Egypt - An example of hospital care

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Re: Egypt - An example of hospital care

Request for information about the weakness of influenza in Damietta
Wednesday, December 2nd, 2009 - 11:34


Jamal Al-Zainy
Damietta - Moataz El-Sherbini


MP Dr. Jamal Zainy member of the People in Damietta urgent request for information this morning, Wednesday, to Dr. Ahmed Fathi Sorour, directed to the Ministries of Health and Education on the causes of negligence in the Fever Hospital Faraskur and high rates of infection of swine flu at a school in the village of Badr beacon status Aghannmip Faraskur.

MP in his request that the hospital is suffering from neglect, as is clear from the low level of hygiene and how to deal with patients and methods of drug administration and the lack of refrigerator and freezer Tamiflu keeping doctors and the lack of balance to determine the weight of infected and non-availability of masks and gloves, as well as non-tighten the isolation rooms.

The MP urged the need to postpone the study to protect schoolchildren from this vicious attack of the disease, as the member asked the Minister of Health of the true numbers of cases infected in Egypt in recent days, and stressed that the resumption of school after the day is a serious danger threatens the lives of students.

The MP warned of rising numbers of patients returning from the hajj, and called for intensifying the follow-up and testing of all outlets and pilgrims arrive for the early detection of cases or carriers of the disease.

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Re: Egypt - An example of hospital care

Death in intensive care .. 80% of the rooms carriers of the infection and not in conformity with international standards according to a report of the Ministry of Health
Thursday, December 10th, 2009 - 20:28


Easily entered, and we take care of patients
Princess Salam - Photograph: Essam Al-Shami



Arab Ahmed, a patient with stroke in the brain has been transferred to the intensive care hospital in Sharm el-Sheikh International to settle in one room on the recommendation of doctors, because it is the safest room in the level and quality of medical service for patients in critical condition ever.

After 18 days of detention in the intensive care unit suffered respiratory and pulmonary complications and microbial infection doubled the risk of his health, prompting doctors to advise him to a room better equipped in Cairo. Drive his brother to a hospital ?Armed Forces? Agouza, where officials stressed it did not have rooms ready to receive intensive care with the ?Arab? after suffering a bed sore, and converted to a hospital ?agricultural? Dokki, in turn, referred to the Hospital ?King of Good? to witness the end of the Arab his life from his wounds, after suffering more than a month and lost consciousness and the ability to express the pain as you navigate the corridors of intensive care in Egyptian hospitals.

See the corridors of courts, doctors currently on trial for causing the death of 15 patients at one time in the intensive care unit Fayoum General Hospital, and there are hundreds of cases die per month in the rooms, which assumes it is surrounded by the highest level of protection.

According to a report of infection control issued by the Ministry of Health, the infection is acquired in hospitals, which affect patients, especially elderly and people with immune limited and patients who need long-term treatment such as intensive care patients, the most serious problems.

Global concept of dealing with the Chambers of intensive care is very different in appearance from the reality of Egypt, despite the lifting of all health facilities should not enter the global theme room care and intensive care by visitors with the necessity of sterilization for all staff and patrons donning the tools and buffer the hair, hands and feet, able to ?the seventh day ?to pass into the rooms next to the intensive care unit patients at risk of infection at any time under the critical condition which requires total isolation is not applicable in all Egyptian hospitals without exception, there may be uneven in quality but in its best does not reach the level required universality.

Infection spread within the types of intensive care, including urinary tract infections, and respiratory tract infections, blood poisoning and wound infection processes, and always show symptoms of infection acquired in hospital after at least 48 hours of admission to the hospital, but most of the infections acquired in hospital sources, which either internal within the patient's body, this type is linked to his health situation, or be transferred to him from the external environment, and this most common type of infection, and up to the patient through contact with patients because of complete separation in intensive care, or from the surrounding environment of the patient, or by direct exposure to medical equipment contaminated with microbes or other disinfectant in the correct format, or by visiting the patient in intensive care.

Various reasons lose intensive care means also confirmed the report of the World Health Organization standards set for intensive care, which requires that you be completely isolated from the rest of the hospital and without windows, and prevents the visit and companions, and equipped with a dedicated medical team does not work in other parts of sterile and prepared and trained to deal with critical situations.

