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Africa: Critically Ill Patients in African Hospitals Aren't Getting the Care They Need – New Survey

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When someone falls critically ill, hospitals are expected to provide life-saving care. But in many African countries, intensive care units are rare. Critically ill patients are treated in general hospital wards, and the provision of essential emergency and critical care is limited.
Critical illness refers to any life-threatening condition where at least one vital organ – such as the heart, lungs, or brain – is failing. It can arise from any underlying condition including infections, injuries, or non-communicable diseases such as heart attacks and strokes, and can affect anyone of any age.
In high-resourced settings some critically ill patients are treated in intensive care units. They receive continuous monitoring, oxygen support, medication to stabilise their blood pressure, and other life-saving treatments. Until now, most data on critical illness and critical care in Africa has come from small, single-hospital studies. These studies hinted at a serious problem.
For example, a study in Uganda found that 11.7% of inpatients were critically ill, with a 22.6% chance of dying within a week. However, there was no large-scale research showing how widespread this was across the continent.
That is why we, a collaboration of clinical researchers across Africa, conducted the African Critical Illness Outcomes Study, providing the first large-scale look at the state of critical illness care across the continent.
The study builds on a network of clinicians, researchers and policy makers that has been growing for over a decade now, working out how to identify and treat patients who are critically ill.
The findings, published in The Lancet, are striking. One in eight hospital inpatients in Africa is critically ill, over two-thirds of the critically ill are in general wards, and one in five dies within a week.
Most of these patients do not receive the essential emergency and critical care such as oxygen and fluids that could save their lives.
What we found
The African Critical Illness Outcomes Study investigated 20,000 patients at one point in time in 180 hospitals in 22 countries across Africa. Countries throughout the continent were included, from Tunisia in the north to South Africa in the south, from Ghana in the west to Tanzania in the east.
Between September and December 2023, all adult inpatients in each hospital were examined on a single day to collect data about their clinical condition and treatments, and then a week later, their in-hospital outcomes.
The key findings were:
The study also revealed gaps in the most basic life-saving interventions:
These findings highlight a clear and urgent problem: many critically ill patients in Africa are not receiving the essential treatments that could keep them alive.
What can be done?
The study suggests that thousands of lives could be saved if hospitals had better access to essential emergency and critical care. This is a set of simple, low-cost interventions that can prevent deaths from critical illness.
The care interventions include:
Unlike high-tech intensive care unit treatments, essential emergency and critical care can be given in general wards with minimal resources.
Strengthening these systems could dramatically reduce preventable deaths from conditions such as pneumonia, sepsis and trauma.
Urgent action is needed
This study sheds light on a healthcare crisis affecting millions of people, yet one that has remained largely overlooked.
Every critically ill patient, no matter where they are treated, should receive the basic life-saving care they need.
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We call for urgent action.
The EECC Network, a global community dedicated to sharing knowledge, research and best practices, has been started to help prevent needless deaths.
* Nick Leech, who works on the promotion of essential emergency and critical care on behalf of EECC Global, contributed to this article.
Tim Baker, Associate Professor, Karolinska Institutet
Karima Khalid, Lecturer, researcher, and consultant in anaesthesiology and critical care, Muhimbili University of Health and Allied Sciences
This article is republished from The Conversation Africa under a Creative Commons license. Read the original article.
AllAfrica publishes around 500 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
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AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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Mongolia to deepen ties with Zambia

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By Mark Ziligone

Mongolian President UKHNAAGIIN KHURELSUKH has reaffirmed his country’s commitment to strengthening bilateral relations with Zambia.

President KHURELSUKH says his country will remain committed to international cooperation particularly through platforms such as the United Nations and other global organizations.

He has highlighted key areas for potential collaboration, including mining, agriculture, and tourism sectors adding that they are critical to the development agendas of both countries.

President KHURELSUKH was speaking when Zambia’s ambassador to Mongolia IVAN ZYUULU presented letters of credence to him at State House in Ulaanbaatar.

