Health Daily News

Considers Secretary General Ban Ki-moon: "without a massive and immediate international response, we will be overwhelmed."Ban Ki-moon says only 20 percent a Board 164 million dollars is metMore than 1800 people died in the outbreak, up to 650,000 more could sickenedSmaller proportion of infected people die, Pan American Health Organization saysMost immediate need: more cholera treatment centres, more trained staff to perform their

(CNN)--UN Secretary General Ban Ki-moon has made an urgent appeal Friday for more money for the fight against cholera epidemic in Haiti which has cost the lives of over 1800.

The United Nations had requested for 164 million dollars in mid-November. Ban said he had materialized only 20 percent.

Water disease hasn't been spread across 10 departments or provinces of impoverished Caribbean nation, but the most recent data from the Ministry of public health reported 1,882 cholera deaths and sickened nearly working people. The Pan American Health Organization (who) said the good news is that a smaller percentage infected dying.

During the first weeks of cholera epidemic, which began in late October, the percentage of hospitalized patients die of cholera amounted to 9 percent, the health organization said. This figure is now at 3.5%.

' This is progress, "said Deputy Director Dr. Jon k. Andrus. "There are still too many deaths and face many challenges. But the hard work of Haiti doctors, nurses, and community workers and partners of the international community is, indeed, can save many lives. "

But Ban warned that the numbers were at best rough estimates and the outbreak would sicken as 650,000 people in the next six months.

"Clearly, we will continue to spread. Unfortunately, "ban said," this is against a particularly virulent strain of cholera and underlying issues: a weak national health system, poor hygiene and lack of fresh water and other basic services. "

"Without a massive and immediate international response, we will be overwhelmed," he said.

Symptoms of cholera, a bitter, diarrheal disease caused by infection of the intestine may be mild or even nonexistent. But sometimes it can be severe watery diarrhea--ample and leg cramps, vomiting, which can cause rapid loss of Body fluids and can lead to dehydration and shock.

If left untreated, a person may die within hours.

Ban said was the most urgent need for more cholera treatment centres and more trained staff to perform these installations.

That includes an estimated 350 doctors, nurses and 2,200 2000 support personnel over the next three months and nearly 30,000 workers in health and Community volunteers to run an estimated 15,000 oral rehydration points.

"It won't be a short-term crisis. We cannot feel the short term in our response, "said Ban. "The Haitian deserve nothing less."

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Doctor is a little different for the President. The task of the White House doctor combines professional responsibility with the glamour and insignia of close to history. The White House medical office is only a few steps from the Oval Office and the doctor automatically has access to the president's living quarters.

Member medical staff nights at the White House.If the President travels trips the doctor in a limousine located near the top of the Fahrzeugkolonne.Jetlag and stress make the job to one in the close constant fatigue, overshadowed by dread of the terrorist attacks.

Now a current holder of the contract, Dr. Connie Mariano, account has written about your nine term under three Presidents Bill Clinton and George both jacks. The book "the White House doctor: my patients were President - a memoir" (Thomas Dunne Books), is one of only a handful of autobiographical accounts of presidential doctors.

Dr. Mariano's story is an inspiring story. The daughter of the Navy was steward, the first Filipino American sexes rise to Rear Admiral and the first woman in the military to be the White House doctor. But your account is little attention to some important points and other passes.

For example discusses 25th amendment result if a President disabled or incapacitated wird.Dr. Mariano mentioned that to avoid the amendment Mr Clinton instead of spinal get if he needed surgery, a torn quadriceps tendon repair general anaesthesia call. But has little to say more about the change, the Central any serious discussion of the presidential elections is health.

Asked in an interview Dr. Mariano replied: "it was a lot I have in the book not because the Publisher said it was not of interest to the general public. said this is not a scientific matter - it is a memoir."

Since the civil war, the White House medical staff was drawn largely from the military.The doctors are from a variety of specialities and the President gewählt.Ein reason is that some civilian doctors can afford, to suddenly abandon a practice for four years.Also, Dr. Mariano said in the interview, as first responders in the field are the medical staff members "White House medicine was practiced as battlefield medicine."

The White House medical unit - Dr. Mariano supervises a staff of 24 - cares for the Vice President and his family, White House staff in some cases and for guests at the Government functions.But if the President or members of his family need attention, all others will be pushed aside, even if seriously ill or injured.

Mainly for security reasons, White House medical staff are trained widely as invisible as possible and work challenges area.Staff schedule of the President annual physical, rescue guests choke on hors d'oeuvres to the White House features, help find foreign leaders care in the United States or elsewhere and emergency plan maintenance the President should need on the road.

White House military doctors are outranked by their patients, who the Commander in Chief is potentially conflicts in the patient-doctor relationship erstellen.Wann always insisted that your boss, the President said pushing the envelope, Dr. Mariano, "danced visions of military court in my head."

In 1997 you yield to Mr Clinton's demand that he fly you to Helsinki, Finland, meeting with the Russian President Boris N. Yeltsin, four days after the quadriceps operation.(He needed crutches for support.)"But if Mr Clinton wanted to work" the stomach flu had ", and on your foot down put him to say to his wife, Hillary Rodham Clinton say would have.""OK, I'll listen," he replied and secured.

On the other hand, as Dr. Mariano Mrs Clinton for a blood clot and phlebitis in your leg during the election campaign 1998 midterm stationary wanted, refused the first lady, say war.So too busy agreed Dr. Mariano and other experts to handle your drug outpatient with a new blood thinning.

Apparently no other such meetings in Dr. Mariano's term of Office is aufgetreten.Aber what if you had?

"I would resign leave it for journalists and other reason why," Dr. Mariano said in the interview, repeat what you told me, as in the White House war.Andere White House doctors have similar promises gemacht.Aber would a white actually resign House doctor, used for the insignia, when confronted with a situation in which a President hidden a serious disorder belonging to the public or distort your meaning?

In the past White House doctors have misinterpreted as with Woodrow Wilson's stroke disease the severity of a President's.

Although the President feels fine, fear lurks under the medical and security detail, whose Mitglieder so fatalistic develop an attitude, that rich Miller, the senior intelligence agent, the first President Bush, Dr. Mariano said "there is no question, if the President gets killed - it is a matter of time."

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