Health workers, doctors, nurses, technicians and workers are at risk of infection is increased when the face of patients with different types of infection, which led to the escape of many of them for fear of contagion, and because of the lack of tangible benefit compared to exercise test effort within, so For the Ministry of Health doctors tighten the distribution of persons For sections, taking into account the balance between the type of work and incentives with the exchange of experiences and training programs.

Injury in stroke patients in intensive care rooms adjacent to become a characteristic of most patients because of the inability of patients to move, necessitating cause Specialist Physiotherapy medical team to the intensive care unit, a feature missing from most other rooms in intensive care in Egypt despite the fact that physiotherapists have an important role.

Dr. Sami Saad, the head physiotherapist at the hospital farm, to protect the patient from complications in intensive care by dealing with each of the respiratory system and regular and dynamic to the role of physiotherapy and the role that preventive and therapeutic, to prevent blood clots legs gathered as a result the length of time without clinical movement, as well as therapeutic exercises to avoid stiffness in the joints, bed sores and prevent the accumulation of respiratory secretions, which may lead to pneumonia, acute lung lead to power kills the patient, pointing out that a small number of hospitals which is attached to a natural therapist intensive care, and places known for their this role alone, Dr. Sheriff Mokhtar Palace in kind.

And the health ministry increased the proportion of intensive care in hospitals to 10% of the capacity of the family where, as Dr. Murtaja star, DFI Secretary-General of Hospitals of education, recognizing that the medical staff needs further training, development and specialization, and said that the visit should be prohibited in rooms intensive care reverse the current situation, which was established by the visit, the patient's condition.

?Star? emphasized that intensive care is not the most secure room in the hospital, but preceded by the operating room, but we're trying to reduce infection after scoring more than 90% of hospital infection rates, and by following the instructions by the medical staff in medical sterilization cleaning and periodic surveillance for infection control, which, if Anilltt reduce spending on antibiotics.

Many actions taken by the Ministry of Health but did not control the pace of work in intensive care until now the testimony of leaders of the Ministry of Health, which confirmed the adoption of the Code specific method of construction health intensive care since 75% of them are identical to the specifications of construction due to an equal age of hospitals being developed.

Intensive care have degrees and specialties vary depending on the patient's condition, said Dr Mohammad Murad, Dean of the Heart Institute, one of the most important hospital treated with critical situations, where the number of rooms to take care of the 104 rooms at a cost of operation of 2000 pounds per day and the cost of creating more than a quarter million pounds in the bed the one with the ongoing maintenance, asking that the model is based intensive care rooms open for ease of movement, with the appropriate size of the room and space for each patient, stressing that this trend is currently being used, with the need for human development which is more difficult than the development of the walls.

Because of these factors combined have died with the ?Arab Mr.? Bgeltth of his brain after failing to get medical attention focused in all the rooms they frequented, in the end to write the death certificate at the medical report confirmed that it is that you need to intensive care and not with the ?Arab? .

For your information ... span>
>> 250 thousand pounds, the cost per bed in the intensive care unit

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Re: Egypt - An example of hospital care

The information below is taken from and ongoing apprasial of the hospital system within egypt.Some of the hospitals had total scores under fifty a few as low as thirty.only a handful obtained something above eighty percent.

"Health" reveals the lack of infection control procedures in Fayoum
الخميس، 6 مايو 2010 - 11:03 Thursday, May 6th, 2010 - 11:03


د.جلال مصطفى سعيد محافظ الفيوم

D. Galal M. Said, Fayoum Governor
الفيوم - رباب الجالى Fayoum - Rabab Galy


كشف تقرير صادر من إدارة مكافحة العدوى بوزارة الصحة، عن وجود قصور شديد فى الالتزام بإجراءات مكافحة العدوى بمستشفيات المحافظة خلال شهر مارس الماضى. A report issued by the Department of Infection Control at the Ministry of Health, and a severe lack of commitment to infection control procedures for hospitals to maintain during the month of March.

