ ዘይሕሰብ እዩ።  ልዕሊ 60 ዓመት ዝዕድሚኦም ኣበይ ኔርካ ዝብል ሕቶ ስለዘሎ ፓስፖርት ብቐሊሉ ንኽረኽቡ ዝከኣል ኣይኮነን።

ስለዝኾነ ድማ; ዝኾነ ሰብ ካብ’ታ ሕማሙ ዝፈለጠላ ሰዓት ክሳብ’ታ መንቀሳቐሲ ፍቓድ ዝረክብ ዘሎ ህሞት ነዊሕ ግዜ ስለዝሓትት;  ሳዕቤናት ካንሰር ኣብ ዝልዓለ ደረጃ ይበጽሕ። ኣቐዲሙ’ውን ኣፍልጦ ኤርትራውያን ኣብ ካንሰር ትሑት ስለዝኾነ ቅድመ ኩነት ዝምርመር ዳርጋ የሎን ክበሃል ይከኣል። ስለዝኾነ ግዳያት ካንሰር ናብ ሕክምና ኣብ ዝቐርብሉ ግዜ ሓደ ሕሙም ኣብ ዝኸበደ ደረጃ እዩ በጺሑጹ ዝጸንሕ።

ድሕሪ እዚ ኽሉ ዝተሓላለኸን ነዊሕን መስርሕ መንቀሳቐሲ ፍቓድ; እታ ዝቐረበትን ብዓይኒ ገንዘባዊ ዓቕሚ ኤርትራውያን ግዴታዊ ዝኾነ ምርጫ እትወስደላ ሃገር ሱዳን እያ። ወላ’ኳ ሱዳን ኣፍ ደጊኣ ንኤርትራውያን ክፉት እንተኾነ;  ዝኾነ ወጻኢታት ሕክምና ብሕሙም እዩ ዝሽፈን። ወጻኢታት ድማ ክቡር ኣብ ልዕሊ ምዃኑ ንመንበርን መዓልታዊ ወጻኢታት መግብን መጉዓዝያን ተደማሚሩ ሱዳን ንግዳያት ካንሰር ክብርቲ ሃገር እያ። ካልይ ኣማራጺ’ውን ዳርጋ የሎን።

ብዓይኒ ብቕዓት ኣገልግሎት ሕክምና ካንሰር ሱዳን ምዕቡል ዝኾነ ተክኖሎጂ ኣለዋ ክበሃል ኣይከኣልን እዩ። ሱዳናውያን ንባዕላቶም ናብ ካልኦት ሃገራት (ናብ በዓል ህንዲ ዝኣመሰላትሃገራት)ኬይዶም እዮም ሕክምና ዝገብሩ። ብተወሳኺ፡ እኹላት ክኢላታት ስለዘየለዉ ኣገልግሎት ክትረክብ ነዊሕ ግዜ ክትጽበ ኣለካ። ስለዚ ድማ ግዳያታ ምስቲ ዝረኽብዎ ትሑት ምእላይ ኣብ ቆጸራን ካልእን ዘሕልፍዎ ግዜ ስቓይ ኣብ ልዕሊ ስቓይ ይውስኸሎም።

ከምዚ ኣብ ላዕሊ ዝተገልጸ; ሕሙማን ሱዳን ናብ ዝበጽሕሉ ግዜ ድሮ ተዳኺሞም እዮም ዝጸንሑ። ንተወሳኺ ግዜ ከጸብዮም ዝኽእል ሓይሊ ዳርጋ የሎን። ኣብ ሆስፒታል ኮነ ሆቴል ንኽጸንሑ ድማ ፋይናንሳዊ ዓቕሚ ኣይርከብን። መነባብሮ ክቡር እዩ። ምስቲ ዝወረዶም ከቢድ ሕማም; ጸቕጢ ናይ መዓልታዊ ተወሲኽዎ ሕሙማን ዘሕልፍዎ ናይ ትጽቢት እዋናት መሪርን ኣሰቃቕን እዩ። ንኽትግምቶ ውን ከቢድ እዩ። ስነ-ኣእምራዊ ጸቕጢ ስለዝውሰኾ ድማ ናይ ምንባር ተስፋ ይጽልምት።

