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‘Cancer care can’t stop’: flood-hit Assam hospital uses boats to reach patients | Global development

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When the flood water roared into her home in Assam, Jyoti Bora* saw the morphine pills she takes for head and neck cancer swept away along with all her belongings. At the relief camp she was evacuated to, Bora, who uses a wheelchair, found a boat to take her to the hospital to get more medication.

But when she got to Cacher cancer hospital and research centre she found the entrance flooded – the water was 1.5 metres high. A hospital orderly and a nurse were dispatched in a raft, made from planks of plywood tied to tyre inner tubes, to collect her.

“Initially, she refused to get on. She was very frightened. As it is she is frail. But she knew she could not manage without her morphine injection,” says her doctor, surgical oncologist and deputy director of Cacher, Ritesh Tapkire. “That’s how our outpatients have been coming for radiation, chemotherapy and pain relief for the past week.”

About 5 million people in Assam, in India’s north-east, have been affected by the worst floods in decades, which began in April and show little significant signs of easing. Entire villages have been submerged. More than 114,000 hectares (280,000 acres) of crops have been damaged and 5,000 livestock washed away. The army and relief workers are providing food, medicines and drinking water to 780 camps for those displaced by the flooding.

People wade through thigh-high water, some with their possessions in boats.
Nearly a quarter-million people are now living in emergency relief camps in Assam, and many others have constructed their own temporary shelters and cobbled together basic rafts to escape areas cut off by the floods. Photograph: Anupam Nath/AP

Cacher hospital, which has 150 beds and treats 20,000 patients a year, got off fairly lightly. One building was flooded at the end of June, along with the nurses’ hostel, but the wards were spared as they are built on higher ground. Radiation and chemotherapy have continued for the 100 patients admitted to the hospital, although a lack of anaesthesia meant only four operations were carried out in a week, instead of the usual 20.

Since the floods, the big issue for staff has been ensuring patients continue receiving treatment. People travel to Cacher hospital from all over the state. It is run by a non-profit and most patients are on low incomes and receive free or subsidised treatment. The north-east of India is known as the “cancer capital” of the country, and cases are double the national average. Lifestyle is a big factor – high consumption of alcohol, betel nut and tobacco – combined with low awareness of symptoms, late detection and a lack of oncologists and facilities to diagnose and treat cases.

Cacher staff have been calling patients who have not kept appointments to check they have enough medication. They have also got into boats to collect people from their homes and bring them to the hospital, and made rafts to take them inside. They have also set up a makeshift outpatient department (OPD) on a patch of dry land outside the hospital to give out basic medicines and pain killers. Morphine injections given here too, in the middle of swirling flood waters, for patients too scared of the raft ride into the hospital.

A patients is escorted to hospital on a makeshift raft constructed out of wood and tyre inner tubes.
A patients is escorted to hospital on a makeshift raft constructed out of wood and tyre inner tubes. Photograph: Handout

“A patient with multiple myeloma came for her chemotherapy session and she refused to get on to the raft. She was petrified. Fortunately, her chemotherapy was only one hour long, did not need close monitoring or have side-effects, so after checking her vitals, we administered it on the dry patch,” says Tapkire.

Last Monday, the niece of an elderly woman with metastatic breast cancer called the hospital in tears, asking for help. The hospital director, Dr Ravi Kannan, dispatched a team from the hospital to collect her. The woman had to be lowered from the second floor of her home, where she and her family had sought safety, into a boat and taken to the hospital.

The State Disaster Response Force has now given the hospital inflatable boats and rafts to make ferrying patients to and from the hospital a little easier.

Kannan is worried people are missing out on treatment. On a normal day, the OPD has between 150 and 200 patients. In the past week, it has seen only 40 people. “We need to reach out to every patient who has not been able to come. Cancer care cannot be interrupted. It bothers us no end,” he says.

Ranjita and Babita Singha.
Ranjita Singha, 60, who has cervical cancer, ran out of morphine and was unable to reach her hospital. Her daughter Babita, right, is her main carer. Photograph: Handout

Ranjita Singha, 60, who has cervical cancer, ran out of morphine and was unable to reach the hospital. Her daughter, Babita Singha, is her main carer.