وأكد التقرير وجود قصور شديد فى هذه الإجراءات فى مستشفيات طامية وإطسا وفيديمين وصدر الفيوم وإبشواى وحميات الفيوم وسنورس، كما رصد التقرير سوء الأداء فى الالتزام بإجراءات مكافحة العدوى عن التقييم السابق الذى تم خلال شهر سبتمبر 2009 بالمستشفيات نفسها، ووجود نقص ببعض الآلات الطبية فى بعض الأقسام فى مستشفيات إطسا المركزى وفيديمين وطامية، ولا يوجد التزام بغسل الأيدى ببعض الأقسام فى مستشفيات حميات الفيوم وطامية وفيديمين وإطسا المركزى. The report said there is seriously deficient in these procedures in hospitals Tamyah and Atsa and Vedimin was issued Fayoum Obcoay and fevers Fayoum Sonoras, and monitoring report of poor performance in respecting the procedures of infection control for the previous assessment, during the month of September 2009 hospital itself, and a shortage of some machinery medicine in some sections in hospitals in central and Atsa Vedimin and Tamyah, there is no obligation to washing hands with some sections in hospitals in Fayoum Fever Tamyah and Vedimin and Atsa Central.

كما لا يوجد بهذه المستشفيات أيضا التزام بارتداء الواقيات الشخصية ببعض الأقسام، كما لا تتوافر (ماسكات) عالية الكفاءة بالقسم المخصص لعزل الدرن الرئوى النشط بمستشفى صدر الفيوم، ولا توجد أى من مؤشرات التعقيم بكل من مستشفيات إطسا المركزى وحميات الفيوم وفيديمين، وتوجد فقط بعض شرائط من المؤشرات الكيميائية فى مستشفى طامية المركزى. There is also no such hospitals is also an obligation to wear condoms, personal some of the divisions, and is not available (masks) High efficiency section devoted to isolate tuberculosis active a hospital in Fayoum, and there are no indicators of sterilization of both hospitals Atsa Central and viruses Fayoum Vedimin, and there are just some of the tapes chemical indicators in a hospital in central Tamyah.

أكد التقرير وجود قصور فى توفير مفروشات الأسرة بكل من مستشفى إطسا المركزى وفيديمين، كما يوجد قصور فى تطبيق إجراءات الترصد فى مستشفى طامية وفيديمين، وعدم التزام معظم عمال النظافة بارتداء الواقيات الشخصية المناسبة وقصور فى النظافة فى المستشفيات التى شملها التقرير. The report emphasized the existence of deficiencies in the provision of bedding both central and hospital Atsa Vedimin, and there are deficiencies in the application of the surveillance in a hospital and Tamyah Vedimin, and lack of commitment by most of the cleaners to wear condoms and lack of appropriate personal hygiene in hospitals covered by the report.

أوضح التقرير أن التقييم الإحصائى للمستشفيات المدرجة بالبرنامج القومى لمكافحة العدوى بمحافظة الفيوم حصلت فيه مستشفى الفيوم العام على نسبة 76.7% ومستشفى الرمد 74.3% وإطسا المركزى 69% وإبشواى 65.6% وسنورس 67.6% وحميات الفيوم 66.7%، ومستشفى صدر الفيوم 60.1% وفيديمن 59% وطامية 58%، وأن النسبة العامة للمحافظة 66.3%. The report pointed out that the evaluation Statistical hospitals listed the program's national infection control in Fayoum Governorate got the hospital Fayoum General on the proportion of 76.7% and the Hospital of Ophthalmology, 74.3% and Atsa central 69% and Obcoay 65.6% and Sonoras 67.6% and viruses Fayoum 66.7%, and a hospital in Fayoum, 60.1% and Videmn 59% and Tamyah 58%, and the overall proportion of the province, 66.3%.
وطالب التقرير من الدكتور حسين صوفى أبو طالب وكيل وزارة الصحة بضرورة تلافى كافة السلبيات الموجودة فى التقرير وتكثيف المرور والإشراف والمتابعة على المستشفيات من الإدارات المختصة بمديرية الصحة بالمحافظة، وتكليف مديرى مستشفيات طامية وفيديمين وصدر الفيوم وإبشواى وحميات الفيوم وسنورس وإطسا بوضع خطة عاجلة للنهوض بمستوى مكافحة العدوى بهذه المستشفيات. The report called for by Dr Hussein Sophie Abu Taleb, Undersecretary of the Ministry of Health need to avoid all the negatives in the report and the intensification of traffic supervision and follow-up at hospital departments Department of Health to maintain, and ask the managers of hospitals Tamyah and Vedimin was issued Fayoum Obcoay and viruses Fayoum Sonoras and Atsa develop an immediate plan to raise the level of infection control these hospitals.

