Application 18 Situation in Novozybkov


Novozybkov

The town is situated north of the Border of  both Russia, Belarus and Ukraine. It was founded at Polish territory 1701 of the Christian group Old Believers, who for the sake of their religion had to flee from the Russian tsar. Later Novozybkov became Russian and became a cultural centre as well as a marketplace for good business. For a long time Novozybkov offered a good life to the people thanks to it’s good and frequent contacts with a lot of foreign countries. Before 1986 the export of gods from the town to other countries was extensive. However, the history of Novozybkov has it’s black pages. During the Barbarossa Operation during the second World War at least 400 Jewish families were murdered during one single night. Since then Novozybkov slowly but surely had managed to heal itself, when the radioactive cloud from Chernobyl happened to come early in the morning April 26, 1986. No one could see it, no one could hear it, but the light rain that fell down to the earth with it’s poison. 


Novozybkov should have been evacuated…
But there were no place to take the 45 000 inhabitants of whom 12 000 are children.
Many people, especially the most qualified ones, managed to moved by themselves. That is why dr Lydia only have 13 doctors instead of 33. It is therefore easy to understand how hard the 13 doctors have to work in double shifts. Besides they have nothing to work with except patients – nearly no medical equipment, no consumption material and almost no medicine at all. Especially not vitamins that are badly needed. People who live in polluted areas and eat radioactive food get very a very weak immune system which leads to a lot of diseases like different kinds of cancer.


The medical consequences of the Chernobyl accident

It is more frequent with heart diseases and high blood pressure among pregnant women who lives in radioactive polluted areas after 1986 than it was before. It is also more usual with urine (bladder) illnesses. Almost all pregnant women gets serious anaemia and illnesses with the thyroid gland. About 50 per cent of all pregnancies are during nine months threatened by spontaneous abortion. An increasing number of the pregnant women are so affected by complications during the delivery pregnancy that they need surgery to be able to give birth. About 15 per cent of the women deliver their babies after Caesarean section. They can not give birth the normal way anymore. Serious bleedings, that could lead to the death of the mother, is three times more usual now than before 1986. The death of the mother when given birth is seven (7) times more usual in the radioactive polluted area than in the rest of Russia.  


Women’s health care is decisive/conclusive to the future of the town
The women give birth to the children - and the children one day have to clean up the mess after the nuclear power experiment in Chernobyl. That is their regrettable faith. Therefore, the pregnant women must get good health care during their pregnancies. After 1986 most women give birth too early, since their own health is too bad. That is why many infants die. The women need help to keep the babies inside their bodies as long as possible. They also need all the help they can get to be able to give birth normally. A good start in life for the babies is probably conclusive to future life in Novozbykov. Therefore dr Lidiya keeps the pregnant women at the hospital at least 4-5 weeks before expected delivery. She tries to give them good (but radioactive) food (there is no other food to get) and vitamins (if she got any) to rise their immune system and prevent a too early delivery. That gives the children a better start and a chance to survive.

P7
Änglagård

Änglagård – The House of the Angel – is our name on dr Lydias maternity hospital. We felt we needed a name, that can appeal to people – and it does!

The hospital has tree buildings who are in a very bad condition. Besides a laboratory there is:
Building A - a (red) gynaecological and maternity welfare clinic and
Building B – a (white) maternity house with infants health care clinic.
A picture of a model of the maternity hospital
First (from above) in this picture is building A followed by building B below. 
Next comes building C – a planned hospital building that is needed as soon as possible to begin with to evacuate patients from buildings A and B while they are restored. Building D (the white one in this model) is a future dream. Do not care about the buildings to the right and to the left.  



The project

We shall within three years build, restore, put in order and furnish the Novozybkov maternity hospital as much as possible – or work after one of the alternative mentioned below:

Alternative I
We shall finance the renovation of buildings A and B and exchange furniture as well as medical equipment.
Estimated cost: about 1,5 million crowns where of 1 million crowns are building costs.

Alternative II
We shall finance the construction of a new building C inclusive furniture and medical equipment.
We shall also finance the renovation of the buildings A och B and exchange furniture as well as medical equipment.
Estimated cost: about 3,5 million crowns where of 3 million crowns are building costs.

Education
We hope to – weather we succeed with alternative I and/or II – be able to provide medical education from Sweden to the maternity hospital in Novozybkov.

Connections
We shall help dr Lydia to get good contacts between with Swedish medical care in order to make the situation at the maternity hospital in Novozybkov better for both staff and patients. In fact, we have already begun.

The gynaecological clinic at the Danderyds hospital in Stockholm is interested in an exchange of experiences. Dr Lydia visited both Danderyds hospital and Karolinska hospital during her visit to Stockholm in April 2003. Swedish hospital staff are interested to visit the maternity hospital in Novozybkov.

