After various complaints were presented, including one about altering the gestational age of deceased newborns to modify statistics, a vote was taken to create a collegiate department in the Perinatology area of the hospital to audit the records of births and neonatal mortality.

The proposed interim collegiate management would be made up of a representative of the CMD, the maternity hospital management, and the National Health Service (SNS). Senén Caba, the president of the Dominican Medical College (CMD), along with several other medical professionals, led the meeting and declared that the situation had to be addressed immediately for the benefit of the patients.

The activity was attended by Yocasta Lara, the director of the SNS Hospital Centers, Dr. Martin Ortiz, and the director of the Los Mina Maternity Hospital, Leonardo Aquino.

Barahona, DR
The emergency area of the Jaime Mota Regional University Hospital (HRUJM) was busy this Good Friday due to the number of patients who arrived for various reasons, mainly due to traffic accidents involving motorcycles.

Injured in motor vehicle accidents were Eleodoro Medina Matos, 66, Nashla Ramirez, 6, Elias Cuevas Rubio, 26, Brayelin Peña, 14, Luis David Rodriguez, 26, Nelson Daniel Peña Segura, 37, and Luciano Jimenez, 28.

Ramón Urbáez, 32 years old, a resident of the La Peñuela sector of Cabral, was taken to the local hospital’s emergency room because of a fishing spear stuck in his back, accidentally caused by a companion when they were both fishing on the “El Curro” hill.

The cases are from Batey VIII, belonging to Cristóbal and others from the provinces of Independencia, Bahoruco, and Barahona, as well as from the municipality of Tamayo. Many of them were admitted to this health center.

So far, in Barahona province, there are no records of deaths within the Easter Week: Conscience for Life, 2023 operation, except for the death of a man from Azua de Compostela who hit the motor he was driving with a vehicle near the Vicente Noble intersection.

Dozens of people moved toward the different communities of the coastal area, many of them to visit beaches, rivers, and mountains. However, despite the large number of vehicles that moved towards that part of the province, there are no reports of traffic accidents.

In addition, the different neighborhoods have remained calm during this Good Friday. In the early hours in other sectors, citizens took out their swimming pools for children and adults to bathe, despite the prohibition due to the drought affecting the country.

Santo Domingo, DR.
A one-year-old girl died after she was given an injection in a health center located in the Canastica sector in the province of San Cristobal.

The infant was taken by her relatives to the First Level Care Center Canastica (CPN) last Tuesday, where she was medicated, and after her health situation worsened, referred to the Robert Read Cabral Children’s Hospital, where she died last Wednesday.

The director of the Regional Health Service of Valdesia (SRSV), Marcelino Fulgencio, reported that they are carrying out the necessary investigations to determine the reasons for the death of the infant.

Fulgencio regretted the death of the infant and explained that she was taken to the CPN by her mother and an aunt, with an indication of medication from another health center, so the nursing staff first proceeded to perform a subdermal test on the compatibility of medications, to determine if the girl was allergic to it.

According to the doctor, the test was negative, so the medication was applied.

According to a press release, the girl’s relatives handed over the prescription indicating the medication Diamine 633, prescribed by a pediatrician, which after being applied, the minor began to present difficulty in breathing, weak pulse, and cyanotic.

“According to what could be observed, it was an anaphylaxis,” said Fulgencio.

The head of the SRS Valdesia said that they immediately applied first aid and proceeded to transfer her to the Juan Pablo Pina Regional Hospital, where she was stabilized and later referred to the Robert Read Cabral Children’s Hospital because she required immediate admission to the Pediatric Intensive Care Unit. Last Wednesday, the girl died at the said health center.

Dr. Marcelino Fulgencio reiterated his condolences to the family, with whom he has been in communication, and affirmed that they would continue to investigate the incident in order to apply the corresponding measures if necessary.

Finally, he said that the person who provided care to the minor always remained at the health center.

Rivera stated that walk-in pools should not be used since they require a significant amount of water. When asked about the risk of cholera associated with these pools, the minister said they would only pose a risk if installed in sectors where previous cases were reported.

He cited the example of La Zurza, where surveillance measures are maintained despite no new infections reported, and where community members continue to bathe despite signs prohibiting it. Rivera reported that, as of Sunday, April 2, only one patient with suspected symptoms was under observation for cholera, and there were no hospitalizations for cholera or COVID-19.

