>From: "Jose G. Perez" <[EMAIL PROTECTED]>
>To: "Marxism List" <[EMAIL PROTECTED]>
>Subject: Fidel: Cuba offers the WHO thousands of doctors for Africa
>Date: Fri, 8 Sep 2000 21:28:25 -0400

>
>    [The United Nations Millennium Summit has been marked by the frequent
>expression of noble sentiments lofty goals. Fewer have been the concrete
>measures proposed to reach those goals, and even fewer the leaders willing
>to point the finger at those responsible for the current state of affairs.
>
>    [Fidel Castro was one of the speakers at the summit who did that, who
>called things by their right names. But he was also, as far as I know, the
>ONLY leader to propose, not just that someone else do something or that the
>international community in general do something, but who made a unilateral
>offer on behalf of his own country to contribute to begin solving some of
>these problems.
>
>    [The offer was made at one of the less formal roundtable discussions at
>the summit, which were totally ignored by the mainstream press. Following is
>what Fidel said there, as published in Granma International]
>
>*    *    *
>
>Fidel offers necessary personnel for
>medical aid to Africa
>
>Speech by President Fidel Castro Ruz, during Roundtable No. 2 of the
>Millennium Summit, on the role of the United Nations in the 21st century,
>United Nations, New York, September 7, 2000, Year of the 40th Anniversary of
>the Decision of "Patria o Muerte."
>
>TRANSLATION OF THE TRANSCRIPT OF THE COUNCIL OF STATE
>
>I have meditated a great deal about the seriousness of this subjects and a
>series of data, but I think that this is a subject that has been discussed
>for a more than 40 years, and actually we haven't progressed but rather gone
>backwards.
>
>Proof of what I say is that at the present time, in more than 100 countries
>per capita income is lower than it was 15 years ago.
>
> Everybody here has expounded the ideas they most wished to transmit within
>the brevity of the time available, and I would like to say that I am
>profoundly affected by issues related to the disastrous state of health
>currently affecting the world, particularly in the Third World countries. I
>don't really like using a lot of figures, but I am going to use some.
>
>Life expectancy in sub-Saharan Africa barely reaches 48 years. This is 30
>years less than in the developed countries.
>
>In terms of the maternal death rate, 99.5% of all such deaths occur in the
>Third World.
>
>The risk of maternal death in Europe is one per 1,400 births; in Africa it
>is one per 16. The general mortality rate is similar.
>
>More than 11 million under-fives die every year in the Third World as a
>result of preventable diseases in the overwhelming majority of cases: more
>than 30,000 every day, 21 every minute. While we are talking here, 100 are
>dying.
>
>Two out of every five children in the Third World countries suffer from
>retarded growth, and one out of every three is underweight in relation to
>age.
>
>Two million female children are forced into prostitution.
>
>In the underdeveloped countries, approximately 250 million children under
>the age of 15 are obliged to work in order to survive.
>
>Many people have also talked here on the issue of AIDS. I had the impression
>some months ago, at the meeting in Durban, that the tragedy of AIDS in
>Africa had been discovered by the West, and at that conference, as was
>widely reported by the news agencies, there was talk of how to reduce the
>cost of medical care for persons infected with AIDS and keep them alive. We
>all know that the cost is $10,000 USD per infected person. It was affirmed
>there by representatives from the Western nations, European countries in
>general, that cost-saving formulas had to be sought. Everyone knows that it
>costs close to $1,000 USD per person with AIDS to produce those medicaments
>and, starting from a perfect formula and a perfect cocktail, that amount
>could be greatly reduced. But more than a few African representatives
>expressed a hard reality: that even if they were donated the medicaments,
>they lacked the infrastructure to distribute and administer them.
>
>On the other hand, I have also heard representatives from industrialized
>countries like France, Sweden, Germany and others present here express their
>disposition to help these Third World countries.
>
>This is a question of life or death. I was asking myself: what could we do?
>I remind you that Cuba is a small country, and poor. And something else:
>besieged and blockaded. But I don't want to talk to you about that. Thanks
>to the intensive educational programs that have been developed over many
>years, Cuba now has a significant human capital, and human capital is
>decisive; I would say that it is even more important than financial capital.
>And our country has sufficient medical personnel to cooperate-if the United
>Nations agrees-with the World Health Organization and with the peoples of
>sub-Saharan Africa, who are suffering from this destructive scourge to the
>greatest degree, in order to organize the infrastructure needed to
>administer those medications in Africa on an emergency basis. I am not
>exaggerating. This could signify 1,000 doctors, 2,000 or 3,000 health
>workers, including paramedics who would be needed to collectively undertake
>that program.
>
>We don't have to wait for millions of children to die; a good proportion of
>the 25 million persons infected could survive, thus averting growing numbers
>of orphans, already close to 12 million, a figure which, in another few
>years, will increase to 40 million, a Dantean tragedy!
>
>No country whatever its resources, can develop with 25-30% of its population
>infected with AIDS and millions and millions of orphans. In my view, this
>would really signify the extermination of entire African nations, and
>possibly a large part of the African continent. That is the reality.
>
>For that reason, although I wasn't necessarily going to speak, I arrived
>after the meeting opened because I was at the plenary session and, listening
>to you, decided to propose this plan; thus, concretely: Cuba offers the
>United Nations, the World Health Organization and the African countries the
>personnel necessary for developing not only AIDS programs, but also other
>health care programs, and also to give hands-on training there to technical
>and nursing personnel.
>
>The first thing we do in the places we go to is to create a medical school.
>Africa needs thousands of doctors in order to provide one doctor per 5,000
>inhabitants; our country has one doctor per 168 inhabitants. We have
>experience in health care; currently some 2,000 doctors are doing an
>excellent job working abroad. This is what I wish to propose concretely
>here, in a spirit of cooperation. And hopefully the European countries, the
>industrialized countries represented here, will take account of what I am
>proposing and could make the effort to contribute to finding the
>medicaments, to reducing their cost.
>
>What is taking place in the world is worse than warfare. In Africa one
>million people die from malaria every year while 300-500 million are
>infected; moreover, two million people die of AIDS, and for every two who
>die, four to five are infected-we know there have not been sufficient
>advances as yet for a vaccine and it's not known when that's going to
>materialize-and three million die of tuberculosis.
>
>We are proposing, concretely, a program for Africa. I am not exaggerating in
>the least and we are not seeking anything for ourselves. Wherever our
>doctors go they do not talk about religion, or politics, or philosophy; they
>have been fulfilling missions for years and have earned the greatest respect
>and acknowledgement from the local population.
>
>I leave this proposition in the hands of this United Nations roundtable, and
>that's it.
>
>Thank you very much, Mr. President.
>
>
>
>


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