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“We live in a poor country and do not even have money for our children!”

© UNICEF/Vengher
Irinia Rusu, one of the mumps patients

By Tatiana Tibuleac

Chisinau, 1 February 2008 - Irina Rusu, an 18-year-old, meets us in her hospital bed with a woollen scarf muffled around her neck. “Can you imagine? Today it is my birthday and I am here, isolated because of this childhood disease...” Her ward companions look at her understandingly. They are in the same situation – confined to hospital ward because of mumps, a disease they first heard about just a couple of weeks ago, on the TV. “No one expected something like this!” Maria Neagu, director of Chisinau Clinical Hospital of Contagious Diseases, tells us. “But it could be even worse!”

There are some 3,600 infected children in the country who, like Irina, have become victims of poverty. When they were young, at the age of 7, they received only one dose of mumps vaccine.  Now, 10 years later, the disease has attacked them. Within last two months the infectious disease clinics have been invaded by young people with symptoms of mumps, although they are all aged between 15 and 26, when they should be safe from contracting this childhood infection. 

Raging mumps epidemic
“One morning I woke up with a swollen neck and a fever of 39 degrees.  Straight away I realized that it was not a cold because my neck was very swollen and ugly and I had a stomach ache as well”, remembers Irina the day she got to the hospital. “My roommates were scared. They had watched a TV programme saying that a mumps epidemic was raging in the country and they told me that I had probably contracted mumps.  The worst part was that the next day they also got to the hospital and now there is no one to visit me. My parents live far away in the north of the country and they cannot come very often. The travel expenses are quite high.”

“Don’t take pictures of me, please!” Irina’s roommate, a young lady who has not even told her parents that she was in the hospital, warns us. “You know, I’m really embarrassed to have such a disease,” says the girl. “People have given it such an ugly name that everyone believes those with mumps must have done something wrong and thus got infected. Moreover, my mother will not even believe me, as everyone knows it to be a childhood infection only, and I am already a junior college student...”

Serious complications
People call mumps “svinka” (piggy), which is a derivate of the Russian word for “pig” – svinya. The disease got this name because of one of chief symptoms -- a big swollen throat and, sometimes, face as well. I ask the girls whether they have learnt something new about the disease during their stay in the hospital or whether they still have the same superstitions.

“Now we are specialists, Irina says. We know almost everything about mumps! When one is clearly informed about the infection, there is little reason to be so afraid. Nevertheless, we know this is a very serious disease that can lead to serious complications unless treated timely and in a correct way. I know, for instance, that one could subsequently get meningitis, pancreatitis, it could affect one’s ovaries, and boys can even become sterile.”

© UNICEF/Vengher
Maria Neagu, director of Chisinau Clinical Hospital

With her last statement, Irina seemed to be more relaxed – for the first time in this conversation.  The fact that only boys can become sterile seemed to somehow mitigate the girls’ fear.

“In fact, girls can also become sterile”, a nurse whispers to us, “but we don’t tell this, they are scared enough as they are”. Maria Neagu, who all this time has been trying to find a bed for a newly hospitalised child, tells us with a look of an accomplice: “You should tell things as they are: the situation is quite complicated and we shouldn’t hide this.  Several mothers have just come to the hospital with their infected children. We have already allocated another department for patients with mumps and have brought more beds in, but people keep coming.”

Still, the biggest problem remains the lack of vaccines. According to the Ministry of Health, about 600,000 children in the country need vaccination. The cost of vaccine amounts to 13 million lei($1,2 millions). “This is a huge amount of money”, says Ion Ababii, the Minister of Health. “Especially, if we take into account that only 7.5 million lei ($682,000) have been allocated for this year’s immunisation programme. Furthermore, it is extremely hard to find this vaccine. We have struggled to look for it abroad and managed to find 150,000 vaccines, but they will get to us in a month at best.” 
 
The mumps epidemic, particularly fundraising for vaccine procurement is also one of UNICEF’s priorities. “We supported the Moldovan Government in 1996 too, when the country was hit by a diphtheria epidemic”, says the UNICEF Moldova Chief of the Equitable Access to Quality Services Programme, Svetlana Stefanet. “Moreover, UNICEF has supported the immunization program around the country from the very beginning. Although the mumps has not resulted in any victims yet, the extent of the problem and the risks it bears for the children’s health cannot leave us indifferent.”

Control spread of the disease
"National health authorities from Moldova have notified rapidly World Health Organization about the mumps outbreak, and currently are sharing all relevant epidemiological and laboratory data”, mentioned the Head of WHO Moldova Country Office, Dr. Pavel Ursu. “This is extremely important in order to engage the WHO experts in the response actions and find adequate
technical solutions for this public health emergency. Ministry of Health, UNICEF and WHO have already initiated a number of joint actions to control the epidemic spread of the disease in the most effective and cost-efficient way", said Dr. Pavel Ursu.   

No money for our children
While the Ministry of Health is organizing daily meetings to find out the quickest solution, the ordinary people in the hospitals are struggling to understand why their children have not been properly protected.  A poor woman from the countryside is waiting patiently for her daughter to finish her treatment routine so that she could talk to her. The woman remembers how it happened that 10 years ago her child had not been vaccinated. “I went to the village medical office with my daughter to ask them why they had not vaccinated children at school for the second time, because I knew they’d given them only the first vaccine in the series. The nurse shrugged her shoulders saying they had no money. There were other mothers who came with their children, and now they are all ill. I remember that one of them asked the nurse whether the children would be safe if they didn’t get the vaccine. “Well, what could happen to them?” the nurse said. “They’ll be fine; this is quite a rare disease anyway.” “What can we do?” the woman concludes with tears in her eyes. “We live in a poor country and do not have money even for our children!” 

If the country will not purchase the 600,000 vaccines that are needed now to immunize children in time, the same infection could strike again in several years. Although mumps infection has serious consequences, it can be prevented by a simple injection. 

 

 

 


 

 

 
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