(Budapest) – The government’s long-standing oblivion has left Hungary’s public fitness formula ill-prepared to deal with the Covid-19 pandemic, Human Rights Watch said today.
Human Rights Watch discovered poor situations in hospitals, adding a lack of hand soap, disinfectant and cleanliness of the facilities good enough; Lack of non-public sanitary materials and protective equipment for fitness staff and patients; Insufficient number of one-bedroom apartments to isolate people suspected or shown of infection; inadequate microbiological testing to detect express pathogens and long waiting times for results; and the lack of reliable knowledge and statistics on intrahospital infections, adding up the resulting deaths.
“People are not concerned that going to the hospital will inform them of situations that will make them even sicker,” said Tom Porteous, deputy director of programs at Human Rights Watch. “Although it seems that Hungary has not been affected as much as other European countries, the new coronavirus has not disappeared and the Hungarian government urgently wants to implement reforms and more investments to protect patients and fitness personnel from infection or infection. death .. »
Between May 2019 and July 2020, Human Rights Watch interviewed 24 survivors or relatives of victims who had contracted infections during their hospitalization in recent years and six of the patients died.Their stories are a painful testament to the shortcomings of the public fitness system, the outstanding and infrequent weaknesses exacerbated by the Covid-19 pandemic, and the insufficient response of the government. Official statistics for 2018 place the number of infections acquired in hospitals in 15151, of which 541 resulted in death – the actual maximum number is probably much higher.
Deficiencies in Hungarian hospitals would possibly have contributed to the spread of Covid-19.According to the medical director of the state, until 12 July, 1,062 patients had contracted Covid-19 in hospitals, of which 260 died.With 4,263 cases shown and 595 deaths reported to the World Health Organization (WHO) as of 15 July, this means that 25% of reported reported infections have contracted in hospitals and hospital-acquired Covid-19 infections have resulted in approximately 50% of reported deaths.. Like other Central European countries, Hungary’s official general infection rate with Covid-19 is relatively low compared to the rest of the European Union.The effects imply that the Hungarian government is not fulfilling its obligations under the right to fitness, either for patients or fitness workers, as required by foreign law.Under the right to physical fitness, governments should ensure that operating situations and environments are good enough and take appropriate measures to prevent, treat and disease.
Doctors reported problems obtaining non-public protective devices and confusion related to repair rules and procedures for suspected Covid-19 patients.Doctors and fitness experts stated that Covid-19’s control capability was limited, that it was difficult for others to have a checkup, and that showed or suspected that Covid-19 patients were not well-remote in hospitals.
The first cases of Covid-19 in mid-March were shown among foreign academics in Budapest who were quarantined at a local hospital.Human Rights Watch interviewed a quarantined student who described a lack of social estrangement and isolation.She said she was placed in an ambulance, with several other patients and then in a room with two other unrelated people before the hospital assessed her infectious condition.
The lack of good enough non-public protective equipment, the addition of medical masks, gloves, goggles and gowns, as well as the right education and direction for staff, also likely contributed to the maximum number of Covid-19 infections among fitness care staff.According to data received from the government organization on coronavirus, as of the end of May, 576 members of the fitness staff tested positive, 14.8% of all known cases.The government government deserves to collect and publish disaggregated information about infections and deaths of fitness personnel during the pandemic, Human Rights Watch said.
Hungary’s public fitness formula has been dysfunctional for decades. During Prime Minister Viktor Orban’s 10-year tenure, public attention to physical fitness was not a priority, with spending less than 5% of gross domestic product (GDP). According to a 2019 WHO report, Hungary Public spending on fitness in 2016 accounted for 4.9% of the country’s GDP, compared to an EU average of 7.8%.WHO said Hungary’s “chronically underfunded” fitness formula, with the public consistent with the percentage of spending representing only two-thirds of total expenditure in 2017 Health spending through Hungarians around 27%, well above the EU average of 16 consistent with the penny.
On April 7, an ordinance from the Ministry of Human Capacities, which addresses physical fitness issues, required public hospital managers to release 36,000 hospital beds across the country to accommodate potential Covid-19 patients. -19 patients have been discharged without good enough choice care, and others would have possibly been forced to percentages of rooms already filled with other patients.