كان التقرير قد أكد أن مستشفى الفيوم العام يوجد بها فريق متفرغ لمكافحة العدوى، وتتم الاجتماعات الخاصة بلجنة مكافحة العدوى بصورة منتظمة شهريا، والفريق يعمل وفق خطة عمل ويقوم بالمرور اليومى على أقسام المستشفى، بالإضافة إلى وجود نوبتجيات من المرور الصباحى والمسائى، بالإضافة إلى توافر مستلزمات مكافحة العدوى بالمستشفى، وتم تطعيم معظم العاملين ضد الالتهاب الكبدى الفيروسى b، وأن حالة النظافة العمة بالمستشفى مرضية، وأضاف التقرير أن بعض العاملين فى أقسام المبتسرين والعمليات لا يلتزمون بتطبيق توصيات مكافحة العدوى. The report confirmed that the hospital Fayoum year we are a team dedicated to infection control, are meetings of the Commission on infection control on a regular basis each month, the group was working under a plan of action is to pass the daily sections of the hospital, in addition to a Nobtgiat traffic morning and evening, in addition to the availability of supplies infection control in hospital, most workers have been vaccinated against viral hepatitis b, and hygiene at the hospital sick aunt, the report added that some workers in the departments of premature and processes do not adhere to the application of the recommendations of infection control.

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Re: Egypt - An example of hospital care

The death of 8 children in a private hospital in Giza during the two months due to negligence

Via www.almasry-alyoum.com english translation

Its good to see Egypt pro-actively taking these types of actions based on public complaints.

This also indicates clearly some control systems have failed to adequately track and analyze certain matrix's across many industries.The health care field is not alone when it comes to the lack of necessary controls.

كتب سامى عبدالراضى ١٨/ ١٢/ ٢٠١٠ Sami wrote `Abd al Radi 18/12/2010
أمر المستشار الدكتور عبدالمجيد محمود، النائب العام، بحبس طبيب أطفال ٤ أيام على ذمة التحقيقات، وسرعة إحالته إلى المحاكمة الجنائية. Chancellor is Dr. Abdel Meguid Mahmoud, the Attorney General, the imprisonment of a pediatrician 4 days pending investigation, the speed of transmission to the criminal trial. أفادت تحقيقات أحمد الركيب، رئيس نيابة جنوب الجيزة الكلية، بأن الطبيب ?٣٨ سنة? يعمل رئيس وحدة الأطفال المبتسرين فى مستشفى خاص فى العمرانية بالجيزة، وأنه أهمل فى رعاية ٨ أطفال خلال شهرى أغسطس وسبتمبر الماضيين، وتسبب فى وفاتهم داخل المستشفى. According to investigations Ahmed El Rakeeb, President on behalf of the South Giza college, that the doctor ?38 years? The Head of Unit premature babies in a private hospital in urban Giza, and that he neglected to take care of 8 children during the months of August and September last, and caused the deaths inside the hospital. كشفت التحقيقات عن أن الطبيب كان يكلف الممرضات برعاية بعض الأطفال، رغم أن معلوماتهن ضعيفة ولا تكفل لهن القيام بالمهمة. Investigations revealed that the doctor was assigned to nurses under the auspices of some children, although their knowledge is weak and do not guarantee them to do the job.

وانتدبت النيابة لجنة سباعية من الطب الشرعى وانتقلت لفحص المستشفى وأجهزته، وتبين وجود ميكروب فى جهاز لشفط المياه فى غرفة حضانة الأطفال وحرزته اللجنة، وأعدت تقريراً بالواقعة، وتبين للمستشار مجاهد على مجاهد، المحامى العام لنيابات جنوب الجيزة، أن الإصابة بميكروبات فى الرئة والتنفس تسببت فى وفاة الأطفال، وأن ذلك سببه الإهمال الشديد بالمستشفى. And commissioned by the prosecution of the Commission seven-of Forensic Medicine and moved to inspect the hospital and its organs, showing the presence of microbe in the device to be drained in a room of child custody and Hrzath Committee, and prepared a report on the incident, and found adviser Mujahid, the Mujahid, Attorney General of Prosecutions South Giza, that the incidence of microbes in the lung and breathing caused the death of children, and that caused by severe neglect at the hospital.

