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Events: (Note that this is not the preferable method of finding events because not all events have been assigned topics yet)
Al-Qaeda operatives plan to bomb the US embassy in Kampala, Uganda, at the same time the embassies in Kenya and Tanzania are bombed (see 10:35-10:39 a.m., August 7, 1998), but there is a delay at the last moment. Police arrest 18 people over the next two weeks before the attack can be carried out. A Ugandan official will later say, “The attacks were planned to be more serious and devastating” than the other two. It is unclear what becomes of these 18 suspects; none of them are tried in the US. [Associated Press, 9/25/1998; Reeve, 1999, pp. 200]
Dr. Jonathan Fishbein. [Source: unknown]Government whistleblower Dr. Jonathan Fishbein, in testimony before a panel at the Institute of Medicine, says that federal officials involved in a US-funded study in Uganda endangered the lives of hundreds of patients testing an AIDS drug because of careless and negligent research practices. Fishbein says officials at the National Institutes of Health (NIH) ignored problems with the way the study was being conducted on the AIDS drug, nevirapine, which is used to protect babies in Africa from HIV infection during birth. The consequences of their failure had “grave and sometimes fatal implications for the lives of real patients,” Fishbein tells the panel. Fishbein does not allege that the drug is dangerous or ineffective. Instead, he discusses problems with the researchers involved, citing shoddy data collection, record-keeping and quality control issues. Because of those concerns, he says, the results of the study cannot be trusted. “We can ill afford to entrust the lives of people to invalid data,” he says. NIH has acknowledged that the Uganda research failed to meet required US standards. But it maintains that hundreds of thousands of African babies have been saved by using single doses of the drug to block the AIDS virus and that it can be done safely with those single doses. Nevirapine is an antiretroviral drug used since the 1990s to treat adult AIDS patients and is known to have potentially lethal side effects like liver damage when taken in multiple doses over time. Concerns have been raised over the possibility that the drug may cause long-term resistance in patients to further AIDS treatments. It is marketed in the United States as Viramune. Fishbein says that top officials at NIH became “so heavily invested in the trial’s outcome” that they could not be objective. “The old adage ‘garbage in, garbage out’ is apt,” he says. In 2003, Fishbein helped halt the study for 15 months after auditors, medical experts, and others disclosed problems with the project. But the concerns were dismissed by NIH officials, and the study began again. Documents show NIH knew of problems with the study in early 2002, but did not tell the White House before President Bush launched a $500 million plan that summer to use nevirapine throughout Africa. NIH is attempting to fire Fishbein for what it calls poor performance issues; Fishbein says the firing is retaliation for his speaking out. [Associated Press, 1/4/2005]
Robert Mugabe. [Source: Desmond Kwande / AFP / Getty Images]Former US diplomat and current human rights advocate John Prendergast calls for the US to oust the dictator of Zimbabwe, President Robert Mugabe, either by international isolation or by military force. Prendergast’s column in the Christian Science Monitor follows an earlier op-ed in the Washington Post calling for the US assassination of Mugabe (see December 9, 2008). Prendergast, who has worked in Zimbabwe to alleviate the suffering of its people, details Mugabe’s crimes against his populace, then details the advantages of each of his recommended strategies. International isolation—including other nations closing their borders with Zimbabwe and sanctioning Mugabe and other officials—is a dangerous tactic, as it might precipitate the starvation of millions of citizens. Prendergast harks back to 1979, when Tanzania intervened to overthrow the murderous regime of Uganda’s Idi Amin; to 1997, when a coalition of nations supported the rebel overthrow of Congo’s Mobute Sese Seko; and to 2003, when an international effort forced Liberia’s Charles Taylor out of office. “[T]he time has come for neighboring governments to expedite Mugabe’s departure,” Prendergast writes. “[T]he international community should not delay putting the wheels in motion to oust Mugabe. It will probably be messy in the short run and not without unintended consequences. But the status quo will guarantee that any hope for Zimbabwe—and huge numbers of its people—will eventually cease to exist.” [Christian Science Monitor, 1/16/2009; Foreign Policy, 10/22/2010]
The US spends more than any other nation in the world on health care, but ranks only 50th among 224 nations in life expectancy, according to the 2009 CIA World Factbook. Experts say that this fact could raise serious questions in the debate over health care reform. Americans have an average life span of 78.1 years; the populations of 49 other nations live longer, on average. Japan is first in life expectancy, at 83 years; Australia, Iceland, Italy, San Marino, Switzerland, Andorra, Canada, and France round out the top 10 countries. Other countries, such as Sweden, Norway, Denmark, Singapore, Greece, Spain, and Portugal also do better than the US in life expectancy. The bottom 10 nations are, in reverse order, Sierra Leone, Afghanistan, Zimbabwe, Lesotho, Zambia, Chad, Uganda, Swaziland, Mozambique, and Guinea-Bissau, with life spans ranging from averages of 41 to 48 years. Some experts note that the US is the only developed nation to have a virtually completely privatized health care system. “What we are able to find in the industrialized world is that life expectancy will be influenced in a beneficial manner to the extent that health care expenditure is publicly financed,” says public health professor Harvey Brenner. “The higher the government expenditure on health care, the lower will be the mortality rate.” A study from the University of Chicago shows that a single-payer system—government-run health care—may be associated with higher life expectancy. The governments of such nations as Norway, Sweden, Denmark, Australia, and Canada have government-run health care, and their citizens have some of the longest life spans in the world. The author of the study, Bianca Frogner, writes: “Inevitably the conversation about reforming our health care system focuses on the question of what are we getting for our money and how are others doing with their health care dollars. Life expectancy, along with mortality and morbidity rates, are fairly straightforward numbers to rely on.” Other comparisons show that Scandinavian and other European countries have lower birth mortality numbers than the US, though babies born with abnormally low birth weights tend to fare better in the US system than in the Scandinavian systems. [CNN, 6/11/2009]
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