In one case in late May, where the government told the patient that they had to make room for prospective Covid-19 patients, 7 young people and 7 adults were crammed into a room, where they could not distance themselves socially, while at least four rooms in a youth hospital ward are empty.Human Rights Watch has also documented similar disorders with poor isolation of patients suspected of hospital-acquired infections.
Covid-19’s pandemic has highlighted long-standing disorders with a lack of transparency and barriers to public data in Hungary, Human Rights Watch said.A government decree continued as a component of the March 30 declaration of emergency, which allowed the government to govern by decree without parliamentary control, prolonged the era of public establishments’ reaction to data requests from 15 to 90 days.The state of emergency ended on June 18, and with it the provisions of the decree.
Governments have a legal responsibility to protect fitness personnel and patients from fitness services from infections and to provide sufficiently good physical fitness data and protective clothing and appliances to minimize the threat of infection.
The Hungarian government deserves to urgently allocate the budget and mandatory resources to ensure that public fitness services have the right equipment, materials and workers’ bodies to ensure the most productive quality of care imaginable.compliance with standards and protocols for hygiene, sanitation and infection control, and infection reporting.
Finally, the government deserves to publish in a transparent manner knowledge about infections and deaths acquired in hospitals and infections and deaths in Covid-19, damaged in regions, localities and hospitals, as well as by age and gender, and the construction of rights monitoring.registration and reporting of cases.
“Orban’s claims to protect Hungarians are in vain when his government tops down hospitals, forcing patients to bring their own soap and, in some cases, depriving others of care,” Porteous said.”Instead of xenophobic investment campaigns or loads of building football stadiums, the government deserves to invest in its public fitness formula to gain advantages from all Hungarians.”
For detailed results, see below.
On August 9, 2019, Human Rights Watch asked the Ministry of Human Capabilities in detail about hospital-acquired infections.On 7 October, the ministry sent a one-page letter referring to the existing law and providing a link to the website of the Hungarian Bureau of Statistics.
Human Rights Watch sent 3 separate applications between October 2019 and January 2020 to meet with the government’s leading medical officer, and requests to five public hospitals in January for details on procedures and guidelines, but did not get a response.
Hospital-acquired infections
Hospital-acquired infections, also known as hospital-acquired infections, are contracted in hospitals or other fitness facilities during the care procedure and were not provided or incubated at the time of admission.They may also appear after the patient’s discharge.such infection is higher in an intensive care unit, where patients may be immunosuppressed and where medical procedures and contact with the body of workers and infected appliances can facilitate infection.
Non-public basic hygiene, sterile equipment and conditions, inflamed patient isolation rooms and appropriate care for hospital infections and cleaning procedures reduce the number of infections and deaths.Infections
He was a Hungarian-born physician, Ignac Semmelweiss, who, in the 1840s, first established a link between doctors who shod hands between patients and a drastic decrease in training years, fever infections and maternal deaths.
Since 2010, adjustments to Hungary’s public fitness formula have been weakened regardless of fitness services and the quality of the fitness profession.The Government of Orban has incorporated the former Ministry of Health into the Ministry of Human Capabilities, which is also guilty of culture, sports, education, etc.social policy and health care, among others.The government has also dissolved or replaced independent institutions in the past, adding the National Public and Medical Health Service, which monitors and monitors public health and epidemiological safety.
Ferenc Falus, Hungary’s former leading physician officer, told Human Rights Watch that centralizing the public fitness formula from the local point to the state point had undermined significant controls and balances on the quality of care.”The tracking and enforcement mechanisms are not independent of others and this is a problem,” Falus said.
Failure to address shortcomings in the public fitness system, coupled with a lack of funds and staff, puts patients at risk of hospital-acquired infections. that there is a lack of independence about the extent to which hospitals adequately investigate and report hospital infections.
A leading epidemiologist at the National Government Health Center estimated that there were 78,000 infections in 2015, although official statistics for 2018 put it at just 15151, of which 541 resulted in death.According to the HCLU, the number, which at first glance may only mean an obvious relief of 80% in 3 years, does not cover all types of infections and cases are not properly diagnosed or recorded.
