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Isla de Mendez, El Salvador, 2003, Justin List |
The Illiterate Surgeon
June 12, 2005
ADDIS ABABA, Ethiopia
Just about the worst thing that can happen to a teenage girl in this world is to
develop an obstetric fistula that leaves her trickling bodily wastes, stinking and shunned by everyone around her. That happened
four decades ago to Mamitu Gashe.
But the most amazing thing about Ms. Mamitu is not what she endured but what she
has become.
Ms. Mamitu's story begins when she was an illiterate 15-year-old in a remote Ethiopian
village unreachable by road and with no doctor nearby. She married a local man, became pregnant and after three days of labor,
she lapsed into unconsciousness and the baby was stillborn.
"After I woke up, the bed was wet" with urine, she remembers. "I thought I would
get better after two or three days, but I didn't."
That's typically how an obstetric fistula arises: a teenage girl, often malnourished
and with an immature pelvis, tries to deliver her first baby. The fetus gets stuck, and after several days of labor it is
stillborn - but some of the mother's internal tissues have been damaged in that time, and so to her horror she finds herself
constantly trickling urine or sometimes feces from her vagina.
Soon she stinks. Her husband normally abandons her, the constant trickle of urine
leaves her with terrible sores on her legs, and if she survives at all she is told to build a hut away from the rest of the
village and to stay away from the village well. Some girls die of infections or suicide, but many linger for decades as pariahs
and hermits - their lives effectively over at the age of about 15.
Fistulas were common in America in the 19th century. But improved medical care means
that they are now almost unknown in the West, while the United Nations has estimated that at least two million girls and women
live with fistulas in the developing world, mostly in Africa.
This should be an international scandal, because a $300 operation can normally repair
the injury. A major effort to improve maternal health in the developing world should be a no-brainer, for it could prevent
most fistulas and reduce deaths in childbirth by half within a decade, saving 300,000 lives a year.
But maternal health is woefully neglected, and those suffering fistulas are completely
voiceless - young, female, poor, rural and ostracized. They are the 21st century's lepers.
Ms. Mamitu was exceptionally lucky in that she was brought to a hospital here in
Addis Ababa that offered free surgery by a saintly husband and wife pair of gynecologists from Australia, Reginald and Catherine
Hamlin. Reg is now dead, while Catherine is the Mother Teresa of our time and is long overdue for a Nobel Peace Prize.
After that operation, 42 years ago, Ms. Mamitu was given a job making beds in the
hospital. Then she began helping out during surgeries, and after a couple of years of watching she was asked by Dr. Reg Hamlin
to cut some stitches. Eventually, Ms. Mamitu was routinely performing the entire fistula repair herself...
http://www.nytimes.com/2005/06/12/opinion/12kristof.html
World Court to Investigate Darfur Violence
THE HAGUE, June 6 - Prosecutors for the International Criminal Court announced Monday that they had begun
an investigation into war crimes in Sudan, opening the door for indictments and warrants for those considered most responsible
for the ethnic violence and starvation that has exterminated hundreds of villages in Darfur.
But the Sudanese government, blamed by a United Nations inquiry for much of the violence, has said it will
not accept the court's jurisdiction. It has already begun to try to delay legal action by using some of the safeguards built
into the court's rules, like insisting that it is conducting its own investigations and will hold its own trials.
The government has recently hired lawyers from Britain and Kenya to advise it and to start domestic trials,
according to diplomats and court officials. "There are a number of things they can do," one lawyer at the court here said.
"Khartoum officials cannot stop the process, but they can stall and buy time, even if eventually they will have to cooperate."
The Security Council requested in March that the court take up the atrocities in Darfur, where tens of thousands
have been starved to death, raped and killed over the past two years. Now that prosecutors have taken jurisdiction, they say,
they hope to move quickly...
A New Scourge Afflicts Haiti: Kidnappings
PORT-AU-PRINCE, Haiti, June 5 - She is a bank teller. Her husband delivers air mail packages for DHL.
In a country where about 70 percent of adults have no jobs, that means Gehanne and Jacques-Henri Beaulieu are worth a small
fortune.
On Tuesday, it was taken.
As Mrs. Beaulieu arrived for work on Tuesday, in broad daylight, on the busy Rue des Miracles, three men carrying long
guns forced their way into her car. Within the hour, they called her husband by cellphone and demanded $20,000.
"If you do not give us the money," a voice said, at once gentle and cold, "we will execute her."
Emptying his bank accounts, Mr. Beaulieu came up with only $2,700. He began calling friends and relatives, many in the
United States, asking desperately for money.
"I asked everybody I knew, 'Please help me get my wife back,' " he said less than two hours after the kidnapping, still
in the heat of panic, after friends of his family helped a reporter contact him. "If I get her back, I am going to send her
away from here."
"This country is out of control," he said. "No one is safe."
Indeed, more than a year after the start of yet another conflict-ridden political transition, it is hard to tell who, if
anyone, has taken charge in Haiti...
Full article at: http://www.nytimes.com/2005/06/06/international/americas/06haiti.html
A Policy of Rape
Published: June 5, 2005
NYALA, Sudan
All countries have rapes, of course. But here in the refugee shantytowns of Darfur, the horrific stories that young women
whisper are not of random criminality but of a systematic campaign of rape to terrorize civilians and drive them from "Arab
lands" - a policy of rape.