واستمعت النيابة على مدار شهرين كاملين لأقوال عاملين فى المستشفى والمدير الإدارى به، وقدم الطبيب المتهم أوراقاً بعلاج الأطفال المتوفين وكيفية تعامله معهم أثناء تلقيهم العلاج بحضانة المستشفى، وانتدبت النيابة لجنة ثلاثية من الطب الشرعى لفحص الأوراق والتذاكر الطبية. And heard the prosecution over the two months of the statements of employees at the hospital and Managing Director of tags, and submitted a doctor accused of papers treating children of the deceased and how to deal with them while they are receiving treatment, custody of the hospital, commissioned by the prosecution of a tripartite committee of the forensic examination of papers and medical prescriptions. وأفادت اللجنة فى تقرير مفصل أرسلته للنيابة بأن الطبيب هو المسؤول الرئيسى عن وفاة الأطفال. The commission said in a detailed report sent to the prosecutor that the physician is primarily responsible for the death of children. وأمر أحمد الركيب، رئيس النيابة، بضبط وإحضار مدير بالمستشفى ومثوله للتحقيق لتورطه فى الإهمال. And ordered Ahmed El Rakeeb, the chief prosecutor, adjust and bring the hospital director and his or her investigation for his involvement in neglect.

واستمعت النيابة لأقوال ٣ من أعضاء لجنة العلاج الحر التابعين لوزارة الصحة، وأفادوا بأنهم أخطروا المهندس سيد عبدالعزيز، محافظ الجيزة، بأخطاء المستشفى، وأنه أصدر قراراً بإغلاقه على الفور. Prosecution and heard the statements of 3 of the members of the treatment free of the Ministry of Health, reported that they notified the Engineer Syed Abdul Aziz, Governor of Giza, the mistakes of the hospital, and it issued a decision to close it immediately.

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Re: Egypt - An example of hospital care

المنصورة.. Mansoura .. عاصمة الطب التى خطفت الأضواء من القاهرة تواجه الانهيار Capital of Medicine, who was snatched the limelight from Cairo faces collapse
الخميس، 6 يناير 2011 - 19:33 Thursday, January 6, 2011 - 19:33


مستشفى الأطفال

Children's Hospital
محمد عبد اللطيف - تصوير - ماهر إسكندر Mohammed Abdul-Latif - Photography - Maher Iskandar


تعسف التأمين الصحى ونقص التمريض يهددان مستشفى طب الأطفال.. Arbitrariness of health insurance and nursing shortage threatens the Children's Hospital .. والطوارئ ومركز الجهاز الهضمى يبحثان عن أجهزة وأماكن جديدة للمرضى And emergency center and gastrointestinal tract organs and the search for new places for patients

المنصورة ?عاصمة الطب? التى خطفت الأضواء من القاهرة، الشيخوخة أصابت مراكزها الطبية الجامعية بنفس أمراض المستشفيات العامة من ترد وإهمال ونقص الخدمات، وأصبحت على وشك الانهيار،بعد أن كانت صرحا طبيا عملاقا، يناطح أكبر المراكز الطبية العالمية من حيث الكفاءة وجودة الخدمة الطبية المقدمة. Mansoura ?capital of Medicine?, which snatched the limelight from Cairo, aging hit medical centers university with the same diseases of public hospitals of the set and the neglect and lack of services, and was on the verge of collapse, after it had been a monument medical giant, ramming the largest medical centers of the world where efficiency and quality of medical service provided .

(اليوم السابع) حاولت الوقوف على ما آلت إليه هذه الصروح الطبية العملاقة وأسبابها، ومحاولات جادة من القائمين على إدارتها لاستمرارها لتؤدى رسالتها الطبية العظيمة لفقراء مصر. (Seventh Day) I tried to stand on the outcome of the monuments of this medical giant and its causes, and serious attempts based on the administration to continue to lead the great medical mission to the poor of Egypt.