Getting reliable and understandable official knowledge is difficult The government unveiled the questionable knowledge of 2018 in November 2019, only after a June Supreme Court order founded on an HCLU trial.Zsolt Hegedus, an orthopedic surgeon and hospital-acquired infection specialist, told Human Rights Watch that even health professionals have difficulty knowing government statistics, which use hard-to-understand terms and tables.
The government also limited access to data declared by the state of emergency in reaction to Covid-19, extending the time it takes the public government to respond to requests under the Freedom of Information Act from 15 days to 90 days.the state of emergency and with it the prolonged reaction time.The government-led organization on coronavirus refused to answer top questions from hounds and independent media.
Lack of sufficiently good preventive measures in hospitals
The lack of good enough non-public protective equipment, the addition of medical masks, gloves, eye protection and gowns, proper hygiene and cleaning guidelines, has long been a challenge in the public fitness system. Good enough preventive measures appear to be directly similar to the prevalence of hospital-acquired infections in Hungarian hospitals and possibly would have played a role in the spread of Covid-19. The chief epidemiologist of the National Center for Public Health said in April 2019 that 30 to 50% of infections acquired in the hospital can also simply According to some other existing government physical condition with the, the average use of alcohol disinfectant to hands, at 8.1 liters consistent with 1,000 days of care, rising slowly, is well below the European average of 24 liters.
According to the Medical Director, as of 12 July, 1,062 patients had contracted Covid-19 in hospitals, of which 260 died, meaning that 25% of all reported infections were contracted in hospitals and covid-19 hospital infections resulted in nearly 50% of the deaths shown in Covid.In reaction to media consultations, the government agency in charge of coronaviruses reported that 576 fitness staff tested positive for coronavirus, 14.8% of all cases.7 days.
Human Rights Watch studies have documented structural disorders similar to poor hygiene standards, inability for safe rooms or isolation rooms, lack of non-public protective devices and lack of evidence, disorders in the public fitness formula that are even more alarming in the context of the Covid-19 pandemic.
Poor hygiene standards
Respondents stated that they lacked fundamental pieces of physical fitness for their remains in public hospitals and that they or their circle of family members should bring their own soap, disinfectants and cleaning products to the hospital, it is apparent from the accounts that hospital hygiene and infection control do not meet WHO’s essential criteria for patient care.
Maria, 19, said she contracted a hospital-acquired infection after giving birth to her bathroom in a Budapest hospital in May 2019. After a moment surgery to treat the inflamed wound caused the first operation, the The doctor told her she was inflamed with the KlebsiellaArrayMaria bacteria she was hit by poor hygiene and lack of good medical supplies:
The housekeeper dragged the same filthy mop in every room and used the same rag to clean the inner bedside tables in the bathrooms…the nurses also told us that they had to reuse and sterilize single-use parts because the hospital did have enough to meet the demands.
Helen, whose baby was born prematurely and contracted an infection in March 2019 at a hospital in Sopron, northwestern Hungary, said that non-public protective devices for health care staff and patients were rare in the service for prematurely born young children, where their daughter Array After the first two critical weeks went by without problems Helen’s daughter began vomiting violently, a imaginable symptom of a nosocomial infection.Helen was able, “with some difficulty,” to convince the doctor to do more tests, which eventually made us decide that her daughter had an E-infection.Coli. First of all, she said:
The doctor just told me it’s an infection acquired at the hospital and, as a precaution, he put 4 types of antibiotics to my daughter.A week and a part later, the doctor told me it was an E infection.How can a baby?Coli?
Helen claimed that nurses cradle young children in their civilian tissues and without cover when they are moved from room to room or room.She added that she and other moms won shredded fabric dresses replaced every 3 or 4 days or more, and that shoes covers or paper towels were never enough.