“When the doctor called, I told them that my mother had only one pill left. They arrived here by boat to give me more pills and also gave her a morphine injection for immediate relief,” says Babita.

The woman with metastatic breast cancer who was rescued from the second floor of her home died the next day. Kannan says he wondered if bringing her to the hospital was the wrong decision. Until he received a note from her niece.

“For days they had sat by her, dreading her dying, surrounded by water, in the dark in the middle of the night. By bringing her to hospital, where she had light and medical care; the niece said we had spared the family the agony of living with such a painful memory,” says Kannan.

* Name changed

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Brazilian woman and fake seer con elderly mother out of $142 million | International

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A woman was arrested on August 10 by Rio de Janeiro police who charged her with conning her mother out of millions. In a strange story of greed abetted by fake psychics, Sabine Boghici and her accomplices stole more than $142 million in money, jewelry and artwork from Boghici’s mother over a two-year period.

Geneviève Boghici, the widow of a major art collector and dealer named Jean Boghici, was walking out of a bank in January 2020 near the famous Copacabana Beach in Rio de Janeiro (Brazil) when she was approached by a supposed psychic prophesying her daughter’s imminent death unless she underwent “spiritual therapy.” They walked together to Boghici’s apartment, where the psychic threw some shells in a mystical ritual that confirmed the tragic prophesy. The 82-year-old victim knew that her daughter suffered from psychological problems, and her affinity for the supernatural swayed her to transfer $980,000 to the swindlers.

Soon after the two-year con began, the elderly woman became suspicious and halted the money transfers when her daughter started to isolate her from friends. Sabine would not allow her mother to use the phone and dismissed all the domestic workers, justifying them as Covid-19 precautions. Yet Sabine and her cronies entered freely to loot her mother’s home of its valuables. Several psychics took items from the home, saying they were “cursed” and needed to be “prayed over.” The increasingly suspicious Geneviève tried to resist, but Sabine began threatening her life. According to the police, she wouldn’t allow her mother to eat and put a knife to her throat.

Police recover 'Sol Poente' by Brazilian painter, Tarsila do Amaral.
Police recover ‘Sol Poente’ by Brazilian painter, Tarsila do Amaral.Policia Civil de Rio de Janeiro (EFE)

The victim told the police that her daughter had some sort of relationship with one of the supposed psychics, Rosa Stanesco Nicolau, who practiced her trade in Rio de Janeiro as “Mãe Valéria de Oxossi” (Mother Valeria), and was a known con artist. Starting in September 2020, under constant threat from her daughter and accomplices, the elderly woman made another 38 bank transfers to the thieves.

Sabine and her cohorts stole 16 paintings and sculptures, and sold them all to art galleries or private buyers. Two of these works – Elevador Social (Social Elevator) by Rubens Gerchman, and Maquete para o menú espelho (A model for my mirror) by Antonio Dias – were bought by Eduardo Costantini, owner of the Museum of Latin American Art of Buenos Aires (Argentina), for his private collection. The São Paulo (Brazil) gallery owner who brokered the deal said he was not suspicious because he had known the family for a long time and the seller was the daughter of the deceased art collector. Constantini released a statement saying that he bought the paintings in good faith and was in direct contact with Genevieve Boghici.

In 2012, a fire in the Boghici’s Copacabana apartment destroyed part of their valuable collection, including Di Cavalcanti’s Samba and Alberto Guignard’s A Floresta (The Forest). Sol Poniente (Setting Sun), painted by Tarsila do Amaral in 1929, is one of the most valuable works in the Boghici collection ($49 million). It survived the 2012 fire but not the rampant greed of their daughter. The stolen painting was found under a bed by police, who arrested Sabine and three other people, including the fake seer. In a final twist to the whole bizarre story, the scamming psychic was apprehended trying to escape through a window.

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India’s HIV patients say shortages leaving hundreds of thousands without drugs | Global development

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Hundreds of thousands of people living with HIV in India are struggling to access treatment because of a shortage of antiretroviral (ARV) drugs, according to campaigners.

Up to 500,000 people have not been able to get hold of free ARVs from government health centres and hospitals over the past five months, they say, as the country experiences stock shortages of key drugs.

ARVs that are available in privately run pharmacies and shops can be prohibitively expensive. Some people have been given alternative drugs, but others have stopped taking any medication.

