Dr. Beat Richner, Kantha Bopha Children`s Hospitals
 
Phnom Penh / Siemreap Angkor
The Human Rights Day,10.12.99
 
 
To The President
of the International Court of Justice
and Human Rights.
Peace Palace
2517 KJ The Hague
The Netherlands
 
 
 
President,
Your Honour,
 
Out of the experiences as founder and director of three Children's Hospitals in the Kingdom of Cambodia, which are treating 30 000 hospitalised children and 400 000 outpatients per year (all free of charge), let me file the following suit against the UN`s Organisations WHO and Unicef and other Organisations which follow the UN`s policy for Health care in poor countries for poor people sue crimes against Humanity and sue the violation of the convention on the Right of the Child (Article 24).
 
On September 25th 1998 an appeal was launched with the WHO in Geneva. This appeal
„ The passive genocide of Cambodia `s children" was asking for change in the WHO`s and other organisation`s policy and strategy poor medicine for poor people in poor countries.
 
Up to now nothing has changed.
 
Even worse : Representatives of UN Organisations and other Organisations try to undermine activities which show the truth of the actual horrible Health situation in Cambodia. They try to undermine activities of doing correct diagnosis and correct treatment of suffering children . WHO told the public in medias (Dr.Julian Lob-Levit, Health planning and management, Ministry of Health Phnom Penh) in May 1997: Kantha Bopha is wrong. Its conception is wrong , too expensiv related to the Budget of Health of Cambodia.
Kantha Bopha I and II have hospitalised 1998 28 000 very sick children. 1998 there was an Epidemia of Dengue Fever. In Cambodia 12 400 cases were registrated. Among these 12 400 children 10 000 cases (the Diagnosis confirmed ) were hospitalised in Kantha Bopha. 60 % arrived in shock. So 60 % would have died without Kantha Bopha. Only 1,5% have died. But WHO`s representative Dr.Julian Lob-Levit endangered the existence of Kantha Bopha , he endangered the private and spontanous funds by spreading out the WHO`s desastres comment and condemnation.What would happen without the facilities of the Kantha Bopha Hospitals?
You can not manage it in a cheaper way…a haemorrhagic shock has to be treated by blood transfusion. If you do not expend money for the tests (500 000 USD per year, 50 USD per blood bottle: these are additional costs for the three Kantha Bopha's bloodbanks) you contaminate the children by HIV and Hepatitis as it is done in the bloodbanks over all Cambodia`s dispenseries, installed , sponsored and praised by the International Organisations. You get to be criminal. And we see children contaminated by these centers and passing away.
 
50 % of Kantha Bopha`s operating costs budget (9 Million USD) is used for efficient medicines and efficient drugs. All this money is going back to the rich countries, where these drugs are produced. The representatives of WHO and Unicef sent by these rich countries, how do they want to treat all these 28 000 hospitalised children and all the
400 000 outpatients in the Kantha Bopha Hospitals?
 
 
On March 31st 1999 we opened a third Children`s Hospital in Siem Reap. Representatives of the Unicef ( Dr.Rob Overtoom ) and a representative of the Swiss Red Cross (Dr.T.Achard) told the public several times in medias not to build this Hospital.There is no need, they told the media. So they endangered the private funds needed for building and running this Hospital. Representatives of the DEZA (Direktion fuer Entwicklung und Zusammenarbeit, a section of the Swiss Foreign Ministry) was opposed in public to this Hospital .They call it subversion of the actual Health System (which is created and managed by WHO).
 
Since March 31st 1999 we have there hospitalised 3800 very sick children. 80% would have died without the facilities of this Hospital. 80% would have died if the policy and the statements in public by these representatives and responsibles were followed.
What we actually see in Siem Reap is horrible: Children thin like children being seen in concentration camps. Malnourished not because of lack of food but because of chronical Tuberculosis, some suffering from the severest forms of Tuberculosis: Meningitis, Pott, Miliaris,etc. Medical Illtreatment, Maltreatment and Notreatment of children by a Health system created and sustained by WHO. These 10 Health centers and dispensaries around Siem Reap managed by Unicef since years (Dr.Rob Overtoom) have no efficiency. Neither diagnosis are done nor correct and efficient medicine and drugs are applicated. Vaccinations are not done in a efficient and significant way: we see hundreds of Measles, a lot of cases of Tetanus. But the representatives of these Organisations are thinking their system with Health centers and dispensaries, which actually does not work , is enough for poor people in poor countries. Sustaining the poverty, sustaining the suffering, sustaining their positions as Lords of poverty.
 
