Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system

Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system
In this photo provided by the Gokdeniz family, Burcu Gokdeniz holds her newborn baby Umut Ali Gokdeniz for the first time moments after the preterm birth in Istanbul, Turkey, on Aug. 25, 2020. (Gokdeniz family via AP)
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Updated 02 November 2024
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Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system

Deaths of 10 newborns shake millions’ trust in Turkiye’s health care system
  • Turkish prosecutors have accused 47 doctors and other medical workers of neglect or malpractice in the deaths of 10 newborns since last year
  • Prosecutors say that the evidence clearly shows medical fraud for profit, although they haven’t said how much the defendants allegedly earned

ANKARA, Turkiye: The mother thought her baby looked healthy when he was born 1.5 months early, but staff swiftly whisked him to the neonatal intensive care unit.
It was the last time Burcu Gokdeniz would see her baby alive. The doctor in charge told her that Umut Ali’s heart stopped after his health deteriorated unexpectedly.
Seeing her son wrapped in a shroud 10 days after he was born was the “worst moment” of her life, the 32-year-old e-commerce specialist told The Associated Press.
Gokdeniz is among hundreds of parents who have come forward seeking an investigation into the deaths of their children or other loved ones since Turkish prosecutors accused 47 doctors, nurses and ambulance drivers and other medical workers of neglect or malpractice in the deaths of 10 newborns since last year.
Turkiye guarantees all citizens health care through a system that includes both private and state institutions: The government reimburses private hospitals that treat eligible patients when the public system is overwhelmed.
President Recep Tayyip Erdogan’s ruling party, in power since 2002, has promoted the expansion of private health care facilities to improve access in the country of 85 million people. The case of the newborn deaths has put for-profit health care for the country’s most vulnerable — newborns — into the most horrifying light imaginable.
The medical workers say they made the best possible decisions while caring for the most delicate patients imaginable, and now face criminal penalties for unavoidable unwanted outcomes.
Shattered parents say they have lost trust in the system and the cases have prompted so much outrage that demonstrators staged protests in October outside hospitals where some of the deaths occurred, hurling stones at the buildings.
After the scandal emerged, at least 350 families petitioned prosecutors, the Health Ministry or the president’s office seeking an investigation into the deaths of their loved ones, the state-run Anadolu Agency reported.
 




In this photo provided by the Eskici family, Eymen, the newborn son of Ozan Eskici and Ebru Eskici, lays in an incubator in the now closed Istanbul's Reyap Hospital neonatal intensive care unit in April 2019. (Eskici family via AP)

