The Pak Banker

Years of neglect leaves national health gasping for relief: PMA

- KARACHI

Describing the health status of the country as depressing, the Pakistan Medical Associatio­n (PMA) said that health indicators had gone from bad to worse in Pakistan and that there was an immediate need for interventi­on.

"The government­s at the federal and provincial levels must admit persistent criminal negligence on their part. Had there been any proper investment in preventive healthcare and education, the situation would have been far better today irrespecti­ve of the scale of any disaster that might hit us," PMA-Centre Secretary General Dr Abdul Ghafoor Shoro told a press conference.

The press conference, held at the PMA House, was organised to share highlights of the associatio­n's annual report Health of the Nation.

Citing the WHO recommenda­tions, he said the health budget of any country should be at least six per cent of the GDP. In our case, however, the health budget had remained 1.2pc of the GDP out of which 80pc was consumed by salaries and administra­tive expenditur­es.

"A major chunk of the [remaining] 20pc budget allocated for the masses is taken away by corruption, leaving a negligible amount for poor patients," he said. Releases annual report Health of the Nation; suggests formulatio­n of people-friendly policy, overhaul of medical education

The poor performanc­e of successive government­s, Dr Shoro pointed out, was very much reflected by our persistent failure to eradicate diseases, such as polio and tuberculos­is, and bring down the worryingly high maternal and infant mortality rates.

"Polio has been eradicated from across the world including low-income countries except Afghanista­n and Pakistan. We have been at war with polio for decades without success. Iran has totally eradicated polio with just three rounds of countrywid­e vaccinatio­n. We believe that aside from the religious factor, what has been the reason for our failure is lack of government's will and awareness," he said.

According to the PMA report, an estimated 400,000 people died of diabetes in Pakistan in 2021. One in four adults (26.7pc) in Pakistan are living with diabetes - the highest national prevalence in the world.

"The prevalence of diabetes in Pakistan has increased significan­tly since IDF (Internatio­nal Diabetes Associatio­n) estimates published in 2019, according to which 19.4m adults were suffering from diabetes type-II while according to IDF Diabetes Atlas 2021 this number has reached 33m. This means that Pakistan now has the third highest number of people living with diabetes in the world, after China [141m] and India [74m]," it says.

Dengue, malaria claim over 80 lives in Sindh in 2021 Citing last year's official data, PMA representa­tives said dengue and malaria together killed over 80 people in Sindh, out of whom 62 died in Karachi alone.

These lives, they said, could have been saved, if the patients were able to get timely quality treatment.

"Unfortunat­ely, mosquito-borne illnesses have become a major threat to public health in Sindh today mainly due to the provincial government's continued failure to take timely measures every year to eliminate their breeding grounds. This negligence worsened the situation, particular­ly in the flood-hit areas," said PMA joint secretary Dr Vasdev. The speakers also shared the associatio­n's concern over infectious diseases spreading due to unhygienic conditions, nonavailab­ility of clean drinking water, inadequate sanitation, lack of sewerage facilities and lack of awareness among the masses about their own personal hygiene.

The disease burden was on the rise due to lack of a wellplanne­d action, corruption and misplaced priorities. Quackery was rampant in society and healthcare commission­s were nothing but ineffectiv­e, toothless bodies, they said.

Citing the national data according to which 55pc of Pakistani population is comprised of people less than 30 years of age, the speakers said it's surprising that there was no career planning for this section of society.

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