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EDITOR
Dr. Saiful I. Dildar



 

 


I.T. Manager
Mohammad Ruhul Amin



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The Institute of Rural Development-IRD



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Bangladesh Human Rights Commission (BHRC)
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Editorial

‘Fortnightly’  পাক্ষিক

‘Manabadhikar’মানবাধিকার

২৮তম বর্ষ ৬৬৭তম সংখ্যা ১ এপ্রিল ২০২০ইং

 


করোনায় বেহাল চিকিৎসাব্যবস্থা



দেশের চিকিৎসাব্যবস্থায় হযবরল অবস্থা চলছে। করোনাভাইরাসের প্রভাব পড়েছে রাজধানীসহ দেশের বিভিন্ন সরকারি-বেসরকারি হাসপাতালে। করোনার চিকিৎসা করতে গিয়ে অন্যান্য রোগের চিকিৎসা প্রায় বন্ধই হয়ে গেছে। দেখা গেছে, স্বাভাবিক সময়ে যেসব হাসপাতাল ও ক্লিনিক রোগীতে ঠাসা থাকত, সেগুলো এখন প্রায় রোগীশূন্য। করোনা ছাড়া বিভিন্ন রোগে আক্রান্ত হয়ে যারা হাসপাতালে ভর্তি হয়েছেন, চিকিৎসাসেবা না পেয়ে তারাও হাসপাতাল ছাড়ছেন। এমনকি অনেক বিশেষজ্ঞ চিকিৎসক বন্ধ রেখেছেন প্রাইভেট চেম্বারে রোগী দেখা। সংবাদমাধ্যমে খবর বেরোচ্ছে, অনেক রোগী এ হাসপাতাল-সে হাসপাতাল ঘুরে শেষ পর্যন্ত চিকিৎসা না পেয়ে মৃত্যুবরণ করছেন। বস্তুত করোনা আতঙ্কে চিকিৎসক ও নার্সদের একটি বড় অংশ সব ধরনের চিকিৎসাসেবা থেকে নিজেদের বিরত রেখেছেন। ব্যক্তিগত সুরক্ষা সরঞ্জামের (পিপিই) স্বল্পতা এবং সাধারণ রোগীরা যে করোনা আক্রান্ত নন, তা নিশ্চিত না হওয়ার কারণেই মূলত চিকিৎসাব্যবস্থায় এ সংকট দেখা দিয়েছে। এটা বলার অপেক্ষা রাখে না, অসংখ্য ধরনের রোগে আক্রান্ত হতে পারে মানুষ। কিন্তু দেখা যাচ্ছে, একদিকে ইতোমধ্যে আক্রান্ত রোগীরা যেমন চিকিৎসাসেবা পাচ্ছে না, অন্যদিকে রোগের উপসর্গ দেখা দেয়ার পর সংশ্লিষ্ট ব্যক্তির ডায়াগনসিসও করা যাচ্ছে না। এমন অবস্থায় চিকিৎসাসেবার বর্তমান অবস্থায় শঙ্কিত হয়ে পড়েছেন সবাই। সরকারের পক্ষ থেকে বলা হচ্ছে, দেশের হাসপাতালগুলোয় চিকিৎসকদের জন্য পর্যাপ্তসংখ্যক সুরক্ষা সরঞ্জাম দেয়া হয়েছে। তাই যদি হয়, তাহলে চিকিৎসকদের কেন এত ভয়? বিশেষজ্ঞদের মতে, বর্তমান সময়ে কোভিড-১৯-এ আক্রান্ত হয়ে যত মানুষের মৃত্যু হয়েছে, তার চেয়ে বেশি মানুষের মৃত্যু হয়েছে অন্যান্য রোগে আক্রান্তদের প্রয়োজনীয় চিকিৎসা না দেয়ার কারণে। এমনকি চিকিৎসক পরিবারের রোগীরাও পাচ্ছেন না হাসপাতালের চিকিৎসাসেবা। বেসরকারি চিকিৎসকদের অনেকেই ভালো চিকিৎসা দিয়ে থাকেন; কিন্তু তাদের চেম্বারগুলো বর্তমানে বন্ধ থাকায় সেখানে সাধারণ রোগীরা সেবা নিতে পারছেন না। বর্তমানে চিকিৎসাব্যবস্থায় যা চলছে, তা মেনে নেয়া যায় না। চিকিৎসা একটি মহৎ পেশা বলেই স্বীকৃত। এমন নজিরও রয়েছে, নিজের জীবন বিপন্ন করে হলেও অনেক চিকিৎসক রোগীর সেবা দিয়েছেন। এ কথা সত্যি, বর্তমান পরিস্থিতিতে করোনা আতঙ্ক রয়েছে সর্বত্র। চিকিৎসকদের মধ্যেও এই আতঙ্ক থাকা স্বাভাবিক। কিন্তু তাই বলে হাসপাতালগুলোর চিকিৎসকরা করোনা আতঙ্কে অন্যান্য রোগের চিকিৎসা দেবেন না, তা হতে পারে না। আমরা মনে করি, সরকারি-বেসরকারি কোনো চিকিৎসক বা হাসপাতালের বিরুদ্ধে রোগীর চিকিৎসা বা তাকে ভর্তি না করানোর অভিযোগের সত্যতা পাওয়া গেলে সংশ্লিষ্ট চিকিৎসক অথবা হাসপাতাল কর্তৃপক্ষের বিরুদ্ধে আইনানুগ ব্যবস্থা নেয়া দরকার।