ومن داخل مستشفى طب الأطفال الذى أنشىء عام 1999 وهو المتخصص فى طب الأطفال، ويخدم العديد من محافظات الدلتا والقناة وواحد من أربعة مستشفيات متخصصة على مستوى الجمهورية، قالت الدكتورة هالة المرصفاوى إن المستشفى يستقبل 99 ألف طفل عبر العيادات الداخلية، بالإضافة إلى 105 آلاف من خلال استقبال الطوارئ سنويا إلى جانب تميز المستشفى بالتخصصات الدقيقة فى طب الأطفال مثل القلب والقسطرة التشخيصية والعلاجية ووحدة غسيل الكلى ومناظير الجهاز الهضمى والتنفسى وأعصاب الأطفال وزرع النخاع - المكلفة للغاية - والحساسية والأمراض المعدية. It is within the Children's Hospital, which was established in 1999, specialized in pediatrics, and serves many of the Delta governorates, channel, and one of four specialized hospitals at the level of the Republic, said Dr. Hala Almrsfawy The hospital receives 99 thousand children across the patient, in addition to 105 thousand during the annually to receive emergency hospital Courses marked by minute in pediatrics, such as heart catheterization and diagnostic, therapeutic and dialysis unit and perspectives, and gastrointestinal tract and nerves of children and bone marrow transplants - very costly - and allergies and infectious diseases.

وأشارت المرصفاوى إلى أن المستشفى أجرى به العديد من الجراحات الكبيرة والخطيرة مثل فصل التوائم التى أجريت مؤخرا علاوة على جراحات القلب المفتوح للأطفال. The Almrsfawy that the hospital conducted by many large and dangerous surgeries such as separation of twins by the recent addition to the open-heart surgery for children.
وأوضحت أن السعة السريرية للمستشفى 365 سريرا، ولا نستطيع التوسع فيها لاستيعاب الأعداد الكبيرة من الأطفال المرضى نظرا لقلة المبالغ المعتمدة للمستشفى. She explained that the bed capacity of 365 hospital beds, and we can not expand to accommodate large numbers of sick children due to lack of funds approved for the hospital.

كما أن قلة الاعتمادات المالية وضعفها امتد للأدوية والمستلزمات الطبية التى يحتاجها المستشفى، إضافة لعمليات بعينها باهظة التكلفة ولا غنى عنها مثل زرع النخاع وجراحات القلب المفتوح، ولا يقوم التأمين الصحى للأطفال بتغطيتها كاملة ، كما طالت عمليات الإحلال والتجديد الأجهزة الطبية أو شراء أجهزة جديدة ومتطورة لعلاج الأطفال، وأوضحت المرصفاوى أن التأمين الصحى لا يفى بكل نفقات علاج الأطفال المؤمن عليهم. The lack of funds and their vulnerability to spread of drugs and medical supplies needed by the hospital, in addition to specific operations are costly and indispensable, such as bone marrow transplants and open heart surgeries, and the Children's Health Insurance coverage in full, as long the replacement and renovation of medical devices or buy new hardware and developed for the treatment of children, Almrsfawy explained that health insurance does not meet all the expenses of treatment of children insured.

وعن الصعوبات الأخرى التى تواجه المستشفى، ذكرت المرصفاوى أن هناك عجزا شديدا فى التمريض ومشرفات التمريض الموزعات على المستشفيات الجامعية. And other difficulties faced by the hospital, said Almrsfawy that there are very short in nursing and nursing supervisors hubs on the university hospitals.

وأضافت أن المستشفى به نقص شديد فى أجهزة التنفس الصناعى وتجهيزات العناية المركزة والمراقبة وحضانات الأطفال حديثى الولادة وأن ما يتم فى ظل قلة الاعتمادات لميزانية المستشفى وتعسف التأمين الصحى فى الإيفاء بتغطية تكلفة علاج الأطفال، يجعلنا نعتمد بشكل كبير على تبرعات تأتى من جمعية أصدقاء مرضى مستشفى الأطفال الجامعى بالمنصورة. She added that the hospital by a severe shortage in the ventilatory and equipment intensive care, control and nursery newborns and that what is under the lack of funds to the budget of the hospital and the abuse of health insurance in meeting the coverage of the cost of treating children, we rely heavily on voluntary contributions come from the Friends of the patients, Children's Hospital Mansoura University.

وأشارت هالة إلى أن شركات الأدوية التى تهدد بإيقاف توريد الأدوية لنا لعجزنا عن السداد، وأيضا لا نملك سوى المقاتلة بشكل يومى لتوفير أبسط حقوق الطفل. The aura that the drug companies that threaten to stop supplying drugs to us to our inability to pay, and also do not have the only fighter on a daily basis to provide the most basic rights of the child.

وأرجعت هالة أسباب قصر الاستقبال الذى كان يتم سابقا 24 ساعة يوميا وعلى مدار الأسبوع إلى ثلاثة أيام فقط إلى قلة الإمكانيات المالية والضعف الشديد فى أعداد هيئة التمريض. And attributed the causes of halo Palace reception, which was not previously 24 hours a day, seven days a week to only three days to a lack of financial means and very weak in the number of nursing staff.