As a result, he said the coverage strategy for Easter would focus on traffic accidents during the holiday, with hospitals in the public network and Farmacias del Pueblo supplied by Promese/Cal and the National Health Service (SNS).

Doctors María Arias Peña, Raymundo Hernández, and Plutarco Arias indicated that difficulties in falling asleep also cause poor work performance, increase the chances of suffering strokes and create greater obesity.

Medical professionals said that most road accidents happen because drivers and conductors fall asleep. They indicated that the sleep disorder causes apathy toward sex and that on several occasions it ends in divorce between couples. They explained that sleep apnea, which manifests itself in snoring at night, is more common in people aged 40 and older.

Doctors highlighted that the ARS provides coverage to people who suffer from this health problem. Dr. Plutarco Arias, president of the National Sleep Apnea Institute (INAPS), stressed that this entity continues to advance in the development of its specialized personnel to treat patients suffering from sleep disorders.

Among young people, what seems like a game has repercussions for them and future generations that procreate, because poverty also increases, due to the expenses that it implies having children with health complications. Of 7,976 early births, some are fortuitous. However, the specialists in the area are concerned about the harmful substances consumed by adolescents and young people,  as for the lack of checks during pregnancy and malnutrition.

The statistics of the National Health Service (SNS) indicate that of 114,580 births registered in the country last year, 59,207 were of mothers under 24 years, and of these, 23,258 were teenagers, including 859 under 15 years. “The use of substances during pregnancy promotes prematurity, low birth weight, and that the embryo is not developed properly when the woman abuses so much drug, hookah or vape,” said Leandra Cordero Oñate, pediatric pneumologist and nutriologist. The babies suffer many complications when born prematurely or with low weight. In 2022, 9.04% of births presented low weight and 0.3% malformation. Dr. Cordero Oñate sees in consultation an increase in interstitial pathology, pneumonic processes, and secondary fibrosis and attributes it to the abuse of that type of product at an early age. “All these findings are seen in young people, who understand that using Hookah or vape is not smoking, it is quite the opposite,” he said.

Law 16-19 prohibits the use of Hookah in public and private places in the country, but electronic cigarette has no restrictions and is widely used among adolescents. Studies conducted at the Maternal Child Hospital of Los Minas determined that 73% of teenage mothers consumed alcohol during pregnancy and 21% of their babies required attention due to the condition of fetal alcohol spectrum disorder. Among other factors of prematurity and risks of children’s deaths are hypertension (preeclampsia), obesity, diabetes, having a sedentary life, depression, and low schooling. Maternal-infantile hospitals in the Dominican Republic are endowed with units specialized in attention to premature and low-weight babies, with the required drugs and specialized doctors.

Santo Domingo, DR
In the “Great Forum,” a total of 18 speakers and panelists reflected on the approach to the pandemic, with the mistakes and successes experienced by the country, moderated by Eddy Perez Then, director of the Research Center and presidential advisor for COVID-19.

Chanel Rosa, former director of the National Health Service (SNS), in explaining the context in which the virus struck, pointed out that “the worst thing that happened to us was that the pandemic occurred in the middle of an electoral process, because we all become more petty, more denigrating… and this is transversal to the political class of the Dominican Republic, unfortunately, these are things that happen”.

Rosa emphasized that the good things done in both governments and continuity should be recognized. “It was not easy to manage a pandemic for two governments, however, the fact that a new government took office did not prevent us from continuing with public policies and I feel very proud,” he said.

Among the measures taken, he pointed out the declaration of the State of Emergency and social protection, such as the FASE program, as well as the creation of a national commission for the management of Coronavirus; while among the lessons learned, he listed the strengthening of the Provincial Health Directorates, the Collective Health Programs and the training of health professionals.

Mario Lama, current director of the SNS, said, “we learned that the management of this pandemic was dynamic… we were learning along the way, from the patients themselves and from the panorama we had… we did not take from what was happening in other countries.”

He added as a significant achievement that 18 hospitals were available for the treatment of COVID-19 and, as a lesson, that they had to innovate, creating, for example, daily reports to inform the population about how the hospital occupancy was.

Eladio Pérez, Vice-Minister of Collective Health, indicated that “we all became epidemiologists at that time” when dealing with new medical terms and highlighted the work carried out by the General Public Health Laboratory.

Mr. Perez explained that among the strategies for epidemiological management, the operational structure of the National Laboratory was strengthened and took advantage of his presentation to announce the Forcontact Project, an electronic platform that will allow contact tracing for COVID-19, which will later be used for other diseases.

