Developing Countries Get Hospital Castoffs

  • A street in Havana, Cuba. After more than 40 years of a U.S. economic embargo and more than a decade after the loss of their Soviet trading partners, Cubans have learned to improvise and make do with old stuff - cars, machines, and even medical equipment. (Photo by Ann Murray)

Tons of medical materials that normally would end up in U.S. landfills are being rescued, repackaged and sent to other countries. An aid group is working with local hospitals and volunteers to get surplus medical supplies to Latin America and the Caribbean. The Great Lakes Radio Consortium’s Ann Murray takes us on the trip from salvage to salvation:

Transcript

Tons of medical materials that normally would end up in U.S.
landfills are being rescued, repackaged and sent to other countries.
An aid group is working with local hospitals and volunteers to get
surplus medical supplies to Latin America and the Caribbean. The
Great Lakes Radio Consortium’s Ann Murray takes us on the trip from
salvage to salvation.


(Sound of warehouse activities)


In a warehouse near Pittsburgh, Global Links staffers are preparing to load a shipment of medical aid into a forty-foot container bound for Cuba. Workers haul pallets of dialysis kits, mattresses, waiting room chairs and gurneys to the loading dock. Everything here has been carefully sorted, evaluated, and matched with requests from the Cuban Ministry of Health.


Kathleen Hower founded Global Links with two friends back in 1989. It used to operate out of their houses. Since then, Global Links has sent $110 million worth of medical aid, all of it requested by the receiving countries. About two-thirds of that has gone to Cuba.


“Cuba’s unique in so many ways; they’re very advanced medically, they do transplant surgery, they have a lot of doctors. There’s no shortage of physicians there. They’re very different than other countries.”


What Cuba shares with other developing countries is critical shortages of equipment and supplies.


(Sound of busy street)


Here in Havana, the streets are filled with Eisenhower-era cars and lined with shops that repair everything from pots to paperbacks. After more than forty years of a U.S. economic embargo and more than a decade after the loss of their Soviet trading partners, Cubans are masters of improvisation.


The same is true for the island’s medical community, says Sebastion Pererra, the former director of Cuba’s Center for Electromedicine.


PERERRA/TRANSLATOR: “The embargo has been like a school for us. It taught us how to keep working with the same machines and not have the identical parts to replace them.”


Pererra says parts and technical information from Global Links have helped keep old medical equipment going. They’ve also supported new programs in breast cancer screening and dialysis research.


MURRAY: “Has the equipment that Global Links sent to you saved lives?”


PERERRA/TRANSLATOR: “It is undeniable.”


Global Links sends materials to Cuba that other countries can’t use. That’s because medical care is not as advanced in many other developing countries.


Doctor Armando Pancorbo uses the salvaged equipment for minimally invasive surgery at the aging hospital where he works. He and his team have done nearly four thousand operations, using equipment and supplies that were thrown out by U.S. hospitals.


This morning, the O.R. is busy. Anesthesiologists prepare a middle-aged patient for gallbladder surgery while nurses set up sterilized instruments.


Back in Global Links’ Pittsburgh office, volunteers help with the labor-intensive job of packing supplies for shipping. Kristin Carreira says this work is helpful on two fronts.


“Our mission here is both humanitarian and environmental. Environmental because all of our medical supplies that we’re working on would have been put in an incinerator or landfill and so we’re really recycling in that sense.”


The American Hospital Association estimates that U.S. hospitals produce about three million tons of waste every year and they pay about three billion dollars to dispose of it. Many of the supplies that end up in the trash are opened but unused. Worries about liability, changes in technology, and a rash of government regulations account for much of the still-useful materials being thrown out.


Vicky Carse is a nurse who traveled to Cuba as a volunteer.


“Seeing people re-washing gloves where we just would open gloves and throw them away, drapes that we just open up and throw away. To see these people harbor these items, re-wash them and re-wash them because they don’t have supplies, just makes you value what you have.”


The medical community is beginning to take notice. More and more US hospitals are contacting aid organizations. Laura Brannen directs a joint environmental program for the American Hospital Association and the U.S. EPA. She says Global Links and similar groups offer hospitals much needed guidance.


“They provide the infrastructure around what can be used around the world. And without those guidelines, hospitals would be tossing this kind of materials because they don’t know where else to send it.”


Global Links founder Kathleen Hower is happy to set up the guide posts. She says we have to realize that we are all members of a much broader community – one that could use our help, even when it’s a matter of just sharing stuff we’d normally throw away.


