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July 2004

CHINA :: Mr Wang – Patient Power

He always wears a hat and a warm smile on his tanned face. He sits in the waiting room of Médecins Sans Frontières' HIV/AIDS clinic in Xiangfan, Hubei province, reading books and magazines everyday. Yet he is not waiting for doctors or nurses, but for HIV/AIDS patients and their family members.

Mr. Wang used to live in a village in Henan before starting his new life in Xiangfan. He welcomes all patients coming to the clinic with an enthusiastic “Good morning”. Such a simple greeting, a smile or a hug means so much and makes patients feel at ease.

“HIV/AIDS patients are seriously discriminated against,” says Mr Wang with intense feeling. “If people know someone is infected with AIDS, they will stay far away from them. Nobody will dare have contact or talk with them since they’re afraid of being infected … We need to help the patients to live within their community again. Since I am also infected, it’s better for me to talk with the patients.”

Many villagers in China, like Mr. Wang, earned their living by selling blood several years ago. They knew little about the risks of HIV infection, and many became HIV positive as a consequence of unsafe practices during the process. In October 2003, Mr. Wang accompanied his wife, who was also infected, to the Médecins Sans Frontières clinic to seek help. Sadly, his wife died at the end of last year. In February of this year, Mr. Wang accepted an invitation from MSF to provide counseling to other HIV/AIDS patients.

“Aside from the medical treatment, psychological assistance is also very important for HIV/AIDS patients,” says Mr. Wang. He explains that many people, including the patients themselves, did not know how the disease is transmitted. They can only live in fear. What makes them more upset is the discrimination against them by people in the community, even by their own family members.

Mr. Wong told us this story about a young man: “He is very young, only 29 years old. He was a patient in an infectious disease hospital in Xiangfan. His parents had already passed away. Although he had an older brother, they had not been in contact since he became infected with HIV/AIDS. He felt so upset and depressed.

One day at the beginning of March, he was desperate and thought he had no hope in life. He insisted on leaving the hospital and dropped out of his treatment. At that time, he was seriously ill. Nonetheless, since patients have the right to decide whether to continue treatment or not, Médecins Sans Frontières could not stop him. Médecins Sans Frontières helped by transporting him back to his home, as he was too weak to travel by himself.

His house was located up on the hill and there was no driveway at all. I put him on my back and carried him back to his home. After that, nobody took care of him and his brother did not visit him. He was alone. One day, he burnt his home down by accident. No one was there to help him. In mid-March, he phoned Médecins Sans Frontières and asked to be taken back to the hospital again.

He is in the infectious hospital now. Although he has recovered a bit after nearly a month of treatment, his brother has yet to show up. He is still hoping something will happen and change his life …”

Around a month after Mr Wang told us this story, the young man passed away. Médecins Sans Frontières provided palliative care for him in the hospital, and he died in dignity without suffering.

Lucy Clayton

Caring for victims of war
The peace process between northern and southern Sudan that has been underway since 2002 has renewed hopes for an end to Africa's longest-running civil war. The conflict has cost almost two million lives, mostly civilians who have died from hunger and disease. Yet amid talk of peace between the north and the south, the westernmost region of Sudan, Darfur, became the site of a growing catastrophe in the past year.

For years, MSF has assisted people in both northern and southern Sudan, providing basic health care at hospitals or through networks of clinics and health centers. Its work has included treating people with tuberculosis (TB), kala azar (visceral leishmaniasis) and other diseases; providing food; and treating the severely malnourished. MSF also delivers clean drinking water and provides sanitary facilities in areas where displaced people have sought shelter. » More

COUNTRY PROFILE Sudan
Population: 32,559,000
Life expectancy: 57 years
Expatriate staff: 282 | National staff: 3,657
MSF has worked in Sudan since 1979.

Sudan

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