 
 
At times the representatives of WHO and Unicef defend themselves by denying their own responsibilty: "The responsabilty lies in the hand of the Ministry of Health.We are consultant." But by these public statements mentioned above , by running such centers , it gets to be obvious: they are culprits.
It is a crime to continue this system. A crime against humanity.
 
President, Your Honour,
according to Article 34, paragraph 1, of the Statute of the Court of Justice and Human Rights only States may be parties in cases before the Court.
 
In a letter by the Ministry of Health (April 1995) adressed to Cambodia's two Prime Ministers, the Ministers of Intern and Foreign Affairs, in a letter enginiered by WHO , Kantha Bopha was declared as State in the State not following the protocols. (That is one factor explaining the medical success and the vital importance of Kantha Bopha for Camboidia's children). So the UN's Organisation of Health considers Kantha Bopha as State.
On the other hand: where you can find Justice in cases of crimes against humanity committed by UN? So please accept the following Statement of claim.
 
President , Your Honour,
I thank you for your help in the name of the human rights of the poorest children in one of the poorest country of the world.
 
Sincerely Yours Dr. Beat Richner
 
Enclosed: Statement of claim
Booklet: The passive Genocide of Cambodia's Children
Texte de Norodom Sihanouk,Roi du Cambodge pour
le Dr.Beat Richner
 
Statement of claim
against the UN`s Organisations WHO and Unicef and other organisations following and executing the UN´s Health Policy for poor people in poor countries sue crimes against humanity and sue the violation of the convention on the Rights of the Child (Article 24).
 
Crimes against Humanitiy
Organised and programmed deprivation of access to medicine.
In addition this must be seen as act of discrimination: the representatives of the acting UN's Organisations are asking for other standards concerning their own health and the health of their own children. And they get it: Evacuations, correct treatment, correct vaccinations ,etc. These all are measures outside the Healthsystem they created and are sustaining for poor people in poor countries. So it is a crime of apartheid too.
 
Violation of the convention on the Rights of the Child.(Article 24)
Systematical Illtreatment ,Maltreatment and Notreatment destroying thousands of Children`s lives.
 
By the policy of WHO recommending ineffective and killing medicine and drugs.
 
By the policy of UNTAC and WHO having created the worst AIDS Epidemy ever seen which could be prevented.
 
By the Policy of WHO and Unicef recommending not to do the JEV (Japanese Encephalitis Virus) vaccination.
 
By the Policy of WHO and Unicef hindering from doing correct Diagnosis and treatment of Tuberculosis of Children.
 
 
By the policy of WHO recommending ineffective and killing medicine and drugs.
 
Most organisations still use in case of grave and milder infections the cheap antibiotic chloramphenicol. This drug is still on the essential-drug list of WHO. In Cambodia the germs, which cause purulent meningitis (Haemophilus, Meningococcs) are up to 75% resistant to chloramphenicol. The bacteria causing typhoid fever up to 96%. This cheap medication not only is not efficient, but it kills. Since 1970 it is no more used for children in the rich world. The chances for a child suffering from leukaemia rises 13 times after the treatment with chloramphenicol. In addition, there are isolated anemia and bone marrow aplasia deadly side effects. Using this medication is much more dangerous in Cambodia than in Europe: the liver of children whose liver functions usualy have been affected by diseases &endash; dengue fever, malaria, hepatitis, tuberculosis etc.- would not be able to metabolize the medication properly.
In Kantha Bopha we have seen hundreds of children bleeding and passing away by the application of Chloramphenicol by Organisations, dispenseries or others, beeing legalised and recommended by WHO.
 
Since the opening of Kantha Bopha in November 1992, we have been using the expensive medicine Rocephine instead of chloramphenicol. WHO dismisses it as luxuary. But Rocephine is still the only efficient ans correct alternative for children.
 
 
By the Policy of UNTAC and WHO having created the worst AIDS Epidemy ever seen which could be prevented.
 