ኣብዚ ፈታኒግዜ እታ እንኮ ተስፋ ዝትምነይዋ እንተላ ኣብ ግዜ ሕክምናኦም ብሰላም ከይተሰከፉን ብናይ መዓልታዊ መነባብርኦም ድማ ከይተጨነቑን እንታይ ደኣ ናብ ውራይ ክንክን ንፍሶም ጥራሕ ኣተኲሮም ዝእለይሉን ዘዕርፍሉን ስፍራ/ቤት ምርካብእዩ። ተስፋን ኩንነትን ግና ሓደ ዝኾነሉ እዋን ኣዝዩ ሳሕቲ እዩ። አረ ፍሉይ ዕድል ጥራሕ እዩ ክበሃል ዝከኣል።

ድምጺ ስቅያት ኤርትራውያን ሕሙማን ካንሰር ተዓቢጡ ኣይተረፈን። ግዳይ ናይዚ ኩሉ ዝተጠቕሰ ስቓይን መከራን ዝኾነት ብዝተገብረላ ሕክምናዊ ክንክን ድማ ብተኣምር ካብ ሕማም ካንሰር ነጻ ዝወጸት ዮርዳኖስ ተስፉ ዝተባህለት ኤርትራዊ ንውሑዳን ግዱሳት ኤርትራውያን ኩሉ ዝሓለፈቶ ድሕሪ ምክፋል ነቶም ኣብ ካርቱም ዝሳቐዩ ዘለዉ ግዳያት ካንሰር ክሕገዝሉ ዝኽእሉ ተበግሶ ንኽውሰድ ሓሳብ ኣካፈለቶም። ሓሳባ ድማ ሰማዒ ረኸበ። ብ2015 ድማ ማሕበር ምትሕግጋዝ ሕሙማት መንሽሮ /ካንሰር/ ኤርትራውያን ኣብ ካርቱም ተምስሪቱ ንጥፈታቱ ከተግብር ጀመረ።

 ወይዘሮ ዮርዳኖስ ተስፉ፡ ብዛዕባ ታሪኽ ሂወታ፣ ሂወት ግዳያት ካንሰር ኣብ ካርቱምን ዐላማታትማሕበር እናገለጸት ዝተቐድሐ ቪድዮ (ምንጪ፡)

ተስፋ ኣይትመውትን’ያ፡ ማሕበር ምትሕግጋዝ ሕሙማት መንሽሮ /ካንሰር/ ኤርትራውያን ኣብ ካርቱም

ኣብ ገጽ Facebook ማሕበር ምትሕግጋዝ ሕሙማት መንሽሮ /ካንሰር/ ኤርትራውያን ኣብ ካርቱም ተለጢፉ ዝርከብ ከምዝሕብሮ፤ ቀንዲ ሓሳብ ምምስራት ናይዚ ማሕበር ብዮርዳኖስ ተስፉ ይበገስ ደኣምበር ነዚ ሓሳብ ዝደገፉ ክኢላታት ሕጊ ብምውካስ ዘድሊ ሕግታት ብምድላው ኣብ ሰብኣዊ ምትሕግጋዝ ዝዓለመ ካብ ዝኾነ  ፖለቲካዊ፥ ሃይማኖታዊ፥ ወገናውን መንግስታውን ነጻ ዝኾነ ሕጋዊ ማሕበር ተመስሪቱ።