Reka, whose 56-year-old spouse died in a hospital after contracting Clostridium difficile after surgery in 2015 in the internal medicine branch of a Budapest hospital, described unsanitary situations in the shower cabin shared by 8 patients.Clostridium difficile bacteria can cause symptoms ranging from diarrhea to life-threatening inflammation of the colon.It can be transmitted through touch when other people do not wash their hands or if infected surfaces are not cleaned well:
It’s so filthy and disgusting … The so-called cleaner used the same filthy mop and the same fabric to clean carelessly, transporting germs from room to room …When I complained about cleaning, I took a bath brush and started rubbing the tiles off the wall …I had never noticed that the cleaning staff disinfected the handlebars, door handles or anything else.
She said there were two toilets in the hallway, one for men and one for women, with two toilets each where one of the toilets was marked with a sign that said “Clostridium”.”The one who didn’t have Clostridium signalal got stuck with faeces during my partner’s stay, so patients and visitors were forced to use the one with the Clostridium signalal,” he says.”There’s no soap or hand sanitizer at any time.”
Bence, 41, said the situations were “horrible” at the Budapest hospital, where he met Clostridium difficile after life-saving surgery in 2015:
There were 2 bathrooms for 30 other people in the room, and it was about 50 yards down a hallway of my room. Many of us had abdominal disorders and were weak. My roommate with hepatitis A got dirty several times because the toilet hadn’t arrived on time.He kept his dirty laundry in the non-unusual bathroom sink.
Linda, 37, said her newborn son was born prematurely at Miskolc Hospital in northeastern Hungary in August 2013 and died of an infection acquired at the hospital caused by the klebsiella bacteria.vented or requiring intravenous catheters, or who are taking prolonged remedies with certain antibiotics, may be at risk. Bacteria can cause a variety of other infections, adding pneumonia, blood infections, wound or surgical site infections, and meningitis.She gave birth in week 32 and the birth went well and the child gained weight as planned, but died suddenly four days later.Police reports imply that the cause of death was poor hygiene and defective equipment.
It was very hot, closer to four degrees, and the air conditioning did not work, instead, all the windows of the office of the office of untimely care were open and outside there was a terrace where the physical care staff smoked.protective equipment, I did not see them wash their hands and some of them were dressed with long false nails, apparently, as we were told later in the resulting police investigation, the incubators were not working well and, as a result, the nurses left the hatches open, leaving my son unprotected …Once we filed a police report for negligence, we learned that eight other young men had died on the four days of August.
Lack of good enough testing for pathogens
Detection of express pathogens in the public aptitude formula appears to be insufficient with long waits for results.This can have potentially fatal consequences for patients if pathogens are known early enough for prompt, effective and applicable treatment.Lack of evidence also increases the threat of contagion.other patients.
Bence, who spent nearly 8 weeks in the hospital after getting an infection in the hospital after surgery, said he had begged doctors to do checks after starting diarrhoea and that a lab check indicated inflammation, but the doctor refused because he thought the diarrhea could Bence’s pre-existing condition indicated that he had gained no effect antibiotics and that he had lost 30 pounds in less than 3 weeks.She discovered that she had Clostridium difficile only after making arrangements for her friend to take her stool pattern analyzed through a personal clinic.
In some documented cases, patients reported that no tests had been performed, despite apparent symptoms of a hospital-acquired infection.
Miklos, 49, hospitalized in Budapest in June for emergency spine surgery after a climbing accident, suffered other injuries in the accident, adding a severely inflamed injury.
I showed my wound to the nurses several times but no one cared …nobody did any tests and I denied antibiotics … I only took antibiotics because my doctor friend told me to call my [family doctor] to prescribe it, which he did…it was getting more and more inflamed and dripping … my sheet was not replaced for 3 days, everything was dirty yellow and catArray …In the end, I had to have surgery to cover the wound.
Lilla, 44, a mother of two, contracted an infection acquired in the hospital after an emergency C-section in 2016 in southern Hungary.After the operation, he said, the tube inserted into his abdomen fell to the ground and a nurse lifted it.and reinserted it. Later that night, Lilla developed a high fever, dizziness and a lot of pain.After 3 days of severe pain and fever, doctors reopened his wound to clean up the infection; he stayed in the hospital for a month with the wound open so he could clean it periodically.He stated that he had not been informed of any evidence to detect a hospital infection and that the hospital documents did not mention the evidence: “Instead, the doctors blamed me for the infection, saying I am obese and I have a filthy house.”
