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DATE=10/11/1999 TYPE=CORRESPONDENT REPORT TITLE=W-H-O / EAST TIMOR (L-ONLY) NUMBER=2-254877 BYLINE=LISA SCHLEIN DATELINE=GENEVA CONTENT= VOICED AT: INTRO: The World Health Organization, W-H-O, warns its operations in East Timor will come to an end within the next two or three months unless it gets more money. Lisa Schlein reports that the Geneva- based agency says its appeal for nine-million dollars has not been successful, thereby jeopardizing important public health programs in East Timor. TEXT: The World Health Organization is providing technical assistance to other United Nations and private aid agencies in East Timor. It is setting up a communicable disease surveillance system to control key diseases such as tuberculosis, malaria and cholera. W-H-O Emergency Health Officer, Khalid Shibid, says the organization also coordinates the activities of the many so-called health actors working in East Timor. By that he means recognized organizations, such as the Red Cross and Doctors without Borders, as well as dozens of church and private groups that have come to help the East Timorese. /// SHIBID ACT /// Each of these actors has its own norms and standards, its own procedures and its own way to tackle health problems. Without coordination, we will have chaos in the health field that might be very adverse to the health of the population of East Timor. /// END ACT /// Dr. Shibid says W-H-O does not run clinics or hospitals or provide direct health care for people. He says W-H-O's strength is in providing guidance for health workers. For this to be successful, he says, W-H-O has to have health officers in the field to advise and coordinate health needs. He says this cannot be done from W-H-O headquarters in Geneva. He adds that a lack of proper guidance and coordination could create a very dangerous situation. /// 2ND SHIBID ACT /// If different patterns of treatment are used for treating the same disease, then the result will be drug resistance. For example, new strains of tuberculosis or malaria, which is now a big problem worldwide, or any other communicable disease. /// END ACT /// Dr. Shibid says East Timor has been very lucky so far in that there have not been any serious outbreaks of disease. But, he notes, this is likely to change because of the bad conditions that exist in the territory. He says many people are homeless and forced to live in crowded and unsanitary conditions. East Timor's health system has been completely destroyed. In addition to that, he says, the rainy season is coming and this is likely to cause an epidemic of malaria. (Signed) NEB/LS/GE/JP 11-Oct-1999 10:50 AM EDT (11-Oct-1999 1450 UTC) NNNN Source: Voice of America .





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