The prosecution’s case
Prosecutors are demanding up to 583 years in prison for the main defendant, Dr. Firat Sari, who operated the neonatal intensive care units of several hospitals in Istanbul. Sari is charged with “establishing an organization with the aim of committing a crime,” “defrauding public institutions,” “forgery of official documents” and “homicide by negligence.”
Prosecutors say that the evidence clearly shows medical fraud for profit, although they haven’t said how much the defendants allegedly earned. An indictment issued this month accused the defendants of falsifying records, and placing patients in the neonatal care units of some private hospitals for prolonged and sometimes unnecessary treatments in facilities unprepared to treat them.
The indictment and the testimonies of nurses who have come forward suggest that the newborns were sometimes transferred to hospitals that were understaffed and had outdated equipment or insufficient medicine.
The indictment and testimonies also claim that the defendants withheld treatment and gave false reports to parents in order to keep hospital stays long as possible and to embezzle the social security system out of more money. The indictment alleges that the long-term stays coupled with patient mistreatment resulted in babies’ deaths.
The prosecutor’s office included hundreds of pages of transcripts of audio recordings in the indictment but the recordings themselves were not made available to the public.
In one of the transcripts, a nurse and a doctor talk about how they mishandled the treatement of a baby and agree to fake the the hospital record. The transcript describes the nurse as saying: “Let me write in the file the situation worsened, and the baby was intubated.”
Suspect Hakan Dogukan Tasci — a male nurse — is described as accusing Sari of compromising patient care by leaving just him in charge at the hospital instead of having a doctor present in the intensive care unit.
Tasci is also described as accusing an ambulance driver, who is among the 47 who have been charged in the scandal, of transferring babies to some hospitals for “profit.”
“He does not check whether the hospital is suitable for these newborn babies or not, he risks the lives of the babies and sends them to hospitals just to make money,” the indictment quotes the male nurse as saying.
In an interview with the Turkish newspaper BirGun, Dr. Esin Koc, president of the Turkiye Neonatology Association, said that the private hospitals in the indictment most likely had “insufficient staff.”
“They made it seem like there were doctors who didn’t exist,” she told BirGun.
She said that her association conducted inspections of the neonatal intensive care units of private, state and university hospitals in about 40 hospitals in 2017 and while university and state hospitals were good, “there were problems in private hospitals at that time.”
Years without a family, then a death
After years of fertility treatment, Ozan Eskici and his wife welcomed twins — a boy and a girl — to one of Sari’s hospitals in 2019. Although the babies initially appeared to be healthy, both were admitted to intensive care. The girl was discharged after 11 days, but the boy died 24 days later.
During questioning by prosecutors, Sari denied accusations that the babies were not given the proper care, that the neonatal units were understaffed or that his employees were not appropriately qualified, according to a 1,400-page indictment.
He told prosecutors: “Everything is in accordance with procedures.”
This week, a court in Istanbul approved the indictment and scheduled the trial date for Nov. 18 in a case that whose defendants are increasingly isolated.
Lawyer Ali Karaoglan said he and two other attorneys who represented Sari during the investigation have recently withdrawn from the case. And authorities have since revoked the licenses and closed nine of the 19 hospitals implicated in the scandal, including one owned by a former health minister.
The scandal has led main opposition party leader Ozgur Ozel to call for all hospitals involved to be seized by the state and nationalized. Erdogan said those responsible for the deaths would be severely punished but warned against placing all blame on the country’s health care system.
“We will not allow our health care community to be battered because of a few rotten apples,” Erdogan said, calling the alleged culprits “a gang of people devoid of humanity.”
“This gang ... committed such despicable atrocities by exploiting the facilities provided by our state to ensure citizens with higher quality and more accessible, affordable health care,” Erdogan said.
No more trust in the system
Gokdeniz, who gave birth in 2020, said she trusted Sari and accepted her son’s death as natural until she watched the scandal unfold in TV news and on social media.
“It all started to fall into place like dominoes,” she said.
Eskici, too, had placed complete trust in Sari, whose assurances he now views as cruel deceptions.
“The sentences he told me are in front of my eyes like it was yesterday,” he said.
Sibel Kosal, who lost her baby daughter Zeynep at a private hospital in 2017, is also seeking answers. She says the scandal has shattered her trust in the health care system and left her in constant fear for her surviving children.
“They have ruined a dad and a mom,” she said.
Kosal pleaded to the authorities to take immediate action.
“Don’t let babies die, don’t let mothers cry,” she said. “We want a livable world, one where our children are safe.”
 


Hamas military arm releases new video of Israeli hostage in Gaza

Hamas military arm releases new video of Israeli hostage in Gaza
Updated 56 min 24 sec ago
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Hamas military arm releases new video of Israeli hostage in Gaza

Hamas military arm releases new video of Israeli hostage in Gaza
  • The man identified himself as an Israeli hostage held in Gaza

JERUSALEM: The military arm of the Palestinian militant group Hamas released a video Saturday of a man identifying himself as an Israeli hostage held in Gaza since the October 7, 2023 attack on Israel.
In the video, whose date cannot be verified, a man addresses US President-elect Donald Trump in English and Israeli Prime Minister Benjamin Netanyahu in Hebrew.


Gaza rescuers say 3 aid workers killed in Israel strike

Gaza rescuers say 3 aid workers killed in Israel strike
Updated 30 November 2024
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Gaza rescuers say 3 aid workers killed in Israel strike

Gaza rescuers say 3 aid workers killed in Israel strike
  • The agency said the aid workers killed were Palestinian employees of World Central Kitchen
  • The US aid group did not immediately respond to AFP requests for comment

GAZA: Gaza’s civil defense agency said three aid workers were killed in an Israeli air strike in the Hamas-run territory on Saturday but the Israeli army said it killed a “terrorist.”
The agency said the aid workers killed were Palestinian employees of World Central Kitchen. The US aid group did not immediately respond to AFP requests for comment.
The Israeli army said it had “struck a vehicle with a terrorist that took part in the murderous October 7 massacre,” referring to militant group Hamas’s unprecedented attack on Israel last year.
“The claim that the terrorist was simultaneously a WCK worker is being examined,” it added in a statement.
Civil defense agency spokesman Mahmud Bassal said the bodies of “at least five dead were transported (to hospital), including (those of) the three employees of World Central Kitchen.”
“All three men worked for WCK and they were hit while driving in a WCK jeep in Khan Yunis,” Bassal said, adding that the vehicle had been “marked with its logo clearly visible.”
The Israeli army insisted its strike in the main southern city hit “a civilian unmarked vehicle and its movement on the route was not coordinated for transporting of aid.”
In April, an Israeli air strike killed seven WCK staff — an Australian, three Britons, a North American, a Palestinian and a Pole.
Israel said it had been targeting a “Hamas gunman” in that strike but the military admitted a series of “grave mistakes” and violations of its own rules of engagement.
The October 2023 attack resulted in the deaths of 1,207 people, most of them civilians, according to an AFP tally of Israeli official figures.
Israel’s retaliatory military offensive has killed 44,382 people in Gaza, according to figures from the territory’s health ministry which the United Nations considers reliable.