The Mongolian President welcomed the Ambassador and expressed confidence that the new envoy will help deepen the diplomatic and economic ties between Zambia and Mongolia.

And Mr. ZYUULU praised Mongolia’s expertise in mineral exploration and sustainable agriculture, expressing Zambia’s interest in drawing lessons and forming partnerships for mutual benefit.

Meanwhile Mongolia’s Minister of Foreign Affairs, BATMUNKH BATTSETSEG reaffirmed his country’s readiness to work closely with Zambia and to explore new avenues of cooperation.

This is contained in a statement issued to ZNBC News by Second Secretary for Communications at the Zambian Embassy in Beijing, China CATHERINE KASHOTI.

The post Mongolia to deepen ties with Zambia appeared first on ZNBC-Just for you.

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Africa: Trump Wants World to Subsidise US Empire

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Kuala Lumpur, Malaysia — Donald Trump’s top economic advisor claims the President has weaponised tariffs to ‘persuade’ other nations to pay the US to maintain its supposedly mutually beneficial global empire.
Geopolitical economist Ben Norton was among the first to highlight the significance of Trump’s Council of Economic Advisers chairman Stephen Miran‘s briefing at the Hudson Institute.
The Institute is funded by financiers such as media czar Rupert Murdoch, who controls Fox News, The Wall Street Journal, and other conservative media.
Miran made his case just after Trump’s electoral victory in A User’s Guide to Restructuring the Global Trading System. Miran attempts to rationalise Trump’s economic policies, which are widely seen as at odds with conventional wisdom and reason.
Enhancing US dominance
Miran defends Trump’s tariffs as part of an ambitious economic strategy to strengthen US interests internationally with a “generational change in the international trade and financial systems”.
“Our military and financial dominance cannot be taken for granted, and the Trump administration is determined to preserve them”. Miran claims the US provides two major ‘global public goods’, both “costly to us to provide”.
First, Miran claims US military spending provides the world a ‘security umbrella’ that others should also pay for. Second, the US issues the dollar and Treasury bonds, the main reserve assets for the liquidity of the international monetary and financial system.
Miran seems blissfully unaware of longstanding complaints of US ‘exorbitant privilege’. The dollar’s reserve currency status has provided seigniorage income to the US while Treasury bond sales have long financed US debt at very low cost.
Miran’s case for Trump
The White House has threatened others with high tariffs unless they make concessions, at their own expense, benefiting the US. Miran’s defence of tariffs is indirect, as part of an ostensible grand strategy.
“The President has been clear that the United States is committed to remaining the reserve [currency] provider”, Miran added. He claims US dollar hegemony is “great” and denies “dollar dominance is a problem”.
While this “has some side effects, which can be problematic”, Miran “would like to … ameliorate the side effects, so that dollar dominance can continue for decades, in perpetuity”.
For Miran, these side effects are supposedly largely adverse while ignoring the benefits to the US. Chronic US trade deficits have been possible and financed by mounting US debt, enabling the dollar to serve as a global reserve currency.
Hence, US trade deficits have been sustained since the 1960s, rather than “unsustainable”, as he alleges. US manufacturing has been “decimated” by its consumers and transnational corporations, not by an extensive foreign conspiracy.
Miran’s Guide acknowledged the ‘Triffin dilemma’. In 1960, Robert Triffin warned that the dollar’s status as global reserve currency posed problems and risks for US monetary policy.
He invokes Triffin to argue that the US must import more than it exports to provide liquidity to the world, which needs dollars for international trade and to hold as reserves.
Miran adopts the Trumpian narrative of only blaming others. However, the US expected to benefit from continuing trade surpluses at Bretton Woods. In 1944, it opposed alternative payments arrangements to deter excessive trade surpluses.
US trade deficits have grown since the 1960s with post-World War II reconstruction of the Global North and uneven ‘late industrialisation’ in the Global South.
The empire must pay
The Trump administration wants to eat its cake and still have it. It intends to strengthen US empire while minimising adverse side effects and costs.