Santo Domingo, DR
The director of the San Lorenzo de Los Mina Maternity and Children’s Hospital, Leonardo Aquino, indicated yesterday that between 90 and 100 children are admitted daily to the center, of which 45% are for “respiratory phenomena.”

While the other pediatric ailments are febrile syndromes (high fevers), acute diarrheal diseases, and other pathologies.

Aquino also stated that the cases of respiratory diseases “have always predominated,” mainly in hospitals, because they are located in areas close to neighborhoods and sectors where there is little awareness of “proper health care.”

He also indicated that fewer patients were admitted with respiratory ailments last year because, in previous years, the vestiges of Covid-19 and its variants were still felt.

She also revealed that the health system is taking “adequate” measures to prevent these diseases through the influenza vaccine, one of the leading “producing agents” of these phenomena. In that order, the person in charge of Pediatric Emergency, Marlene Perez, indicated that most respiratory problems are asthma or acute respiratory infections.

Half of the people consulted in the Pediatric Emergency Department of this hospital, located on San Vicente de Paul Street, Santo Domingo East, pointed out that the patients came for flu-like processes and fever, among whom two had severe congestion.

“She woke up with no strength in her body, with no spirit. She has had the flu and fever for several days,” said a mother with her little girl in the emergency room.

“Since last night she has been coughing a lot with a little cough and congestion. She is already on her third nebulization,” explained another mother named Julissa, who had her six-month-old baby with her.

Like them, other parents accompanied by their children occupied the spaces in the emergency room of this health center, seeking attention for their ailments.

At the Reid Cabral

During the tour made by journalists of this media, at least 15 patients waiting for attention at the Robert Reid Cabral Children’s Hospital were consulted. Two presented flu-like processes and congestion, while two others presented fever.

The others came for routine consultations, vomiting, stomach problems, sore throats, and other ailments that afflicted their children.

In Event Hall A of the Pontificia Universidad Católica Madre y Maestras (Pucmm), the venue of the event, its rector, Presbítero Secilio Espinal, highlighted prior to the invocation the role played by higher education institutions, schools, and colleges in a moment of “uncertainty”, as the one experienced in the Covid-19 pandemic. “Higher Education institutions saw the need to design policies and procedures, as well as organize the different environments for the development of academic, administrative, research, and extension activities with the highest possible quality, preserving physical and emotional health of those involved,” Espinal said.

Secilio Espinal added that a great innovation in the educational field was the implementation of the Flipped Classroom teaching-learning Methodology, aimed at guaranteeing a competency-based approach and meaningful learning, ensuring that the student uses time outside the classroom to learn theory and concepts independently, and time within class sessions to apply, analyze, evaluate, and create knowledge. He also called for a minute of silence for all those who have died from the virus. Immediately afterward, the director of the newspaper Listín Diario, Miguel Franjul, gave some introductory words for reflection in which he reaffirmed the commitment assumed by the authorities and citizens of the nation at that moment of crisis, taking the case of the same medium.

“The Listín Diario sighted what could come here and since February 5 it has focused on this threat. In this forum, it is necessary for the population to know how we accepted it, how we reacted, to what extent we were resilient… which gave rise to the idea of holding this forum last December,” said Franjul. Franjul took advantage of the moment of his address to thank the Minister of Public Health, Dr. Daniel Rivera, for making an appointment and collaborating so that many health specialists and experts could come to explain his ideas; in addition, to the scientists, academics, and authorities who decided to participate. He also paid tribute to the doctors and nurses for their hard work.

Then Dr. Daniel Rivera, in his opening remarks, stated that the Dominican Republic has been a benchmark for management in all areas of the COVID-19 pandemic for other countries, a feat that has even been recognized internationally. At least five exhibitors and 11 panelists will present the experiences and actions adopted by the country in the face of the pandemic. The first speakers will be Dr. Mario Lama and Chanel Rosa, director, and deputy director of the National Health Service (SNS), respectively, under the moderation of Eddy Pérez Then, director of the Research Center and presidential adviser for COVID-19.

The information was offered by the director of Risks and Disasters of the Ministry of Public Health, Gina Estrella. Estrella indicated that there are no new reports of patients infected with this bacterial disease, with the total number of cases detected since the beginning of the outbreak in October 2022 remaining at 91.

The director of Immunopreventable by Vaccines, Luchy Vargas, said that a total of 36,784 people have already been vaccinated against cholera in the country.