ጉጁለ ምትሕግጋዝ ሕሙማት መንሽሮ /ካንሰር/ ኤርትራውያን ኣብ ካርቱም ነዘን ዝስዕባ ዕላማታት ሒዛ ተበጊሳ፡

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  1. ንግዳያት ሕማም መንሽሮ ዝሕከምሉን ዝውከሱሉን ሕክምና ሓበሬታ ምሃብ ።
  2. ሞያዊ ምኽሪን ትምህርትን ንሕሙማት ምብርካት
  3. ንሕሙማት ተራኺቦም ሓሳባቶም ክገልጽሉ ዝኽኣሉ ባይታ ምፍጣር
  4. ጎስጎስን ሓበሬታን ብዛዕባ ፍወሳ ምክልኻልን ሕማም መንሽሮ ምብርካት
  5. ብዓቕሚ ጉጁለ ፊናንስያዊ ሓገዝ ንሰኡናት ሕማም መንሽሮ ምግባር
  6. ንክንቀሳቐሱ ዘይክእሉ ሕሙማት ኣብ መንበሪኦም ከይድካ ሞራላዊ ሓገዝን ምትብባዕን ምሃብ

ቪድዮ፡ ስርዓተ ምምራቕ ማእከል ምትሕግጋዝ  ሕሙማን

 እዞም ውፉያትን ሰብ ጽቡቕ ሕልናን ዝኾኑ ውልቀ ሰባት፤ ነዚ ሓሳብ ካብ ዝተቕበሉሉ እዋን ኣትሒዞም ብዝገበርዎ ዘይሕለል ጻዕሪ ኣብ ግንቦት 08, 2017 ንሕሙማን ካንሰር ብነጸ ተቐቢሉ ከማዕቁብ ዝኽእል ብዓል 9 ክፍሊ ዝኾነ ዓቢ ካንሸሎ ተኻርዮም ዘድሊ መሳለጥያታት ብምውዳድ ንኣገልግሎት ድሉው ገበርዎ። ማሕበር፤ ኣብዚ ማእከል ንዝተዓቖቡ ሕሙማን ነጻ ኣገልግሎት ይህብ።

 

ሳላ ዘይሕለል ጻዕሪ፤ እዛ ማሕበር ብዝገብረቶ ቀጻሊ ጎስጋስን ሓበሬታን፤ ብገንዘብ ኮነ ሞራላ ሓገዛት ኣብ ምሉእ ዓለም ዝርከቡ ኤርትራውያን  ኣዎንታዊ ግብረ መልሲ ከበርክቱ ግዜ ግዜ ኣይወሰደን። ማሕበር ውን ብግዲኣ ኣጋጣሚታት ብምፍጣር ዝከኣላ ገንዘባዊ ሓገዝ ንምርካብ ክትነጥፍ ጀመረት። ብፍላይ ኣብ ወጻኢ ዝርከቡ ብዙሓን ኤርትራውያን ; ብውልቂ ኮን ብእኩብ ዝህብዎ ዘለዉ ግብረ መልሲ ንስነ ኣእምሮ ሕሙማን ዓቢ መስተርሆት እዩ ዝፈጥር ዘሎ።

ኣብ ዝተፈላያ ሃገራት ናይ ምትሕግጋዝ ጉጅለታት ተፈጢረን ድማ ይርከባ። ከም ኣብነት ናይ ኖርወይ፤ ደቡብ ኣፍሪቃን እስራኤልን ክንጠቅስ ንኽእል። ገለ ኣብዘን ዝተጠቕሳ ሃገራት ዝነብሩ ግዱሳን ኤርትራውያን ዝገበርዎ ንጥፈታት ኣብዚ ኣብ ታሕቲ ዘሪቡ ዘሎ ስእሊ ተመልከት።

  1. ኖርወይ

Fund raising event in Norway

  1. ፕሪቶርያ, ደቡብ ኣፍሪቃ

Students from Pretoria, South Africa organized fund raising events

  1. እስራኤል

Eritreans from Israel

ቪድዮ ፡ ኣብ ማእከል ምርሕግጋዝ ኤርትራውያን ሕሙማን መንሽሮ ካብ ዘለዉ ዝሃብዎ  ምስክርነት

ካልኣይ ክፋል ይቕጽል

 

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We are All Humans

I have friends or people whom I work with who are

Devoted religious

Non-religious

Just believers

Non-believers

I have friends or people whom I work with who

Believe in the Christian God

Worship Allah

Believe in many gods

I have friends or people whom I work with who

Know God

Know about God

Know many gods

Know about many gods

I have friends or people whom I work with who

Do not know God

Do not know about God

Do not know any god

Do not know about gods.