 

 

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Don't worry, get ready to face any situation


 

 

Human Rights Report
Prime Minister Sheikh Hasina on Sunday asked the officials concerned to prepare a list of distressed people for providing government assistance so that they could face the tough time evolved over coronavirus pandemic,.
"I ask the officials concerned to prepare a list of distressed people and day-labourers…we've to think about these section of people… we've to provide food items to them," she said.
The Prime Minister said this while taking financial assistance from various public and private organisations for PM's Relief and Welfare Fund and 20,000 pieces of PPE for the treatment of coronavirus patients. She delivered her speech from her official residence Ganobhaban through a videoconference while Principal Secretary Dr Ahmad Kaikaus received the cheques and the PPE on behalf of her at the Prime Minister's Office. Sheikh Hasina said that it is very much important to provide food items to those who live hand to mouth. "We've to arrange protection for those people also." She mentioned that it would not be wise only to restrict this section of people from going outside. "Instead, their food and livelihood have to be ensured. We're a victorious nation…I believe we've the courage and strength to face any sort of disaster and calamities."




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BHRC & IHRC Human Rights Report on Marchy 2020 in Bangladesh

Total 146 persons killed in

March 2020


Human Rights Report:

The documentation section of Bangladesh Human Rights Commission (BHRC) and International Human Rights Commission-IHRC jointly furnished this human rights survey report on the basis of daily newspapers and information received from its district, sub-district and municipal branches. As per survey it appears that 146 peoples were killed in March, 2020 in all over the country. It proves that the law and order situation is not satisfactory. Bangladesh Human Rights Commissions extremely anxious about this situation. In the month of March, 2020 average 5 people were killed in each day.
The Law enforcing agencies and related Govt. departments should be more responsible so that percentage of killing May be brought down to zero level. To institutionalize the democracy and to build human rights based society the rule of law and order must be established everywhere. Through enforcing rule of law only such violation against human rights can be minimized.
It appears from documentation division of BHRC:
Total 146 person killed in March, 2020
killing by family violence 16, Killed due to social discrepancy 31, Killed by Law enforcing authority 22, Killed due to doctor negligence 4, Abduction 3, Assassination 4, Mysterious death 25
Killed by several accidents: Killed by road accident 238, B. Suicide 16
Besides victims of torture: Rape 17, Sexual Harassment 4, Torture for Dowry 2, Journalist torture 4, Acid throwing 1.