“Does the government even realise that at least 500,000, or one-third of the patients, are affected by this? Some adults are being given 11 doses of paediatric medicine to compensate,” said Loon Gangte, president of the Delhi Network of Positive People (DNP+), an NGO that works to improve the treatment and facilities for people living with HIV and Aids. “We only demand an uninterrupted monthly supply. This treatment is our right.”

According to Gangte, who has been protesting with about 30 others outside India’s National Aids Control Organisation (Naco) in Delhi for 22 days, at least 12 other states, including Assam, Uttar Pradesh, Rajasthan and Punjab, are facing ARV shortages. He said several state governments have asked patients to change their longstanding drug regimes.

“The [Covid-19] pandemic had already broken our backs. Now this shortage is pushing us further into penury,” Gangte said.

Kedar Nath, a 30-year-old street vendor taking part in the protest, said he has not taken his ARVs on several occasions over the past two months. He cannot afford the £50 a month it would cost to buy the drugs on the open market.

“I have been taking these drugs for the last 13 years. They have helped me continue with my life despite the virus in my body. But the recent shortage has turned my life upside down since I can neither find the strength to work, nor have any savings to live off,” he said.

According to government figures, 2.35 million people in India are HIV-positive. About 1.5 million people are on antiretroviral therapy, far lower than the World Health Organization’s “90-90-90 target” – under which 90% of people with HIV are diagnosed, 90% are on ARV treatment, and 90% are no longer infectious.

India says it aims to end the HIV epidemic by 2030. In 2019, an estimated 58,900 Aids-related deaths were reported in the country.

The government has refuted Gangte’s claims of a shortage. The Indian health ministry said it had “reviewed the entire situation and held a series of meetings with the protesters. ARV drugs are being provided for [a] duration of less than one month, but at no point in time has there been any shortage of drugs for any of the PLHIV [patients living with HIV]. There is adequate stock nationally for 95% PLHIV.”

Naco did not wish to comment. However, in a letter seen by the Guardian that was dated 30 May, Naco asked all state Aids prevention and control societies, which oversee HIV testing and treatment in each state, to switch to other regimes “to tide through the crisis situation as an interim arrangement”.

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J&J Stops Global Sales of Scandalous Talc-Based Powder After 130 Years

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Once one of its top products for families, J&J’s talc-based powder has been haunted by claims of causing cancer in recent years even as the company consistently denied what it has called rumors and “misinformation”.

Johnson & Johnson has announced it will be ceasing the sales of its talc-based powder, two years after stopping them in the US and Canada, after keeping it in its product line for 130 years. The company will be replacing the product with a cornstarch-based powder.

“As part of a worldwide portfolio assessment, we have made the commercial decision to transition to an all cornstarch-based baby powder portfolio,” the company’s statement said.

The J&J talc-based powder has been at the epicenter of several lawsuits claiming it caused ovarian cancer due to the presence of a known cancer-causing material – asbestos. However, the company has repeatedly denied these allegations, despite losing $3.5 billion in these lawsuits.

As the firm announced the retirement of the talc-based powder, it once again repeated its long-held position on the controversial product’s safety.

“Our position on the safety of our cosmetic talc remains unchanged. We stand firmly behind the decades of independent scientific analysis by medical experts around the world that confirms talc-based Johnson’s baby powder is safe, does not contain asbestos, and does not cause cancer,” the statement said.

Apart from losing a number of lawsuits, J&J faced tough questions following a 2018 Reuters investigation, which claimed the company knew about the asbestos contamination since at least 1971 but failed to act on it. As the veins of asbestos are often found in talc deposits, the extracted talc used to make the powder can be contaminated with the cancer-causing mineral.

A view of the Supreme Court in Washington, U.S. January 19, 2021 - Sputnik International, 1920, 01.06.2021

Pay Up: Supreme Court Rejects J&J’s Request to Appeal $2 Bln Verdict in Talc Cancer Case
Despite continuing to maintain its innocence, J&J stopped selling talc-based powder in the US and Canada in 2020, citing the harm done to the sales by the “misinformation” about its safety. However, the company continued to distribute it around the world alongside the cornstarch-based alternative, which will now completely substitute it.



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