I have friends or people whom I work with who

Do believe in God

Do not believe in God

Accepted God

Rejected God

I have friends or people whom I work with who are

Married

Divorced

Single

Monks

I have friends or people whom I work with who are

Straight

Gay

Lesbians

I have friends or people whom I work with who are

Whites

Blacks

Mixed

I have friends or people whom I work with who came from

Europe

America

Asia

Africa

Australia

And this is all what human being is.

My friends are human

The people I work with are human

I am human

We are all Humans.

Let us unite and live together!

Cancer is Killing Eritreans and the Eritrean Regime is Simply Watching (Part 2/2)

In my first part, I tried to elaborate the challenges Cancer patients are passing through. This second part will focus on the status of cancer in Eritrea, possible causes and political awareness needed to call the International community to act on the principle of basic human rights.

Cancer in Eritrea

Cancer is a global challenge. No country is immune to cancer. without a doubt, it is the most challenging health related issue for the 21thC and coming centuries for human kind. Today, cancer is the 2nd leading cause of world wide death. According to WHO reports, about 8.8 million people died in 2015. Though cancer is difficult to be cured, preventive measures can reduce cancer incidences by 30 to 50% by avoiding certain habits or not exposing to harmful radiation and/or chemicals. Developed countries are spending billions on research and development of methods to prevent and cure cancer. Because of cancer, the world is losing US$ 1.16 Trillion on cancer estimated costs.

Like all over the world, Eritrea is not free from cancer. But there is some uniqueness about this secretive and totalitarian state. Little is known about it to the world. Because of Eritrea’s secrecy and extreme censorship, it is almost impossible to get information in almost everything. Because of this, there is public awareness about health related problems. To the extreme and rare opportunity, some scientific publications are seldom are found here and there. After long time research, I came to find some important information by the help of search engines.  These rare publications have lots of information

Though no concrete and official data are readily available to the public, these scientific publications are now coming with detailed information that reveals the extent of cancer in Eritrea. They are strong enough to enhance our consciousness and scope of understanding about the danger and extent of cancer in Eritrea.

According to a study conducted by Adom, H., et al., 2016, cancer is becoming a growing concern in Eritrea. A research conducted based on data collected from Management Information System of the Eritrean National Health Laboratory (ENHL), Ministry of Health, shows, 19,636 cancer cases were registered between 2000 to 2010 out of which 9,482 were positive. Women are found to be more prone to cancer than men. As it is given in the table below, 60.82% were found to be among the Eritreans diagnosed with positive cancer. registered_cancer_casesFigure 1: Cancer Incidence in Eritrea from 2000 to 2010, Source: Adom H., et. al, 2016

What type of  Cancer is killing  Eritreans most? 

For Eritreans, breast and ovary cancer among women are so prevalent and frustrating type. Almost any ordinary Eritrean has heard about it for the last 20 years. Thousands of women are victims and many of them have died after years of suffering.

What was not normal to hear two categories: (1) about men who suffer from cancer and (2) young girls to be victims of cancer. Cancer is becoming merciless disease for both sexes no matter to which age group they belong. Not only those who are already living with cancer, many Eritreans, as young as 15 years and as old as 70 years plus are under a risk of chronic cancer exposure.