Lilla still suffers from physical fitness due to his ordeal, has filed a lawsuit against the hospital, a paperwork is pending lately.
The government’s reaction to Covid-19; Empty beds
While official infection and death figures in Covid-19 are low, the lack of reliable knowledge of fitness care at the right time, combined with limited controls, suggests that the actual rate of infections and deaths in Covid-19 in Hungary may simply be much the controls are well below the EU average , with the third lowest control rate in the EU, as of 31 July.
The National Public Health Center oversees testing in Hungary and can pass the tests with the advice of a general practitioner, but a de-timer from Budapest told Human Rights Watch in mid-April that it was difficult to send suspicious patients back to testing.The doctor stated that some of his requests for evidence had been ignored.The media and medical experts reported that in several cases, the citizens of the nursing homes contracted Covid-19 for their hospitalization, and were released and sent back to nursing homes without examination.
Similarly, media reports mean that the detection of fitness care personnel and nursing homes is also inadequate.
In April, the government emptied hospital wards to accommodate Covid-19 patients.In a letter of 7 April, the Ministry of Human Capacities ordered all public hospital administrators to release 60% of their available beds, or a total of 36,000 beds nationwide, within 12 days, with no orders on how to provide physical conditioning care of choice to patients.The state’s leading former medical officer, Ferenc Falus, in an interview with HirTV on April 16, called the sudden emptying of hospital beds a “joke” and said it was unjustifiable to empty 60% of all hospital beds, leaving many patients without good care.
The number of patients affected is unknown as the government has not shared this information.In a case referred to the non-governmental organization Helsinki Committee, a cancer patient was discharged in April following the order and sent home without choice of care.His condition deteriorated temporarily after five days at home and he returned to the hospital, where he died a few hours later.In April, the media cited several patients or relatives of patients with chronic diseases who required 24-hour care and said they were given a 24-48 hour time frame to leave the hospital, with no orders on how to care for themselves or their family.Member.
On the thirteenth of July, the UN Special Rapporteurs on health, extreme poverty and human rights published a letter to the Hungarian government in May expressing their fear at the order to empty hospitals and their effects on the rights of patients in need of physical care.any irregularities, saying that the speakers were “wasting their time attacking Hungary on the basis of false accusations” and “spreading fake news.”
It is conceivable that the order to keep rooms empty for patients with Covid-19 exacrates overcrowding in other rooms, avoiding social estrangement.Human Rights Watch spoke to two other people who spent time in hospitals in May and June.Both indicated that there were more Miklos claimed that in June he was in a room with capacity for five patients in a Budapest hospital for 2 weeks, but that there were occasionally 6 patients, which made social estrangement unimaginable, and that he was not tested for Covid-19.He said that although doctors wore masks, some nurses didn’t wear them.
Human rights obligations
Hungary is a party to several treaties that secure the right to health by adding the International Covenant on Economic, Social and Cultural Rights (Article 12), the European Social Charter (Article 11), the EU Charter of Fundamental Rights (Article 35), the Convention on the Rights of the Child (Article 24) and the Convention on the Elimination of All Forms of Discrimination against Women (Article 12).
If the right to be fit does not guarantee the right to be fit, it promises the most productive state of fitness imaginable for the population, based on existing knowledge.As such, governments must implement an aptitude coverage formula that provides equivalent opportunities.so that everyone enjoys the highest point imaginable of fitness and enacting policies that advertise available, affordable and quality fitness facilities without discrimination.This requires that fitness facilities, intelligence and facilities be scientifically and medically adequate and intelligent quality, adding the availability of qualified medical personnel, scientifically approved and non-obsolete medicines and hospital equipment, safe and safe water, and smart enough sanitation.
The European Committee on Social Rights has published a right to protect physical fitness in times of pandemic, stressing that “every imaginable measure should be taken to ensure that a sufficient number of fitness professionals are deployed and that their career situations are adequate.apt and safe …. This includes the provision of mandatory non-public protective equipment.»