وفى مستشفى جراحة الجهاز الهضمى التى كانت وحدة صغيرة فى السبعينات، وكانت الأعداد المترددة عليه قليلة نسبيا عن الآن، ولكن بعد زيادة أعداد المرضى والمترددين على الوحدة آنذاك، تم إنشاء المركز فى عام 1992 ليقدم الخدمة الطبية لمرضى الجهاز الهضمى لمحافظات القناة والدلتا بشكل عام، وظل يمارس هذا الدور الرائد منذ إنشائه وحتى هذه اللحظة، ويتردد عليه ما يقرب من مليون مريض سنويا فى جميع شعب وتخصصات الجهاز الهضمى ومعظمهم من فقراء الشعب. In the hospital surgery gastrointestinal tract, which was a small unit in the seventies, the numbers were calling him relatively little now, but after increasing numbers of patients and visitors to the unit at the time, The center was established in 1992 to provide medical service for patients with gastrointestinal tract to the provinces in the channel and the Delta in general, remained exercise this leading role since its inception and until this moment, frequented by nearly a million patients a year in all divisions and disciplines gastrointestinal tract, mostly poor people.

وقال الدكتور جمال العبيدى مدير المستشفى أن المركز يقوم بشكل أساسى على ميزانية الجامعة التى لا تكفى للإنفاق على علاج هذا العدد الهائل من المرضى، ويترتب على هذا عجز شديد نظرا للتنوع الشديد، وكثرة أعداد أمراض الجهاز الهضمى، مما يضطرنا للاعتماد بشكل أساسى الآن على أموال التبرعات والزكاة والبنوك فى حالة استطاعتها وعندما تقل موارد المستشفى من هذه التبرعات التى لا تكفى أعداد المرضى فإننا نضطر إذا توسمنا فى أحد المرضى أنه قادر أن يتبرع ولا يكون التبرع إجباريا، ولكن لوجه الله ولعلاج مريض آخر غير قادر يرقد بجوار سريره، وغالبا ما يكون هذا التبرع لايتعدى 20% من قيمة الخدمة الطبية المقدمة له، فعلى سبيل المثال عملية منظار القنوات المرارية تكون تكلفتها الفعلية 5000 جنيه، ويدفع فيها القادر 1000 جنيه، أما غير القادر لا أستطيع أن أجبره ويحصل أيضا على حقه فى الخدمة الطبية ولدينا قائمة انتظار لجراحات الأمراض الحميدة، وهناك أفضلية فى القائمة لمن يقوم بالتبرع المالى. Dr. Jamal Abidi, director of the hospital that the center is mainly based on University budget which is not sufficient for the maintenance treatment of this huge number of patients, and the consequences of this severe disability because of the diversity of conditions, and large numbers of diseases of digestive system, which obliges us to rely mainly now on the voluntary funds Zakat and banks in the case of the rated power, when the less resources the hospital from these donations are not sufficient numbers of patients we are obliged if Tosmona in a patient that he was able to donate or be donated mandatory, but the face of God and treat another patient is unable to lay next to his bed, and often this donation currently only 20% of the value of medical service provided to him, for example, the telescope biliary be actual cost 5000 pounds, and he pays is capable of 1000 pounds, but is capable of I can not be forced and will also get their right to medical service and we have a waiting list for surgery, benign, and there is a preference on the list who would make the financial donation.

وأضاف أن عدد الأسرة بما فيها العناية المركزة لم يتجاوز الـ 70 سريرا يخدم هذا العدد الهائل من كل هذه المحافظات، وأنه شئنا أم أبينا لابد من التوسع الأفقى الذى بالضرورة يستلزم ميزانيات ضخمة تستدعى تضافر كل الجهود سواء الحكومية أو الشعبية لتحمل مسؤولياتها تجاه المرضى غير القادرين من أبناء الشعب. He added that the number of beds, including intensive care did not exceed 70 beds to serve the vast number of all these provinces, and that whether we like it or not, must be expanded horizontal necessarily require huge budgets necessitate the combination of all efforts, whether governmental or popular to assume their responsibilities towards patients who are unable to people.