The six most commonly occurring cancer types among men and women are bone, connective and connective tissue, skin, rectum, Oesophagues  and colon cancer.  However, breast cancer is dominant among women and prostate among men. The second most important cancer type in female and male were cervix uteri and prostate cancer. Bone Cancer is prevalent in both female and male. Ovary cancer is also more incident cancer type among females.

According to 2014 WHO Country Profile Report, 1,400 death report was registered for female and 800 for the male. Out of this 1,400 female, 25.6% death were caused by breast cancer, while cervix uteri and Ovary constitute 13.1% and 7.1% respectively.

cancer_cases_death_report

Figure 2: Country Cancer Profile 2012 (Source click here)

As shown in Figure below, breast cancer is widespread among women of age greater than 60 years. At this time, many mothers of age between 40 to 45 are also exposed to breast cancer. The trend looks different for Cervix Uteri. Women of age between 40 to 50 years old seem to be more exposed to Cervix Uteri while women of age greater than 50 are less exposed. Leukaemia (commonly known as blood cancer), though not significant compared to other types. It is of a great concern as it is attacking men of age between 20 to 35 seriously. While breast cancer and Cervix Uteri are dominant among female, prostate, and leukaemia are in the male.

Cancer_age_wise

Figure 3: Age-Specific Incidence rate per 100,000 in 2000-2010, both sexes (Source: Adom, H., et. al., 2016).

Dominant Cancer Types and Their Possible Causes in Eritrea

cancer_types_and_causes

If you can not read it, please click here Common Types of Cancer in Eritrea

Table 1: Cancer types and their cause

1. Contraception Pills

In general, use of contraception methods among women is believed to be one of the major sources of Cancer. Birth control methods like oral contraceptives birth control shot, birth control implant, skin patch, vaginal ring etc. are major causes f cancer among women.

Proper knowledge on how to use them is therefore vital to choose what type of contraception methods best serves in accordance the body immune system capabilities.  If they are taken without proper medical advice and check, their consequence can be dangerous.

In Eritrea, let alone to have different choices, awareness about contraception methods is very low. For example, a 2002 ERITREA DEMOGRAPHIC AND HEALTH SURVEY shows that the mean number of methods known by all women was only 4.3% and the average national use was 8%.

It is now hard to deduce that Eritrean women use contraceptive methods blindly. It is not abnormal to see women simply exchange contraception pills (if they know anything about its existence) among themselves.

During my stay in Eritrea, I have witnessed unprofessional hospital/clinic nurses(workers) bring contraceptive pills from their work place and give to their friends without any medical check and inscription at the request of the user.

The most cancer types commonly associated with contraceptive pills are breast and ovary cancer. Today, breast cancer is one of the most common cancers affecting Eritrean women. According to 2014 report by WHO, there were about 370 deaths making it 39th in the world rank.

Figure 5: Breast cancer

2. Dietary Habits or Diets

Eritrean diet system is highly dependent on cereal products and vegetables. Milk and milk products are also daily food diets though these days supply is very limited. It is hard to stay meat is consumed by the majority. In general, Eritrean diet habits are a balanced type with a complementary behavior. However, things are changing for the last 20 years.

At this time, Eritrean food habit system is changing because most of those traditional food and food products are not available. Milk and milk products are now almost non-exist or very expensive to buy. Fruits and fish are not in the habit of Eritrean diets with the exception of small geographical locations. Fruits are not widely available across the country and if they exist, they are very expensive. Though the country is blessed with 1200 km of sea coast and abundant fish resources, only about 2% of Eritreans consume fish.

Among dairy products, butter is believed to have cholesterol type which plays a positive role to protect breast cancer. Consuming organic butter increases body immune system. Especially saturated butter have strong anti-tumor and anti-cancer properties. It contains conjugated linoleic acid which has a strong character of an anti-cancer agent and immunity booster.

Before it became a luxury food and started to be consumed only for special occasions(such as wedding and holidays), it was a normal diet component in almost every house. As domestic animals diminished and cheap oil became available at the market, butter is replaced by processed oil. This has drastically changed food habits of most families.

