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Many Egyptian doctors refuse to treat HIV-positive patients

AIDS awareness slow to grow in North Africa and the Middle East, with conservative Muslim rule

While AIDS has devastated Sub-Saharan Africa, wiping out entire villages, the race to educated and treat cases of HIV infection is very slow to take place in North Africa and the Middle East. Many activists fear that with ultra-conservative Muslim leaders in power, the job of educating a populace - that largely considers AIDS to be punishment against homosexuals and prostitutes, will suffer a serious setback.

In 'Asmaa,' a 45-year-old mother-of-one lives with the secret that she has AIDS.  Through her support group she is approached by the producer of a local tele-journalism show which wants to highlight her plight, which is that no doctor will operate on her gallbladder problem because she is a HIV-invented patient.

In 'Asmaa,' a 45-year-old mother-of-one lives with the secret that she has AIDS. Through her support group she is approached by the producer of a local tele-journalism show which wants to highlight her plight, which is that no doctor will operate on her gallbladder problem because she is a HIV-invented patient.

LOS ANGELES, CA (Catholic Online) - Even worse, many doctors who ply their trades in this part of the world are told that AIDS is a foreigner's disease. As a result, they receive little training in how to treat such patients.

Most Egyptian doctors refuse to treat HIV patients or to deliver their children. Egyptian officials continue to insist that there's no AIDS problem there. To take action,, they reason, would force the government to confront such taboo subjects as homosexuality, safe sex and what Muslim ethics say about how to treat the ill -- however the disease is contracted.

"When the government becomes more religious, they believe AIDS is a punishment from God. But being religious starts with respecting human rights," an Egyptian man who contracted AIDS from a blood transfusion when he was a child says. "We are not a part of the revolution. They isolated us. We did not isolate them."

A telling part on how Egyptian culture treats AIDS patients is through its film industry. There have been only three films that featured HIV patients. In the first film, when a man finds out that he's HIV-positive, he kills himself. In the second, a man kills his HIV-positive son. The third, "Asmaa," in which the protagonist toys with publicizing her HIV status, has been little seen in its home country.

Amr Salama, the director of the movie "Asmaa," about the woman contemplating publicly admitting that she has AIDS, says that he had never met an HIV-positive patient when he started the project seven years ago. In a demonstration on how the topic is forbidden for discussion in Egypt, he admitted that when he began working on the film as a 28-year-old, he feared that he'd contract the virus just by coming in contact with HIV patients.

HIV infections are climbing in only two regions of the world: Eastern Europe and the Middle East. The United Nations estimates that as many as 570,000 people in the Middle East have HIV or AIDS, 40 percent of them women.

According to the United Nations, 70 percent of the men infected are married to women, often to hide their homosexuality.

"The world is talking about the beginning of the end of AIDS. We are not," Wessam not el Beih, the U.N.'s AIDS country director for Egypt says.

One survey reports that 57 percent of Egyptian doctors think that HIV can be transmitted through a mosquito bite. Adding to this culture of ignorance, many patients, unaware of the symptoms or risks, learn only by chance that they've been infected, when a blood test required for a visa or a medical procedure comes back positive.

The director of the HIV program at the Ministry of Health Ehab Abdel Rahman denies that that Egypt isn't doing enough. He notes that in a country of nearly 90 million people, the number of cases is small. Patients receive the medicine they need. The blame, he says, lies with patients who try to diagnose and medicate themselves.

"We always ensure there isn't any defective or shortage of medicine. It has never happened," Rahman said. "Our goal is to have stigma-free hospitals."

© 2012, Catholic Online. Distributed by NEWS CONSORTIUM.

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Pope Benedict XVI's Prayer Intentions for January 2013
General Intention:
The Faith of Christians. That in this Year of Faith Christians may deepen their knowledge of the mystery of Christ and witness joyfully to the gift of faith in him.
Missionary Intention: Middle Eastern Christians. That the Christian communities of the Middle East, often discriminated against, may receive from the Holy Spirit the strength of fidelity and perseverance.

Keywords: Egypt, AIDS, HIV, doctors, social stigma, homosexuality

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1 - 2 of 2 Comments

  1. Ahmad
    7 months ago

    Well, this article article made me a bit sad.

    I'm an Egyptian medical doctor, and I have to admit that most Egyptian doctors (me included) are not trained to manage patients with HIV, and in many cases the doctor's refusal is due to incompetence rather than a personal ethical stance.

    Also, I'd like to add that there's an entire department dedicated to HIV +ve AIDS patients in the Imbaba Fever Hospital.

  2. MaryAnn
    7 months ago

    This is extremely sad especially the part about not delivering babies. HIV doesn't have to be passed on to the baby during delivery. There are methods to prevent it - basically saving the child from a lifetime of sickness. For a doctor to ignore their duty to the healthy child is abhorrant. Read a brochure, put on two pairs of gloves, and learn to accept that being a doctor means you'll be working with the sick and diseased.

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