أضاف العبيدى أن جهاز الأشعة بوحدة مناظير الجهاز الهضمى يعمل منذ حوالى 18 سنة متواصلة، ونحافظ عليه منذ ذلك الوقت وكان يعمل بطاقة 10 مرضى يوميا فيما مضى، أما الآن فقد تم تقليص العدد حتى نستطيع الحفاظ على كفاءة الجهاز الذى انتهى عمره الافتراضى، مضيفا أن مطلب زيادة الاعتمادات المالية المخصصة للمستشفى يتم مناقشتها بشكل دائم مع إدارة الجامعة ،إلا أن الزيادة الرهيبة فى أسعار الأجهزة تحول دون توفير الميزانية، فمثلا جهاز الأشعة الذى كان سعره عام 92 حوالى 800 ألف جنيه أصبح الآن بـ5 ملايين. Obeidi said that a radiation unit Gastrointestinal Endoscopy been working since about 18 consecutive years, and preserve it since then and was operating at 10 patients per day in the past, but now it has been reducing the number so that we can maintain the efficiency of the device, which ended life span, he said, adding that the demand for increase the funds allocated to the hospital is discussed on a permanent basis with the university administration, but the terrible increase in the prices of devices to prevent the provision of the budget, for example, x-ray apparatus, which was priced in 1992 about 800 thousand pounds is now 5 million.

أما مستشفى الطوارئ الذى يستقبل محافظات الدقهلية والشرقية والغربية ودمياط وشمال سيناء والقناة، وتأتينا حالات من ليبيا وجزر القمر ،تبلغ سعتها 120 سريرا، وقال مسعد الصايغ المدير الإدارى للمستشفى ولكن يظل دائما احتياج المركز لمثل عمليات الإحلال والتجديد لأجهزة المستشفى ووحدة الغازات الطبية والعناية المركزة إضافة لأفران التعقيم وإنشاء استقبال للحالات المترجلة. The Emergency Hospital, which receives Daqahleya, East, West and Damietta, north Sinai and the Canal, and comes to us cases of Libya and the Comoros, with a capacity of 120 beds, said Massad Al Sayegh, Managing Director of the hospital, but it remains always need the center, such as replacement and renewal of the organs of the hospital and the Unit of medical gases, and Intensive Care in addition to furnaces sterilization and the establishment of the reception of cases of foot.

وتنتهى جولة ?اليوم السابع? داخل واحد من أهم المراكز الطبية والبحثية فى العالم، وهو مركز الكلى والمسلك البولية، ويطلق عليه عامة الناس فى المنصورة مركز غنيم نسبة إلى مؤسسه العلامة الجليل الدكتور محمد غنيم، أو طبيب الفقراء كما تحب صفوة المجتمع المصرى أن تطلق عليه. And ends tour ?seventh day? in one of the most important medical centers and research institutions in the world, the center of the kidneys and the behavior of urinary, called the public in Mansoura center Ghoneim, relative to its founder, Mark Reverend Dr. Mohamed Ghoneim, or a doctor poor as you like the elite of Egyptian society to call it .

وقال الدكتور حسن أبو العينين مدير المركز، رغم أنه مازال يحافظ على تقدمه بعد ربع قرن من الزمان، إلا أنه يعانى من قلة الموارد المالية، بعد أن قلت التبرعات المالية. Said Dr. Hassan Abu-eyed director of the center, although it still maintains the lead after a quarter of a century, but it suffers from a lack of financial resources, having said financial donations.

وأشار إلى أن التبرعات كانت تأتى من دول الخليج نظير السمعة العالمية لم تعد تأتى الآن، ونحن نعتمد بشكل أساسى على الدولة التى توفر ما يقرب من 60% من ميزانية المركز أما الـ 40% الباقية، فنحن ندبرها بمعرفتنا عبر تبرعات لم نكن ساعين لها لثقة الخيرين فى مصر والذين يثقوا فى المركز وخدماته التى تؤدى للفقراء والتى تصل فى بعض الأحيان لمساعدات مالية شهرية لمرضى فقراء. He pointed out that the donations had come from the Gulf States-peer global reputation no longer come in now, we rely mainly on the state providing nearly 60% of the budget of the Centre while the 40% remaining, we Ndberha our knowledge through the contributions were not seeking them to trust the benevolent in Egypt and those who trust in the center and its services which lead to the poor and that in some cases to monthly financial assistance to poor patients.