Mothers who gave birth used to eat only butter prepared food for at least 12 days. Though it was consumed in the belief of its energy values, science has proved that it has a role to protect cancer by boosting their immune system. Newly married couples were also provided with butter prepared food for the entire period of their honeymoon. At this time, it is hard to be served with butter. And this could have added the risk of breast and ovary cancer in women.

Another diet which can have a negative effect is consumption of red meat. Though Eritreans have no habit of consuming raw red meat, some families might be affected by it to a certain extent.

In general, Eritreans are in the state of malnutrition. It is hard to get a balanced diet. In consequence, the immune system is getting weaker leading to cancer victimization.

Cancer types caused from unbalanced diets include – rectal, Oesophagues, connective and connective tissue, colon cancer and breast cancer.

3. Stress

A friend of mine sent me an important message about the effect of stress on cancer. To quote him-

“It is so disturbing to see many Eritreans are being diagnosed with cancer. You know I am reading a book by Dr. Leonardo Caldwell, balled one answer to cancer. He repeatedly talks the reason for getting cancer is stress, stress, and stress. He even openly advises for people not to do chemo or radiation, because he calls it a faster death. He recommends some ways to get out of your stress and other stuff. It sounds logical to me after reading most of the pages. If you can read the book, or listen to his youtube videos. I wish we can translate what he said and share it with others.”

I found his comments more relevant to the current condition of Eritreans. There are many reasons to live Eritreans in stress. There are so many reasons. Stress is becoming part of Eritrean life. There is economic stress, social stress, political stress and environmental stress. And research has proven that stress the main cause of cancer these days.

Studies in several countries have revealed that women in deprived areas have significantly higher rates of cervical cancer. Some of the types of cancer caused by stress include – breast cancer and Uteri Vertex cancer.

4. Consumption of Poorly Stored Cereal Grains

Improper storage of cereal grains such as sorghum, maize, millet wheat, groundnuts, lentils etc., are the major source of cancer causing fungus.  These cancer causing fungi produce toxins called “Aflatoxins”. Major fungi that produce aflatoxins are Aspergillus flavus and Aspergillus parasiticus which strive in warm and humid areas. Grains stored improperly and for long period of time are the favorable condition for the multiplication of these fungi. Once consumed, the consumer can be exposed to cancer.

Eritrean diet solely depends on cereal grains. Since production is not sufficient, most of its demand is imported from countries like Sudan, Ethiopia(illegal importation) and India. To my knowledge, there no Food Quality Standards that puts strict regulation on Imported Foods with the exception of few. Importation is in bulk quantity. Before distribution, those imported cereals are stored in poorly constructed storage houses owned by Eritrean Board of Grains (EBG) throughout the country and privately owned small storage house. Sometimes, these grains are stored for years without reaching to the consumer.

I had a chance to enter some warehouses owned by Ministry of Agriculture. It was hard to stay inside for more than 30 minutes or more. The odor is so strong and stinking. There was no doubt that such kind of environment was convenient for fungus developments.

Other cereals are stored by business owners for marketing. Since price depends on season and yield, usually these business owners store grains for a longer period of time leaving them to be exposed to fungi attack. On high seasons, farmers could have some excess crops produced. These crops have no proper storage systems built leaving them exposed to fungi attack.

Crops which are sensitive to cancer causing fungi include maize, groundnuts, sorghum, wheat, lentils sesame, etc. As shown in Figure

Figure 6: Maize crops attacked by fungus

Figure 7: Groundnuts attacked by fungus

Cancer caused by these toxins produced by these fungi is a leading cause of death across the world. For example, Liver cancer(as shown in the figure below) is one of the prominent type caused by Aflatoxin.

liver cancer

Figure 8: Liver cancer

5. Exposure to Ultra-Violate Rays

It is not logical to say that Eritreans can be in danger from exposure to ultra-violate rays as they live most of their days exposed to direct sun rays. In general, because of adaptation to local environment, Eritreans have a skin pigment that can protect them from UV radiation. But it varies depending on the geographical location one used to live. Highland Eritrea is relatively cooler and the sun is not burning. In the other hand, lowland Eritrea is very hot and the sun is burning. UV rays are therefore more aggressive in the Highland than the lowland. A Highlander is therefore not able to resist lowland of Eritrea.