One measure of the international community's hypocrisy is that the world is barely bothering to protest. More than two
years after the genocide in Darfur began, the women of Kalma Camp - a teeming squatter's camp of 110,000 people driven from
their burned villages - still face the risk of gang rape every single day as they go out looking for firewood.
Nemat, a 21-year-old, told me that she left the camp with three friends to get firewood to cook with. In the early afternoon
a group of men in uniforms caught and gang-raped her.
"They said, 'You are black people. We want to wipe you out,' " Nemat recalled. After the attack, Nemat was too injured
to walk, but her relatives found her and carried her back to camp on a donkey.
A neighbor, Toma, 34, said she heard similar comments from seven men in police uniforms who raped her. "They said, 'We
want to finish you people off,' " she recalled.
Sometimes the women simply vanish. A young mother named Asha cried as she told how she and her four sisters were chased
down by a Janjaweed militia; she escaped but all her sisters were caught.
"To this day, I don't know if they are alive or dead," she sobbed. Then she acknowledged that she had another reason for
grief: a Janjaweed militia had also murdered her husband 23 days earlier.
Gang rape is terrifying anywhere, but particularly so here. Women who are raped here are often ostracized for life, even
forced to build their own huts and live by themselves. In addition, most girls in Darfur undergo an extreme form of genital
cutting called infibulation that often ends with a midwife stitching the vagina shut with a thread made of wild thorns. This
stitching and the scar tissue make sexual assault a particularly violent act, and the resulting injuries increase the risk
of H.I.V. transmission.
Sudan has refused to allow aid groups to bring into Darfur more rape kits that include medication that reduces the risk
of infection from H.I.V.
The government has also imprisoned rape victims who became pregnant, for adultery. Even those who simply seek medical help
are harassed and humiliated.
On March 26, a 17-year-old student named Hawa went to a French-run clinic in Kalma and reported that she had been raped.
A French midwife examined her and confirmed that she was bleeding and had been raped.
But an informer in the clinic alerted the police, who barged in and - over the determined protests of two Frenchwomen -
carried Hawa off to a police hospital, where she was chained to a cot by one leg and one arm. A doctor there declared that
she had not been raped after all, and Hawa was then imprisoned for a couple of days. The authorities are now proposing that
she be charged with submitting false information.
The attacks are sometimes purely about humiliation. Some women are raped with sticks that tear apart their insides, leaving
them constantly trickling urine. One Sudanese woman working for a European aid organization was raped with a bayonet.
Doctors Without Borders issued an excellent report in March noting that it alone treated almost 500 rapes in a four-and-a-half-month
period. Sudan finally reacted to the report a few days ago - by arresting an Englishman and a Dutchman working for Doctors
Without Borders.
Those women who spoke to me risked arrest and lifelong shame by telling their stories. Their courage should be an inspiration
to us - and above all, to President Bush - to speak out. Mr. Bush finally let the word Darfur pass his lips on Wednesday,
after 142 days of silence, but only during a photo op. Such silence amounts to acquiescence, for this policy of rape flourishes
only because it is ignored.
I'm still chilled by the matter-of-fact explanation I received as to why it is women who collect firewood, even though
they're the ones who are raped. The reason is an indication of how utterly we are failing the people of Darfur, two years
into the first genocide of the 21st century.
"It's simple," one woman here explained. "When the men go out, they're killed. The women are only raped."
http://www.nytimes.com/2005/06/05/opinion/05kristof.html
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New CrisisWatch bulletin from the International Crisis Group
01/06/2005
CrisisWatch No.22, 1 June 2005
Thirteen conflict situations around the world deteriorated in May 2005, according to this
month's edition of CrisisWatch.* In Uzbekistan, following months of public unrest, government troops in the eastern city of Andijon fired indiscriminately
into protesters, killing as many as 750 mostly unarmed civilians, including women and children. More than 570 were killed
in a wave of violence in Iraq. Pakistan suffered sectarian attacks that left dozens dead, and at least 19 were killed in violent
anti-U.S. demonstrations in Afghanistan.
Lethal bomb blasts shook Central Sulawesi in Indonesia, site of serious Christian-Muslim
fighting in 1999-2001. In the most serious attack on the Burmese capital Yangon in recent history, three coordinated blasts
killed at least 19 and injured 162. Fifteen died in clashes in Somalia, threatening the fragile transitional government. Amid
continued economic decline and fears of famine, conditions in Zimbabwe further worsened when the government announced plans
for the demolition of shacks home to one million urban poor. The situations also deteriorated last month in Angola, Bolivia,
North Korea, Papua New Guinea and Turkey.
May 2005 also brought improvements to the conflict situations in six countries. Georgia
had a positive month with the signing of a major agreement that plots the full withdrawal of Russian forces from Georgia by
the end of 2008. Relations across the Taiwan Strait took a step for the better as China announced a lifting of its ban on
most travel to the island. The peace process in Cote d'Ivoire made limited progress with a deal on disarmament. The situations
also improved in Central African Republic, Kyrgyzstan, and the Philippines.
For June 2005, CrisisWatch identifies the Democratic Republic of the Congo,
Guinea, Guinea-Bissau, Somalia and Uzbekistan as Conflict Risk Alerts, or situations at particular risk of new or significantly
escalated conflict in the coming month. No new Conflict Resolution Opportunities were identified for June.
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