Several wounded in two Israeli strikes in south Lebanon, health ministry says

Several wounded in two Israeli strikes in south Lebanon, health ministry says
Updated 30 November 2024
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Several wounded in two Israeli strikes in south Lebanon, health ministry says

Several wounded in two Israeli strikes in south Lebanon, health ministry says
  • Later on Saturday, another person was injured in a separate Israeli strike on Al Bisariya
  • The Israeli military said it had attacked a Hezbollah facility

CAIRO: An Israeli strike on a car wounded three people, including a seven-year-old child, on Saturday in the south Lebanon village of Majdal Zoun, the Lebanese Health Ministry said in a statement.
Later on Saturday, another person was injured in a separate Israeli strike on Al Bisariya, which lies near the southern Lebanese city of Sidon, the ministry said.
The Israeli military said it had attacked a Hezbollah facility in Sidon that housed rocket launchers for the armed group.
It added that it had also hit a vehicle in southern Lebanon loaded with rocket-propelled grenades, ammunition and military equipment as part of its actions against ceasefire violations.
A truce came into effect on Wednesday, but both sides have accused each other of breaching a ceasefire that aims to halt over a year of fighting.


West faces ‘reckoning’ over Middle East radicalization: UK spy chief

West faces ‘reckoning’ over Middle East radicalization: UK spy chief
Updated 30 November 2024
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West faces ‘reckoning’ over Middle East radicalization: UK spy chief

West faces ‘reckoning’ over Middle East radicalization: UK spy chief
  • MI6 head Richard Moore cites ‘terrible loss of innocent life’
  • ‘In 37 years in the intelligence profession, I’ve never seen the world in a more dangerous state’

LONDON: The West has “yet to have a full reckoning with the radicalizing impact of the fighting, the terrible loss of innocent life in the Middle East and the horrors of Oct. 7,” the head of Britain’s foreign intelligence service MI6 has warned.

Richard Moore made the comments in a speech delivered to the British Embassy in Paris, and was joined by his French counterpart Nicolas Lerner.

Moore said: “In 37 years in the intelligence profession, I’ve never seen the world in a more dangerous state. And the impact on Europe, our shared European home, could hardly be more serious.”

Daesh is expanding its reach and staging deadly attacks in Iran and Russia despite suffering significant territorial setbacks, he added, warning that “the menace of terrorism has not gone away.”

In October last year, Ken McCallum, the head of Britain’s domestic intelligence service MI5, said his agency was monitoring for increased terror risks in the UK due to the Gaza war. More than 40,000 Palestinians have been killed in Gaza in over a year of fighting.

In Lebanon, a 60-day truce agreed this week between Hezbollah and Israel brought an end to a conflict that has killed thousands of Lebanese civilians.


Israel military strikes kill 32 Palestinians in Gaza, medics say

Israel military strikes kill 32 Palestinians in Gaza, medics say
Updated 30 November 2024
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Israel military strikes kill 32 Palestinians in Gaza, medics say

Israel military strikes kill 32 Palestinians in Gaza, medics say
  • Among the 32 killed, at least seven died in an Israeli strike on a house in central Gaza City

The Israeli military said it killed a Palestinian it accused of involvement in Hamas’ October 7 attack on Israel in a vehicle strike in Gaza, and is investigating claims that the individual was an employee of aid group World Central Kitchen.
At least 32 Palestinians were killed in Israeli military strikes across Gaza overnight and into Saturday, with most casualties reported in northern areas, medics told Reuters.
Later on Saturday medics said seven people were killed when an Israeli air strike targeted a vehicle near a gathering of Palestinians receiving aid in the southern area of Khan Younis south of the enclave.
According to residents and a Hamas source, the vehicle targeted near a crowd receiving flour belonged to security personnel responsible for overseeing the delivery of aid shipments into Gaza.
Among the 32 killed, at least seven died in an Israeli strike on a house in central Gaza City, according to a statement from the Gaza Civil Defense and the official Palestinian news agency WAFA early on Saturday.
The Gaza Civil Defense also reported that one of its officers was killed in attacks in northern Gaza’s Jabalia, bringing the total number of civil defense workers killed since October 7, 2023, to 88.
Earlier on Saturday, WAFA reported that three employees of the World Central Kitchen, a US-based, non-governmental humanitarian agency, were killed when a civilian vehicle was targeted in Khan Younis, southern Gaza.
The World Central Kitchen has not yet commented on the incident.