Though most Eritreans have settlements in their respective geographical location, due to military conscription and relocation, people are always moving from one area to the other. This movement exposes them to a different environment.

Eritrea has a forced military service system. To get training, all Eritreans are obliged to go the central military training center found in the lowland. Those who are coming from the Highland are new to such harsh climatic environment. Temperature is very high(usually greater than 35 degree Celsius and almost no trees. As a result, those who join the military training from the Highland are primary victims of UV rays.

Though exposure to sunlight can have a positive effect, if one is exposed for expanded duration, it can affect the immune system of the skin thereby causing skin cancer and connective and connective tissue cancer.

6. Exposure to Asbestos – ጀሶ

Almost any Eritrean uses Asbestos for many purposes. Besides being relatively cheap, it has many uses. No one can believe that this material has a substance that can cause cancer. I remember to keep asbestos in my house all the time. Many electricians and construction workers use it like any normal construction material. It is available in all construction equipment selling centers. They have neither special packaging material nor are stored properly. People who own construction selling centers are exposed on daily basis. What these people, including me and almost all Eritreans, are now aware is asbestos can cause cancer.

Asbestos is a known substance that causes different kinds of cancer. Some of the types of cancer caused by this carcinogen are mesothelioma( rare cancer that affects thin membranes found in the chest and abdomen), lung, larynx and ovary cancer. When the person who is exposed to Asbestos smokes, the probability of cancer is aggravated. Its effect can also be expanded to family members of workers/people exposed to asbestos.

To my knowledge, there is no rules or regulation that limits asbestos use. Countries like the USA have occupation Safety and Health Administration agency responsible for safety regulations that limit asbestos use. So far, Eritreans will continue to be exposed to asbestos until enough public awareness develops and the probability of being a victim will be there.

7. Exposure to Benzene

Many Eritreans are exposed to Benzene. People who work in garages, car drivers and some construction workers use it on daily basis without any safety. Workers in industries, garages, shoe manufacturing, gas stations and people who live around, construction areas, etc are exposed to benzene.

For the last 15 years, fuel has become a scarce resource. It almost not gets it from formal gas stations. As a result, many people are engaged in selling fuels illegally. Many family houses, garages, and secret stores became distribution centers. These fuels are either stored in barrels or jerricans. The materials used to hold fuel are not proper. Often, the place is contaminated by fuels spilled. These areas become polluted by these gases. Many people swallow fuels while pumping manually from one container to another.

What is not known to Eritreans is that fuels in general and benzene, in particular, the major cause of cancer called leukemia, a type of cancer commonly known asblood cancer”. People exposed to high levels of benzene have a high probability of developing leukemia.  Children are also easily affected by benzene to become a victim of childhood leukemia.

To my knowledge, there is no any government measures that work to reduce people’s exposure to this harmful substance. And people are not aware of its potential danger.

8. Smoke (ትኪ)

Researchers have proved that smoke is the main cause of cancer. But they are all based in a cigarette as a reference. Many Eritreans consume tobacco either in cigarette form or as it is. The primary victims are men as smoking is not common among women in Eritrea. What is most important is smoke that comes from wood burning in the family kitchen.

Eritrean families depend on firewood to cook food. As women are mainly engaged in food preparation, they become primary targets. Therefore, cigarette smoking might not have such much significant in Eritrea as that of smoke that comes from fire wood burned at home. In some areas, it is not easy to get firewood. Instead of cow dung cakes (ክቦ)is used in place of firewood. Smoke that comes from cow dung cakes has harmful gas called Polycyclic Aromatic carbons. This toxic gas has a potential cause to cause cancer. 

