{"id":118973,"date":"2019-04-16T17:40:29","date_gmt":"2019-04-16T17:40:29","guid":{"rendered":"https:\/\/www.bnreport.com\/measles-resurgence-haunts-ukraine-campaign-13\/"},"modified":"2019-04-16T17:40:29","modified_gmt":"2019-04-16T17:40:29","slug":"measles-resurgence-haunts-ukraine-campaign-13","status":"publish","type":"post","link":"https:\/\/www.bnreport.com\/en\/measles-resurgence-haunts-ukraine-campaign-13\/","title":{"rendered":"Measles resurgence haunts Ukraine campaign"},"content":{"rendered":"

KIEV \u2014 Ukraine has a measles problem \u2014 and its blaming the West.<\/p>\n

The country recorded 54,000 measles infections in 2018, accounting for 65 percent of all European cases that year. While the country battled the outbreak, the minister in charge \u2014 tasked with carrying out Western-backed health care reforms \u2014 ended up in court.<\/p>\n

Ostensibly, the charges against Acting Health Minister Ulana Suprun were unrelated to the measles crisis: She was accused of holding office illegally, as she has both U.S. and Ukrainian passports and has not been voted in by parliament, despite filling the post since 2016. Ukrainian law does not recognise dual citizenship.<\/p>\n

Yet with Ukraines presidential election campaign in full swing ahead of Sundays ballot and incumbent Petro Poroshenko running for a second term, the governments pursuit of reforms and anti-corruption efforts backed by the West \u2014 which include Supruns health care overhaul \u2014 have become key campaign issues.<\/p>\n

The court case against Suprun was part of \u201can overall [attempt] to destabilize and shake things,\u201d said Viktoriia Tymoshevska, public health program director for the International Renaissance Foundation (IRF), a Ukrainian NGO advocating for health care reform. She said it was designed as a signal, \u201clike, Everything is falling apart, this ruling group is losing it, everything is going in the wrong direction.\u201d<\/p>\n

<\/p>\n

A nurse prepares a measles vaccine to a boy in the school of Lapaivka village near the western Ukrainian city of Lviv on February 21, 2019 | Yuri Dyachyshyn\/AFP via Getty Images<\/p>\n

Suprun took over as acting health minister in 2016 as the country, under the watch of Poroshenkos pro-Western government, was trying to quash the re-emergence of highly contagious diseases such as tuberculosis and measles.<\/p>\n

The ongoing medical reforms initiated by Suprun, which affect everything from how medications and vaccines are procured to where patients register for services, are supported by the European Union and the International Monetary Fund.<\/p>\n

But they are hugely controversial in Ukraine. Suprun, a medical doctor born in the U.S., has been dubbed \u201cDoctor Death\u201d and been accused of committing \u201cgenocide\u201d of Ukrainians with her attempts to shake up the health care system \u2014 and the measles outbreak has fanned the flames.<\/p>\n

Supporters say the reforms are saving millions of euros by stopping corruption. Theoretically free of charge, the health system has been financed for years by bribes paid at every level, from patients to get surgery to surgeons to get access to operating theaters. Now procurement occurs through international agents in order to stop such illicit enrichment schemes, and medical institutions are funded based on patient numbers rather than available beds.<\/p>\n

\nSuprun topped a recent poll of most hated politicians in Ukraine and has never been voted in by parliament.\n<\/p><\/blockquote>\n

That, however, means local hospitals and laboratories are closing \u2014 prompting accusations that the country now lacks an effective system to contain infections like measles. \u201cIts a catastrophe; in my opinion we cant localize the outbreaks,\u201d said Olga Golubovska, a head doctor at the infectious diseases department of Kievs Bogomolets National Medical University.<\/p>\n

Such fears are compounded by wider uncertainty about the direction Ukraine is taking, five years after it threw out its pro-Russian government and turned toward Europe. Ukrainians are deeply unsatisfied with Poroshenko; in polls, he is trailing behind a comedian with a vague platform and no political experience<\/a>.<\/p>\n

The IRFs Tymoshevska said that opposition to the health reform is fueled by \u201cgeneral resistance to the unpredictability, and the fear that its only going to make it worse.\u201d<\/p>\n

Suprun is the only minister still in place from a raft of foreign-born \u201creformers\u201d brought in after 2014s revolution to modernize institutions and tackle corruption. She topped a recent poll of most hated politicians in Ukraine and has never been voted in by parliament, leading her to be suspended by court order in February.<\/p>\n

<\/p>\n

An artist puts the final touches on a depiction of Ukrainian President Petro Poroshenko in Kiev on 28 March 2019 | Sergey Dolzhenko via EPA\/EFE<\/p>\n

The court case was brought by Ihor Mosiychuk, an MP from the Radical Party whose leader Oleh Lyashko is running for president. In a Facebook post, Mosiychuk called for a new health minister who \u201ccan offer an adequate health care program that will be supported by parliament. Its time to end the chaos and anarchy which has led to Ukrainians mass suffering and death.\u201d (Supruns health care reforms were approved by parliament<\/a> \u2014 with numerous amendments \u2014 in late 2017.)<\/p>\n

Suprun was reinstated in mid-February<\/a> after Poroshenko publicly backed her.<\/p>\n

But the attacks are likely to continue: Another leading presidential candidate, left-leaning Yulia Tymoshenko<\/a>, claimed at a campaign rally that Suprun was sent by \u201cforeigners\u201d to \u201cexperiment on Ukrainians.\u201d<\/p>\n

Deaths, bots and trolls<\/h3>\n

The countrys vaccine coverage has been falling since the 2000s due to a combination of patient distrust and health system shortcomings. After the much-publicized death of a vaccinated teenager in 2008, outreach programs for children were discontinued.<\/p>\n

Measles outbreaks can be prevented if 95 percent of people are vaccinated, creating herd immunity. Many countries are considered measles-free. Yet measles cases in Europe tripled from 2017 to 2018 as the disease reemerged worldwide.<\/p>\n

\n\u201cPeople dont believe vaccines are proper quality, or are administered properly\u201d \u2014 Olga<\/em> Golubovska, infectious diseases doctor at the Bogomolets National Medical University<\/em>\n<\/p><\/blockquote>\n

With the World Health Organization declaring vaccine hesitancy among the top ten global health threats in 2019<\/a>, Ukraines problems are not unique, but they are severe. After state vaccine procurement failed in 2012-14, delivery through international agencies was not approved until 2016. By then, the national coverage rate for the measles, mumps and rubella (MMR) shot stood at just 45 percent; rates for other vaccinations such as polio and diphtheria also dipped drastically.<\/p>\n

Some doctors say they are disillusioned with the government reforms and the focus on corruption, even as they admit patients are losing faith in medical professionals, contributing to vaccine hesitancy and disease spread.<\/p>\n

\u201cThe worst thing thats happening now is an attack on all professionals, who are a priori<\/em> labeled as corrupt,\u201d said Golubovska. \u201cTrust in our institutions is not high enough. People dont believe vaccines are proper quality, or are administered properly.\u201d<\/p>\n

In comments to POLITICO, Suprun blamed \u201cRussia, in one word\u201d for vaccine hesitancy. SRead More \u2013 Source<\/strong><\/a>
\n[contf]
\n[contfnew]
\n <\/p>\n

<\/a><\/h5>\n","protected":false},"excerpt":{"rendered":"

KIEV \u2014 Ukraine has a measles problem \u2014 and its blaming the West.<\/p>\n

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