https://www.globaltimes.cn/content/1183827.shtml


Cuba medical expertise strengthens COVID-19 fight
By María José Haro Sly Source:Global Times Published: 2020/3/26 12:13:40
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Cuba dispatched a medical team to aid battle against coronavirus in Italy's
worse-affected Lombardy region. Photo: farodiroma.it
According to media reports, Cuba-developed medicine for the treatment of
COVID-19 is being tested after it was sent to experts in China, Italy,
Brazil, Venezuela, and others countries. One of the most promising
medicines is Interferon Alfa 2B and Cuba is already working on a vaccine.
Cuban recommended 21 other medicines for the treatment of the disease.

Although Cuba has suffered under a 60-year economic blockade from the US,
the island has one of the best health systems for containment of COVID-19
in Latin America.

How is this small island, blocked economically by the US, doing so much in
the global fight against the pandemic?

In the mid-20th century, the Argentine revolutionary Ernesto "Che" Guevara
was a young medical student, who rode his motorcycle throughout Latin
America, where he discovered the harsh reality of this beautiful continent.

His understanding of the people's pain, the limits of their health systems,
and the enormous distances between doctors and patients, and overcoming
these became a crucial feature of the Socialist Cuban State.

In January of 1959, the young revolutionaries led by Fidel Castro
<http://www.globaltimes.cn/content/1021014.shtml> and "Che" Guevara
defeated the US-supported military regime and established the first
socialist country in Latin America. Cuba is a small island just 180
kilometers from Florida. Since then Cuba has been a stone in the shoe of
the US, which has considered the region its backyard since the US Monroe
Doctrine was established almost 200 years ago.

Che's thinking of replacing the biomedical paradigm with the socio-medical
paradigm was a logical solution to the health needs of the population. This
paradigm takes access to health to be a human right and works on the
prevention and development of better immunology of patients.

Since its early days as a socialist country, medical diplomacy and
solidarity have built the international image of the island. Cuban didn't
wait for its economic development and political consolidation before
starting to offer medical to other countries.

Despite US actions to try to destabilize Cuba, a medical brigade and
several tons of equipment and supplies were sent to Chile in the aftermath
of the 1960 earthquake that left thousands of dead.

The official start of the Cuban International Medical Collaboration,
consisting of permanent brigades is considered to be in 1963, when the
first brigade was sent to Algeria.

Since then, Cuba has sent more than 50,000 workers to more than 100
countries. Cuba provides more medical personnel to the developing world
than all the G8 countries combined. In the 1990s, Cuba created the ELAM
Latin American School of Medicine, to build the healthcare capacity of many
countries, mainly in the developing world.

Fidel Castro once said, "Cuban doctors and other health professionals and
technicians constitute an exceptional force. No country has something
similar; like the internationalist soldiers on our island, they were
trained in combat. Its missions abroad abide by rigorous ethical standards.
Its services are provided free of charge or marketed according to the
circumstances of the receiving country. They are not exportable."

Nowadays, Cuban medical exports are key part of its economy, accounting for
more than 80 percent of Cuba's total exports.

In the 1980s, Fidel Castro created the Center of Genetic Engineer and
Biotechnology (CIGB), saying at the time "the center is large, but I hope
that the scientific results obtained will also be great." In less than 5
months, Cuban researchers developed Interferon, marking the start of the
development of national biotechnology. The drug was given to patients with
dengue type 2, and in subsequent months used to combat an epidemic of
hemorrhagic conjunctivitis.

Renowned CIGB scientist Herrera Martínez said Interferon Alfa 2B is one of
the drugs that have received great attention in the treatment of patients
suffering from COVID-19 and China and Spain have incorporated the drug into
their national protocols and clinical guidelines for the care of COVID-19
patients. "Our joint venture in Changchun, Jilin, has provided more than
300,000 units of the product during the epidemic," said Martinez. The Cuban
drug has been given by injection to exposed medical personnel, while
patients have inhaled it, Martinez said.

Interferon Alfa 2B is being used to prevent infections caused by AIDS,
recurrent respiratory papillomatosis caused by the human papillomavirus,
condylomata acuminata, and hepatitis types B and C, and is also effective
against different types of cancer.

Twenty-one other products are being used in Cuba to fight COVID-19,
including antivirals, antiarrhythmic, and antibiotics. The CIGB is working
on a vaccine, in which virus-like particles with great capacity to
stimulate the immune system are used.

Cuba has not only shared its knowledge with China, but also sent doctors to
support numerous countries with their outbreak of COVID-19. It has sent
medical brigades to Italy and deployed doctors to Venezuela, Nicaragua,
Jamaica, Suriname and Grenada.

Cuba's solidarity with the world during the pandemic has been the opposite
of US President Donald Trump's administration. A most glaring example is
the billion-dollar offer to German scientists for the exclusive rights to a
coronavirus vaccine to be used "only in the US."

This crisis is redefining the role of the state in the protection of public
health. Proof of this is the current nationalization of private hospitals
in Spain. President Emmanuel  Macron in France made a strong statement in
favor of the French model of the welfare state, he said there's a need to
"question the development model in which our world has been engaged for
decades … free health care, with no conditions of income, career or
profession, our welfare state are not costs or burdens but precious goods.
They are indispensable assets when fate strikes, which this pandemic
reveals."

The US blockade is not only blocking the development of Cuba's economy, it
is also constraining the further development of the Cuban medical system. A
health system oriented to the concept that maintains that access to health
services is a right, not a commodity.

Cuba now has just 57 confirmed cases of COVID-19 infections. The patients
are being treated and a mandatory quarantine has been imposed on others
returning to Cuba. The country is taking strong measures such as
restricting social contact, and stopping tourism - a major source of income
for the island. Although Interferon Alfa 2B is in high demand worldwide,
the island has a large reserve of 22 medicines recommended for treating
citizens with COVID-19.

As the pandemic affects all of us in different ways, at least we have this
positive story. Globalization should not be only a matter of commerce.

*The author is an Argentine scholar at the Renmin University of China.
Cuban Consul in Sao Paulo, Pedro Monzon Barata, and Cuban scientist Luis
Herrera Martinez contributed to this article. opin...@globaltimes.com.cn
<opin...@globaltimes.com.cn>*

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