Therefore, it is not the only cigarette that can cause cancer but indoor smoke can be a potential cause of cancer among Eritrean women.

lung cancer

Figure 9: Lung cancer

Cancer types associated with smoke are Lung, Breast Cancer, colon cancer, Oesophagues, prostate, rectal and Uteri Vertis.

9. Alcohol Consumption

Alcohol consumption in Eritrea is a special case. It is hard to say that Eritreans consume alcohol for many reasons. Commercial alcohol production is very low and expensive. What Eritreans consume most is therefore traditional beer made at home. Th percentage of alcohol of these home made beer is very low(approximately 5 to 6%).  Unless it consumed at high volume, its side effect can not be considered very risk compared to those with high alcohol content.  But there is another commercial alcohol product which is consumed widely

Eritrea produces very limited varieties of liquor. In fact, they are only four varieties. What is unique about these products is their alcohol content. They are around 40%.   Before 2000, consumption of alcohol was low compared to beer. However, starting from 2000, the only existing beer making factory has reduced its beer production and people returned to Alcohol as alcohol which was relatively available in the market. This alcoholic consumption habit has affected many Eritreans.

liquor products from asmara

Figure 10: Liquor types produced in Eritrea

Therefore, the change in habit of alcohol consumption could have an impact on the health of many Eritreans. Cancer caused by consuming alcohol include – breast cancer, Oesophagues, rectal cancer, colon cancer, stomach cancer etc.

10. Early age Sexual Intercourse and Sexually Transmitted Diseases

Though this subject is broad to deal with, in general, sexual habits of Eritreans is changing. Early sex is not unnormal today. Parallel to that, HIV/AIDS and other STDs are high these days.

For example, the study conducted by Adom, H. et al (2016) has found that cancer cases and HIV/AIDS infection were extremely high in 2005. The study has not explained why but one can learn that there is a direct correlation between HIV/AIDS and cancer. If there is any thing that can be said about 2005, it is the year of the health crisis in Eritrea.

Cancer_aids_crisis_2005Figure 11: 2005 Cancer and AIDS/HIV Crisis in Eritrea

What Happened in 2005?

Many Eritreans may remember 2005 as a year of rounding of thousands of Eritreans families, massive migration, forced payment of 50,000 Nakfa for anyone who flee the country illegally, restricted or no movement, noticeable change within the political system of PFDJ etc. In this year, coupon was introduced to distribute food ration in all major cities.

On the other hand, 2005 was a year of the health crisis. The highest number of HIV infected record and cancer cases boomed in this year.  In 2004, It can be remembered as “Year of Eritrean Health Crisis

Conclusion

Cancer is increasingly affecting Eritreans. Since 2000, the number of positive cancer cases is growing. It is affecting all ages, male and female. No one is free today from cancer.

The causes are almost easy to predict. Eritreans should have full awareness on the possible causes of cancer. The right thing is to prevent cancer. Once affected, the probably of treating it is very low. To prevent cancer, Eritreans should change their life style.

Though the government is doing nothing, it has to introduce a campaign to enhance public awareness through all possible means.

WHO and other international agencies should help Eritrea to develop its capacity of introducing preventative measures. At the same time, there is a need to build infrastructure that treats cancer inside Eritrea. Going abroad for treatment is extremely expensive for Eritreans. In addition, the life of the whole family is affected.

Those who are taking treatment in Sudan, keep your strong spirit. Cancer is more of psychological. The more you stay strong, the more you have a chance of curing. Yordanos Tesfay is a good example.

Message to those who are helping cancer victims in Sudan

I have a message to those who are working hard to help cancer victims in Sudan: BRAVO. You are hope of life. May you have guidance from the Almighty. You humanistic solidarity is more than anything.

To my fellow fighters for justice:

Let us unite. Health is basic human right. Let us make our voices heard.