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Zim begs for aid: Govnt forced to declare national emergency
Daily Mail
December 04, 2008

Zimbabwe has declared a state of emergency today after finally admitting that the cholera outbreak which has claimed hundreds of lives in the impoverished country is out of control.

Health Minister David Parirenyatwa has appealed to aid agencies for drugs, food, equipment and money to pay doctors and nurses at hospitals, the state-run Herald newspaper said, adding that Zimbabwe's main hospitals are 'literally not functioning'.

With the latest death toll from cholera at 565 and the UN reporting that up to 12,500 people have been infected, the deputy minister for water revealed he only has water treatment chemicals to last for 12 weeks.

'I am appealing for at least 40 million rand ($3.89 million) to purchase chemicals and that money is needed between now and next Monday,' he said.

The government has also appealed for $450million in aid to deal with food shortages.

Yesterday the situation threatened to spiral into violence as riot police charged protesting doctors, nurses and union members with batons.

At least one hundred desperate doctors and nurses protested outside the health ministry in the capital of Harare.

Zimbabwean trade unions have also called a day of protest over a deepening banking and cash shortage crisis.

The latest death toll from the disease was put at 565, with the UN claiming that up to 12,546 people were suspected of being infected.

Under normal circumstances, cholera is both preventable and treatable - but in Zimbabwe, with electricity shut off on a regular basis and Harare running out of clean water, the situation is spiralling.

Now even the Limpopo River, bordering South Africa, is infected, the BBC has reported.

This week, as children played near cesspools, their parents shook their heads at a public service announcement drifting over the radio: It urged people to boil water before drinking it.

It sounded like a taunt in the country where water and electricity are cut off far more than they are on.

Authorities turned off the taps in Zimbabwe's capital again this week because they had run out of purifying chemicals in the midst of the killer epidemic. The water was turned on in Harare again today.

The crisis is the latest chapter in the collapse of this once-vibrant nation. President Robert Mugabe, who has ruled for 28 years, has refused to leave office even though he and his party lost elections in March.

An agreement to form a unity government with the opposition has been deadlocked for weeks over how to share Cabinet posts.

In the township of Mabvuku, where residents have dug shallow wells in open ground, people say they know that not boiling the water can make them sick, but they have no choice. There is no electricity, and wood, charcoal or other fuel to build fires is scarce and so expensive it is out of reach for most people.

"We are afraid, but there is no solution. Most of the time the electricity is not available so we just use the water," one resident, Naison Chakwicha, said.

In the western Harare suburb of Mbare, Anna Marimbe said she had traced the deaths last week of two neighbour children to the stinking open drains where they used to play.

Residents of Chitungwiza, a densely populated township 15 miles (24 kilometres) south of Harare, sued the National Water Authority last week, saying they had been without running water for 13 months, causing an outbreak of cholera and leading to deaths.

The lawsuit filed with the High Court describes "large pools of raw sewage" in the streets of the town of 500,000, where the first cholera cases were reported in August.

Like most of Zimbabwe's main cities and towns, Chitungwiza once had functioning sewage and water delivery systems, but authorities have made no repairs for years.

Harare is the epicentre of the cholera epidemic, which has spread across the country. Controlling the disease depends on providing clean water, which means repairing broken water and sewage pipes as well as dilapidated pumping and purification equipment.

And the collapse of all services, including refuse collection, has turned the city into a playground for rats that threaten to spread other more deadly diseases.

The government has reported 473 cholera deaths since August and a total of 11,700 people infected as of Monday, according to Paul Garwood, spokesman for Health Action and Crises, the humanitarian arm of the U.N. World Health Organization.

Garwood said that according to the official toll, four per cent of people are dying of a disease that usually claims fewer than one per cent of those infected and is easily treated with rehydration salts or an intravenous drip.

Doctors say the death toll is nearer 1,000, or 10 per cent of victims, because many of those afflicted with cholera die at home or in the countryside without medical care.

All the country's main public hospitals have closed and those that continue to operate have little or no medicine and suffer from a shortage of staff, whose monthly salaries do not cover even one day's bus fare to get to work.

Costly private clinics, which accept only foreign currency, are out of reach for the vast majority of the population.

The opposition-controlled Harare City Council is burying cholera victims for free because people cannot afford to buy graves.

Zimbabwe's government, normally hostile to international aid agencies, is welcoming an initiative by several - including UNICEF, WHO and Doctors Without Borders - to provide emergency care and try to ensure safe water supplies.

Health officials, following the line of a government that has refused to declare a national emergency, insisted the cholera outbreak was under control until five days ago. The best advice Health Minister David Parirenyatwa could offer was to urge people to stop shaking hands.

"I want to stress the issue of shaking hands. Although it's part of our tradition to shake hands, it's high time people stopped shaking hands," he told state-run daily, The Herald.

Still, Zimbabweans continue to find ways to deal with the crisis.

Those who can afford it are digging wells and bore holes. Others are buying tanks and pumps to install on their roof or yards, then paying $50 in foreign currency for a single delivery of 500 gallons (1,900 litres) of water.

Most vendors in Zimbabwe only accept U.S. dollars or South African rand since the Zimbabwe dollar, once on a par with the greenback, devalues with each passing hour.

Yesterday, it was trading for 1.8 million to the dollar - even after the Central Bank dropped 10 zeros from the local currency this year in an attempt to keep up with inflation last set officially at 231 million per cent in July.

The economic collapse of what was once a regional bread basket followed Mugabe's often-violent campaign, beginning in 2000, to seize white-owned farms and hand them over to veterans of his guerrilla war against white minority rule.

Now, even those who have the money often can't buy water. One supplier said yesterday that he has a waiting list more than two weeks long.

Those without foreign currency must turn to "water Samaritans" - residents of Harare's wealthier neighbourhoods who have wells or bore holes and are allowing people to fill buckets and jerry cans for free. Some residents are charging for the privilege.

Lines of mainly women and children gather daily outside the homes of people with wells. But even that supply is not assured.

Parirenyatwa, the health minister, voiced the fears of many when he said the cholera epidemic is likely to only get worse with the onset of the rainy season, which began last month and brings the heaviest rains in late December and January.

"What I am afraid of is that now that the rainy season has come, all the feces lying in the bushes will be washed into shallow wells and contaminate the water," he said.

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