Miran wants foreign nations to “pay their fair share” in five ways. First, “countries should accept tariffs on their exports to the US without retaliation”. Tariffs provide revenue, which has financed its global public goods provision. Second, they should buy “more US-made goods”.
Third, they should “boost defense spending and procurement from the US”. Fourth, they should “invest in and install factories in America”. Fifth, they should “simply … help us finance global public goods”, i.e., foreign aid should go to or via the US.
Miran then emphasises that Trump “will no longer stand for other nations free-riding”, and calls for “improved burden-sharing at the global level”.
“If other nations want to benefit from the US geopolitical and financial umbrella, then they need to … pay their fair share”, i.e., the world must “bear the costs” of maintaining US empire.
Trump dilemmas 2.0
Trump wants to use tariffs to force countries with trade surpluses with the US to buy more from the US. Ending these deficits would undermine dollar hegemony, which, paradoxically, Trump obsessively wants to preserve.
Miran wants other countries to convert their US Treasury bills into 100-year bonds at very low interest rates, effectively subsidising the US over the long term. He also wants nations running trade surpluses with the US to buy more long-term US Treasury securities.
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Trump has threatened 100% tariffs on BRICS members and all countries promoting de-dollarisation or undermining dollar hegemony in the international monetary system.
During his first term, Trump wanted to do the near-impossible by boosting exports while preserving a strong dollar!
Miran acknowledges that the “root of the economic imbalances lies in persistent dollar overvaluation that prevents international trade balancing”. But he also insists that dollar “overvaluation is driven by inelastic demand for reserve assets”.
Trump now hopes to kill both US trade and fiscal deficit birds by cutting imports and raising revenue with higher tariffs. He also wants the world to continue using dollars despite the US budget and trade deficits and policy uncertainties.
Meanwhile, official US debt, financed by selling Treasury bonds, continues to grow. Trump has to deliver his promised tax cuts soon before his earlier measures run out. Trump is falling foul of his bluster and may have to revert to the status quo ante while denying it.
Despite Miran’s best efforts, he cannot provide a coherent rationale for Trump’s rhetoric. But dismissing Trump as ‘mad’ or ‘stupid’ obscures the impossible dilemma due to and obscured by post-war US dominance.
IPS UN Bureau
Follow @IPSNewsUNBureau
Read the original article on IPS.
AllAfrica publishes around 500 reports a day from more than 110 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.
Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.
AllAfrica is a voice of, by and about Africa – aggregating, producing and distributing 500 news and information items daily from over 110 African news organizations and our own reporters to an African and global public. We operate from Cape Town, Dakar, Abuja, Johannesburg, Nairobi and Washington DC.
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HH Media Freedom Stance Applauded

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By Joy Nyambe

The Media Self-Regulation Council of Zambia -MSCZ- has welcomed the statement by President HAKAINDE HICHILEMA, who says he is totally and unequivocally opposed to the Zambia Institute of Journalism Bill.

Media Self-Regulation Council of Zambia Chairperson KENNEDY MAMBWE has commended the President for swiftly weighing in and stating a clear Government position.

Mr. MAMBWE believes the President’s statement brings finality to the media regulation debate.

He says in a statement that MSCZ remains committed to the promotion of ethical and professional journalism in Zambia.

Mr. MAMBWE said hundreds of journalists across the country as well as media houses are currently subscribed to a professional Code of Ethics.

He further said a self regulatory mechanism is fully operational with the Media Ethics and Complaints Committee comprising eminent professionals headed by Legal Counsel SAM MUJUDA, currently adjudicating on public complaints against any media misconduct.

Mr. MAMBWE has assured the Government and President HICHILEMA in particular, of the MSCZ’s utmost and unwavering commitment to the promotion of the highest standard and ethical journalism in Zambia.

 

The post HH Media Freedom Stance Applauded appeared first on ZNBC-Just for you.

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