For the GLRC, this is Ann Murray reporting.

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CUBA SETS EXAMPLE FOR ORGANIC FARMERS (Part 2)

  • Cuban growers examine their crops. Farmers in Cuba have been successful in growing their own crops after the Soviet Union collapsed ten years ago. Photo by Mary Stucky

Cuba is in the midst of an unprecedented experiment in alternative agriculture… an experiment that’s attracting the attention of farmers in the Great Lakes. When the Soviet Union collapsed ten years ago, so did Cuba’s economy. Lacking money to import food or the chemicals to grow it, the Cuban government made a bold move — embracing organic farming and natural pest control. In the second of a two-part series, the Great Lakes Radio Consortium’s Mary Stucky takes a look at the lessons farmers may learn from Cuba’s organic experiment:

Transcript

Cuba is in the midst of an unprecedented experiment in alternative agriculture… an experiment that’s attracting the attention of farmers in the Great Lakes. When the Soviet Union collapsed ten years ago, so did Cuba’s economy. Lacking money to import food and the chemicals to grow it, the Cuban government made a bold move – embracing organic farming and natural pest control. The Great Lakes Radio Consortium’s Mary Stucky takes a look at the lessons Great Lakes farmers may learn from Cuba’s organic experiment.


The agricultural transformation in Cuba is striking. In a land only recently dependent on imported chemicals, much of the farmland is now cultivated without chemical fertilizer or chemical pest controls. In a land where people were once starving, a vast system of urban gardens are producing more than half of the fruits and vegetables consumed in Cuba, completely without the use of chemicals. So while certain foods like meat and milk are in short supply, the United Nations reports that most Cubans are now consuming enough calories for a healthy life.
There’s a pride in proving alternative agricultural methods can feed a country’s people. Fernando Funes made that point in the busy lunchroom at the agricultural research facility he runs near Havana.


“In the whole world we are a handful of people trying to go ahead with this struggle and we have to show that we are producing more healthy products that is healthy for nature. I don’t know what will happen in the future but I guess in my opinion, we are not going to come back because we have been proving very well that this paradigm is going to substitute the other one.”


Funes is out to spread the message that even the most chemical fertilizer and pesticide dependent farming can be transformed. Folks like the University of Minnesota’s Bill Wilcke are listening. Wilcke was recently in Cuba studying its agricultural innovations.


“Their solution is ‘what do we have to fix the problem,’ trying to make use of their natural resources and their own human resources to make this work.”


It’s not that they don’t use any fertilizer, or pest controls – they do. It’s just that they involve far less chemicals. For instance, Cuba’s approach to fertilizer involves the production of worm humus in so-called vermiculture facilities – where staff regularly invites curious American farmers to visit.


“We use commonly just manure, but also the kitchen residues and many other organic matters. They eat double their size.”


This Cuban farmer explains how they feed manure or garbage to the worms, which then transform it into a richer, more potent fertilizer. That fertilizer has been used to dramatically improve yields for some crops in Cuba.


(Ambient sound from lab)


Throughout rural Cuba there are more than 200 centers for the production of natural pest controls – including bacteria that devour insect larvae. That’s an inexpensive – and largely effective – alternative to chemical pesticides. Alternatives such as these are well known in the United States. But because of the ready availability of chemicals and because alternatives don’t work well on some big cash crops, they’re little used in the U.S. right now. Still, developing alternatives makes good sense to the University of Minnesota’s Bill Willcke.


“I don’t know if we need to advocate abandoning technology, but I think we need to think about what some of our options are and we have to think about the scale of our agriculture, the kinds of technology that we use.’


Some economists say it’s foolish for countries like the U.S. to imitate Cuba. They say, why go back to what some call medieval farming methods, why use valuable urban land to grow food. But Minor Sinclair disagrees. Sinclair lived in Havana in the 1990’s, representing Oxfam America, a charity working on food policy. Sinclair says Cuba may be sitting on a gold mine, with the increasing demand for organic food.


“Will Cuba’s agriculture be able to be a lighthouse for other developing countries in the region, and in some way even for farmers here in the United States. I hope so.”


Maybe someday, but most experts do not expect to see a system of organic farming and urban gardens widely embraced in the U.S. any time soon, at least not without a food crisis of Cuban proportions.


For the Great Lakes Radio Consortium, I’m Mary Stucky.