Until 1991, Cambodia was more or less a closed society. It had always been the custom for a young man to have his first sexual experience in a brothel. It was considered good form. AIDS was not known. In 1992 14 000 UN troops and a UN administrative personnel of 8 00 arrived in the country to run the elections (UNTAC).
Up to 5 percent of the troops was infected with HIV before arriving. Intervention programs and measures, including those of the commander of the UN medical corps, were rejected by the leadership of the UN (UNTAC under Mr.Akashi) and the WHO. People should not be discriminated against, said their representatives. Everyone should enjoy the girls, Mr.Akashi said. The WHO did nothing. AIDS spread like wildfire.
In 1992, when Children`s Hospital Kantha Bopha was opened, there was no AIDS. In 1996, there was already 242 cases; in 1997 429 , in 1998, 582 cases. And this year there is a dramatic increase: in the last three months there have been three new cases every day. This terrific catastrophe of AIDS is evident in the blood banks of Kantha Bopha I, Kantha Bopha II and Jayavarman VII in Siem Reap- 7 percent of the donors are HIV positive.
The children are infected by their mothers. Now more than 5 percent of hospitalised children under age 5 are HIV positive, which makes Kantha Bopha the children`s hospital with the highest HIV infection rate in the world.
 
 
WHO is telling the medias Kantha Bopha is wrong ,it is too expensiv. It is the only place where the blood transfusions are controlled in a correct but an expensive manner. It is the AIDS Epidemia produced and accelerated by the UN which causes a lot of costs to Kantha Bopha.
On the provincial and district level there is no control.
In Kantha Bopha Hospital we have seen children passing away infected by blood transfusion applicated in the provinces.
 
 
 
By the policy of WHO recommending not to do the JEV vaccination
 
We first serologically established the endemic and at times epidemic incidence of Japanese encephalitis in Cambodia five years ago. For the last three years the definite proof from CT (installed in Kantha Bopha II) has been available: cerebral infarctions &endash; terrible, irreversible destruction of children`s brains. Even if the patients survive, normal life with normal intelligence is in most cases over. In 1997 alone , 700 children in Kantha Bopha died of this disease. The fataly rate is given 34%. We have found a fatality rate of 20% here. Sadly, many of the surviving children suffer from light to severe neurological, motor, and intellectuel deficits for the rest of their lives.
There is an efficient vaccine available. The WHO turned out a deaf ear to our repeted four and three years ago for a mass vaccination program: it was unnecessary and too expensive for such a poor country.
In Kantha Bopha we started the vaccinations three years ago. It is expensive.
But among these thousands of vaccinated children there is no case of JEVdisease.
 
 
By the policy of WHO and UNICEF preventing from doing correct diagnosis and treatment of the Children`s Tuberculosis.
 
Kantha Bopha Children`s Hospitals are still the only places in Cambodia where Tuberculosis can be diagnosed an treated in a correct and controlled manner (during 6 up to 9 months time). At times more than 5000 children are treated in the Kantha Bopha Hospitals.The Diagnosis and the correct treatment is expensiv.
 
But if Tuberculosis is not treated sooner or later the child will pass away .
 
The sick child will contaminate others .
 
Suffering by chronical Tuberculosis superinfectious diseases as dengue fever, malaria, thyphus are much more aggressive because the child is weakend by Tuberculosis.
 
As we started the third Hospital in Siem Reap on March 31st the evidence was terrible: There are children being thin like children in concentration camps suffering by evident Tuberculosis. They are suffering since two or three years (Fistulisations, Pott since two, three years, longtime destroyed lungs..).They are chronically malnourished not by lack of food but by longtime suffering from chronical Tuberculosis.
75% of all hospitalised children in Siem Reap are suffering from Tuberculosis.
By the province Siem Reap's official statistic 20 case were registrated last year.But the first month only the Hospital was opened there were 240 evident cases….
 
The Health system installed since years by WHO, Unicef and World Bank around Siem Reap does ignore the most important disease. There are no facilities for the diagnosis of Tuberculosis. Up to now all these children were suffering whole their life until they were passing away noticed by no statistic. A system created by the International Organisations hiding the Problem Number One. Hiding the truth. Sustaining suffering and passing away. And the representatives who are responsible on this system told the public not to build the Hospital Jayavarman VII, Annexe of Kantha Bopha in Siem Reap.
 
 
 
Dr. Beat Richner, 10.12.99

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