 

WHO for social distancing in Bangladesh to contain COVID-19   
 

Human Rights Report:
The World Health Organization (WHO) on Saturday recommended a set of suggestions, including maintaining social distancing in Bangladesh, to limit the spread of the COVID-19.
A delegation of WHO, led by its representative to Bangladesh Dr Bardan Jung Rana, placed the suggestions at a meeting with Dhaka South City Corporation (DSCC) Mayor Sayeed Khokon at his Banani residence this afternoon.
"During the meeting, WHO presented several alternatives that can be implemented for maintaining social distancing as well as communicating better with population on protecting themselves and the others," Catalin Bercaru, Communication and Media Relations, WHO Country Office in Dhaka, told BSS.
Earlier, the WHO representative told reporters, after the meeting, that they could not give any decision as it is up to the state policymakers to take decision to fight the coronavirus.
"None of us is out of risk. Everyone must remain alert from his or her respective position," he said.
Prime Minister's Personal Physician Dr ABM Abdullah, DSCC Secretary Mustafa Kamal Majumder and its chief health officer were present at the meeting.



 

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UNICEF finds children at heightened risk of abuse
 

Human Rights Report:

Millions of children around the world will likely to face increasing threats to their safety and wellbeing from caregivers because of actions taken to contain the spread of the COVID-19 pandemic, says UNICEF on Friday.
UNICEF has urged governments to ensure the safety and wellbeing of children amidst the intensifying socioeconomic fallout from the disease.
The UN children's agency, together with its partners at the Alliance for Child Protection in Humanitarian Action, has released a set of guidance to support authorities and organisations involved in the response.
In a matter of months, COVID-19 has upended the lives of children and families across the globe, according to a media release issued from New York.
School closures and movement restrictions are disrupting children's routines and support systems. Stigma related to COVID-19 has left some children more vulnerable to violence and psychosocial distress. At the same time, control measures that do not account for the gender-specific needs and vulnerabilities of women and girls may also increase their risk of sexual exploitation, abuse and child marriage.
Recent anecdotal evidence from China, for instance, points to a significant rise in cases of domestic violence against women and girls.
"In many ways, the disease is now reaching children and families far beyond those it directly infects," said Cornelius Williams, UNICEF Chief of Child Protection.



 

Drinking Water Security: Concerns, Causes and Countermeasures 

 

Human Rights Report:

Water, a renewable resource, dissolves nutrients and transfers them to cells, regulates global temperature, supports structure and removes waste products. Natural stores of water in hydrological cycle are oceans 97.41%, ice caps and glaciers 1.9%, ground water 0.5%, soil moisture 0.01, lakes and river 0.009% and atmosphere 0.0001%. In this planet, 97.5% water is saline where only 0.03% is pure to drink. Climate change, sea-level rising and global warming is changing the total global picture and it is true that third world countries are unable to face these emergency rather than first world countries.
Setting the Scene
"Water quality" is a technical term that is based upon the characteristics of water in relation to guideline values of what is suitable for human consumption and for all usual domestic purposes, including personal hygiene. Components of water quality include microbial, biological, chemical, and physical aspects.
Microbial Aspects: Drinking water should not include microorganisms that are known to be pathogenic. It should also not contain bacteria that would indicate excremental pollution, the primary indicator of which are coliform bacteria that are present in the feces of warm-blooded organisms. Chlorine is the usual disinfectant, as it is readily available and inexpensive. Unfortunately, it is not fully effective, as currently used, against all organisms.
Biological Aspects: Parasitic protozoa and helminths are also indicators of water quality. Species of protozoa can be introduced into water supply through human or animal fecal contamination. Most common among the pathogenic protozoans are Entamoeba and Giardia. Coliforms are not appropriate direct indicators because of the greater resistance of these protozoans to inactivation by disinfection. Drinking water sources that are not likely to be contaminated by fecal matter should be used where possible due to the lack of good indicators for the presence or absence of pathogenic protozoa. A single mature larva or fertilized egg of parasitic roundworms and flatworms can cause infection when transmitted to humans through drinking water. The measures currently available for the detection of helminths in drinking water are not suitable for routine use.
Chemical Aspects: Chemical contamination of water sources may be due to certain industries and agricultural practices, or from natural sources. When toxic chemicals are present in drinking water, there is the potential that they may cause either acute or chronic health effects. Chronic health effects are more common than acute effects because the levels of chemicals in drinking water are seldom high enough to cause acute health effects. Since there is limited evidence relating chronic human health conditions to specific drinking-water contaminants, laboratory animal studies and human data from clinical reports are used to predict adverse effects.
Physical Aspects: The turbidity, color, taste, and odor of water can be monitored. Turbidity should always be low, especially where disinfection is practiced.

 


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