Huddinge University hospital has given medical equipment and has invited dr Lydia to lecture about the medical consequences of the Chernobyl accident and about her work at a ramshackle hospital in a radioactive polluted town. It is a good start. 

Small project within the project
The project give space for a great deal of mini-projects for single Lions Clubs who whish to give a more personal humanitarian aid.



Building A

The gynaecological clinic and maternity welfare clinic





The building above is identical with the building below. The difference is that the part of the building shown below is older than the one above.
Building A got a new roof last year thanks to LC Vallentuna. The old rotten one is seen on the ground above. 
See costs on page P:10.



The gynaecological clinic
The gynaecological clinic and the maternity welfare clinic is situated in a two floor building of stone built 1932. It was ruined during the Second World War but built up again 1952. Since then the building has not been renovated. Rain and snow have coming in through the roof during many years, why parts of the ceiling here and there have falling down on the pregnant women.

During the winter 2001/2002 the building were in such a bad condition, that dr Lydia had to evacuate her patients to a day nursery close to the hospital. Finally she took the decision to order a new roof without being able to finance it – which was a big risk for her. LC Vallentuna heard about it and decided to pay – 100 000 roubles or 3000 USD – for the new roof. The alternative had of course been to close the building for good, which had been very fateful in a catchment area of about 100 000 individuals.

The gynaecological clinic has 40 beds for patients. Every year around 1850 women are treated for cancer, ovum and matrix inflammation, myom in the matrix, complications during the pregnancy, spontaneous abortion and prenatal death of the foetus. The maternity welfare clinic in the same building treats 150 (!) patients per day.






Building B

Maternity house and the infants health care clinic




The maternity house in Novozybkov
is a hundred year old two floor building of stone. It is in the same bad condition as the gynaecological clinic and very old fashion. The building has 30 beds for patients in very small rooms. Delivery rooms and the rooms for operation are without everything when it comes to medical equipment. The equipment they have is antique, broken and/or even dangerous.

At dr Lydia’s maternity hospital about 700-750 children are born every year. 
Between 60 and 70 per cent of all deliveries are complicated and demand special treatments.
Every tenth child is born immature, which is twice as many as before 1986.
The maternity hospital has got three incubators from LC Vallentuna, but there is only one respirator and one machine to supervise the child. The staff every day have to chose between weak children who need such equipment. One will survive, the other will die. 

There is an increase of too slow growth among babies in Novozybkov. There is also an increase of lack of acid in the brain which can end up in brain damages. More children than before suffocates to death. Even more children are born with malformations and/or mental retardation. Cancer and other diseases develops in time. Besides there is also an increase in the number of death born children. In 1995 not less than 11 babies were born dead. That shall be compared to 32 dead born children 2001 – a frequently increase that is three doubled.

At least 7-9 per cent of all stated pregnancies ends in a spontaneous abortion. From the West it is well known that about 50 per cent of all spontaneous abortions happens due to a damage at the foetus.




Only 20 per cent of all new born babies in Novozbykov are healthy
And the number of sick children grows every year. The genetically and neurological damages in children have increased in Novozbykov after 1986. The same goes for different kinds of cancer where of cancer in the thyroid gland and leukaemia are acknowledged by the international society. The frequency of cancer among children, however, is increasing. Children in Novozybkov also more often gets grown-up-diseases, which is a phenomenon one hardly did not see before 1986.

Professor Stephanova who runs one of four Chernobyl hospital in Kiev, Ukraine, has identified what is known as Chernobyl Syndrome or Chernobyl aids – an illness caused by a badly hurt immune system that leads to infections and other bad illnesses like for example cancer.
- We got no new diseases after the Chernobyl accident, she says. The catastrophe did not gave us a monster. We have the same diseases and malformations as before, but they are worse and more often seen. 


The situation is a catastorphe
In other words, the medical situation in Novozybkov is a real catastrophe. About 70-80 per cent of all children are sick, most of them in typical grown up diseases. On the name list in school the teacher has written the diagnoses for each child.

Besides different kinds of cancer people suffer from diseases in heart, liver, lungs and kidneys. They have gastric ulcer, high blood pressure, cataract, diabetes, concentration problems, dizziness, headache and bleedings from the nose. From genetically damages is not much seen yet. An increase is expected now, when those who were babies 18 years ago becomes parents. There is also a heavy increase in neurological damages (mentally retardation) in the generation than now is growing up.

As an effect of the Chernobyl accident a lot of people are unemployed. There is also a lot of alcoholism. The post Soviet regime also left a non working administration behind and an extensive inability to grab the own situation and do something good of it. The radioactive polluted areas are more or less forgotten, since their problems often are too big and hard to solve. Therefore the victims need at least a symbolic kick in their back to start to do something about their own situation.